Recent Updates
Recently added Catalysts

Ensifentrine

Phase 3

Chronic Obstructive Pulmonary Disease | Small molecule | Other |Merck & Company, Inc.|Last Updated: May 13, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials4
Total Enrollment2,066
FDA Designations
No designations recorded
Clinical Trials (4)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04535986A Phase 3 Clinical Trial to Evaluate the Safety and Efficacy of Ensifentrine in Patients With COPDPHASE3 COMPLETED 763Sep 29, 2020Dec 2, 2022Nov 13, 2023122 United States, Bulgaria +10
NCT04542057A Phase 3 Trial to Evaluate the Safety and Efficacy of Ensifentrine in Patients With COPDPHASE3 COMPLETED 790Sep 22, 2020Jul 6, 2022Oct 16, 2023130 United States, Belgium +8
NCT07132983A Phase II Study to Assess the Pharmacokinetics, Pharmacodynamics, and Safety of Single Inhaled Doses of Ensifentrine-glycopyrrolate Fixed Dose Combination, Ensifentrine, and Glycopyrrolate in Subjects With Chronic Obstructive Pulmonary DiseasePHASE2 COMPLETED 33Oct 6, 2025Nov 28, 2025Jan 8, 20264 United States
NCT07016412A Phase IIb Ensifentrine-glycopyrrolate Fixed-dose Combination Dose Ranging Study in Subjects With COPDPHASE2 RECRUITING 480Jul 31, 2025Aug 5, 2026May 13, 202655 United States
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Least Square (LS) Mean Change From Baseline in Average Forced Expiratory Volume in 1 Second (FEV1) Area Under the Curve Over 12 Hours (AUC0-12h) at Week 12
Baseline (pre-dose on Day 1) and Week 12

Forced spirometry maneuvers including the FEV1 were used to assess pulmonary function. Average FEV1 AUC0-12h was defined as AUC over 12 hours of the FEV1, divided by 12 hours. Baseline FEV1 is the mean of the 2 measurements taken before study medication on the day of first dosing, that is, \<=40 minutes pre-dose on Day 1. Spirometry assessments were performed in accordance with American Thoracic Society (ATS)/European Respiratory Society (ERS) guidelines.

Ensifentrine single dose area under the curve from time 0 to time t (AUC0-t)
Day 1 through 48 hours after each dose of study medication
Ensifentrine single dose area under the curve from time 0 extrapolated to infinity (AUC0-inf)
Day 1 through 48 hours after each dose of study medication
Ensifentrine single dose maximum observed concentration (Cmax)
Day 1 through 48 hours after each dose of study medication
Glycopyrronium single dose AUC0-t
Day 1 through 48 hours after each dose of study medication
Glycopyrronium single dose AUC0-inf
Day 1 through 48 hours after each dose of study medication
Glycopyrronium single dose Cmax
Day 1 through 48 hours after each dose of study medication
Change from average baseline in forced expiratory volume over 1 second (FEV1) to FEV1 area under the curve versus time from time 0 to 12 hours (AUC0-12h)
Baseline through 12 hours after each dose of study medication
Change from average baseline FEV1 to average FEV1 area under the curve versus time from time 0 to 4 hours (AUC0-4h)
Baseline through 4 hours after each dose of study medication
Change from average baseline FEV1 to peak FEV1 measured over 4 hours post-dose
Baseline through 4 hours after each dose of study medication
Change from average baseline FEV1 to 12-hour post-dose (evening trough) FEV1
Baseline through 12 hours after each dose of study medication
Incidence of treatment emergent adverse events (TEAEs)
From first dose through the end of study (approximately 6 weeks)
Change from baseline in QTcF as measured by 12-lead ECG
Baseline and visits 2, 5, 8, 11, and 14
Change from baseline in blood pressure
Baseline through end of study (approximately 6 weeks)
Change from baseline in heart rate
Baseline through end of study (approximately 6 weeks)
Change from baseline in average forced expiry volume in 1 second (FEV1) area under the curve versus time, from time 0 to 4 hours (AUC0-4h)
Baseline and Days 1, 14, 28, and 29
Secondary Endpoints
LS Mean Change From Baseline FEV1 to Peak FEV1 at Day 1 and Weeks 6, 12 and 24
Baseline (pre-dose on Day 1), post-dose on Day 1, Weeks 6, 12, and 24
LS Mean Change From Baseline to the Mean Weekly Evaluating-Respiratory Symptoms (E-RS) Total Score at Weeks 6, 12 and 24
Baseline (pre-dose on Day 1) and Weeks 6, 12, and 24
LS Mean Change From Baseline in the St. George's Respiratory Questionnaire (SGRQ) Total Score at Weeks 6, 12 and 24
Baseline (pre-dose on Day 1) and Weeks 6, 12, and 24
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm 1EXPERIMENTALEnsifentrine Nebulized Suspension; 3 mg BID
Arm 2PLACEBO_COMPARATORPlacebo Nebulized BID
Treatment A: Ensifentrine plus GlycopyrrolateEXPERIMENTAL(fixed-dose combination formulation) Subjects will receive a single dose of study medication in each treatment period followed by a 7 to 9-day washout period before receiving the next treatment in the sequence they were assigned to
Treatment B: Ensifentrine monotherapyEXPERIMENTAL(fixed-dose combination formulation) Subjects will receive a single dose of study medication in each treatment period followed by a 7 to 9-day washout period before receiving the next treatment in the sequence they were assigned to
Treatment C: Glycopyrrolate monotherapyEXPERIMENTAL(fixed-dose combination formulation) Subjects will receive a single dose of study medication in each treatment period followed by a 7 to 9-day washout period before receiving the next treatment in the sequence they were assigned to
Treatment D: Ensifentrine monotherapyEXPERIMENTAL(fixed-dose combination formulation) Subjects will receive a single dose of study medication in each treatment period followed by a 7 to 9-day washout period before receiving the next treatment in the sequence they were assigned to
Treatment E: Ensifentrine monotherapy (marketed formulation)EXPERIMENTALSubjects will receive a single dose of study medication in each treatment period followed by a 7 to 9-day washout period before receiving the next treatment in the sequence they were assigned to
Treatment Arm A: Ensifentrine plus GlycopyrrolateEXPERIMENTALEnsifentrine 3 mg / Glycopyrrolate 42.5 mcg
Treatment Arm B: Ensifentrine plus GlycopyrrolateEXPERIMENTALEnsifentrine 3 mg / Glycopyrrolate 21.25 mcg
Treatment Arm C: GlycopyrrolateACTIVE_COMPARATORGlycopyrrolate monotherapy 42.5 mcg
Treatment Arm D: GlycopyrrolateACTIVE_COMPARATORGlycopyrrolate monotherapy 21.25 mcg
Treatment Arm E: EnsifentrineACTIVE_COMPARATOREnsifentrine monotherapy 3 mg
Treatment Arm F: PlaceboPLACEBO_COMPARATORPlacebo
Interventions
NameTypeDescription
EnsifentrineDRUGDosage Formulation: Ensifentrine Nebulizer suspension Dosage 3mg Frequency: Twice Daily for 24 weeks or 48 weeks
PlaceboDRUGDosage Formulation: Ensifentrine Placebo Nebulizer solution Frequency: Twice Daily for 24 weeks or 48 weeks
Ensifentrine 3 mgDRUGSingle dose, administered by oral inhalation using a standard jet nebulizer
Glycopyrrolate 42.5 mcgDRUGSingle dose, administered by oral inhalation using a standard jet nebulizer
Ensifentrine 1.5 mgDRUGSingle dose, administered by oral inhalation using a standard jet nebulizer
Ensifentrine 3 mg (marketed formulation)DRUGSingle dose, administered by oral inhalation using a standard jet nebulizer
Glycopyrrolate 21.25 mcgDRUGAdministered by a standard jet nebulizer, twice daily for 28 consecutive days
Unlock Study Design Details
Eligibility Criteria
Age Range40 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites122

Inclusion Criteria: Informed Consent 1. Capable of giving informed consent indicating that they understand the purpose of the study and study procedures and agree to comply with the requirements and restrictions listed in the informed consent form (ICF). Age and Sex 2. Age: Patient must be 40 ...

Countries:United StatesBulgariaCzechiaGermanyGreeceHungaryPolandRomaniaRussiaSlovakiaSouth KoreaUnited KingdomBelgiumCanadaDenmarkEstoniaSpain
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT07016412primaryCompletionDate: changed
LOWMay 24, 2026NCT07016412studyFirstPostDate: changed