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Glycopyrronium bromide

Phase 3

Chronic Obstructive Pulmonary Disease | Small molecule | Respiratory |Novartis AG|Last Updated: Aug 19, 2026

Target and mechanism

Molecular targetCHRM1, CHRM3, CHRM4, CHRM2, CHRM5
Target classAntagonist
ModalitySmall molecule

Also known as Glycopyrronium bromide 25ug

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment2,390

FDA Designations

No designations recorded

Clinical trial landscape

Glycopyrronium bromide · 3 trials · 2 indications

Phase 3 2Phase 2 1
NCT01005901A Study to Assess the Safety, Tolerability and Efficacy of NVA237 Versus PlaceboChronic Obstructive Pulmonary Disease
COMPLETED1,324 Analytics
NCT009291101-year Study to Assess the Efficacy, Safety, and Tolerability of Glycopyrronium Bromide (NVA237) in Chronic Obstructive Pulmonary Disease (COPD)Chronic Obstructive Pulmonary Disease
COMPLETED1,066 Analytics
PHASE3COMPLETED
A Study to Assess the Safety, Tolerability and Efficacy of NVA237 Versus Placebo
Chronic Obstructive Pulmonary DiseaseUnlock trial analytics
PHASE3COMPLETED
1-year Study to Assess the Efficacy, Safety, and Tolerability of Glycopyrronium Bromide (NVA237) in Chronic Obstructive Pulmonary Disease (COPD)
Chronic Obstructive Pulmonary DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Trough Forced Expiratory Volume in 1 Second (FEV1) at 12 Weeks
12 weeks

Spirometry was conducted according to internationally accepted standards. Trough FEV1 was defined as the average of the 23 hour 15 minute and 23 hour 45 minute post-dose FEV1 readings. Mixed model used baseline FEV1,baseline inhaled corticosteroid (ICS) use, FEV1 prior to inhalation of short acting beta-agonist (SABA), and FEV1 45 minutes post-inhalation of SABA as covariates.

Trough Forced Expiratory Volume in 1 Second (FEV1) at Week 12
Week 12

FEV1 was measured with spirometry conducted according to internationally accepted standards. Trough FEV1 was defined as the average of measurements made 23 hours 15 minutes and 23 hours 45 minutes post-dose. The analysis included baseline FEV1 measurement, baseline inhaled corticosteroid use (Yes/No), FEV1 prior to inhalation of short-acting β2 agonist (SABA), and FEV1 45 min post-inhalation of SABA as covariates.

Change from Baseline in trough FEV1
At the start and end of each 2 week treatment period (Days 1, 14, 29, 42, 57 and 70)

Forced Expiratory Volume in 1 second (FEV1) is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured by spirometry.

Secondary Endpoints

Transition Dyspnea Index (TDI) Focal Score After 26 Weeks of Treatment
26 weeks
Quality of Life Assessment With St. George's Respiratory Questionnaire (SGRQ) Total Score After 26 Weeks of Treatment
26 weeks
Time to First Moderate or Severe Chronic Obstructive Pulmonary Disease (COPD) Exacerbation During 26 Weeks of Treatment
26 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Glycopyrronium bromideEXPERIMENTALGlycopyrronium bromide 50µg delivered once daily via Single Dose Dry Powder Inhaler (SDDPI). At visit 1 all patients were provided with a short acting β2-agonist (salbutamol/albuterol) which they were instructed to use throughout the study as rescue medication.
PlaceboPLACEBO_COMPARATORPlacebo delivered once daily via SDDPI. At Visit 1 all patients were provided with a short acting β2-agonist (salbutamol/albuterol) which they were instructed to use throughout the study as rescue medication.
Glycopyrronium bromide 50 μgEXPERIMENTALPatients inhaled glycopyrronium bromide 50 μg once daily in the morning between 8:00 AM and 10:00 AM via a single-dose dry-powder inhaler (SDDPI) for 52 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Placebo to glycopyrronium bromidePLACEBO_COMPARATORPatients inhaled placebo to glycopyrronium bromide once daily in the morning between 8:00 AM and 10:00 AM via a single-dose dry-powder inhaler (SDDPI) for 52 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Tiotropium 18 μgACTIVE_COMPARATORPatients inhaled tiotropium 18 μg once daily in the morning between 8:00 AM and 10:00 AM via a single-dose dry-powder inhaler (SDDPI) for 52 weeks. Daily inhaled corticosteroid treatment (if applicable) was to remain stable throughout the study. The short-acting β2-agonist salbutamol/albuterol was available for rescue use throughout the study.
Glycopyrronium 25μgEXPERIMENTALGlycopyrronium 25μg for two weeks
Glycopyrronium 12.5μgEXPERIMENTALGlycopyrronium 12.5μg for two weeks

Interventions

NameTypeDescription
Glycopyrronium bromideDRUGGlycopyrronium bromide 50µg was supplied as inhalation capsules for use via a Single Dose Dry Powder Inhaler (SDDPI)
PlaceboDRUGPlacebo inhalation capsules were provided for use via a SDDPI
Placebo to glycopyrronium bromideDRUGPlacebo to glycopyrronium bromide was supplied in powder-filled capsules together with a single-dose dry-powder inhaler (SDDPI) device.
TiotropiumDRUGTiotropium was supplied in powder-filled capsules together with the Handihaler® device.
Glycopyrronium bromide 25ugDRUG25μg Glycopyrronium bromide capsules for oral inhalation via Breezhaler
Glycopyrronium bromide 12.5ugDRUG12.5ug Glycopyrronium bromide capsules for oral inhalation via Breezhaler
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Eligibility Criteria

Age Range40 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites96

Inclusion Criteria: 1\. Diagnosis of COPD (moderate-to-severe as classified by the Global Initiative for Chronic Obstructive Lung Disease (GOLD) Guidelines, 2008) and: * Smoking history of at least 10 pack-years * Post-bronchodilator FEV1 \< 80% and ≥ 30% of the predicted normal value * Post-bronc...

Countries:United StatesAustraliaCanadaJapanNetherlandsRomaniaRussiaSingaporeSouth KoreaSpainTurkey (Türkiye)ArgentinaChileFranceGermanyHungaryIsraelItalyMexicoNew ZealandPeruPolandBulgariaColombiaGuatemalaSouth AfricaUnited Kingdom
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Recent Changes (Last 90 Days)

LOWAug 20, 2026NCT05222529lastUpdatePostDate: changed
LOWAug 20, 2026NCT05222529lastUpdatePostDate: changed
LOWAug 20, 2026NCT05222529lastUpdatePostDate: changed
LOWAug 20, 2026NCT05222529lastUpdatePostDate: changed
LOWJul 15, 2026NCT05222529lastUpdatePostDate: changed
LOWJul 15, 2026NCT05222529lastUpdatePostDate: changed

Frequently asked questions about Glycopyrronium bromide

What is Glycopyrronium bromide used for?

Glycopyrronium bromide is used for the treatment of asthma and chronic obstructive pulmonary disease (COPD). It is a small molecule respiratory therapy being developed by Novartis AG. The drug is currently in Phase 2 clinical development for asthma, while earlier Phase 3 trials for COPD have been completed.

What does Glycopyrronium bromide target?

Glycopyrronium bromide is an anticholinergic bronchodilator. It works by blocking the action of acetylcholine on muscarinic receptors in the airways, leading to relaxation of bronchial smooth muscle and improved airflow. This mechanism helps relieve symptoms in patients with respiratory conditions like COPD and asthma.

Who makes Glycopyrronium bromide?

Glycopyrronium bromide is developed by Novartis AG, a multinational pharmaceutical company headquartered in Switzerland. Novartis trades on the New York Stock Exchange under the ticker symbol NVS. The company is conducting clinical trials to evaluate the drug's efficacy and safety in respiratory indications.

What phase is Glycopyrronium bromide in?

Glycopyrronium bromide is currently in Phase 2 clinical development for asthma. The drug has completed Phase 3 trials for chronic obstructive pulmonary disease (COPD), but it is not yet approved by the FDA. It remains an investigational agent under evaluation in clinical studies.

What clinical trials is Glycopyrronium bromide in?

Glycopyrronium bromide has been studied in several clinical trials. For COPD, completed Phase 3 trials include NCT00929110 and NCT01005901. An ongoing Phase 2 trial, NCT05222529, is evaluating the drug in children aged 6 to less than 12 years with asthma. These trials assess efficacy, safety, and pharmacokinetics.

Is Glycopyrronium bromide the same as Glycopyrronium bromide 25ug?

Yes, Glycopyrronium bromide 25ug is a specific dosage strength of the drug Glycopyrronium bromide. The 25 microgram formulation is being studied in clinical trials for respiratory conditions. The drug is also known by the code name NVA237 in some research contexts.