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Glycopyrronium bromide

Phase 3

Chronic Obstructive Pulmonary Disease | Small molecule | Other |Novartis AG|Last Updated: Aug 17, 2012

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials2
Total Enrollment2,390
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01005901A Study to Assess the Safety, Tolerability and Efficacy of NVA237 Versus PlaceboPHASE3 COMPLETED 1,324Oct 1, 2009Dec 1, 2010Apr 12, 201296 United States, Australia +9
NCT009291101-year Study to Assess the Efficacy, Safety, and Tolerability of Glycopyrronium Bromide (NVA237) in Chronic Obstructive Pulmonary Disease (COPD)PHASE3 COMPLETED 1,066Jun 1, 2009Apr 1, 2011Aug 17, 2012139 United States, Argentina +14
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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.

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.
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.
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Eligibility Criteria
Age Range40 Years — 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 ZealandPeruPoland
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