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NVA237

Phase 3

Chronic Obstructive Pulmonary Disease (COPD) | Small molecule | Respiratory |Novartis AG|Last Updated: Mar 16, 2016

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 Trials3
Total Enrollment1,011
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01697696Long Term Safety Study of NVA237 vs QAB149 in COPD PatientsPHASE3 COMPLETED 511Oct 1, 2012Nov 1, 2014Mar 16, 201661 United States
NCT01566604Efficacy, Safety and Tolerability of NVA237 in Patients With Chronic Obstructive Pulmonary DiseasePHASE3 COMPLETED 460Mar 1, 2012Jun 1, 2013Aug 8, 201432 China, India +2
NCT00545311Safety and Tolerability of Multiple Inhaled NVA237 Doses in Chronic Obstructive Pulmonary Disease (COPD) PatientsPHASE1 COMPLETED 40Jul 1, 2007Oct 1, 2007Jan 8, 20084 Denmark, Germany
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Study Endpoints
Primary Endpoints
Percentage of Participants Reporting Safety and Tolerability in Terms of Adverse Event (AE) Reporting Rate
52 weeks

Adverse events are defined as any unfavorable and unintended diagnosis, symptom, sign (including an abnormal lab finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. Serious adverse events are any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalization, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects, or are other conditions which in judgments of the investigators represent significant hazards.

Trough Forced Expiratory Volume in One Second (FEV1)
12 weeks

Baseline FEV1 was defined as the average of the -45 min and -15 min FEV1 values taken on day 1 prior to the first dose of study medication. Trough FEV1 was defined as the mean of the post-dose 23 h 15 min and the 23 h 45 min FEV1 values. FEV1 was measured using central spirometry according to ATS/ERS standardization. Trough FEV1 was analyzed using a MIXED model for the full analysis set population. The model contained treatment as a fixed effect with the baseline FEV1 measurement, FEV1 prior to inhalation of short acting bronchodilator, FEV1 45 min post inhalation of short acting bronchodilator and baseline inhaled corticosteroids (ICS) use as covariates.

Pharmacokinetics (PK) of NVA237 following single and repeated once-daily inhaled NVA237 doses
Secondary Endpoints
Time to Treatment Discontinuation
52 Weeks
Change From Baseline in Mean Forced Expiratory Volume (Average of the Two FEV1 Measurements 45 and 15 Minutes Pre-dose) in One Second at Week 52
-45 min and -15 minutes baseline and at Week 52
Change From Baseline in Pre-dose Forced Expiratory Volume (FEV1) in One Second at All Post Baseline Timepoints
-45 min and -15 minutes baseline and at Week 52
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
NVA237 dose 1EXPERIMENTALNVA237 dose 1
Long-acting beta 2-agonist (LABA)ACTIVE_COMPARATORQAB149
NVA237EXPERIMENTALNVA237 50 µg once daily delivered via a single dose dry powder inhaler
PlaceboPLACEBO_COMPARATORPlacebo once daily delivered via a single dose dry powder inhaler
1EXPERIMENTALNVA237
2EXPERIMENTALNVA237
3EXPERIMENTALNVA237
4EXPERIMENTALNVA237
5PLACEBO_COMPARATORPlacebo
Interventions
NameTypeDescription
NVA237DRUGNVA237 will be supplied in capsule form in blister packs for use in the Novartis Concept 1 SDDPI
Long-acting beta 2-agonist (LABA)DRUGQAB149 and matching placebo will be supplied in capsule form in blister packs for use in the Novartis Concept 1 SDDPI
PlaceboDRUGPlacebo to match QAB149
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Eligibility Criteria
Age Range40 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites61

Inclusion Criteria: 1. Male or female patients with COPD according to GOLD 2011 who have signed informed consent. 2. Patients with airflow limitation of 30-80% post-bronchodilator FEV1 at run-in. 3. Current or ex-smokers with a smoking history of at least 10 pack years 4. Patients with a mMRC score...

Countries:United StatesChinaIndiaPhilippinesSouth KoreaDenmarkGermany
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