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NVA237 12.5 µg once daily

Phase 2

Chronic Obstructive Pulmonary Disease | Small molecule | Other |Novartis AG|Last Updated: Mar 23, 2015

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 Trials1
Total Enrollment388
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01119950Efficacy and Safety of NVA237 in Patients With Chronic Obstructive Pulmonary Disease (COPD)PHASE2 COMPLETED 388Apr 1, 2010Dec 1, 2010Mar 23, 201529 United States, Belgium +5
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Study Endpoints
Primary Endpoints
Maximal Response of Incremental Once Daily and Twice Daily Doses of NVA237 That Each Dose Achieves in Relation to the Maximal Effect of NVA237 on Trough Forced Expiratory Volume in One Second at Day 28
Day 28

Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. The maximal response of incremental once daily and twice daily doses of NVA237 that each dose achieves in relation to the maximal effect of NVA237 on Trough FEV1 was measured at Day 28. FEV1 was measured in response to all doses administered (see Outcome Measure #19). All trough FEV1 responses to active doses were corrected using the placebo response. A modeled dose response curve was fit to the placebo-corrected data, and extrapolated to estimate the maximal response. All trough FEV1 data are reported as a percentage of the theoretical maximal response. Trough FEV1 was defined as the mean of the 23 hour 15 minute and 23 hour 45 minute post-dose values.

Secondary Endpoints
Trough Forced Expiratory Volume in One Second for Once and Twice Daily Regimens of NVA237 for the Same Total Daily Dose of NVA237
day 28
Percentage of the Maximal Response of NVA237 Doses on Forced Expiratory Volume in One Second Area Under the Curve 0-24 Hours at Day 28 of Treatment
5 min, 15 min, 1,2,3,4,6,8,10 hours, 11 hours 55 min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on day 28
Forced Expiratory Volume in One Second AUC 0-24 Hours for Once and Twice Daily Regimens of NVA237 for the Same Total Daily Dose of NVA237, After 28 Days of Treatment
-25 min,-15 min (predose); 5 min,15 min, 1,2,3,4,6,8,10 hours, 11 hours 55min, 14,20,22 hours; 23 hours 15 min, 23 hours 45 min (postdose) on day 28
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
NVA237 12.5 µg q.d.EXPERIMENTALNVA237 12.5 µg once daily
NVA237 25.0 µg q.d.EXPERIMENTALNVA237 25.0 µg once daily
NVA237 12.5 µg b.i.d.EXPERIMENTALNVA237 12.5 µg twice daily
NVA237 50.0 µg q.d.EXPERIMENTALNVA237 50.0 µg once daily
NVA237 25.0 µg b.i.d.EXPERIMENTALNVA237 25.0 µg twice daily
NVA237 100.0 µg q.d.EXPERIMENTALNVA237 100.0 µg once daily
NVA237 50.0 µg b.i.d.EXPERIMENTALNVA237 50.0 µg twice daily
PlaceboPLACEBO_COMPARATORPlacebo to NVA237 once daily
Interventions
NameTypeDescription
NVA237 12.5 µg once dailyDRUGNVA237 12.5 µg via dry powder inhaler once daily for 28 days during either period 1 or during period 2.
NVA237 25.0 µg once dailyDRUGNVA237 25.0 µg via dry powder inhaler once daily for 28 days during either period 1 or during period 2.
NVA237 12.5 µg twice dailyDRUGNVA237 12.5 µg via dry powder inhaler twice daily for 28 days during either period 1 or during period 2.
NVA237 50.0 µg once dailyDRUGNVA237 50.0 µg via dry powder inhaler once daily for 28 days during either period 1 or during period 2.
NVA237 25.0 µg twice dailyDRUGNVA237 25.0 µg via dry powder inhaler twice daily for 28 days during either period 1 or during period 2.
NVA237 100.0 µg once dailyDRUGNVA237 100.0 µg via dry powder inhaler once daily for 28 days during either period 1 or during period 2.
NVA237 50.0 µg twice dailyDRUGNVA237 50.0 µg via dry powder inhaler twice daily for 28 days during either period 1 or during period 2.
Placebo to NVA237 once dailyDRUGPlacebo to NVA237 via dry powder inhaler once daily for 28 days during either period 1 or during period 2.
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Eligibility Criteria
Age Range40 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites29

Inclusion Criteria: * Male and female patients age 40 years or more * Diagnosis of Chronic Obstructive Lung Disease (COPD) (moderate to severe as classified by the Global Initiative for COPD (GOLD) Guidelines, 2008 * Smoking history of at least 10 pack-years * Post-bronchodilator Forced Expiratory ...

Countries:United StatesBelgiumGermanyHungaryNetherlandsPolandSpain
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