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NVA237 50µg once daily

Phase 3

Chronic Obstructive Pulmonary Disease | Small molecule | Other |Novartis AG|Last Updated: Jan 5, 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 Enrollment773
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01513460Efficacy, Tolerability and Safety of NVA237 in Patients With Chronic Obstructive Pulmonary DiseasePHASE3 COMPLETED 773Apr 1, 2012Dec 1, 2013Jan 5, 201571 Australia, New Zealand
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Study Endpoints
Primary Endpoints
Change From Baseline in Mean Trough Forced Expiratory Volume in 1 Second (FEV1) (NVA237 Versus Tiotropium)
baseline, 12 weeks

Spirometry was conducted according to internationally accepted standards. Trough FEV1 referred to the mean of FEV1 at 23:15 hours and 23:45 hours after the morning dose of study drug. The baseline was defined as the average of FEV1 values taken in the clinic 45 min and 15 min prior to the first dose of randomized treatment at Visit 3. A mixed model was used and contained treatment as a fixed effect with the baseline measurement of trough FEV1, FEV1 prior to inhalation of short acting bronchodilators, and FEV1 post-inhalation of bronchodilators and stratification factors as covariates. A positive change from baseline indicates improvement.

Secondary Endpoints
Change From Baseline in Mean Trough FEV1 (Flu/Sal Versus NVA237/Tiotropium+Flu/Sal)
baseline, 4 weeks, 8 weeks, 12 weeks
Change From Baseline in Mean Trough FEV1
baseline, 4 weeks, 8 weeks, 12 weeks
Change From Baseline in Total Score of the St George's Respiratory Questionnaire for COPD Patients (SGRQ-C) After 12 Weeks of Treatment
12 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
NVA237 + Fluticasone/Salmeterol (Flu/Sal)EXPERIMENTALNVA237 50 µg once daily (NVA237 + Tiotropium placebo + Flu/Sal). NVA237 50 μg o.d., delivered via single-dose dry-powder inhaler (SDDPI) o.d. plus Placebo to tiotropium o.d. delivered via a proprietary inhalation device plus Flu/Sal 500/50 μg b.i.d. delivered via a proprietary inhalation device. In addition, at Visit 1, all participants were provided with a short acting β2-agonist (salbutamol) which they were instructed to use throughout the study as rescue medication.
Tiotropium + Flu/SalACTIVE_COMPARATORTiotropium 18µg once daily (NVA237 placebo + Tiotropium + Flu/Sal). Tiotropium 18 μg o.d. delivered via a proprietary inhalation device plus Placebo to NVA237 o.d. delivered via single-dose dry-powder inhaler (SDDPI) plus Flu/Sal 500/50 μg b.i.d. delivered via a proprietary inhalation device. In addition, at Visit 1, all participants were provided with a short acting β2-agonist (salbutamol) which they were instructed to use throughout the study as rescue medication.
Flu/SalPLACEBO_COMPARATORPlacebo (NVA237 placebo + Tiotropium placebo + Flu/Sal). Placebo to tiotropium o.d. delivered via a proprietary inhalation device plus Placebo to NVA237 o.d. delivered via single-dose dry-powder inhaler (SDDPI) plus Flu/Sal 500/50 μg b.i.d. delivered via a proprietary inhalation device. In addition, at Visit 1, all participants were provided with a short acting β2-agonist (salbutamol) which they were instructed to use throughout the study as rescue medication.
Interventions
NameTypeDescription
NVA237 50µg once dailyDRUGNVA237 50 μg o.d., delivered via single-dose dry-powder inhaler (SDDPI)
Tiotropium 18µg once dailyDRUGTiotropium 18 μg o.d. delivered via a proprietary inhalation device
Flu/SalDRUGFlu/Sal 500/50 μg b.i.d. delivered via a proprietary inhalation device
NVA237 placebo + Tiotropium placebo.DRUGTiotropium 18 μg o.d. delivered via a proprietary inhalation device
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Eligibility Criteria
Age Range40 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites71

Inclusion Criteria: * Patients with Moderate to Severe COPD (Stage II or Stage III) according to the GOLD 2010 guideline * Current or ex-smokers who have a smoking history of at least 10 pack years * Qualifying FEV1 at Visit 2 (day -7) Exclusion Criteria: * Patients with a history of asthma or a ...

Countries:AustraliaNew Zealand
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