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QBW251

Phase 2

Pulmonary Disease, Chronic Obstructive | Small molecule | Other |Novartis AG|Last Updated: Apr 28, 2023

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_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment974
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04072887Dose-range Finding Efficacy and Safety Study for QBW251 in COPD PatientsPHASE2 COMPLETED 974Sep 12, 2019Feb 1, 2022Apr 28, 2023148 United States, Argentina +24
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Study Endpoints
Primary Endpoints
Change From Baseline in Forced Expiratory Volume in One Second (FEV1) at Week 12
Baseline and Week 12

The primary efficacy analysis assessed the effect of QBW251 on the absolute change from baseline in trough FEV1 in liters on Week 12. Forced Expiratory Volume in one second (FEV1) is calculated as the volume of air forcibly exhaled in one second as measured by a spirometer. Baseline measurement was defined as the baseline visit pre-bronchodilator spirometry assessment. Change from baseline in the FEV1 mean scores were analyzed using a Mixed Model for Repeated Measures (MMRM): treatment + baseline score + smoking status at screening + run-in FEV1 + airflow limitation severity + region + time interval + treatment\*time interval interaction + baseline score\*time interval interaction.

Secondary Endpoints
Change From Baseline in Forced Expiratory Volume in One Second (FEV1)
Baseline, weeks 4, 8, 16, 20 and 24
Change From Baseline in Evaluating Respiratory Symptoms (E-RS); Total Score
Baseline, weeks 12 and 24
Change From Baseline in Evaluating Respiratory Symptoms (E-RS); Cough and Sputum Score
Baseline, weeks 12 and 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
QBW251 450 mgEXPERIMENTALQBW251 was orally administered 450 mg b.i.d for 24 weeks
QBW251 300 mgEXPERIMENTALQBW251 was orally administered 300 mg b.i.d for 24 weeks
QBW251 150 mgEXPERIMENTALQBW251 was orally administered 150 mg b.i.d for 24 weeks
QBW251 75 mgEXPERIMENTALQBW251 was orally administered 75 mg b.i.d for 24 weeks
QBW251 25 mgEXPERIMENTALQBW251 was orally administered 25 mg b.i.d for 24 weeks
PlaceboPLACEBO_COMPARATORPlacebo was orally administered b.i.d for 24 weeks
Interventions
NameTypeDescription
QBW251DRUGQBW251 oral capsules (450, 300, 150, 75 and 25 mg) of identical appearance to ensure blinding administered twice a day (b.i.d) for 24 weeks
PlaceboDRUGPlacebo oral capsules administered twice a day for 24 weeks
COPD maintenance background therapyDRUGCombination of fluticasone furoate, vilanterol and umeclidinium bromide
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Eligibility Criteria
Age Range40 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites148

Inclusion Criteria: * Male and female COPD patients aged ≥40 years, who have signed an Informed Consent Form prior to initiation of any study-related procedure. * Current or ex-smokers who have a smoking history of at least 10 pack years. * Patients who have been treated with a triple combination o...

Countries:United StatesArgentinaAustraliaAustriaBelgiumCanadaColombiaCzechiaDenmarkFranceGermanyGreeceGuatemalaHong KongHungaryItalyJapanNetherlandsPhilippinesPolandSlovakiaSouth KoreaSpainThailandTurkey (Türkiye)United Kingdom
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