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QVM149 150/50/80 μg o.d.

Phase 3

Asthma | Small molecule | Respiratory |Novartis AG|Last Updated: Oct 4, 2021

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-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment3,208
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02571777Study to Compare the Efficacy and Safety of QVM149 With QMF149 in Patients With AsthmaPHASE3 COMPLETED 3,092Dec 8, 2015Jun 14, 2019Jul 22, 2020403 Argentina, Austria +39
NCT03063086Assess Bronchodilator Effect and Safety of Two Doses of QVM149 Compared to a Fixed Dose Combination of Salmeterol/Fluticasone in Patients With Asthma.PHASE2 COMPLETED 116Jan 21, 2017Aug 2, 2018Oct 4, 202112 Bulgaria, China +4
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Study Endpoints
Primary Endpoints
Trough Forced Expiratory Volume in 1 Second (Trough FEV1) of QVM149 Versus QMF149 at Week 26
26 weeks

Trough FEV1 was assessed by performing spirometric assessment. It is defined as average of the two FEV1 measurements taken 23 hr 15 min and 23 hr 45 min post-evening dose. FEV1 is the amount of air which can be forcibly exhaled from the lungs in the first second of a forced exhalation, measured through spirometry testing. The primary endpoint considered the following 2 comparison groups: * QVM149 150/50/80 μg o.d. compared with QMF149 150/160 μg o.d. both delivered via Concept1 * QVM149 150/50/160 μg o.d. compared with QMF149 150/320 μg o.d. both delivered via Concept1.

Peak FEV1 (L) Defined as the Highest Bronchodilatory Effect on FEV1 During a Period of 5 Min to 4 h After the Last Evening Dose of Each Treatment Period
3 weeks

The highest bronchodilator effect on FEV1 during a period of 5 min to 4 h after the last evening dose of each treatment period . To demonstrate superiority in peak bronchodilator effect of QVM149 at a dose of 150/50/160 μg o.d. and 150/50/80 μg o.d. compared to a FDC of salmeterol/fluticasone at a dose of 50/500 μg b.i.d. after 3 weeks of treatment in patients with asthma

Secondary Endpoints
Asthma Control Questionnaire (ACQ-7) at Week 26 and Week 52
26 weeks, 52 weeks
Trough Forced Expiratory Volume in 1 Second (Trough FEV1) of QVM149 Versus Salmeterol/Fluticasone at Week 26
26 weeks
Trough FEV1 at Week 52
52 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
QVM149 150/50/160 µg o.d.EXPERIMENTALQVM149 150/50/160 μg (indacaterol acetate/glycopyrronium/mometasone furoate) once daily (o.d.) delivered via Concept1 device
QVM149 150/50/80 µg o.d.EXPERIMENTALQVM149 150/50/80 μg (indacaterol acetate/glycopyrronium/mometasone furoate) once daily (o.d.) delivered via Concept1 device
QMF149 150/320 µg o.d.ACTIVE_COMPARATORQMF149 150/320 μg (indacaterol acetate/mometasone furoate) once daily (o.d.) delivered via Concept1 device
QMF149 150/160 µg o.d.ACTIVE_COMPARATORQMF149 150/160 μg (indacaterol acetate/mometasone furoate) once daily (o.d.) delivered via Concept1 device
Salmeterol/fluticasone 50/500 μg b.i.d.ACTIVE_COMPARATORSalmeterol xinafoate /fluticasone propionate 50/500 μg twice daily (b.i.d.) delivered via Accuhaler®
Sequence 1ACTIVE_COMPARATORA-B-C
Sequence 2ACTIVE_COMPARATORA-C-B
Sequence 3ACTIVE_COMPARATORB-C-A
Sequence 4ACTIVE_COMPARATORB-A-C
Sequence 5ACTIVE_COMPARATORC-A-B
Sequence 6ACTIVE_COMPARATORC-B-A
Interventions
NameTypeDescription
QVM149 150/50/160DRUG -
QVM149 150/50/80DRUG -
QMF149 150/320DRUG -
QMF149 150/160DRUG -
salmeterol/fluticasoneDRUG -
QVM149 150/50/80 μg o.d.DRUGA
QVM149 150/50/160 μg o.d.DRUGB
salmeterol/fluticasone FDC 50/500 μg b.i.d.DRUGC
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Eligibility Criteria
Age Range18 Years — 75 Years
SexALL
Healthy VolunteersNo
Study Sites403

Inclusion Criteria: * Patients with a diagnosis of asthma, (GINA 2015) for a period of at least 1 year prior to Visit 1 (Screening). * Patients who have used medium or high dose of ICS/LABA combinations for asthma for at least 3 months and at stable medium or high doses of ICS/LABA for at least 1 m...

Countries:ArgentinaAustriaBelgiumBulgariaCanadaChileChinaColombiaCroatiaDenmarkEstoniaFinlandFranceGermanyGreeceHungaryIndiaIrelandIsraelItalyJapanJordanLatviaLebanonLithuaniaMexicoNetherlandsPeruPhilippinesPolandPortugalRomaniaRussiaSlovakiaSouth AfricaSpainSwedenSwitzerlandThailandUnited KingdomVietnam
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