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Revefenacin

Phase 2

COPD | Small molecule | Respiratory |Theravance Biopharma, Inc.|Last Updated: Aug 13, 2025

Success Probability

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment21

FDA Designations

No designations recorded

Clinical trial landscape

Revefenacin · 1 trial · 2 indications

Phase 2 1
NCT04315558Revefenacin in Acute Respiratory Insufficiency in COPDCOPD
COMPLETED21 Analytics
PHASE2COMPLETED
Revefenacin in Acute Respiratory Insufficiency in COPD
COPDUnlock trial analytics

Study Endpoints

Primary Endpoints

Reduction in total inspiratory resistance Rstat at the time of drug trough
7 days

Reduction in total inspiratory resistance across the airways and ventilator circuit measured by the change in Static Resistance (Rstat) at the time of drug trough

Secondary Endpoints

Reduction in total inspiratory resistance Rdyn at the time of drug trough
7 days
Reduction in Resistive pressure (Pres) at the time of drug trough
7 days
Reduction in total inspiratory resistance Rstat at the time of drug peak
7 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RevefenacinEXPERIMENTALRevefenacin will be delivered once daily via nebulizer. In order to allow for full blinding and steady Q6 hours regimen in control arm, at hours 6, 12 and 18 after the Revefenacin dose, nebulized normal saline will be delivered.
IpratropiumACTIVE_COMPARATORNebulized ipratropium will be delivered via nebulizer Q6 hours.

Interventions

NameTypeDescription
Revefenacin Inhalation Solution [Yupelri]DRUGnebulized drug comparison
Ipratropium BromideDRUGnebulized drug comparison
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Eligibility Criteria

Age Range40 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Adults ≥ 40 years of age * Acute respiratory failure requiring invasive mechanical ventilation * Documented history of COPD based on spirometric evidence of FEV1/FVC\<70% * Smoking history \>10 years (current or prior) * Invasive mechanical ventilation for \< 96 hours Exclusi...

Countries:United States
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Frequently asked questions about Revefenacin

What is Revefenacin used for in COPD?

Revefenacin is an investigational small molecule being studied for the treatment of COPD. It is being evaluated in patients with COPD who also have acute respiratory insufficiency. The drug is currently in Phase 2 clinical development and is not yet approved for any use.

Who is developing Revefenacin?

Revefenacin is being developed by Theravance Biopharma, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol TBPH. The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with COPD.

What phase is Revefenacin in?

Revefenacin is in Phase 2 clinical development. A Phase 2 trial has been completed, and the drug remains investigational. It has not been approved by regulatory authorities, and its safety and efficacy have not been fully established.

What clinical trials is Revefenacin in?

Revefenacin has been studied in a completed Phase 2 clinical trial with the identifier NCT04315558. The trial, titled "Revefenacin in Acute Respiratory Insufficiency in COPD," enrolled 21 participants with COPD and acute respiratory failure in the United States. The trial was randomized, double-blind, and active-controlled.

Is Revefenacin the same as any other drug?

Revefenacin is the drug name used in clinical development. No alternative names have been reported for this investigational compound. It is being studied specifically for its potential role in treating COPD with acute respiratory insufficiency.