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Revefenacin

Phase 2

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

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 Trials1
Total Enrollment21
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04315558Revefenacin in Acute Respiratory Insufficiency in COPDPHASE2 COMPLETED 21Nov 1, 2020Jan 1, 2025Aug 13, 20252 United States
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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 — 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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