Approval Probability
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Adjusted LOA
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Label indication 1. INDICATIONS AND USAGE QNASL Nasal Aerosol is a corticosteroid indicated for the treatment of nasal symptoms associated with seasonal and perennial allergic rhinitis in patients 4 years of age and older. ( 1.1 ) 1.1 Treatment of Nasal Symptoms of Allergic Rhinitis QNASL ® Nasal Aerosol is indicated for the treatment of the nasal symptoms associated with seasonal and perennial allergic rhinitis in patients 4 years… FDA label
Also known as BDP Nasal Aerosol, QNASL®, Beclomethasone dipropionate, Beclomethasone dipropionate BAI, breath-actuated inhaler, Beclomethasone dipropionate MDI, metered-dose inhaler, QVAR®
BDP · 10 trials · 7 indications
The primary efficacy variable was the standardized baseline-adjusted trough morning (pre-dose and pre-rescue bronchodilator) FEV1 AUEC(0-12wk). Pulmonary function measurements such as FEV1 were obtained electronically by spirometry at the randomization visit (Day 1), each treatment visit (Weeks 2, 4, 8 and 12) and any unscheduled visit (such as the early termination visit). This summary is based on observed values recorded as 'best attempt'. The least-square (LS) means, difference of LS means and its 95% confidence interval (CI), and p-value represent the results obtained from the analysis of covariance with covariate adjustment for baseline, sex, age, current asthma therapy, and treatment.
Trough morning FEV1 measurements were taken pre-dose and pre-rescue bronchodilator treatment for asthma. The baseline pulmonary function measurement was defined as the measurement obtained at randomization visit (Day 1). Pulmonary function measurements (including FEV1) were obtained electronically by spirometry. All pulmonary function test data were submitted to a central reading center for evaluation. The highest FEV1 value from 3 acceptable and 2 repeatable maneuvers (maximum of 5 attempts) was used. Baseline-adjusted FEV1 AUEC(0-12wk) were calculated using the trapezoidal rule. The standardized baseline-adjusted FEV1 AUEC(0-12 wk) accommodates participants who dropped out of the study. Baseline-adjusted FEV1 AUEC(0-t weeks)/t, where t =12 weeks for patients who complete the FEV1 assessment at Week 12. For participants who dropped out early, t \<12 weeks (2, 4, or 8 weeks).
Trough morning FEV1 measurements were taken pre-dose and pre-rescue bronchodilator treatment for asthma. Baseline was defined as baseline trough morning percent predicted FEV1. Pulmonary function measurements (including FEV1) were obtained electronically by spirometry. All pulmonary function test data were submitted to a central reading center for evaluation. The highest ('best attempt') FEV1 value from 3 acceptable and 2 repeatable maneuvers (maximum of 8 attempts) was used.
Reflective TNSS is an evaluation of symptom severity over the past 12 hours prior to the recording of the score. Participants (with assistance from parents/guardians/caregivers, as needed) assessed and recorded four nasal symptoms (runny nose, nasal congestion, nasal itching, and sneezing) twice daily (AM and PM) using the following scale: * 0 = absent (no sign/symptom present) * 1 = mild (sign/symptom clearly present, but minimal awareness; easily tolerated) * 2 = moderate (definite awareness of sign/symptom that is bothersome but tolerable) * 3 = severe (sign/symptom that is hard to tolerate; causes interference with activities of daily living and/or sleeping) The total TNSS scale was 0-12 with 0 representing an absence of symptoms and higher scores reflecting more severe symptoms. Baseline and the during study rTNSS values were defined as the average AM and PM subject-reported rTNSS during each time period.
The serum cortisol weighted mean (0-t), calculated by dividing the area under the concentration-time curve (AUC) from time zero to the time of the last measurable value over the 24-hour period by the sample collection time interval, was determined for each participant at baseline and Week 6, and the ratio of Week 6 over baseline was derived.
Geometric mean serum cortisol weighted mean values were calculated at baseline and after 6 weeks (42 days) of treatment. The geometric mean ratio of week 6 / baseline is reported. The primary outcome compares the BDP HFA and Placebo treatment arms. The comparison of active control (Placebo/Prednisone) and Placebo treatment arms is an "other pre-specified" outcome.
Participants recorded the severity of their nasal symptoms (sneezing, runny nose, nasal itching and nasal congestion) over the past 12 hours (prior to the assessment) twice daily (AM and PM) using the following scale: 0=absent (no sign/symptom present); 1=mild (sign/symptom present, easily tolerated); 2=moderate (definite awareness of sign/symptom, bothersome but tolerable); 3=severe (hard to tolerate, interfere with daily activities and/or sleeping). The rTNSS (sum of 4 symptom scores) ranges from 0 to 12 (worst symptoms). A negative change from baseline score indicates symptom improvement.
Participants recorded the severity of their nasal symptoms (sneezing, runny nose, itchy nose and nasal congestion) in the past 24-hours (prior to the assessment) daily using the following scale: 0=absent (no sign/symptom); 1=mild (sign/symptom present, easily tolerated); 2=moderate (bothersome but tolerable); 3=severe (hard to tolerate, interfere with daily activities). The total nasal symptom score (sum of 4 symptom scores) ranges from 0 to 12 (worst symptoms). A negative change from baseline score indicates improvement.
| Arm | Type | Description |
|---|---|---|
| BDP 80 mcg BAI | EXPERIMENTAL | 40 mcg beclomethasone dipropionate (BDP) via breath-actuated inhaler (BAI) twice daily for a total of 80 mcg/day. |
| BDP 160 mcg BAI | EXPERIMENTAL | 80 mcg beclomethasone dipropionate (BDP) via breath-actuated inhaler (BAI) twice daily for a total of 160 mcg/day. |
| Placebo BAI | PLACEBO_COMPARATOR | Placebo breath-actuated inhaler (BAI) twice daily. |
| BDP 320 mcg BAI | EXPERIMENTAL | Beclomethasone dipropionate (BDP) via breath-actuated inhaler (BAI) twice daily. |
| BDP 640 mcg BAI | EXPERIMENTAL | Beclomethasone dipropionate (BDP) via breath-actuated inhaler (BAI) twice daily. |
| BDP 320 mcg MDI | ACTIVE_COMPARATOR | Beclomethasone dipropionate (BDP) via metered dose inhaler (MDI) twice daily. |
| BDP 640 mcg MDI | ACTIVE_COMPARATOR | Beclomethasone dipropionate (BDP) via metered dose inhaler (MDI) twice daily. |
| Placebo BAI and MDI | PLACEBO_COMPARATOR | Placebo breath-actuated inhaler (BAI), twice daily. Plus placebo metered dose inhaler (MDI), twice daily. |
| BDP 80 mcg MDI | ACTIVE_COMPARATOR | Beclomethasone dipropionate (BDP) was administered via a metered-dose inhaler (MDI) twice daily (40 mcg twice a day). Placebo BAI twice daily for blinding. Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) at 90 mcg ex-actuator) or equivalent was used as rescue medication throughout the study. |
| BDP 160 mcg MDI | ACTIVE_COMPARATOR | Beclomethasone dipropionate (BDP) was administered via a metered-dose inhaler (MDI) twice daily (80 mcg twice a day). Placebo BAI twice daily for blinding. Albuterol/salbutamol hydrofluoroalkane (HFA) metered-dose inhaler (MDI) at 90 mcg ex-actuator) or equivalent was used as rescue medication throughout the study. |
| BDP Nasal Aerosol 80 mcg/day | EXPERIMENTAL | BDP nasal aerosol: 80 mcg dose once daily in the morning. Participants/parents administer 40 mcg BDP (one spray per nostril) during the 12-week Treatment Period. |
| Placebo Nasal Aerosol | PLACEBO_COMPARATOR | Placebo nasal aerosol: Participants/parents administer placebo (no medication) (one spray per nostril) once daily in the morning during the 12-week Treatment Period. |
| Placebo | PLACEBO_COMPARATOR | Participants self-administered 4 actuations (two per nostril) of placebo HFA once daily each morning for 6 weeks (42 days) as double-blind therapy for BDP. During week 6 (days 36-42), participants also took a placebo capsule as double-blind therapy for prednisone. |
| BDP HFA 320 µg/day | EXPERIMENTAL | Participants self-administered 4 actuations (two per nostril) of 80 µg BDP HFA once daily each morning for 6 weeks (42 days). During week 6 (days 36-42), participants also took a placebo capsule as double-blind therapy for prednisone. |
| Prednisone | ACTIVE_COMPARATOR | Participants self-administered 4 actuations (two per nostril) of placebo HFA once daily each morning for 6 weeks (42 days) as double-blind therapy for BDP. During week 6 (days 36-42), participants also took a 10/mg a day prednisone capsule. |
| Name | Type | Description |
|---|---|---|
| Beclomethasone dipropionate breath-actuated inhaler | DRUG | Beclomethasone dipropionate (BDP) breath-actuated inhaler (BAI) given in dosages of either 40 mcg/inhalation or 80 mcg/inhalation. Study drug was administered twice each day, in the morning and in the evening, after the completion of the asthma symptom score and the PEF measurements, in that order. |
| Placebo breath-actuated inhaler | DRUG | Placebo was provided in matching breath-actuated inhaler (BAI) devices. The placebo devices were identical to the devices used to deliver active drug. Placebo was administered twice each day, in the morning and in the evening, after the completion of the asthma symptom score and the PEF measurements, in that order. |
| albuterol/salbutamol | DRUG | Rescue medication (albuterol/salbutamol hydrofluoroalkane (HFA) MDI \[90 mcg ex-actuator\] or equivalent) for use on an as-needed basis for the immediate relief of asthma symptoms throughout the treatment period |
| Beclomethasone dipropionate | DRUG | - |
| Placebo | DRUG | - |
| Beclomethasone dipropionate BAI | DRUG | Beclomethasone dipropionate (BDP), was delivered by a single inhalation using a breath-actuated inhaler (BAI) at levels of 40 mcg or 80 mcg per inhalation, twice each day. |
| Placebo BAI | DRUG | Placebo was delivered by a single inhalation using a breath-actuated inhaler (BAI) twice each day. |
| albuterol/salbutamol 90 mcg | DRUG | Rescue medication (albuterol/salbutamol hydrofluoroalkane (HFA) MDI \[90 mcg ex-actuator\] or equivalent) for use on an as-needed basis for the immediate relief of asthma symptoms throughout the treatment period. |
| Beclomethasone dipropionate MDI | DRUG | Beclomethasone dipropionate (BDP), was delivered by a single inhalation using a metered-dose inhaler (MDI) at levels of 40 mcg or 80 mcg per inhalation, twice each day. |
| Placebo MDI | DRUG | Placebo was delivered by a single inhalation using a metered-dose inhaler (MDI) twice each day. |
| BDP Nasal Aerosol | DRUG | - |
| BDP | DRUG | Beclomethasone dipropionate (BDP) 80 mcg/day (40 mcg/spray, 1 spray/nostril, once daily - total 2 sprays/day) as a nasal aerosol. |
| Placebo Nasal Aerosol | DRUG | Placebo nasal aerosol administered daily for 42 days of treatment |
| Prednisone capsules | DRUG | Prednisone 10 mg capsule taken each day on the last 7 days of treatment |
| Placebo Prednisone Capsules | DRUG | Placebo prednisone capsule taken each day on the last 7 days of treatment |
| beclomethasone dipropionate (QVAR) | DRUG | - |
Inclusion Criteria: * Severity of Disease: The patient has persistent asthma, with an forced expiratory volume in 1 second (FEV1) 40%-85% of the value predicted for age, height, sex, and race as per the National Health and Nutrition Examination Survey (NHANES III) reference values at screening visi...
Top 1 of 3 competitors
| Company | Ticker | Trials | Lead Phase | Drugs |
|---|---|---|---|---|
| Eli Lilly and Company | LLY | 1 | PHASE3 | LY3650150 |
BDP is an investigational nasal aerosol being studied for the treatment of allergic rhinitis, including perennial allergic rhinitis (PAR). It is a small molecule therapy delivered intranasally. The clinical program has focused on pediatric patients with perennial allergic rhinitis.
BDP is being developed by Teva Pharmaceutical Industries Limited, which trades under the ticker TEVA. Teva is the sponsor of the clinical trials evaluating BDP Nasal Aerosol in allergic rhinitis.
BDP is in Phase 3 clinical development for allergic rhinitis. It is an investigational therapy and has not been approved by the FDA. Two Phase 3 trials have been completed, and there are currently no active trials listed for this asset.
BDP has been evaluated in two completed Phase 3 trials. NCT01783548 studied an investigational nasal aerosol versus placebo in children ages 4 to 11 with perennial allergic rhinitis, enrolling 547 participants. NCT01697956 was a hypothalamic-pituitary-adrenal (HPA)-axis study in pediatric subjects with perennial allergic rhinitis, enrolling 99 participants. Both were conducted in the United States.
Yes, BDP Nasal Aerosol is an alternative name for BDP. Both refer to the same investigational small molecule therapy developed by Teva Pharmaceutical Industries Limited for allergic rhinitis. The nasal aerosol formulation is the delivery method used in the Phase 3 clinical trials.
The BDP clinical program enrolled a total of 646 participants across two completed Phase 3 trials. Both studies were randomized, double-blind, and placebo-controlled. NCT01783548 enrolled 547 pediatric patients, and NCT01697956 enrolled 99 pediatric subjects with perennial allergic rhinitis.