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BDP

Phase 3FDA approved 2012

Allergic Rhinitis | Small molecule | Respiratory |Teva Pharmaceutical Industries Limited|Trials Updated: Dec 8, 2021

BDP development status

FDA approval Mar 23, 2012 as Qnasl
Approval holderTeva Branded Pharm
ApplicationNDA202813
Highest phase Phase 3
Registered trials 13 across 5 sponsors since Aug 2001

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

BDP target and mechanism

ModalitySmall molecule

Also known as BDP Nasal Aerosol, QNASL®, Beclomethasone dipropionate, Beclomethasone dipropionate BAI, breath-actuated inhaler, Beclomethasone dipropionate MDI, metered-dose inhaler, QVAR®

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials10
Total Enrollment4,491

FDA Designations

No designations recorded

BDP clinical trials

BDP · 10 trials · 7 indications

Phase 3 10
NCT02040779A 12-week Safety and Efficacy Study of Beclomethasone Dipropionate (80 and 160 mcg/Day) Delivered Via Breath-Actuated Inhaler (BAI) in Patients >=12 Years Old With Persistent AsthmaPersistent Asthma
COMPLETED273 Analytics
NCT02031640A Safety and Efficacy Study of Beclomethasone Dipropionate Delivered Via Breath-Actuated Inhaler (BAI) or Metered-Dose Inhaler (MDI) in Participants >=12 Years Old With Persistent AsthmaAsthma
COMPLETED1,113 Analytics
NCT02040766A Safety and Efficacy Study of Beclomethasone Dipropionate Delivered Via Breath-Actuated Inhaler (BAI) or Metered-Dose Inhaler (MDI) in Participants Ages 4-11 Years Old With Persistent AsthmaAsthma
COMPLETED628 Analytics
NCT01783548Study of an Investigational Nasal Aerosol or Placebo in Children (Ages 4 to 11) With Perennial Allergic Rhinitis (PAR)Allergic Rhinitis
COMPLETED547 Analytics
NCT01697956Hypothalamic-Pituitary-Adrenal (HPA)-Axis Study in Pediatric Subjects With Perennial Allergic Rhinitis (PAR)Allergic Rhinitis
COMPLETED99 Analytics
NCT01133626Hypothalamic-Pituitary-Adrenal (HPA) Axis Study in Adult and Adolescent Subjects With Perennial Allergic Rhinitis (PAR)Perennial Allergic Rhinitis
COMPLETED107 Analytics
NCT01024608Study in Adult and Adolescent Subjects With Seasonal Allergic Rhinitis (SAR)Seasonal Allergic Rhinitis
COMPLETED340 Analytics
NCT00988247Long Term Safety and Efficacy Trial of Beclomethasone Dipropionate - Hydrofluoroalkane (BDP-HFA) 320 mcg in Allergic RhinitisRhinitis, Allergic, Perennial
COMPLETED529 Analytics
NCT00094016Evaluation of Two Doses of QVAR by Breath Operated and Metered Dose Inhalers in Asthmatic ChildrenAsthma
COMPLETED440 Analytics
NCT00109668Evaluation of Two Doses of QVAR Versus Placebo by Breath Operated and Metered Dose Inhalers in Moderate Asthmatic Adolescents and Adults on a Stable Regimen of Inhaled CorticosteroidsAsthma
COMPLETED415 Analytics
PHASE3COMPLETED
A 12-week Safety and Efficacy Study of Beclomethasone Dipropionate (80 and 160 mcg/Day) Delivered Via Breath-Actuated Inhaler (BAI) in Patients >=12 Years Old With Persistent Asthma
Persistent AsthmaUnlock trial analytics
PHASE3COMPLETED
A Safety and Efficacy Study of Beclomethasone Dipropionate Delivered Via Breath-Actuated Inhaler (BAI) or Metered-Dose Inhaler (MDI) in Participants >=12 Years Old With Persistent Asthma
AsthmaUnlock trial analytics
PHASE3COMPLETED
A Safety and Efficacy Study of Beclomethasone Dipropionate Delivered Via Breath-Actuated Inhaler (BAI) or Metered-Dose Inhaler (MDI) in Participants Ages 4-11 Years Old With Persistent Asthma
AsthmaUnlock trial analytics
PHASE3COMPLETED
Study of an Investigational Nasal Aerosol or Placebo in Children (Ages 4 to 11) With Perennial Allergic Rhinitis (PAR)
Allergic RhinitisUnlock trial analytics
PHASE3COMPLETED
Hypothalamic-Pituitary-Adrenal (HPA)-Axis Study in Pediatric Subjects With Perennial Allergic Rhinitis (PAR)
Allergic RhinitisUnlock trial analytics
PHASE3COMPLETED
Hypothalamic-Pituitary-Adrenal (HPA) Axis Study in Adult and Adolescent Subjects With Perennial Allergic Rhinitis (PAR)
Perennial Allergic RhinitisUnlock trial analytics
PHASE3COMPLETED
Study in Adult and Adolescent Subjects With Seasonal Allergic Rhinitis (SAR)
Seasonal Allergic RhinitisUnlock trial analytics
PHASE3COMPLETED
Long Term Safety and Efficacy Trial of Beclomethasone Dipropionate - Hydrofluoroalkane (BDP-HFA) 320 mcg in Allergic Rhinitis
Rhinitis, Allergic, PerennialUnlock trial analytics
PHASE3COMPLETED
Evaluation of Two Doses of QVAR by Breath Operated and Metered Dose Inhalers in Asthmatic Children
AsthmaUnlock trial analytics
PHASE3COMPLETED
Evaluation of Two Doses of QVAR Versus Placebo by Breath Operated and Metered Dose Inhalers in Moderate Asthmatic Adolescents and Adults on a Stable Regimen of Inhaled Corticosteroids
AsthmaUnlock trial analytics

Study Endpoints

Primary Endpoints

Standardized Baseline-Adjusted Trough Morning Forced Expiratory Volume in One Minute (FEV1) Area Under the Effect Curve From Time Zero to 12 Weeks (AUEC(0-12wk)) by Actual Treatment Received
Baseline (Day 1 predose), weeks 2, 4, 8 and 12

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.

Standardized Baseline-adjusted Trough Morning Forced Expiratory Volume in 1 Second (FEV1) Area Under the Effect Curve From Time 0 to 12 Weeks (AUEC(0-12wk) )
Day 1 (baseline), Weeks 2, 4, 8, 12

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).

Standardized Baseline-adjusted Trough Morning Percent Predicted Forced Expiratory Volume in 1 Second (FEV1) Area Under the Effect Curve From Time 0 to 12 Weeks (AUEC(0-12wk))
Day 1 (baseline), Weeks 2, 4, 8, 12

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.

Change From Baseline in the Average Morning (AM) and Evening (PM) Subject-Reported Reflective Total Nasal Symptom Score (rTNSS) Over The First 6 Weeks Of Treatment In Subjects 6 To 11 Years Of Age
Baseline (Day -4 to Day 1 predose), Day 1 (postdose) to Week 6

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.

Change From Baseline (Expressed As A Ratio) In 24-Hr Serum Cortisol Weighted Mean Following 6 Weeks Of Treatment
Baseline (Day 1, -24, -22, -20, -16, -12, -8, and 0 hours prior to study medication), End of Treatment (Day 43, (Immediately prior to study medication administration (Hour 0) and at 2, 4, 8, 12, 16, and 24 hours after study medication administration)

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.

The 24-hour Serum Cortisol Weighted Mean After 42 Days of Treatment
Day 0 (Baseline), Day 42

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.

Change From Baseline in Average Subject-Reported AM and PM Reflective Total Nasal Symptom Score (rTNSS) Over the Two-week Treatment Period
Baseline (Days -3 to 0), and Days 1-15

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.

Change From Baseline in Average Subject-Assessed 24-Hour Reflective Total Nasal Symptom Score (rTNSS) up to 30 Weeks
Baseline (Days -6 to 0), Day 1 to Week 30

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.

Secondary Endpoints

Change From Baseline in Weekly Average of Daily Trough Morning Peak Expiratory Flow (PEF) Rate Over the 12-Week Treatment Period
Baseline (Days -6 to Day 1 pre-dose), daily up to Week 12
Change From Baseline in Weekly Average of Daily Evening Peak Expiratory Flow (PEF) Over the 12-Week Treatment Period
Baseline (Days -6 to Day 1 pre-dose), daily up to Week 12
Change From Baseline in Weekly Average of Total Daily Use of Albuterol/Salbutamol Inhalation Aerosol Over Weeks 1-12
Baseline (Days -6 to Day 1 pre-dose), daily up to Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BDP 80 mcg BAIEXPERIMENTAL40 mcg beclomethasone dipropionate (BDP) via breath-actuated inhaler (BAI) twice daily for a total of 80 mcg/day.
BDP 160 mcg BAIEXPERIMENTAL80 mcg beclomethasone dipropionate (BDP) via breath-actuated inhaler (BAI) twice daily for a total of 160 mcg/day.
Placebo BAIPLACEBO_COMPARATORPlacebo breath-actuated inhaler (BAI) twice daily.
BDP 320 mcg BAIEXPERIMENTALBeclomethasone dipropionate (BDP) via breath-actuated inhaler (BAI) twice daily.
BDP 640 mcg BAIEXPERIMENTALBeclomethasone dipropionate (BDP) via breath-actuated inhaler (BAI) twice daily.
BDP 320 mcg MDIACTIVE_COMPARATORBeclomethasone dipropionate (BDP) via metered dose inhaler (MDI) twice daily.
BDP 640 mcg MDIACTIVE_COMPARATORBeclomethasone dipropionate (BDP) via metered dose inhaler (MDI) twice daily.
Placebo BAI and MDIPLACEBO_COMPARATORPlacebo breath-actuated inhaler (BAI), twice daily. Plus placebo metered dose inhaler (MDI), twice daily.
BDP 80 mcg MDIACTIVE_COMPARATORBeclomethasone 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 MDIACTIVE_COMPARATORBeclomethasone 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/dayEXPERIMENTALBDP 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 AerosolPLACEBO_COMPARATORPlacebo nasal aerosol: Participants/parents administer placebo (no medication) (one spray per nostril) once daily in the morning during the 12-week Treatment Period.
PlaceboPLACEBO_COMPARATORParticipants 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/dayEXPERIMENTALParticipants 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.
PrednisoneACTIVE_COMPARATORParticipants 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.

Interventions

NameTypeDescription
Beclomethasone dipropionate breath-actuated inhalerDRUGBeclomethasone 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 inhalerDRUGPlacebo 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/salbutamolDRUGRescue 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 dipropionateDRUG -
PlaceboDRUG -
Beclomethasone dipropionate BAIDRUGBeclomethasone 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 BAIDRUGPlacebo was delivered by a single inhalation using a breath-actuated inhaler (BAI) twice each day.
albuterol/salbutamol 90 mcgDRUGRescue 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 MDIDRUGBeclomethasone 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 MDIDRUGPlacebo was delivered by a single inhalation using a metered-dose inhaler (MDI) twice each day.
BDP Nasal AerosolDRUG -
BDPDRUGBeclomethasone dipropionate (BDP) 80 mcg/day (40 mcg/spray, 1 spray/nostril, once daily - total 2 sprays/day) as a nasal aerosol.
Placebo Nasal AerosolDRUGPlacebo nasal aerosol administered daily for 42 days of treatment
Prednisone capsulesDRUGPrednisone 10 mg capsule taken each day on the last 7 days of treatment
Placebo Prednisone CapsulesDRUGPlacebo prednisone capsule taken each day on the last 7 days of treatment
beclomethasone dipropionate (QVAR)DRUG -
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Eligibility Criteria

Age Range12 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites47

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...

Countries:United StatesGermanyHungaryPolandCroatiaMexicoUkrainePuerto Rico
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Competitive Landscape -Allergic Rhinitis 8 trials

Top 1 of 3 competitors

CompanyTickerTrialsLead PhaseDrugs
Eli Lilly and CompanyLLY1PHASE3LY3650150
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Frequently asked questions about BDP

What is BDP used for?

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.

Who makes BDP?

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.

What phase is BDP in?

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.

What clinical trials is BDP in?

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.

Is BDP the same as BDP Nasal Aerosol?

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.

How many patients were enrolled in BDP 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.