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Revefenacin

Phase 3

Chronic Obstructive Pulmonary Disease (COPD) | Small molecule | Respiratory |Viatris Inc.|Last Updated: Apr 4, 2022

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment122

FDA Designations

No designations recorded

Clinical trial landscape

Revefenacin · 3 trials · 4 indications

Phase 3 2Phase 1 1
NCT03573817A 42-day Parallel Group Safety Study of Revefenacin and Formoterol, Administered in Sequence and as a Combination, in Participants With COPDChronic Obstructive Pulmonary Disease (COPD)
COMPLETED122 Analytics
NCT03095456Revefenacin Peak Inspiratory Flow Rate (PIFR) Study in COPDChronic Obstructive Pulmonary Disease, COPD
COMPLETED207 Analytics
PHASE3COMPLETED
A 42-day Parallel Group Safety Study of Revefenacin and Formoterol, Administered in Sequence and as a Combination, in Participants With COPD
Chronic Obstructive Pulmonary Disease (COPD)Unlock trial analytics
PHASE3COMPLETED
Revefenacin Peak Inspiratory Flow Rate (PIFR) Study in COPD
Chronic Obstructive Pulmonary Disease, COPDUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants Who Experienced at Least One Treatment-Emergent Adverse Event
Day 1 to End of Period 2, a Maximum of 42 days + 7 days follow-up (Each period was 21 days)

An adverse event (AE) was any untoward medical occurrence in a participant administered a pharmaceutical product that did not necessarily have to have a causal relationship with this treatment. A treatment-emergent AE is an AE that occurred after the participant has received the study drug.

Number of Participants Who Experienced at Least One Serious Treatment-Emergent Adverse Event
Day 1 to End of Period 2, a Maximum of 42 days + 7 days follow-up (Each period was 21 days)

A serious adverse event (SAE) was defined as any untoward medical occurrence occurring at any dose that resulted in any of the following outcomes: * Death * Life-threatening situation. "Life-threatening" refers to a situation in which the participant was at risk of death at the time of the event; it does not refer to an event which might have caused death if it were more severe * Inpatient hospitalization or prolongation of existing hospitalization * Congenital anomaly in the offspring of a participant who received study drug * Important medical events that may not result in death, be immediately life-threatening, or require hospitalization, could have been considered an SAE when, based upon appropriate medical judgment, they may have jeopardized the participant and may have required medical or surgical intervention to prevent one of the outcomes listed in this definition A treatment-emergent SAE is an SAE that occurred after the participant has received the study drug.

Number of Participants With Clinically Relevant Changes in Vital Sign Measurements
Baseline to End of Period 2, a Maximum of 42 days + 7 days follow-up (Each period was 21 days)

Clinically significant changes identified based on change from baseline. Vital signs measured included heart rate, systolic blood pressure and diastolic blood pressure.

Number of Participants With Clinically Relevant Changes in Clinical Laboratory Measurements
Baseline to End of Period 2, a Maximum of 42 days + 7 days follow-up (Each period was 21 days)

Clinically relevant changes identified based on change from baseline. Laboratory Measures assessed included hematology and serum.

Number of Participants With Clinically Relevant Changes in Electrocardiogram Results
Baseline to End of Period 2, a Maximum of 42 days + 7 days follow-up (Each period was 21 days)

Clinically relevant changes identified based on change from baseline.

Change From Baseline in Trough FEV1 on Day 29
Baseline and Day 29

FEV1 = forced expiratory volume at one second

Bioavailability
0 to 96 hours post-dose

The maximum concentration (CPEAK)

Secondary Endpoints

Change From Baseline Trough FVC (Forced Vital Capacity) on Day 29
Baseline and Day 29
Change From Baseline Trough Inspiratory Capacity (IC) on Day 29
Baseline and Day 29
Change From Baseline Peak FEV1 on Day 29
Baseline and Day 29 (0-4 hours)
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Period 1: Revefenacin + Formoterol (Sequential)EXPERIMENTALDays 1 to 21: Revefenacin and formoterol will be sequentially administered in the morning. Formoterol will be administered again in the evening.
Period 2: Revefenacin + Formoterol (Combo Solution)EXPERIMENTALDays 22 to 42: After a 21 day period, the participants from the Revefenacin + Formoterol (Sequential) Arm will be dosed for 21 days with a combination of revefenacin and formoterol administered as a combined solution. Formoterol will be administered again in the evening.
Period 1: Placebo + Formoterol (Sequential)PLACEBO_COMPARATORDays 1 to 21: Placebo versions of revefenacin and formoterol will be sequentially administered in the morning. Formoterol will be administered again in the evening.
Period 2: Placebo + Formoterol (Combo Solution)PLACEBO_COMPARATORDays 22 to 42: After a 21 day period, the participants from Placebo + Formoterol (Sequential) Arm the will be dosed for 21 days with a combination of placebo revefenacin and formoterol administered as a combined solution. Formoterol will be administered again in the evening.
RevefenacinEXPERIMENTALActive Revefenacin and placebo (in place of Spiriva Handihaler®)
Spiriva Handihaler®ACTIVE_COMPARATORActive Spiriva Handihaler® and placebo (in place of Revefenacin)
Revefenacin Inhalation Solution, 175 mcg/3 mLEXPERIMENTAL -

Interventions

NameTypeDescription
RevefenacinDRUGRevefenacin is administered via a nebulizer.
PlaceboDRUGPlacebo version of Revefenacin is administered via a nebulizer.
FormoterolDRUGAdministered sequentially in both revefenacin and placebo arms using a nebulizer.
Spiriva Handihaler®COMBINATION_PRODUCTSpiriva Handihaler® contains Spiriva (also known as Tiotropium) and is administered via HandiHaler® device.
Placebo for RevefenacinDRUGPlacebo administered as double blind, double dummy via nebulization.
Placebo for Spiriva Handihaler®DRUGPlacebo administered as double blind, double dummy via Spiriva HandiHaler®.
Revefenacin Inhalation SolutionDRUGRevefenacin Inhalation Solution, 175 mcg/3 mL following a single nebulized inhaled 175 mcg (1 x 175 mcg/3 mL) dose administered under fasting conditions.
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Eligibility Criteria

Age Range40 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites12

Inclusion Criteria: * Participant is a male or female subject 40 years of age or older. * Participant is willing and able to provide signed and dated written informed consent. * Participant has a current or past cigarette smoking history (or equivalent for cigar or pipe smoking history) of at least...

Countries:United StatesChina
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Frequently asked questions about Revefenacin

What is Revefenacin used for?

Revefenacin is an investigational small molecule being developed for the treatment of Chronic Obstructive Pulmonary Disease (COPD). It is being studied in patients with moderate to very severe COPD, including those with low peak inspiratory flow rate. The drug is administered as an inhalation solution.

Who makes Revefenacin?

Revefenacin is being developed by Viatris Inc. (NASDAQ: VTRS). The company is conducting clinical trials to evaluate the drug's safety and efficacy in patients with Chronic Obstructive Pulmonary Disease (COPD).

What phase is Revefenacin in?

Revefenacin is in Phase 3 clinical development for Chronic Obstructive Pulmonary Disease (COPD). Multiple Phase 3 trials have been completed, including studies in the United States and China. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is Revefenacin in?

Revefenacin has completed several clinical trials, including NCT03095456, a Phase 3 study in COPD patients with low peak inspiratory flow rate; NCT03573817, a safety study of Revefenacin and formoterol in COPD; and NCT05046795, a Phase 3 study in Chinese subjects with COPD. A Phase 1 bioavailability study, NCT05207111, was also completed.

Is Revefenacin the same as formoterol?

No, Revefenacin is not the same as formoterol. They are different drugs that have been studied together in a clinical trial (NCT03573817) to evaluate their safety when administered in sequence and as a combination in patients with Chronic Obstructive Pulmonary Disease.