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Last Updated: March 26, 2025

CLINICAL TRIALS PROFILE FOR ATROVENT


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505(b)(2) Clinical Trials for ATROVENT

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial TypeTrial IDTitleStatusSponsorPhaseStart DateSummary
New Combination NCT03906045 ↗ A Scintigraphy Study of PT010 in COPD Patients Completed Simbec Research Phase 1 2019-04-04 This study is a single treatment period, single dose gamma scintigraphy study investigating the deposition in the lungs of a Budesonide, Glycopyrronium and Formoterol Fumarate Metered Dose Inhaler (BGF-MDI). This study will be investigating how the drug (known as PT010) is distributed in the lungs of Chronic Obstructive Pulmonary Disease (COPD) patients (with moderate to very severe COPD) following a maximal 10 second breath hold. This inhaler is intended to be used in the treatment of COPD, which is a group of diseases which cause lung problems and difficulty breathing. PT010 is a new combination product of 3 marketed drugs called Glycopyrronium, Formoterol Fumarate and Budesonide.
New Combination NCT03906045 ↗ A Scintigraphy Study of PT010 in COPD Patients Completed AstraZeneca Phase 1 2019-04-04 This study is a single treatment period, single dose gamma scintigraphy study investigating the deposition in the lungs of a Budesonide, Glycopyrronium and Formoterol Fumarate Metered Dose Inhaler (BGF-MDI). This study will be investigating how the drug (known as PT010) is distributed in the lungs of Chronic Obstructive Pulmonary Disease (COPD) patients (with moderate to very severe COPD) following a maximal 10 second breath hold. This inhaler is intended to be used in the treatment of COPD, which is a group of diseases which cause lung problems and difficulty breathing. PT010 is a new combination product of 3 marketed drugs called Glycopyrronium, Formoterol Fumarate and Budesonide.
>Trial Type>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 2 of 2 entries

All Clinical Trials for ATROVENT

Trial IDTitleStatusSponsorPhaseStart DateSummary
NCT00180843 ↗ Assessment of Ventilation-perfusion Abnormalities in Patients With Stable Smoking-related Airways Disease Terminated GlaxoSmithKline N/A 2005-09-01 Subjects undergo history, examination, lung function assessment after informed consent has been obtained. All subjects will undergo ventilation-perfusion scans. If there first scan is normal they will undergo a second and final scan four weeks later. If abnormal they will undergo two further scans with either nebulized bronchodilator or nebulized saline prior to their second and third scans. Each time they will have repeat lung function tests prior to scanning. We will examine the regional changes in ventilation and perfusion and there relationship to lung function.
NCT00180843 ↗ Assessment of Ventilation-perfusion Abnormalities in Patients With Stable Smoking-related Airways Disease Terminated Imperial College London N/A 2005-09-01 Subjects undergo history, examination, lung function assessment after informed consent has been obtained. All subjects will undergo ventilation-perfusion scans. If there first scan is normal they will undergo a second and final scan four weeks later. If abnormal they will undergo two further scans with either nebulized bronchodilator or nebulized saline prior to their second and third scans. Each time they will have repeat lung function tests prior to scanning. We will examine the regional changes in ventilation and perfusion and there relationship to lung function.
NCT00120978 ↗ Can Advair and Flovent Reduce Systemic Inflammation Related to Chronic Obstructive Pulmonary Disease (COPD)? A Multi-Center Randomized Controlled Trial Unknown status GlaxoSmithKline Phase 4 2004-12-01 Large population-based studies suggest that patients with chronic obstructive pulmonary disease (COPD) are 2 to 3 times at risk for cardiovascular mortality, which accounts for a large proportion of the total number of deaths. How COPD increases the risk of poor cardiovascular outcomes is largely unknown. However, there is growing evidence that persistent low-grade systemic inflammation is present in COPD and that this may contribute to the pathogenesis of atherosclerosis and cardiovascular disease among COPD patients. Inflammation and more specifically, C-reactive protein (CRP), has been linked with all stages of atherosclerosis, including plaque genesis, rupture and subsequent thrombo-fibrosis of vulnerable vessels. Recently, our group has demonstrated in a relatively small study that short-term inhaled corticosteroid (ICS) therapy can repress serum CRP levels in stable COPD patients. Conversely, withdrawal of ICS leads to a marked increase in serum CRP levels. Although very promising, these data cannot be considered definitive because the study was small in size and scope (N=41 patients). Additionally, this study did not address the potential effects of combination therapy with ICS and long-acting β2 agonists (LABA). This is an important short-coming because combination therapy of ICS and LABA have been shown to produce improved clinical outcomes over ICS monotherapy and is commonly used by clinicians in the treatment of moderate to severe COPD. We hypothesize that inhaled fluticasone (Flovent®) reduces systemic inflammation and that combination therapy (Advair®) is more effective than steroids alone in reducing systemic inflammation in COPD. In this proposal, we will implement a randomized controlled trial to determine whether ICS by themselves or in combination with LABAs can: 1. reduce CRP levels in stable COPD patients and 2. reduce other pro-inflammatory cytokines, which have been linked with cardiovascular morbidity and mortality such as interleukin-6 (IL-6) and monocyte chemoattractant protein-1 (MCP-1)
NCT00120978 ↗ Can Advair and Flovent Reduce Systemic Inflammation Related to Chronic Obstructive Pulmonary Disease (COPD)? A Multi-Center Randomized Controlled Trial Unknown status University of British Columbia Phase 4 2004-12-01 Large population-based studies suggest that patients with chronic obstructive pulmonary disease (COPD) are 2 to 3 times at risk for cardiovascular mortality, which accounts for a large proportion of the total number of deaths. How COPD increases the risk of poor cardiovascular outcomes is largely unknown. However, there is growing evidence that persistent low-grade systemic inflammation is present in COPD and that this may contribute to the pathogenesis of atherosclerosis and cardiovascular disease among COPD patients. Inflammation and more specifically, C-reactive protein (CRP), has been linked with all stages of atherosclerosis, including plaque genesis, rupture and subsequent thrombo-fibrosis of vulnerable vessels. Recently, our group has demonstrated in a relatively small study that short-term inhaled corticosteroid (ICS) therapy can repress serum CRP levels in stable COPD patients. Conversely, withdrawal of ICS leads to a marked increase in serum CRP levels. Although very promising, these data cannot be considered definitive because the study was small in size and scope (N=41 patients). Additionally, this study did not address the potential effects of combination therapy with ICS and long-acting β2 agonists (LABA). This is an important short-coming because combination therapy of ICS and LABA have been shown to produce improved clinical outcomes over ICS monotherapy and is commonly used by clinicians in the treatment of moderate to severe COPD. We hypothesize that inhaled fluticasone (Flovent®) reduces systemic inflammation and that combination therapy (Advair®) is more effective than steroids alone in reducing systemic inflammation in COPD. In this proposal, we will implement a randomized controlled trial to determine whether ICS by themselves or in combination with LABAs can: 1. reduce CRP levels in stable COPD patients and 2. reduce other pro-inflammatory cytokines, which have been linked with cardiovascular morbidity and mortality such as interleukin-6 (IL-6) and monocyte chemoattractant protein-1 (MCP-1)
NCT00102882 ↗ Study Of Asthma And Genetics In Patients To Be Treated With Fluticasone Propionate/Salmeterol Or Salmeterol Xinafoate Completed GlaxoSmithKline Phase 4 2004-10-01 This study may last up to 36-38 weeks. Patients will visit the clinic 11 times. A blood sample will be taken at Visit 1 to look at subjects' genes. Breathing tests will be done during the study. Study medicines and procedures will be provided at no cost. Patients will be treated with VENTOLIN (8 wks), ATROVENT (8 wks), then ADVAIR or SEREVENT (16 wks). ADVAIR and SEREVENT are FDA approved for the treatment of asthma in patients 4 years of age and older.
>Trial ID>Title>Status>Phase>Start Date>Summary
Showing 1 to 5 of 5 entries

Clinical Trial Conditions for ATROVENT

Condition Name

209540-20246810121416182022Pulmonary Disease, Chronic ObstructiveAsthmaChronic Obstructive Pulmonary DiseaseCOPD[disabled in preview]
Condition Name for ATROVENT
Intervention Trials
Pulmonary Disease, Chronic Obstructive 20
Asthma 9
Chronic Obstructive Pulmonary Disease 5
COPD 4
[disabled in preview] 0
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Condition MeSH

302826200051015202530Pulmonary Disease, Chronic ObstructiveLung DiseasesLung Diseases, ObstructiveChronic Disease[disabled in preview]
Condition MeSH for ATROVENT
Intervention Trials
Pulmonary Disease, Chronic Obstructive 30
Lung Diseases 28
Lung Diseases, Obstructive 26
Chronic Disease 20
[disabled in preview] 0
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Clinical Trial Locations for ATROVENT

Trials by Country

+
Trials by Country for ATROVENT
Location Trials
United States 104
China 16
Canada 8
United Kingdom 3
Netherlands 2
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Trials by US State

+
Trials by US State for ATROVENT
Location Trials
New York 6
North Carolina 5
New Jersey 5
California 5
Florida 4
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Clinical Trial Progress for ATROVENT

Clinical Trial Phase

39.4%36.4%15.2%9.1%0234567891011121314Phase 4Phase 3Phase 2[disabled in preview]
Clinical Trial Phase for ATROVENT
Clinical Trial Phase Trials
Phase 4 13
Phase 3 12
Phase 2 5
[disabled in preview] 3
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Clinical Trial Status

83.0%8.5%00510152025303540CompletedUnknown statusNot yet recruiting[disabled in preview]
Clinical Trial Status for ATROVENT
Clinical Trial Phase Trials
Completed 39
Unknown status 4
Not yet recruiting 2
[disabled in preview] 2
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Clinical Trial Sponsors for ATROVENT

Sponsor Name

trials024681012141618202224Boehringer IngelheimGlaxoSmithKlineAstraZeneca[disabled in preview]
Sponsor Name for ATROVENT
Sponsor Trials
Boehringer Ingelheim 22
GlaxoSmithKline 5
AstraZeneca 3
[disabled in preview] 3
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Sponsor Type

54.7%43.8%005101520253035IndustryOtherNIH[disabled in preview]
Sponsor Type for ATROVENT
Sponsor Trials
Industry 35
Other 28
NIH 1
[disabled in preview] 0
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ATROVENT: Clinical Trials, Market Analysis, and Projections

Clinical Trials Overview

ATROVENT, an anticholinergic drug containing ipratropium bromide, has been extensively studied in clinical trials to assess its efficacy and safety in treating Chronic Obstructive Pulmonary Disease (COPD).

Efficacy in Clinical Trials

Clinical trials have demonstrated the effectiveness of ATROVENT HFA in improving lung function in patients with COPD. In two 12-week, double-blind, parallel-group studies and one 1-year open-label study, ATROVENT HFA was compared to ATROVENT CFC and placebo. These studies involved 1010 COPD patients and showed that ATROVENT HFA significantly improved lung function, as measured by the forced expiratory volume in 1 second (FEV1)[1][4].

Adverse Reactions and Safety

The clinical trials also highlighted the adverse reactions associated with ATROVENT HFA. Common drug-related adverse events included dry mouth, taste perversion (bitter taste), and throat irritation. More severe reactions such as skin rash, pruritus, angioedema, urticaria, laryngospasm, and anaphylactic reactions were also reported, although these were less frequent[1].

Specific Populations

In geriatric patients, the pharmacokinetic study showed that ATROVENT HFA was well-tolerated, with plasma ipratropium concentrations similar to those in younger patients. This indicates that the drug can be safely used in older adults without significant age-related differences in pharmacokinetics[1].

Market Analysis

Current Market Position

ATROVENT is a well-established drug in the COPD therapeutics market. It competes with other anticholinergic drugs like Spiriva (tiotropium bromide) and newer combination therapies. The market for COPD therapeutics is highly competitive, with several leading companies such as Boehringer Ingelheim, AstraZeneca, and GlaxoSmithKline (GSK) vying for market share[2][5].

Market Trends and Growth

The global COPD therapeutics market is expected to grow significantly over the next few years. According to market forecasts, the overall revenue for COPD therapies is projected to increase, driven by an aging population and the increasing incidence of respiratory diseases. The market is anticipated to reach $44.1 billion by 2031, growing at a CAGR of 7.3%[5].

Competitive Landscape

ATROVENT faces competition from both monotherapy and combination drugs. For instance, Spiriva from Boehringer Ingelheim remains a major player in the COPD market. Newer entrants like GSK’s Incruse Ellipta and Boehringer’s Stiolto Respimat are expected to gain market share during the forecast period. The trend towards combination therapies, such as aclidinium bromide/formoterol, which offer broader therapeutic benefits, is also a significant factor in the market[3][5].

Market Projections

Revenue Forecasts

The COPD therapeutics market, including ATROVENT, is expected to see substantial revenue growth. By 2025, the market is forecasted to continue its upward trend, driven by the increasing demand for effective treatments for COPD. The global market for asthma and COPD therapies was valued at $35.87 billion in 2019 and is predicted to grow further, with ATROVENT contributing to this growth[2].

Regional Market Performance

The market performance of ATROVENT and other COPD therapies varies by region. Key markets such as the US, Japan, EU5, BRIC, and Mexico are expected to drive revenue growth. The US market, in particular, is a significant contributor due to its large patient population and high healthcare spending[2].

Future Market Prospects

The future prospects for ATROVENT and the broader COPD therapeutics market look promising. With ongoing research and development, new combination therapies and once-a-day formulations are expected to enter the market, enhancing treatment options for patients. However, ATROVENT will need to compete with these new entrants to maintain its market share[3].

Key Takeaways

  • Clinical Efficacy: ATROVENT HFA has been shown to improve lung function in COPD patients.
  • Safety Profile: Common adverse reactions include dry mouth and taste perversion, with rare but serious reactions such as anaphylaxis.
  • Market Growth: The COPD therapeutics market is projected to grow significantly, driven by an aging population and increasing incidence of respiratory diseases.
  • Competitive Landscape: ATROVENT competes with other anticholinergic drugs and combination therapies, with new entrants expected to impact market dynamics.
  • Regional Performance: Key markets such as the US, Japan, and EU5 will drive revenue growth.

FAQs

What is ATROVENT HFA used for?

ATROVENT HFA is used to treat Chronic Obstructive Pulmonary Disease (COPD) by improving lung function.

What are the common side effects of ATROVENT HFA?

Common side effects include dry mouth, taste perversion (bitter taste), and throat irritation.

How does ATROVENT HFA compare to other COPD treatments?

ATROVENT HFA competes with other anticholinergic drugs like Spiriva and newer combination therapies, offering similar efficacy but with a different side effect profile.

What is the projected market growth for COPD therapeutics?

The global COPD therapeutics market is expected to reach $44.1 billion by 2031, growing at a CAGR of 7.3%.

Are there any new developments in the COPD therapeutics market?

Yes, new combination therapies and once-a-day formulations are in development and expected to enter the market, enhancing treatment options for COPD patients.

Sources

  1. FDA Label for ATROVENT HFA: Access Data FDA, "ATROVENT HFA Inhalation Aerosol".
  2. Asthma and COPD Therapies Market Forecast: PR Newswire, "Asthma and COPD Therapies Market Forecast 2015-2025".
  3. Global COPD Drugs Market: Business Wire, "Global Chronic Obstructive Pulmonary Disease (COPD) Drugs Market 2019-2023".
  4. Atrovent HFA: Side Effects, Dosage, Uses: Medical News Today, "Atrovent HFA: Side effects, dosage, uses, and more".
  5. Global Asthma and COPD Therapeutics Market: iHealthcareAnalyst, "Global Asthma and COPD Therapeutics Market $44.1 Billion by 2031".

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