Randomized, Open-label, Parallel, Active-controlled, Multicenter Study of Efficacy and Safety of Fixed-dose Combination of Fluticasone /Formoterol /Glycopyrronium for the Treatment of Patients With Chronic Obstructive Pulmonary Disease

Several studies have demonstrated the benefits of the LAMA (Long-Acting Muscarinic Antagonists) + LABA (Long-Acting Beta-Agonists) + IC (inhaled corticosteroids) combination in the treatment of chronic obstructive pulmonary disease (COPD). The use of the triple combination in patients with severe airflow obstruction and a history of flares has been associated with improved lung function, improved patient-reported endpoints and prevention of flares, when compared to LABA, LABA + LAMA and LABA + IC. Furthermore, when compared to dual therapies LABA + IC and LABA + LAMA, triple therapy has been able to reduce all-cause deaths among chronic obstructive pulmonary disease (COPD) patients.
Previously published studies have demonstrated that the triple combination of Fluticasone 250 mcg/Formoterol 12 mcg/Glycopyrronium 12.5 mcg was able to improve lung function in chronic obstructive pulmonary disease (COPD) patients with a history of flares. There was also a significant improvement in the mMRC (modified-Medical Research Council) which began in the 2nd week of treatment and continued up to week 12. The association was considered safe and well tolerated, with only mild to moderate adverse events recorded in approximately 25% of the subjects treated in the study.
Furthermore, bioavailability studies performed with the components of the combination proposed as experimental drug - Fluticasone/Formoterol/Glycopyrronium - indicated that there is no pharmacokinetic interaction between the 3 active ingredients when they were administered concomitantly to healthy individuals under fasting conditions.

开始日期2026-02-28

申办/合作机构

Eurofarma Laboratórios SA

NCT05776927 / Not yet recruiting临床3期

A Double-dummy, Double-blind, Randomized, Parallel-group, Active Controlled Study to Evaluate the Efficacy and Safety of QVM149 (Indacaterol Acetate / Glycopyrronium Bromide / Mometasone Furoate) Compared to Salmeterol Xinafoate/Fluticasone Propionate in Children From 12 Years to Less Than 18 Years of Age With Asthma.

A double-dummy, double-blind, randomized, parallel-group, active controlled study to evaluate the efficacy and safety of QVM149 (indacaterol acetate / glycopyrronium bromide / mometasone furoate) compared to salmeterol xinafoate/fluticasone propionate in children from 12 years to less than 18 years of age with asthma.

开始日期2024-12-23

申办/合作机构

Novartis Pharmaceuticals Corp.

NCT06340581 / Withdrawn临床1期

A Phase I, Randomized, Partial Double-blind, Single Dose, 3 Way Cross Over Study to Assess the Lung Exposure Bioequivalence of Budesonide, Glycopyrronium, and Formoterol for BGF MDI HFO Compared With BGF MDI HFA Using an AeroChamber Plus Flow Vu Spacer and to Compare the Lung Exposure of BGF MDI HFO With a Spacer to BGF MDI HFO Without a Spacer

The primary purpose of this study is to demonstrate the equivalence of budesonide, glycopyrronium, formoterol (BGF) metered dose inhaler (MDI) hydrofluoroolefin (HFO) with a spacer to BGF MDI hydrofluoroalkane (HFA) with a spacer. The secondary objective is to characterize BGF MDI HFO with and without a spacer.

开始日期2024-10-17

申办/合作机构

AstraZeneca PLC

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0 项与 mAChRs x β2-adrenergic receptor 相关的专利（医药）

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项与 mAChRs x β2-adrenergic receptor 相关的文献（医药）

2024-09-01·Cell Biochemistry and Biophysics

Airways Relaxant and Antiasthmatic Activity of Aconitum heterophyllum Wall ex Royle. Roots: A Mechanistic Insight

Article

作者: Patel, Saraswati ; Dwivedi, Jaya ; Jain, Smita ; Sharma, Swapnil ; Gururani, Ritika ; Kumari, Kajal ; Bisht, Akansha ; Paliwal, Sarvesh

Aconitum heterophyllum Wall ex Royle. (Ranunculaceae) is a traditional medicinal herb that has shown extensive pharmacological potential to treat cough, diarrhea, and infectious diseases but no scientific evidence is available to validate its antiasthmatic potential. In this study, we have investigated the tracheal relaxation and antiasthmatic activity of the selected bioactive fraction of A. heterophyllum. Chemical profiling of the most effective fraction obtained via bioassay-guided fractionation was done using LC-MS (Liquid chromatography-mass spectrometry, a technique utilized in the identification, separation, and quantification of known and unknown compounds). Molecular docking analysis of characterized constituents was performed to recognize the binding receptors, followed by an evaluation of the tracheal relaxation ability of active fraction. An acute oral toxicity study of the most effective fraction was done using OECD guidelines 423. Further, the therapeutic efficacy of the fraction was validated in asthma using a guinea pig model of ovalbumin (OVA) induced allergic asthma. The bio-guided activity revealed that hydro-methanolic extract of A. heterophyllum roots (F-1) was the most active fraction. LC-MS analysis of F-1 showed the presence of six major bioactive compounds in F-1. Molecular docking studies revealed strong binding affinities of identified constituents with histaminic receptor (H₁) and muscarinic receptor (M₃). The ex vivo study demonstrated smooth muscle relaxant activity of F-1 via dysregulating diverse signal transduction pathways viz. histaminic and muscarinic receptors antagonism (non-competitive), stimulation of β₂-adrenergic receptor pathway, and soluble guanylyl cyclase activation. The findings of acute oral toxicity studies revealed that F-1 had no toxicity up to the dose of 2000 mg/Kg. The anti-asthmatic therapeutic efficacy of F-1 was further confirmed by the amelioration of respiratory hyperresponsiveness in asthmatic guinea pigs. This is the first evidence-based study showing the antiasthmatic therapeutic potential of the traditionally used herb A. heterophyllum through, computational and animal studies.

2023-06-04·bioRxiv : the preprint server for biology

Single-chain fluorescent integrators for mapping G-protein-coupled receptor agonists.

作者: Zhou, Guanwei ; Shen, Jiaqi ; Fiel, Hailey ; Sescil, Jennifer ; Kroning, Kayla ; Wang, Wenjing ; Li, Xingyu ; Gannot, Noam ; Wilson, Avery ; Li, Peng ; Putansu, Aubrey

GPCRs transduce the effects of many neuromodulators including dopamine, serotonin, epinephrine, acetylcholine, and opioids. The localization of synthetic or endogenous GPCR agonists impacts their action on specific neuronal pathways. In this paper, we show a series of single-protein chain integrator sensors to determine GPCR agonist localization in the whole brain. We previously engineered integrator sensors for the mu and kappa opioid receptor agonists called M- and K-SPOTIT, respectively. Here, we show a new integrator sensor design platform called SPOTall that we used to engineer sensors for the beta-2-adrenergic receptor (B2AR), the dopamine receptor D1, and the cholinergic receptor muscarinic 2 agonists. For multiplexed imaging of SPOTIT and SPOTall, we engineered a red version of the SPOTIT sensors. Finally, we used M-SPOTIT and B2AR-SPOTall to detect morphine, isoproterenol, and epinephrine in the mouse brain. The SPOTIT and SPOTall sensor design platform can be used to design a variety of GPCR integrator sensors for unbiased agonist detection of many synthetic and endogenous neuromodulators across the whole brain.

2023-06-01·Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology

Seasonal flexibility of the gut structure and physiology in Eremias multiocellata.

Article

作者: Wang, Jian-Li ; Zhong, Qiu-Mei ; Zheng, Yang-Hui

Although gut seasonal plasticity has been extensively reported, studies on physiological flexibility, such as water-salt transportation and motility in reptiles, are limited. Therefore, this study investigated the intestinal histology and gene expression involved in water-salt transport (AQP1, AQP3, NCC, and NKCC2) and motility regulation (nNOS, CHRM2, and ADRB2) in desert-dwelling Eremias multiocellata during winter (hibernating period) and summer (active period). The results showed that mucosal thickness, the villus width and height, the enterocyte height of the small intestine, and the mucosal and submucosal thicknesses of the large intestine were greater in winter than in summer. However, submucosal thickness of the small intestine and muscularis thickness of the large intestine were lower in winter than in summer. Furthermore, AQP1, AQP3, NCC, nNOS, CHRM2, and ADRB2 expressions in the small intestine were higher in winter than in summer; AQP1, AQP3, and nNOS expressions in the large intestine were lower in winter than in summer, with the upregulation of NCC and CHRM2 expressions; no significant seasonal differences were found in intestinal NKCC2 expression. These results suggest that (i) intestinal water-salt transport activity is flexible during seasonal changes where AQP1, AQP3 and NCC play a vital role, (ii) the intestinal motilities are attenuated through the concerted regulation of nNOS, CHRM2, and ADRB2, and (iii) the physiological flexibility of the small and large intestine may be discrepant due to their functional differences. This study reveals the intestinal regulation and adaptation mechanisms in E. multiocellata in response to the hibernation season.

项与 mAChRs x β2-adrenergic receptor 相关的新闻（医药）

2024-08-13

·医药观澜

今日，慢阻肺治疗新药「阿地溴铵」在中国获批！

▎药明康德内容团队编辑今日（8月13日），中国国家药监局（NMPA）官网最新公示，Covis Pharma公司等联合申报的5.1类新药阿地溴铵吸入粉雾剂上市申请已获得批准。公开资料显示，这是用于慢性阻塞性肺病（COPD）维持治疗的吸入性呼吸系统药物aclidinium bromide（商品名为Eklira），为一种长效毒蕈碱拮抗剂。慢性阻塞性肺疾病（COPD）属于气流阻塞的呼吸道慢性炎症疾病，这类疾病难以治愈，通常需要终身用药维持治疗，临床上首选支气管扩张剂胆碱能M受体拮抗剂和肾上腺素能β2受体激动剂吸入给药等缓解症状、改善患者生活质量。 Eklira是一种长效毒蕈碱拮抗剂（LAMA），通过抑制气道平滑肌中的毒蕈碱M3受体而产生支气管扩张作用。该产品为为干粉状，用于口服吸入，并通过呼吸驱动的多剂量干粉吸入器Genuair给药。2014年，阿斯利康（AstraZeneca）从Almirall公司获得了Eklira和Duaklir（阿地溴铵福莫特罗吸入粉雾剂）这两款产品的全球权利。2022年1月，阿斯利康宣布将Eklira和Duaklir的全球权益转让给Covis Pharma公司，后者需要向阿斯利康支付2.7亿美元。 2022年10月，Covis Pharma公司宣布Duaklir和Eklira在名为AVANT的3期临床试验中取得阳性顶线结果。该研究共纳入了1060例中重度稳定期COPD患者，其中70%的参与者来自中国。患者被随机分为安慰剂组、阿地溴铵（Eklira）单药治疗组、阿地溴铵福莫特罗组（Duaklir）和福莫特罗单药治疗组，为期24周。研究的主要疗效终点是给药后1小时早晨FEV1（给药前一秒用力呼气量）较基线的变化。根据Covis Pharma公司新闻稿，该研究在所有关键终点疗效指标上取得了具有统计学意义和临床重要性的结果。该研究结果还将支持Duaklir和Eklira在中国申报上市。2023年2月，这两款产品的上市申请同时获得中国国家药监局药品审评中心（CDE）受理。希望这款阿地溴铵吸入粉雾剂早日来到患者身边，为患者带来更多的治疗选择。参考资料： [1]2024年08月13日药品批准证明文件送达信息. Retrieved Aug 13， 2024, from https://www.nmpa.gov.cn/zwfw/sdxx/sdxxyp/yppjfb/20240813153948107.html [2] Agreement sharpens AstraZeneca’s focus on priority medicines in Respiratory & Immunology portfolio. Retrieved Nov 1, 2021, from https://www.astrazeneca.com/media-centre/press-releases/2021/astrazeneca-to-transfer-rights-to-eklira-duaklir.html# [3] Covis Pharma Announces Positive Topline Results from the AVANT Phase 3 Clinical Trial Showing Significant Improvement in Patients with Moderate to Severe Stable COPD. Retrieved Oct 25, 2022, from https://covispharma.com/index.php/covis-pharma-announces-positive-topline-results-from-the-avant-phase-3-clinical-trial-showing-significant-improvement-in-patients-with-moderate-to-severe-stable-copd/ 本文来自药明康德内容团队，欢迎个人转发至朋友圈，谢绝媒体或机构未经授权以任何形式转载至其他平台。转载授权及其他合作需求，请联系wuxi_media@wuxiapptec.com。免责声明：药明康德内容团队专注介绍全球生物医药健康研究进展。本文仅作信息交流之目的，文中观点不代表药明康德立场，亦不代表药明康德支持或反对文中观点。本文也不是治疗方案推荐。如需获得治疗方案指导，请前往正规医院就诊。

临床3期申请上市临床结果上市批准

2024-07-08

·药智网

呼吸领域——COPD，今年迎来两个重磅新药！

6月26日，美国FDA批准Verona（VRNA）公司的Ohtuvayre (ensifentrine)上市，作为维持疗法治疗慢性阻塞性肺病（COPD）成人患者。Verona新闻稿指出，该药是COPD治疗领域近20年以来首个获批上市的新机制吸入制剂。 7月3日，赛诺菲针对COPD的新药Dupixent (度普利尤单抗)获欧洲药品管理局（EMA）批准作为以血嗜酸性粒细胞水平升高为特征的不受控制的慢性阻塞性肺病（COPD）患者的附加维持治疗，成为COPD治疗领域的首个获批生物制剂。短短几天，COPD治疗领域就将迎来重塑，这一严重呼吸系统疾病的治疗格局或许有望在今年发生变革。 COPD 患者亟待新药慢性阻塞性肺疾病（COPD, chronic obstructive pulmonary disease）简称慢阻肺，根据慢性阻塞性肺疾病全球倡议（GOLD）2024版，COPD是一种常见的、可以预防和治疗的异质性疾病，一般是由长期接触有毒颗粒或气体引起的气道和（或）肺泡异常所致，并受到宿主因素影响，以气流受限及持续的呼吸道症状为主要特征。根据世界卫生组织统计，COPD已经成为人类的第三大死因，约有11%的人死于COPD。预计未来40年COPD的患病率将不断增加，到2060年每年可能会有超过540万人死于COPD及其相关疾病。2018年王辰院士在《The Lancet》上发表的研究显示，我国就有近1亿COPD患者，40岁以上成人COPD患病率达13.7%。 GOLD 2024中推荐的COPD的治疗和预防药物主要有吸入性糖皮质激素、支气管扩张剂、磷酸二酯酶-4抑制剂、抗生素、疫苗、黏液溶解剂及抗氧化剂。图1. COPD常见维持用药图片来源：GOLD 2024指南但同时，这些药物虽然对于COPD患者的症状有显著改善，但COPD急性加重的预防仍是目前的治疗难点。目前临床上接受三联方案治疗的慢阻肺病患者中，仍有 30%～40% 患者存在中度或重度急性加重。并且，由于COPD发病机制较为复杂，尚未完全明确，因此目前临床上极度缺乏针对病因的有效治疗药物。该领域甚至十余年未推出新药，COPD患者亟待新药。两个新药有望改变COPD治疗格局可喜的是，今年6月，美国FDA批准上市了二十年来首个COPD新机制吸入剂——Ensifentrine。随后，再生元/赛诺菲的生物制剂Dupilumab在欧洲获批上市，为COPD患者带来全新的用药选择。 Ensifentrine：首个获批的COPD新机制药物 Ensifentrine是Verona公司开发的一种小分子选择性磷酸二酯酶双抑制剂（PDE3/4）。PDE3/4在支气管平滑肌上广泛表达，Ensifentrine抑制PDE3/4后，提升支气管内cAMP，进而发挥支气管舒张和抗炎的双重作用。2024年6月，该药获FDA批准，作为维持疗法治疗慢性阻塞性肺病（COPD）成人患者，商品名：Ohtuvayre。该疗法在今年初曾被行业媒体Evaluate列为2024有望获批的10款重磅疗法之一，是20多年来具有新作用机制、用于COPD维持治疗的首个吸入式疗法。图2. Ensifentrine结构式图片来源：参考资料6 FDA此次批准基于ENHANCE-1和ENHANCE-2两项Ⅲ期临床研究数据。ENHANCE-1和ENHANCE-2都是随机、双盲、安慰剂对照的Ⅲ期研究，分别入组760和790名COPD成年患者。相较于安慰剂，Ensifentrine可以显著改善0-12小时内1秒钟平均用力呼吸曲线下面积（FEV1 AUC 0-12hr）。图3. 两个ENHANCE研究都达到了主要终点图片来源：Verona公司官网安全性方面，患者对Ensifentrine耐受良好，最常见的不良反应是鼻咽炎、高血压和背疼。值得一提的是，2021年6月，Verona公司授予优锐医药在大中华区临床开发和商业化ensifentrine的独家权利。2023年2月，优锐医药启动了Ensifentrine治疗COPD的中国Ⅲ期临床试验，该药或将很快惠及国内COPD患者。 Dupilumab：首个获批COPD的生物制剂除了Ensifentrine，再生元/赛诺菲的Dupilumab（达必妥，IL-4/13单抗）目前也已获EMA批准用于治疗COPD，今年后续也有望FDA获批。 7月3日，赛诺菲和再生元共同宣布度普利尤单抗（dupilumab，商品名：Dupixent）获欧洲药品管理局（EMA）批准作为以血嗜酸性粒细胞水平升高为特征的不受控制的慢性阻塞性肺病（COPD）患者的附加维持治疗。今年2月，美国FDA已受理Dupilumab治疗慢性阻塞性肺疾病（COPD）的补充生物制品许可申请（sBLA）并授予优先审评资格，作为患有病情不受控制COPD成年患者的附加维持治疗，该申请的结果预计在今年晚些时候公布。该药在中国也同步提交了上市许可申请，并获得了CDE受理。 5月20日，赛诺菲公布了达必妥治疗COPD的NOTUS Ⅲ期研究最新数据，其治疗组中伴有2型炎症特征（血嗜酸性粒细胞≥300/μl）的COPD患者急性加重年化率显著降低34%，且肺功能获得显著改善（此次度普利尤单抗EMA获批，也正是基于上述研究的积极结果），具体如下：主要终点：治疗52周中重度慢阻肺病急性加重年化率降低34% (p<0.001)。次要终点：第12周时，肺功能较基线改善超过两倍(139mL vs. 57mL;p<0.001)，并且该改善在第52周时得以维持(115mL vs. 54mL;p=0.018)。次要终点：第52周时，健康相关生活质量评分在数值上较基线改善更明显。次要终点：第52周时，呼吸道症状的严重程度在数值上降低较基线更为明显。长久以来，由于COPD的异质性，以往针对COPD的多数生物制剂都已沉戟，度普利尤单抗的获批极大的提振了领域内的研发信心。赛诺菲找到的突破口是2型炎症。最新研究结果显示，约20%-40%的COPD患者属于嗜酸性粒细胞水平升高的2型炎症型。Dupilumab是一款靶向IL-4受体α（IL-4Rα）的单克隆抗体，通过阻断IL-4/13与其受体复合物的结合来抑制IL-4/13介导的2型炎症反应。 Dupilumab此前已获批包括哮喘在内的数个自免领域的适应症，2023年销售额超100亿美元，其营收达到了赛诺菲整体收入的四分之一。通过2型炎症这一突破口，赛诺菲在免疫管线的布局可谓固若金汤。在研药物 MNC、国内药企竞逐COPD赛道 Ensifentrine和Dupilumab通过不同机制有望给不同COPD患者带来新的治疗方案。此外，COPD领域还有多个小分子和生物制剂已进入临床后期阶段。表1. COPD领域在研新药（部分）药品名称药品分类靶点研发单位 COPD适应症进展 Ensifentrine 小分子 PDE4;PDE3 Verona Pharma 美国获批上市度普利尤单抗 dupilumab 单抗 IL4RA 再生元/赛诺菲欧洲获批上市依特吉单抗 itepekimab 单抗 IL33 再生元临床Ⅲ期托雷奇单抗 tozorakimab 单抗 IL33 阿斯利康临床Ⅲ期贝那利珠单抗 benralizumab 单抗 IL5RA 阿斯利康临床Ⅲ期美泊利珠单抗 mepolizumab 单抗 IL5 葛兰素史克临床Ⅲ期艾特利单抗 astegolimab 单抗 IL1R;IL-33R 罗氏/安进临床Ⅲ期坦尼米司特 tanimilast 小分子 PDE4 凯西制药临床Ⅲ期 HPP737 小分子 PDE4 vTv Therapeutics /济川药业临床Ⅱ期 TQC-3721 小分子 PDE4;PDE3 正大天晴临床Ⅱ期 SSGJ-611 单抗 IL4R 三生国健临床Ⅱ期 9MW1911 单抗 IL1RL1 迈威生物临床Ⅱ期司普奇拜单抗 CM310 单抗 IL4RA 康诺亚临床Ⅱ期泽芦人单抗 tezepelumab 单抗 TSLP 安进/阿斯利康临床Ⅱ期 REGEND-001 肺前体细胞 IL33 吉美瑞生临床Ⅱ期 DBM-1152A 小分子 CHRM3;ADRB2 硕佰医药临床Ⅰ期 QX005N 单抗 IL4RA 荃信生物临床Ⅰ期 MG-ZG122 单抗 TSLP 麦济生物临床Ⅰ期 SHR-1905 单抗 TSLP 恒瑞医药临床申请 CM326 单抗 TSLP 康诺亚临床申请 SSGJ-621 单抗 IL33 三生国健临床申请 LQ-036 单抗 IL4R;IL4RA 洛启生物临床申请 QX007N 单抗 IL33 荃信生物临床申请数据来源：药智数据其中，以目前COPD领域在研新药的制剂类型分布来看，由小分子药物向生物药转变的风向似乎正在加速，生物制剂能够精准作用于特定的炎症通路，阻断免疫应答的关键环节也成为了越来越多的药企布局的原因。尤其是靶向IL-4、IL-5、IL-33等介导2型炎症的单抗是COPD治疗的热门机制，约占全球临床后期在研项目的一半以上，其中再生元的Dupilumab已获批上市；mepolizumab、benralizumab、astegolimab、itepekimab、tozorakimab等5个新药也均处于Ⅲ期临床阶段。预计很快，COPD领域就或许会因此而掀起异常治疗范式的变革，而率先冲线的度普利尤单抗，或许也会分得不小的市场份额。而国内领域，众多药企也在争相布局COPD赛道，并有多个新药已进入临床阶段。例如，正大天晴的TQC-3721已进入临床Ⅱ期阶段，该药与Ensifentrine同为PDE3/4抑制剂；三生国健的SSGJ-611是一款人源化抗IL-4Rα单克隆抗体，2023年9月获批开展慢性阻塞性肺疾病适应症Ⅱ期临床试验。其他进展较快的还有康诺亚的IL-4Rα单抗司普奇拜单抗（CM310）、吉美瑞生的肺前体细胞REGEND001等。不过，就全球COPD在研新药领域的竞争格局上MNC药企的临床进度普遍高于国内，临床Ⅱ期以上的8款药物中，清一色的海外药企。国内药企要想在短期内赶超MNC的难度不小。结语 COPD患者的治疗背景复杂，发育情况、吸烟史、生物标志物水平等的不同也带来了治疗效果的不同，对于COPD患者急性加重的治疗，传统的药物往往效果不佳。此次Ensifentrine与Dupixent的获批为COPD的治疗带来了新的选择。后续，COPD治疗格局或许也会因这两款新药，而发生巨大重构，请拭目以待。参考文献： World Health Organization:The top 10 causes of death World Health Organization:global burden of disease estimats Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health [CPH] study): a national cross-sectional study. Lancet. 2018 Apr 28; 391(10131):1706-1717 GOLD 2024指南 Ensifentrine, a Novel Phosphodiesterase 3 and 4 Inhibitor for the Treatment of Chronic Obstructive Pulmonary Disease: Randomized, Double-Blind, Placebo-controlled, Multicenter Phase III Trials (the ENHANCE Trials). Am J Respir Crit Care Med. 2023 Aug 15;208(4):406-416. https://ohtuvayrehcp.com/files/Ohtuvayre-US-Prescribing-Information.pdf 来源 | 博药（药智网获取授权转载）撰稿 | 泠然责任编辑 | 八角声明：本文系药智网转载内容，图片、文字版权归原作者所有，转载目的在于传递更多信息，并不代表本平台观点。如涉及作品内容、版权和其它问题，请在本平台留言，我们将在第一时间删除。商务合作 | 王存星 19922864877（同微信）阅读原文，是昨天最受欢迎的文章哦

上市批准信使RNA疫苗

2024-04-05

·Pharmaceutical Technology

GSK expands Asia-Pacific reach for Trelegy Ellipta with Singapore approval

Trelegy Ellipta is approved as a maintenance treatment for COPD and asthma in the US. Image Credit: MAXSHOT.PL / Shutterstock. Singapore’s Health Sciences Authority (HSA) has expanded the label of GlaxoSmithKline (GSK)’s Trelegy Ellipta (fluticasone furoate/umeclidinium/vilanterol) to include its use as a maintenance therapy for adults with asthma. The Singapore agency also approved a new dosage strength for the inhaled therapy in asthma. In 2019, HSA approved Trelegy Ellipta as a maintenance therapy for relieving moderate to severe exacerbations in patients with chronic obstructive pulmonary disease (COPD). Trelegy Ellipta is approved as a maintenance treatment for COPD in multiple regions including the US, Europe and China. However, the drug has also been approved for treating asthma in a few countries such as the US. Trelegy Ellipta pulled in £2.2bn ($2.8bn) in global sales for GSK in 2023, as per the company’s financials. The drug sales are expected to rise, with Trelegy Ellipta expected to generate approximately $3.8bn in global sales in 2027, according to a GlobalData analysis. GlobalData is the parent company of Pharmaceutical Technology . Last month, GSK announced plans to cap out-of-pocket costs for eligible patients at $35 per month for its COPD and asthma medications in light of the rising drug prices in the US. Trelegy Ellipta is one of the drugs included in GSK’s programme, which will be implemented across the country no later than 1 January 2025. See Also: UK MHRA approves Advanz Pharma antibiotic for complex infections Japan’s PMDA approves Partner’s inhaled Leukine for aPAP Another therapy looking to target both asthma and COPD populations is Amgen and AstraZeneca ’s Tezspire (tezepelumab-ekko). The monoclonal antibody has been approved for treating severe asthma in multiple countries including the US. The companies are evaluating the therapy in patients with moderate to severe COPD in a placebo-controlled Phase II trial (NCT04039113). Data from the trial is expected in H1 this year. Regeneron Pharmaceuticals and Sanofi are also seeking approval for their monoclonal antibody , Dupixent (dupilumab) as a maintenance therapy for COPD. The US Food and Drug Administration (FDA) has set a target action date of 27 June for an approval decision. Dupixent is approved for treating atopic dermatitis , asthma, chronic rhinosinusitis with nasal polyposis, eosinophilic esophagitis and prurigo nodularis.