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AstraZeneca's Bevespi Unimpressive in Phase III COPD Study

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AstraZeneca (AZN - Free Report) announced disappointing data from a phase IIIb study evaluating Bevespi Aerosphere for treating moderate to very severe chronic obstructive pulmonary disease (“COPD”). The study compared the drug to GlaxoSmithKline’s (GSK - Free Report) Anoro Ellipta (umeclidinium/vilanterol).

Data from the study showed that Bevespi Aerosphere is not inferior to Anoro Ellipta on peak forced expiratory volume in one second (FEV1), a measure of lung function. However, it failed to show superiority over Anoro Ellipta. Moreover, Bevespi Aerosphere failed to demonstrate non-inferiority over Anoro Ellipta in trough FEV1.

The 24-week phase IIIb AERISTO study evaluated Bevespi Aerosphere in patients with COPD for non-inferiority and superiority in peak FEV1 and non-inferiority alone in trough FEV1 compared to Anoro Ellipta. Patients were administered either two inhalations twice a day of Bevespi Aerosphere or one inhalation once a day of Anoro Ellipta.

Peak FEV1 is the maximum amount of air a person can forcefully exhale in one second after taking a deep breath following the administration of an inhaler. Trough FEV1 measures the same before drug administration or after a day of administration.

The press release also stated that data from the study were “inconsistent with previous data”. The company is conducting a detailed analysis to understand the inconsistency and a detailed report will be presented at a future medical meeting.

Bevespi Aerosphere is a combination of a LAMA (glycopyrronium) and a LABA (formoterol fumarate) drug. The drug is marketed in the United States and Canada as long-term maintenance treatment of airflow obstruction in patients with COPD. The drug is not yet available in Europe, however, a regulatory application is under review in Europe and a decision is expected later this year.

Shares of AstraZeneca have gained 9.8% year to date versus the industry’s decline of 5.1%.

The drug, launched in the first quarter of 2017, generated sales of $13 million in the first half of 2018. The failure of the drug in the study may unfavorably impact the prospects of the drug.

Moreover, the already crowded respiratory therapeutic area is getting more competitive with new and better drugs getting approval. Apart from the above two drugs, Novartis’ (NVS - Free Report) Utibron Neohaler ,also a two-drug combination, is approved for treating COPD. Meanwhile, Glaxo and its partner Innoviva, Inc. (INVA - Free Report) also have a triple combination drug (ICS/LAMA/LABA), Trelegy Ellipta, in their product portfolio. AstraZeneca is also developing its triple combination candidate, PT010, for treating COPD.

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