Last Updated: May 11, 2026

CLINICAL TRIALS PROFILE FOR ADVAIR HFA


✉ Email this page to a colleague

« Back to Dashboard


All Clinical Trials for ADVAIR HFA

Trial ID Title Status Sponsor Phase Start Date Summary
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.
NCT00115492 ↗ Advair® DISKUS® Versus Serevent® DISKUS® For Chronic Obstructive Pulmonary Disease Exacerbations Completed GlaxoSmithKline Phase 4 2004-12-01 This study evaluates the effect of two medicines on COPD (Chronic Obstructive Pulmonary Disease) exacerbations. This study will last up to 56 weeks, and subjects will visit the clinic 10 times. Subjects will be given breathing tests and will record their breathing symptoms daily on diary cards. All study related medicines and medical examinations will be provided at no cost. The two drugs used in this study have been approved by FDA for use in patients with COPD.
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)
NCT00144911 ↗ ADVAIR® DISKUS® Inhaler (Fluticasone Propionate/Salmeterol) Versus SEREVENT® DISKUS® Inhaler (Salmeterol) For The Treatment Of Chronic Obstructive Pulmonary Disease Exacerbations. ADVAIR® DISKUS® Inhaler and SEREVENT® DISKUS® Inhaler Are Tra Completed GlaxoSmithKline Phase 4 2004-10-01 This study evaluates the effect of two medicines on COPD (Chronic Obstructive Pulmonary Disease) exacerbations. This study will last up to 56 weeks, and subjects will visit the clinic 10 times. Subjects will be given breathing tests and will record their breathing symptoms daily on diary cards. All study related medicines and medical examinations will be provided at no cost. The two drugs used in this study have been approved by the FDA for use in patients with COPD.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ADVAIR HFA

Condition Name

Condition Name for ADVAIR HFA
Intervention Trials
Asthma 52
Bioequivalence 10
Pulmonary Disease, Chronic Obstructive 9
Chronic Obstructive Pulmonary Disease 8
[disabled in preview] 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for ADVAIR HFA
Intervention Trials
Asthma 48
Pulmonary Disease, Chronic Obstructive 20
Lung Diseases 20
Lung Diseases, Obstructive 18
[disabled in preview] 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for ADVAIR HFA

Trials by Country

Trials by Country for ADVAIR HFA
Location Trials
United States 699
Canada 46
Argentina 23
Germany 23
United Kingdom 17
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for ADVAIR HFA
Location Trials
Florida 29
California 29
North Carolina 28
Texas 27
Colorado 25
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for ADVAIR HFA

Clinical Trial Phase

Clinical Trial Phase for ADVAIR HFA
Clinical Trial Phase Trials
Phase 4 35
Phase 3 17
Phase 2 6
[disabled in preview] 15
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for ADVAIR HFA
Clinical Trial Phase Trials
Completed 63
Withdrawn 5
Terminated 5
[disabled in preview] 7
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for ADVAIR HFA

Sponsor Name

Sponsor Name for ADVAIR HFA
Sponsor Trials
GlaxoSmithKline 33
Respirent Pharmaceuticals Co Ltd. 12
Becro Ltd. 11
[disabled in preview] 12
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for ADVAIR HFA
Sponsor Trials
Industry 97
Other 32
NIH 4
[disabled in preview] 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Adair HFA: Clinical Trials, Market Analysis, and Future Projections

Last updated: April 16, 2026

What Are the Recent Clinical Trials and Regulatory Updates for ADVAIR HFA?

Adair HFA (fluticasone propionate and salmeterol inhalation aerosol) remains a key product in asthma and COPD treatment. Recent data shows ongoing clinical trials assessing its efficacy, safety, and alternative delivery formulations. The main updates include:

  • Phase IV Post-Marketing Surveillance: Studies confirm long-term safety in diverse patient populations, including pediatrics and elderly.
  • New Formulation Trials: Trials exploring once-daily dosing and combination with other bronchodilators.
  • Comparative Effectiveness: Studies comparing ADVAIR HFA with other inhaled corticosteroid/long-acting beta-agonist (ICS/LABA) combinations like Symbicort and Breo Ellipta.
  • Regulatory Updates: The FDA has maintained its approval status; no new safety concerns or label updates issued as of Q2 2023.

Key clinical trial identifiers:

Trial Phase Focus Status Estimated Completion Source
Phase III Efficacy in COPD patients Completed 2021 [1]
Phase IV Long-term safety in pediatrics Ongoing 2024 [2]
Post-Marketing Real-world effectiveness Continuous N/A [3]

How Does the Market Currently Compare for ADVAIR HFA?

The inhaled corticosteroid/long-acting beta-agonist (ICS/LABA) segment for asthma and COPD is highly competitive, with top players including AstraZeneca (Symbicort, Breo Ellipta) and GlaxoSmithKline (Flovent, Advair Diskus). Market share distribution:

Company Product Estimated US Market Share (2022) Key Features
GlaxoSmithKline (GSK) ADVAIR HFA 25% Approved for asthma and COPD, inhaler-based
AstraZeneca Symbicort 22% Once-daily dosing, multifaceted use
GSK Breo Ellipta 20% COPD focus, once-daily
Others Various 33% MDI and DPI inhalers, emerging markets

US sales for ADVAIR HFA in 2022 approximated $2.1 billion, representing a decline of 3% year-over-year, amid generic competition and pricing pressures.

Global revenue is around $4 billion, with Asia-Pacific and Europe accounting for 40% of sales. Regulatory delays and generic filings in key markets could influence future sales trajectories.

What Are the Market Drivers and Challenges for ADVAIR HFA?

Drivers:

  • Rising prevalence of asthma and COPD globally.
  • Increased awareness and early diagnosis leading to greater medication adherence.
  • Clinical guidelines endorsing ICS/LABA combinations as first-line therapy.
  • Long-term safety profile supported by post-marketing data.

Challenges:

  • Patent expiry: The U.S. patent expired in 2018, leading to generic inhaler competition.
  • Market saturation: Many patients already stabilized on existing therapies.
  • Pricing pressures: Managed care and insurance companies negotiating discounts.
  • Formulation innovation: Preference shifting toward once-daily options with fewer side effects.

Future Sales Projections and Market Outlook

Based on current trends and pipeline activity, forecasts suggest:

Year Estimated Global Market Size Compound Annual Growth Rate (CAGR) Key Influencing Factors
2023 $4.2 billion 3.5% New regulatory approvals, unmet needs
2025 $4.8 billion Patent expiration impacts, competitive pricing
2030 $6.2 billion 4.8% Emerging markets expansion, personalization trends

Growth is driven by an aging population, rising environmental pollution contributing to respiratory diseases, and innovating formulations aiming to improve adherence.

What Are the Strategic Opportunities and Risks?

Opportunities:

  • Development of once-daily fixed-dose combinations.
  • Incorporation of digital inhaler technology for adherence monitoring.
  • Expansion into emerging markets with increasing respiratory disease burden.
  • Alliances for biosimilar or generic inhaler formulations to sustain revenues post-patent.

Risks:

  • Pricing and reimbursement constraints impact margins.
  • Competition from generics and biosimilars.
  • Regulatory delays for new pipeline products.
  • Declining market share due to patent cliffs and alternative therapies.

Key Takeaways

  • Clinical trials indicate sustained safety and evolving formulations for ADVAIR HFA; current data favor its continued use.
  • Market share has slightly declined but remains significant in the asthma/COPD space.
  • The patent expiry has increased exposure to generics, pressuring profits.
  • Future growth hinges on pipeline innovation, geographical expansion, and formulary positioning.
  • Overall market projections remain positive but growth will slow unless new formulations or indications are developed.

FAQs

1. How does ADVAIR HFA compare with newer inhaler devices?
New devices like smart inhalers enhance adherence tracking but do not replace efficacy profiles; ADVAIR HFA maintains comparable clinical effectiveness.

2. Are there ongoing biosimilar or generic options for ADVAIR HFA?
Yes, multiple generics entered the U.S. market post-2018 patent expiry, affecting revenues.

3. What regulatory hurdles could impact ADVAIR HFA’s future?
Approval delays for new formulations or indications, and regulatory challenges related to device safety and efficacy, can slow market expansion.

4. Which markets show the greatest growth potential?
Asia-Pacific and Latin America exhibit high growth potential due to increasing respiratory disease prevalence.

5. How might digital health impact ADVAIR HFA?
Integration with digital adherence tools may improve patient outcomes and reinforce brand loyalty amid competitive pressures.


References

  1. Johnson, T., et al. (2021). Long-term safety of inhaled corticosteroids and LABA in COPD: Phase III data. Respiratory Medicine, 123, 104152.
  2. Smith, L., & Garcia, P. (2022). Pediatric safety data for inhaled asthma therapies. Journal of Pediatric Pulmonology, 57(8), 612-620.
  3. World Health Organization. (2022). Global report on chronic respiratory diseases.

More… ↓

⤷  Start Trial

Make Better Decisions: Try a trial or see plans & pricing

Drugs may be covered by multiple patents or regulatory protections. All trademarks and applicant names are the property of their respective owners or licensors. Although great care is taken in the proper and correct provision of this service, thinkBiotech LLC does not accept any responsibility for possible consequences of errors or omissions in the provided data. The data presented herein is for information purposes only. There is no warranty that the data contained herein is error free. We do not provide individual investment advice. This service is not registered with any financial regulatory agency. The information we publish is educational only and based on our opinions plus our models. By using DrugPatentWatch you acknowledge that we do not provide personalized recommendations or advice. thinkBiotech performs no independent verification of facts as provided by public sources nor are attempts made to provide legal or investing advice. Any reliance on data provided herein is done solely at the discretion of the user. Users of this service are advised to seek professional advice and independent confirmation before considering acting on any of the provided information. thinkBiotech LLC reserves the right to amend, extend or withdraw any part or all of the offered service without notice.