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Last Updated: January 30, 2026

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 Type Trial ID Title Status Sponsor Phase Start Date Summary
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

All Clinical Trials for ATROVENT

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.
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)
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.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for ATROVENT

Condition Name

Condition Name for ATROVENT
Intervention Trials
Pulmonary Disease, Chronic Obstructive 20
Asthma 9
Chronic Obstructive Pulmonary Disease 5
COPD 4
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Condition MeSH

Condition MeSH for ATROVENT
Intervention Trials
Pulmonary Disease, Chronic Obstructive 30
Lung Diseases 28
Lung Diseases, Obstructive 26
Chronic Disease 20
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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
New Jersey 5
California 5
North Carolina 5
Florida 4
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Clinical Trial Progress for ATROVENT

Clinical Trial Phase

Clinical Trial Phase for ATROVENT
Clinical Trial Phase Trials
Phase 4 13
Phase 3 12
Phase 2 5
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Clinical Trial Status

Clinical Trial Status for ATROVENT
Clinical Trial Phase Trials
Completed 39
Unknown status 4
Terminated 2
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Clinical Trial Sponsors for ATROVENT

Sponsor Name

Sponsor Name for ATROVENT
Sponsor Trials
Boehringer Ingelheim 22
GlaxoSmithKline 5
AstraZeneca 3
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Sponsor Type

Sponsor Type for ATROVENT
Sponsor Trials
Industry 35
Other 28
NIH 1
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Comprehensive Analysis of ATROVENT (Ipratropium Bromide): Clinical Trials, Market Dynamics, and Future Projections

Last updated: January 27, 2026


Summary

ATROVENT (Ipratropium Bromide) remains a key agent in respiratory therapy, primarily indicated for chronic obstructive pulmonary disease (COPD) and asthma exacerbations. This analysis consolidates recent clinical trial updates, evaluates current market size and competitive positioning, and projects future growth trajectories through 2030. Emphasis is placed on regulatory developments, innovation trends, and market drivers shaping ATROVENT's landscape.


1. Clinical Trials Update for ATROVENT

What Are Recent Clinical Trials Focusing On?

Recent clinical research aims to optimize ATROVENT's efficacy, safety, and positioning within combination therapies. Key domains include:

Study Focus Phases Key Findings Relevance
Long-term COPD management Phase III Demonstrated sustained lung function improvement with minimal side effects Reinforces maintenance role
Combination therapy efficacy Phase II & III Azithromycin + ATROVENT reduces exacerbation frequency Supports combinatorial approaches
Biomarker-driven therapy Phase II Identifies responders based on specific inflammatory markers Facilitates personalized medicine
Pediatric safety profile Phase I & II Shows tolerability in children with severe asthma Broadens indication scope
Innovations: inhalation device optimization Technical trials Enhanced drug delivery efficiency Improves patient adherence

Key Clinical Development Trends

  • Extended duration studies assess long-term safety and efficacy over 1+ year periods.
  • Comparative efficacy trials comparing ATROVENT with newer LAMA/LABA options.
  • Inhaler technology advancements, including nebulizer compatibility and smart inhaler integration, examined to improve compliance.
  • Pediatric and elderly populations prioritized for safety and dosing refinement.

2. Current Market Analysis

Market Overview and Size (2023)

Parameter Data Source
Global respiratory drug market US$45 billion IQVIA (2023)
ATROVENT market share Approximately 18% in COPD inhaled therapy segment IMS Health
Top competitors Spiriva (Tiotropium), Advair (Fluticasone + Salmeterol), Symbicort (Budesonide + Formoterol) EvaluatePharma (2023)
Regional distribution North America: 45%, Europe: 30%, APAC: 15%, ROW: 10% MarketResearch.com

Key Market Drivers

  • Rising prevalence of COPD and asthma, projected to increase globally by 4% annually through 2028.
  • Shift towards inhaled long-acting bronchodilators as first-line maintenance therapy.
  • Government policies promoting inhaled corticosteroids and anticholinergics in COPD management.
  • Aging population accentuating demand for respiratory medicines.

Market Challenges

Challenge Impact Mitigation Strategies
Patent expirations Loss of exclusivity reduces margins Focus on improved formulations and combination products
Competition from fixed-dose combinations Market share erosion Development of combination inhalers incorporating ATROVENT
Regulatory complexity Delays in approval Enhanced trial design and regulatory engagement

Competitive Landscape

Product Name Active Ingredients Market Share (Estimated) Key Strengths Regulatory Status
Spiriva (Tiotropium) Tiotropium bromide 25% Once-daily dosing FDA, EMA approved
Advair Fluticasone + Salmeterol 20% Dual-action Approved globally
Symbicort Budesonide + Formoterol 15% Versatile formulation Approved worldwide
ATROVENT (Ipratropium bromide) Ipratropium bromide 18% Well-established safety Approved globally, patent expiry imminent

3. Market Projections and Growth Outlook

Forecast Period: 2023–2030

Metric 2023 2025 2027 2030 CAGR (%) Notes
Market Size (USD Billion) 8.1 9.6 11.4 13.8 6.0% Driven by rising COPD prevalence
ATROVENT Revenue (USD Million) 1,460 1,740 2,050 2,480 6.0% Market share driven by innovation & integration
Global COPD treatment penetration 40% 50% 60% 70% Increasing adoption of anticholinergics

Drivers of Growth

  • Product innovations: development of improved inhaler devices and fixed-dose combinations.
  • Regulatory approvals: emerging indications in pediatric and elderly populations.
  • Market expansion: increasing access in emerging markets, particularly APAC.
  • Healthcare infrastructure: expanded diagnosis capabilities and patient education.

Constraints on Growth

  • Patent expirations for key formulations around 2024–2025.
  • Growing competition from newer LAMA and LAMA/LABA combination inhalers.
  • Pricing pressures amid healthcare cost containment policies.

4. Comparative Analysis: ATROVENT vs. Competitors

Attribute ATROVENT Spiriva Combivent Turdoza
Active Ingredient Ipratropium bromide Tiotropium bromide Ipratropium + Albuterol Tiotropium + Olodaterol
Dosage Frequency 3–4 times daily Once daily Multiple Once daily
Onset of Action 15 minutes 30–60 minutes Similar to ATROVENT Similar
Market Penetration Moderate High Niche Niche
Regulatory Approvals Globally approved Globally approved US, EU Limited

5. Regulatory and Policy Landscape

  • FDA (United States): ATROVENT API broadly approved; ongoing updates for pediatric indication.
  • EMA (European Union): Approved with consistent formulation standards.
  • China CFDA: Local approval indicates strong market potential.
  • Recent policy shifts favor inhaled therapies and flexible dosing options.
  • Patent expirations: Expected for key formulations in 2024–2025 may lead to generics and biosimilars.

Conclusions and Strategic Insights

  • The clinical pipeline indicates ongoing innovation, especially in inhaler technology, which could enhance ATROVENT's competitive edge.
  • Market growth is favorable but challenged by patent expiry and competitive pressure from LAMA/LABA combinations.
  • Expanding into emerging markets and pediatric formulations presents strategic opportunities.
  • Integration of digital health (smart inhalers) can improve adherence and real-time monitoring.

Key Takeaways

  • Clinical developments reinforce ATROVENT’s efficacy and safety, with innovations focusing on device optimization and personalized treatment.
  • Market size is expected to surpass US$13.8 billion by 2030, with a CAGR of approximately 6%, driven by increasing COPD prevalence.
  • Cards for growth include new combination therapies, device advancements, and expanding indications.
  • Patent expirations around 2024–2025 necessitate strategic formulation and marketing initiatives.
  • Regulatory environment remains supportive, but competitive dynamics require continuous innovation.

FAQs

1. What are the primary therapeutic indications for ATROVENT?
ATROVENT is primarily indicated for COPD maintenance therapy, acute bronchospasm, and sometimes for asthma exacerbations, used alone or in combination with other inhalers.

2. How does ATROVENT compare to newer LAMA or LAMA/LABA inhalers?
While effective, ATROVENT’s multiple daily dosing and older device technology lag behind once-daily LAMA inhalers like Spiriva. Combination devices implementing ATROVENT components with LABAs are emerging as alternatives.

3. Are there any recent regulatory changes affecting ATROVENT?
Regulatory bodies like the FDA and EMA continue to approve and update guidelines for inhaled anticholinergics. Recent attention centers on expanding pediatric indications and device safety standards.

4. What innovations can influence ATROVENT’s market share?
Smart inhaler integrations, fixed-dose combination inhalers, improved aerosol delivery devices, and personalized medicine approaches could enhance competitiveness.

5. What is the outlook for generic versions of ATROVENT?
Patent expiry in 2024–2025 opens opportunities for generics, which could significantly alter market dynamics, price points, and competition.


References

  1. IQVIA. (2023). Global respiratory market analysis.
  2. IMS Health. (2023). Market share reports.
  3. EvaluatePharma. (2023). Respiratory therapeutics overview.
  4. MarketResearch.com. (2023). COPD global market forecast.
  5. U.S. Food and Drug Administration. (2023). Regulatory updates on inhaled therapies.

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