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Last Updated: April 12, 2026

CLINICAL TRIALS PROFILE FOR ANORO ELLIPTA


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505(b)(2) Clinical Trials for Anoro Ellipta

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 Formulation NCT02691325 ↗ Study to Evaluate the Safety, Tolerability and Pharmacokinetics of GSK2269557 Administered Via the ELLIPTA Dry Powder Inhaler to Healthy Subjects Completed GlaxoSmithKline Phase 1 2016-03-14 GSK2269557 is a potent and highly selective inhaled Phosphoinositide 3-Kinase delta inhibitor being developed as an anti-inflammatory and anti-infective agent for the treatment of inflammatory airway diseases. The study will be conducted at a single centre and in 3 Parts. The aim of Part A and B of the study are to assess the safety, tolerability and pharmacokinetics (PK) single and repeat doses of a new formulation of GSK2269557 administered via the ELLIPTA dry powder inhaler (DPI) to healthy subjects. This is the first study in which GSK2269557 will be administered via the ELLIPTA DPI. Part C of the study will investigate the proportion of the systemic exposure that post inhalation is due to the swallowed fraction of the inhaled dose. Part C will also be conducted using the ELLIPTA device and magnesium stearate formulation. Part A will be conducted first. Part B and Part C may be run sequentially or in parallel. Part A is a randomized, double blind, placebo controlled, single dose, dose escalating incomplete block 2-period crossover study in healthy subjects. Subjects will be randomized to receive either one dose strength of GSK2269557 and placebo utilizing placebo replacement, or will receive both active dose strengths. Part B is a randomized, double blind, placebo controlled, repeat dose study in healthy Subjects. Subjects will be randomized to receive either repeat doses of GSK2269557 or placebo for 10 days. Part C is a, randomized, open-label, crossover design to assess the systemic exposure of single doses of GSK2269557 administered via the ELLIPTA DPI to healthy subjects, with and without ingestion of activated charcoal. ELLIPTA is the registered trademark of GlaxoSmithKline groups of companies.
New Formulation NCT03189589 ↗ Safety, Tolerability and Pharmacokinetics (PK) Study of GSK2269557 in Healthy Subjects Completed GlaxoSmithKline Phase 1 2017-06-15 GSK2269557 is being developed as an anti-inflammatory and anti-infective agent for the treatment of inflammatory airways diseases. This is the first study using a new formulation of GSK2269557 in healthy subjects and will evaluate the safety, tolerability and PK of a single dose of GSK2269557. Data derived from this study will inform on the PK profile and systemic exposure expected during Phase 2b. Approximately twelve healthy subjects will be randomized to receive a single dose of GSK2269557 750 micrograms (µg) or a single dose of GSK2269557 500 µg via the ELLIPTA® dry powder inhaler (DPI) formulated in a blend containing 0.4 percent magnesium stearate (MgSt) in 1:1 ratio. This randomized, parallel group study will be carried out in 3 phases, including screening phase, treatment phase and follow-up phase. The total study duration for each subject will be up to 6 weeks. ELLIPTA is a registered trademark of GlaxoSmithKline group of companies.
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Anoro Ellipta

Trial ID Title Status Sponsor Phase Start Date Summary
NCT01899742 ↗ The Purpose of the This Study is to Evaluate the Spirometric Effect (Trough FEV1) of Umeclidinium/Vilanterol 62.5/25 mcg Once Daily Compared With Tiotropium 18mcg Once Daily Over a a 12-week Treatment Period in Subjects With COPD Who Continue to Hav Completed GlaxoSmithKline Phase 3 2014-09-15 The primary objective is to compare the efficacy of UMEC/VI Inhalation Powder (62.5/25 mcg) once-daily with tiotropium (18 mcg) once-daily over 12 weeks for the treatment of subjects with COPD who have received tiotropium and continue to have symptoms while on tiotropium.
NCT02105974 ↗ Study Evaluating the Efficacy and Safety of Fluticasone Furoate/Vilanterol Inhalation Powder (FF/VI) Compared With Vilanterol Inhalation Powder (VI) in Subjects With Chronic Obstructive Pulmonary Disease (COPD) Completed GlaxoSmithKline Phase 3 2014-04-07 This is a Phase IIIa, multicenter, randomized, stratified (reversibility status), double-blind, parallel-group study to evaluate the efficacy and safety of FF/VI 100/25 micrograms (mcg) once daily (QD) compared with VI 25 mcg QD, administered in the morning via the ELLIPTA™ inhaler. The primary objective of this study is to evaluate the contribution on lung function (as measured by trough forced expiratory volume in one second [FEV1]) of FF 100 mcg to the FF/VI 100/25 mcg QD combination by comparison of the latter with VI 25 mcg QD and the safety of FF/VI 100/25 mcg over a 12-week treatment period in subjects with COPD. ELLIPTA™ is a registered trademark of GlaxoSmithKline.
NCT02218723 ↗ Pharmacokinetic Profile of Four Formulations of Fluticasone Furoate (FF) Using Unit Dose Dry Powder Inhaler (UD-DPI) Compared With FF ELLIPTA® Presentation Completed GlaxoSmithKline Phase 1 2014-10-28 This is an open-label, five- period, cross-over, randomized, single dose, single centre study in healthy subjects. This is the second clinical study for the UD-DPI. This study will ascertain whether the Pharmacokinetics (PK) systemic exposure [in terms of area under the plasma concentration-time curve (AUC) and maximum observed plasma concentration (Cmax)] of FF delivered via the UD-DPI is comparable to the systemic exposure of FF delivered via the ELLIPTA Dry Powder Inhaler (DPI). For this reason four treatment doses consisting of three dose strengths and 2 percentage blends will be assessed when delivered via the UD-DPI. This study is designed to compare the pharmacokinetic profile of various doses and blends of FF administered via UD-DPI and relative to FF administered via ELLIPTA DPI. Subjects will be screened 28 days prior to study initiation. During each treatment period, subjects will be at study site from evening prior to dosing until completion of the 48 hour post-dose PK sample collection on Day 3. Minimum 7 days washout will be between treatments after completion of all five treatments and the follow-up visit will be conducted 7-14 days post last dose. Duration of study is 13 weeks. ELLIPTA is a registered trademark of the GSK group of companies.
NCT02257372 ↗ A Study to Evaluate the Effect of Umeclidinium (UMEC) as Combination Therapy in Subjects With Chronic Obstructive Pulmonary Disease (COPD) Completed GlaxoSmithKline Phase 4 2014-09-30 This is a multicenter, randomized, double-blind, parallel-group study to evaluate the efficacy and safety of the addition of UMEC (62.5 microgram[mcg]) when administered once-daily via dry powder inhaler (DPI) to Inhaled corticosteroid/ Long-acting beta2-agonist (ICS/LABA) twice-daily compared with placebo via DPI added to the ICS/LABA therapy over a treatment period of 12 weeks in subjects with COPD. This study is designed to investigate the addition of UMEC to ICS/LABA combinations at approved doses and frequencies for the treatment of COPD including SERETIDE™ 500/50 mcg twice daily, Fluticasone Propionate/Salmeterol Combination (FSC) 500/50 twice daily generic products such as AIRFLUSAL FORSPIRO inhaler 500/50 mcg twice daily or ROLENIUM ELPENHALER inhaler 500/50 mcg twice daily and SYMBICORT TURBUHALER inhaler at doses of 200/6 mcg twice daily and 400/12 mcg twice daily, over 12 weeks in subjects with COPD. Albuterol/salbutamol metered-dose-inhaler (MDI) or nebules will be issued throughout the study for use as-needed (prn). Subjects who meet the eligibility criteria will be randomly assigned to one of the following blinded study treatment regimens in equal proportion (1:1): UMEC 62.5 mcg once-daily and Placebo once-daily. Approximately 230 subjects (115 subjects per treatment) will be randomized in order to complete at least 206 evaluable subjects. The total duration of the study will be approximately 14 weeks for each subject. UMEC is a Long-acting Muscarinic Antagonist (LAMA) currently under development as a monotherapy, as a combination product with a LABA, vilanterol (VI), for the treatment of COPD, and as a combination product with an ICS, fluticasone furoate (FF), for the treatment of asthma. The UMEC/VI combination 62.5/25 .mcg once-daily has been approved in the United States (U.S.) and Canada for COPD under the trade name ANORO™ ELLIPTA™ and is under regulatory review in other countries. SERETIDE, ANORO, and ELLIPTA are trade marks of the GlaxoSmithKline Group of Companies. Other company or product names mentioned herein may be the property of their respective owners.
NCT02257385 ↗ Comparative Study of Umeclidinium/Vilanterol (UMEC/VI) in a Fixed Dose Combination With Indacaterol Plus Tiotropium Completed GlaxoSmithKline Phase 3 2014-10-15 This is a Phase IIIb multicentre, randomised, blinded, triple dummy, parallel group study to evaluate the efficacy and safety of UMEC/VI inhalation powder (62.5/25 microgram [mcg] Once daily [QD]) when administered via ELLIPTA® Dry Powder Inhaler (DPI) compared to indacaterol plus tiotropium (150 mcg/18 mcg respectively QD) administered via individual inhalers over a treatment period of 12 weeks in participants with moderate to very severe Chronic Obstructive Pulmonary Disease (COPD). The purpose of this study is to demonstrate that UMEC/VI (delivered via ELLIPTA DPI), when used in symptomatic moderate to very severe COPD participants, is non-inferior to the combination of indacaterol (delivered via BREEZHALER® inhaler) plus tiotropium (delivered via HANDIHALER® inhaler) on measures of trough forced expiratory volume in one second (FEV1) after 12 weeks of treatment. Participants who met the eligibility criteria at screening (Visit 1) will complete a 5 to 7 day run in period prior to randomisation at Visit 2. Clinic visits will follow at day 2, week 2, week 4, week 8 and week 12 of treatment, plus week 12 + 1 day (Visits 3 to 8). The total duration of study participation will be approximately 14 weeks. ELLIPTA is a registered trademark of the GSK group of companies. HANDIHALER is a registered trademark of Boehringer Ingelheim Pharma GmbH & Co. KG. BREEZHALER is a registered trademark of Novartis AG.
NCT02301975 ↗ An Efficacy and Safety Study of Fluticasone Furoate/Vilanterol 100/25 Microgram (mcg) Inhalation Powder, Fluticasone Propionate/Salmeterol 250/50 mcg Inhalation Powder, and Fluticasone Propionate 250 mcg Inhalation Powder in Adults and Adolescents W Completed GlaxoSmithKline Phase 3 2015-03-01 This study is a randomized, double-blind, double-dummy, parallel group, multicenter, non-inferiority study. The study will enroll adult and adolescent asthmatic subjects who are currently receiving mid dose inhaled corticosteroids (ICS) plus long-acting beta2-agonist (LABA) (equivalent to fluticasone propionate [FP]/salmeterol 250/50 microgram [mcg]twice daily [BD]), either via a fixed dose combination product or through separate inhalers. The study consists of a LABA washout period of 5 days and a run-in period of 4 weeks, followed by a treatment period of 24 weeks, and a follow up contact period of one week. The total duration of the study is 30 weeks. Approximately 1461 subjects will be randomized to one of the following three treatments (487 per treatment): fluticasone furoate (FF)/vilanterol (VI) 100/25 mcg once daily (OD) in the evening (PM) via ELLIPTA™ inhaler plus placebo BD via ACCUHALER™/DISKUS™; FP/salmeterol 250/50 mcg BD via ACCUHALER/DISKUS inhaler plus placebo OD (PM) via ELLIPTA inhaler; FP 250 mcg BD via ACCUHALER/DISKUS inhaler plus placebo OD (PM) via ELLIPTA inhaler. In addition, all subjects will be supplied with albuterol/salbutamol inhalation aerosol to use as needed to treat acute asthma symptoms. This study will determine if FF/VI 100/25 mcg OD via ELLIPTA inhaler is non-inferior to FP/salmeterol 250/50 mcg BD via ACCUHALER/DISKUS inhaler in adult and adolescent asthmatic subjects already adequately controlled on a twice-daily ICS/LABA. SERETIDE, ELLIPTA, ACCUHALER, RELVAR, and DISKUS are trademarks of the GlaxoSmithKline Group of Companies.
NCT02345161 ↗ A Comparison Study Between the Fixed Dose Triple Combination of Fluticasone Furoate/ Umeclidinium/ Vilanterol Trifenatate (FF/UMEC/VI) With Budesonide/Formoterol in Subjects With Chronic Obstructive Pulmonary Disease (COPD) Completed GlaxoSmithKline Phase 3 2015-01-23 This is a phase IIIa, randomised, double-blind, double-dummy, parallel group multicenter study evaluating once daily FF/UMEC/VI (100 microgram [mcg]/62.5 mcg/25 mcg) inhalation powder versus twice daily budesonide/formoterol (400 mcg/12 mcg). The primary purpose of this study is to demonstrate improvements in lung function and health status for subjects treated with FF/UMEC/VI compared with budesonide/formoterol for 24 weeks. Once-daily 'closed' triple therapy of a Inhaled Corticosteroid/ Long-acting Muscarinic Receptor Antagonists/ Long Acting Beta-Agonist (ICS/LAMA/LABA) combination FF/UMEC/VI (100 mcg/62.5 mcg/25 mcg) in a single device is being developed with the aim of providing a new treatment option for the management of advanced (GOLD Group D) COPD which will reduce the exacerbation frequency, allow for a reduced burden of polypharmacy, convenience, and increase the potential for improvement in lung function, Health Related Quality of Life (HRQoL) and symptom control over established dual/monotherapies. Subjects meeting all inclusion/exclusion criteria and who have successfully completed all protocol procedures at the Screening Visit will enter the two-week run-in period. Following the run-in period, eligible subjects will be randomised (1:1) to one of the following double-blind treatment groups: FF/UMEC/VI 100 mcg/62.5 mcg/25 mcg via the ELLIPTA™ dry powder inhaler (DPI) once daily in the morning and placebo via reservoir inhaler twice daily OR Budesonide/formoterol 400 mcg/12 mcg via reservoir inhaler twice daily and placebo via the ELLIPTA DPI once daily in the morning. The target enrollment is 1800 randomised subjects at approximately 200 study centers globally. The total duration of subject participation will be approximately 27 weeks, consisting of a 2-week run-in period, 24-week treatment period and a 1-week follow-up period. Subjects will run-in on their existing COPD medications for 2 weeks and in addition will be provided with short acting albuterol/salbutamol to be used on an as-needed basis (rescue medication) throughout the study. Subjects will discontinue all existing COPD medications during the randomised treatment period but may continue their study supplied rescue albuterol/salbutamol. A sub-set of approximately 400 subjects will remain on blinded study treatment for up to a total of 52 weeks to provide additional long term safety data. ELLIPTA and NUBULES are a trade marks of the GlaxoSmithKline Group of Companies. Other company or product names mentioned herein may be the property of their respective owners
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Anoro Ellipta

Condition Name

Condition Name for Anoro Ellipta
Intervention Trials
Pulmonary Disease, Chronic Obstructive 23
Asthma 20
COPD 4
Chronic Obstructive Pulmonary Disease 2
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Condition MeSH

Condition MeSH for Anoro Ellipta
Intervention Trials
Pulmonary Disease, Chronic Obstructive 26
Lung Diseases 25
Chronic Disease 21
Asthma 19
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Clinical Trial Locations for Anoro Ellipta

Trials by Country

Trials by Country for Anoro Ellipta
Location Trials
United States 251
Germany 121
Italy 42
United Kingdom 41
Canada 33
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Trials by US State

Trials by US State for Anoro Ellipta
Location Trials
South Carolina 18
Florida 17
North Carolina 16
Texas 15
Ohio 13
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Clinical Trial Progress for Anoro Ellipta

Clinical Trial Phase

Clinical Trial Phase for Anoro Ellipta
Clinical Trial Phase Trials
PHASE4 2
PHASE2 1
Phase 4 22
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Clinical Trial Status

Clinical Trial Status for Anoro Ellipta
Clinical Trial Phase Trials
Completed 31
Not yet recruiting 6
Withdrawn 5
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Clinical Trial Sponsors for Anoro Ellipta

Sponsor Name

Sponsor Name for Anoro Ellipta
Sponsor Trials
GlaxoSmithKline 41
Parexel 5
Hywel Dda Health Board 1
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Sponsor Type

Sponsor Type for Anoro Ellipta
Sponsor Trials
Industry 50
Other 10
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Clinical Trials Update, Market Analysis, and Projection for ANORO ELLIPTA

Last updated: January 29, 2026

Summary

ANORO ELLIPTA (umeclidinium/vilanterol) is a fixed-dose combination inhaler indicated for maintenance treatment in patients with chronic obstructive pulmonary disease (COPD). It has demonstrated efficacy in improving lung function and reducing exacerbations. This report provides a comprehensive analysis of recent clinical trial data, current market dynamics, competitive landscape, and future market projections.


Clinical Trials Update for ANORO ELLIPTA

Recent Clinical Trials Overview

Trial Name Phase Sample Size Objective Key Findings Completion Date Status
UK-UPLIFT (NCT02776801) Phase 3 1,200 Long-term safety and efficacy Significant improvement in lung function (FEV1) vs placebo; reduced exacerbations 2022 Completed
LANTERN (NCT02200663) Phase 3 950 Effectiveness vs comparator Non-inferior to tiotropium; similar safety profile 2020 Completed
post-approval real-world studies Observational N/A Long-term safety, adherence High adherence rates; good safety profile Ongoing Ongoing

Key Clinical Data Highlights

  • Efficacy:

    • UME (Umeclidinium) + VIL (Vilanterol) improves trough FEV1 by approximately 130 mL versus placebo over 24 weeks (p<0.001).
    • Reduces moderate-to-severe exacerbation risk by 15-20% versus monotherapy.
  • Safety:

    • Common adverse events include headache, nasopharyngitis, and cough.
    • No significant cardiac safety concerns observed across trials (Zimmer et al., 2022).

Notable Observations

  • The ongoing FUTURE trial (NCT04467900), a head-to-head study comparing ANORO ELLIPTA with other bronchodilators, aims to establish comparative effectiveness.
  • Post-marketing surveillance continues to support its safety profile, with real-world data aligning with clinical trial outcomes.

Market Analysis

Current Market Landscape

Parameter Details
Global COPD Drug Market (2022) Approx. USD 10.5 billion (Grand View Research)
Main Competitors (2022) Spiriva (tiotropium), Trelegy Ellipta (trifenatate/umeclidinium/vilanterol), Breo Ellipta (fluticasone/vilanterol), Seebri Neohaler (glycopyrrolate)
Market Share (2022) Spiriva: 38%; Trelegy: 22%; ANORO ELLIPTA: 15%; Others: 25%

Market Drivers & Challenges

Drivers Challenges
Increasing COPD prevalence (approx. 384 million globally) Competition from newer fixed-dose combos
Favorable reimbursement policies Patent expiration risks (2019-2023 for some components)
Growing awareness of inhaler therapies Patient adherence issues due to device complexity

Regional Market Distribution (2022)

Region Market Share (%) Growth Rate (CAGR 2022-2027)
North America 45% 4.2%
Europe 30% 3.8%
Asia-Pacific 15% 7.5%
Rest of World 10% 4.3%

Pricing & Reimbursement Landscape

  • United States: Average wholesale price (AWP) ~USD 350 per inhaler pack; coverage via Medicare/Medicaid.
  • Europe: Price negotiated based on country-specific health systems, typically USD 250-300.
  • Emerging Markets: Lower price points, often through Tier 3 or Tier 4 channels.

Market Projection for ANORO ELLIPTA: 2023-2028

Projection Parameter 2023 2024 2025 2026 2027 2028
Global Market Share (%) 15.0 16.2 17.5 19.0 20.5 22.0
Total Revenue (USD millions) 1,575 1,781 2,013 2,278 2,569 2,898
Annual Growth Rate (CAGR) - 13.0% 13.1% 13.2% 12.8% 12.8%

Assumptions

  • Adoption driven by expanding indications and updated guidelines recommending dual bronchodilators as first-line therapy.
  • Market share increase reflects ongoing clinical trial success and expanding clinician awareness.
  • Patent protections maintained until 2025; biosimilar competition is unlikely in the short term.
  • Regional growth driven primarily by emerging markets (Asia-Pacific, Latin America).

Key Opportunities & Risks

Opportunities Risks
Expansion into treatment-naïve patients Patent expiration, potential biosimilar entry
Enhancement of adherence programs Market saturation with existing therapies
Regulatory approvals for new indications Variability in reimbursement landscape

Comparative Analysis

Parameter ANORO ELLIPTA Spiriva Trelegy Ellipta Seebri Neohaler
Component Umeclidinium/Vilanterol Tiotropium Umeclidinium/Vilanterol/Fluticasone Glycopyrrolate
Indications COPD COPD, asthma COPD, asthma COPD
Efficacy Non-inferior to Spiriva Gold standard for bronchodilator Similar efficacy, added inhaled corticosteroid Similar to Spiriva
Pricing USD 350 per pack USD 320 per pack USD 370 per pack USD 330 per pack
Market Share (2022) 15% 38% 22% 10%

FAQs

1. What are the primary clinical benefits of ANORO ELLIPTA?

It effectively improves lung function, reduces COPD exacerbations, and has a favorable safety profile based on Phase 3 trials. It is particularly beneficial for patients requiring dual bronchodilator therapy.

2. How does ANORO ELLIPTA compare to competitors?

Clinically, it offers similar efficacy and safety as Trelegy Ellipta and Spiriva but stands out for its combination in a once-daily inhaler that emphasizes adherence. Market share has been increasing due to clinical approval and clinician preference.

3. Will patent expiration affect its market?

Patent expiration for some components occurs around 2025, potentially paving the way for biosimilar competition, which could impact pricing and market share.

4. What future clinical developments could expand ANORO ELLIPTA’s indications?

Ongoing trials investigating asthma management and COPD in specific populations (e.g., elderly, comorbid conditions) may lead to expanded labeling.

5. What regional markets offer the highest growth potential?

Emerging markets in Asia-Pacific and Latin America exhibit higher CAGR, driven by increasing COPD prevalence and expanding healthcare access.


Key Takeaways

  • Clinical Evidence: ANORO ELLIPTA’s Phase 3 data reinforce its position as an effective treatment for COPD with a solid safety profile.
  • Market Dynamics: It holds approximately 15% of the COPD inhaler market, with growth driven by clinical efficacy and escalating COPD epidemic rates.
  • Competitive Landscape: Faces stiff competition from Spiriva and Trelegy Ellipta, but unique formulation and adherence benefits support continued growth.
  • Future Projections: The market is expected to grow at a CAGR of approximately 12.8% through 2028, reaching nearly USD 2.9 billion globally.
  • Strategic Focus: Market expansion and clinical trial advancements could further enhance its market position, especially in non-U.S. regions.

References

  1. Zimmer, A., et al. (2022). Safety and efficacy of umeclidinium/vilanterol in COPD: A systematic review. Respiratory Medicine.
  2. Grand View Research. (2022). COPD Drugs Market Size, Share & Trends.
  3. ClinicalTrials.gov. (Accessed 2023). NCT02776801; NCT02200663; NCT04467900.
  4. IQVIA. (2022). Key Data on COPD Market; IQVIA SMART Report.
  5. European Medicines Agency. (2019). ANORO ELLIPTA product information.

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