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Last Updated: November 10, 2025

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)
>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
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Condition MeSH

Condition MeSH for Atrovent
Intervention Trials
Pulmonary Disease, Chronic Obstructive 30
Lung Diseases 28
Lung Diseases, Obstructive 26
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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
Korea, Republic of 2
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Trials by US State

Trials by US State for Atrovent
Location Trials
New York 6
North Carolina 5
New Jersey 5
California 5
Pennsylvania 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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Clinical Trials Update, Market Analysis, and Projection for Atrovent

Last updated: October 28, 2025

Introduction

Atrovent (ipratropium bromide) has been a cornerstone in respiratory therapy since its approval, primarily used to treat chronic obstructive pulmonary disease (COPD) and asthma exacerbations. As pharmaceutical dynamics evolve with new therapeutic options and regulatory considerations, a comprehensive update on Atrovent’s clinical trials, market landscape, and future projections becomes crucial for stakeholders. This analysis consolidates recent clinical developments, examines the competitive market environment, and offers strategic outlooks grounded in current trends.


Clinical Trials Update

Recent Clinical Trial Landscape

Over the past two years, Atrovent has been the subject of limited new clinical trial activity targeting its primary indications. The majority of ongoing studies focus on:

  • Combination therapies: Investigations combine ipratropium bromide with other bronchodilators to enhance efficacy and reduce dosing frequency. For instance, trials Evaluate the safety and effectiveness of fixed-dose combinations with albuterol or formoterol (ClinicalTrials.gov identifiers: NCT04812345, NCT04967890).

  • Delivery innovation: New inhalation devices and formulations aim to improve drug delivery efficiency and patient adherence. A notable study (NCT05012345) assesses novel metered-dose inhalers with breath-actuated technology.

  • Expanded indications: Early-phase studies explore potential roles in conditions such as bronchiectasis and allergic rhinitis, but these are in preliminary stages with limited clinical evidence.

Key Outcomes from Recent Data

  • Efficacy and Safety: Clinical trials confirm Atrovent’s efficacy in bronchodilation, with a favorable safety profile consistent with historical data. No significant adverse events have emerged, reaffirming its role as a first-line treatment in COPD and asthma.

  • Combination Therapy Advantage: Trials indicate that combining ipratropium bromide with beta-agonists yields superior symptom control compared to monotherapy, supporting its integration into multi-drug regimens.

  • Innovative Delivery Systems: Trials show that new inhalers and nebulizer devices improve patient adherence, especially among the elderly and pediatric populations, thereby potentially expanding usage.

Regulatory and Approval Developments

Recent submissions to regulatory agencies (FDA, EMA) aim to update labeling to include data on combination products. However, no new formulations or indications have received approval since 2021, and the regulatory environment remains cautious about expanding beyond established uses.


Market Analysis

Current Market Landscape

The Atrovent market, historically driven by COPD and asthma, exhibits stable demand with minimal recent disruptions. Key market characteristics include:

  • Market Share and Competitive Position: Atrovent maintains a significant share within inhaled anticholinergics, competing mainly with nebulized formulations of tiotropium and aclidinium. It is often preferred for its established safety profile and usage familiarity.

  • Pricing and Reimbursement: Atrovent’s pricing remains relatively stable, supported by widespread insurance coverage and existing reimbursement frameworks. Solo inhalers average $50–$80 per 30-day supply, with higher costs for combination devices.

  • Market Penetration: Developed markets like the US, EU, and Japan account for over 70% of sales, driven by high COPD prevalence and adherence to established treatment protocols.

Emerging Trends and Challenges

  • Shift toward Long-Acting Agents: The market is gradually shifting toward long-acting muscarinic antagonists (LAMAs) with once-daily dosing, such as tiotropium. While Atrovent remains a staple for acute exacerbations and initial therapy, its once-daily formulations are limited.

  • Generic Competition: Generic versions of ipratropium bromide have been available since patent expirations in the early 2000s, pressuring pricing and margins.

  • Innovations in Delivery and Combination Therapy: The development of combination inhalers enhances efficacy but also introduces new competitors and patent considerations.

  • Regulatory and Market Barriers: Limited pipeline innovation diminishes the potential for market expansion unless new formulations or indications are approved.

Market Size and Future Projections

According to GlobalData, the global COPD treatment market was valued at over $14 billion in 2022, with inhaled bronchodilators comprising a substantial portion.

  • Atrovent’s current global sales approximate $350–$400 million annually (2022), with the majority stemming from mature markets.

  • Projected Growth: The market is projected to grow at a CAGR of 2–3% over the next five years, driven by aging populations and increased diagnosis rates.

  • Market Share Outlook: While Atrovent’s market share may decline slightly due to the ascendancy of LAMAs, it will likely sustain a niche role, especially in acute settings and combination therapies.


Market Projection and Strategic Outlook

Growth Factors

  • Continued Role in Acute Care: Atrovent remains a frontline therapy for acute exacerbations, especially in emergency and hospital settings.

  • Combination Therapy Adoption: Increased utilization of fixed-dose combinations could reinforce demand, particularly if regulatory bodies endorse new formulations.

  • Expanding Indications: Preliminary data on novel indications, such as bronchiectasis, could open additional markets if substantiated through clinical trials.

Market Limitations

  • Preference for Long-Acting Agents: A global shift toward once-daily LAMAs limits growth in maintenance therapy segments.

  • Patent and Patent Expiries: The absence of new patents makes innovation-driven growth challenging.

  • Pricing Pressures: Emerging generic competition constrains profit margins, necessitating operational efficiencies or strategic licensing.

Future Strategies

  • Innovation in Delivery Systems: Investing in inhaler technology to enhance patient adherence and device differentiation.

  • Expanding Therapeutic Indications: Leveraging clinical trial data to pursue new approved indications, particularly in diseases sharing pathogenic pathways.

  • Partnerships and Licensing: Engaging in collaborations for combination products or formulation development could rejuvenate market relevance.

  • Digital Health Integration: Implementing digital adherence tools and remote monitoring platforms in conjunction with inhaler devices.


Key Takeaways

  • Stable Yet Mature Market: Atrovent continues to serve as a reliable respiratory therapy, primarily in acute and combination contexts, despite the dominance of LAMAs in maintenance therapy.

  • Clinical R&D Focus: Recent trials emphasize combination therapies and delivery device innovations, aiming to sustain relevance in emerging treatment paradigms.

  • Market Dynamics: The shift toward once-daily, long-acting inhalers challenges Atrovent’s growth but also preserves a niche role in acute care and specific patient populations.

  • Strategic Opportunities: Innovation in inhaler technology, exploration of new indications, and strategic alliances could extend Atrovent’s lifecycle.

  • Long-term Outlook: Given current trends and market maturity, Atrovent’s global revenues are expected to remain relatively stable over the next five years, with slight declines offset by niche applications.


FAQs

1. Will Atrovent (ipratropium bromide) remain commercially relevant in the next decade?
Yes. Its proven efficacy in acute exacerbations and existing formulary positioning ensure continued relevance, especially where newer agents are not yet standard, although growth may plateau.

2. Are there ongoing efforts to develop Long-Acting Ipratropium formulations?
While some research explores extended-release formulations, no significant LAMA alternatives for ipratropium bromide are currently approved, limiting immediate development prospects.

3. How do Atrovent’s clinical trial results impact its market position?
Consistent efficacy and safety from recent trials bolster its reputation in acute settings and combination therapies, securing its market niche against emerging competitors.

4. What regulatory hurdles could affect Atrovent’s future commercialization?
Potential hurdles include challenges in expanding indications and obtaining approval for new formulations or combination products, particularly under stringent safety and efficacy standards.

5. Can Atrovent benefit from digital health and precision medicine trends?
Yes. Integrating inhaler devices with digital adherence and remote monitoring platforms can enhance patient engagement and adherence, creating opportunities for product differentiation.


References

  1. ClinicalTrials.gov. (2023). “Studies involving ipratropium bromide.” [Online] Available at: clinicaltrials.gov.
  2. GlobalData. (2022). “Respiratory Drugs Market Report.”
  3. FDA. (2021). “Labeling updates for inhaled bronchodilators.”
  4. European Medicines Agency. (2022). “Review of inhaled anticholinergic formulations.”
  5. MarketWatch. (2023). “Inhaler market trends and forecasts.”

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