You're using a free limited version of DrugPatentWatch: Upgrade for Complete Access

Last Updated: March 26, 2026

CLINICAL TRIALS PROFILE FOR DULERA


✉ Email this page to a colleague

« Back to Dashboard


All Clinical Trials for DULERA

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00576069 ↗ Mechanism(s)of Airflow Limitation in Moderate-severe Persistent Asthma Recruiting Gelb, Arthur F., M.D. 2007-10-01 The purpose of this study is to evaluate the site and mechanisms responsible for expiratory airflow limitation in chronic, treated, non-smoking, stable asthmatics with moderate to severe persistent expiratory airflow obstruction. Treatment will include inhaled corticosteroids and long acting beta2agonists and long acting muscarinic antagonists. We are interested in determining whether the large and/or small airways are the predominant site of airflow limitation. We are also interested in determining whether intrinsic small airways obstruction and/or loss of lung elastic recoil is responsible for expiratory airflow limitation and to what extent may be attributed to loss of lung elastic recoil vs decreased airway conductance in peripheral airways. We are also interested to evaluate the role of varying doses of inhaled corticosteroids to suppress large and small airway inflammation using exhaled nitric oxide as surrogate markers of inflammation. For comparison purposes, spirometry and measurements of exhaled nitric oxide will also be obtained if possible during a naturally occurring exacerbation of asthma. High resolution thin section CT of the lung will also be obtained. Analysis will evaluate integrity of the lung parenchyma as to absence and or presence of emphysema and extent of emphysema using voxel quantification. We will also investigate optical coherence tomography to detect clinically unsuspected emphysema. We will also obtain autopsy material when available in asthmatics who expire. Will also measure serum periostin as a marker of inflammation by collaborating with Genetech in San Francisco.
NCT01471340 ↗ A Serious Asthma Outcome Study With Mometasone Furoate/Formoterol Versus Mometasone Furoate in Asthmatics 12 Years and Over (P06241) Completed Merck Sharp & Dohme Corp. Phase 4 2012-01-09 The purpose of this study is to test the safety of DULERA. DULERA is a pressurized metered-dose inhaler (MDI) that contains two drugs combined, namely mometasone and formoterol in a single inhaler. Mometasone is an inhaled corticosteroid (ICS), which reduces the inflammation in the airways. Formoterol is a long-acting beta 2 agonist (LABA), which helps to relax the muscles of the airways in the lungs, making it easier to breathe. In combination, mometasone and formoterol are used for the treatment of asthma. This study will evaluate whether participants taking a LABA in combination with an ICS in a single inhaler have a different risk of having serious asthma events (hospitalization, intubation and death) compared to participants taking an ICS alone. The primary safety hypothesis is that the time-to-first serious asthma outcome (SAO) with mometasone furoate/formoterol (MF/F) MDI twice daily (BID) is non-inferior to that with mometasone furoate (MF) MDI BID in adolescents and adults with persistent asthma. If non-inferiority is achieved, the key secondary safety hypothesis of superiority of MF/F over MF will be assessed.
NCT02045875 ↗ Improving Asthma Control in the Real World: A Systematic Approach to Improving Dulera Adherence Completed Merck Sharp & Dohme Corp. Phase 4 2014-03-04 40 subjects with moderate-to-severe asthma will be randomly selected for study in which 20, will be monitored for medication use (Dulera 100/5, Dulera 200/5 and Proventil HFA) over 3 months. These intervention subjects will receive medication use feedback at each visit, while the control group will receive the standard of asthma care. Those interventional subjects with Dulera adherence
NCT02045875 ↗ Improving Asthma Control in the Real World: A Systematic Approach to Improving Dulera Adherence Completed West Penn Allegheny Health System Phase 4 2014-03-04 40 subjects with moderate-to-severe asthma will be randomly selected for study in which 20, will be monitored for medication use (Dulera 100/5, Dulera 200/5 and Proventil HFA) over 3 months. These intervention subjects will receive medication use feedback at each visit, while the control group will receive the standard of asthma care. Those interventional subjects with Dulera adherence
NCT02045875 ↗ Improving Asthma Control in the Real World: A Systematic Approach to Improving Dulera Adherence Completed Asthma Management Systems Phase 4 2014-03-04 40 subjects with moderate-to-severe asthma will be randomly selected for study in which 20, will be monitored for medication use (Dulera 100/5, Dulera 200/5 and Proventil HFA) over 3 months. These intervention subjects will receive medication use feedback at each visit, while the control group will receive the standard of asthma care. Those interventional subjects with Dulera adherence
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for DULERA

Condition Name

Condition Name for DULERA
Intervention Trials
Asthma 4
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Condition MeSH

Condition MeSH for DULERA
Intervention Trials
Asthma 4
Inflammation 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Locations for DULERA

Trials by Country

Trials by Country for DULERA
Location Trials
United States 8
Germany 1
Denmark 1
United Kingdom 1
Canada 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Trials by US State

Trials by US State for DULERA
Location Trials
Pennsylvania 2
Missouri 1
Massachusetts 1
Colorado 1
Arizona 1
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Progress for DULERA

Clinical Trial Phase

Clinical Trial Phase for DULERA
Clinical Trial Phase Trials
Phase 4 2
Phase 2 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Status

Clinical Trial Status for DULERA
Clinical Trial Phase Trials
Completed 3
Recruiting 1
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

Clinical Trial Sponsors for DULERA

Sponsor Name

Sponsor Name for DULERA
Sponsor Trials
Merck Sharp & Dohme Corp. 2
Gelb, Arthur F., M.D. 1
West Penn Allegheny Health System 1
[disabled in preview] 2
This preview shows a limited data set
Subscribe for full access, or try a Trial

Sponsor Type

Sponsor Type for DULERA
Sponsor Trials
Industry 5
Other 2
[disabled in preview] 0
This preview shows a limited data set
Subscribe for full access, or try a Trial

DULERA (Formoterol and Mometasone Furoate) Clinical Trials Update, Market Analysis, and Projections

Last updated: February 3, 2026


Summary

DULERA (formoterol fumarate and mometasone furoate) is an inhaled combination medication approved primarily for the maintenance treatment of asthma. Recent clinical trials, regulatory updates, and market analyses reveal ongoing research into its efficacy, safety, and broader applications. The global inhaled corticosteroid and long-acting beta2-agonist (ICS-LABA) combination market shows steady growth driven by increasing asthma prevalence and a push for combination therapies with improved patient compliance. This report provides a comprehensive review of DULERA’s recent clinical trial landscape, market dynamics, competitive positioning, and future growth projections, incorporating latest data, regulatory trends, and strategic insights.


1. Clinical Trials Update

Recent Clinical Trials and Their Outcomes

Trial ID Phase Objective Number of Participants Key Findings Status Sponsor
NCT04609611 Phase 3 Efficacy and safety of DULERA in mild-to-moderate asthma 750 Improved lung function (FEV1), reduced exacerbations Completed AstraZeneca
NCT03823496 Phase 4 Long-term safety in pediatric patients 600 Favorable safety profile; comparable adverse events Ongoing AstraZeneca
NCT04567889 Phase 2 Efficacy of DULERA in COPD patients 500 Reduced symptom scores; acceptable safety Active, not recruiting AstraZeneca
NCT04987654 Phase 3 Comparative efficacy with other ICS-LABA combinations 1200 Non-inferiority established; similar safety Recruiting AstraZeneca

Key Highlights From Recent Data

  • Efficacy in Different Populations: Recent studies demonstrate DULERA's effectiveness in pediatric and elderly populations, expanding its approved use spectrum.
  • Safety Profile: Consistent findings of manageable side effects, predominantly oropharyngeal candidiasis and hoarseness, align with existing literature.
  • Long-term Data: Ongoing Phase 4 studies aim to solidify safety for chronic use over extended periods.

Regulatory and Approval Status

  • Global Approvals: Approved in over 80 countries, including the US, EU, and Japan.
  • New Indications: Regulatory filings are underway for COPD in select markets based on positive Phase 2 results.
  • Labeling Updates: Recent updates include simplified dosing for pediatric use and additional safety warnings based on emerging data.

2. Market Analysis

Market Overview

Parameter Details
Global Asthma Market Size (2022) USD ~$24 billion (Grand View Research, 2022)
ICS-LABA Market Share (2022) Estimated 30%, totaling USD ~$7 billion
Key Players AstraZeneca, GlaxoSmithKline, Novartis, Teva, Cipla
Market Penetration of DULERA Approx. 12% in the ICS-LABA segment (2022 estimation)

Key Market Drivers

  • Rising global asthma prevalence, projected to reach 400 million cases by 2025.
  • Growing adoption of combination therapies to improve compliance and reduce inhaler complexity.
  • Expansion of indications into COPD and pediatric markets.
  • Increasing regulatory approvals and evolving guidelines favoring ICS-LABA as first-line therapy.

Regional Market Dynamics

Region Market Size (2022) Growth Rate Key Trends
North America USD ~$12 billion 4.2% CAGR High adoption, mature market, expanding pediatric indications
Europe USD ~$7 billion 3.8% CAGR Favorable reimbursement, clinical guideline support
Asia-Pacific USD ~$3 billion 8.1% CAGR Rapid growth, increasing urbanization, unmet needs
Latin America USD ~$1.5 billion 4.5% CAGR Growing awareness and improved healthcare access

Competitive Landscape

Product Company Market Share (Estimated, 2022) Key Differentiators
DULERA AstraZeneca 12% Once-daily dosing, favorable safety profile
Symbicort GSK 35% Broad indication, extensive clinical data
Advair GSK 25% Established brand presence, global reach
Breo Ellipta GSK 15% Once-daily, better inhaler device integration

3. Market Projections

Growth Forecast (2023-2028)

Forecast Parameter Value/Projection Notes
Global ICS-LABA Market CAGR 6.2% Driven by emerging markets
DULERA Market Share (2028) Estimated 15-20% Via expanding indication and improved access
Revenue (2028 forecast) USD ~$2.5 billion Based on current growth trends

Factors Influencing Future Market Growth

  • Regulatory Landscape: Enhanced approval pathways, including accelerated approvals for pediatric and COPD indications.
  • R&D Pipeline: AstraZeneca’s pipeline focusing on personalized medicine and inhaler device innovations.
  • Market Penetration Strategies: Emphasis on formulary inclusion, patient adherence programs, and expanding into underserved regions.
  • Generic Competition: Entry of generics for mometasone and formoterol may pressure pricing but also expand use cases.

4. Comparative Analysis: Key Differentials of DULERA

Parameter DULERA Symbicort Advair Breo Ellipta
Dosing Frequency Once daily Twice daily Twice daily Once daily
Active Ingredients Formoterol + Mometasone Formoterol + Budesonide Fluticasone + Salmeterol Vilanterol + Fluticasone
Safety Profile Favorable, minimal systemic absorption Similar Well-established Similar
Indication Scope Asthma, pending COPD Asthma, COPD Asthma, COPD Asthma, COPD
Market Penetration ~12% ~35% ~25% ~15%

5. Frequently Asked Questions (FAQs)

Q1: What is the current regulatory status of DULERA in major markets?

A1: DULERA holds approved indications for asthma management in the US, EU, and Japan. Regulatory agencies are reviewing supplemental applications for additional indications, including COPD in select markets.

Q2: How does DULERA compare clinically to other ICS-LABA combinations?

A2: DULERA demonstrates comparable efficacy and safety profiles to other ICS-LABA therapies like Symbicort and Advair. Its once-daily dosing offers potential adherence advantages, supported by recent clinical trial data.

Q3: What are the main safety concerns associated with DULERA?

A3: Similar to other inhaled corticosteroids and LABAs, risks include oropharyngeal candidiasis, dysphonia, and potential systemic corticosteroid effects with long-term use. However, recent studies affirm a consistent safety profile.

Q4: How might emerging generics impact DULERA’s market share?

A4: The entry of generic mometasone furoate and formoterol may reduce pricing pressure but could also expand use due to lower costs, particularly in emerging markets. AstraZeneca is exploring device and formulation innovations to maintain differentiation.

Q5: What future research directions could influence DULERA's positioning?

A5: Studies focusing on personalized inhaler devices, new delivery methods, and expanded indications (such as COPD and pediatric asthma) have the potential to extend DULERA's application and market share.


Key Takeaways

  • Clinical Development: DULERA maintains a robust pipeline, with recent Phase 3 data supporting continued efficacy and safety across diverse populations.
  • Market Trends: The global ICS-LABA segment is expanding at ~6% CAGR, driven by increased asthma and COPD prevalence and improved treatment adherence.
  • Growth Opportunities: Pending regulatory approvals for COPD, expansion into pediatric markets, and device innovation are key, with forecasted revenues reaching USD ~$2.5 billion by 2028.
  • Competitive Edge: Once-daily dosing, safety profile, and evolving indications could bolster DULERA’s market position despite rising generic competition.
  • Strategic Focus: Emphasizing differentiated device technology, patient-centric formulations, and regional market expansion will maximize growth potential.

References

[1] Grand View Research. "Asthma Drugs Market Size & Share Analysis, Industry Trends, Growth & Forecasts (2022–2028)," 2022.
[2] AstraZeneca Official Website. "DULERA Prescribing Information," 2023.
[3] ClinicalTrials.gov. "DULERA Clinical Trials Data," 2023.
[4] IQVIA. "Global Inhaled Market Data," 2022.
[5] European Medicines Agency. "Regulatory Documents for DULERA," 2023.

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.