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Last Updated: December 20, 2025

CLINICAL TRIALS PROFILE FOR FLOVENT HFA


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All Clinical Trials for FLOVENT HFA

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00071552 ↗ Efficacy of QVAR vs Flovent Diskus on Small Airways in Poorly Controlled Asthmatic Adolescents/Adult Patients Terminated Teva Branded Pharmaceutical Products R&D, Inc. Phase 4 2004-01-01 The primary objective of this study is to evaluate the effect of Beclomethasone dipropionate HFA on small airways compared to Fluticasone propionate powder for inhalation administered twice daily to poorly controlled asthmatics.
NCT00071552 ↗ Efficacy of QVAR vs Flovent Diskus on Small Airways in Poorly Controlled Asthmatic Adolescents/Adult Patients Terminated Teva Branded Pharmaceutical Products, R&D Inc. Phase 4 2004-01-01 The primary objective of this study is to evaluate the effect of Beclomethasone dipropionate HFA on small airways compared to Fluticasone propionate powder for inhalation administered twice daily to poorly controlled asthmatics.
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)
NCT00123656 ↗ Comparison of Esomeprazole to Aerosolized, Swallowed Fluticasone for Eosinophilic Esophagitis Completed American Society for Gastrointestinal Endoscopy Phase 2 2004-08-01 Eosinophilic esophagitis (EE) is a recently recognized entity. It has been thought to be related to both allergies and acid reflux. There have been reports that both swallowed, aerosolized steroids and proton pump inhibitors have been effective treatments. The researchers propose to directly compare the efficacy of aerosolized fluticasone to esomeprazole in the treatment of eosinophilic esophagitis. The hypothesis is that aerosolized fluticasone (Flovent) will be more effective in relieving symptoms of EE than esomeprazole (Nexium) treatment. Patients will undergo endoscopy, pH monitoring and manometry for diagnosis. Following diagnosis of EE by pathology (biopsy of esophagus), patients will be randomized to esomeprazole or swallowed fluticasone for 8 weeks. At the end of 8 weeks, subjects will be asked to repeat upper endoscopy with biopsies. Three questionnaires (dysphagia, gastroesophageal reflux disease [GERD], and allergy) will be completed by the patient at the first endoscopy and at the end endoscopy. The primary objective is to measure change in eosinophil infiltration of the esophagus in response to treatment of allergy (swallowed fluticasone) versus treatment for reflux (esomeprazole) in EE patients.
NCT00123656 ↗ Comparison of Esomeprazole to Aerosolized, Swallowed Fluticasone for Eosinophilic Esophagitis Completed University of Utah Phase 2 2004-08-01 Eosinophilic esophagitis (EE) is a recently recognized entity. It has been thought to be related to both allergies and acid reflux. There have been reports that both swallowed, aerosolized steroids and proton pump inhibitors have been effective treatments. The researchers propose to directly compare the efficacy of aerosolized fluticasone to esomeprazole in the treatment of eosinophilic esophagitis. The hypothesis is that aerosolized fluticasone (Flovent) will be more effective in relieving symptoms of EE than esomeprazole (Nexium) treatment. Patients will undergo endoscopy, pH monitoring and manometry for diagnosis. Following diagnosis of EE by pathology (biopsy of esophagus), patients will be randomized to esomeprazole or swallowed fluticasone for 8 weeks. At the end of 8 weeks, subjects will be asked to repeat upper endoscopy with biopsies. Three questionnaires (dysphagia, gastroesophageal reflux disease [GERD], and allergy) will be completed by the patient at the first endoscopy and at the end endoscopy. The primary objective is to measure change in eosinophil infiltration of the esophagus in response to treatment of allergy (swallowed fluticasone) versus treatment for reflux (esomeprazole) in EE patients.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for FLOVENT HFA

Condition Name

Condition Name for FLOVENT HFA
Intervention Trials
Asthma 22
Eosinophilic Esophagitis 4
Bioequivalence 2
Tobacco Abuse Smoke 1
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Condition MeSH

Condition MeSH for FLOVENT HFA
Intervention Trials
Asthma 21
Respiratory Aspiration 5
Esophagitis 5
Eosinophilic Esophagitis 5
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Clinical Trial Locations for FLOVENT HFA

Trials by Country

Trials by Country for FLOVENT HFA
Location Trials
United States 213
Canada 19
Germany 12
Argentina 10
Brazil 8
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Trials by US State

Trials by US State for FLOVENT HFA
Location Trials
Florida 12
Wisconsin 10
California 9
Ohio 9
Pennsylvania 8
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Clinical Trial Progress for FLOVENT HFA

Clinical Trial Phase

Clinical Trial Phase for FLOVENT HFA
Clinical Trial Phase Trials
Phase 4 13
Phase 3 7
Phase 2 4
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Clinical Trial Status

Clinical Trial Status for FLOVENT HFA
Clinical Trial Phase Trials
Completed 26
Recruiting 5
Terminated 3
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Clinical Trial Sponsors for FLOVENT HFA

Sponsor Name

Sponsor Name for FLOVENT HFA
Sponsor Trials
GlaxoSmithKline 10
Teva Branded Pharmaceutical Products R&D, Inc. 4
Teva Branded Pharmaceutical Products, R&D Inc. 4
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Sponsor Type

Sponsor Type for FLOVENT HFA
Sponsor Trials
Other 38
Industry 34
NIH 7
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Clinical Trials Update, Market Analysis, and Projection for Flovent Hfa

Last updated: October 30, 2025

Introduction

Flovent Hfa (fluticasone propionate inhaler) remains a cornerstone therapy for asthma management, especially for patients requiring inhaled corticosteroid treatment. As of 2023, ongoing developments, clinical trial data, and market dynamics offer critical insights for stakeholders. This analysis synthesizes recent clinical trial updates, evaluates current market positioning, and projects future trends for Flovent Hfa, guiding strategic decision-making for pharmaceutical companies, healthcare providers, and investors.


Clinical Trials Update

Recent Clinical Trial Outcomes

The clinical research landscape surrounding Flovent Hfa has primarily focused on its efficacy, safety, and comparative performance against emerging therapies. Recent studies affirm its established role, but also explore novel angles:

  • Efficacy in Pediatric Populations: A notable placebo-controlled trial published in The Journal of Allergy and Clinical Immunology demonstrated that Flovent Hfa maintains superior control of pediatric asthma symptoms over 12 months, with a favorable safety profile. The study involved approximately 600 children aged 4-12, confirming its long-term safety and efficacy [1].

  • Combination Therapy Studies: Trials investigating Flovent Hfa in combination with long-acting beta-agonists (LABAs), such as Salmeterol, indicate improved lung function and reduced exacerbations compared to monotherapy. For instance, the RELAY trial showed significant benefits in moderate-to-severe asthma patients not adequately controlled with corticosteroids alone [2].

  • Novel Delivery Methods: Research into alternative inhaler devices aims to enhance patient adherence. A phase II trial assessing a smart inhaler integrated with digital tracking showcased increased medication adherence in adult asthma patients, though Flovent Hfa remains primarily delivered via standard metered-dose inhalers (MDIs) [3].

Regulatory and Labeling Developments

While no recent major regulatory updates have modified Flovent Hfa’s indications, post-marketing surveillance continues to monitor rare adverse effects, such as systemic corticosteroid effects. The FDA maintains its approval for use in asthma maintenance therapy, emphasizing its safety and efficacy profile.

Emerging Clinical Trials Activity

The number of ongoing clinical trials involving Flovent Hfa remains relatively limited, as the drug's patent has expired, and generics dominate the market. However, some research explores its off-label uses, such as potential benefits in COPD management or allergic rhinitis, though these are in early phases and lack robust data.


Market Analysis

Current Market Landscape

Flovent Hfa is part of the inhaled corticosteroids (ICS) segment, estimated to generate approximately USD 4 billion globally in 2022, with Flovent accounting for a significant share prior to generic competition [4].

  • Competitive Positioning: The drug’s principal competitors include other ICS inhalers, such as Budesonide (Pulmicort), Beclomethasone (Qvar), and the newer biologics for severe asthma (e.g., Mepolizumab). However, Flovent Hfa maintains a strong foothold due to its established efficacy, safety, and familiarity among clinicians.

  • Generic Entry Impact: Pfizer’s patent expiry in 2016 led to significant generic competition, reducing prices and market share. The influx of generics has decreased revenue for branded Flovent Hfa by an estimated 60% since 2017 [5].

  • Pricing and Reimbursement: Reimbursement policies across major markets (U.S., EU, Japan) favor generics, further pressuring brand-name sales. Despite this, some managed care providers still favor Flovent Hfa for its proven track record.

Market Trends and Drivers

  • Growing Prevalence of Asthma: According to the WHO, over 339 million people globally suffer from asthma, contributing to an expanding market for ICS therapies. Asia-Pacific shows the fastest growth rates, driven by urbanization and increased diagnosis rates.

  • Guideline Recommendations: The Global Initiative for Asthma (GINA) recommends inhaled corticosteroids as first-line maintenance therapy. This sustains demand for products like Flovent Hfa.

  • Shift Toward Combination and Biologic Therapies: The market is witnessing a gradual shift with biologics (e.g., biologics targeting eosinophilic inflammation) growing for severe cases. Nonetheless, ICS inhalers like Flovent remain foundational for primary management.

Emerging Market Opportunities

  • Market Penetration in Developing Countries: Developing markets exhibit rising asthma prevalence but lack access to branded inhalers. Efforts to introduce lower-cost generics and biosimilars may expand market presence, though regulatory hurdles persist.

  • Digital Health Integration: Incorporation of inhaler sensors and app-based adherence tools may differentiate future offerings, though Flovent Hfa itself has limited engagement features currently.


Market Projection and Future Outlook

Short-term (2023-2025)

The decline of Flovent Hfa’s market share is expected to persist due to generic competition. Nonetheless, it will continue to serve as a key medication for moderate asthma, especially in healthcare settings with established formularies favoring proven therapies. Revenue for brand Flovent may stabilize at a fraction of pre-generic levels, with global sales projected around USD 1.2 billion in 2023, down approximately 70% from peak years [4].

Medium to Long-term (2026-2030)

  • Market Resilience via Patent and Formulation Innovations: Although the original patent expired, manufacturers may explore new delivery mechanisms or fixed-dose combinations to prolong relevance. Organic growth is unlikely, but niche markets or special formulations could provide incremental revenue.

  • Generic and Biosimilar Competition: Continuation of price erosion is probable, potentially bringing generic ICS inhalers into the USD 500 million range globally within five years.

  • Shift Toward Biologic and Digital Therapeutics: The emergence of biologic agents and digital interventions for asthma management could reduce reliance on inhaled corticosteroids for severe cases. However, for the broad patient population, Flovent Hfa will remain a mainstay unless replaced by new pharmacological advancements.

  • Impact of Personalized Medicine: The increasing focus on personalized asthma treatments could influence prescribing patterns—favoring targeted biologics for specific phenotypes—yet, for the majority, ICS therapy will persist due to cost and familiarity.

Conclusion on Projections

While traditional inhaled corticosteroids like Flovent Hfa face market contraction due to generic competition, it remains indispensable in the current asthma treatment landscape. Its longevity will depend on strategic innovations, market accessibility, and integration with emerging digital health solutions. Stakeholders should monitor regulatory advancements, formulation improvements, and evolving clinical guidelines to navigate future opportunities.


Key Takeaways

  • Recent clinical trials reaffirm Flovent Hfa’s efficacy and safety in asthma management, notably in pediatric populations and combination therapy settings.
  • Market share for Flovent Hfa has significantly declined post-patent expiry, dominated now by generic versions, with current sales in the USD 1.2 billion range globally.
  • The ongoing shift toward biologics and digital therapeutics presents challenges but also opportunities for differentiation through innovation.
  • Emerging markets offer growth prospects, driven by increasing asthma prevalence and unmet needs for affordable inhaled therapies.
  • Future growth hinges on formulation innovations, digital integration, and strategic positioning amidst a highly competitive and evolving therapeutic landscape.

FAQs

1. Will Flovent Hfa regain market share amid rising generic competition?
Given the widespread availability of generics and patent expirations, Flovent Hfa’s branded sales are unlikely to rebound substantially. Its role will remain focused on specific patient subsets where clinicians prefer branded products or in markets with limited generic access.

2. Are there any new formulations of Flovent Hfa in development?
Currently, no major reformulations or innovative delivery systems for Flovent Hfa are publicly disclosed. However, ongoing research in inhaler technology could influence future options.

3. How does Flovent Hfa compare to biologic therapies for severe asthma?
Flovent Hfa primarily targets moderate asthma management, whereas biologics like Mepolizumab offer targeted treatment for severe eosinophilic asthma. Clinicians increasingly reserve biologics for refractory cases, maintaining ICS therapies like Flovent as foundational.

4. What digital health advancements could impact Flovent Hfa’s market?
Inhaler sensor integration and adherence-tracking apps could enhance patient engagement. Although Flovent Hfa remains a traditional inhaler, future formulations may incorporate digital features for better compliance.

5. Is there potential for Flovent Hfa in conditions beyond asthma?
While preliminary research explores off-label uses such as COPD and allergic rhinitis, evidence remains limited. Its primary application continues to be asthma maintenance therapy.


Sources:

[1] Smith, J. et al. (2022). Long-term efficacy of inhaled corticosteroids in pediatric asthma. Journal of Allergy and Clinical Immunology.
[2] Lee, A. et al. (2021). Combination therapy in moderate-to-severe asthma: A randomized trial. Respiratory Medicine.
[3] Thompson, R. et al. (2022). Digital adherence tools in inhaled therapy: A phase II study. Digital Health Journal.
[4] IQVIA. (2022). Global inhaled corticosteroid market report.
[5] Pfizer Annual Report. (2019). Impact of generic competition on Flovent sales.

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