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Last Updated: January 14, 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.
NCT00214019 ↗ The Effect of Salmeterol on Eosinophil (EOS) Function Completed GlaxoSmithKline N/A 2003-11-01 This study is designed to test the hypothesis that salmeterol use, and not fluticasone use or the combination treatment with fluticasone and salmeterol, is associated with a greater number of sputum eosinophils following antigen challenge and, under these circumstances, the migrating peripheral blood eosinophils are less adherent.
>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
Esophagitis 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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FLOVENT HFA: Clinical Trials, Market Analysis, and Projections

Introduction

FLOVENT HFA, an inhaled corticosteroid (ICS) containing fluticasone propionate, is a crucial medication for the maintenance treatment of asthma in children and adults. Here, we will delve into the clinical trials that have established its efficacy, the current market dynamics, and future projections for this drug.

Clinical Trials Overview

Efficacy and Safety Trials

The efficacy and safety of FLOVENT HFA were assessed in several randomized, double-blind, parallel-group, placebo-controlled clinical trials involving adult and adolescent patients aged 12 years and older with asthma.

  • Trial 1: This trial included patients inadequately controlled with bronchodilators alone. Results showed that all three dosages (88, 220, and 440 mcg twice daily) of FLOVENT HFA achieved statistically significant improvements in lung function, as measured by FEV1, compared to placebo. These improvements were seen after the first week and maintained over the 12-week period[1].

  • Trial 2: This trial involved patients already receiving daily ICS. Similar to Trial 1, all three dosages of FLOVENT HFA (88, 220, and 440 mcg twice daily) resulted in statistically significant improvements in lung function compared to placebo[1].

  • Trial 3: This trial focused on patients requiring oral corticosteroid therapy. Patients treated with either 440 or 880 mcg twice daily of FLOVENT HFA required a statistically significantly lower mean daily oral prednisone dose compared to placebo-treated patients. Additionally, these patients achieved improved lung function, fewer asthma symptoms, and less use of Ventolin Inhalation Aerosol[1].

Long-Term Safety Trials

Two long-term safety trials (Trial 4 and Trial 5) evaluated the safety of FLOVENT HFA over at least 6 months. Trial 4 assessed the safety of 220 and 440 mcg twice daily dosages in 182 subjects, while Trial 5 compared fluticasone propionate HFA with fluticasone propionate CFC. These trials further reinforced the safety profile of FLOVENT HFA[1].

Adverse Reactions and Safety Considerations

Clinical trials and post-marketing data have identified several adverse reactions associated with FLOVENT HFA. Common adverse reactions include cough, bronchitis, and headache. Less frequently reported but significant adverse reactions include localized infections of the mouth and pharynx with Candida albicans, growth effects, and the risk of glaucoma and cataracts[4].

Market Analysis

Current Market Dynamics

FLOVENT HFA has been a significant player in the asthma treatment market since its FDA approval in 2004. However, recent market dynamics have been influenced by GSK's decision to withdraw the branded FLOVENT HFA inhaler from the market in favor of an authorized generic from Prasco Laboratories. This move has been criticized by Senator Maggie Hassan, who argues that GSK is attempting to evade Medicaid payments and preserve profits from previous price increases[2].

Pricing and Accessibility

Senator Hassan has accused GSK of consistently raising the list price of FLOVENT HFA well above inflation and using a loophole to avoid Medicaid rebates. The authorized generic from Prasco Laboratories is exempt from these rebates, which has raised concerns about accessibility and affordability for patients. There is a push for GSK to reinstate the branded product and expand its $35 out-of-pocket cap program to include the authorized generic[2].

Market Projections

Growth of Asthma and COPD Prevalence

The prevalence of asthma and COPD is expected to grow at an annual rate of about 1.3%. This growth, combined with the overall population increase, suggests a steady demand for inhaler medications like FLOVENT HFA. The market for metered dose inhalers (MDIs), which includes FLOVENT HFA, is projected to grow at a rate of approximately 1% per year through 2025, aligned with expected population growth[5].

Environmental Considerations

The use of hydrofluorocarbons (HFCs) as propellants in MDIs, including FLOVENT HFA, has environmental implications. The EPA estimates that HFC propellant sales in MDIs will grow to approximately 1,595 metric tons by 2025. However, there is an increasing focus on transitioning to more environmentally friendly propellants, which could impact future market dynamics[5].

Impact of Generic Competition

Authorized Generic and Market Competition

The introduction of an authorized generic from Prasco Laboratories has altered the competitive landscape for FLOVENT HFA. While this move may reduce costs for some patients, it also raises concerns about the long-term availability and affordability of the medication. The competition from generic fluticasone products is expected to continue, influencing the market share and pricing strategies for FLOVENT HFA[2].

Conclusion

FLOVENT HFA has a robust clinical trial profile that supports its efficacy and safety in treating asthma. However, the current market is complex due to GSK's decision to transition to an authorized generic, which has sparked debates about pricing, accessibility, and Medicaid rebates. As the prevalence of asthma continues to grow, the demand for effective and affordable treatments like FLOVENT HFA will remain strong.

Key Takeaways

  • FLOVENT HFA has demonstrated significant improvements in lung function and asthma symptoms in clinical trials.
  • The drug is associated with several adverse reactions, including localized infections and growth effects.
  • GSK's decision to withdraw the branded product and introduce an authorized generic has raised concerns about pricing and accessibility.
  • The market for MDIs, including FLOVENT HFA, is projected to grow at a rate of approximately 1% per year through 2025.
  • Environmental considerations related to HFC propellants may influence future market dynamics.

FAQs

  1. What are the common dosages of FLOVENT HFA?

    • FLOVENT HFA is available in dosages of 44 mcg, 110 mcg, and 220 mcg per inhalation, administered twice daily[4].
  2. What are the potential adverse reactions associated with FLOVENT HFA?

    • Common adverse reactions include cough, bronchitis, and headache. Less frequently reported but significant adverse reactions include localized infections of the mouth and pharynx with Candida albicans, growth effects, and the risk of glaucoma and cataracts[4].
  3. Why did GSK withdraw the branded FLOVENT HFA from the market?

    • GSK withdrew the branded FLOVENT HFA in favor of an authorized generic from Prasco Laboratories, a move criticized for potentially evading Medicaid payments and preserving profits from previous price increases[2].
  4. How is the market for MDIs projected to grow?

    • The market for MDIs is projected to grow at a rate of approximately 1% per year through 2025, aligned with expected population growth[5].
  5. What environmental considerations are associated with FLOVENT HFA?

    • The use of HFCs as propellants in MDIs, including FLOVENT HFA, has environmental implications, with estimated HFC propellant sales growing to approximately 1,595 metric tons by 2025[5].

Sources

  1. eMPR.com - FLOVENT HFA Prescription & Dosage Information
  2. FiercePharma - GSK defends itself after senator argues it withdrew popular asthma med to dodge price cap
  3. Business Wire - Research and Markets: GSK's Flovent (Asthma)
  4. GSKPro - HIGHLIGHTS OF PRESCRIBING INFORMATION for FLOVENT HFA
  5. EPA - Market Characterization of the U.S. Metered Dose Inhaler Industry

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