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Last Updated: April 20, 2025

CLINICAL TRIALS PROFILE FOR SALMETEROL XINAFOATE


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505(b)(2) Clinical Trials for Salmeterol Xinafoate

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 NCT00497237 ↗ Clinical Trial of the Efficacy and Safety of Beclomethasone Dipropionate Plus Formoterol vs Fluticasone Propionate Plus Salmeterol in the 6 Months Step Down Treatment of Asthma Completed Chiesi Farmaceutici S.p.A. Phase 3 2007-04-01 Asthma is a serious global health problem. People of all ages in countries throughout the world are affected by this chronic airway disorder that can be severe and sometimes fatal. The prevalence of asthma is increasing everywhere, especially among children.According to international guidelines, once control of asthma is achieved and maintained for at least 3 months, a gradual reduction of the maintenance therapy should be tried in order to identify the minimum therapy required to maintain control. This will help reduce the risk of side effects and enhance patient adherence to the treatment plan. Reduction of therapy in patients on combination therapy should begin with a reduction in the dose of inhaled glucocorticosteroid.1 The present study is designed to evaluate if patients with controlled asthma treated with FP 1000 mcg + salmeterol 100 mcg daily can be stepped down. Stepping-down will be attempted with two medications: a new combination of extrafine beclomethasone dipropionate 400 mcg + formoterol 24 mcg daily (test medication, Foster™) and, alternatively, fluticasone propionate 500 mcg + salmeterol 100 mcg daily(reference medication) without losing asthma control.If this hypothesis will be confirmed, the present study will demonstrate that asthma control can be maintained with less than half the dose of inhaled corticosteroid and with less medical costs. Given the aims of this study, the population to be monitored includes adult patients with moderate persistent asthma, which can be defined controlled according to the current guidelines under standard stabilised treatment. The intended treatment duration is therefore designed to ensure that good control of asthma is firmly achieved before stepping down the treatment (8 weeks run-in period), but also that the condition of the patients are followed long enough (24 weeks comparative treatment period) to ensure that a new stable condition is also obtained and properly monitored.
New Formulation NCT02254226 ↗ Pharmacokinetics of Salmeterol (Serevent®) After Inhalation With Metered Dose Inhaler (MDI) and Diskus® in Healthy Male Volunteers Completed Boehringer Ingelheim Phase 1 2004-11-01 1. To compare the systemic drug exposure of 100 μg Serevent ® Diskus ® with that of 50 μg Serevent ® MDI with sufficient precision so that in combination with a second trial it can be demonstrated that the systemic drug exposure of a new formulation of salmeterol xinafoate is not superior to that of Serevent ® MDI 2. To test a system of ordered null hypotheses regarding the exposure of two dose levels of Serevent ® Diskus ® and Serevent ® MDI 3. To get data about the systemic drug exposure of 25 μg Serevent ® MDI and of 50 μg Serevent ® Diskus ®
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for Salmeterol Xinafoate

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.
NCT00127166 ↗ Two Investigational Drugs in the Prevention of Airway Constriction Brought on by Exercise in Participants With Asthma (0476-911) Completed Merck Sharp & Dohme Corp. Phase 3 2005-12-01 The purpose of this study is to determine the effect of four weeks of treatment with two investigational drugs (oral versus inhaled administration) plus an inhaled medication in the treatment of airway constriction brought on by exercise in participants with asthma.
NCT00233051 ↗ Evaluating Genes in Sputum to Measure Drug Response in COPD Terminated GlaxoSmithKline N/A 2003-04-01 The purpose of this research study is to determine whether analysis of genes in sputum is a useful noninvasive technique for measuring response to drugs in patients with COPD. We propose to use polymerase chain reaction to evaluate gene expression in induced sputum from adult current smokers with moderate COPD, adult former smokers with moderate COPD. This study is designed to determine whether changes in expression of previously-identified inflammatory markers in induced sputum can be detected in response to drug therapy in COPD and to evaluate potential differences in the expression of these markers in adult smokers with and without COPD. Pre- and post-treatment serum will be obtained to facilitate proteomic analysis of therapeutic response as well. Changes in sputum gene expression in response to treatment will be the primary outcome variable in this study. Secondary outcomes will include changes in lung function, as well as changes in induced sputum inflammation. These endpoints will be evaluated before and directly after 6 weeks of randomly-assigned treatment with either salmeterol xinafoate or fluticasone propionate/50mcg salmeterol xinafoate combination DPI bid. Endpoints will be re-evaluated following a 4 week wash-out period.
NCT00233051 ↗ Evaluating Genes in Sputum to Measure Drug Response in COPD Terminated National Jewish Health N/A 2003-04-01 The purpose of this research study is to determine whether analysis of genes in sputum is a useful noninvasive technique for measuring response to drugs in patients with COPD. We propose to use polymerase chain reaction to evaluate gene expression in induced sputum from adult current smokers with moderate COPD, adult former smokers with moderate COPD. This study is designed to determine whether changes in expression of previously-identified inflammatory markers in induced sputum can be detected in response to drug therapy in COPD and to evaluate potential differences in the expression of these markers in adult smokers with and without COPD. Pre- and post-treatment serum will be obtained to facilitate proteomic analysis of therapeutic response as well. Changes in sputum gene expression in response to treatment will be the primary outcome variable in this study. Secondary outcomes will include changes in lung function, as well as changes in induced sputum inflammation. These endpoints will be evaluated before and directly after 6 weeks of randomly-assigned treatment with either salmeterol xinafoate or fluticasone propionate/50mcg salmeterol xinafoate combination DPI bid. Endpoints will be re-evaluated following a 4 week wash-out period.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Salmeterol Xinafoate

Condition Name

Condition Name for Salmeterol Xinafoate
Intervention Trials
Asthma 22
Bioequivalence 12
Pulmonary Disease, Chronic Obstructive 10
Chronic Obstructive Pulmonary Disease 3
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Condition MeSH

Condition MeSH for Salmeterol Xinafoate
Intervention Trials
Asthma 24
Pulmonary Disease, Chronic Obstructive 15
Lung Diseases 15
Lung Diseases, Obstructive 13
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Clinical Trial Locations for Salmeterol Xinafoate

Trials by Country

Trials by Country for Salmeterol Xinafoate
Location Trials
United States 257
Greece 15
Germany 12
South Africa 10
Australia 9
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Trials by US State

Trials by US State for Salmeterol Xinafoate
Location Trials
California 13
Texas 13
Missouri 12
Colorado 12
North Carolina 11
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Clinical Trial Progress for Salmeterol Xinafoate

Clinical Trial Phase

Clinical Trial Phase for Salmeterol Xinafoate
Clinical Trial Phase Trials
Phase 4 8
Phase 3 12
Phase 2 10
[disabled in preview] 15
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Clinical Trial Status

Clinical Trial Status for Salmeterol Xinafoate
Clinical Trial Phase Trials
Completed 47
Not yet recruiting 4
Active, not recruiting 2
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Clinical Trial Sponsors for Salmeterol Xinafoate

Sponsor Name

Sponsor Name for Salmeterol Xinafoate
Sponsor Trials
GlaxoSmithKline 14
Becro Ltd. 12
Respirent Pharmaceuticals Co Ltd. 12
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Sponsor Type

Sponsor Type for Salmeterol Xinafoate
Sponsor Trials
Industry 69
Other 11
NIH 3
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Salmeterol Xinafoate: Clinical Trials, Market Analysis, and Projections

Introduction

Salmeterol xinafoate, a long-acting beta-2 adrenergic receptor agonist (LABA), is a crucial component in the management of asthma and chronic obstructive pulmonary disease (COPD). This article delves into the current state of clinical trials, market analysis, and future projections for this drug.

Clinical Trials and Safety Studies

Recent Safety Studies

Recent safety studies have been pivotal in understanding the efficacy and safety profile of salmeterol xinafoate, particularly when used in combination with inhaled corticosteroids (ICS). For instance, studies conducted by GSK compared the combination of fluticasone propionate (FP) and salmeterol (FSC) to FP alone. These studies, including AUSTRI and VESTRI, found no excess risk associated with salmeterol when used in combination with FP for treating asthma in both adolescents, adults, and children aged 4-11 years[3].

Ongoing and Completed Trials

Clinical trials associated with salmeterol xinafoate continue to evolve, with a focus on optimizing treatment regimens and assessing long-term safety. For example, trials involving combinations such as fluticasone propionate/salmeterol xinafoate have been conducted to evaluate their efficacy in managing asthma and COPD symptoms[1].

Market Analysis

Market Size and Growth

The salmeterol xinafoate API market has experienced significant growth in recent years. As of 2023, the market size was valued at several billion USD and is projected to continue growing until 2031. This growth is driven by increasing cases of asthma and COPD, as well as the drug's long-lasting effects[2][5].

Market Segmentation

The market is segmented based on type (0.98, 0.99, others), application (medical pharmaceutical, scientific research), and geographical regions (North America, Europe, Asia-Pacific, South America, and Middle-East and Africa). North America currently holds a dominant market share due to high medical literacy and a favorable healthcare budget. However, the Asia-Pacific region is expected to offer lucrative growth opportunities due to increasing pollution and foreign direct investment in the pharmaceutical sector[2][5].

Key Drivers and Challenges

The increasing prevalence of asthma and COPD is a key driver for the salmeterol xinafoate market. However, the market faces challenges due to the side effects associated with salmeterol, such as shaking, headaches, and in severe cases, increased risk of serious or fatal asthma episodes[5].

Market Projections

Forecast Period

From 2023 to 2031, the salmeterol xinafoate API market is expected to grow at a robust rate. The market size is anticipated to reach significant values, driven by the increasing demand for effective asthma and COPD treatments. The compound annual growth rate (CAGR) for the salmeterol market is estimated to be around 3.82% from 2022 to 2027[2][5].

Geographical Outlook

Geographically, North America is expected to maintain its dominant position, while the Asia-Pacific region is poised for substantial growth. The increasing incidence of respiratory diseases in this region, coupled with growing healthcare investments, will drive the market forward[5].

Competitive Landscape

The market is characterized by the presence of several key players, including GlaxoSmithKline, Teva Pharmaceutical Industries, Lupin Limited, and Mylan, among others. These companies are adopting strategies such as product launches, mergers and acquisitions, and geographical expansions to maintain their market share[5].

Product Use and Side Effects

Therapeutic Use

Salmeterol xinafoate is used as an add-on therapy for asthma that is not well-controlled by an inhaled corticosteroid (ICS). It is available in the form of a dry powder inhaler, such as Serevent Diskus, and must be used in combination with an ICS[4].

Side Effects

Common side effects include headache, nasal congestion, throat irritation, runny nose, flu, and bronchitis. More severe side effects can include serious or fatal asthma episodes, which have been a significant challenge for the market[4][5].

Key Takeaways

  • Clinical Trials: Recent studies have confirmed the safety and efficacy of salmeterol xinafoate when used in combination with ICS for asthma management.
  • Market Growth: The salmeterol xinafoate API market is projected to grow significantly from 2023 to 2031, driven by increasing cases of asthma and COPD.
  • Geographical Segmentation: North America currently dominates the market, but the Asia-Pacific region is expected to show substantial growth.
  • Challenges: Side effects associated with salmeterol remain a key challenge for market growth.
  • Competitive Landscape: Major pharmaceutical companies are adopting various strategies to maintain their market share.

FAQs

What is the primary use of salmeterol xinafoate?

Salmeterol xinafoate is used as an add-on therapy for asthma that is not well-controlled by an inhaled corticosteroid (ICS).

What are the common side effects of salmeterol xinafoate?

Common side effects include headache, nasal congestion, throat irritation, runny nose, flu, and bronchitis.

Which regions are expected to drive the growth of the salmeterol xinafoate market?

North America currently dominates the market, but the Asia-Pacific region is expected to show substantial growth due to increasing pollution and healthcare investments.

What is the projected growth rate of the salmeterol xinafoate API market?

The market is expected to grow at a CAGR of around 3.82% from 2022 to 2027.

Who are the key players in the salmeterol xinafoate market?

Key players include GlaxoSmithKline, Teva Pharmaceutical Industries, Lupin Limited, and Mylan, among others.

Sources

  1. Patsnap Synapse: Fluticasone propionate/Salmeterol xinafoate.
  2. Market Research Intellect: Salmeterol Xinafoate API Market Size, Scope And Forecast Report.
  3. GSK: FDA approves US label update on ICS/LABA combinations in asthma based on review of safety data.
  4. Asthma and Allergy Foundation of America: Salmeterol Xinafoate - Serevent Diskus.
  5. Industry ARC: Salmeterol Market Share, Size and Industry Growth Analysis 2022.

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