Theravance/Mylan NDA for COPD Drug

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Theravance Biopharma and Mylan NV have submitted an NDA for revefenacin (TD-4208), an investigational long-acting muscarinic antagonist (LAMA) as a once-daily, nebulized bronchodilator for treating chronic obstructive pulmonary disease. The submission is supported by the companies’ Phase 3 program — two replicate pivotal Phase 3 efficacy studies and a 12-month, open-label, active comparator safety study.

 

The Phase 3 efficacy studies demonstrated statistically significant and clinically meaningful improvements for revefenacin-treated patients compared with those taking placebo in trough forced expiratory volume in one second (FEV1) and in overall treatment effect on trough FEV1 after 12 weeks of dosing, according to the companies. “Both doses of revefenacin had comparable rates of adverse events (AEs) to placebo, low rates of serious adverse events (SAEs), and no clinically meaningful differences in blood parameters or electrocardiogram (ECG) data, across all treatment groups (active and placebo),” they say.

 

The most commonly reported adverse events, across both trials and across all treatment groups, were exacerbations, cough, dyspnea and headache, according to Theravance and Mylan. Additionally, the companies previously announced positive results from a 12-month Phase 3 safety study, which did not identify new safety issues.

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