Trixeo大气层被CHMP推荐在欧盟批准用于慢性阻塞性肺病的维持治疗

2020年10月19日07:00英国夏令时
 

Recommendation of triple-combination therapy based on
positive results from ETHOS and KRONOS Phase III trials
 

澳门在线赌城娱乐公司 Trixeo大气层 (富马酸福莫特罗/溴化glycopyronium /布地奈德)已被推荐在欧盟(EU)上市,用于治疗吸入皮质类固醇(ICS)和长效β 2激动剂(LABA)联合治疗不足的中度至重度慢性阻塞性肺疾病(慢性阻塞性肺病)成年患者的维持治疗。, or a combination of 一个腊八粥 and a long-acting muscarinic antagonist.

Trixeo大气层, a triple-combination therapy, is approved under the brand name Breztri大气层 in Japan, China and the US for patients with 慢性阻塞性肺病.

欧洲药品管理局人用药品委员会(CHMP)对ETHOS III期试验的结果持积极意见,其中 Trixeo大气层 与双重联合治疗相比,在中度或重度恶化率上有统计学意义的显著降低 Bevespi大气层 (glycopyronium /富马酸福莫特罗)和PT009(布地奈德/富马酸福莫特罗)超过52周.1

The recommendation for approval was also supported by data from the KRONOS Phase III trial.2 In both trials, the safety and tolerability of Trixeo大气层 were consistent with the profiles of the dual comparators.1,2

克劳斯·瑞芭, Professor of Pulmonary Medicine at the University of Kiel, Director of the Department of Pneumology at Clinic Grosshansdorf, 德国, ETHOS试验的首席研究员和KRONOS III期试验的国家协调研究员, 他说:“预防病情恶化是控制慢性阻塞性肺病的关键, as exacerbations may cause irreversible damage and disease progression. The triple-combination therapy, Trixeo大气层, 在减少这种使人衰弱的疾病患者的中度或重度恶化方面是否显示出显著的益处.”

Mene Pangalos, Executive Vice President, 澳门第一赌城在线娱乐 R&D, 他说:“慢性阻塞性肺病现在是全球第三大死因,在欧洲,40岁以上的成年人中约有十分之一受到影响. Trixeo大气层 与双联合治疗相比,已显示出强大的临床益处,这一积极的建议使澳门第一赌城在线娱乐更接近为欧洲患者提供急需的新治疗方法.”

慢性阻塞性肺病

慢性阻塞性肺病是一种进行性疾病,可导致肺部气流阻塞,导致呼吸困难.3,4,5 It affects an estimated 384 million people6 and is the third leading cause of death globally.7 In Europe, approximately 10% of adults over the age of 40 have 慢性阻塞性肺病.8 改善肺功能, 减少恶化和控制呼吸困难等日常症状是慢性阻塞性肺病治疗的重要治疗目标.3 A single 慢性阻塞性肺病 exacerbation can have a negative impact on lung function,9,10 生活质量11 and increase the risk of hospitalisation.12 此外,即使一次慢性阻塞性肺病恶化导致住院也会增加死亡风险.13,14

ATHENA clinical trial programme

ETHOS和KRONOS III期临床试验是澳门在线赌城娱乐的ATHENA III期临床试验项目的一部分 Trixeo大气层, which included more than 15,500 patients globally across 11 trials.

ETHOS是随机的, 双盲, 的多中心, 与这些相应平行的组织, 52-week Phase III trial to assess the efficacy and safety of Trixeo大气层 有症状的中度至极重度慢性阻塞性肺病患者,且前一年有加重史. The primary endpoint was the rate of moderate or severe exacerbations.1 研究结果发表于 The New England Journal of Medicine.1  

KRONOS是随机的, 双盲, 与这些相应平行的组织, 24周, chronic-dosing, 的多中心 Phase III trial to assess the efficacy and safety of Trixeo大气层 在中度至非常严重的慢性阻塞性肺病患者中,无论他们在前一年是否有过恶化. The primary endpoints were lung function parameters.2 研究结果发表于 The Lancet 呼吸系统药物.2

Trixeo大气层

Trixeo大气层 (formoterol fumarate/格隆溴铵/budesonide) is a single-inhaler, fixed dose triple-combination of formoterol fumarate, 一个腊八粥, 格隆溴铵, 一个喇嘛, 与布地奈德, 一个集成电路, and delivered in a pressurised metered-dose inhaler. 

Trixeo大气层 is approved under the brand name Breztri大气层 in Japan, China and the US for patients with 慢性阻塞性肺病.

澳门在线赌城娱乐在呼吸系统 & 免疫学

呼吸 & 免疫学是澳门在线赌城娱乐三大治疗领域之一,也是公司的主要增长动力.

Building on a 50-year heritage, 澳门在线赌城娱乐 is an established leader in respiratory care, across inhaled and biologic medicines. 澳门在线赌城娱乐旨在通过消除所有严重程度的可预防哮喘发作,并通过早期生物学主导的治疗消除慢性阻塞性肺病作为主要死亡原因,从而改变哮喘和慢性阻塞性肺病的治疗方法. 公司早期的呼吸系统研究重点是涉及免疫机制的新兴科学, lung damage and abnormal cell-repair processes in disease and neuronal dysfunction.

With common pathways and underlying disease drivers across respiratory and immunology, 澳门在线赌城娱乐正在跟踪从慢性肺部疾病到免疫驱动疾病领域的科学. 该公司在免疫学领域的业务不断增长,主要集中在风湿病(包括系统性红斑狼疮)的5个具有多疾病潜力的中后期特许经营权。, 皮肤病学, 胃肠病学, and systemic eosinophilic-driven diseases. 澳门在线赌城娱乐在免疫学领域的目标是在靶向免疫驱动疾病中实现疾病控制并最终实现临床缓解.

澳门在线赌城娱乐

澳门在线赌城娱乐 (LSE/STO/Nasdaq: AZN) is a global, science-led biopharmaceutical company that focuses on the discovery, development and commercialisation of prescription medicines, primarily for the treatment of diseases in three therapy areas - 肿瘤学, 心血管, 肾 & 新陈代谢和呼吸 & 免疫学. 总部设在剑桥, UK, 澳门在线赌城娱乐在100多个国家开展业务,其创新药物被全球数百万患者使用. 请访问 澳门在线赌城娱乐.com and follow the Company on 推特 @澳门在线赌城娱乐.

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参考文献

1. Rabe KF, Martinez FJ, Ferguson GT, . Inhaled Triple Therapy at Two Glucocorticoid Doses in Moderate-to-Very Severe 慢性阻塞性肺病. [英]医学 2020; 383: 35-48.

2. Ferguson GT, Rabe KF, Martinez FJ, . 布地奈德/甘罗酸酯/富马酸福莫特罗三联用共悬液给药技术与双重治疗慢性阻塞性肺疾病(KRONOS):双盲研究, 与这些相应平行的组织, 随机对照试验. 柳叶刀呼吸医学. 2018; 6: 747–758.

3. 黄金. Global Strategy for the Diagnosis, Management and Prevention of 慢性阻塞性肺病, Global Initiative for Chronic Obstructive Lung Disease (黄金) 2020. (在线). 可以在: http://goldcopd.org. [Last accessed: October 2020].

4. Laviolette L, Laveneziana P; ERS Research Seminar Faculty. Dyspnoea: a multidimensional and multidisciplinary approach. Eur呼吸器. 2014; 43 (6): 1750-1762.

5. May SM, Li JT. Burden of chronic obstructive pulmonary disease: healthcare costs and beyond. 过敏哮喘过程. 2015; 36 (1): 4-10.

6. 邓德华,蔡思,李诚, 等. Global Health Epidemiology Reference Group (GHERG). Global and regional estimates of 慢性阻塞性肺病 prevalence: Systematic review and meta-analysis. J Glob Health. 2015; 5 (2): 020415.

7. Quaderi SA, Hurst JR. The unmet global burden of 慢性阻塞性肺病. 全球卫生流行病基因组. 2018; 3: e4. 2018年4月6日出版. doi: 10.1017 / gheg.2018.1.

8. 欧洲肺白皮书. 2013. Chapter 13 Chronic obstructive pulmonary disease. 可以在: http://www.erswhitebook.org/chapters/chronic-obstructive-pulmonary-disease/ [Last accessed: October 2020].

9. Halpin DMG, Decramer M, Celli BR, . Effect of a single exacerbation on decline in lung function in 慢性阻塞性肺病. 呼吸系统药物 2017; 128: 85-91.

10. Kerkhof M, Voorham J, Dorinsky P, . Association between 慢性阻塞性肺病 exacerbations and lung function decline during maintenance therapy. 胸腔. 2020; 75 (9): 744-753.

11. Roche N, Wedzicha JA, Patalano F, 等. 慢性阻塞性肺病恶化显著影响SGRQ-C总分衡量的生活质量:来自FLAME研究的结果. 欧元代表. 2017; 50 (Suppl 61): OA1487.

12. Rothnie KJ, Müllerová H, Smeeth L, Quint JK. 慢性阻塞性肺疾病在全科基础人群中加重的自然史. Am Jour of Resp Crit Care Med. 2018; 198 (4): 464-471. 

13. 何涛,蔡彦杰,阮世祥, . 首次慢性阻塞性肺疾病加重住院患者的住院和一年死亡率及其预测因素:一项基于全国人群的研究. 《澳门第一赌城在线娱乐》. 2014; 9 (12): e114866.

14. Suissa S, Dell’Aniello S, Ernst P. 慢性阻塞性肺疾病的长期自然病史:严重恶化和死亡率. 胸腔. 2012; 67 (11): 957-63.


艾德里安·坎普
公司秘书
澳门在线赌城娱乐

 

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