Pharmaceutical Business review

GSK, Theravance begin Phase III lung cancer trial with triple combination therapy

Around 1,800 patients will be enrolled from across 180 study centres globally in this randomized, double-blind, double-dummy, parallel group multicentre Phase III FULFIL trial.

The trial is designed to evaluate once-daily FF/UMEC/VI (100mcg/62.5mcg/25mcg) inhalation powder versus twice-daily budesonide/formoterol (400mcg/12mcg).

Secondary objectives of the trial include examining the effect on the rate of exacerbations as well as the safety profile of FF/UMEC/VI compared with budesonide/formoterol.

GSK Respiratory Therapy Area Unit, R&D head Dave Allen said: "Triple combination therapy is already a reality for one in three patients with COPD and is often dispensed in different inhalers with differing doses.

"By providing all three medicine components in a single inhaler we hope to offer more convenient dosing to patients, reduce the risk of exacerbation compared to dual therapy and, as a result, contribute to the improved management of their disease."

In the trial the inhaled corticosteroid, long-acting muscarinic antagonist and long-acting beta2-adrenergic agonist (ICS/LAMA/LABA) combination will be delivered in the company’s Ellipta inhaler.

Theravance chief executive officer Michael Aguiar said: "With FULFIL, we hope to demonstrate that a once-daily triple combination can reduce exacerbations in patients with COPD and deliver meaningful improvements in lung function and health related quality of life.

"If successful, a once-daily triple combination would be an important addition to our portfolio of combination respiratory products partnered with GSK including Relvar/Breo Ellipta and Anoro Ellipta."

According to the company the closed triple combination of FF/UMEC/VI is not approved for use anywhere in the world.


Image: GlaxoSmithKline headquaters in London, UK. Photo: courtesy of Maxwell Hamilton.