Parma, Italy, April 21st 2021 – Chiesi, an international research-focused healthcare group (Chiesi Group), today announced that the European Commission has granted the marketing authorisation for beclometasone dipropionate, formoterol fumarate dihydrate and glycopyrronium inhalation powder delivered through NEXThaler, an extrafine formulation triple fixed combination therapy in a single dry powder inhaler (DPI), for the maintenance treatment in adult patients with moderate to severe chronic obstructive pulmonary disease (COPD) who are not adequately treated by a combination of an inhaled corticosteroid and a long-acting beta2-agonist or a combination of a long-acting beta2-agonist and a long-acting muscarinic antagonist.1,2
Chiesi’s triple therapy in a pressurised metered dose inhaler (pMDI) formulation was previously approved in 20173 and with this new authorisation, COPD patients for whom a DPI is preferred may now benefit from this therapeutic option in a NEXThaler device. It is extremely important to have both options available for different patients’ needs as pMDIs and DPIs are the most commonly used devices for patients with chronic respiratory diseases such as COPD. Tailoring inhaler choice to a patient’s ability to use specific devices, coupled with ongoing education to support optimal inhaler usage, may improve patient confidence and enhance both adherence and disease control4.
“With the marketing authorisation for our triple therapy in a NEXThaler device in the EU, the Chiesi Group reinforces its commitment to providing a broad portfolio of formulations and devices to COPD patients and physicians.” comments Alessandro Chiesi, Chief Commercial Officer, Chiesi Group. “Chiesi triple therapy is today the first and only triple fixed combination treatment providing both pMDI and DPI devices as options for patients and physicians. We aim to make this treatment available to appropriate patients in Europe as soon as possible.”
Chiesi’s triple therapy in a NEXThaler device was approved in EU based on the TRI-D study which found similar efficacy and safety to the pMDI formulation in patients with moderate to severe COPD.5 Data from the TRILOGY, TRINITY and TRIBUTE clinical trials have already established that Chiesi’s triple therapy in a pMDI formulation is an efficacious and well-tolerated treatment for moderate to severe COPD.6,7,8
The NEXThaler device is equipped with a counter for the inhalations. The number of inhalations shown in the window on the device does not decrease on closing the cover if the patient has not inhaled through the inhaler2, which potentially helps them track and manage their treatment. NEXThaler is a device with a breath-activated mechanism (BAM) which allows the dose to be fully delivered when the optimal inspiratory flow rate is reached2.
For the EU Summary of Product Characteristics for Chiesi’s triple therapy, please visit https://www.ema.europa.eu/en/documents/product-information/trimbow-epar-product-information_en.pdf.
About Chiesi Group
Based in Parma, Italy, Chiesi is an international research-focused pharmaceuticals and healthcare group with over 85 years’ experience, operating in 30 countries with more than 6,000 employees (Chiesi Group). To achieve its mission of improving people’s quality of life by acting responsibly towards society and the environment, the Group research, develops and markets innovative drugs in its three therapeutic areas: AIR (products and services that promote respiration, from new-born to adult populations), RARE (treatment for patients with rare and ultra-rare diseases) and CARE (products and services that support special care and consumer-facing self-care). The Group’s Research and Development centre is based in Parma and works alongside 6 other important research and development centres in France, the U.S., Canada, China, the UK, and Sweden to promote its pre-clinical, clinical, and regulatory programmes. Chiesi, since 2019, is the world’s largest B Corp certified pharmaceutical group. Chiesi Farmaceutici S.p.A. has changed in 2018 its legal status to a Benefit Corporation, by incorporating a double purpose for the creation of shared value, and to generate value for its business, for society and the environment. The global B Corp movement promotes business as a force for good. Moreover, as a Benefit Corporation, Chiesi Farmaceutici S.p.A. is required by law to include objectives of common benefit in its bylaws and to report annually in a transparent way. The Group is committed to becoming carbon neutral by the end of 2035.
For further information: www.chiesi.com
About Chiesi triple therapy1
Chiesi’s triple therapy is an extrafine formulation, fixed triple combination, of beclometasone dipropionate (ICS) / formoterol fumarate (LABA) / glycopyrronium (LAMA). The therapy in pMDI and DPI device is licensed for the maintenance treatment in adult patients with moderate to severe chronic obstructive pulmonary disease (COPD) who are not adequately treated by a combination of an inhaled corticosteroid and a long-acting beta2-agonist or a combination of a long-acting beta2-agonist and a long-acting muscarinic antagonist (for effects on symptoms control and prevention of exacerbations see section 5.1).2,9
The therapy in pMDI device is also licensed for the maintenance treatment of asthma, in adults not adequately controlled with a maintenance combination of a long-acting beta2-agonist and medium dose of inhaled corticosteroid, and who experienced one or more asthma exacerbations in the previous year.9
For a full list of side effects and information on dosage and administration, contraindications and other precautions, please refer to https://www.ema.europa.eu/ for further information.
COPD is a respiratory disease characterised by a persistent bronchial obstruction, associated with an increased chronic inflammatory response of the airways to noxious particles or gas. The classic symptoms associated with COPD are dyspnea, chronic cough and chronic productive sputum. In some cases, an acute worsening of the above-mentioned symptoms may occur, triggering an exacerbation. In the adult population aged over 40 years, moderate and severe COPD is prevalent in 5-10% of the population, and including mild cases, the prevalence is 15-20%. There are 300,000 deaths in Europe from COPD each year.10
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