Chronic obstructive pulmonary disease (COPD) is a multi-component
condition that results in increasingly limited airflow, usually
associated with an abnormal inflammatory response of the lung. It
constitutes a major public health burden worldwide, while only very
few effective therapies are available. This book provides a
comprehensive overview of the development of Onbrez Breezhaler, a
newly approved once-daily inhaled ?2 agonist for the treatment of
COPD. It reviews the current pharmacotherapy for COPD and discusses
topics such as the chemical design and the pre-clinical
pharmacology of the molecule, the early clinical development, the
INHANCE study (which provides a successful example of the use of an
adaptive design in the confirmatory setting) and the Phase III
clinical efficacy study, as well as the history and performance of
the Breezhaler device. Finally, a list of emerging targets is
included that could well offer future treatment options for COPD.
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