Vilanterol

Clinical trials investigating Vilanterol are studying how it performs in people with asthma and chronic obstructive pulmonary disease (COPD). These studies look at treatment benefit, safety, and patient-reported control, often in adults with moderate to high disease burden. Some trials also compare Vilanterol-containing treatments with placebo or other inhaled therapies.

Table of Contents

Trial overview

The trials listed here are studying Vilanterol in Phase 3 research, which is a late stage of testing in larger groups of patients.[1][2][3][4][5] The studies are interventional, meaning researchers give a treatment and compare results between groups.[1][2][3][4][5]

Across these trials, the main conditions are chronic obstructive pulmonary disease (COPD) and asthma.[1][2][3][4][5] One study also includes COPD with heart failure and reduced ventricular ejection fraction, which means the heart is pumping less strongly than normal.[3]

COPD studies

One completed trial, the ANTES B+ study, compared triple therapy with LABA-LAMA combination treatment in high-risk GOLD B COPD patients.[1] Its goal was to see whether more patients could stay clinically controlled at all study visits over 12 months.[1] The study enrolled 1,028 people, making it the largest trial in this set.[1]

The TRACkER trial also studied COPD in a primary care population, but it focused on a different question: whether triple therapy improved health status more than LABA/LAMA treatment in symptomatic, inhaled-corticosteroid-naive patients with asthma-like features and blood eosinophils of at least 100 cells per microliter.[5] A blood eosinophil count is a lab test that measures a type of white blood cell and can help describe inflammation patterns.[5]

The authorised study on dual bronchodilation with umeclidinium/vilanterol looked at COPD patients who also had heart failure with an ejection fraction between 35% and 50%.[3] It aimed to see whether treatment improved stroke volume during exercise, which is the amount of blood the heart pumps with each beat.[3]

Asthma studies

One withdrawn Phase 3 trial studied adult participants with asthma and compared fluticasone furoate and Vilanterol inhalation powder 100 mcg/25 mcg with BREO ELLIPTA 100 mcg/25 mcg and placebo.[2] The study aimed to show therapeutic equivalence between the generic product and the branded product, and also to show superiority over placebo.[2]

The SECURE study also involved asthma, but it focused on symptom control and treatment adherence, which means how well people follow the treatment plan.[4] It compared different device-based treatment groups and measured asthma control after 6 months using the ACT score, a questionnaire for asthma control.[4]

Participants and comparators

These trials mainly include adults, but each study targets a specific patient group.[1][2][3][4][5] Some studies focus on COPD patients with high risk or additional heart disease, while others focus on adults with asthma.[1][2][3][4][5]

The comparison treatments include placebo, LABA-LAMA combinations, triple therapy, and other inhaled products.[1][2][3][5] In the asthma equivalence study, the trial compared a Vilanterol-containing inhalation powder with BREO ELLIPTA and placebo.[2]

Outcomes measured

The main outcomes in these studies include clinical control, health status, lung function, and exercise-related measures.[1][2][3][5] Clinical control was measured as being controlled at all study visits in one COPD trial, and as a change in the Clinical COPD Questionnaire in another.[1][5]

The asthma bioequivalence study used FEV1, which is the amount of air a person can blow out in one second, including a 24-hour measure called AUC0-24h and a morning pre-dose measure after 4 weeks.[2] The COPD and heart failure study used exercise Doppler-echocardiography and cardiopulmonary exercise testing to measure heart and breathing response during exercise.[3]

Trial status and size

The trial statuses are mixed: three studies are completed, one is authorised, and one was withdrawn.[1][2][3][4][5] Enrollment ranges from 60 participants in the smallest study to 1,430 in the largest, showing that the research questions vary from focused clinical testing to larger comparative studies.[2][3][1]

Trial ID Phase Condition studied Status Enrollment
2023-507304-32-00 Phase 3 Chronic Obstructive Pulmonary Disease Completed 1028
2025-521565-27-00 Phase 3 Asthma Withdrawn 1430
2024-519513-61-00 Phase 3 COPD with heart failure Authorised 60
NCT05626777 Phase 3 Asthma Completed 130
2023-508300-37-00 Phase 3 COPD Completed 316

Ongoing Clinical Trials on Vilanterol

  • Study on the Effects of Umeclidinium and Vilanterol in Patients with COPD and Heart Failure

    Recruiting

    3 1 1
    Spain
  • Study comparing fluticasone furoate and vilanterol inhalation powder with BREO ELLIPTA in adults with asthma to evaluate their therapeutic equivalence and safety

    Not yet recruiting

    3 1 1
    Investigated diseases:
    Poland
  • Study on the Effectiveness of Beclometasone, Glycopyrronium, and Formoterol in COPD Patients with Asthma Characteristics

    Not recruiting

    3 1 1 1
    Investigated diseases:
    The Netherlands
  • Study Comparing Trelegy with LABA-LAMA Drug Combination for Improving COPD Control in High-Risk Patients

    Not recruiting

    3 1 1 1
    Investigated diseases:
    Spain
  • Study on Asthma Control and Adherence with Mepolizumab in Pre-filled Devices for Patients with Asthma

    Not recruiting

    3 1 1 1
    Investigated diseases:
    France

Glossary

  • Asthma: A long-term lung disease that can cause wheezing, shortness of breath, chest tightness, and coughing.
  • Chronic Obstructive Pulmonary Disease (COPD): A long-term lung disease that makes it hard to breathe. It includes conditions that limit airflow, often because the airways are narrowed.
  • Phase 3: A late stage of clinical research where a treatment is tested in larger groups of people to see how well it works and to compare it with other treatments.
  • Interventional study: A study where participants receive a treatment or placebo so researchers can compare outcomes.
  • Placebo: A look-alike treatment with no active medicine, used to compare results fairly.
  • Clinical control: A measure of how well a disease is kept under control. In these trials, it is assessed using set criteria or questionnaires.
  • Health status: How a person feels and functions because of their disease, often measured with a questionnaire.
  • FEV1: A lung test result that shows how much air a person can blow out in one second.
  • AUC0-24h: A way to measure the total effect of a test result over 24 hours.
  • Bioequivalence: A comparison to see whether two treatments act in a similar way in the body or give similar clinical effects.
  • Triple therapy: A treatment plan that uses three medicines together.
  • LABA/LAMA: A combination of two types of inhaled bronchodilators, meaning medicines that help open the airways.

References

  1. https://clinicaltrials.gov/study/2023-507304-32-00
  2. https://clinicaltrials.gov/study/2025-521565-27-00
  3. https://clinicaltrials.gov/study/2024-519513-61-00
  4. https://clinicaltrials.eu/trial/study-on-asthma-control-and-adherence-with-mepolizumab-in-pre-filled-devices-for-patients-with-asthma/
  5. https://clinicaltrials.gov/study/2023-508300-37-00