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Data updated: May 26, 2026

BEVESPI AEROSPHERE (formoterol fumarate)

Respiratory Approved 2016-04-25

**DRUG: BEVESPI AEROSPHERE (glycopyrrolate and formoterol fumarate)** BEVESPI AEROSPHERE is indicated for the long-term maintenance treatment of airflow obstruction in patients with chronic obstructive pulmonary disease (COPD). It is a fixed-dose combination of a long-acting muscarinic antagonist (LAMA) and a long-acting beta2-adrenergic agonist (LABA). This medication is intended for regular, twice-daily administration to improve lung function and is **not** indicated for the relief of acute bronchospasm or the treatment of asthma.

Source: FDA Label • AstraZeneca

How BEVESPI AEROSPHERE Works

BEVESPI AEROSPHERE combines two bronchodilators with different mechanisms of action to improve pulmonary function. **Glycopyrrolate** is a long-acting antimuscarinic (anticholinergic) that inhibits M3 receptors at the smooth muscle, preventing acetylcholine-induced bronchoconstriction. **Formoterol fumarate** is a long-acting selective beta2-adrenergic agonist (LABA) that stimulates intracellular adenyl cyclase, increasing cyclic AMP levels and leading to relaxation of bronchial smooth muscle. Together, these agents provide dual bronchodilation through both muscarinic receptor antagonism and beta2-receptor agonism.

1
Indication
--
Phase 3 Trials
10
Years on Market

Details

Status
Prescription
First Approved
2016-04-25
Patent Cliff
2031

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Routes
INHALATION
Dosage Forms
AEROSOL, METERED

Companies

Active Ingredient: FORMOTEROL FUMARATE , GLYCOPYRROLATE

BEVESPI AEROSPHERE Approval History

2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
3 FDA actions from 2016 to 2020
Nov 2020 SUPPL
Label · Labeling
May 2019 SUPPL
Label · Labeling
Apr 2016 ORIGINAL
New Combo · Type 4 - New Combination

What BEVESPI AEROSPHERE Treats

1 indications

BEVESPI AEROSPHERE is approved for 1 conditions since its original approval in 2016. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Chronic Obstructive Pulmonary Disease
Source: FDA Label

BEVESPI AEROSPHERE Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

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Clinical Trial Registry

14 trials
Trial Sponsor ID Phase Status Title
NCT04320342 TRITON CLI-05993AA3-06 2020-002389-16 Ph 3 completed A Study Comparing Efficacy, Safety and Tolerability of the Fixed Dose Triple Combination CHF 5993 With the Fixed Dose Dual Combination CHF 1535 in Subjects With COPD
NCT03022097 AVANT results posted D6570C00002 M-AS464-30 Ph 3 completed Study to Assess Efficacy and Safety of Aclidinium Bromide and Aclidinium Bromide/Formoterol Fumarate in Stabile COPD Patients
NCT00929851 CCD-0906-PR-0016 2009-012546-23 Ph 3 completed BDP/FF Versus Formoterol Fumarate (FF) in Patients With Severe COPD (Lung Function and Exacerbation Rate)
NCT03324607 COPD results posted Pro00086693 Ph 2, Ph 3 completed Effects of Bevespi on Ventilation and Gas Exchange Abnormalities in COPD Assessed by 129Xe MRI
NCT02446418 results posted 116492 Ph 3 completed A Study to Compare the Efficacy of Fluticasone Furoate/Vilanterol Inhalation Powder With Usual Inhaled Corticosteroids (ICS)/Long Acting Beta Agonists (LABA) in Persistent Asthma
NCT01437540 results posted LAC-MD-32 Ph 3 completed Safety and Tolerability of Aclidinium Bromide/Formoterol Fumarate Compared With Formoterol Fumarate in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease
NCT01572792 results posted LAC-MD-36 Ph 3 completed Efficacy, Safety and Tolerability of Two Fixed Dose Combinations of Aclidinium Bromide/Formoterol Fumarate, Aclidinium Bromide, Formoterol Fumarate and Placebo for 28-Weeks Treatment in Patients With Moderate to Severe, Stable Chronic Obstructive Pulmonary Disease (COPD)
NCT01437397 results posted LAC-MD-31 Ph 3 completed Efficacy, Safety and Tolerability of Aclidinium Bromide/Formoterol Fumarate Compared With Aclidinium Bromide and Formoterol Fumarate in Patients With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)
NCT01462942 results posted M/40464/30 Ph 3 completed Long-term Efficacy and Safety of Aclidinium Bromide/Formoterol Fumarate Fixed-Dose Combination
NCT00633776 Perforomist CT Study Ph 4 withdrawn Perforomist Versus Foradil Evaluated by Inspiratory Capacity and High Resolution Computed Tomography (HRCT)
NCT01853787 SANOB 898CEC Ph 4 completed Nitric Oxyde Concentration in Chronic Obstructive Pulmonary Disease Patients - SANOB Study
NCT01113593 191-089 Ph 2 completed A Study Characterizing Pharmacodynamic Profiles in Subjects With Chronic Obstructive Pulmonary Disease
NCT01168310 191-090 Ph 2 completed A Trial to Assess the Pharmacodynamic Response in Subjects With Chronic Obstructive Pulmonary Disease (COPD)
NCT00774761 191-087 Ph 2 completed A Study Evaluating Systemic Exposure and Pharmacodynamics in Patients With Chronic Obstructive Pulmonary Disease
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Key Completed Trials

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Trial Timeline

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

BEVESPI AEROSPHERE FDA Label Details

Indications & Usage

FDA Label (PDF)

BEVESPI AEROSPHERE is indicated for the treatment of Chronic Obstructive Pulmonary Disease.

View full patent landscape →
7 OB patents · 2 families · 246 international docs across 32 countries

BEVESPI AEROSPHERE Patents & Exclusivity

Latest Patent: Mar 2031

Patents (7 active)

US8815258 Expires Mar 17, 2031
US8324266 Expires May 28, 2030
US10716753 Expires May 28, 2030
US9415009 Expires May 28, 2030
US8703806 Expires May 28, 2030
US8808713 Expires May 28, 2030
US9463161 Expires May 28, 2030
Source: FDA Orange Book

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Patent Timeline

  • Cliff: 2031
  • 7 active patents

Trial Analysis

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Competitive Landscape

  • 20 similar drugs
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.