Fluticasone furoate/vilanterol
Fluticasone furoate and vilanterol.svg
Combination of
Fluticasone furoateCorticosteroid
VilanterolUltra-long-acting β2 agonist
Clinical data
Trade namesBreo Ellipta, Relvar Ellipta
AHFS/Drugs.combreo-ellipta
License data
Routes of
administration
Inhalation (DPI)
ATC code
Legal status
Legal status
  • UK: POM (Prescription only) [1]
  • US: ℞-only [2]
  • EU: Rx-only [3]
  • In general: ℞ (Prescription only)
Identifiers
KEGG

Fluticasone furoate/vilanterol (FF/VI), sold under the brand name Breo Ellipta among others, is a combination medication for the treatment of chronic obstructive pulmonary disease (COPD) and asthma.[2] It contains fluticasone furoate, an inhaled corticosteroid, and vilanterol, an ultra-long-acting β2 agonist (ultra-LABA).[2]

In 2013, the drug was approved for use in the United States by the Food and Drug Administration (FDA) for long-term maintenance treatment of airflow obstruction in people with COPD, including chronic bronchitis and emphysema,[4] and the European Medicines Agency approved it as a second-line therapy for the treatment of COPD and asthma.[5] There were, however, concerns that LABAs such as vilanterol increase the risk of deaths due to asthma. In 2017, the FDA states that they were not justified.[4]

It is on the World Health Organization's List of Essential Medicines.[6] In 2020, it was the 115th most commonly prescribed medication in the United States, with more than 5 million prescriptions.[7][8]

History

Approval

This drug was approved by the FDA for use as a long-term, once-daily, maintenance treatment in people with COPD in 2013. Labeling changed on 30 April 2015, to add an indication for a once-daily treatment of asthma in people 18 years or older.[2] The exclusivity for a new product ended in May 2016, in the United States, and the exclusivity on the indication for asthma expired on 30 April 2018.[9] The patent for both indications expires on 3 August 2021.[9] The European Medicines Agency approved the drug for marketing on 13 November 2013.[10]

Society and culture

Commercial information

GlaxoSmithKline manufactures this drug. As of 31 December 2015, FF/VI inhalation powder was approved for marketing in 73 countries, and had been launched in 45 countries.[11] Within the trade name, the "Ellipta" is the dry powder inhaler that the medication is administered in. Innoviva developed the active substance vilanterol, and receives royalties on sales.[12]

Research

There is tentative evidence as of 2016 that it is better than placebo for asthma.[13] Evidence is less strong in children.[13]

References

  1. ^ "Relvar Ellipta 92 micrograms/22 micrograms inhalation powder, pre-dispensed - Summary of Product Characteristics (SmPC)". (emc). 7 December 2020. Retrieved 23 March 2021.
  2. ^ a b c d "Breo Ellipta- fluticasone furoate and vilanterol trifenatate powder". DailyMed. Retrieved 23 March 2021.
  3. ^ "Relvar Ellipta EPAR". European Medicines Agency (EMA). Retrieved 23 March 2021.
  4. ^ a b "FDA approves Breo Ellipta to treat chronic obstructive pulmonary disease". Food and Drug Administration. 10 May 2013. Archived from the original on 12 January 2017.
  5. ^ "Summary of opinion: Relvar Ellipta" (PDF). European Medicines Agency. 19 September 2013.
  6. ^ World Health Organization (2021). World Health Organization model list of essential medicines: 22nd list (2021). Geneva: World Health Organization. hdl:10665/345533. WHO/MHP/HPS/EML/2021.02.
  7. ^ "The Top 300 of 2020". ClinCalc. Retrieved 7 October 2022.
  8. ^ "Fluticasone; Vilanterol - Drug Usage Statistics". ClinCalc. Retrieved 7 October 2022.
  9. ^ a b "Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations". www.accessdata.fda.gov. Retrieved 20 November 2016.
  10. ^ "European Medicines Agency - Find medicine - Relvar Ellipta". EMA.Europa.eu. Retrieved 20 November 2016.
  11. ^ "Innoviva | Primed for Portfolio Growth". Inva.com. Archived from the original on 21 November 2016. Retrieved 20 November 2016.
  12. ^ "Innoviva Reports Second Quarter 2016 Financial Results | Business Wire". BusinessWire.com. 28 July 2016. Retrieved 20 November 2016.
  13. ^ a b Dwan K, Milan SJ, Bax L, Walters N, Powell C (September 2016). "Vilanterol and fluticasone furoate for asthma". The Cochrane Database of Systematic Reviews. 9: CD010758. doi:10.1002/14651858.CD010758.pub2. PMC 6472525. PMID 27582089.