COPD Market Snapshot: New Products, Limited Differentiation

New drugs are hitting the COPD market, but largely offer incremental benefit over gold standards Advair and Spiriva. Given the modest efficacy improvement and increasingly price sensitive patients and payers, new higher-priced products may find the commercial market a challenge.

The drug market for chronic obstructive pulmonary disease has been dominated for years by two maintenance products: GlaxoSmithKline PLC’s long-acting beta2 agonist (LABA)/corticosteroid combination Advair (salmeterol/fluticasone propionate) and Boehringer Ingelheim GMBH/Pfizer Inc.’s long-acting muscarinic antagonist (LAMA) Spiriva (tiotropium). Advair has been available for COPD for 10 years and Spiriva for nine, and the two have held court over the market for most of that time.

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