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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