BREO™ ELLIPTA™ approved for COPD treatment in Canada

Mississauga, ON - BREO™ ELLIPTA™ (fluticasone furoate/vilanterol) has been approved in Canada for the long-term once-daily maintenance treatment of airflow obstruction in patients with chronic obstructive pulmonary disease (COPD), including chronic bronchitis and/or emphysema, and to reduce exacerbations of COPD in patients with a history of exacerbations1.

BREO™ ELLIPTA™ 100/25 mcg is a combination of the inhaled corticosteroid (ICS) fluticasone furoate and the long-acting beta2-agonist (LABA) vilanterol, administered by the new ELLIPTA™ dry powder inhaler (DPI). BREO™ ELLIPTA™ 100/25 mcg contains 100 micrograms of fluticasone furoate (FF) and 25 micrograms of vilanterol (VI) as trifenatate. BREO™ ELLIPTA™ has been shown to reduce airflow obstruction in patients with COPD and to reduce exacerbations of COPD, or lung attacks, in patients with a history of exacerbations.

Recent research has shown that a significant number of COPD patients prefer a once-daily medication, relative to having a more frequent dosing regimen of two or four times daily.2

"When a person is affected by COPD, it can be debilitating, and the simple act of taking a breath can be challenging. With the approval of BREO™ ELLIPTA™100/25 mcg, we can now offer COPD patients a once-daily option," said Glenn Crater, Country Medical Director for GlaxoSmithKline Inc. "Through research we've learned that when treatment administration is simplified, patients are more likely to use it regularly and ultimately that can help improve the management of their disease."

The data submitted in support of the use of BREO™ ELLIPTA™100/25 mcg in the treatment of COPD included results from a comprehensive program of non-clinical studies, 52 clinical pharmacology studies of 1,406 patients, and 11 clinical studies of 7,851 patients with COPD. Of these, there were four primary COPD studies: two 6-month lung-function studies and two 1-year exacerbation studies.1

"For over forty years, GlaxoSmithKline has been at the forefront of delivering medicines to patients with respiratory diseases," commented Paul Lirette, President, GlaxoSmithKline Inc. "We are committed to responding to patients' needs and are very pleased to be expanding our respiratory portfolio with the introduction of BREO™ ELLIPTA™ 100/25 mcg once-daily for the treatment of COPD in Canada."

BREO™ ELLIPTA™ was developed by Glaxo Group Limited in collaboration with Theravance, Inc.

"We are very pleased with the approval of BREO™ ELLIPTA™ as a once-daily treatment for COPD in Canada," said Rick E Winningham, Theravance's Chief Executive Officer. "We believe that BREO™ ELLIPTA™ has the potential to be an important new treatment option for doctors and patients dealing with this debilitating disease."

Following its authorization for use in the treatment of COPD, it is anticipated BREO™ ELLIPTA™ 100/25 mcg will be made available in Canada by GlaxoSmithKline by the end of 2013.

About COPD

Chronic obstructive pulmonary disease (COPD) refers to two lung diseases, chronic bronchitis and emphysema, which are characterised by the obstruction of airflow that interferes with normal breathing. More than 770,000 Canadians have been diagnosed with this serious disease3. COPD is the leading cause of hospitalizations in Canada4. It is also the fourth leading cause of death in Canada5and the world6. It is estimated COPD costs the Canadian health care system between $646 million to $736 million per year. 7

Long-term exposure to lung irritants that damage the lungs and the airways are usually the cause of COPD. Cigarette smoke, breathing in second hand smoke, air pollution, chemical fumes, or dust from the environment or workplace can all contribute to COPD8. Most people who have COPD are at least 40 years old when symptoms begin.9 COPD symptoms vary over time and among patients, but they can include chronic cough, shortness of breath and an increase of phlegm.10 When symptoms get worse or a new, persistent symptom comes on, patients experience an exacerbation or lung attack.11 As COPD worsens over time, exacerbations can become more frequent, potentially lead to hospitalization, restricted mobility and can increase the risk of death. 12,13,14

COPD can have a significant impact on the lives of patients and their families. Patients begin to accept their condition as normal, often understating its severity and the ways it has an impact on their daily life.15 The long-term and progressive nature of symptoms can reduce the quality of life in people with COPD, including the ability to work, socialize and remain active. 16


BREO™ ELLIPTA™ 100/25 mcg is a long-term once-daily, inhaled corticosteroid/long-acting beta2 agonist (ICS/LABA) combination treatment approved for COPD in Canada. BREO™ ELLIPTA™ contains 100 micrograms of fluticasone furoate (FF) and 25 micrograms of vilanterol (VI) as trifenatate, administered by the new ELLIPTA™ dry powder inhaler (DPI).

Canadian prescribing Information for BREO™ ELLIPTA™ 100/25 mcg, including BOXED WARNING and Consumer Information will be available soon at Prior to the label being posted online, health care providers may request a copy of the complete Product Monograph by calling GSK's Medical Information department at 1-800-387-7374.

Important safety information

BREO™ ELLIPTA™ is contraindicated in patients who are hypersensitive to fluticasone furoate, vilanterol, or any ingredient in the formulation or component of the container; and patients with severe hypersensitivity to milk proteins.

BREO™ ELLIPTA™ is not indicated for use in children and therefore should not be used in patients under 18 years of age. BREO™ ELLIPTA™ is also not indicated for the relief of acute bronchospasm in COPD. Patients should be prescribed a rapid onset, short duration inhaled bronchodilator to relieve acute symptoms.

ASTHMA-RELATED DEATH: Long-acting beta2-adrenergic agonist (LABA) increase the risk of asthma-related death. Data from a large, placebo-controlled US study that compared the safety of another long-acting beta2-adrenergic agonist (salmeterol) to placebo added to usual asthma therapy, showed an increase in asthma-related deaths in patients receiving salmeterol. This finding with salmeterol is considered a class effect of LABA, including vilanterol, the active ingredient in BREO™ ELLIPTA™.

BREO™ ELLIPTA™ is only indicated for COPD. The safety and efficacy of BREO™ ELLIPTA™ in patients with asthma have not been established. BREO™ ELLIPTA™ is not indicated for the treatment of asthma.

BREO™ and ELLIPTA™ are trademarks of the GlaxoSmithKline group of companies.

About GlaxoSmithKline Inc. 
GlaxoSmithKline (GSK) is a leading research-based pharmaceutical company with a challenging and inspiring mission: to improve the quality of human life by enabling people to do more, feel better, and live longer. This mission gives GSK the purpose to develop innovative medicines, vaccines and healthcare solutions that help millions of people. Discover more at

About Theravance 
Theravance is a biopharmaceutical company with a pipeline of internally discovered product candidates and strategic collaborations with pharmaceutical companies. Theravance is focused on the discovery, development and commercialization of small molecule medicines across a number of therapeutic areas including respiratory disease, bacterial infections, and central nervous system (CNS)/pain. By leveraging its proprietary insight of multivalency to drug discovery, Theravance is pursuing a best-in-class strategy designed to discover superior medicines in areas of significant unmet medical need. For more information, please visit Theravance's web site at

THERAVANCE®, the Theravance logo, and MEDICINES THAT MAKE A DIFFERENCE® are registered trademarks of Theravance, Inc.

For more information, please contact:

Jennifer Gordon / Shaday Livingston /
416-969-2665 / 416-969-2759

Michelle Smolenaars Hunter
Communications Manager
GlaxoSmithKline Inc.

Michael W. Aguiar
Investor Relations
Theravance Inc. Enquiries
+1 650 808 4100

Cautionary statement regarding GSK forward-looking statements
GSK cautions investors that any forward-looking statements or projections made by GSK, including those made in this announcement, are subject to risks and uncertainties that may cause actual results to differ materially from those projected. Factors that may affect GSK's operations are described under 'Risk factors' in the Annual Report for GlaxoSmithKline plc.

Theravance forward-looking statements
This press release contains certain "forward-looking" statements as that term is defined in the Private Securities Litigation Reform Act of 1995 regarding, among other things, statements relating to goals, plans, objectives and future events. Theravance intends such forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in Section 21E of the Securities Exchange Act of 1934 and the Private Securities Litigation Reform Act of 1995. Examples of such statements include statements relating to the status and timing of clinical studies, data analysis and communication of results, statements regarding the potential benefits and mechanisms of action of drug candidates, statements concerning the timing of seeking regulatory approval of our product candidates, statements concerning the enabling capabilities of Theravance's approach to drug discovery and its proprietary insights and statements concerning expectations for product candidates through development and commercialization and projections of revenue, expenses and other financial items. These statements are based on the current estimates and assumptions of the management of Theravance as of the date of this press release and are subject to risks, uncertainties, changes in circumstances, assumptions and other factors that may cause the actual results of Theravance to be materially different from those reflected in its forward-looking statements. Important factors that could cause actual results to differ materially from those indicated by such forward-looking statements include, among others, risks related to delays or difficulties in commencing or completing clinical studies, the potential that results of clinical or non-clinical studies indicate product candidates are unsafe or ineffective, our dependence on third parties in the conduct of our clinical studies, delays or failure to achieve regulatory approvals for product candidates, risks of relying on third-party manufacturers for the supply of our product and product candidates and risks of collaborating with third parties to develop and commercialize products. These and other risks are described in greater detail under the heading "Risk Factors" contained in Theravance's Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission (SEC) on May 1, 2013 and the risks discussed in our other periodic filings with the SEC. Given these uncertainties, you should not place undue reliance on these forward-looking statements. Theravance assumes no obligation to update its forward-looking statements.

1BREO™ ELLIPTA™ Product Monograph, GlaxoSmithKline Inc., July 2013
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