Clinical trial Recruiting at 18 sites Observational Ages 18 and up

Trimbow fixed triple inhaler for adults with uncontrolled asthma in routine care

Official title: A Prospective Non-Interventional Real-world Study Assessing the Effectiveness of Extrafine BDP/FF/G HS Single Inhaler Triple Therapy (SITT) on Symptom Scores in Asthma Patients After 6 Months Treatment

Run by Chiesi Slovenija, d.o.o. · NCT07489911 · Data updated 2026-11-12

This project will try Trimbow (beclometasone/formoterol/glycopyrronium) in adults with uncontrolled asthma who switch from high‑dose ICS/LABA or multiple‑inhaler triple therapy to see if symptoms and adherence improve over six months.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment200 (estimated)
SponsorChiesi Slovenija, d.o.o.
Industry-sponsored
Locations18 sites (Celje and 17 other locations)
StatusRecruiting
StartedNovember 4, 2024
Main results expectedJuly 2026
Study endsJuly 2026
Registry record updatedMarch 24, 2026
Trial IDNCT07489911 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with physician‑confirmed asthma treated for ≥3 years who remain uncontrolled despite high‑dose ICS/LABA or multi‑inhaler triple therapy, with recent exacerbation and baseline ACT and FEV1 criteria, and who switch to Trimbow within one week are the intended participants.

Probably not a fit

Patients with well‑controlled asthma, those whose symptoms are driven by non‑asthma respiratory conditions, or individuals with contraindications to any component of Trimbow are unlikely to gain benefit from switching in this setting.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a multicentre, national, non‑interventional prospective study enrolling adult patients with physician‑confirmed asthma who switched to Trimbow (172/5/9 µg pMDI). Participants receive the recommended two inhalations twice daily and are followed for six months with visits at baseline and month six to record symptom scores (ACT), lung function, exacerbations, and adherence. The primary outcome is change in ACT score at six months and the proportion of patients achieving a minimum clinically important difference of ≥3 points. The study is conducted in outpatient respiratory clinics in Celje, Slovenia, to capture real‑world effectiveness outside randomized trial settings.

Why it matters

Potential benefit: If successful, Trimbow could improve symptom control and adherence for adults with uncontrolled asthma, potentially reducing exacerbations and systemic steroid use.

How similar studies have gone: Randomized controlled trials have shown efficacy and safety for fixed triple inhalers like Trimbow in selected populations, but real‑world data on symptom improvement and adherence remain limited.

Who can join: the full rules

Show full inclusion / exclusion criteria
INCLUSION CRITERIA:

* Physician-confirmed clinical diagnosis of asthma according to GINA guidelines and treated for at least 3 years before inclusion
* Patients ≥ 18 years of age in ambulatory care
* Uncontrolled asthma according to the physician's clinical assessment despite the use of:

  1. LABA and high dose ICS or
  2. LABA and high-dose ICS + LAMA multi-inhaler triple therapy for a minimum of three months.
* Patients who are eligible for the use of Trimbow 172/5/9 μg pMDI according to the SmPC :

  1. at least on exacerbation, requiring systemic (oral or intravenous) corticosteroids in the previous 12 months
  2. uncontrolled asthma (ACT≤15) or partially controlled asthma (15\<ACT\<20)
  3. FEV1\<80% at baseline
* Inhaled asthma therapy was changed to Trimbow 172/5/9 μg pMDI no more than 1 week prior to OR on the day of study inclusion
* Patient provided written, informed consent to study participation

EXCLUSION CRITERIA:

* Participation in any clinical trial within 30 days prior to enrolment
* Patients hospitalized due to an exacerbation of their asthma within the last 4 weeks prior to enrolment
* Another respiratory condition, apart from asthma or COPD, that may interfere with the effectiveness of the treatment studied AND/OR another important clinical situation that may interfere with patient's compliance with the treatment.
* Continuous use of oral (\>5 mg prednisolone/day OR \>4 mg methylprednisolone/day) OR intravenous corticosteroids
* Use of continuous oxygen therapy
* Any malignant disease in the last 5 years
* Tuberculosis (active or anamnestic)
* Actual or previous use of biologics for asthma treatment in the past 12 months
* All exclusion criteria listed in Trimbow 172/5/9 μg pMDI SmPC

Where it's running

  • AMBULANTA ARIA, specialistična ambulanta za alergijske in pljučne bolezni, d.o.o.
    Celje, Slovenia
    Recruiting
  • Dr. ŠEGOTA - PULMOLOG, specialistične zdravstvene storitve, d.o.o.
    Celje, Slovenia
    Recruiting
  • Internistična Ambulanta Za Pljučne in Alergijske Bolezni - Karmen Kramer Vrščaj Dr. Med.
    Celje, Slovenia
    Recruiting
  • MEDICOINTERNA, medicinske storitve in svetovanje, d.o.o.
    Kočevje, Slovenia
    Recruiting
  • Zdravstveni Dom Koper Casa Della Sanita Capodistria
    Koper, Slovenia
    Recruiting
  • VELOG Zdravstveni center d.o.o.
    Kranj, Slovenia
    Recruiting
Show 12 more locations
  • ARJANA MAČEK, zdravstvene in druge storitve, d.o.o
    Ljubljana, Slovenia
    Recruiting
  • KAMBIČ - KAFOL, medicinsko svetovanje in storitve, d.o.o.
    Ljubljana, Slovenia
    Recruiting
  • MEDI PULMO, interna medicina, d.o.o.
    Ljubljana, Slovenia
    Recruiting
  • OBJEM ZDRAVJA zdravstveno svetovalni center d.o.o.
    Ljubljana, Slovenia
    Recruiting
  • PULMEDICO, specialistična zdravstvena dejavnost, d.o.o.
    Ljubljana, Slovenia
    Recruiting
  • ALVEOLA internistični ambulantni diagnostični center d.o.o.
    Maribor, Slovenia
    Recruiting
  • Zasebna Ambulanta Za Pljučne Bolezni, Mag. Alojz Horvat, Dr. Med. Specialist Interne Medicine
    Murska Sobota, Slovenia
    Recruiting
  • EUPNEA d.o.o.
    Murska Sobota, Slovenia
    Recruiting
  • Zasebna Internistično-Pulmološka Ambulanta, Jasmina Panjan Avramovič, Dr.Med.Spec.
    Portorož, Slovenia
    Recruiting
  • DLAN, pomoč in nega na domu, specialistična zdravstvena dejavnost, Lucija Gabršček Parežnik s.p.
    Šentjur pri Celju, Slovenia
    Recruiting
  • Zdravstveni Dom Tolmin
    Tolmin, Slovenia
    Recruiting
  • Zdravstveni Zavod Pulmoradix Velenje
    Velenje, Slovenia
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.