Head-to-head evidence

albuterol / budesonide vs Salbutamol HFA-134a

Same mechanism, same race: design-graded trial evidence for both assets, with the grading rationale shown. Grades describe the quality of the evidence, never the merits of either security.

Asthma

Shared mechanism: Beta-2 adrenergic receptor · full Asthma pipeline

albuterol / budesonide · Airsupra

Marketed by AstraZeneca

Approved in Asthmacombination (SABA + ICS)
Reliable signal

NCT03769090 · Phase 3 · completed

Participants were randomized and quadruple-blinded across two budesonide/albuterol groups and an active albuterol comparator, with 3,132 randomized participants. The primary clinical endpoint was met for both doses: severe exacerbations occurred in 207/1,013 versus 266/1,014 participants for high-dose treatment (hazard ratio 0.733, p<0.001) and 241/1,054 versus 276/1,056 for low-dose treatment (hazard ratio 0.835, p=0.041).

Next expected readout: February 2027 · NCT06422689 (registry estimate)

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Salbutamol HFA-134a

Developed by GlaxoSmithKline

Phase 3 in Asthmasmall molecule
Partial signal

NCT06261957 · Phase 3 · completed

The study randomized 477 adults and used quadruple blinding with an active salbutamol comparator. Its primary endpoint was the number of participants with adverse events, but no results or statistical comparison are posted, so the outcome is currently unknown.

Next expected readout: February 2027 · NCT06433921 (registry estimate)

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The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: albuterol / budesonide's landscape · Salbutamol HFA-134a's landscape