Head-to-head evidence

ensifentrine vs HRS-9821

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.

Chronic Obstructive Pulmonary Disease

Shared mechanism: PDE3/PDE4 · full Chronic Obstructive Pulmonary Disease pipeline

ensifentrine · Ohtuvayre

Marketed by Merck & Co. and partners

Approved in Chronic Obstructive Pulmonary Diseasesmall molecule
Reliable signal

NCT04542057 · Phase 3 · completed

This was a large (790-patient), randomized, quadruple-blinded, placebo-controlled Phase 3 trial with a hard clinical/lung-function primary endpoint (change in FEV1 area under the curve over 12 hours), and the ensifentrine group showed a statistically significant improvement over placebo on that primary comparison. The randomization, blinding, active placebo control, adequate sample size, and clear statistically significant result in the favorable direction together support a strong grade.

Next expected readout: March 2027 · NCT05270525 (registry estimate)

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HRS-9821

Developed by Jiangsu Hengrui Pharmaceuticals

Phase 2 in Chronic Obstructive Pulmonary Diseasesmall molecule
Partial signal

NCT05622864 · Phase 1 · completed

The study is described as randomized and blinded, but the available record does not clearly show a placebo or comparator arm alongside the two active-dose groups, so how controlled the comparison actually is cannot be fully confirmed. Its primary measure is also safety monitoring rather than the lung-function endpoints, and no results have been posted yet.

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The full competitive landscape for each asset (every same-race competitor with aligned evidence, sortable) is on the asset pages: ensifentrine's landscape · HRS-9821's landscape