This Week in Respiratory Health: Orphan Drugs, Asthma Campaigns, Phage Science, and COPD Breakthroughs and More.
From orphan designations in Japan to national asthma prevention efforts and next-gen COPD trials, this week’s Respiratory Health Updates highlights the clinical and regulatory milestones shaping pulmonary care.
In Today’s Newsletter
🌐 Pulmovant wins orphan drug nod in Japan for mosliciguat [1] [JP • 04 Sep 2025]
https://www.pulmovant.com/press-release-september-4-2025
Key point: Japan’s MHLW granted orphan designation to mosliciguat (inhaled sGC activator) for PH-ILD.
Context: Based on PMDA recommendation; provides up to 10 years exclusivity. Global Phase 2 PHocus study ongoing (n≈120).
Implication: Introduces competition that may affect pricing and formulary access.
🤝 Aptar + Dianosic intranasal scaffold alliance [2] [FR • 05 Sep 2025]
Key point: Aptar Pharma formed exclusive partnership with Dianosic to advance ARIS scaffold for CAR/CRS.
Context: Resorbable insert designed for long-acting intranasal delivery; partnership also explores nose-to-brain applications.
Implication: Signals pipeline investment and modality expansion.
🫁 NHS launches campaign to cut child asthma deaths [3] [UK • 07 Sep 2025]
https://www.echo-news.co.uk/news/25438635.nhs-launches-campaign-reduce-childhood-asthma-deaths/
Key point: NHS rolled out regional asthma campaign across East of England, timed to seasonal hospital admissions peak.
Context: Focus on action plans, inhaler technique, regular reviews, and air quality awareness.
Implication: May expand screening, initiation, and follow-up at scale.
🔬 Armata publishes phage Pa223 structure [4] [US • 08 Sep 2025]
Key point: Armata reported cryo-EM structure of Pseudomonas phage Pa223, part of AP-PA02 cocktail.
Context: AP-PA02 previously tested in two Phase 2 trials in chronic respiratory infections.
Implication: May influence prescriber choice and payer reviews pending full data.
💊 AstraZeneca starts Phase 2b UMBRIEL asthma trial [5] [CN • 09 Sep 2025]
https://www.vbdata.cn/intelDetail/788580
Key point: AstraZeneca initiated Phase 2b study of tozorakimab in adults with poorly controlled asthma.
Context: Randomized, double-blind trial (n≈600 global; registry CTR20253511); primary endpoint severe exacerbation rate.
Implication: May influence prescriber choice and payer reviews pending full data.
⚡ NS-229 granted FDA Fast Track for EGPA [6] [US • 09 Sep 2025]
Key point: FDA granted Fast Track to NS-229 (JAK1 inhibitor) for eosinophilic granulomatosis with polyangiitis.
Context: Follows April 2025 orphan designation; global Phase 2 placebo-controlled trial ongoing.
Implication: May influence prescriber choice and payer reviews pending full data.
🧪 Altesa + bioMérieux partner on COPD trial [7] [US/UK • 09 Sep 2025]
Key point: Altesa to use bioMérieux’s SPOTFIRE diagnostic in Phase 2b COPD trial of vapendavir.
Context: Planned for Q1 2026; n=600 GOLD II–IV COPD; randomized, placebo-controlled. Vapendavir targets rhinovirus-triggered exacerbations.
Implication: Could inform practice and payer discussions; interpretation depends on study design and confounding control.
Why it matters
- Japan’s orphan designation expands Pulmovant’s regulatory runway in PH-ILD.
- Aptar and Dianosic broaden nasal delivery into chronic rhinitis and CNS.
- NHS highlights preventable asthma deaths and promotes adherence basics.
- Armata strengthens phage therapy credibility with structural biology data.
- AstraZeneca adds mid-stage evidence for IL-33 antibody in uncontrolled asthma.
- NS Pharma gains expedited path for rare autoimmune vasculitis therapy.
- Altesa links point-of-care diagnostics with antiviral COPD trial design.
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FAQ
What is mosliciguat and why is Pulmovant advancing it?
Mosliciguat is an inhaled sGC activator for pulmonary hypertension associated with interstitial lung disease. Pulmovant, a Roivant company, is studying it in the global Phase 2 PHocus trial [1].
What does the Aptar–Dianosic alliance involve?
Aptar is investing in Dianosic and co-developing the ARIS intranasal scaffold for chronic allergic rhinitis and chronic rhinosinusitis, with future nose-to-brain applications [2].
How is the NHS targeting asthma mortality?
Through a regional campaign emphasizing action plans, inhaler technique, and routine reviews. The effort is concentrated in the East of England during peak admissions [3].
What did Armata reveal about AP-PA02?
It published the cryo-EM structure of phage Pa223, part of its multi-phage candidate AP-PA02, which has already been tested in two Phase 2 trials [4].
What is tozorakimab being tested for?
AstraZeneca is running the Phase 2b UMBRIEL study in adults with poorly controlled asthma, assessing exacerbation outcomes and safety [5].
What is NS-229’s regulatory status?
The FDA granted Fast Track designation to NS-229, a JAK1 inhibitor, for eosinophilic granulomatosis with polyangiitis. It also has orphan designation since April 2025 [6].
How will Altesa use SPOTFIRE in its COPD trial?
Altesa’s Phase 2b trial will use bioMérieux’s SPOTFIRE point-of-care test to quickly confirm rhinovirus infections before randomizing patients to vapendavir or placebo [7].
Entities / Keywords
Pulmovant (Roivant); mosliciguat; PH-ILD; Aptar Pharma; Dianosic; ARIS scaffold; NHS England; childhood asthma; Armata Pharmaceuticals; AP-PA02; phage Pa223; AstraZeneca; tozorakimab; UMBRIEL trial; NS Pharma; Nippon Shinyaku; NS-229; EGPA; Altesa BioSciences; vapendavir; bioMérieux; BIOFIRE SPOTFIRE; COPD.
References
Pulmovant press release — 04 Sep 2025: https://www.pulmovant.com/press-release-september-4-2025
Aptar Pharma & Dianosic — 05 Sep 2025: https://aptar.com/news-events/aptar-pharma-and-dianosic-announce-exclusive-partnership-to-advance-the-active-resorbable-intranasal-scaffold-platform-for-the-treatment-of-chronic-allergic-rhinitis-and-chronic-rhinosinusitis/
NHS regional campaign — 07 Sep 2025: https://www.echo-news.co.uk/news/25438635.nhs-launches-campaign-reduce-childhood-asthma-deaths/
Armata Pharmaceuticals — 08 Sep 2025: https://investor.armatapharma.com/2025-09-08-Armata-Pharmaceuticals-Announces-Structural-Biology-Publication-in-the-Journal-of-Molecular-Biology
VBData — 09 Sep 2025: https://www.vbdata.cn/intelDetail/788580
NS Pharma — 09 Sep 2025: https://www.nspharma.com/fda-grants-fast-track-designation-to-ns-229-for-the-treatment-of-eosinophilic-granulomatosis-with-polyangiitis/
Altesa & bioMérieux — 09 Sep 2025: https://www.prnewswire.com/news-releases/altesa-biosciences-and-biomerieux-announce-collaboration-for-altesas-upcoming-phase-2b-copd-clinical-trial-302549995.html
