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BGF MDI HFO is a fixed-dose triple-combination therapy developed by AstraZeneca for the treatment of chronic obstructive pulmonary disease (COPD). It consists of budesonide (an inhaled corticosteroid), glycopyrronium bromide (a long-acting muscarinic antagonist), and formoterol fumarate (a long-acting beta-2 agonist). This formulation is delivered via a pressurized metered-dose inhaler (pMDI) using the next-generation hydrofluoroolefin (HFO) propellant, HFO-1234ze(E), which has a 99.9% lower global warming potential compared to traditional hydrofluoroalkane (HFA) propellants. The therapy provides a comprehensive approach to COPD management by combining anti-inflammatory effects with dual bronchodilation. It is currently being evaluated in Phase I bioequivalence studies to support the transition of AstraZeneca's respiratory portfolio to more environmentally sustainable propellants.
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