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Indacaterol acetate + glycopyrronium bromide + mometasone furoate is a fixed-dose triple combination inhaled therapy indicated as a maintenance treatment for asthma in adults not adequately controlled with a long acting beta2 agonist (LABA) and an inhaled corticosteroid (ICS), who have experienced one or more asthma exacerbations in the previous year. Indacaterol is a long-acting beta2 adrenergic receptor agonist that relaxes airway smooth muscle by activating beta2 receptors, leading to bronchodilation. Glycopyrronium bromide is a long acting muscarinic receptor antagonist (LAMA) that blocks muscarinic receptors in airway smooth muscle, also resulting in bronchodilation. Mometasone furoate is an inhaled corticosteroid with potent anti-inflammatory effects mediated through glucocorticoid receptor activation, reducing immune activity and inflammation within the airways. The combination provides rapid onset of action and sustained improvement in lung function over 24 hours[1][4][6].
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