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BFF MDI (PT009)

Pearl Therapeutics, Inc. · Phase 3 active Small molecule ✓ Verified May 2026

BFF MDI (PT009) is a Triple combination inhaled corticosteroid/long-acting beta-2 agonist/long-acting muscarinic antagonist Small molecule drug developed by Pearl Therapeutics, Inc.. It is currently in Phase 3 development for Chronic obstructive pulmonary disease (COPD) maintenance therapy. Also known as: BFF.

BFF MDI is a combination inhaled therapy containing budesonide, formoterol, and glycopyrronium that reduces airway inflammation and improves bronchodilation in chronic obstructive pulmonary disease.

BFF MDI (PT009) is a small molecule medication used to treat Chronic Obstructive Pulmonary Disease (COPD). It is administered via a metered-dose inhaler (MDI) in various formulations, including BGF MDI 320/14.4/9.6 μg, GFF MDI 14.4/9.6 μg, and BGF MDI 160/14.4/9.6 μg.

Likelihood of approval
58.3% vs 58.3% industry baseline
If approved by FDA: likely 2028–2030
Steps remaining: NDA/BLA submission
Confidence: High
Why this estimate
  • Baseline phase 3 → approval rate +58.3pp
    Industry-wide phase 3 drugs reach approval ~58.3% of the time (BIO/Informa 2023 industry benchmark across all therapeutic areas).
Predicted approval windows by jurisdiction (conditional on FDA approval)
Regulator Country Likely year Lag vs FDA
FDA US 2028–2030
EMA EU 2029–2031 +0.7 yr
MHRA GB 2029–2031 +0.7 yr
Health Canada CA 2029–2032 +0.9 yr
TGA AU 2029–2032 +1.2 yr
PMDA JP 2029–2032 +1.5 yr
NMPA CN 2030–2033 +2.3 yr
MFDS KR 2029–2032 +1.4 yr
CDSCO IN 2029–2033 +1.8 yr
ANVISA BR 2030–2033 +2.3 yr

Hover any row for the lag rationale. Lag estimates are reduced when the drug has FDA Breakthrough or EMA PRIME designation (sponsors file globally in parallel).

Estimate based on the BIO/Informa industry phase transition rates plus per-drug modifiers for therapeutic area, sponsor type, FDA designations, mechanism, and trial design. Per-jurisdiction lags from Tufts CSDD international approval studies. Not investment, clinical or regulatory advice. Methodology: /methodology#likelihood.

At a glance

Generic nameBFF MDI (PT009)
Also known asBFF
SponsorPearl Therapeutics, Inc.
Drug classTriple combination inhaled corticosteroid/long-acting beta-2 agonist/long-acting muscarinic antagonist
TargetGlucocorticoid receptor, beta-2 adrenergic receptor, muscarinic M3 receptor
ModalitySmall molecule
Therapeutic areaRespiratory/Pulmonology
PhasePhase 3

Mechanism of action

PT009 combines an inhaled corticosteroid (budesonide) to reduce inflammation, a long-acting beta-2 agonist (formoterol) for bronchodilation, and a long-acting muscarinic antagonist (glycopyrronium) for additional airway relaxation. This triple-therapy approach addresses multiple pathways in COPD pathophysiology through a single maintenance inhaler device.

Approved indications

Common side effects

Key clinical trials

Primary sources

Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.

SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

Competitive intelligence

For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:

Frequently asked questions about BFF MDI (PT009)

What is BFF MDI (PT009)?

BFF MDI (PT009) is a Triple combination inhaled corticosteroid/long-acting beta-2 agonist/long-acting muscarinic antagonist drug developed by Pearl Therapeutics, Inc., indicated for Chronic obstructive pulmonary disease (COPD) maintenance therapy.

How does BFF MDI (PT009) work?

BFF MDI is a combination inhaled therapy containing budesonide, formoterol, and glycopyrronium that reduces airway inflammation and improves bronchodilation in chronic obstructive pulmonary disease.

What is BFF MDI (PT009) used for?

BFF MDI (PT009) is indicated for Chronic obstructive pulmonary disease (COPD) maintenance therapy.

Who makes BFF MDI (PT009)?

BFF MDI (PT009) is developed by Pearl Therapeutics, Inc. (see full Pearl Therapeutics, Inc. pipeline at /company/pearl-therapeutics-inc).

Is BFF MDI (PT009) also known as anything else?

BFF MDI (PT009) is also known as BFF.

What drug class is BFF MDI (PT009) in?

BFF MDI (PT009) belongs to the Triple combination inhaled corticosteroid/long-acting beta-2 agonist/long-acting muscarinic antagonist class. See all Triple combination inhaled corticosteroid/long-acting beta-2 agonist/long-acting muscarinic antagonist drugs at /class/triple-combination-inhaled-corticosteroid-long-acting-beta-2-agonist-long-acting-muscarinic-antagonist.

What development phase is BFF MDI (PT009) in?

BFF MDI (PT009) is in Phase 3.

What are the side effects of BFF MDI (PT009)?

Common side effects of BFF MDI (PT009) include Tremor, Headache, Palpitations, Oral candidiasis, Nasopharyngitis.

What does BFF MDI (PT009) target?

BFF MDI (PT009) targets Glucocorticoid receptor, beta-2 adrenergic receptor, muscarinic M3 receptor and is a Triple combination inhaled corticosteroid/long-acting beta-2 agonist/long-acting muscarinic antagonist.

Related

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing