Adherium Data Reveals Only 8.3% of Asthma Patients Use Inhalers Correctly

By Josua Ferreira -

Hailie® RPM data reveals only 8.3% of asthma patients use inhalers correctly

Objective data collected from 265 patients through Adherium’s (ASX: ADR) Hailie® Smartinhaler® platform has found that just 8.3% of asthma patients demonstrate optimal inhaler technique. The findings, drawn from the first dataset generated and presented from Adherium’s commercial Remote Patient Monitoring (RPM) program, were presented at the Eastern Allergy Conference (EAC) in Palm Beach, Florida on 30 May 2026. The results validate the platform’s capacity to generate clinical-grade insight at scale while exposing a substantial unmet need in asthma management.

What the data shows — and why it matters

Breaking down the 265-patient cohort

The dataset captures baseline inhaler technique across a broad patient population, with findings that are particularly concerning for users of pressurised metered dose inhalers (pMDIs).

Key cohort characteristics:

  • Total patients: 265 (67% female, mean age 41 years, range 2–85 years)
  • pMDI preventer inhaler users: 166 patients (62.6% of cohort)
  • Ellipta device users: 99 patients (37.4% of cohort)
  • Overall optimal technique: only 22 patients (8.3%)
  • Optimal technique among pMDI users: 5 patients (3.0%)
  • Optimal technique among Ellipta users: 17 patients (17.2%)
  • Paediatric patients aged ≤17 years: 76 patients (28.7%); zero demonstrated optimal technique at baseline

The paediatric finding is particularly significant, as pMDIs are commonly the only licensed inhaler option for younger children where dry powder inhalers are not approved for use.

Device-by-device technique breakdown

Device Type Patients (n) Optimal Technique Rate Sub-Optimal Patients
pMDI 166 3.0% 161
Ellipta (DPI) 99 17.2% 82

The pMDI finding carries particular weight given that pMDIs account for 47.5% of all inhaler prescriptions in Australia, according to a published analysis of Pharmaceutical Benefits Scheme (PBS) inhaler reimbursements. With only 3.0% of pMDI users demonstrating correct technique in this dataset, the scale of the unmet need across the broader population is considerable.

Understanding RPM and why objective inhaler data changes asthma care

Remote Patient Monitoring, in this context, refers to clinicians remotely accessing real-world medication use data generated by connected devices, enabling oversight of patient behaviour outside the clinic setting.

The Hailie® Smartinhaler® sensor is a jacket-style device that attaches to most inhalers and captures objective measurements of key technique parameters: peak inspiratory flow rate (PIFR), inhalation duration, inhalation volume, shake duration, and device orientation where applicable. PIFR refers to the speed at which a patient draws air into the lungs; inhalation duration measures how long the breath lasts. These are clinically meaningful indicators of whether medication is being delivered effectively to the airways.

Current Global INitiative for Asthma (GINA) guidelines recommend regular inhaler technique checks, but these assessments are typically subjective and conducted in a clinic environment. They may not accurately reflect how a patient uses their inhaler at home on a daily basis. Hailie® data addresses this gap directly by capturing real-world usage at the moment of inhalation.

For investors, the commercial implication is straightforward: a growing RPM patient cohort generates more data, deepens clinical utility, and supports broader integration into healthcare workflows, all of which underpin Adherium’s commercial momentum.

CEO Commentary

“These findings demonstrate the growing power of our Remote Patient Monitoring program, which is now generating objective, high-quality data at scale. are delighted to have our own data presented at a conference for the first time. This first dataset shows how commercially deployed Hailie® SmartInhaler® technology can surface inhaler-technique issues – such as peak inspiratory flow rate and inhalation duration – that may be missed during routine care. By identifying these patterns, clinicians may be able to provide more targeted coaching to improve asthma management and patient outcomes. We are delighted to have Adherium’s own RPM-derived data presented at a conference for the first time. This adds to the growing body of data demonstrating the clinical value of the Hailie® platform.”

— Dawn Bitz, Chief Executive Officer, Adherium

From commercial footprint to clinical insight — what’s next for Adherium

Expert validation adds weight to the platform thesis

The EAC presentation drew substantive commentary from a leading allergy and immunology authority, providing external clinical validation of the findings.

Expert Commentary

“Emerging evidence suggests that smart inhaler technology could truly revolutionise the management of diseases like asthma and COPD. The findings suggest that objective sensor technology may help healthcare professionals better identify patients who need support with the fundamental components of inhaler technique, including inspiratory flow and inhalation timing.”

— Dr Allen Meadows, Executive Director of Advocacy and Government Affairs, Past President, American College of Allergy, Asthma & Immunology

Investment significance

The EAC dataset carries several implications for investors assessing the Adherium platform thesis:

  1. The first conference presentation of RPM-derived data confirms the program is producing publishable, peer-reviewed-calibre insight, not simply device usage logs.
  2. A growing patient cohort is the engine of this capability: more enrolled patients translate directly into richer data and a stronger clinical evidence base over time.
  3. The 91.7% sub-optimal technique finding clearly frames the commercial opportunity, with targeted inhaler coaching using Hailie® data representing an evidence-backed use case for both payers and clinicians.
  4. The pMDI market context (47.5% of Australian inhaler prescriptions) underscores the scale of the addressable problem the platform is positioned to address.

This dataset adds to a growing body of clinical evidence supporting the Hailie® platform, reinforcing the connection between Adherium’s commercial RPM footprint and its capacity to generate meaningful, clinically actionable insight.

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Frequently Asked Questions

What is Adherium's Hailie Remote Patient Monitoring program?

Adherium's Hailie Remote Patient Monitoring (RPM) program uses a sensor device attached to standard inhalers to capture objective, real-world data on patient inhaler technique — including peak inspiratory flow rate and inhalation duration — allowing clinicians to monitor and coach patients outside the clinic setting.

What did the Hailie RPM asthma data find about inhaler technique?

Data from 265 patients showed that only 8.3% demonstrated optimal inhaler technique overall, with pMDI users performing even worse at just 3.0% correct technique, and zero out of 76 paediatric patients achieving optimal technique at baseline.

Why is poor inhaler technique a significant problem for asthma patients?

Poor inhaler technique means medication is not being delivered effectively to the airways, which can result in uncontrolled asthma symptoms and preventable hospitalisations — and current clinic-based technique assessments are subjective and may not reflect how patients actually use their inhalers at home.

Where was the Adherium Hailie RPM asthma data first presented?

The findings were presented at the Eastern Allergy Conference (EAC) in Palm Beach, Florida on 30 May 2026, marking the first time Adherium has presented RPM-derived data at a medical conference.

What is a pMDI and why does the low optimal technique rate among pMDI users matter?

A pressurised metered dose inhaler (pMDI) is a common type of asthma inhaler that accounts for 47.5% of all inhaler prescriptions in Australia, and with only 3.0% of pMDI users in the study demonstrating correct technique, the scale of the unmet clinical need across the broader population is considerable.

Josua Ferreira
By Josua Ferreira
Partnership Director
Josua Ferreira holds a Bachelor of Commerce in Marketing and Advertising and brings a background in publication, business development, and ASX market storytelling. He has worked with listed companies across the resource sector and broader market, combining sharp commercial instincts with a genuine commitment to keeping investors informed.
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