Cross-over Clinical Pharmacology Study, to Evaluate the Total Systemic Exposure and Lung Bioavailability of CHF 5993 pMDI Combination Across Two Different Dose Strengths, Administered With and Without Activated Charcoal, in Healthy Volunteers
Overview
- Phase
- Phase 1
- Intervention
- CHF 5993 HS 200/6/25 pMDI
- Conditions
- Asthma
- Sponsor
- Chiesi Farmaceutici S.p.A.
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Systemic exposure of B17MP, Formoterol and Glycopyrronium bromide, without charcoal block (To evaluate the total systemic exposure as AUCt and Cmax) Composite outcome measures of PK variables
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The study is performed to evaluate the total systemic exposure and lung bioavailability of CHF 5993 pMDI combination, in healthy volunteers subjects.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subject's written informed consent obtained prior to any study related procedure.
- •Able to understand the study procedures, the risks involved and ability to be trained to use the devices correctly.
- •Male and female subjects aged 18 to 55 years inclusive.
- •Body mass index (BMI) within the range of 18 to 30 kg/m2 inclusive.
- •Non- or ex-smokers who smoked \< 5 pack years (pack-years = the number of cigarette packs per day, times the number of years) and stopped smoking \> 1 year prior to screening.
- •Good physical and mental status, determined on the basis of the medical history and a general clinical examination, at screening and before randomization.
- •Lung function measurements within normal limits (Normal values (according to GINA 2014 document): FEV1/FVC \> 0.70 and FEV1 \> 80% predicted).
- •Male subjects: they and/or their partner must be willing to use an approved method of contraception from the time of screening and until 30 days after the last dose of study. Subjects must not donate sperm for 30 days after the last dose of study drug.\*
- •Female subjects: post-menopausal women having at least 12 months of natural (spontaneous) amenorrhea, or women of childbearing potential (defined as all women physiologically capable of becoming pregnant), using an acceptable method of contraception
- •Surgical sterilization (i.e. bilateral tubal ligation, hysterectomy for females; vasectomy for males)
Exclusion Criteria
- •Blood donation (equal or more than 450 ml) or blood loss, less than 8 weeks before inhalation of the study medication.
- •Female subjects: pregnant or lactating women (where pregnancy is defined as the state of a female after conception and until the termination of the gestation) confirmed by a positive urine test at screening and randomization.
- •Positive HIV1 or HIV2 serology.
- •Positive results from the Hepatitis serology which indicates acute or chronic Hepatitis B or Hepatitis C.
- •Unsuitable veins for repeated venipuncture.
- •History of alcohol abuse within 12 months prior to screening.
- •History of drug abuse within 12 months prior to screening (or positive urine drug test performed at screening).
- •Subjects who have a positive urine test for cotinine.
- •Clinically relevant abnormal laboratory values suggesting an unknown disease and requiring further clinical investigation. Note: In case of abnormal laboratory values, the test can be performed again once before randomization.
- •Clinically relevant and uncontrolled hepatic, gastrointestinal, endocrine, metabolic, neurologic, or psychiatric disorder that may interfere with successful completion of this protocol.
Arms & Interventions
CHF 5993 HS 200/6/25 pMDI
High Strength fixed combination
Intervention: CHF 5993 HS 200/6/25 pMDI
CHF 5993 MS 100/6/25 pMDI
Medium Strength fixed combination
Intervention: CHF 5993 MS 100/6/25 pMDI
CHF 5993 HS 200/6/25 pMDI + Charcoal Block
High Strength fixed combination plus Charcoal Block
Intervention: CHF 5993 HS 200/6/25 pMDI + Charcoal Block
CHF 5993 MS 100/6/25 pMDI + Charcoal Block
Medium Strength fixed combination plus Charcoal Block
Intervention: CHF 5993 MS 100/6/25 pMDI + Charcoal Block
Placebo pMDI
Placebo
Intervention: Placebo pMDI
Outcomes
Primary Outcomes
Systemic exposure of B17MP, Formoterol and Glycopyrronium bromide, without charcoal block (To evaluate the total systemic exposure as AUCt and Cmax) Composite outcome measures of PK variables
Time Frame: over 32hours after administration
Composite outcome measures of PK variables
Lung exposure of B17MP, Formoterol and Glycopyrronium bromide without charcoal block (To evaluate the lung exposure (as AUCt and Cmax) Composite outcome measures of PK variables
Time Frame: over 32hours after administration
Composite outcome measures of PK variables
Secondary Outcomes
- Systemic effects of CHF5993 (To evaluate the systemic effects as potassium and glucose levels) Composite outcome measures of PD variables(over 24hours after administration)
- Systemic cardiac effects and the general safety (Composite outcome measures of cardiac variables (such as HR, BP, QT) and safety variables (such as AE, SAE)(over 24hours after administration)