A Randomized, Open Label, Single-center, Single-dose, Four-period Crossover Clinical Trial to Assess the PK Profile and Safety of Budesonide Inhalation Solution AQ001S Compared to Budesonide Inhalation Suspension in Healthy Volunteers
Overview
- Phase
- Phase 1
- Intervention
- Budesonide Inhalant Product
- Conditions
- Pharmacokinetics
- Sponsor
- Aquilon Pharmaceuticals S.A.
- Enrollment
- 29
- Locations
- 1
- Primary Endpoint
- Assessment of pharmacokinetics (Tmax) of budesonide through analysis of blood samples
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
This is a randomized, open label, single-center, single-dose, four-period crossover clinical study to assess the pharmacokinetic profile and safety of a budesonide inhalation solution (AQ001S) compared to a budesonide inhalation suspension (comparator) in healthy volunteers.
Detailed Description
This is a randomized, open label, single-center, single-dose, four-period crossover clinical study to assess the pharmacokinetic profile and safety of a budesonide inhalation solution (AQ001S) compared to a budesonide inhalation suspension (comparator) in healthy volunteers. Three (3) different AQ001S concentrations (i.e. 0.125 mg/2 mL, 0.250 mg/2mL and 0.500 mg/2 mL) will be compared to budesonide inhalation suspension 1.0 mg/2 ml. Twenty (20) male and female healthy volunteers, from 18 to 60 years old, must complete the study. The study drug will be administered by nebulization. The primary PK objective is to characterize the pharmacokinetic (PK) profile of AQ001S inhalation solution. The primary safety objective is to assess the safety of AQ001S inhalation solution.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Subjects who have given written informed consent.
- •Healthy volunteers of both genders, aged ≥ 18 and ≤ 60 years.
- •Subjects with body weight \> 45 kg and Body Mass Index ≥ 18.5 and ≤ 24.9kg/m
- •Healthy volunteers are declared healthy based on medical history, physical examination, electrocardiogram, pulmonary function test (Forced Expiratory Volume in 1 second ≥ 80% of the predicted normal value and Forced Expiratory Volume in 1 second/ Forced Vital Capacity ≥ 70%).
- •Clinical laboratory values within the laboratory stated normal range; if not within this range, they must be without any clinical significance according to the Investigator.
- •Subjects who never smoked.
- •Women of childbearing potential (WOCBP) may be enrolled if they practice a method of birth control with a reliability of at least 90% and agree to continue doing so throughout the treatment period (e.g. condom, intrauterine device or hormonal contraception).
- •Any female subject with childbearing potential has a negative pregnancy test at Screening visit and prior to dosing at each treatment period.
- •Reliable subjects who are willing to be available for the duration of the clinical study and willing to comply with clinical study procedures.
- •Subjects who have the ability to understand the requirements of the clinical study.
Exclusion Criteria
- •Any clinically important abnormality identified at the screening medical assessment (physical examination/medical history) or clinically relevant laboratory abnormalities.
- •Clinically significant history or presence of pulmonary malformations, chronic bronchitis, asthma, emphysema, cystic fibrosis or any other pulmonary disease
- •History or presence of pulmonary tuberculosis.
- •Viral or bacterial upper or lower respiratory tract infection, or sinus or middle ear infection, within 4 weeks prior to the screening visit.
- •Untreated oral candidiasis.
- •History or presence of prolonged QTc interval (\> 450 ms), or any other clinically significant electrocardiogram abnormalities as judged by the Investigator based on 12-lead electrocardiogram recordings at Screening Visit.
- •History or presence of malignancy of any system organ class (other than localized basal cell carcinoma of the skin), treated or untreated, within the past 5 years prior to Screening Visit, regardless of whether there is no evidence of local recurrence or metastases.
- •Eye disorders, especially glaucoma, or a family history of glaucoma.
- •History of alcohol or drug abuse.
- •Inability to abstain from alcohol consumption for the duration of study period.
Arms & Interventions
AQ001S 0.125 mg/2mL single-dose
AQ001S 0.125 mg/2 ml (budesonide 0.125 mg/2 ml inhalation solution) single-dose administered by nebulization.
Intervention: Budesonide Inhalant Product
AQ001S 0.250 mg/2mL single-dose
AQ001S 0.250 mg/2 ml (budesonide 0.250 mg/2 ml inhalation solution) single-dose administered by nebulization.
Intervention: Budesonide Inhalant Product
AQ001S 0.500 mg/2mL single-dose
AQ001S 0.500 mg/2 ml (budesonide 0.500 mg/2 ml inhalation solution) single-dose administered by nebulization.
Intervention: Budesonide Inhalant Product
Budesonide inhalation suspension 1.0 mg/2 ml single-dose
Pulmicort Respules® 1.0 mg/2 ml is a budesonide inhalation suspension administered by nebulization.
Intervention: Budesonide Inhalant Product
Outcomes
Primary Outcomes
Assessment of pharmacokinetics (Tmax) of budesonide through analysis of blood samples
Time Frame: Day 1 (predose) and at 2', 5', 10', 15', 20', 30', 45', 60', 90', 120', 180', 240', 360', 10h, 18h and 24h postdose
Blood samples will be collected from each subject using an indwelling intravenous catheter. In total 17 blood samples for PK assessments over 24 hours will be collected.
Assessment of pharmacokinetics (AUC) of budesonide through analysis of blood samples
Time Frame: Day 1 (predose) and at 2', 5', 10', 15', 20', 30', 45', 60', 90', 120', 180', 240', 360', 10h, 18h and 24h postdose
Blood samples will be collected from each subject using an indwelling intravenous catheter. In total 17 blood samples for PK assessments over 24 hours will be collected.
Assessment of the safety through to incidence of Adverse Events of AQ001S inhalation solution
Time Frame: From baseline up to 17 days after first study drug intake
Incidence of treatment-related adverse events (AE), including acute bronchospasm
Assessment of pharmacokinetics (Cmax) of budesonide through analysis of blood samples
Time Frame: Day 1 (predose) and at 2', 5', 10', 15', 20', 30', 45', 60', 90', 120', 180', 240', 360', 10h, 18h and 24h postdose
Blood samples will be collected from each subject using an indwelling intravenous catheter. In total 17 blood samples for PK assessments over 24 hours will be collected.
Assessment of the general tolerability through to vital signs (blood pressure: systolic and diastolic blood pressure) of AQ001S inhalation solution
Time Frame: From baseline up to 17 days after first study drug intake
Vital signs assessment through blood pressure (systolic and diastolic blood pressure)
Assessment of the general tolerability through to vital signs (pulse rate) of AQ001S inhalation solution
Time Frame: From baseline up to 17 days after first study drug intake
Vital signs assessment through pulse rate
Assessment of the general tolerability through to vital signs (respiratory rate) of AQ001S inhalation solution
Time Frame: From baseline up to 17 days after first study drug intake
Vital signs assessment through respiratory rate
Assessment of the general tolerability through to ECG (Corrected QT interval (QTc)) of AQ001S inhalation solution
Time Frame: From baseline up to 17 days after first study drug intake
ECG assessment through to Corrected QT interval
Assessment of the general tolerability through to ECG (PR interval duration)
Time Frame: From baseline up to 17 days after first study drug intake
ECG assessment through to PR interval duration
Assessment of the general tolerability through to ECG (heart rhythm) of AQ001S inhalation solution
Time Frame: From baseline up to 17 days after first study drug intake
ECG assessment through to heart rhythm
Assessment of the general tolerability through to ECG (QRS interval duration) of AQ001S inhalation solution
Time Frame: From baseline up to 17 days after first study drug intake
ECG assessment through to QRS interval duration
Assessment of the general tolerability through to ECG (QT interval duration) of AQ001S inhalation solution
Time Frame: From baseline up to 17 days after first study drug intake
ECG assessment through to QT interval duration
Assessment of the general tolerability through to physical examination
Time Frame: From baseline up to 17 days after first study drug intake
General tolerability through the rate of patients with observed abnormalities in the following organic systems: general appearance, head and neck (incl. oropharyngeal examination), skin, respiratory system, cardiovascular system, abdomen, urogenital system, nervous system, ear, eyes and nose, musculoskeletal system
Assessment of the local tolerability through to increased bronchial irritability of AQ001S inhalation solution
Time Frame: From baseline up to 17 days after first study drug intake
Incidence of Increased bronchial irritability
Assessment of the local tolerability through to paradoxical bronchospasm of AQ001S inhalation solution
Time Frame: From baseline up to 17 days after first study drug intake
Incidence of paradoxical bronchospasm
Assessment of the local tolerability through to oropharyngeal examination ((e.g. vocal cord myopathy, fungal infection) of AQ001S inhalation solution
Time Frame: From baseline up to 17 days after first study drug intake
Incidence of oropharyngeal examination ((e.g. vocal cord myopathy, fungal infection)