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A Study Comparing the Pharmacokinetic, Pharmacodynamic and Safety of CHF 1535 (Fixed Combination of Beclomethasone + Formoterol) Administered Via the NEXT DPI, Versus the Free Combination of Licenced Beclomethasone DPI and Formoterol DPI in Asthmatic Adolescent and Adult Patients.

Phase 2
Completed
Conditions
Asthma
Interventions
Drug: CHF1535 NEXT DPI
Drug: BDP DPI and formoterol DPI
Registration Number
NCT01191424
Lead Sponsor
Chiesi Farmaceutici S.p.A.
Brief Summary

The purpose of this study is to demonstrate that the CHF 1535 (fixed combination of Beclometasone Dipropionate (BDP) 100 µg / Formoterol Fumarate (FF) 6 µg) delivered via the NEXT Dry Powder Inhaler (DPI) does not show a greater exposure to BDP, Beclometasone-17-Monopropionate(B17MP, active metabolite of BDP) and FF in comparison to a free combination of BDP DPI plus FF DPI licensed products after a morning dose administration of BDP and FF (total dose of BDP 400 µg / FF 24 µg) in adolescent and adult asthmatic patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
57
Inclusion Criteria
  1. Male and female adolescents (≥ 12 years old) and adults (≥18 and ≤ 65 years old)
  2. Written informed consent;
  3. Diagnosis of asthma as defined in the GINA guidelines;
  4. Patients with stable asthma, according to the Investigator's opinion;
  5. Asthmatic patients already treated with ICS or using short-acting inhaled β2-agonists as reliever to control asthma symptoms;
  6. Patients with a forced expiratory volume in one second (FEV1) > 70% of predicted values;
  7. Patients with a peak inspiratory flow (PIF) > 40 L/min
  8. Reversibility test;
  9. Non- or ex-smokers;
  10. A cooperative attitude and ability to be trained about the proper use of DPI and compliant to study procedures;

Main

Exclusion Criteria
  1. Pregnant or lactating female;
  2. Having received an investigational drug within 2 months before the screening visit
  3. Diagnosis of COPD as defined by the current GOLD guidelines;
  4. Significant medical history of and/or treatments for cardiac, renal, neurological, hepatic, endocrine diseases, or any laboratory abnormality;
  5. Known hypersensitivity to the active treatments;
  6. History of drug addiction or excessive use of alcohol;
  7. Treatment with a xanthine derivative (e.g. theophylline) formulation in the 4 weeks prior to screening;
  8. Hospitalization due to asthma exacerbation or asthma exacerbation within 1 month prior to the screening visit;
  9. Inability to perform the required breathing technique and blood sampling;
  10. Lower respiratory tract infection within 1 month prior to the screening visit;
  11. Blood donation (450 mL or more) or significant blood loss in the 12 weeks before the screening visit.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
CHF1535 NEXT DPICHF1535 NEXT DPIMale and female adolescents and adult patients (≥ 12 years old) treated with CHF1535 NEXT DPI
Free combination BDP and FFBDP DPI and formoterol DPIMale and female adolescents and adult patients (≥ 12 years old) treated with a free combination of licenced BDP and FF
Primary Outcome Measures
NameTimeMethod
Systemic exposure to B17MP (active metabolite of BDP) after single dose (4 inhalations) of CHF1535 100/6 NEXT DPI in comparison with an already approved free combination of BDP DPI and FF DPI0-8hrs

Plasma AUC0-t for B17MP

Secondary Outcome Measures
NameTimeMethod
Different pharmacokinetic parameters0-8hrs

BDP/B17MP and FF PK parameters

Adverse Eventsduring the whole study period
Lung function parameters0-8hrs

Peak FEV1, FEV1 time averaged value (FEV1 AUC0-t/8).

Plasma potassium0-8hrs

Plasma Potassium Cmin, tmin and AUC0-t

Plasma glucose0-8hrs

Plasma Glucose Cmax, tmax, AUC0-2h and AUC0-t

Heart rate0-8hrs

time averaged value (AUC0-t/8)

Trial Locations

Locations (2)

Copenhagen University Hospital

🇩🇰

Copenhagen, Denmark

Medicines Evaluation Unit

🇬🇧

Manchester, United Kingdom

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