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Lung Bioavailability and Total Systemic Exposure to Beclomethasone17MonoPropionate and Formoterol Across Two Strengths of NEXThaler Inhalation Powder

Phase 2
Completed
Conditions
Asthmatic
Interventions
Drug: NEXThaler 200/6 mcg DPI
Drug: NEXThaler placebo
Drug: NEXThaler 100/6 mcg DPI
Registration Number
NCT01738087
Lead Sponsor
Chiesi Farmaceutici S.p.A.
Brief Summary

The study is aimed to assess the dose proportional total systemic exposure (when the administration is without the activated charcoal) to B17MP (active metabolite of BDP) and its lung bioavailability (when the administration is with the activated charcoal) after single inhalation of CHF 1535 NEXThaler DPI at two dose strengths.

At the same time, the study will assess if the lung deposition and the total systemic exposure to Formoterol is affected by increasing doses of BDP.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Diagnosis of asthma as defined by Global Initiative for Asthma (GINA) 2011
  • Asthmatic patients already treated with low daily doses of Inhaled Corticosteroids (ICS) (eg budesonide or equivalent lower than 400 mcg/day) or low dose of ICS/Long Acting Beta2 Agonists (LABA) fixed combinations.
  • Patients with Forced Expiratory Volume in 1 sec (FEV1) >= 70 % of predicted values
  • Non or ex-smokers
  • Body Mass Index (BMI) >= 18.5 and <= 32 kg/m2
Exclusion Criteria
  • Pregnant or lactating women unless using acceptable methods of contraception
  • Diagnosis of Chronic Obstructive Pulmonary Disease (COPD)
  • History of near fatal asthma
  • Patients with abnormal QTcF at screening Visit
  • Hospitalization due to asthma exacerbation within 4 weeks prior to the screening visit or during the run-in period.
  • Lower respiratory tract infection within 4 weeks prior to the screening visit or during the run-in period.
  • History of drug addiction or excessive use of alcohol ;
  • Diagnosis of restrictive lung disease.
  • Patients treated with oral or parenteral corticosteroids in the previous 2 months before the screening visit (3 months for parenteral depot corticosteroids)
  • Significant medical history or any laboratory abnormality indicative of a significant underlying condition

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Flixotide Accuhaler 500 mcgFlixotide Accuhaler 500 mcgSingle dose (2 inhalations) of fluticasone propionate
NEXThaler 200/6 mcg DPINEXThaler 200/6 mcg DPISingle dose (4 inhalations)of NEXThaler 200/6 mcg DPI: total dose: 800/24 mcg
NEXThaler placeboNEXThaler placeboSingle dose (4 inhalations)
NEXThaler 100/6 mcg plus CBNEXThaler 100/6 mcg DPISingle dose (4 inhalations) NEXThaler 100/6 mcg administered with activated charcoal (Charcoal Block): total dose 400/24 mcg
NEXThaler 100/6 mcg DPINEXThaler 100/6 mcg DPISingle dose (4 inhalations)of NEXThaler 100/6 mcg DPI: total dose 400/24 mcg
NEXThaler 200/6 mcg plus CBNEXThaler 200/6 mcg DPISingle dose (4 inhalations) NEXThaler 200/6 mcg administered with activated charcoal (Charcoal Block): total dose 800/24 mcg
Primary Outcome Measures
NameTimeMethod
Formoterol AUC0-t and B17MP AUC0-tfrom predose until 12 hr post dose
Secondary Outcome Measures
NameTimeMethod
Other PK parameter of B17MP and formoterolfrom predose until 12 hours postdose

the following pharmacokinetic parameters will be evaluated: AUC0-12, AUCinf, Cmax, tmax, t1/2

BDP pharmacokinetic (PK) parametersfrom predose until 12 hr post dose

The following parameters will be evaluated: AUC0-t, AUC0-12h, AUC0-inf, Cmax, tmax, t1/2

Trial Locations

Locations (1)

The Medicine Evaluation Unit

🇬🇧

Manchester, United Kingdom

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