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Safety, Tolerability and Pharmacokinetics of Multiple Rising Doses of Butylated Hydroxytoluene and BI 54903 XX Via Respimat® Soft MistTM Inhaler B in Healthy Male Volunteers

Phase 1
Completed
Conditions
Healthy
Interventions
Drug: BI 54903 XX high
Drug: BI 54903 XX medium 2
Drug: BI 54903 XX low
Drug: BI 54903 XX medium 1
Registration Number
NCT02221375
Lead Sponsor
Boehringer Ingelheim
Brief Summary

The objective of the study was to investigate safety, tolerability and pharmacokinetics of butylated hydroxytoluene (BHT) (sub-study 1) administered via Respimat® Soft MistTM Inhaler B (SMI B); to assess safety, tolerability and pharmacokinetics of multiple rising doses of BI 54903 XX administered via Respimat® SMI B (main study), and to compare systemic exposure of single dose BI 54903 XX administered via Respimat® SMI B (sub-study 2) with single dose Alvesco® (ciclesonide) administered via HFA-134a propellant metered dose inhaler (MDI).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
56
Inclusion Criteria
  • Healthy males based upon a complete medical history, including the physical examination, vital signs (blood pressure (BP), pulse rate (PR)), 12-lead Electrocardiogram (ECG) and clinical laboratory tests
  • Age >= 21 and <= 50 years
  • BMI >= 18.5 and <= 29.9 kg/m2
  • Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice (GCP) and the local legislation
Exclusion Criteria
  • Any finding of the medical examination (including BP, PR and ECG) deviating from normal and of clinical relevance
  • Any evidence of a clinically relevant concomitant disease
  • Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
  • Surgery of the gastrointestinal tract (except appendectomy)
  • Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
  • History of relevant orthostatic hypotension, fainting spells or blackouts
  • Chronic or relevant acute infections
  • History of relevant allergy/hypersensitivity (including allergy to drug or its excipients)
  • Intake of drugs with a long half-life (>24 h) within at least one month or less than 10 half-lives of the respective drug prior to administration or during the trial
  • Use of drugs that could reasonably influence the results of the trial within 10 days prior to administration or during the trial (based on the knowledge at the time of protocol preparation)
  • Participation in another trial with an investigational drug within 2 months prior to administration or during the trial
  • Smoker (>10 cigarettes or >3 cigars or >3 pipes per day)
  • Inability to refrain from smoking on trial days
  • Alcohol abuse (more than 60 g per day)
  • Drug abuse
  • Blood donation (>100 mL within 4 weeks prior to administration or during the trial)
  • Excessive physical activities (within 1 week prior to administration or during the trial)
  • Any laboratory value outside the reference range that is of clinical relevance
  • Inability to comply with dietary regimen of the trial site
  • Bacterial and viral infections of the lung, including active or latent tuberculosis

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
BHT highBHT high-
BI 54903 XX highBI 54903 XX high-
BI 54903 XX medium single doseBI 54903 XX medium 2-
BI 54903 XX lowBI 54903 XX low-
BHT lowBHT low-
BHT mediumBHT medium-
CiclesonideCiclesonide-
BI 54903 XX medium 1BI 54903 XX medium 1-
BI 54903 XX medium 2BI 54903 XX medium 2-
Primary Outcome Measures
NameTimeMethod
Number of patients with clinically significant findings in ECGup to 21 days after last drug administration
Number of patients with adverse eventsup to 21 days after last drug administration
Number of patients with clinically significant findings in vitals signsup to 21 days after last drug administration
Number of patients with clinically significant findings in laboratory testsup to 21 days after last drug administration
Investigator assessed tolerability on a 4-point scaleup to 21 days after last drug administration
Change in airway resistance (Raw)baseline, after 80 hours
Secondary Outcome Measures
NameTimeMethod
Cmax (maximum measured concentration in plasma)up to 24 hours after last drug administration
tmax (time from dosing to maximum measured concentration in plasma)up to 24 hours after last drug administration
AUC0-inf (area under the concentration-time curve in plasma over the time interval from 0 extrapolated to infinity)up to 24 hours after last drug administration
AUCt1-t2 (area under the concentration-time curve in plasma over the time interval from time t1 to time t2)up to 24 hours after last drug administration
AUCτ (area under the concentration-time curve in plasma over a uniform dosing interval τ)up to 24 hours after last drug administration
AUC0-tz (area under the concentration-time curve in plasma over the time interval from 0 to the last quantifiable concentration at tz)up to 24 hours after last drug administration
%AUCtz-∞ (the percentage of the AUC 0-∞ that is obtained by extrapolation)up to 24 hours after last drug administration
λz (terminal rate constant in plasma)up to 24 hours after last drug administration
t1/2 (terminal half-life in plasma)up to 24 hours after last drug administration
CL/F (apparent clearance in plasma following inhalation administration)up to 24 hours after last drug administration
Accumulation ratio based on Cmax (RA,Cmax)up to 24 hours after last drug administration
Accumulation ratio based on AUC (RA,AUC)up to 24 hours after last drug administration
Linearity index (LI)up to 24 hours after last drug administration
MRTih (mean residence time in the body after inhalation administration)up to 24 hours after last drug administration
Metabolite-to-parent ratio for Cmax (RCmax,Met)up to 24 hours after last drug administration
Vz/F (apparent volume of distribution during the terminal phase λz following inhalation administration)up to 24 hours after last drug administration
Aet1-t2 (amount that is eliminated in urine from the time point t1 to time point t2)up to 24 hours after last drug administration
fet1-t2 (fraction that is eliminated in urine from time point t1 to time point t2)up to 24 hours after last drug administration
CLR,t1-t2 (renal clearance from the time point t1 until the time point t2)up to 24 hours after last drug administration
Metabolite-to-parent ratio for AUC (AUCt1-t2,Met)up to 24 hours after last drug administration
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