Lung Deposition of the BDP/Formoterol Combination Administered Via the NEXT DPI in Healthy, Asthmatic and COPD Patients

NCT ID: NCT01176747

Last Updated: 2021-10-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-08-31

Study Completion Date

2010-10-31

Brief Summary

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The purpose of this study is to investigate the lung deposition and distribution pattern of Beclometasone and Formoterol using a gamma-scintigraphic technique after inhalation of a single dose of 99mTc-radiolabelled BDP/formoterol fixed combination administered Via the NEXT DPI in healthy volunteers, asthmatic and COPD patients. Additionally, the systemic exposures to formoterol, BDP and its monopropionate metabolite (B17MP) will be investigated.

Detailed Description

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Conditions

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Pulmonary Disease, Chronic Obstructive Asthma

Study Design

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Allocation Method

NA

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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BDP/formoterol NEXT DPI

Radiolabelled BDP/formoterol 100/6 µg dry powder administered via the NEXT inhaler

Group Type EXPERIMENTAL

BDP/formoterol NEXT DPI

Intervention Type DRUG

Single inhalation of radiolabelled BDP/formoterol 100/6 µg NEXT DPI (4 puffs giving a total dose of 400 µg BDP + 24 µg formoterol)

Interventions

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BDP/formoterol NEXT DPI

Single inhalation of radiolabelled BDP/formoterol 100/6 µg NEXT DPI (4 puffs giving a total dose of 400 µg BDP + 24 µg formoterol)

Intervention Type DRUG

Other Intervention Names

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CHF 1535 NEXT DPI

Eligibility Criteria

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Inclusion Criteria

Healthy volunteers:

* Males and females aged 18-65 years;
* Body Mass Index (BMI) between 18.0 and 28.0 kg/m2;
* Non- or ex-smokers who smoked \< 5 pack years and stopped smoking \> 1 year;
* Normal blood pressure and heart rate;
* Normal electrocardiogram (ECG,12 lead);
* Normal laboratory tests;

Patients with Asthma:

* Males and females aged 21-65 years;
* BMI between 18.0 and 28.0 kg/m2;
* Non- or ex-smokers who smoked \< 5 pack years and stopped smoking \> 1 year;
* Normal blood pressure and heart rate;
* Normal ECG (12 lead);
* FEV1 ≥ 30% and \< 80% of predicted according to European Coal and Steel Community values (ECSC)
* Reversibility of FEV1 ≥ 12% and at least 200 ml of the initial value 15 minutes after inhalation of 200 µg Salbutamol;

Patients with COPD:

* Males and females aged 40 - 70 years
* BMI between 18.0 and 30.0 kg/m2;
* Normal blood pressure and heart rate;
* Normal ECG (12 lead);
* Stable COPD within the past 4 weeks;
* Post bronchodilator FEV1 between 30% and 50% predicted values (ECSC);
* Post bronchodilator FEV1/FVC \< 0.70 (absolute value);
* Minimum smoking history of 10 pack-years;

Exclusion Criteria

All subjects:

* Blood donation or blood loss in the previous 8 weeks;
* Positive HIV1 or HIV2 serology;
* Positive acute or chronic Hepatitis B or Hepatitis C;
* Unsuitable veins for repeated venipuncture;
* Female patients: pregnant, positive pregnancy test, lactating mother or lack of efficient contraception.
* History of substance abuse or positive urine drug screen;
* Abnormal laboratory values suggesting an unknown disease and requiring further clinical investigation;
* Uncontrolled cardiac, hepatic, renal, gastrointestinal, endocrine, metabolic, neurologic, or psychiatric clinically significant disorder;
* Participation in another clinical trial in the previous 8 weeks; participation in study using radioactive material within 1 calendar year;
* Known sensitivity to Formoterol or Beclometasone or any of the excipients;
* Concomitant severe diseases or diseases which are contra indications for the use of inhaled Beta-2-agonist or steroids;
* Use of any prescription drug for which concomitant beta-agonist or steroid administration are contraindicated;
* Recent relevant infectious disease (less than two months);
* Flu vaccination or other vaccination within 4 weeks prior to the screening visit;


* Lung function measurements outside normal limits (normal values: FEV1/FVC \> 0.70 and FEV1 and FVC \> 80% for the ECSC predicted values);


* Use of systemic steroids 4 weeks prior to inclusion (injectable depot steroids 6 weeks) or more than 3 periods during the last 6 months;
* Life-threatening/unstable respiratory status within the previous 30 days;
* Requirement of supplemental oxygen therapy;
* Change in dose or type of any medications for asthma within 4 weeks prior to the screening visit;
* Asthma exacerbation within the 4 weeks prior to inclusion.


* Use of systemic steroids 4 weeks prior to inclusion (injectable depot steroids 6 weeks) or more than 3 periods during the last 6 months;
* Life-threatening/unstable respiratory status within the previous 30 days;
* Requirement of supplemental oxygen therapy;
* Change in dose or type of any medications for COPD within 4 weeks prior to the screening visit;
* COPD exacerbation within the 4 weeks prior to inclusion;
* History of asthma or any chronic respiratory diseases other than COPD.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Chiesi Farmaceutici S.p.A.

INDUSTRY

Sponsor Role lead

Responsible Party

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Chiesi Farmaceutici S.p.A.

Principal Investigators

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Thomas Meyer, MD

Role: PRINCIPAL_INVESTIGATOR

Inamed Research GmbH & Co. KG

Locations

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Inamed Research GmbH & Co. KG

Gauting, , Germany

Site Status

Countries

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Germany

References

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Virchow JC, Poli G, Herpich C, Kietzig C, Ehlich H, Braeutigam D, Sommerer K, Haussermann S, Mariotti F. Lung Deposition of the Dry Powder Fixed Combination Beclometasone Dipropionate Plus Formoterol Fumarate Using NEXThaler(R) Device in Healthy Subjects, Asthmatic Patients, and COPD Patients. J Aerosol Med Pulm Drug Deliv. 2018 Oct;31(5):269-280. doi: 10.1089/jamp.2016.1359. Epub 2018 Jul 10.

Reference Type RESULT
PMID: 29989511 (View on PubMed)

Related Links

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https://www.clinicaltrialsregister.eu/ctr-search/search?query=2009-010267-17

Study Record on EU Clinical Trials Register including results

https://www.chiesi.com/clinic/CSR_Synopsis_CCD-0815-PR-0011.pdf

CSR Synopsis available in the CHIESI Clinical Study Register

Other Identifiers

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2009-010267-17

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

CCD-0815-PR-0011

Identifier Type: -

Identifier Source: org_study_id