Escalating and Cumulative-Dose Study of Pharmacokinetics (PK), Pharmacodynamics (PD) and Safety of A006

NCT ID: NCT01189396

Last Updated: 2017-07-02

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

PHASE2

Total Enrollment

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-07-31

Study Completion Date

2011-01-31

Brief Summary

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The main objective is to evaluate the bronchodilatory efficacy, safety and pharmacokinetic profiles of A006 (Albuterol Dry Powder Inhaler (DPI)), in comparison with those of an active control, Proventil-HFA (Albuterol Metered Dose Inhaler (MDI)), and a Placebo DPI in escalating and cumulative-doses up to 1440 mcg, eight (8) times of the proposed clinical dose.

Detailed Description

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Conditions

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Asthma Bronchospasm Chronic Obstructive Pulmonary Disease (COPD)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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T

Four doses of A006 taken in 30 minute intervals. Doses will have an escalating number of inhalations (1, 1, 2, and 4 inhalations). Total cumulative Albuterol dose at 90 minutes is 1440 mcg.

Group Type EXPERIMENTAL

A006

Intervention Type DRUG

Albuterol DPI with 180 mcg Albuterol/inhalation

R

Four doses of Proventil-HFA taken in 30 minute intervals. Doses will have an escalating number of inhalations (2, 2, 4, and 8 inhalations). Total cumulative Albuterol dose at 90 minutes is 1440 mcg.

Group Type ACTIVE_COMPARATOR

Proventil-HFA

Intervention Type DRUG

Albuterol MDI with 90 mcg Albuterol/inhalation

P

Four doses of Placebo DPI taken in 30 minute intervals. Doses will have an escalating number of inhalations (1, 1, 2, and 4 inhalations). Total cumulative Albuterol dose at 90 minutes is 0 mcg.

Group Type PLACEBO_COMPARATOR

Placebo DPI

Intervention Type DRUG

Placebo DPI with 0 mcg Albuterol/inhalation

Interventions

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A006

Albuterol DPI with 180 mcg Albuterol/inhalation

Intervention Type DRUG

Placebo DPI

Placebo DPI with 0 mcg Albuterol/inhalation

Intervention Type DRUG

Proventil-HFA

Albuterol MDI with 90 mcg Albuterol/inhalation

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Body weight ≥ 50 kg for men and ≥ 45 kg for women, and BMI within the range of 18.5 - 30.0 kg/m2 inclusive;
* Sitting blood pressure ≤ 135/90 mmHg;
* Demonstrating negative alcohol/drug screen tests;
* Demonstrating negative HIV, HBsAg and HCV-Ab screen tests;
* With mild-to-moderate persistent asthma for at least 6 months prior to Screening, and having used inhaled β-agonist(s) for asthma control;
* Demonstrating a Mean Screening Baseline FEV1 at 50.0 - 85.0 % of predicted normal;
* Demonstrating a ≥ 15.0% Airway Reversibility in FEV1 within 30(±5) min after inhaling 2 actuations of Proventil-HFA;
* Demonstrating Peak Inspiratory Flow Rate within 80-150 L/min;
* Demonstrating proficiency in the use of DPI and MDI after training;
* Females of child-bearing potential must be non-pregnant, non-lactating, and practicing a clinically acceptable form of birth control;
* Having properly consented to participate in the trial.

Exclusion Criteria

* Smoking history of ≥ 10 pack-years, or having smoked within 6 months prior to Screening;
* Upper respiratory tract infections within 2 wk, or lower respiratory tract infection within 4 wk;
* Asthma exacerbations that required emergency care or hospitalized treatment, within 4 wk prior;
* Any current or recent respiratory conditions that might significantly affect pharmacodynamic response to the study drugs, besides asthma;
* Concurrent clinically significant cardiovascular, hematological, renal, neurologic, hepatic, endocrine, psychiatric, malignancies, or other illnesses that could impact on the conduct, safety and evaluation of the study;
* Known intolerance or hypersensitivity to any of the ingredients of the A006 or Proventil-HFA;
* Use of prohibited drugs or failure to observe the drug washout restrictions;
* Having been on other clinical drug/device studies in the last 30 days;
* Having donated blood within the last 30 days prior to Screening.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Amphastar Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Safety Monitor

Role: STUDY_DIRECTOR

Amphastar Pharmaceuticals, Inc.

Locations

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Amphastar Site 0025

Medford, Oregon, United States

Site Status

Amphastar Site 0026

Portland, Oregon, United States

Site Status

Amphastar Site 0032

San Antonio, Texas, United States

Site Status

Amphastar Site 0034

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Ahrens RC. The role of the MDI and DPI in pediatric patients: "Children are not just miniature adults". Respir Care. 2005 Oct;50(10):1323-8; discussion 1328-30.

Reference Type BACKGROUND
PMID: 16185368 (View on PubMed)

Goldstein DA, Tan YK, Soldin SJ. Pharmacokinetics and absolute bioavailability of salbutamol in healthy adult volunteers. Eur J Clin Pharmacol. 1987;32(6):631-4. doi: 10.1007/BF02456001.

Reference Type BACKGROUND
PMID: 3653233 (View on PubMed)

Hindle M, Newton DA, Chrystyn H. Dry powder inhalers are bioequivalent to metered-dose inhalers. A study using a new urinary albuterol (salbutamol) assay technique. Chest. 1995 Mar;107(3):629-33. doi: 10.1378/chest.107.3.629.

Reference Type BACKGROUND
PMID: 7874928 (View on PubMed)

Miller MR, Crapo R, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, Enright P, van der Grinten CP, Gustafsson P, Jensen R, Johnson DC, MacIntyre N, McKay R, Navajas D, Pedersen OF, Pellegrino R, Viegi G, Wanger J; ATS/ERS Task Force. General considerations for lung function testing. Eur Respir J. 2005 Jul;26(1):153-61. doi: 10.1183/09031936.05.00034505. No abstract available.

Reference Type BACKGROUND
PMID: 15994402 (View on PubMed)

Pellegrino R, Viegi G, Brusasco V, Crapo RO, Burgos F, Casaburi R, Coates A, van der Grinten CP, Gustafsson P, Hankinson J, Jensen R, Johnson DC, MacIntyre N, McKay R, Miller MR, Navajas D, Pedersen OF, Wanger J. Interpretative strategies for lung function tests. Eur Respir J. 2005 Nov;26(5):948-68. doi: 10.1183/09031936.05.00035205. No abstract available.

Reference Type BACKGROUND
PMID: 16264058 (View on PubMed)

Crapo RO, Morris AH, Gardner RM. Reference spirometric values using techniques and equipment that meet ATS recommendations. Am Rev Respir Dis. 1981 Jun;123(6):659-64. doi: 10.1164/arrd.1981.123.6.659.

Reference Type BACKGROUND
PMID: 7271065 (View on PubMed)

Crapo RO, Morris AH, Clayton PD, Nixon CR. Lung volumes in healthy nonsmoking adults. Bull Eur Physiopathol Respir. 1982 May-Jun;18(3):419-25.

Reference Type BACKGROUND
PMID: 7074238 (View on PubMed)

Other Identifiers

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API-A006-CL-C

Identifier Type: -

Identifier Source: org_study_id

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