A Phase II, 5-way Cross-over Study to Evaluate the Pharmacodynamics of "Nexthaler" Dry Powder Inhaler in COPD Patients

NCT ID: NCT02000609

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

PHASE2

Total Enrollment

49 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-12-31

Study Completion Date

2014-04-30

Brief Summary

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The study aim is to compare the pharmacodynamic effects (cardiovascular effects- primary variable: Heart rate over 4 hours post dosing- ) after administration of BDP and formoterol administered as CHF 1535 100/6 NEXThaler DPI or CHF1535 pMDI at two different dose levels.

Detailed Description

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The effects of both formulations on serum potassium and serum glucose and the general safety and tolerability of study treatments will be also evaluated

Conditions

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COPD

Keywords

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pharmacodynamics COPD

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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CHF 1535 NEXThaler 800/48 ug

single dose administration of CHF 1535 100/6 NEXThaler DPI, total dose: 800ug BDP, 48 ug Formoterol Fumarate

Group Type ACTIVE_COMPARATOR

CHF 1535 NEXThaler 800/48

Intervention Type DRUG

CHF 1535 NEXThaler PLACEBO

single dose administration of placebo via NEXThaler DPI

Group Type PLACEBO_COMPARATOR

CHF 1535 NEXThaler PLACEBO

Intervention Type DRUG

CHF 1535 pMDI 200/12

single dose administration of CHF 1535 100/6 pMDI , total dose: 200 ug BDP, 12 ug Formoterol Fumarate

Group Type ACTIVE_COMPARATOR

CHF 1535 pMDI 200/12

Intervention Type DRUG

CHF 1535 100/6 pMDI 800/48

single dose administration of CHF 1535 100/6 pMDI total dose: 800ug BDP, 48 ug Formoterol Fumarate

Group Type ACTIVE_COMPARATOR

CHF1535 pMDI 800/48

Intervention Type DRUG

CHF 1535 NEXThaler 200/12

single dose administration of CHF 1535 100/6 pMDI, total dose: 200 ug BDP, 12 ug Formoterol Fumarate

Group Type ACTIVE_COMPARATOR

CHF 1535 NEXThaler 200/12

Intervention Type DRUG

Interventions

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CHF 1535 NEXThaler 800/48

Intervention Type DRUG

CHF 1535 NEXThaler 200/12

Intervention Type DRUG

CHF 1535 NEXThaler PLACEBO

Intervention Type DRUG

CHF 1535 pMDI 200/12

Intervention Type DRUG

CHF1535 pMDI 800/48

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male and female adults (≥ 40 and ≤ 75 years old).
* Outpatients with diagnosis of moderate/severe stable COPD, according to GOLD (Global Initiative for Chronic Obstructive Lung Disease) guidelines update 2013 at least in the 6 months before the screening visit.
* A post-bronchodilator FEV1(Forced Expiratory Volume in one second) ≥ 40 and \< 80% of the predicted normal value and FEV1/FVC (Forced Vital Capacity) \< 0.7, after 4 puffs (4 x 100 µg) of salbutamol pMDI. If this criterion is not met at screening, the test can be repeated once before commencing of the run-in period.
* Ability to use pMDI (pressured metered-dose inhaler)and DPI (dry powder Inhaler) devices
* Current or past smoker of at least 10 pack/years where one pack-year is equivalent to 20 cigarettes per day for 1 year

Exclusion Criteria

* Pregnant or lactating female subjects.
* Current diagnosis of Asthma (as defined by the current GINA (Global Initiative for Asthma guidelines 2012 (update), or history of allergic rhinitis.
* COPD exacerbations requiring systemic steroids and /or antibiotics and/or oral or nebulized beta 2-agonists in the 4 weeks prior to screening and until randomization.
* Lower Respiratory Tract Infection (LRTI) in the 4 weeks prior to screening and until randomization.
* Patients with serum potassium levels \< 3.5 mEq/L (milliequivalent per liter).
* History of substance abuse or drug abuse within 12 months prior to screening visit.
* Known respiratory disorders other than COPD including but not limited to α1 antitrypsin deficiency, active tuberculosis, bronchiectasis, sarcoidosis, lung fibrosis, pulmonary hypertension, restrictive lung disease and interstitial lung disease.
* Intolerance or contra-indication to treatment with beta 2-agonists and/or inhaled corticosteroids or allergy to any component of the study treatments.
* Patients treated with non-cardioselective β-blockers in the month preceding the screening visit or during the study period.
* Patients who have clinically significant cardiovascular disease according to investigator's judgement. Thus includes but is not limited to:

* congestive heart failure (NYHA class \> 3);
* acute ischemic heart disease within the past 12 months of screening;
* Sustained cardiac arrhythmias (supraventricular or ventricular, \>30 seconds duration) at or within 6 months of screening;
* Non sustained cardiac arrhythmias (supraventricular or ventricular, \> 3 beats \< 30 seconds and or ending spontaneously and or asymptomatic);
* History of sustained and non-sustained cardiac arrhythmias (supraventricular or ventricular);
* 2nd or 3rd degree Atrioventricular conduction block;
* Left Bundle Branch Block.
* An abnormal 12-lead ECG (QRS\> 120 msec, PR\> 220 msec, HR \< 40 bpm, Heart Rate \> 110 bpm) at screening or at randomization.
* Patients whose electrocardiogram (12-lead ECG) shows QTcF \>450 ms for males or QTcF \> 470 ms for females at screening or at randomisation.
* Patients whose DBP/SBP is higher than: DBP 90 mmHg or SBP 160 mmHg at screening or at randomization.
Minimum Eligible Age

40 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chiesi Farmaceutici S.p.A.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dave Singh

Role: PRINCIPAL_INVESTIGATOR

Medicine Evaluation Unit, Manchester (UK)

Locations

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Medicine Evaluation Unit

Manchester, , United Kingdom

Site Status

Countries

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United Kingdom

References

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Singh D, Ciurlia G, Piccinno A, Muraro A, Bocchi M, Scuri M. Acute cardiovascular safety of two formulations of beclometasone dipropionate/formoterol fumarate in COPD patients: A single-dose, randomised, placebo-controlled crossover study. Pulm Pharmacol Ther. 2017 Feb;42:43-51. doi: 10.1016/j.pupt.2016.12.004. Epub 2017 Jan 5.

Reference Type RESULT
PMID: 28065679 (View on PubMed)

Related Links

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https://www.clinicaltrialsregister.eu/ctr-search/search?query=2013-002966-38

Study Record on EU Clinical Trials Register including results

https://www.chiesi.com/clinic/CSR_Synopsis_CCD-01535BC1-02.pdf

CSR Synopsis available in the CHIESI Clinical Study Register

Other Identifiers

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CCD-01535BC1-02

Identifier Type: -

Identifier Source: org_study_id