Albuterol DPI (A006) Clinical Study-B3:Efficacy, Dose-ranging and Safety Evaluation

NCT ID: NCT02210806

Last Updated: 2017-04-19

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

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-07-31

Study Completion Date

2014-10-31

Brief Summary

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This study evaluates the efficacy, dose-ranging and safety profiles of A006, an Albuterol dry powder inhaler (DPI), in the dose range of 110 to 220 mcg per dose in comparison to a DPI Placebo Control and an Albuterol metered dose inhaler (MDI) Active Control.

Detailed Description

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This study is designed to evaluate the efficacy and safety profiles of A006 and to assist in identifying the optimum dose of A006 for future clinical studies. Proventil® HFA MDI, a currently marketed Albuterol MDI product, will be used as an Active Control. The study also employs a Placebo Control DPI, which has the same configuration as the A006 DPI except that it contains no active ingredient.

Conditions

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Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Treatment T1

One inhalation of 110 mcg A006 DPI. Total 110 mcg.

Group Type ACTIVE_COMPARATOR

A006 DPI

Intervention Type DRUG

Single dose 110 mcg, 1 inhalation

Treatment T2

One inhalation of 220 mcg A006 DPI. Total 220 mcg.

Group Type ACTIVE_COMPARATOR

A006 DPI

Intervention Type DRUG

Single dose 220 mcg, 1 inhalation

Placebo

One inhalation of placebo DPI . Total 0 mcg

Group Type PLACEBO_COMPARATOR

Placebo DPI

Intervention Type OTHER

Placebo, 1 inhalation

Treatment R1

One inhalation of Proventil® MDI Total 90 mcg

Group Type ACTIVE_COMPARATOR

Proventil® MDI

Intervention Type DRUG

Single dose 90 mcg, 1 inhalation

Treatment R2

Two inhalations of Proventil® MDI, 180 mcg total

Group Type ACTIVE_COMPARATOR

Proventil® MDI

Intervention Type DRUG

Single dose 90 mcg, 2 inhalations

Interventions

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A006 DPI

Single dose 110 mcg, 1 inhalation

Intervention Type DRUG

A006 DPI

Single dose 220 mcg, 1 inhalation

Intervention Type DRUG

Placebo DPI

Placebo, 1 inhalation

Intervention Type OTHER

Proventil® MDI

Single dose 90 mcg, 1 inhalation

Intervention Type DRUG

Proventil® MDI

Single dose 90 mcg, 2 inhalations

Intervention Type DRUG

Other Intervention Names

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Albuterol Albuterol DPI Albuterol Albuterol DPI Placebo Proventil® Proventil®

Eligibility Criteria

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Inclusion Criteria

* Generally healthy, male and female adults, 18-55 years of age at Screening
* 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 Screening Baseline FEV1 at 50.0 - 85.0% of predicted normal
* Demonstrating a ≥ 15.0% Airway Reversibility in FEV1 within 30 min after inhaling 2 actuations of Proventil® MDI (180 mcg) at Screening
* Demonstrating Peak Inspiratory Flow Rate (PIF) within 80-150 L/min (after training), for at least 2 times consecutively with a maximum of 5 attempts
* Demonstrating proficiency in the use of a DPI and an MDI after training
* Females of child-bearing potential must be non-pregnant, non-lactating; both males and females enrolled into the study must agree to practice a clinically acceptable form of birth control (including but not limited to, abstinence, double barrier, etc)
* Having properly consented to participate in the trial

Exclusion Criteria

* A smoking history of ≥ 5 pack-years, or having smoked within 6 months prior to Screening
* Upper respiratory tract infections or lower respiratory tract infection within 6 weeks, prior to Screening
* Asthma exacerbations that required emergency care or hospitalized treatment, within 4 weeks prior to Screening
* Any current or recent respiratory conditions that, per investigator discretion, might significantly affect pharmacodynamic response to the study drugs, including cystic fibrosis, bronchiectasis, tuberculosis, emphysema, and other significant respiratory diseases besides asthma
* Concurrent clinically significant cardiovascular (e.g. hypertension and tachyarrhythmia and bradyarrhythmia), hematological, renal, neurologic, hepatic, endocrine, psychiatric, malignant, or other illnesses that in the opinion of the investigator could impact on the conduct, safety and evaluation of the study
* Known intolerance or hypersensitivity to any of the ingredients of the study drug DPI or Proventil® HFA MDI (i.e., Albuterol, sulfate, lactose, milk protein, HFA-134a, oleic acid, and ethanol)
* Baseline ECG at Screening or Visit 1 showing any single or multiple premature ventricular contractions (PVC)
* Baseline ECG at Screening or Visit 1 with a confirmed (through performing a second ECG) QTc reading greater than 450ms
* 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 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 Pharmeceuticals, Inc.

Locations

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Amphastar Site 0001

San Jose, California, United States

Site Status

Amphastar Site 0025

Medford, Oregon, United States

Site Status

Amphastar Site 0030

New Braunfels, Texas, United States

Site Status

Amphastar Site 0032

San Antonio, Texas, United States

Site Status

Countries

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United States

References

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Lipworth BJ, Clark DJ. Lung delivery of salbutamol given by breath activated pressurized aerosol and dry powder inhaler devices. Pulm Pharmacol Ther. 1997 Aug;10(4):211-4. doi: 10.1006/pupt.1997.0093.

Reference Type BACKGROUND
PMID: 9695144 (View on PubMed)

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)

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-B3

Identifier Type: -

Identifier Source: org_study_id

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