A Study to Compare the Relative Potency of Salbutamol Administered Via Metered Dose Inhalers (MDI) Containing Propellants HFA-152a to HFA-134a in Mild Asthmatics Aged 18 to 65 Inclusive

NCT ID: NCT06433921

Last Updated: 2025-10-28

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-14

Study Completion Date

2026-11-06

Brief Summary

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The primary objectives of the study are: Part 1: to characterize the potency and variability of dose response on efficacy (Provocative concentration of methacholine causing at least a 20% fall in forced expiratory volume (FEV1) \[PC20\]) of salbutamol administered via MDI with salbutamol HFA-134a or salbutamol HFA-152a in participants with mild asthma. Part 2: to compare the comparative dose response on efficacy (PC20) of salbutamol when administered via MDI with salbutamol HFA-134a or salbutamol HFA-152a in participants with mild asthma.

Detailed Description

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Conditions

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Asthma Mild Asthma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

2-part, 7-way cross- over (Part 1 and Part 2)
Primary Study Purpose

OTHER

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
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Study Groups

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Part 1

Part 1 will consist of a 7 treatment, 7 period cross-over evaluation with all participants receiving the following treatments once, randomized to varying pre-specified sequences of:

* Zero dose (placebo of both salbutamol HFA-134a and salbutamol HFA-152a)
* 100 μg salbutamol HFA-134a
* 200 μg salbutamol HFA-134a
* 400 μg salbutamol HFA-134a
* 100 μg salbutamol HFA-152a
* 200 μg salbutamol HFA-152a
* 400 μg salbutamol HFA-152a

A minimum of a 2-day and maximum of a 7-day methacholine washout will separate each treatment period.

Group Type EXPERIMENTAL

Salbutamol HFA-152a

Intervention Type DRUG

A single 100, 200 or 400 μg dose, given as 1, 2 or 4 × 100 μg actuations (exvalve) at 20 second intervals.

Salbutamol HFA-134a

Intervention Type DRUG

A single 100, 200 or 400 μg dose, given as 1, 2 or 4 × 100 μg actuations (exvalve) at 20 second intervals.

Placebo

Intervention Type DRUG

A single placebo HFA-152a suspension or placebo HFA-134a suspension dose, given as at 20 second intervals.

Part 2

Part 2 will consist of a 7 treatment, 7-way cross-over with all participants receiving the following treatments given once, randomized to varying pre-specified sequences of:

* Zero dose (placebo of both salbutamol HFA-134a and salbutamol HFA-152a)
* 100 μg salbutamol HFA-134a
* 200 μg salbutamol HFA-134a
* 400 μg salbutamol HFA-134a
* 100 μg salbutamol HFA-152a
* 200 μg salbutamol HFA-152a
* 400 μg salbutamol HFA-152a

A minimum of a 2-day and maximum of a 7-day methacholine washout will separate each treatment period.

Group Type EXPERIMENTAL

Salbutamol HFA-152a

Intervention Type DRUG

A single 100, 200 or 400 μg dose, given as 1, 2 or 4 × 100 μg actuations (exvalve) at 20 second intervals.

Salbutamol HFA-134a

Intervention Type DRUG

A single 100, 200 or 400 μg dose, given as 1, 2 or 4 × 100 μg actuations (exvalve) at 20 second intervals.

Placebo

Intervention Type DRUG

A single placebo HFA-152a suspension or placebo HFA-134a suspension dose, given as at 20 second intervals.

Interventions

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Salbutamol HFA-152a

A single 100, 200 or 400 μg dose, given as 1, 2 or 4 × 100 μg actuations (exvalve) at 20 second intervals.

Intervention Type DRUG

Salbutamol HFA-134a

A single 100, 200 or 400 μg dose, given as 1, 2 or 4 × 100 μg actuations (exvalve) at 20 second intervals.

Intervention Type DRUG

Placebo

A single placebo HFA-152a suspension or placebo HFA-134a suspension dose, given as at 20 second intervals.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male or female; females may be of childbearing potential, of nonchildbearing potential, or postmenopausal.
2. Participant must be 18 to 65 years of age inclusive, at the time of screening.
3. ≥50 kg, at the time of screening.
4. Body mass index (BMI) with 19.0-35.0 kg/m2 inclusive, at the time of screening.

4\. Documented history of asthma ≥ 6 months. 5. Receiving 1 of following asthma treatments, at a stable dose, for at least 12 weeks prior to the screening visit and is anticipated to remain stable for the duration of the study: i. Short-acting beta-agonist (SABA) only. ii. Daily maintenance low-dose inhaled corticosteroids (ICS) (defined as 100-250 μg/day fluticasone propionate or equivalent plus or minus SABA which is anticipated to remain stable for the duration of the study.

iii. Daily maintenance low-dose ICS + Long-acting beta-2 agonist (LABA) therapy (low-dose ICS defined as 100-250 μg/day fluticasone propionate or equivalent as defined by GINA \[GINA, 2023\]) plus or minus SABA, which is anticipated to remain stable for the duration of the study.

6\. No severe asthma exacerbations within 6 months prior to screening and ≤1 severe exacerbation during the 12 months prior to screening.

7\. Pre-bronchodilator FEV1 ≥80% of predicted, at screening. 8. PC20 to methacholine of ≤8 mg/mL, at screening. 9. Participants should be able to withhold SABA for ≥8 hours and LABA-containing medications for ≥48 hours for the purposes of performing the spirometry and methacholine challenge at screening and during the study visits (treatment periods).

10\. A female participant is eligible to participate if she is not pregnant or breastfeeding, and Is a woman of woman of nonchildbearing potential (WONCBP) OR ii. Is a woman of child bearing potential (WOCBP) and using a contraceptive method that is highly effective.

11\. Provide signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form and in this protocol.

12\. Non-smokers who have not used any tobacco containing-products within 12 months prior to study start, and with a total pack year history of ≤10 pack years.

Exclusion Criteria

1. Medical Conditions

1. A history of life-threatening asthma or asthma that is unstable in the opinion of the investigator.
2. A history of respiratory diseases to include (but not limited to): pneumothorax, pulmonary fibrotic disease, bronchopulmonary dysplasia, chronic bronchitis, cystic fibrosis, bronchiectasis, interstitial lung disease, emphysema, chronic obstructive pulmonary disease, tuberculosis, or other respiratory abnormalities other than asthma.
3. Asymptomatic gallstones.
4. History or current evidence of hematologic, neurologic, psychiatric, or other diseases that, in the opinion of the investigator, would put the participant at risk through study participation, or would affect the study analyses if the disease exacerbates during the study.
5. Recent eye surgery or any other condition in which raised intracranial pressure (caused by forceful exhalation) would be harmful.
6. Current use of cholinesterase inhibitor medication e.g., to treat myasthenia gravis.
2. Exposure to more than 4 new chemical entities within 12 months prior to the first dosing day or participation in a clinical study within 30 days of study start, or 5 half-lives of study drug if that is longer.
3. Participants who are currently or in the last 15 days have worked nightshifts.
4. Regular alcohol consumption within 6 months prior to the study defined as: an average weekly intake of \>21 units for males or \>14 units for females.
5. A positive test result for drugs of abuse (including tetrahydrocannabinol) at screening or Day -1.
6. Use of combustible tobacco products, and non-combustible nicotine delivery systems, inclusive of cigarettes, cigars, pipes, and materials used to "vape" within 12 months prior to the start of the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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GSK Investigational Site

Manchester, , United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Central Contacts

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US GSK Clinical Trials Call Center

Role: CONTACT

877-379-3718

EU GSK Clinical Trials Call Center

Role: CONTACT

+44 (0) 20 89904466

Facility Contacts

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US GSK Clinical Trials Call Center

Role: primary

877-379-3718

EU GSK Clinical Trials Call Centre

Role: backup

+44 (0) 20 8990 4466

Other Identifiers

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2024-511220-14

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

219729

Identifier Type: -

Identifier Source: org_study_id

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