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Evaluation of Possible Effects on the QTc Interval of CHF 4226 pMDI in Healthy Volunteers (CT14)

Primary Purpose

Chronic Obstructive Pulmonary Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
CHF 4226 pMDI
CHF 4226 pMDI
Placebo
Moxifloxacin
Sponsored by
Chiesi Farmaceutici S.p.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease focused on measuring QTc, CHF 4226 HFA, pMDI, Carmoterol

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy adult male or female subjects, 18-55 years of age who provided written informed consent.
  • A body mass index (BMI) between 18 - 30, inclusive.
  • A normal blood pressure (< 140mmHg systolic and < 90mmHg diastolic)
  • A normal 12-lead ECG (QTcF interval < 450msec for males and < 470msec for females).
  • A serum potassium </= 4.0mEq/L.
  • A calculated creatinine clearance > 80mL/min.
  • Male subjects must agree to use a medically acceptable contraceptive (abstain from sexual intercourse, or use a condom with spermicide), have had a vasectomy at least 6 months prior to study participation or have a partner who is not of childbearing potential.

Exclusion Criteria:

  • A history or presence of significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, or psychiatric disease.
  • A history of sensitivity or allergy to the quinolone class of antibiotics and/or a beta 2 adrenergic receptor agonist.
  • Clinically significant screening results (laboratory profiles, medical histories, ECGs, physical exam).
  • Hemoglobin below the normal reference range for the testing laboratory.
  • Abuse of alcohol or other substances.
  • Current use of tobacco products.
  • Subjects with a positive laboratory test result for hepatitis B, hepatitis C, HIV, controlled substances, cotinine or alcohol.
  • Any prescription medication taken within 14 days (or 5 elimination half-lives, whichever is longer) of Study Day -2, or have taken any over-the-counter medications, including topical medications, vitamins, herbal or dietary supplements/remedies (e.g., Saint John's Wort or Milk Thistle), within 14 days of Study Day -2, or planned concomitant medication while in the study (except for acetaminophen up to 2g/day), with the exception of hormonal birth control medications or hormone replacement therapy for females.
  • A history of additional risk factors for Torsade de Pointes (e.g., hypokalemia, history of drowning survival, family history of Long QT Syndrome, family history of Short QT Syndrome, or family history of unexplainable early sudden death).
  • Subject is pregnant or lactating female, or female at risk of pregnancy (i.e., not using an adequate contraceptive method: surgical sterilization [e.g., bilateral tubal ligation], hormonal contraception [implantable, patch, oral], IUD, and double-barrier methods [any double combination of: male or female condom with spermicidal gel, diaphragm, sponge, cervical dap]_.
  • Participation in a study of an investigational drug within 30 days prior to the baseline ECG.
  • Any condition that, in the judgment of the Investigator, would place a subject at undue risk, or potentially compromise the results or interpretation of the study.

Sites / Locations

  • PRACS Institute, Ltd.

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Placebo Comparator

Active Comparator

Arm Label

Treatment A

Treatment B

Treatment C

Treatment D

Arm Description

Single therapeutic dose of CHF 4226 pMDI

Single supratherapeutic dose of CHF 4226 pMDI

Single dose of placebo

Single dose of moxifloxacin

Outcomes

Primary Outcome Measures

QTci

Secondary Outcome Measures

QTcX interval (subject-specific correction of QTcF, QTcB and QTcH)
Plasma concentration (AUC, Cmax, Tmax)
Urinary excretion (Ae)

Full Information

First Posted
October 20, 2008
Last Updated
March 26, 2009
Sponsor
Chiesi Farmaceutici S.p.A.
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1. Study Identification

Unique Protocol Identification Number
NCT00777595
Brief Title
Evaluation of Possible Effects on the QTc Interval of CHF 4226 pMDI in Healthy Volunteers
Acronym
CT14
Official Title
A Randomized, Double Blind, Single Dose, Positive and Placebo Controlled, Crossover Study of the Effects of Inhaled Carmoterol, at the Proposed Therapeutic and Supratherapeutic Doses, on the QTc Intervals in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
March 2009
Overall Recruitment Status
Completed
Study Start Date
October 2008 (undefined)
Primary Completion Date
December 2008 (Actual)
Study Completion Date
December 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Chiesi Farmaceutici S.p.A.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to evaluate the effect of single doses of therapeutic and supratherapeutic doses of inhaled CHF 4226 pMDI on ventricular repolarization in healthy subjects compared with placebo.
Detailed Description
The secondary purposes of this study are to 1) determine if there is a relationship between the duration of the QTc intervals and the plasma concentrations of carmoterol; 2) expand the available information on plasma pharmacokinetics and urine excretion for inhaled carmoterol at the proposed therapeutic and supra-therapeutic doses; and 3) generate additional safety information.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Obstructive Pulmonary Disease
Keywords
QTc, CHF 4226 HFA, pMDI, Carmoterol

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
47 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment A
Arm Type
Experimental
Arm Description
Single therapeutic dose of CHF 4226 pMDI
Arm Title
Treatment B
Arm Type
Experimental
Arm Description
Single supratherapeutic dose of CHF 4226 pMDI
Arm Title
Treatment C
Arm Type
Placebo Comparator
Arm Description
Single dose of placebo
Arm Title
Treatment D
Arm Type
Active Comparator
Arm Description
Single dose of moxifloxacin
Intervention Type
Drug
Intervention Name(s)
CHF 4226 pMDI
Other Intervention Name(s)
Carmoterol HFA
Intervention Description
Inhaled solution, single therapeutic dose
Intervention Type
Drug
Intervention Name(s)
CHF 4226 pMDI
Other Intervention Name(s)
Carmoterol HFA
Intervention Description
Inhaled solution, single supratherapeutic dose
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Inhaled solution, single dose of placebo
Intervention Type
Drug
Intervention Name(s)
Moxifloxacin
Other Intervention Name(s)
Avelox
Intervention Description
Tablet, oral, 400mg, single dose
Primary Outcome Measure Information:
Title
QTci
Time Frame
ECGs taken every treatment period on day -1 and day +1 at -1, -0.5, -0.25, 0.08, 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hrs
Secondary Outcome Measure Information:
Title
QTcX interval (subject-specific correction of QTcF, QTcB and QTcH)
Time Frame
ECGs taken every treatment period on day -1 and day +1 at -1, -0.5, -0.25, 0.08, 0.25, 0.5, 1, 2, 3, 4, 6, 8, 12 and 24 hrs
Title
Plasma concentration (AUC, Cmax, Tmax)
Time Frame
Each treatment period on dosing day at -0.75, 0.08, 0.25, 0.5, 1, 2, 4, 6, 8 and 12 hrs
Title
Urinary excretion (Ae)
Time Frame
Each treatment period on day of dosing at -0.75, 0.58 and 24 hours.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adult male or female subjects, 18-55 years of age who provided written informed consent. A body mass index (BMI) between 18 - 30, inclusive. A normal blood pressure (< 140mmHg systolic and < 90mmHg diastolic) A normal 12-lead ECG (QTcF interval < 450msec for males and < 470msec for females). A serum potassium </= 4.0mEq/L. A calculated creatinine clearance > 80mL/min. Male subjects must agree to use a medically acceptable contraceptive (abstain from sexual intercourse, or use a condom with spermicide), have had a vasectomy at least 6 months prior to study participation or have a partner who is not of childbearing potential. Exclusion Criteria: A history or presence of significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, or psychiatric disease. A history of sensitivity or allergy to the quinolone class of antibiotics and/or a beta 2 adrenergic receptor agonist. Clinically significant screening results (laboratory profiles, medical histories, ECGs, physical exam). Hemoglobin below the normal reference range for the testing laboratory. Abuse of alcohol or other substances. Current use of tobacco products. Subjects with a positive laboratory test result for hepatitis B, hepatitis C, HIV, controlled substances, cotinine or alcohol. Any prescription medication taken within 14 days (or 5 elimination half-lives, whichever is longer) of Study Day -2, or have taken any over-the-counter medications, including topical medications, vitamins, herbal or dietary supplements/remedies (e.g., Saint John's Wort or Milk Thistle), within 14 days of Study Day -2, or planned concomitant medication while in the study (except for acetaminophen up to 2g/day), with the exception of hormonal birth control medications or hormone replacement therapy for females. A history of additional risk factors for Torsade de Pointes (e.g., hypokalemia, history of drowning survival, family history of Long QT Syndrome, family history of Short QT Syndrome, or family history of unexplainable early sudden death). Subject is pregnant or lactating female, or female at risk of pregnancy (i.e., not using an adequate contraceptive method: surgical sterilization [e.g., bilateral tubal ligation], hormonal contraception [implantable, patch, oral], IUD, and double-barrier methods [any double combination of: male or female condom with spermicidal gel, diaphragm, sponge, cervical dap]_. Participation in a study of an investigational drug within 30 days prior to the baseline ECG. Any condition that, in the judgment of the Investigator, would place a subject at undue risk, or potentially compromise the results or interpretation of the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Robert I. Cooper, MD
Organizational Affiliation
PRACS Institute, Ltd.
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Steven E. Linberg, PhD
Organizational Affiliation
Chiesi Farmaceutici S.p.A.
Official's Role
Study Director
Facility Information:
Facility Name
PRACS Institute, Ltd.
City
Fargo
State/Province
North Dakota
ZIP/Postal Code
58104
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
18094215
Citation
Russell T, Riley SP, Cook JA, Lalonde RL. A perspective on the use of concentration-QT modeling in drug development. J Clin Pharmacol. 2008 Jan;48(1):9-12. doi: 10.1177/0091270007311115. No abstract available.
Results Reference
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PubMed Identifier
18094216
Citation
Garnett CE, Beasley N, Bhattaram VA, Jadhav PR, Madabushi R, Stockbridge N, Tornoe CW, Wang Y, Zhu H, Gobburu JV. Concentration-QT relationships play a key role in the evaluation of proarrhythmic risk during regulatory review. J Clin Pharmacol. 2008 Jan;48(1):13-8. doi: 10.1177/0091270007307881.
Results Reference
background
PubMed Identifier
18094214
Citation
Bloomfield D, Krishna R. Commentary on the clinical relevance of concentration/QTc relationships for new drug candidates. J Clin Pharmacol. 2008 Jan;48(1):6-8. doi: 10.1177/0091270007312257. No abstract available.
Results Reference
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Evaluation of Possible Effects on the QTc Interval of CHF 4226 pMDI in Healthy Volunteers

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