Clinical Pharmacology Study of CHF1535 pMDI 50/6 µg Versus The Free Combination In Asthmatic Children 5-11 Years Old (PAED1)
Primary Purpose
Asthma
Status
Completed
Phase
Phase 2
Locations
Denmark
Study Type
Interventional
Intervention
CHF1535 pMDI + AC Plus
BDP + AC Plus
Formoterol + AC Plus
Sponsored by

About this trial
This is an interventional treatment trial for Asthma focused on measuring Asthma, ICS+LABA, Children, Inhalation, pMDI
Eligibility Criteria
Inclusion Criteria:
- Male/Female children aged 5-11 years
- Written informed consent obtained by parents/legal representative (according to local regulation) and by the minor (age and local regulation permitting).
- children with stable asthma on regular treatment with ICS or using short-acting inhaled beta2-agonists as reliever to control asthma symptoms
Forced expiratory volume in one second (FEV1) > 70% of predicted values (% pred) after withholding beta2-agonist treatment for a minimum of 4 h prior to each dose period.
6. A cooperative attitude and ability to be trained about the proper use of pMDI with a spacer device and compliant to study procedures.
Exclusion Criteria:
- Past or present diagnoses of cardiovascular, renal or liver disease
- Known hypersensitivity to the active treatments
- Exacerbation of asthma symptoms within the previous 4 weeks
- Inability to perform the required breathing technique and blood sampling
- Hospitalization due to exacerbation of asthma within 1 month prior to inclusion
- Lower respiratory tract infection within 1 month prior to inclusion
- Disease (other than asthma) which might influence the outcome of the study
- Obesity, i.e. > 97% weight percentile by local standards
Sites / Locations
- BorneAstmaKlinikken
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
CHF1535 pMDI + AC Plus
BDP and Formoterol + AC Plus
Arm Description
Fixed combination of Beclomethasone Dipropionate and Formoterol 50/6 mcg with Aerochamber Plus spacer device
Beclomethasone Dipropionate 50 mcg and Formoterol 6 mcg with Aerochamber Plus spacer device
Outcomes
Primary Outcome Measures
B17MP AUC0-t
B17MP (active metabolite of BDP) systemic exposure as AUC0-t
Secondary Outcome Measures
B17MP PK profile
BDP PK prolile
Formoterol PK profile
Plasma potassium AUC, Cmin, tmin
Plasma potassium to evaluate drug systemic effect
Urinary Cortisol excretion
8h urinary excretion of cortisol and 8h urinary excretion of cortisol normalized for 8h creatinine excretion to evaluate dru systemic effects
Glucose in urine
Glucose to evaluate the drug systemic effects
Heart rate Time averaged heart rate value (AUC0-t)/t
Heart rate to evaluate the drug systemic effects
Spirometry: PEF
Peak respiratory flow as a measure of drug efficacy
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01848769
Brief Title
Clinical Pharmacology Study of CHF1535 pMDI 50/6 µg Versus The Free Combination In Asthmatic Children 5-11 Years Old
Acronym
PAED1
Official Title
A Single-dose, Open-Label, 2-Way Cross-Over, Clinical Pharmacology Study Of Chf 1535 50/6 HFA pMDI (Fixed Combination Of Beclomethasone Dipropionate 50µg Plus Formoterol Fumarate 6 µg) Using The Aerochamber Plus™ Spacer Device Versus The Free Combination Of Beclomethasone HFA pMDI And Formoterol HFA pMDI Available On The Market Using The Aerochamber Plus™ Spacer Device In Asthmatic Children
Study Type
Interventional
2. Study Status
Record Verification Date
July 2020
Overall Recruitment Status
Completed
Study Start Date
September 2009 (undefined)
Primary Completion Date
December 2010 (Actual)
Study Completion Date
December 2010 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Chiesi Farmaceutici S.p.A.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The rationale is to investigate the systemic availability of BDP/B17MP and formoterol after single oral inhalation of CHF 1535 50/6 pMDI vs the free combination of approved BDP and Formoterol pMDIs, in asthmatic children (5 to 11 years old).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
Keywords
Asthma, ICS+LABA, Children, Inhalation, pMDI
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
20 (Actual)
8. Arms, Groups, and Interventions
Arm Title
CHF1535 pMDI + AC Plus
Arm Type
Experimental
Arm Description
Fixed combination of Beclomethasone Dipropionate and Formoterol 50/6 mcg with Aerochamber Plus spacer device
Arm Title
BDP and Formoterol + AC Plus
Arm Type
Active Comparator
Arm Description
Beclomethasone Dipropionate 50 mcg and Formoterol 6 mcg with Aerochamber Plus spacer device
Intervention Type
Drug
Intervention Name(s)
CHF1535 pMDI + AC Plus
Other Intervention Name(s)
Fixed combination of BDP and FF 50/6 mcg
Intervention Description
Four inhalations for a total dose of BDP/FF 200/24 mcg
Intervention Type
Drug
Intervention Name(s)
BDP + AC Plus
Other Intervention Name(s)
Beclomethasone Dipropionate 50 mcg with Aerochamber Plus
Intervention Description
Four inhalations for a total dose of BDP 200 mcg
Intervention Type
Drug
Intervention Name(s)
Formoterol + AC Plus
Other Intervention Name(s)
Formoterol 6 mcg with Aerochamebr Plus
Intervention Description
Four inhalations for a total dose of Formoterol 24 mcg
Primary Outcome Measure Information:
Title
B17MP AUC0-t
Description
B17MP (active metabolite of BDP) systemic exposure as AUC0-t
Time Frame
pre-dose until 8hours post dose
Secondary Outcome Measure Information:
Title
B17MP PK profile
Time Frame
pre-dose until 8 hours post-dose
Title
BDP PK prolile
Time Frame
Pre-dose until 8 hours post-dose
Title
Formoterol PK profile
Time Frame
Pre-dose until 8 hours post-dose
Title
Plasma potassium AUC, Cmin, tmin
Description
Plasma potassium to evaluate drug systemic effect
Time Frame
Pre-dose until 8 hours post-dose
Title
Urinary Cortisol excretion
Description
8h urinary excretion of cortisol and 8h urinary excretion of cortisol normalized for 8h creatinine excretion to evaluate dru systemic effects
Time Frame
Pre-dose until 8 hours post-dose
Title
Glucose in urine
Description
Glucose to evaluate the drug systemic effects
Time Frame
Pre-dose until 8 hours post-dose
Title
Heart rate Time averaged heart rate value (AUC0-t)/t
Description
Heart rate to evaluate the drug systemic effects
Time Frame
Pre-dose until 8 hours post-dose
Title
Spirometry: PEF
Description
Peak respiratory flow as a measure of drug efficacy
Time Frame
Pre-dose until 8 hours post-dose
10. Eligibility
Sex
All
Minimum Age & Unit of Time
5 Years
Maximum Age & Unit of Time
11 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male/Female children aged 5-11 years
Written informed consent obtained by parents/legal representative (according to local regulation) and by the minor (age and local regulation permitting).
children with stable asthma on regular treatment with ICS or using short-acting inhaled beta2-agonists as reliever to control asthma symptoms
Forced expiratory volume in one second (FEV1) > 70% of predicted values (% pred) after withholding beta2-agonist treatment for a minimum of 4 h prior to each dose period.
6. A cooperative attitude and ability to be trained about the proper use of pMDI with a spacer device and compliant to study procedures.
Exclusion Criteria:
Past or present diagnoses of cardiovascular, renal or liver disease
Known hypersensitivity to the active treatments
Exacerbation of asthma symptoms within the previous 4 weeks
Inability to perform the required breathing technique and blood sampling
Hospitalization due to exacerbation of asthma within 1 month prior to inclusion
Lower respiratory tract infection within 1 month prior to inclusion
Disease (other than asthma) which might influence the outcome of the study
Obesity, i.e. > 97% weight percentile by local standards
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Hans Bisgaard, MD DMSci
Organizational Affiliation
BorneAstmaKlinikken
Official's Role
Principal Investigator
Facility Information:
Facility Name
BorneAstmaKlinikken
City
Copenhagen
ZIP/Postal Code
2100
Country
Denmark
12. IPD Sharing Statement
Citations:
PubMed Identifier
24746942
Citation
Govoni M, Piccinno A, Lucci G, Poli G, Acerbi D, Baronio R, Singh D, Kuna P, Chawes BL, Bisgaard H. The systemic exposure to inhaled beclometasone/formoterol pMDI with valved holding chamber is independent of age and body size. Pulm Pharmacol Ther. 2015 Feb;30:102-9. doi: 10.1016/j.pupt.2014.04.003. Epub 2014 Apr 16.
Results Reference
background
PubMed Identifier
22978252
Citation
Chawes BL, Piccinno A, Kreiner-Moller E, Vissing NH, Poorisrisak P, Mortensen L, Nilson E, Bisgaard A, Dossing A, Deleuran M, Skytt NL, Samandari N, Sergio F, Ciurlia G, Poli G, Acerbi D, Bisgaard H. Pharmacokinetic comparison of inhaled fixed combination vs. the free combination of beclomethasone and formoterol pMDIs in asthmatic children. Br J Clin Pharmacol. 2013 Apr;75(4):1081-8. doi: 10.1111/j.1365-2125.2012.04459.x.
Results Reference
result
Links:
URL
https://www.clinicaltrialsregister.eu/ctr-search/search?query=2009-010434-22
Description
Study Record on EU Clinical Trials Register including results
Learn more about this trial
Clinical Pharmacology Study of CHF1535 pMDI 50/6 µg Versus The Free Combination In Asthmatic Children 5-11 Years Old
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