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Relative Bioavailability of Tiotropium and Salmeterol After Inhalation of a Fixed Combined Dose Compared to Monocomponents in Healthy Male Volunteers

Primary Purpose

Healthy

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Tiotropium/Salmeterol
Serevent® Diskus®
Spiriva®
Sponsored by
Boehringer Ingelheim
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Healthy

Eligibility Criteria

21 Years - 50 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy male based upon a complete medical history, including the physical examination, regarding vital signs (blood pressure (BP), pulse rate (PR)), 12-lead ECG (electrocardiogram) measurement, and clinical laboratory tests. There is no finding deviating from normal and of clinical relevance.

    There is no evidence of a clinically relevant concomitant disease

  2. Age ≥21 and ≤50 years
  3. BMI ≥18.5 and <30 kg/m2 (Body Mass Index)
  4. Signed and dated written informed consent prior to admission to the study in accordance with GCP (Good Clinical Practice) and the local legislation

Exclusion Criteria:

  1. Any finding of the medical examination (including BP, PR, and ECG measurements) deviating from normal and of clinical relevance
  2. Evidence of a clinically relevant concomitant disease
  3. Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
  4. Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
  5. History of relevant orthostatic hypotension, fainting spells or blackouts
  6. Chronic or relevant acute infections
  7. History of relevant allergy/hypersensitivity (including allergy to the drug or its excipients) as judged clinically relevant by the investigator
  8. Intake of drugs with a long half-life (>24 hours) within at least 1 month or less than 10 half-lives of the respective drug prior to randomisation
  9. Use of drugs which might reasonably influence the results of the trial based on the knowledge at the time of protocol preparation within 10 days prior to enrolment in the study or during the study
  10. Participation in another trial with an investigational drug within 2 months prior to randomisation
  11. Smoker (>10 cigarettes or >3 cigars or >3 pipes/day)
  12. Inability to refrain from smoking on trial days as judged by the investigator
  13. Alcohol abuse (more than 40 g alcohol a day)
  14. Drug abuse
  15. Blood donation (more than 100 mL blood within 4 weeks prior to randomisation or during the trial)
  16. Excessive physical activities within 1 week prior to randomisation or during the trial
  17. Any laboratory value outside the reference range that is of clinical relevance
  18. Inability to comply with dietary regimen of the study centre

    The following exclusion criteria are specific for this study due to the known class side effect profile of ß2-mimetics:

  19. Asthma or history of pulmonary hyperreactivity
  20. Hyperthyrosis
  21. Allergic rhinitis in need of treatment
  22. Clinically relevant cardiac arrhythmia
  23. Paroxysmal tachycardia (>100 beats per minute)

    The following exclusion criteria are specific for this study due to the known class side effect profile of tiotropium:

  24. Hypersensitivity to tiotropium and/or related drugs of this class

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Active Comparator

    Active Comparator

    Active Comparator

    Arm Label

    Tiotropium/Salmeterol

    Serevent® Diskus®

    Spiriva®

    Spiriva® and Serevent® Diskus®

    Arm Description

    Outcomes

    Primary Outcome Measures

    AUC0-∞ (area under the concentration-time curve of salmeterol in blood plasma over the time interval from 0 extrapolated to infinity);
    Cmax (maximum measured concentration of salmeterol in blood plasma)
    Ae0-8 (urinary excretion of tiotropium over an 8 hour interval)

    Secondary Outcome Measures

    AUC0-tz (area under the concentration-time curve in plasma over the time interval from 0 to the time of the last quantifiable data point)
    AUC0-∞ (area under the concentration-time curve of tiotropium in blood plasma over the time interval from 0 extrapolated to infinity)
    Cmax (maximum measured concentration of tiotropium in blood plasma)
    AUCt1-t2 (area under the concentration time curve in plasma over the time interval t1 to t2)
    tmax (time from dosing to the maximum concentration of in plasma)
    λz (terminal rate constant in plasma)
    t½ (terminal half-life of in plasma)
    MRTih (mean residence time in the body after inhalational administration)
    CL/F (apparent clearance of in the plasma after extravascular administration)
    Vz/F (apparent volume of distribution during the terminal phase λz following an extravascular dose)
    Aet1-t2 (amount of analyte that is eliminated in urine from the time point t1 to time point t2
    fet1-t2 (fraction of analyte eliminated in urine from time point t1 to time point t2)
    CLR,t1-t2 (renal clearance of the analyte from the time point t1 until the time point t2)
    Number of participants with abnormal findings in physical examination
    Number of participants with clinically significant changes in vital signs
    Number of participants with abnormal findings in 12-lead ECG
    Number of participants with abnormal changes in clinical laboratory parameters
    Number of participants with adverse events
    Tolerability assessed by investigator on a 4-point scale

    Full Information

    First Posted
    September 29, 2014
    Last Updated
    September 30, 2014
    Sponsor
    Boehringer Ingelheim
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02254174
    Brief Title
    Relative Bioavailability of Tiotropium and Salmeterol After Inhalation of a Fixed Combined Dose Compared to Monocomponents in Healthy Male Volunteers
    Official Title
    A Randomised, Open-label Four-way Crossover Study to Evaluate Relative Bioavailability of Tiotropium and Salmeterol After Inhalation of a Fixed Combined Single Dose (7.5 μg Tiotropium, 25 μg Salmeterol, Inhalation Powder, Hard Capsule, HandiHaler®2), a Free Combined Single Dose of 18 μg Tiotropium [Spiriva® HandiHaler®] and 50 μg Salmeterol [Serevent® Diskus®], a Single Dose of 50μg Salmeterol (Serevent® Diskus®) and a Single Dose of 18 μg Tiotropium (Spiriva® HandiHaler®) in Healthy Male Volunteers
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    September 2014
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2006 (undefined)
    Primary Completion Date
    July 2006 (Actual)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Boehringer Ingelheim

    4. Oversight

    5. Study Description

    Brief Summary
    Assessment of the relative bioavailability of a fixed dose combination of tiotropium and salmeterol compared to a free dose combination of the marketed products of tiotropium and salmeterol (Spiriva® and Serevent® Diskus®). Assessment of the relative bioavailability of a fixed dose combination of tiotropium and salmeterol compared to tiotropium and salmeterol administered as individual mono substances from the marketed products. Assessment of safety and tolerability of the fixed combination of tiotropium and salmeterol in a PE (Polyethylene) capsule administered via the HandiHaler® 2

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Healthy

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Crossover Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    36 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Tiotropium/Salmeterol
    Arm Type
    Experimental
    Arm Title
    Serevent® Diskus®
    Arm Type
    Active Comparator
    Arm Title
    Spiriva®
    Arm Type
    Active Comparator
    Arm Title
    Spiriva® and Serevent® Diskus®
    Arm Type
    Active Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    Tiotropium/Salmeterol
    Intervention Description
    Fixed dose combination of tiotropium 7.5 μg and salmeterol 25 μg inhalation powder, PE capsule via HandiHaler®
    Intervention Type
    Drug
    Intervention Name(s)
    Serevent® Diskus®
    Intervention Type
    Drug
    Intervention Name(s)
    Spiriva®
    Primary Outcome Measure Information:
    Title
    AUC0-∞ (area under the concentration-time curve of salmeterol in blood plasma over the time interval from 0 extrapolated to infinity);
    Time Frame
    Up to 8 hours after drug administration
    Title
    Cmax (maximum measured concentration of salmeterol in blood plasma)
    Time Frame
    Up to 8 hours after drug administration
    Title
    Ae0-8 (urinary excretion of tiotropium over an 8 hour interval)
    Time Frame
    Up to 8 hours after drug administration
    Secondary Outcome Measure Information:
    Title
    AUC0-tz (area under the concentration-time curve in plasma over the time interval from 0 to the time of the last quantifiable data point)
    Time Frame
    Up to 8 hours after drug administration
    Title
    AUC0-∞ (area under the concentration-time curve of tiotropium in blood plasma over the time interval from 0 extrapolated to infinity)
    Time Frame
    Up to 8 hours after drug administration
    Title
    Cmax (maximum measured concentration of tiotropium in blood plasma)
    Time Frame
    Up to 8 hours after drug administration
    Title
    AUCt1-t2 (area under the concentration time curve in plasma over the time interval t1 to t2)
    Time Frame
    up to 8 hours after inhalation
    Title
    tmax (time from dosing to the maximum concentration of in plasma)
    Time Frame
    Up to 8 hours after drug administration
    Title
    λz (terminal rate constant in plasma)
    Time Frame
    Up to 8 hours after drug administration
    Title
    t½ (terminal half-life of in plasma)
    Time Frame
    Up to 8 hours after drug administration
    Title
    MRTih (mean residence time in the body after inhalational administration)
    Time Frame
    Up to 8 hours after drug administration
    Title
    CL/F (apparent clearance of in the plasma after extravascular administration)
    Time Frame
    Up to 8 hours after drug administration
    Title
    Vz/F (apparent volume of distribution during the terminal phase λz following an extravascular dose)
    Time Frame
    Up to 8 hours after drug administration
    Title
    Aet1-t2 (amount of analyte that is eliminated in urine from the time point t1 to time point t2
    Time Frame
    up to 8 hours after inhalation
    Title
    fet1-t2 (fraction of analyte eliminated in urine from time point t1 to time point t2)
    Time Frame
    up to 8 hours after inhalation
    Title
    CLR,t1-t2 (renal clearance of the analyte from the time point t1 until the time point t2)
    Time Frame
    up to 8 hours after inhalation
    Title
    Number of participants with abnormal findings in physical examination
    Time Frame
    up to 90 days after first drug administration
    Title
    Number of participants with clinically significant changes in vital signs
    Time Frame
    up to 90 days after first drug administration
    Title
    Number of participants with abnormal findings in 12-lead ECG
    Time Frame
    up to 90 days after first drug administration
    Title
    Number of participants with abnormal changes in clinical laboratory parameters
    Time Frame
    up to 90 days after first drug administration
    Title
    Number of participants with adverse events
    Time Frame
    up to 90 days after first drug administration
    Title
    Tolerability assessed by investigator on a 4-point scale
    Time Frame
    up to 90 days after first drug administration

    10. Eligibility

    Sex
    Male
    Minimum Age & Unit of Time
    21 Years
    Maximum Age & Unit of Time
    50 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Healthy male based upon a complete medical history, including the physical examination, regarding vital signs (blood pressure (BP), pulse rate (PR)), 12-lead ECG (electrocardiogram) measurement, and clinical laboratory tests. There is no finding deviating from normal and of clinical relevance. There is no evidence of a clinically relevant concomitant disease Age ≥21 and ≤50 years BMI ≥18.5 and <30 kg/m2 (Body Mass Index) Signed and dated written informed consent prior to admission to the study in accordance with GCP (Good Clinical Practice) and the local legislation Exclusion Criteria: Any finding of the medical examination (including BP, PR, and ECG measurements) deviating from normal and of clinical relevance Evidence of a clinically relevant concomitant disease Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders History of relevant orthostatic hypotension, fainting spells or blackouts Chronic or relevant acute infections History of relevant allergy/hypersensitivity (including allergy to the drug or its excipients) as judged clinically relevant by the investigator Intake of drugs with a long half-life (>24 hours) within at least 1 month or less than 10 half-lives of the respective drug prior to randomisation Use of drugs which might reasonably influence the results of the trial based on the knowledge at the time of protocol preparation within 10 days prior to enrolment in the study or during the study Participation in another trial with an investigational drug within 2 months prior to randomisation Smoker (>10 cigarettes or >3 cigars or >3 pipes/day) Inability to refrain from smoking on trial days as judged by the investigator Alcohol abuse (more than 40 g alcohol a day) Drug abuse Blood donation (more than 100 mL blood within 4 weeks prior to randomisation or during the trial) Excessive physical activities within 1 week prior to randomisation or during the trial Any laboratory value outside the reference range that is of clinical relevance Inability to comply with dietary regimen of the study centre The following exclusion criteria are specific for this study due to the known class side effect profile of ß2-mimetics: Asthma or history of pulmonary hyperreactivity Hyperthyrosis Allergic rhinitis in need of treatment Clinically relevant cardiac arrhythmia Paroxysmal tachycardia (>100 beats per minute) The following exclusion criteria are specific for this study due to the known class side effect profile of tiotropium: Hypersensitivity to tiotropium and/or related drugs of this class

    12. IPD Sharing Statement

    Links:
    URL
    http://trials.boehringer-ingelheim.com
    Description
    Related Info

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    Relative Bioavailability of Tiotropium and Salmeterol After Inhalation of a Fixed Combined Dose Compared to Monocomponents in Healthy Male Volunteers

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