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A Study to Compare the Bioavailability Intranasal Administration of 200 and 400 µg or 400 µg Alone of OPTINOSE™ FLUTICASONE With 440 µg of Flovent® HFA (Fluticasone Propionate) Inhalation Aerosol (Part 2)

Primary Purpose

Mild to Moderate Asthma

Status
Completed
Phase
Phase 1
Locations
Ireland
Study Type
Interventional
Intervention
Flovent HFA
OPTINOSE™ FLUTICASONE
Sponsored by
Optinose US Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Mild to Moderate Asthma

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Male or female subjects' ages 18 to 55 years, inclusive, at screening.
  2. Have a body mass index of 18 to 32 kg/m2, inclusive, and a body weight of not less than 52 kg for males and 45 kg for females.
  3. Otherwise healthy mild to moderate asthmatic (Part 2) with no clinically relevant abnormalities in the opinion of the Investigator as determined by medical history, physical examination, blood chemistry, hematology (including complete blood count), serology, urinalysis, vital signs, and ECG performed at screening.
  4. History of mild to moderate asthma, diagnosed by a physician, which is well controlled at the present time (no history of sudden or severe asthma exacerbation in the past 12 months).
  5. Are unlikely to exacerbate during the study due to seasonal allergen exposure.
  6. Able to tolerate withdrawal of their medication for a required period of time.

Exclusion Criteria:

  1. Currently have or have a history of disease or dysfunction of the cardiovascular, endocrine, hematologic, neurological, immune, gastrointestinal, genitourinary, musculoskeletal, or other body system that is clinically significant in the opinion of the Investigator.
  2. History of smoking or use of nicotine-containing substances within the previous 3 months before screening.
  3. Hypersensitivity to fluticasone propionate or any of the excipients found in OPTINOSETM FLUTICASONE or Flovent® HFA (for Part 2).
  4. History of extensive nasal and/or sinus surgery.
  5. Known nasal obstruction including allergic rhinitis, nasal septal deviations, polyposis, severe mucosal swelling, nasal ulcers, nasal trauma or any other reason.
  6. History of acute severe asthma attacks.
  7. History of seasonal asthma exacerbation, in which case subjects should be outside the relevant allergen season.
  8. Have evidence of any chronic medical conditions other than asthma requiring prescription medications (e.g., hypertension or diabetes).
  9. Have used inhaled, intranasal, oral, or injectable corticosteroids within 4 weeks prior to dosing. Subjects should be on stable treatment for at least 1 month prior to withdrawal.

Sites / Locations

  • Celerion

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Flovent® HFA 440µg

OPTINOSE™ FLUTICASONE 400µg intranasal

Arm Description

Flovent® HFA (fluticasone propionate) Inhalation Aerosol 440 µg

OPTINOSE™ FLUTICASONE, single dose of 400 µg intranasally

Outcomes

Primary Outcome Measures

The ratio of least-squares means of the ln transformed PK parameter AUC0-∞ is the primary endpoint.
Part 2

Secondary Outcome Measures

Full Information

First Posted
October 7, 2014
Last Updated
February 2, 2016
Sponsor
Optinose US Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02266927
Brief Title
A Study to Compare the Bioavailability Intranasal Administration of 200 and 400 µg or 400 µg Alone of OPTINOSE™ FLUTICASONE With 440 µg of Flovent® HFA (Fluticasone Propionate) Inhalation Aerosol (Part 2)
Official Title
An Open-Label, 2-Part, Randomized, Crossover Study to Compare the Bioavailability of Intranasal Administration of 200 and 400 µg of OPTINOSE™ FLUTICASONE With 400 µg of Flonase® (Fluticasone Propionate) Nasal Spray (Part 1), and Intranasal Administration of 200 and 400 µg or 400 µg Alone of OPTINOSE™ FLUTICASONE With 440 µg of Flovent® HFA (Fluticasone Propionate) Inhalation Aerosol (Part 2) (Current Investigation is Part 2 Only)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2016
Overall Recruitment Status
Completed
Study Start Date
September 2014 (undefined)
Primary Completion Date
March 2015 (Actual)
Study Completion Date
April 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Optinose US Inc.

4. Oversight

5. Study Description

Brief Summary
To compare the systemic exposure of a single dose of 400 µg of OPTINOSE FLUTICASONE with 440 µg of Flovent® HFA (fluticasone propionate) Inhalation Aerosol in asthmatic subjects.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Mild to Moderate Asthma

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Flovent® HFA 440µg
Arm Type
Active Comparator
Arm Description
Flovent® HFA (fluticasone propionate) Inhalation Aerosol 440 µg
Arm Title
OPTINOSE™ FLUTICASONE 400µg intranasal
Arm Type
Experimental
Arm Description
OPTINOSE™ FLUTICASONE, single dose of 400 µg intranasally
Intervention Type
Drug
Intervention Name(s)
Flovent HFA
Intervention Type
Drug
Intervention Name(s)
OPTINOSE™ FLUTICASONE
Primary Outcome Measure Information:
Title
The ratio of least-squares means of the ln transformed PK parameter AUC0-∞ is the primary endpoint.
Description
Part 2
Time Frame
Pre-dose and at 0.167, 0.333, 0.5, 0.75, 1, 1.333, 1.667, 2, 2.5, 3, 4, 6, 9, 12, 16, 24, and 36 hours after dosing

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female subjects' ages 18 to 55 years, inclusive, at screening. Have a body mass index of 18 to 32 kg/m2, inclusive, and a body weight of not less than 52 kg for males and 45 kg for females. Otherwise healthy mild to moderate asthmatic (Part 2) with no clinically relevant abnormalities in the opinion of the Investigator as determined by medical history, physical examination, blood chemistry, hematology (including complete blood count), serology, urinalysis, vital signs, and ECG performed at screening. History of mild to moderate asthma, diagnosed by a physician, which is well controlled at the present time (no history of sudden or severe asthma exacerbation in the past 12 months). Are unlikely to exacerbate during the study due to seasonal allergen exposure. Able to tolerate withdrawal of their medication for a required period of time. Exclusion Criteria: Currently have or have a history of disease or dysfunction of the cardiovascular, endocrine, hematologic, neurological, immune, gastrointestinal, genitourinary, musculoskeletal, or other body system that is clinically significant in the opinion of the Investigator. History of smoking or use of nicotine-containing substances within the previous 3 months before screening. Hypersensitivity to fluticasone propionate or any of the excipients found in OPTINOSETM FLUTICASONE or Flovent® HFA (for Part 2). History of extensive nasal and/or sinus surgery. Known nasal obstruction including allergic rhinitis, nasal septal deviations, polyposis, severe mucosal swelling, nasal ulcers, nasal trauma or any other reason. History of acute severe asthma attacks. History of seasonal asthma exacerbation, in which case subjects should be outside the relevant allergen season. Have evidence of any chronic medical conditions other than asthma requiring prescription medications (e.g., hypertension or diabetes). Have used inhaled, intranasal, oral, or injectable corticosteroids within 4 weeks prior to dosing. Subjects should be on stable treatment for at least 1 month prior to withdrawal.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Adrian J Stewart, BM, MRCGP, MFPM
Organizational Affiliation
Celerion
Official's Role
Principal Investigator
Facility Information:
Facility Name
Celerion
City
Belfast
ZIP/Postal Code
BT9 6AD
Country
Ireland

12. IPD Sharing Statement

Citations:
PubMed Identifier
31732149
Citation
Messina JC, Offman E, Carothers JL, Mahmoud RA. A Randomized Comparison of the Pharmacokinetics and Bioavailability of Fluticasone Propionate Delivered via Xhance Exhalation Delivery System Versus Flonase Nasal Spray and Flovent HFA Inhalational Aerosol. Clin Ther. 2019 Nov;41(11):2343-2356. doi: 10.1016/j.clinthera.2019.09.013. Epub 2019 Nov 12.
Results Reference
derived

Learn more about this trial

A Study to Compare the Bioavailability Intranasal Administration of 200 and 400 µg or 400 µg Alone of OPTINOSE™ FLUTICASONE With 440 µg of Flovent® HFA (Fluticasone Propionate) Inhalation Aerosol (Part 2)

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