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A Study to Assess the PK and Safety of PT010 in Subjects With COPD Following Single and Repeat Dose

Primary Purpose

Chronic Obstructive Pulmonary Disease

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
PT010
Sponsored by
Pearl Therapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Obstructive Pulmonary Disease

Eligibility Criteria

40 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  • Given their signed written informed consent to participate.
  • Non-child bearing potential (ie, physiologically incapable of becoming pregnant, including any female who is 2 years post-menopausal); or Child bearing potential, has a negative serum pregnancy test at Visit 1, and agrees to acceptable contraceptive methods used consistently and correctly for the duration of the study.
  • Subjects with an established clinical history of COPD as defined by the American Thoracic Society (ATS)/European Respiratory Society (ERS), or other local applicable guidelines.
  • Current or former smokers with a history of at least 10 pack-years of cigarette smoking.
  • Pre-bronchodilator FEV1/FVC ratio must be <0.70 and pre-bronchodilator FEV1 must be ≥50% and <80% predicted normal value calculated using National Health and Nutrition Examination Survey (NHANES) III reference equations

Key Exclusion Criteria:

  • Significant diseases or conditions to : other than COPD, active pulmonary disease such as active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, primary pulmonary hypertension, interstitial lung disease and uncontrolled sleep apnea .
  • Women who are pregnant or lactating, or are planning to become pregnant during the course of the study, or women of childbearing potential who are not using an acceptable method of contraception.
  • Subjects, who in the opinion of the Investigator, have a current diagnosis of asthma.
  • Subjects who have a history of hypersensitivity to any corticosteroid,
  • β2-agonist, muscarinic anticholinergic, or any component of the MDI
  • Alpha-1 antitrypsin deficiency as the cause of COPD

Sites / Locations

  • Research Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

PT010

Arm Description

PT010; Budesonide, Glycopyrrolate, and Formoterol Fumarate Inhalation Aerosol per protocol. Administered as 2 inhalations per use as instructed in the protocol.

Outcomes

Primary Outcome Measures

Maximum Plasma Concentration (Cmax) - Budesonide
Maximum plasma concentration (Cmax) - Budesonide
Maximum Plasma Concentration (Cmax) - Budesonide
Maximum plasma concentration (Cmax) - Budesonide
Maximum Plasma Concentration (Cmax) - Glycopyrronium
Maximum plasma concentration (Cmax) - Glycopyrronium
Maximum Plasma Concentration (Cmax) - Glycopyrronium
Maximum plasma concentration (Cmax) - Glycopyrronium
Maximum Plasma Concentration (Cmax) - Formoterol
Maximum plasma concentration (Cmax) - Formoterol
Maximum Plasma Concentration (Cmax) - Formoterol
Maximum plasma concentration (Cmax) - Formoterol
Area Under the Plasma Concentration-time Curve (AUC 0-12) - Budesonide
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Budesonide
Area Under the Plasma Concentration-time Curve (AUC 0-12) - Budesonide
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Budesonide
Area Under the Plasma Concentration-time Curve (AUC 0-12) - Glycopyrronium
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Glycopyrronium
Area Under the Plasma Concentration-time Curve (AUC 0-12) - Glycopyrronium
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Glycopyrronium
Area Under the Plasma Concentration-time Curve (AUC 0-12) - Formoterol
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Formoterol
Area Under the Plasma Concentration-time Curve (AUC 0-12) - Formoterol
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Formoterol
Area Under the Plasma Concentration-time Curve (AUC 0-tlast) - Budesonide
Area under the plasma concentration-time curve from 0 to the time of the last measurable plasma concentration (AUC 0-tlast) - Budesonide
Area Under the Plasma Concentration-time Curve (AUC 0-tlast) - Glycopyrronium
Area under the plasma concentration-time curve from 0 to the time of the last measurable plasma concentration (AUC 0-tlast) - Glycopyrronium
Area Under the Plasma Concentration-time Curve (AUC 0-tlast) - Formoterol
Area under the plasma concentration-time curve from 0 to the time of the last measurable plasma concentration (AUC 0-tlast) - Formoterol

Secondary Outcome Measures

Time to Maximum Plasma Concentration (Tmax) - Budesonide
Time to maximum plasma concentration (tmax) - Budesonide
Time to Maximum Plasma Concentration (Tmax) - Glycopyrronium
Time to maximum plasma concentration (tmax) - Glycopyrronium
Time to Maximum Plasma Concentration (Tmax) - Formoterol
Time to maximum plasma concentration (tmax) - Formoterol
Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC0-∞) - Budesonide
Area under the plasma concentration-time curve from 0 extrapolated to infinity (AUC0-∞) - Budesonide
Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC0-∞) - Glycopyrronium
Area under the plasma concentration-time curve from 0 extrapolated to infinity (AUC0-∞) - Glycopyrronium
Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC0-∞) - Formoterol
Area under the plasma concentration-time curve from 0 extrapolated to infinity (AUC0-∞) - Formoterol

Full Information

First Posted
August 11, 2017
Last Updated
January 12, 2021
Sponsor
Pearl Therapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT03250182
Brief Title
A Study to Assess the PK and Safety of PT010 in Subjects With COPD Following Single and Repeat Dose
Official Title
A Study to Assess the Pharmacokinetics and Safety of PT010 in Subjects With Moderate to Severe COPD Following Single and Repeat Dose Administration
Study Type
Interventional

2. Study Status

Record Verification Date
January 2021
Overall Recruitment Status
Completed
Study Start Date
August 11, 2017 (Actual)
Primary Completion Date
December 7, 2017 (Actual)
Study Completion Date
December 7, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pearl Therapeutics, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase I open-label, single center study to assess the PK and safety of BGF MDI 320/14.4/9.6 µg in subjects with moderate to severe COPD. Pharmacokinetics will be assessed following a single dose administration on the first treatment day (Day 1) and will be assessed again after 7 days of repeat dosing. This study includes a Screening Period of up to 28 days and a single Treatment Period of 8 days. A follow-up phone call will be conducted at least 5 days but no longer than 7 days after the last dose of study drug.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Obstructive Pulmonary Disease

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
PT010
Arm Type
Experimental
Arm Description
PT010; Budesonide, Glycopyrrolate, and Formoterol Fumarate Inhalation Aerosol per protocol. Administered as 2 inhalations per use as instructed in the protocol.
Intervention Type
Drug
Intervention Name(s)
PT010
Other Intervention Name(s)
PT010; Budesonide, Glycopyrrolate, and Formoterol Fumarate Inhalation Aerosol
Intervention Description
PT010; Budesonide, Glycopyrrolate, and Formoterol Fumarate Inhalation Aerosol. Administered as 2 inhalations per use as instructed per the protocol.
Primary Outcome Measure Information:
Title
Maximum Plasma Concentration (Cmax) - Budesonide
Description
Maximum plasma concentration (Cmax) - Budesonide
Time Frame
Day 1
Title
Maximum Plasma Concentration (Cmax) - Budesonide
Description
Maximum plasma concentration (Cmax) - Budesonide
Time Frame
Day 8 (pre-dose and 2,6,20,40 minutes, 1,2,4,8,10,12 hours post-dose
Title
Maximum Plasma Concentration (Cmax) - Glycopyrronium
Description
Maximum plasma concentration (Cmax) - Glycopyrronium
Time Frame
Day 1 (pre-dose 2,6,20,40 minutes, 1,2,4,8,10,12,18,24 hours post-dose)
Title
Maximum Plasma Concentration (Cmax) - Glycopyrronium
Description
Maximum plasma concentration (Cmax) - Glycopyrronium
Time Frame
Day 8 (pre-dose and 2,6,20,40 minutes, 1,2,4,8,10,12 hours post-dose)
Title
Maximum Plasma Concentration (Cmax) - Formoterol
Description
Maximum plasma concentration (Cmax) - Formoterol
Time Frame
Day 1 (pre-dose 2,6,20,40 minutes, 1,2,4,8,10,12,18,24 hours post-dose)
Title
Maximum Plasma Concentration (Cmax) - Formoterol
Description
Maximum plasma concentration (Cmax) - Formoterol
Time Frame
Day 8 (pre-dose and 2,6,20,40 minutes, 1,2,4,8,10,12 hours post-dose)
Title
Area Under the Plasma Concentration-time Curve (AUC 0-12) - Budesonide
Description
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Budesonide
Time Frame
Day 1
Title
Area Under the Plasma Concentration-time Curve (AUC 0-12) - Budesonide
Description
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Budesonide
Time Frame
Day 8
Title
Area Under the Plasma Concentration-time Curve (AUC 0-12) - Glycopyrronium
Description
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Glycopyrronium
Time Frame
Day 1
Title
Area Under the Plasma Concentration-time Curve (AUC 0-12) - Glycopyrronium
Description
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Glycopyrronium
Time Frame
Day 8
Title
Area Under the Plasma Concentration-time Curve (AUC 0-12) - Formoterol
Description
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Formoterol
Time Frame
Day 1
Title
Area Under the Plasma Concentration-time Curve (AUC 0-12) - Formoterol
Description
Area under the plasma concentration-time curve from 0 to 12 hours (AUC 0-12) - Formoterol
Time Frame
Day 8
Title
Area Under the Plasma Concentration-time Curve (AUC 0-tlast) - Budesonide
Description
Area under the plasma concentration-time curve from 0 to the time of the last measurable plasma concentration (AUC 0-tlast) - Budesonide
Time Frame
Day 1
Title
Area Under the Plasma Concentration-time Curve (AUC 0-tlast) - Glycopyrronium
Description
Area under the plasma concentration-time curve from 0 to the time of the last measurable plasma concentration (AUC 0-tlast) - Glycopyrronium
Time Frame
Day 1
Title
Area Under the Plasma Concentration-time Curve (AUC 0-tlast) - Formoterol
Description
Area under the plasma concentration-time curve from 0 to the time of the last measurable plasma concentration (AUC 0-tlast) - Formoterol
Time Frame
Day 1
Secondary Outcome Measure Information:
Title
Time to Maximum Plasma Concentration (Tmax) - Budesonide
Description
Time to maximum plasma concentration (tmax) - Budesonide
Time Frame
Day 1 (pre-dose 2,6,20,40 minutes, 1,2,4,8,10,12,18,24 hours post-dose), Day 8 (pre-dose and 2,6,20,40 minutes, 1,2,4,8,10,12 hours post-dose)
Title
Time to Maximum Plasma Concentration (Tmax) - Glycopyrronium
Description
Time to maximum plasma concentration (tmax) - Glycopyrronium
Time Frame
Day 1 (pre-dose 2,6,20,40 minutes, 1,2,4,8,10,12,18,24 hours post-dose), Day 8 (pre-dose and 2,6,20,40 minutes, 1,2,4,8,10,12 hours post-dose)
Title
Time to Maximum Plasma Concentration (Tmax) - Formoterol
Description
Time to maximum plasma concentration (tmax) - Formoterol
Time Frame
Day 1 (pre-dose 2,6,20,40 minutes, 1,2,4,8,10,12,18,24 hours post-dose), Day 8 (pre-dose and 2,6,20,40 minutes, 1,2,4,8,10,12 hours post-dose)
Title
Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC0-∞) - Budesonide
Description
Area under the plasma concentration-time curve from 0 extrapolated to infinity (AUC0-∞) - Budesonide
Time Frame
Day 1
Title
Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC0-∞) - Glycopyrronium
Description
Area under the plasma concentration-time curve from 0 extrapolated to infinity (AUC0-∞) - Glycopyrronium
Time Frame
Day 1
Title
Area Under the Plasma Concentration-time Curve From 0 Extrapolated to Infinity (AUC0-∞) - Formoterol
Description
Area under the plasma concentration-time curve from 0 extrapolated to infinity (AUC0-∞) - Formoterol
Time Frame
Day 1

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Given their signed written informed consent to participate. Non-child bearing potential (ie, physiologically incapable of becoming pregnant, including any female who is 2 years post-menopausal); or Child bearing potential, has a negative serum pregnancy test at Visit 1, and agrees to acceptable contraceptive methods used consistently and correctly for the duration of the study. Subjects with an established clinical history of COPD as defined by the American Thoracic Society (ATS)/European Respiratory Society (ERS), or other local applicable guidelines. Current or former smokers with a history of at least 10 pack-years of cigarette smoking. Pre-bronchodilator FEV1/FVC ratio must be <0.70 and pre-bronchodilator FEV1 must be ≥50% and <80% predicted normal value calculated using National Health and Nutrition Examination Survey (NHANES) III reference equations Key Exclusion Criteria: Significant diseases or conditions to : other than COPD, active pulmonary disease such as active tuberculosis, lung cancer, bronchiectasis, sarcoidosis, lung fibrosis, primary pulmonary hypertension, interstitial lung disease and uncontrolled sleep apnea . Women who are pregnant or lactating, or are planning to become pregnant during the course of the study, or women of childbearing potential who are not using an acceptable method of contraception. Subjects, who in the opinion of the Investigator, have a current diagnosis of asthma. Subjects who have a history of hypersensitivity to any corticosteroid, β2-agonist, muscarinic anticholinergic, or any component of the MDI Alpha-1 antitrypsin deficiency as the cause of COPD
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Paul M Dorinsky, MD
Organizational Affiliation
Pearl Therapeutics, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Research Site
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33765
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
31841699
Citation
Dunn LJ, Kerwin EM, DeAngelis K, Darken P, Gillen M, Dorinsky P. Pharmacokinetics of budesonide/glycopyrrolate/formoterol fumarate metered dose inhaler formulated using co-suspension delivery technology after single and chronic dosing in patients with COPD. Pulm Pharmacol Ther. 2020 Feb;60:101873. doi: 10.1016/j.pupt.2019.101873. Epub 2019 Dec 10.
Results Reference
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A Study to Assess the PK and Safety of PT010 in Subjects With COPD Following Single and Repeat Dose

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