Safety, Tolerability and Pharmacokinetics of PUR1900 (Itraconazole Powder) in Healthy Volunteers and Adults With Asthma
Primary Purpose
Asthma
Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
Itraconazole Powder
Itraconazole 200 mg
Sponsored by

About this trial
This is an interventional treatment trial for Asthma
Eligibility Criteria
Inclusion Criteria:
Part 1 (SAD) and Part 2 (MAD):
- Healthy males or non-pregnant, non-lactating healthy females.
- Age 18 to 60 years
- Screening forced expiratory volume in 1 sec (FEV1) ≥80% of the predicted value
- Screening FEV1/forced vital capacity (FVC) >0.70.
- Able to demonstrate the correct inhalation technique for use of delivery device during the study.
Part 3 (Asthmatic Subjects):
- Males or non-pregnant, non-lactating females with a physician-confirmed diagnosis of asthma for at least 3 months. Asthma must be assessed by investigator as being stable for at least 4 weeks prior to screening.
- Age 18 to 60 years
- Subject is being treated with either inhaled corticosteroids (ICS) or inhaled corticosteroids plus long-acting beta-agonists (ICS/LABA). Only GINA STEP 2 and 3 patients will be enrolled.
- Pre-bronchodilator, clinic measured, FEV1 ≥70% of predicted normal at screening
- Able to perform the required spirometric testing.
- Able to produce a sputum sample of a quality required for drug concentration assessments (a single repeat is permitted).
Exclusion Criteria:
- Subjects who have received any IMP in a clinical research study within the previous 3 months prior to dosing on this study
- Subjects who have previously received IMP in this study. Subjects who have participated in Part 1 are not permitted to participate in Part 2 or Part 3.
- History of any drug or alcohol abuse in the past 2 years prior to screening.
- Current users of e-cigarettes and nicotine replacement products and those who have used these products within the last 12 months
- Females of childbearing potential who are pregnant or lactating, or who plan to become pregnant during the study (all female subjects must have a negative pregnancy test at screening). A woman is considered of childbearing potential unless she is permanently sterile (hysterectomy, bilateral salpingectomy, bilateral oophorectomy, bilateral tubal occlusion/ligation) or is postmenopausal (had no menses for 12 months without an alternative medical cause (will be re-assessed at admission/pre-dose).
- Positive drugs of abuse test result at screening or admission
- Subjects with congestive heart failure or a history of congestive heart failure
- History of severe cough or bronchospasm upon inhalation of any dry powder inhalation product
- Subjects who are taking or have taken any herbal remedies or CYP3A4 inducers in the 28 days prior to the first IMP administration
- Upper respiratory tract infection (excluding otitis media), fever, acute or chronic cough within 14 days of the first IMP administration, or lower respiratory tract infection within the last 3 months prior to IMP administration
- Recent (last 4 weeks prior to IMP administration) clinically significant bacterial, viral or fungal infection that required systemic (oral or intravenous) antibiotics, antivirals or antifungals; topical treatments, other than antifungals, are allowed.
Sites / Locations
- Medicines Evaluation Unit
- Quotient Sciences
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Active Comparator
Arm Label
Part 1 single ascending dose
Part 2 multiple ascending dose
Part 3 2-period crossover single dose
Arm Description
Intervention: drug Itraconzaole powder: single dose of 5mg, 10mg or 25 mg Other name: PUR1900
Intervention: drug Itraconzaole powder: 10 mg or 20 mg daily for 14 days Other name: PUR1900
Intervention: drug Itraconzaole powder: 20 mg single dose and Itraconzaole oral solution 200 mg single dose Other names: PUR1900, Sporanox
Outcomes
Primary Outcome Measures
Number of participants with treatment-related Adverse Events as assessed by CTCAE v4.0
Safety and tolerability will be assessed by evaluating the number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Secondary Outcome Measures
Area under the serum concentration vs time curve from time 0 to infinity (AUC0-inf) of single dose of itraconazole
The area under the serum concentration vs time curve from time 0 to infinity (AUC0-inf)
Time of the maximum measured serum concentration (Tmax) of single dose of itraconazole
Time of the maximum measured serum concentration (Tmax)
Area under the serum concentration vs time curve within the dosing interval (AUCtau) of single dose of itraconazole
The area under the serum concentration vs time curve within the dosing interval (AUCtau)
Apparent first-order terminal elimination half-life (t1/2 ) of single dose of itraconazole
Apparent first-order terminal elimination half-life (t1/2 )
Apparent first-order terminal elimination rate constant calculated from a semi-log plot of the serum concentration vs time curve (Kel) of single dose of itraconazole
Apparent first-order terminal elimination rate constant calculated from a semi-log plot of
Apparent clearance (CL/F) of single dose of itraconazole
Apparent clearance (CL/F)
Apparent volume of distribution (Vz/F) of single dose of itraconazole
Apparent volume of distribution (Vz/F)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03479411
Brief Title
Safety, Tolerability and Pharmacokinetics of PUR1900 (Itraconazole Powder) in Healthy Volunteers and Adults With Asthma
Official Title
Phase 1, 3-Part, Open-Label Study to Assess Safety, Tolerability and PK of Single and Multiple Doses of PUR1900 in Healthy Subjects and Crossover Study of Single Doses of PUR1900 and Sporanox in Adult Subjects With Mild to Moderate Asthma
Study Type
Interventional
2. Study Status
Record Verification Date
July 2018
Overall Recruitment Status
Completed
Study Start Date
February 9, 2018 (Actual)
Primary Completion Date
June 28, 2018 (Actual)
Study Completion Date
June 28, 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pulmatrix Inc.
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
Phase 1, 3-part study to assess safety, tolerability and PK of single and multiple doses of itraconazole administered as a dry powder for inhalation (PUR1900) in healthy subjects (parts 1 and 2) and a 2-period crossover study of single doses of itraconazole administered as a dry powder for inhalation (PUR1900) and an oral solution (Sporanox) in adults with mild to moderate, stable asthma (part 3)
Detailed Description
Phase 1, multi-center, 3-part, open-label study in healthy adults (Parts 1 and 2) and adults with mild to moderate, stable asthma (Part 3).
Safety, tolerability and PK will be assessed following either single ascending (SAD) or multiple ascending (MAD) dosing of itraconazole administered as a dry powder for inhalation (PUR1900; Part 1 and Part 2, respectively). Part 1 will comprise 3 separate cohorts planned to receive single doses of 5, 10 and 25 mg itraconzaole, respectively. The study will have an interleaved design; Part 2 will comprise 2 separate cohorts planned to receive daily doses of itraconazole 10 and 20 mg per day for 14 days, respectively. Part 2, Cohort 1 will commence after a review of safety data from Part 1 Cohort 2 suggests it is safe to do so.
Part 3 is a 2-period, randomised, crossover study in adult subjects with mild to moderate stable asthma to assess the safety, tolerability and PK of single doses of itraconazole administered as a dry powder for inhalation (PUR1900) and administered as an oral solution (Sporanox® Oral Solution).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Asthma
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Sequential Assignment
Model Description
The study has 3 parts: 1) Single Ascending Dose Escalation and 2) Multiple Ascending Dose Escalation to be conducted in Normal Healthy Volunteers and 3) A two-period crossover study of single doses of PUR1900 and Sporanox in Adults with Asthma
Masking
None (Open Label)
Allocation
Randomized
Enrollment
58 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Part 1 single ascending dose
Arm Type
Experimental
Arm Description
Intervention: drug Itraconzaole powder: single dose of 5mg, 10mg or 25 mg Other name: PUR1900
Arm Title
Part 2 multiple ascending dose
Arm Type
Experimental
Arm Description
Intervention: drug Itraconzaole powder: 10 mg or 20 mg daily for 14 days Other name: PUR1900
Arm Title
Part 3 2-period crossover single dose
Arm Type
Active Comparator
Arm Description
Intervention: drug Itraconzaole powder: 20 mg single dose and Itraconzaole oral solution 200 mg single dose Other names: PUR1900, Sporanox
Intervention Type
Drug
Intervention Name(s)
Itraconazole Powder
Other Intervention Name(s)
PUR1900
Intervention Description
Itraconazole administered as a dry powder for inhalation (PUR1900)
Intervention Type
Drug
Intervention Name(s)
Itraconazole 200 mg
Other Intervention Name(s)
Sporanox®
Intervention Description
Sporanox® Oral Solution
Primary Outcome Measure Information:
Title
Number of participants with treatment-related Adverse Events as assessed by CTCAE v4.0
Description
Safety and tolerability will be assessed by evaluating the number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Time Frame
Part 1: Baseline through Day 14, Part 2 and 3: Baseline through Day 28
Secondary Outcome Measure Information:
Title
Area under the serum concentration vs time curve from time 0 to infinity (AUC0-inf) of single dose of itraconazole
Description
The area under the serum concentration vs time curve from time 0 to infinity (AUC0-inf)
Time Frame
Part 1: Baseline through Day 14, Part 2 and 3: Baseline through Day 28
Title
Time of the maximum measured serum concentration (Tmax) of single dose of itraconazole
Description
Time of the maximum measured serum concentration (Tmax)
Time Frame
Part 1: Baseline through Day 14, Part 2 and 3: Baseline through Day 28
Title
Area under the serum concentration vs time curve within the dosing interval (AUCtau) of single dose of itraconazole
Description
The area under the serum concentration vs time curve within the dosing interval (AUCtau)
Time Frame
Part 1: Baseline through Day 14, Part 2 and 3: Baseline through Day 28
Title
Apparent first-order terminal elimination half-life (t1/2 ) of single dose of itraconazole
Description
Apparent first-order terminal elimination half-life (t1/2 )
Time Frame
Part 1: Baseline through Day 14, Part 2 and 3: Baseline through Day 28
Title
Apparent first-order terminal elimination rate constant calculated from a semi-log plot of the serum concentration vs time curve (Kel) of single dose of itraconazole
Description
Apparent first-order terminal elimination rate constant calculated from a semi-log plot of
Time Frame
Part 1: Baseline through Day 14, Part 2 and 3: Baseline through Day 28
Title
Apparent clearance (CL/F) of single dose of itraconazole
Description
Apparent clearance (CL/F)
Time Frame
Part 1: Baseline through Day 14, Part 2 and 3: Baseline through Day 28
Title
Apparent volume of distribution (Vz/F) of single dose of itraconazole
Description
Apparent volume of distribution (Vz/F)
Time Frame
Part 1: Baseline through Day 14, Part 2 and 3: Baseline through Day 28
Other Pre-specified Outcome Measures:
Title
Maximum Concentration [Cmax] of itraconazole and hydroxyitraconazole in sputum
Description
Exploratory objective: To characterize the concentrations of itraconazole in induced sputum after single doses of inhaled PUR1900 and oral Sporanox® solution in subjects with mild to moderate stable asthma
Time Frame
Part 3: baseline through 28 days
Title
Area under the Curve [AUC] of itraconazole and hydroxyitraconazole in sputum
Description
Exploratory objective: To characterize the concentrations of itraconazole in induced sputum after single doses of inhaled PUR1900 and oral Sporanox® solution in subjects with mild to moderate stable asthma
Time Frame
Part 3: baseline through 28 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Part 1 (SAD) and Part 2 (MAD):
Healthy males or non-pregnant, non-lactating healthy females.
Age 18 to 60 years
Screening forced expiratory volume in 1 sec (FEV1) ≥80% of the predicted value
Screening FEV1/forced vital capacity (FVC) >0.70.
Able to demonstrate the correct inhalation technique for use of delivery device during the study.
Part 3 (Asthmatic Subjects):
Males or non-pregnant, non-lactating females with a physician-confirmed diagnosis of asthma for at least 3 months. Asthma must be assessed by investigator as being stable for at least 4 weeks prior to screening.
Age 18 to 60 years
Subject is being treated with either inhaled corticosteroids (ICS) or inhaled corticosteroids plus long-acting beta-agonists (ICS/LABA). Only GINA STEP 2 and 3 patients will be enrolled.
Pre-bronchodilator, clinic measured, FEV1 ≥70% of predicted normal at screening
Able to perform the required spirometric testing.
Able to produce a sputum sample of a quality required for drug concentration assessments (a single repeat is permitted).
Exclusion Criteria:
Subjects who have received any IMP in a clinical research study within the previous 3 months prior to dosing on this study
Subjects who have previously received IMP in this study. Subjects who have participated in Part 1 are not permitted to participate in Part 2 or Part 3.
History of any drug or alcohol abuse in the past 2 years prior to screening.
Current users of e-cigarettes and nicotine replacement products and those who have used these products within the last 12 months
Females of childbearing potential who are pregnant or lactating, or who plan to become pregnant during the study (all female subjects must have a negative pregnancy test at screening). A woman is considered of childbearing potential unless she is permanently sterile (hysterectomy, bilateral salpingectomy, bilateral oophorectomy, bilateral tubal occlusion/ligation) or is postmenopausal (had no menses for 12 months without an alternative medical cause (will be re-assessed at admission/pre-dose).
Positive drugs of abuse test result at screening or admission
Subjects with congestive heart failure or a history of congestive heart failure
History of severe cough or bronchospasm upon inhalation of any dry powder inhalation product
Subjects who are taking or have taken any herbal remedies or CYP3A4 inducers in the 28 days prior to the first IMP administration
Upper respiratory tract infection (excluding otitis media), fever, acute or chronic cough within 14 days of the first IMP administration, or lower respiratory tract infection within the last 3 months prior to IMP administration
Recent (last 4 weeks prior to IMP administration) clinically significant bacterial, viral or fungal infection that required systemic (oral or intravenous) antibiotics, antivirals or antifungals; topical treatments, other than antifungals, are allowed.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
James Roach, MD
Organizational Affiliation
Pulmatrix Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Medicines Evaluation Unit
City
Manchester
Country
United Kingdom
Facility Name
Quotient Sciences
City
Nottingham
Country
United Kingdom
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
Safety, Tolerability and Pharmacokinetics of PUR1900 (Itraconazole Powder) in Healthy Volunteers and Adults With Asthma
We'll reach out to this number within 24 hrs