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Inspiratory Flow Parameters With Placebo Easyhaler and Placebo HandiHaler (TIOPIF)

Primary Purpose

Healthy Volunteer, COPD

Status
Completed
Phase
Not Applicable
Locations
Estonia
Study Type
Interventional
Intervention
Placebo Tiotropium inhalation powder type A
Placebo Spiriva capsule
Placebo Tiotropium inhalation powder type B
Substudy Placebo Tiotropium Easyhaler
Substudy Placebo Spiriva® via HandiHaler
Sponsored by
Orion Corporation, Orion Pharma
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Healthy Volunteer

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria for subjects with COPD:

  1. Written informed consent (IC) obtained.
  2. ≥18 years of age.
  3. Documented diagnosis of COPD.

Inclusion Criteria for healthy volunteers:

  1. Written informed consent (IC) obtained.
  2. ≥18 years of age.
  3. FEV1 at least 80% of the predicted value measured at screening.
  4. Good general health ascertained by medical history.

Exclusion Criteria for subjects with COPD:

  1. Any chronic respiratory disease other than COPD.
  2. Acute respiratory infection.
  3. Concurrent participation in a clinical drug study.
  4. Any medical condition (e.g. contraindications to spirometry) that in the opinion of the investigator could interfere with the interpretation of study results or cause a health risk for the subject if he/she participates in the study. E.g. any concomitant disease in clinically labile state judged by the investigator.
  5. Severe milk allergy (lactose contains small amounts of milk proteins).

Exclusion Criteria for healthy volunteers:

  1. Evidence of a clinically significant cardiovascular, renal, hepatic, haematological, gastrointestinal, pulmonary, metabolic, endocrine, neurological or psychiatric disease within the previous 2 years.
  2. Acute respiratory infection.
  3. Concurrent participation in a clinical drug study.
  4. Any medical condition (e.g. contraindications to spirometry) that in the opinion of the investigator could interfere with the interpretation of study results or cause a health risk for the subject if he/she participates in the study.
  5. Severe milk allergy (lactose contains small amounts of milk proteins).

Substudy:

Patients with documented diagnosis of COPD aged 18 year or older participating the main study will be enrolled in this substudy. Written informed consent (IC) will be obtained.

Sites / Locations

  • Lung Clinic, Tartu University Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Inhaler A, Tiotropium Easyhaler

Inhaler B, Tiotropium Easyhaler

Reference product, Spiriva modified HandiHaler

Substudy Test product Placebo Tiotropium Easyhaler

Substudy Reference product Placebo Spiriva® HandiHaler

Arm Description

Placebo Tiotropium Easyhaler, type A

Placebo Tiotropium Easyhaler, type B

Placebo Spiriva, hard capsule inhaled via modified HandiHaler device

The substudy subjects will demonstrate the use of the inhaler.

The substudy subjects will demonstrate the use of the inhaler.

Outcomes

Primary Outcome Measures

The primary variable will be the PIF rate through the Easyhaler and HandiHaler inhalers.
After practising, 3 inspiratory flow curves will be recorded and the inhalation with the highest PIF rate analysed.

Secondary Outcome Measures

Inspiratory volume through the Easyhaler and HandiHaler inhalers
Highest inspiratory volume recorded and analysed from the same inhalation as the PIF rate.

Full Information

First Posted
October 25, 2019
Last Updated
January 23, 2020
Sponsor
Orion Corporation, Orion Pharma
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1. Study Identification

Unique Protocol Identification Number
NCT04147572
Brief Title
Inspiratory Flow Parameters With Placebo Easyhaler and Placebo HandiHaler
Acronym
TIOPIF
Official Title
Inspiratory Flow Parameters With Placebo Tiotropium Easyhaler® and Placebo Spiriva® Capsule Via HandiHaler® in Patients With COPD and in Healthy Volunteers. Substudy: Easyhaler® and HandiHaler® Usability Study in Patients With COPD
Study Type
Interventional

2. Study Status

Record Verification Date
January 2020
Overall Recruitment Status
Completed
Study Start Date
November 1, 2019 (Actual)
Primary Completion Date
January 13, 2020 (Actual)
Study Completion Date
January 13, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Orion Corporation, Orion Pharma

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
The study will characterise inspiratory flow parameters across placebo dry powder inhaler Easyhaler (2 inhaler versions) and placebo Spiriva inhalation powder capsule inhaled via HandiHaler in patients with chronic obstructive pulmonary disease (COPD) and in healthy volunteers. Substudy: Easyhaler® and HandiHaler® Usability study in patients with COPD; to assess patients acceptability, preference, correct use and ability to learn to use Easyhaler and HandiHaler (with capsules) and to compare PIF rate via In-Check Dial meter with the PIF rate via spirometer in the main study.
Detailed Description
This is an open, randomised, multicentre, crossover study with Easyhaler and HandiHaler inhalers. The primary objective is to characterise inspiratory flow parameters across placebo dry powder inhaler Easyhaler (2 inhaler versions) and placebo Spiriva inhalation powder capsule inhaled via HandiHaler in patients with chronic obstructive pulmonary disease (COPD) and in healthy volunteers. The secondary objective is to calculate correlation of peak inspiratory flow (PIF) rate with regards to anthropometric and lung function parameters. Substudy: This is an open, randomised, multicentre, crossover study with Easyhaler and HandiHaler inhalers.There will be 1 study visit per subject, usually this visit is done at the same visit with the main study.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
200 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Inhaler A, Tiotropium Easyhaler
Arm Type
Experimental
Arm Description
Placebo Tiotropium Easyhaler, type A
Arm Title
Inhaler B, Tiotropium Easyhaler
Arm Type
Experimental
Arm Description
Placebo Tiotropium Easyhaler, type B
Arm Title
Reference product, Spiriva modified HandiHaler
Arm Type
Placebo Comparator
Arm Description
Placebo Spiriva, hard capsule inhaled via modified HandiHaler device
Arm Title
Substudy Test product Placebo Tiotropium Easyhaler
Arm Type
Experimental
Arm Description
The substudy subjects will demonstrate the use of the inhaler.
Arm Title
Substudy Reference product Placebo Spiriva® HandiHaler
Arm Type
Placebo Comparator
Arm Description
The substudy subjects will demonstrate the use of the inhaler.
Intervention Type
Drug
Intervention Name(s)
Placebo Tiotropium inhalation powder type A
Intervention Description
Placebo inhalation from inhaler A
Intervention Type
Drug
Intervention Name(s)
Placebo Spiriva capsule
Intervention Description
Placebo inhalation from HandiHaler
Intervention Type
Drug
Intervention Name(s)
Placebo Tiotropium inhalation powder type B
Intervention Description
Placebo inhalation from inhaler B
Intervention Type
Device
Intervention Name(s)
Substudy Placebo Tiotropium Easyhaler
Intervention Description
Substudy placebo inhalation
Intervention Type
Device
Intervention Name(s)
Substudy Placebo Spiriva® via HandiHaler
Intervention Description
Substudy placebo inhalation
Primary Outcome Measure Information:
Title
The primary variable will be the PIF rate through the Easyhaler and HandiHaler inhalers.
Description
After practising, 3 inspiratory flow curves will be recorded and the inhalation with the highest PIF rate analysed.
Time Frame
1 day
Secondary Outcome Measure Information:
Title
Inspiratory volume through the Easyhaler and HandiHaler inhalers
Description
Highest inspiratory volume recorded and analysed from the same inhalation as the PIF rate.
Time Frame
1 day
Other Pre-specified Outcome Measures:
Title
Correct use of Easyhaler and HandiHaler tabulated by frequencies and percents based on the inhaler specific questionnaire, assessed by the site staff.
Description
Substudy outcome
Time Frame
1 day
Title
Patient's acceptability of inhalers, assessed by the study specific questionnaire
Description
Substudy outcome
Time Frame
1 day
Title
Patient's preference of inhalers assessed by study specific questionnaire
Description
Substudy outcome
Time Frame
1 day
Title
Patient's ability to learn the use of the inhalers, assessed by the study specific questionnaire.
Description
Substudy outcome
Time Frame
1 day
Title
Peak inspiratory flow measurement via In-Check Dial
Description
Substudy outcome
Time Frame
1 day

10. Eligibility

Sex
All
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria for subjects with COPD: Written informed consent (IC) obtained. ≥18 years of age. Documented diagnosis of COPD. Inclusion Criteria for healthy volunteers: Written informed consent (IC) obtained. ≥18 years of age. FEV1 at least 80% of the predicted value measured at screening. Good general health ascertained by medical history. Exclusion Criteria for subjects with COPD: Any chronic respiratory disease other than COPD. Acute respiratory infection. Concurrent participation in a clinical drug study. Any medical condition (e.g. contraindications to spirometry) that in the opinion of the investigator could interfere with the interpretation of study results or cause a health risk for the subject if he/she participates in the study. E.g. any concomitant disease in clinically labile state judged by the investigator. Severe milk allergy (lactose contains small amounts of milk proteins). Exclusion Criteria for healthy volunteers: Evidence of a clinically significant cardiovascular, renal, hepatic, haematological, gastrointestinal, pulmonary, metabolic, endocrine, neurological or psychiatric disease within the previous 2 years. Acute respiratory infection. Concurrent participation in a clinical drug study. Any medical condition (e.g. contraindications to spirometry) that in the opinion of the investigator could interfere with the interpretation of study results or cause a health risk for the subject if he/she participates in the study. Severe milk allergy (lactose contains small amounts of milk proteins). Substudy: Patients with documented diagnosis of COPD aged 18 year or older participating the main study will be enrolled in this substudy. Written informed consent (IC) will be obtained.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Orion Pharma Clinical Study Director
Organizational Affiliation
Orion Corporation, Orion Pharma
Official's Role
Study Director
Facility Information:
Facility Name
Lung Clinic, Tartu University Hospital
City
Tartu
Country
Estonia

12. IPD Sharing Statement

Plan to Share IPD
No

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Inspiratory Flow Parameters With Placebo Easyhaler and Placebo HandiHaler

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