Bioequivalence Between Albuterol Sulfate Inhalation Aerosol 108 mcg Per Actuation and Proair HFA (Albuterol Sulfate) Inhalation Aerosol 90 mcg Per Actuation in Healthy Volunteers Under Fasting Conditions
Primary Purpose
Healthy
Status
Completed
Phase
Not Applicable
Locations
Taiwan
Study Type
Interventional
Intervention
Albuterol Sulfate inhalation aerosol 108mcg per actuation
Proair HFA (albuterol sulfate) Inhalation Aerosol 90 mcg per actuation
Sponsored by
About this trial
This is an interventional other trial for Healthy
Eligibility Criteria
Inclusion Criteria:
- Healthy male and female volunteers, aged 20-60, inclusive.
- BMI of 18.0-30.0 kg/m², inclusive. The body weight should be over 50 kg, inclusive. (BMI will be calculated as weight in kilogram [kg]/height in meters² [m²]).
- Healthy or Non Clinical Significant, according to the medical history, ECG, chest X-ray and physical examination as determined by the Principal Investigator/Sub-Investigator.
- Systolic blood pressure between 90-139 mmHg, inclusive, and diastolic blood pressure between 50-90 mmHg, inclusive, and pulse rate between 50-100 bpm, inclusive and temperature between 35.0-37.4℃.
- Screening laboratory values within reference range or NCS as determined by the Principal Investigator/Sub-Investigator.
- Ability to comprehend and be informed of the nature of the study, as assessed by clinical staff. Capable of giving written informed consent prior to receiving any study medication. Must be able to communicate effectively with clinical staff.
- Willing to fast for at least 14 hours and to consume standard meals.
- Availability to volunteer for the entire study duration and willing to adhere to all protocol requirements.
- Agree not to have a tattoo, body piercing, or other any invasive procedure and blood donation until the end of the study.
- Never-smokers; or former smokers who have smoked ≥ 100 cigarettes in their lifetime and have not consumed any tobacco or tobacco containing products for at least 12 months prior to screening.
- Subjects who are non-asthmatic, defined as no clinical history of asthma, allergy or atopy.
- Able to perform special breathing using nebulizer correctly as per the required standard.
Subjects must fulfill at least one of the following:
- Be surgically sterile for a minimum of 6 months;
- Post-menopausal for a minimum of 1 year;
- Agree to avoid pregnancy and use medically acceptable method of contraception from screening day until 30 days after the study ends (last study procedure).
Exclusion Criteria:
- Known history or presence of any clinically significant hepatic (e.g. active liver disease, hepatic impairment), renal/genitourinary (e.g. renal impairment), gastrointestinal, cardiovascular, cerebrovascular, pulmonary, endocrine (e.g. hypothyroidism), immunological, musculoskeletal (e.g. myopathy, rhabdomyolysis), neurological, psychiatric, dermatological, hematological disease, or any other medical conditions, unless determined as not clinically significant by the Principal Investigator/Sub-Investigator.
- Presence of any clinically significant illness within 30 days prior to first dosing, as determined by the Principal Investigator/Sub-Investigator.
- Presence of any significant physical or organ abnormality as determined by the Principal Investigator/Sub-Investigator.
- A positive test result for any of the following: HIV, Hepatitis B surface antigen, Hepatitis C, drugs of abuse (amphetamines, barbiturates, benzodiazepines, cocaine, opiates, phencyclidine, tetrahydrocannabinol), breath alcohol test. Positive pregnancy test for female subjects.
Known history or presence of:
- Alcohol abuse within one year prior to first drug administration;
- Drug abuse or dependence;
- Hypersensitivity or idiosyncratic reaction to albuterol, its excipients, and/or related substances;
- Allergy to standardized meal provided by site and/or presence of any dietary restrictions;
- Intolerance to and/or difficulty in blood sampling through venipuncture.
- Abnormal diet patterns (for any reason) during the 4 weeks preceding the study, including fasting, high protein diets etc.
- Except for screening procedures, blood donation that results in blood loss of not more than 250 ml in the past 2 months prior to first dosing; blood loss of more than 250 ml within 3 months prior to first dosing.
- Donation of plasma by plasmapheresis within 7 days prior to first drug administration.
- Individuals who receives an investigational drug from 2 months prior to first drug administration.
- Consumption of products containing caffeine/methylxanthines, poppy seeds and/or alcohol within 48 hours before dosing and products containing grapefruit and/or pomelo (shown to inhibit cytochrome P450 [CYP] 3A4 activity) within 10 days prior to first drug administration.
- Use of any medication, including oral multivitamins, herbal and/or dietary supplements within 30 days prior to first drug administration (except topical agents without systemic absorption as determined by the Principal Investigator/Sub-Investigator).
- Females taking oral or transdermal hormonal contraceptives within 30 days prior to first drug administration.
- Females having used implanted, injected, intravaginal, or intrauterine hormonal contraceptive within 6 months prior to first drug administration.
- Individuals having undergone any major surgery within 6 months prior to the start of the study, unless deemed otherwise by Principal Investigator/Sub-Investigator.
- Using tobacco products, nicotine products (patches, gum etc.) within 6 months prior to first drug administration.
- Lactating women.
Sites / Locations
- Tamshui Mackay Memorial Hospital
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
Arm Label
Test Group
Reference Group
Arm Description
Albuterol Sulfate inhalation aerosol
Proair HFA (albuterol sulfate) Inhalation Aerosol
Outcomes
Primary Outcome Measures
Cmax
The maximal observed plasma concentration of Albuterol Sulfate.
AUC(0-t)
Area under the concentration time curve from time zero until the last measurable concentration or last sampling time t, whichever occurs first.
AUC(0-inf)
Area under the concentration time curve from time zero to infinity.
Secondary Outcome Measures
Tmax
Time when the maximal plasma concentration is observed.
T1/2
Terminal elimination half-life, estimated as ln(2)/λ.
Kel(λ)
Terminal elimination rate constant, estimated by linear regression analysis of the terminal portion of the ln-concentration vs. time plot.
MRT
Mean residence time.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04803734
Brief Title
Bioequivalence Between Albuterol Sulfate Inhalation Aerosol 108 mcg Per Actuation and Proair HFA (Albuterol Sulfate) Inhalation Aerosol 90 mcg Per Actuation in Healthy Volunteers Under Fasting Conditions
Official Title
A Randomized, Single-dose, Open-label, Two-way Crossover Pivotal Study to Assess the Bioequivalence Between Albuterol Sulfate Inhalation Aerosol 108 mcg Per Actuation (MDI, eq. to Albuterol 90mcg/Puff) and Proair HFA (Albuterol Sulfate) Inhalation Aerosol 90 mcg Per Actuation (MDI, eq. to Albuterol 90mcg/Puff) in Healthy Volunteers Under Fasting Conditions
Study Type
Interventional
2. Study Status
Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
March 19, 2021 (Actual)
Primary Completion Date
May 10, 2021 (Actual)
Study Completion Date
May 14, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Intech Biopharm Ltd.
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
This study was designed to assess the bioequivalence between the test products (Albuterol Sulfate Inhalation Aerosol 108 mcg Per Actuation) and the reference products (Proair HFA [Albuterol Sulfate] Inhalation Aerosol 90 mcg Per Actuation) in healthy volunteers under fasting conditions. The test product was considered bioequivalent to the reference product if the T/R ln-transformed AUC(0-t), AUC(0-inf), and Cmax were within 80.00-125.00% of those of the reference.
Detailed Description
A single-dose, randomized, open-label, two-period, two-sequence, two-treatment, single-centre, crossover bioequivalence study was carried out under fasting conditions in healthy adults, aged 20-60 years. For each period, each subject received a single dose as equivalent to 180 mcg of albuterol of the study drugs according to the pre-determined randomization scheme. Each subject was drawn 22 times over the period of 24 hours. Plasma samples were collected and analyzed for albuterol concentrations by using LC-MS/MS. For each subject, there were 2 dosing periods separated by a 14-day washout period. During the study, standardized meals were provided to all subjects while institutionalized.
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
Other
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
60 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Test Group
Arm Type
Experimental
Arm Description
Albuterol Sulfate inhalation aerosol
Arm Title
Reference Group
Arm Type
Active Comparator
Arm Description
Proair HFA (albuterol sulfate) Inhalation Aerosol
Intervention Type
Drug
Intervention Name(s)
Albuterol Sulfate inhalation aerosol 108mcg per actuation
Other Intervention Name(s)
Albuterol 90mcg/puff
Intervention Description
MDI, 2 puffs, single dose, fasting
Intervention Type
Drug
Intervention Name(s)
Proair HFA (albuterol sulfate) Inhalation Aerosol 90 mcg per actuation
Other Intervention Name(s)
Albuterol 90mcg/puff
Intervention Description
MDI, 2 puffs, single dose, fasting
Primary Outcome Measure Information:
Title
Cmax
Description
The maximal observed plasma concentration of Albuterol Sulfate.
Time Frame
0 hour (pre-dose), as well as at 2, 5, 10, 15, 20, 30, 45 minutes, and 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 4, 6, 8, 12, 16 and 24 hours post-dose
Title
AUC(0-t)
Description
Area under the concentration time curve from time zero until the last measurable concentration or last sampling time t, whichever occurs first.
Time Frame
0 hour (pre-dose), as well as at 2, 5, 10, 15, 20, 30, 45 minutes, and 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 4, 6, 8, 12, 16 and 24 hours post-dose
Title
AUC(0-inf)
Description
Area under the concentration time curve from time zero to infinity.
Time Frame
0 hour (pre-dose), as well as at 2, 5, 10, 15, 20, 30, 45 minutes, and 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 3, 4, 6, 8, 12, 16 and 24 hours post-dose
Secondary Outcome Measure Information:
Title
Tmax
Description
Time when the maximal plasma concentration is observed.
Time Frame
0-24 hours
Title
T1/2
Description
Terminal elimination half-life, estimated as ln(2)/λ.
Time Frame
0-24 hours
Title
Kel(λ)
Description
Terminal elimination rate constant, estimated by linear regression analysis of the terminal portion of the ln-concentration vs. time plot.
Time Frame
0-24 hours
Title
MRT
Description
Mean residence time.
Time Frame
0-24 hours
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Healthy male and female volunteers, aged 20-60, inclusive.
BMI of 18.0-30.0 kg/m², inclusive. The body weight should be over 50 kg, inclusive. (BMI will be calculated as weight in kilogram [kg]/height in meters² [m²]).
Healthy or Non Clinical Significant, according to the medical history, ECG, chest X-ray and physical examination as determined by the Principal Investigator/Sub-Investigator.
Systolic blood pressure between 90-139 mmHg, inclusive, and diastolic blood pressure between 50-90 mmHg, inclusive, and pulse rate between 50-100 bpm, inclusive and temperature between 35.0-37.4℃.
Screening laboratory values within reference range or NCS as determined by the Principal Investigator/Sub-Investigator.
Ability to comprehend and be informed of the nature of the study, as assessed by clinical staff. Capable of giving written informed consent prior to receiving any study medication. Must be able to communicate effectively with clinical staff.
Willing to fast for at least 14 hours and to consume standard meals.
Availability to volunteer for the entire study duration and willing to adhere to all protocol requirements.
Agree not to have a tattoo, body piercing, or other any invasive procedure and blood donation until the end of the study.
Never-smokers; or former smokers who have smoked ≥ 100 cigarettes in their lifetime and have not consumed any tobacco or tobacco containing products for at least 12 months prior to screening.
Subjects who are non-asthmatic, defined as no clinical history of asthma, allergy or atopy.
Able to perform special breathing using nebulizer correctly as per the required standard.
Subjects must fulfill at least one of the following:
Be surgically sterile for a minimum of 6 months;
Post-menopausal for a minimum of 1 year;
Agree to avoid pregnancy and use medically acceptable method of contraception from screening day until 30 days after the study ends (last study procedure).
Exclusion Criteria:
Known history or presence of any clinically significant hepatic (e.g. active liver disease, hepatic impairment), renal/genitourinary (e.g. renal impairment), gastrointestinal, cardiovascular, cerebrovascular, pulmonary, endocrine (e.g. hypothyroidism), immunological, musculoskeletal (e.g. myopathy, rhabdomyolysis), neurological, psychiatric, dermatological, hematological disease, or any other medical conditions, unless determined as not clinically significant by the Principal Investigator/Sub-Investigator.
Presence of any clinically significant illness within 30 days prior to first dosing, as determined by the Principal Investigator/Sub-Investigator.
Presence of any significant physical or organ abnormality as determined by the Principal Investigator/Sub-Investigator.
A positive test result for any of the following: HIV, Hepatitis B surface antigen, Hepatitis C, drugs of abuse (amphetamines, barbiturates, benzodiazepines, cocaine, opiates, phencyclidine, tetrahydrocannabinol), breath alcohol test. Positive pregnancy test for female subjects.
Known history or presence of:
Alcohol abuse within one year prior to first drug administration;
Drug abuse or dependence;
Hypersensitivity or idiosyncratic reaction to albuterol, its excipients, and/or related substances;
Allergy to standardized meal provided by site and/or presence of any dietary restrictions;
Intolerance to and/or difficulty in blood sampling through venipuncture.
Abnormal diet patterns (for any reason) during the 4 weeks preceding the study, including fasting, high protein diets etc.
Except for screening procedures, blood donation that results in blood loss of not more than 250 ml in the past 2 months prior to first dosing; blood loss of more than 250 ml within 3 months prior to first dosing.
Donation of plasma by plasmapheresis within 7 days prior to first drug administration.
Individuals who receives an investigational drug from 2 months prior to first drug administration.
Consumption of products containing caffeine/methylxanthines, poppy seeds and/or alcohol within 48 hours before dosing and products containing grapefruit and/or pomelo (shown to inhibit cytochrome P450 [CYP] 3A4 activity) within 10 days prior to first drug administration.
Use of any medication, including oral multivitamins, herbal and/or dietary supplements within 30 days prior to first drug administration (except topical agents without systemic absorption as determined by the Principal Investigator/Sub-Investigator).
Females taking oral or transdermal hormonal contraceptives within 30 days prior to first drug administration.
Females having used implanted, injected, intravaginal, or intrauterine hormonal contraceptive within 6 months prior to first drug administration.
Individuals having undergone any major surgery within 6 months prior to the start of the study, unless deemed otherwise by Principal Investigator/Sub-Investigator.
Using tobacco products, nicotine products (patches, gum etc.) within 6 months prior to first drug administration.
Lactating women.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Wen-Kuei Chang, MD
Organizational Affiliation
Tamshui Mackay Memorial Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Tamshui Mackay Memorial Hospital
City
New Taipei City
ZIP/Postal Code
251
Country
Taiwan
12. IPD Sharing Statement
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Bioequivalence Between Albuterol Sulfate Inhalation Aerosol 108 mcg Per Actuation and Proair HFA (Albuterol Sulfate) Inhalation Aerosol 90 mcg Per Actuation in Healthy Volunteers Under Fasting Conditions
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