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To Investigate Drug-drug Interaction and Relative Bioavailability Between the FDC AzelastineHCL/Beclomethasone Dipropionate Nasal Spray, & Beclomethasone Dipropionate Nasal Spray in the Test Vehicle, and RinoClenil® Nasal Spray

Primary Purpose

Seasonal Allergic Rhinitis

Status
Completed
Phase
Phase 1
Locations
Jordan
Study Type
Interventional
Intervention
140/100 μg Azelastine hydrochloride/Beclomethasone Dipropionate)
Sponsored by
Humanis Saglık Anonim Sirketi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Seasonal Allergic Rhinitis

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • The subject is Caucasian & aged between eighteen & fifty years (18 - 50), both inclusive.
  • The subject is within the limits for his height & weight as defined by the body mass index range
  • (18.5 - 30.0 Kg/m2).
  • The subject is willing to undergo the necessary pre- & post- medical examinations set by this
  • study.
  • The results of medical history, vital signs, physical examination & conducted medical laboratory
  • tests are normal as determined by the clinical investigator.
  • The subject tested negative for hepatitis (HBsAg, HCVAb) viruses and human immunodeficiency
  • virus (HIVAb).
  • There is no evidence of psychiatric disorder, antagonistic personality and poor motivation,
  • emotional or intellectual problems likely to limit the validity of consent to participate in the study
  • or limit the ability to comply with protocol requirements.
  • The subject is able to understand and willing to sign the informed consent form.
  • For female subjects: negative pregnancy test and the woman is using two reliable contraception
  • methods & should be non-lactating.
  • The subject has normal cardiovascular system and ECG recording.
  • The subject kidney and liver (AST & ALT enzymes) functions tests are within normal range.

Exclusion Criteria:

  • The subject is smoker/ has positive cotinine test.
  • The subject has suffered an acute illness one week before dosing.
  • The subject has a history of or concurrent abuse of alcohol.
  • The subject has a history of or concurrent abuse of illicit drugs.
  • The subject has a history of hypersensitivity and/or contraindications to the study drug, its
  • excipients and any related compounds.
  • The subject has been hospitalized within three months before the study or during the study.
  • The subject is vegetarian.
  • The subject has consumed caffeine or xanthine containing beverages or foodstuffs within two days
  • before dosing and until 23 hours after dosing in all study periods.
  • The subject has taken a prescription medication within two weeks or even an over the counter
  • product (OTC) within one week before dosing in each study period and any time during the study,
  • unless otherwise judged acceptable by the clinical investigator.
  • The subject has taken grapefruit containing beverages or foodstuffs within seven (7) days before
  • first dosing and any time during the study.
  • The subject has been participating in any clinical study (e.g. pharmacokinetics, bioavailability and
  • bioequivalence studies) within the last 80 days prior to the present study.
  • The subject has donated blood within 80 days before first dosing.
  • The subject has a history or presence of cardiovascular, pulmonary, renal, hepatic, gastrointestinal,
  • hematological, endocrinal, immunological, dermatological, neurological, musculoskeletal or
  • psychiatric diseases.
  • The subject has consumed drugs that may affect pharmacological or pharmacokinetic properties
  • (ritonavir, cobicistat & CNS depressants) two weeks before dosing, during the study and two
  • weeks after dosing.
  • The subject has recent nose surgery or a history of chronic sinusitis, recent URTI and nasal septum
  • deviation that may affect nasal mucosa integrity.

Sites / Locations

  • ACDIMA Biocenter

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

140/100 μg Azelastine hydrochloride/Beclomethasone Dipropionate)

100 μg Beclomethasone dipropionate, Nasal Spray

RinoClenil® Nasal Spray (100 μg Beclomethasone Dipropionate)

Arm Description

Outcomes

Primary Outcome Measures

Maximum observed plasma concentration (Cmax) of Beclomethasone dipropionate and its active metabolite Beclomethasone 17-monopropionate
For the assessment of a potential drug-drug interaction, no effect of Azelastine on the pharmacokinetics of Beclomethasone dipropionate and its active metabolite Beclomethasone 17-monopropionate will be concluded if the fixed dose combination Test-to-mono test GMR and the corresponding 90% CI of the ln-transformed primary pharmacokinetic parameters are within the 80.00% to 125.00% acceptance interval. For the assessment of the relative bioavailability, bioequivalence between Beclomethasone dipropionate drug products will be concluded if the fixed dose combination test-to-mono reference GMR and the corresponding 90% CI of the Lntransformed primary pharmacokinetic parameters are within the 80.00% to 125.00% acceptance interval.
area under the plasma concentration versus time curve (AUC) from pre-dose (time zero) to the last sampling time with quantifiable concentrations (AUC0-t) of Beclomethasone dipropionate and its active metabolite Beclomethasone 17-monopropionate
For the assessment of a potential drug-drug interaction, no effect of Azelastine on the pharmacokinetics of Beclomethasone dipropionate and its active metabolite Beclomethasone 17-monopropionate will be concluded if the fixed dose combination Test-to-mono test GMR and the corresponding 90% CI of the ln-transformed primary pharmacokinetic parameters are within the 80.00% to 125.00% acceptance interval. For the assessment of the relative bioavailability, bioequivalence between Beclomethasone dipropionate drug products will be concluded if the fixed dose combination test-to-mono reference GMR and the corresponding 90% CI of the Lntransformed primary pharmacokinetic parameters are within the 80.00% to 125.00% acceptance interval.
AUC from time zero to infinity (AUC0-∞) of Beclomethasone dipropionate and its active metabolite Beclomethasone 17-monopropionate
For the assessment of a potential drug-drug interaction, no effect of Azelastine on the pharmacokinetics of Beclomethasone dipropionate and its active metabolite Beclomethasone 17-monopropionate will be concluded if the fixed dose combination Test-to-mono test GMR and the corresponding 90% CI of the ln-transformed primary pharmacokinetic parameters are within the 80.00% to 125.00% acceptance interval. For the assessment of the relative bioavailability, bioequivalence between Beclomethasone dipropionate drug products will be concluded if the fixed dose combination test-to-mono reference GMR and the corresponding 90% CI of the Lntransformed primary pharmacokinetic parameters are within the 80.00% to 125.00% acceptance interval.

Secondary Outcome Measures

Obtaining the Tmax (Time to reach maximum concentration)
The descriptive statistics including Maximum, Minimum and Median values will be measured for Tmax.
Blood pressure (safety and tolerability)
Clinically significant abnormal deviations. Normal range of blood pressure > 90/60 and <140/90 mmHg. Treatment will be offered to those subjects whom blood pressure drops to 90/60 mm Hg or less and the subject will be excluded in case of not responding to treatment.
Pulse (safety and tolerability)
Clinically significant abnormal deviations. Normal range of Pulse 60-100 Bpm.
Temperature (safety and tolerability)
Clinically significant abnormal deviations. The temperature will be measured axillary, orally or using infrared thermometer, standardized across all subjects. Normal range of temperature 36.5-37.5 ºC.

Full Information

First Posted
March 19, 2021
Last Updated
September 6, 2023
Sponsor
Humanis Saglık Anonim Sirketi
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1. Study Identification

Unique Protocol Identification Number
NCT04817800
Brief Title
To Investigate Drug-drug Interaction and Relative Bioavailability Between the FDC AzelastineHCL/Beclomethasone Dipropionate Nasal Spray, & Beclomethasone Dipropionate Nasal Spray in the Test Vehicle, and RinoClenil® Nasal Spray
Official Title
An Open Label, Randomized, Three-treatment, Three-period, Crossover, Single Dose Study, to Investigate Drug-drug Interaction and Relative Bioavailability Between the Fixed Dose Combination Azelastine Hydrochloride / Beclomethasone Dipropionate (140/100 μg Azelastine Hydrochloride / Beclomethasone Dipropionate) Nasal Spray, and Beclomethasone Dipropionate Nasal Spray (100 μg Beclomethasone Dipropionate) in the Test Vehicle, and the Commercially Available Product, RinoClenil® Nasal Spray (100 μg Beclomethasone Dipropionate), in Healthy Subjects Under Fasting Conditions
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
March 25, 2021 (Actual)
Primary Completion Date
April 10, 2021 (Actual)
Study Completion Date
April 10, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Humanis Saglık Anonim Sirketi

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
An open label, randomized, three-treatment, three-period, crossover, single dose study, to investigate drug-drug interaction and relative bioavailability between the fixed dose combination Azelastine hydrochloride / Beclomethasone dipropionate (140/100 μg Azelastine hydrochloride / Beclomethasone dipropionate) Nasal Spray, and Beclomethasone Dipropionate Nasal Spray (100 μg Beclomethasone Dipropionate) in the test vehicle, and the commercially available product, RinoClenil® Nasal Spray (100 μg Beclomethasone Dipropionate), in healthy subjects under fasting conditions.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Seasonal Allergic Rhinitis

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1, Phase 2
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
140/100 μg Azelastine hydrochloride/Beclomethasone Dipropionate)
Arm Type
Experimental
Arm Title
100 μg Beclomethasone dipropionate, Nasal Spray
Arm Type
Experimental
Arm Title
RinoClenil® Nasal Spray (100 μg Beclomethasone Dipropionate)
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
140/100 μg Azelastine hydrochloride/Beclomethasone Dipropionate)
Other Intervention Name(s)
100 μg Beclomethasone dipropionate, Nasal Spray, RinoClenil® Nasal Spray (100 μg Beclomethasone Dipropionate)
Intervention Description
It will be nasaly administered
Primary Outcome Measure Information:
Title
Maximum observed plasma concentration (Cmax) of Beclomethasone dipropionate and its active metabolite Beclomethasone 17-monopropionate
Description
For the assessment of a potential drug-drug interaction, no effect of Azelastine on the pharmacokinetics of Beclomethasone dipropionate and its active metabolite Beclomethasone 17-monopropionate will be concluded if the fixed dose combination Test-to-mono test GMR and the corresponding 90% CI of the ln-transformed primary pharmacokinetic parameters are within the 80.00% to 125.00% acceptance interval. For the assessment of the relative bioavailability, bioequivalence between Beclomethasone dipropionate drug products will be concluded if the fixed dose combination test-to-mono reference GMR and the corresponding 90% CI of the Lntransformed primary pharmacokinetic parameters are within the 80.00% to 125.00% acceptance interval.
Time Frame
23 hours
Title
area under the plasma concentration versus time curve (AUC) from pre-dose (time zero) to the last sampling time with quantifiable concentrations (AUC0-t) of Beclomethasone dipropionate and its active metabolite Beclomethasone 17-monopropionate
Description
For the assessment of a potential drug-drug interaction, no effect of Azelastine on the pharmacokinetics of Beclomethasone dipropionate and its active metabolite Beclomethasone 17-monopropionate will be concluded if the fixed dose combination Test-to-mono test GMR and the corresponding 90% CI of the ln-transformed primary pharmacokinetic parameters are within the 80.00% to 125.00% acceptance interval. For the assessment of the relative bioavailability, bioequivalence between Beclomethasone dipropionate drug products will be concluded if the fixed dose combination test-to-mono reference GMR and the corresponding 90% CI of the Lntransformed primary pharmacokinetic parameters are within the 80.00% to 125.00% acceptance interval.
Time Frame
23 hours
Title
AUC from time zero to infinity (AUC0-∞) of Beclomethasone dipropionate and its active metabolite Beclomethasone 17-monopropionate
Description
For the assessment of a potential drug-drug interaction, no effect of Azelastine on the pharmacokinetics of Beclomethasone dipropionate and its active metabolite Beclomethasone 17-monopropionate will be concluded if the fixed dose combination Test-to-mono test GMR and the corresponding 90% CI of the ln-transformed primary pharmacokinetic parameters are within the 80.00% to 125.00% acceptance interval. For the assessment of the relative bioavailability, bioequivalence between Beclomethasone dipropionate drug products will be concluded if the fixed dose combination test-to-mono reference GMR and the corresponding 90% CI of the Lntransformed primary pharmacokinetic parameters are within the 80.00% to 125.00% acceptance interval.
Time Frame
23 hours
Secondary Outcome Measure Information:
Title
Obtaining the Tmax (Time to reach maximum concentration)
Description
The descriptive statistics including Maximum, Minimum and Median values will be measured for Tmax.
Time Frame
23 hours
Title
Blood pressure (safety and tolerability)
Description
Clinically significant abnormal deviations. Normal range of blood pressure > 90/60 and <140/90 mmHg. Treatment will be offered to those subjects whom blood pressure drops to 90/60 mm Hg or less and the subject will be excluded in case of not responding to treatment.
Time Frame
At 1 hour pre-dosing and 2, 4, 6, 8, 12, and 23 hours post dosing,
Title
Pulse (safety and tolerability)
Description
Clinically significant abnormal deviations. Normal range of Pulse 60-100 Bpm.
Time Frame
At 1 hour pre-dosing and 2, 4, 6, 8, 12, and 23 hours post dosing,
Title
Temperature (safety and tolerability)
Description
Clinically significant abnormal deviations. The temperature will be measured axillary, orally or using infrared thermometer, standardized across all subjects. Normal range of temperature 36.5-37.5 ºC.
Time Frame
At 1 hour pre-dosing and 2, 6, 10, 14, 18, 22 and 23 hours post dosing,

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: The subject is Caucasian & aged between eighteen & fifty years (18 - 50), both inclusive. The subject is within the limits for his height & weight as defined by the body mass index range (18.5 - 30.0 Kg/m2). The subject is willing to undergo the necessary pre- & post- medical examinations set by this study. The results of medical history, vital signs, physical examination & conducted medical laboratory tests are normal as determined by the clinical investigator. The subject tested negative for hepatitis (HBsAg, HCVAb) viruses and human immunodeficiency virus (HIVAb). There is no evidence of psychiatric disorder, antagonistic personality and poor motivation, emotional or intellectual problems likely to limit the validity of consent to participate in the study or limit the ability to comply with protocol requirements. The subject is able to understand and willing to sign the informed consent form. For female subjects: negative pregnancy test and the woman is using two reliable contraception methods & should be non-lactating. The subject has normal cardiovascular system and ECG recording. The subject kidney and liver (AST & ALT enzymes) functions tests are within normal range. Exclusion Criteria: The subject is smoker/ has positive cotinine test. The subject has suffered an acute illness one week before dosing. The subject has a history of or concurrent abuse of alcohol. The subject has a history of or concurrent abuse of illicit drugs. The subject has a history of hypersensitivity and/or contraindications to the study drug, its excipients and any related compounds. The subject has been hospitalized within three months before the study or during the study. The subject is vegetarian. The subject has consumed caffeine or xanthine containing beverages or foodstuffs within two days before dosing and until 23 hours after dosing in all study periods. The subject has taken a prescription medication within two weeks or even an over the counter product (OTC) within one week before dosing in each study period and any time during the study, unless otherwise judged acceptable by the clinical investigator. The subject has taken grapefruit containing beverages or foodstuffs within seven (7) days before first dosing and any time during the study. The subject has been participating in any clinical study (e.g. pharmacokinetics, bioavailability and bioequivalence studies) within the last 80 days prior to the present study. The subject has donated blood within 80 days before first dosing. The subject has a history or presence of cardiovascular, pulmonary, renal, hepatic, gastrointestinal, hematological, endocrinal, immunological, dermatological, neurological, musculoskeletal or psychiatric diseases. The subject has consumed drugs that may affect pharmacological or pharmacokinetic properties (ritonavir, cobicistat & CNS depressants) two weeks before dosing, during the study and two weeks after dosing. The subject has recent nose surgery or a history of chronic sinusitis, recent URTI and nasal septum deviation that may affect nasal mucosa integrity.
Facility Information:
Facility Name
ACDIMA Biocenter
City
Amman
Country
Jordan

12. IPD Sharing Statement

Learn more about this trial

To Investigate Drug-drug Interaction and Relative Bioavailability Between the FDC AzelastineHCL/Beclomethasone Dipropionate Nasal Spray, & Beclomethasone Dipropionate Nasal Spray in the Test Vehicle, and RinoClenil® Nasal Spray

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