Phase 1
Completed N=90
A Clinical Study to Evaluate Z7200 (Budesonide/Formoterol) Pharmacokinetics Profile in Healthy Volunteers
Source: ClinicalTrials.gov NCT02237508 ↗Enrolled (actual)
90
Serious AEs
0.0%
Results posted
Jan 2022
Primary outcomePrimary: AUC0-t of Budesonide With and Without Charcoal Blockade — 1870; 1360; 1810; 1330 pg*h/mL — p=<0.001
Summary
The primary objective was:
- to assess the bioequivalence of a single dose (two inhalations) of the test product compared to the reference product, with and without charcoal blockade.
The secondary objectives were:
* to assess the pharmacokinetic profile of budesonide and formoterol in plasma after a single dose (two inhalations) of the test product and the reference product, with and without charcoal blockade.
* to assess the safety and tolerability of the test product and the reference product, with and without charcoal blockade.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY AUC0-t of Budesonide With and Without Charcoal Blockade |
1870; 1360; 1810; 1330 | <0.001 sig |
| PRIMARY AUC0-t of Formoterol With and Without Charcoal Blockade |
47.4; 40.1; 44.7; 34.5 | 0.001 sig |
| PRIMARY Cmax of Budesonide With and Without Charcoal Blockade |
1040; 482; 1090; 542 | <0.001 sig |
| PRIMARY Cmax of Formoterol With and Without Charcoal Blockade |
11.9; 9.53; 12.4; 10.6 | <0.001 sig |
| SECONDARY AUC0-30 of Budesonide With and Without Charcoal Blockade. |
324; 174; 342; 193 | — |
| SECONDARY AUC0-30 of Formoterol With and Without Charcoal Blockade. |
3.85; 3.12; 4.00; 3.35 | — |
| SECONDARY AUC0-∞ of Budesonide With and Without Charcoal Blockade |
1980; 1450; 1900; 1410 | — |
| SECONDARY AUC0-∞ of Formoterol With and Without Charcoal Blockade |
56.0; 49.8; 54.5; 45.2 | — |
| SECONDARY Tmax for Budesonide With and Without Charcoal Blockade |
0.08; 0.25; 0.08; 0.25 | — |
| SECONDARY Tmax for Formoterol With and Without Charcoal Blockade |
0.08; 0.08; 0.08; 0.08 | — |
| SECONDARY t1/2 for Budesonide With and Without Charcoal Blockade |
2.90; 2.94; 2.79; 2.80 | — |
| SECONDARY t1/2 for Formoterol With and Without Charcoal Blockade |
9.57; 9.33; 10.09; 9.15 | — |
| SECONDARY Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) |
0.2; 0.2; 0.2; 0.2 | — |
| SECONDARY Change From Baseline in the Ratio of Forced Expiratory Volume in 1 Second to Forced Vital Capacity (FEV1/FVC) |
3.7; 3.6; 3.2; 3.8 | — |
| SECONDARY Change From Baseline in Peak Expiratory Flow Rate (PEFR) |
22.2; 20.5; 24.8; 19.2 | — |
Eligibility Criteria
Main Inclusion Criteria:
- Male or female 18 to 45 years of age.
- If female, is currently not pregnant/breast feeding/ or attempting to become pregnant has a negative serum pregnancy test, or is of non-childbearing potential or is of child-bearing potential, willing to commit to using a consistent and acceptable method of birth control or is of child-bearing potential and not sexually active
- Body mass index (BMI) of 18.5 to 29.9 kg/m² inclusive and a body weight ≥50 kg.
Main Exclusion Criteria:
- FEV1 value less than 80% of the predicted value and FEV1/FVC ratio <0.7.
- History or current evidence of a clinically significant disease or disorder capable of altering the absorption, metabolism, distribution or elimination of drugs.
- History or current evidence of a clinically significant disease including, but not limited to: cardiovascular, hepatic, renal, haematological, neuropsychological, endocrine, gastrointestinal or pulmonary.
- Presence of glaucoma, cataracts, ocular herpes simplex, malignancy, regardless of the clinical significance or current stability of the disease.
- History or presence of silent infections, including positive tests for HIV1, HIV2, Hepatitis B and Hepatitis C.
- Bacterial or viral infection of the upper respiratory tract (including the common cold and flu), sinus, or middle ear within 2 weeks of dosing.
- Lower respiratory tract infection/pneumonia within the past 3 months.
- Presence of any disease or condition or regular concomitant treatment (including vitamins and herbal products) known to interfere with the absorption, distribution, metabolism or excretion of drugs.
- Screening haemoglobin value of less than 1g/dL above the ULN (or 10g/L)
- History of recurrent vasovagal collapses.
- History of anaphylactic/anaphylactoid reactions.
- History of seizures including febrile seizures excluding childhood febrile convulsions.
- Unable to demonstrate proper inhalation techniques involved in using the delivery devices at screening.
- Exposure to any investigational drug within 90 days of the Screening Visit.
- Known or suspected hypersensitivity or idiosyncratic reaction to any steroid, any β2 agonist,or to lactose monohydrate, leucine or Tween 80.
- History of allergy to milk protein.
- Use of an inhaled corticosteroid within 30 days or systemic corticosteroid within 60 days of the Screening Visit.
- Use of medications or herbal medicines that are strong cytochrome P450 3A4 (CYP3A4) inhibitors or inducers within 30 days prior to Screening Visit
- Any clinically significant abnormal laboratory value or physical finding that may interfere with the interpretation of test results or cause a health risk for the subject if he/she participates in the study.
- Use of caffeine containing beverages more than 600 mg of caffeine/day.
- Current smokers or ex-smokers who have stopped smoking for less than 10 years.
- Recent or current (suspected) drug abuse or positive result in the drugs abuse test.
- Recent or current alcohol abuse (regular drinking more than 21 units per week for males and more than 14 units per week for females [1 unit = 4 cl spirits or equivalent]).
- Predictable poor compliance, intolerance to charcoal solution, or inability to communicate well with the study centre personnel or inability to participate in all treatment periods.
- The subject is not able to understand and comply with protocol requirements, instructions and protocol-stated restrictions, has participated in a clinical research study within the previous three months or has previously been enrolled in this study.
Data sourced from ClinicalTrials.gov (NCT02237508). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.