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Phase 1 Completed N=90 Randomized Treatment

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

OutcomeResultp-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.
View full record on ClinicalTrials.gov →

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.

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