Phase 1
Completed N=91
Clinical Study to Evaluate Z7200 Pharmacokinetics Profile
Source: ClinicalTrials.gov NCT02631941 ↗Enrolled (actual)
91
Serious AEs
0.0%
Results posted
Jan 2022
Primary outcomePrimary: AUC0-last of Budesonide With and Without Charcoal Blockade — 1710; 1710; 1570; 1530 pg*h/mL — p=<0.001
Summary
Brief 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-last of Budesonide With and Without Charcoal Blockade |
1710; 1710; 1570; 1530 | <0.001 sig |
| PRIMARY AUC0-last of Formoterol With and Without Charcoal Blockade |
46.1; 52.6; 39.0; 42.8 | 0.002 sig |
| PRIMARY Cmax of Budesonide With and Without Charcoal Blockade |
1080; 686; 1110; 663 | 1.00 |
| PRIMARY Cmax of Formoterol With and Without Charcoal Blockade |
10.1; 11.9; 10.3; 11.7 | 0.012 sig |
| SECONDARY AUC0-30 of Budesonide With and Without Charcoal Blockade. |
313; 238; 315; 237 | — |
| SECONDARY AUC0-30 of Formoterol With and Without Charcoal Blockade. |
3.37; 3.88; 3.36; 3.76 | — |
| SECONDARY AUC0-∞ of Budesonide With and Without Charcoal Blockade |
1820; 1830; 1670; 1640 | — |
| SECONDARY AUC0-∞ of Formoterol With and Without Charcoal Blockade |
55.4; 63.0; 46.8; 53.7 | — |
| SECONDARY Tmax for Budesonide With and Without Charcoal Blockade |
0.080; 0.250; 0.040; 0.250 | — |
| SECONDARY Tmax for Formoterol With and Without Charcoal Blockade |
0.080; 0.080; 0.080; 0.080 | — |
| SECONDARY t1/2 for Budesonide With and Without Charcoal Blockade |
3.21; 3.14; 3.23; 3.01 | — |
| SECONDARY t1/2 for Formoterol With and Without Charcoal Blockade |
9.35; 9.28; 9.45; 9.08 | — |
| SECONDARY Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1) |
0.188; 0.170; 0.173; 0.153 | — |
| SECONDARY Change From Baseline in the Ratio of Forced Expiratory Volume in 1 Second to Forced Vital Capacity (FEV1/FVC) |
3.94; 3.78; 3.75; 3.83 | — |
| SECONDARY Change From Baseline in Peak Expiratory Flow Rate (PEFR) |
32.3; 22.4; 30.3; 19.3 | — |
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 18.0 to 32.0 kg/m² inclusive and a body weight ≥50 kg.
- 10 years or more past history of cigarette, <=5 pack year
Main Exclusion Criteria:
- Forced Expiratory Volume in 1 sec (FEV1) value less than 80% of the predicted value and FEV1/FVC (Forced Vital Capacity) 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.
- positive tests for Human Immunodeficiency Virus (HIV), 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 Lower Limit of Normality
- 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; 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 5 cups/day.
- 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)
- 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.
Data sourced from ClinicalTrials.gov (NCT02631941). 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.