Pharmacodynamics, Safety, Tolerability, and Pharmacokinetics of Two Orally Inhaled Indacaterol Salts in Adult Subjects With Asthma.
Source: ClinicalTrials.gov NCT03257995 ↗Summary
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Trough FEV1 |
2.4173; 2.3774; 2.2191 | <0.001 sig |
| SECONDARY Pharmacokinetics AUC 0-24hours at Steady State |
2300; 2050 | — |
| SECONDARY The Maximum Concentration (Cmax) at Steady State (ss) |
249; 224 | — |
| SECONDARY Time of Maximal Plasma Concentration (Tmax) at Steady State |
0.250; 0.467 | — |
| SECONDARY The Lowest Plasma (or Serum or Blood) Concentration (Cmin) at Steady State |
56; 52.3 | — |
| SECONDARY Relative Bioavailability (Frel) of Indacaterol Acetate and Indacaterol Maleate |
0.912; 0.910 | — |
| SECONDARY Time to Peak FEV1 on Day 14 |
-0.02; -0.02; 0.00 | 0.823 |
| SECONDARY Bronchodilator Effect of Indacaterol Salts Compared to Placebo Measured by Forced Expiratory Volume in 1 Second (FEV1) at All Timepoints |
2.4795; 2.4813; 2.2617; 2.5005; 2.4965; 2.2282 | <0.001 sig |
| SECONDARY Percent of Predicted Bronchodilator Effect of Indacaterol Salts Compared to Placebo Measured by FEV1 (% Predicted) at All Timepoints |
78.2; 78.2; 71.1; 78.7; 78.5; 70.2 | <.001 sig |
| SECONDARY Bronchodilator Effect of Indacaterol Salts Compared to Placebo Measured by Forced Vital Capacity (FVC) |
3.5648; 3.5912; 3.3783; 3.5850; 3.5773; 3.3600 | <0.001 sig |
| SECONDARY Bronchodilator Effect of Indacaterol Salts Compared to Placebo Measured by FVC (% Predicted) |
90.4; 91.2; 85.3; 90.8; 90.7; 84.9 | <0.001 sig |
| SECONDARY Bronchodilator Effect of Indacaterol Salts Compared to Placebo Measured by FEV1/FVC |
0.6979; 0.6952; 0.6729; 0.7002; 0.7017; 0.6672 | <.001 sig |
| SECONDARY Bronchodilator Effect of Indacaterol Salts Compared to Placebo Measured by FEF25-75% |
1.6968; 1.6918; 1.4962; 1.7454; 1.7458; 1.4531 | <0.001 sig |
| SECONDARY Bronchodilator Effect of Indacaterol Salts Compared to Placebo in Standardized FEV1 AUC. |
2.5179; 2.5151; 2.2703 | <.001 sig |
| SECONDARY Rescue Medication Usage |
1.01; 1.01; 1.43 | 0.009 sig |
| SECONDARY Mean Overall Peak Expiratory Flow (PEF) |
409.7; 407.6; 376.8 | <0.001 sig |
Eligibility Criteria
Key Inclusion Criteria
- Male and female patients aged ≥ 18 and above
- Patients with a documented physician diagnosis of asthma for a period of at least 1 year prior to screening and who additionally meet the following criteria:
Patients receiving daily treatment with an inhaled corticosteroid up to the maximum dose per day (as indicated in the package leaflet), on a stable regimen for at least 4 weeks prior to screening.
- Pre-bronchodilator FEV1 ≥ 50 % and ≤ 90% of the predicted normal value for the patient during screening.
- Patients who demonstrate an increase in FEV1 of ≥ 12% and ≥ 200 mL after administration of 400 μg salbutamol/360 μg albuterol (or equivalent dose) at screening.
- Subjects must weigh at least 50 kg at screening to participate in the study, and must have a body mass index (BMI) within the range of 18 to 40 kg/m2.
Key Exclusion Criteria
-Contraindicated for treatment with, or having a history of reactions/ hypersensitivity to any of the following inhaled drugs, drugs of a similar class, or any component thereof: Sympathomimetic amines / adrenoceptor agonist agents Lactose or any of the other excipients of the study drug (including patients with history of galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption)
- Patients who have had an asthma attack/exacerbation requiring systemic steroids or hospitalization or emergency room visit within 6 weeks of screening.
- Patients who have had a respiratory tract infection or asthma worsening within 4 weeks prior to screening.
- Patients with a history of chronic lung diseases other than asthma
- Patients who have a decline in PEF from the reference PEF (taken at screening) of ≥30% for 5 of 6 consecutive scheduled PEF readings (readings taken at morning and evening) during at least 3 days of screening epoch prior to randomization.
- Patients who require the use of ≥12 puffs / 24 hours of rescue medication for 48 hours (over two consecutive days) during screening prior to randomization.
- Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test.
- Patients with Type I diabetes or uncontrolled Type II diabetes (HbA1c > 9%) at screening.
- Current smokers (urine cotinine > than the laboratory's lowest level of quantification (LoQ of 500 ng/mL or lower)) and patients who have smoked or inhaled tobacco products within the 6 month period prior to screening, or who have a smoking history of greater than 10 pack years (Note: 1 pack is equivalent to 20 cigarettes. 10 pack years = 1 pack /day x 10 yrs., or ½ pack/day x 20 yrs.).
Data sourced from ClinicalTrials.gov (NCT03257995). 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.