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AsthmaPhase 1/2NCT01143051

Pharmacokinetics (PK) Study of Epinephrine Inhalation Aerosol in Healthy Volunteers

A Phase 1/2 study testing epinephrine inhalation aerosol in people with Asthma, run by Amphastar Pharmaceuticals, Inc. at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study examines the pharmacokinetic profile of Armstrong's proposed Epinephrine Inhalation Aerosol USP, an HFA-MDI (E004), in healthy male and female adult volunteers. Safety of E004 will also be evaluated, under augmented dose conditions. Read more about this study

Who is it for?
Ages 18 to 30 yearsHealthy volunteers can take part
Conditions the study is for
Asthma
What is being tested?
epinephrine inhalation aerosol
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteUnited States
Study dates
Jan 2010to Jun 2010
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 30 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Generally healthy, male and female adults, 18-30 yrs of age at Screening;
  • Having no clinically significant respiratory, cardiovascular and other systemic or organic illnesses, per investigator discretion;
  • Women of child-bearing potential must be non-pregnant, non-lactating, and practicing a clinically acceptable form of birth control;
  • Having properly consented and satisfied all other inclusion/exclusion criteria as required for this protocol.
  • Other criteria apply.

Who cannot join

  • A recent or significant smoking history;
  • Use of prohibited drugs or failure to observe the drug washout restrictions;
  • Having been on other investigational drug/device studies in the last 30 days prior to Screening.
  • Other criteria apply

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Amphastar Location 1

    Cypress, California, 90630

Other trials in United States

About this study

Official title: Phase I/II Study Epinephrine Inhalation Aerosol USP, an HFA-MDI Clinical Study-B for Assessment of Pharmacokinetics

This study examines the pharmacokinetic profile of Armstrong's proposed Epinephrine Inhalation Aerosol USP, an HFA-MDI (E004), in healthy male and female adult volunteers. Safety of E004 will also be evaluated, under augmented dose conditions.

Read the detailed description

This study is a randomized, evaluator-blind, single dose, three-arm, crossover, PK study, to be conducted in ~18 healthy, male and female, adult volunteers. PK will be studied at two dose strengths (Arm T1 and Arm T2). A currently marketed, non-labeled, Epinephrine CFC-MDI will be used as a Reference Control (Arm C).

  • At the Screening Visit and the beginning of each Study Visit, each subject will be trained on the correct self-administration of MDI. The following three randomized treatments will be self-administered, at three Study Visits:
  • Treatment T1: Ten (10) inhalations of the low dose E004(125 mcg/inhalation), totaling 1.25 mg of epinephrine;
  • Treatment T2: Ten (10) inhalations of the high dose E004 (160 mcg/inhalation), totaling 1.60 mg of epinephrine;
  • Treatment C: Ten (10) inhalations of Epinephrine CFC-MDI (220 mcg/inhalation, totaling 2.2 mg of epinephrine base equivalent).
  • PK blood samples will be taken from a vein at scheduled time points.
  • Safety parameters and adverse drug events, if any, will be monitored and documented at each study visit. An End-of-Study (EOS) safety evaluation will be conducted.
Conditions
Asthma
Being tested
epinephrine inhalation aerosol
Keywords
Asthma, Pharmacokinetics, Epinephrine, Bronchodilator, metered dose inhaler
Medical subject headings
Asthma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • epinephrine inhalation aerosolDrug

    Also called Primatene Mist

    Single dose 220 mcg/inhalation, 10 inhalations

  • epinephrine inhalation aerosolDrug

    Also called Primatene Mist

    HFA propelled epinephrine inhalation aerosol, 125 mcg/inhalation, 10 inhalations

  • epinephrine inhalation aerosolDrug

    Also called Primatene Mist

    HFA propelled epinephrine inhalation aerosol, 160 mcg/inhalation, 10 inhalations

Study groups in NCT01143051
Study groupRoleWhat they receive
Treatment CActive comparatorActive comparator arm utilizing marketed Primatene Mist with CFC propellant at the labeled dose.
Receives: Drug: epinephrine inhalation aerosol
Treatment 1ExperimentalT1 is HFA propelled epinephrine inhalation aerosol 125 mcg/inhalation
Receives: Drug: epinephrine inhalation aerosol
Treatment 2ExperimentalHFA propelled epinephrine inhalation aerosol, 160 mcg/inhalation
Receives: Drug: epinephrine inhalation aerosol

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Baseline Concentration (C0) of Labeled Epinephrine Total Epinephrine

    Patient PK blood samples were taken from a vein in a hand or arm via indwelling heparin-anticoagulated IV catheters, or by venipunctures at Baseline (prior to dosing) in each treatment period following a specified washout period (3-14 days), and were analyzed using an established analysis method. Baseline concentration (C0) is the concentration of epinephrine measured in the plasma at this time point.

    Measured: 0 to 30 minutes prior to dosing

  2. Area Under the Curve From Time Zero to 6 Hours Post-dose (AUC[0-6])

    Patient PK blood samples were taken from a vein in a hand or arm via indwelling heparin-anticoagulated IV catheters, or by venipunctures at 0 (baseline), 5, 15, 30, 45, 60, 90, 120, 180, 240, and 360 minutes post-dose in each treatment period and were analyzed using an established analysis method. Area under the curve from time zero to 6 hours post-dose (AUC[0-6]) was calculated using the trapezoidal rule.

    Measured: Pre-dose to 6 hours post-dose

  3. Peak Concentration (Cmax) for Total Epinephrine From Time Zero to 6 Hours Post-dose

    Patient PK blood samples were taken from a vein in a hand or arm via indwelling heparin-anticoagulated IV catheters, or by venipunctures at 0 (baseline), 5, 15, 30, 45, 60, 90, 120, 180, 240, and 360 minutes post-dose in each treatment period and were analyzed using an established analysis method. Peak (maximum) concentration (Cmax) is the highest concentration of epinephrine measured in plasma during the treatment period.

    Measured: Pre-dose to 6 hours post-dose

  4. Time to Reach Peak Concentration (Tmax) for Total Epinephrine

    Patient PK blood samples were taken from a vein in a hand or arm via indwelling heparin-anticoagulated IV catheters, or by venipunctures at 0 (baseline), 5, 15, 30, 45, 60, 90, 120, 180, 240, and 360 minutes post-dose in each treatment period and were analyzed using an established analysis method. tmax is the amount of time it takes for epinephrine to reach peak concentration in plasma during the treatment period.

    Measured: Pre-dose to 6 hours post-dose

  5. Half-life (t1/2) for Total Epinephrine

    Patient PK blood samples were taken from a vein in a hand or arm via indwelling heparin-anticoagulated IV catheters, or by venipunctures at 0 (baseline), 5, 15, 30, 45, 60, 90, 120, 180, 240, and 360 minutes post-dose in each treatment period and were analyzed using an established analysis method. Half-life (t1/2) is the amount of time it takes for epinephrine decrease to half the peak concentration in plasma during the treatment period.

    Measured: Pre-dose to 6 hours post-dose

  6. Concentration vs. Time for Total Epinephrine From Time Zero to 6 Hours Post-dose

    Patient PK blood samples were taken from a vein in a hand or arm via indwelling heparin-anticoagulated IV catheters, or by venipunctures at 0 (baseline), 5, 15, 30, 45, 60, 90, 120, 180, 240, and 360 minutes post-dose in each treatment period and were analyzed using an established analysis method.

    Measured: Pre-dose to 6 hours post-dose

Secondary outcomes (10)
  1. Vital Signs: Systolic Blood Pressure (SBP)

    Subject vital signs, i.e., blood pressure and heart rate, were measured prior to study drug dosing (baseline) and up to 360 minutes after dosing during the study visit.

    Measured: Pre-dose (baseline) to 360 minutes post-dose

  2. Vital Signs: Diastolic Blood Pressure (DBP)

    Subject vital signs, i.e., blood pressure and heart rate, were measured prior to study drug dosing (baseline) and up to 360 minutes after dosing during the study visit.

    Measured: Pre-dose (baseline) to 360 minutes post-dose

  3. Vital Signs: Heart Rate (HR)

    Subject vital signs, i.e., blood pressure and heart rate, were measured prior to study drug dosing (baseline) and up to 360 minutes after dosing during the study visit.

    Measured: Pre-dose (baseline) to 360 minutes post-dose

  4. ECG: QT Interval

    Subject QT and QTc Intervals were recorded using a 12-Lead ECG prior to study drug dosing (baseline) and up to 360 minutes after dosing during the study visit.

    Measured: Pre-dose (baseline) to 360 minutes post-dose

  5. ECG: QTc Interval

    Subject QT and QTc Intervals were recorded using a 12-Lead ECG prior to study drug dosing (baseline) and up to 360 minutes after dosing during the study visit.

    Measured: Pre-dose (baseline) to 360 minutes post-dose

  6. Serum Glucose Levels

    Blood samples used to measure subject serum glucose and potassium levels were collected prior to study drug dosing (baseline) and up to 360 minutes post-dose.

    Measured: Pre-dose (baseline) to 360 minutes post-dose

  7. Serum Potassium Levels

    Blood samples used to measure subject serum glucose and potassium levels were collected prior to study drug dosing (baseline) and up to 360 minutes post-dose.

    Measured: Pre-dose (baseline) to 360 minutes post-dose

  8. Hand Tremor Scores

    Subjects evaluated hand tremor experiences using a scale from 0 to 3 (0: No tremor; 1: Mild, perceivable; 2: Moderate, observable; and 3: Severe, interfering with hand activities). Hand tremors were evaluated prior to study drug dosing (baseline) and up to 360 minutes post-dose.

    Measured: Pre-dose (baseline) to 360 minutes post-dose

  9. Number of Subjects With Significant Changes in Physical Examination

    Physical examinations were performed as a part of Screening and End-of-Study (EOS) procedures. This outcome is a count of the number of subjects that showed a clinically significant change in the EOS physical examination compared to the Screening Visit.

    Measured: Approximately 6 weeks

  10. Number of Subjects With Significant Changes in Laboratory Tests

    Laboratory tests (CBC, serum comprehensive metabolic panel, urinalysis, and urinary pregnancy test for women of childbearing potential) were performed as a part of Screening and End-of-Study (EOS) procedures. This outcome is a count of the number of subjects that showed a clinically significant change in the EOS laboratory tests compared to the Screening Visit.

    Measured: Approximately 6 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Jun 2010 (estimated)
  2. Study startJan 2010
  3. Primary completionJun 2010
  4. Study completionJun 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01143051
Sponsor's protocol ID
API-E004-CL-B
Status last verified
Sep 2018
First submitted
7 Jun 2010
Last updated
25 Sep 2018
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing epinephrine inhalation aerosol in people with Asthma, run by Amphastar Pharmaceuticals, Inc. at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Jul 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Baseline Concentration (C0) of Labeled Epinephrine Total Epinephrine (time frame: 0 to 30 minutes prior to dosing). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2018.

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