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HealthyPhase 1NCT02254174

Relative Bioavailability of Tiotropium and Salmeterol After Inhalation of a Fixed Combined Dose Compared to Monocomponents in Healthy Male Volunteers

A Phase 1 study testing Tiotropium/Salmeterol, Serevent® Diskus® and Spiriva® in people with Healthy, run by Boehringer Ingelheim.

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

Assessment of the relative bioavailability of a fixed dose combination of tiotropium and salmeterol compared to a free dose combination of the marketed products of tiotropium and salmeterol (Spiriva® and Serevent® Diskus®). Read more about this study

Who is it for?
Ages 21 to 50 years, men onlyHealthy volunteers can take part
Conditions the study is for
Healthy
What is being tested?
Tiotropium/Salmeterol, Serevent® Diskus® and Spiriva®
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
No sites listed yet
Study dates
Mar 2006to Jul 2006
Phase
Phase 1
Are there results?
None posted in the registry

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 21 to 50 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy male based upon a complete medical history, including the physical examination, regarding vital signs (blood pressure (BP), pulse rate (PR)), 12-lead ECG (electrocardiogram) measurement, and clinical laboratory tests. There is no finding deviating from normal and of clinical relevance.
  • There is no evidence of a clinically relevant concomitant disease
  • Age ≥21 and ≤50 years
  • BMI ≥18.5 and <30 kg/m2 (Body Mass Index)
  • Signed and dated written informed consent prior to admission to the study in accordance with GCP (Good Clinical Practice) and the local legislation

Who cannot join

  • Any finding of the medical examination (including BP, PR, and ECG measurements) deviating from normal and of clinical relevance
  • Evidence of a clinically relevant concomitant disease
  • Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
  • Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
  • History of relevant orthostatic hypotension, fainting spells or blackouts
  • Chronic or relevant acute infections
Show all 26Show fewer
  • History of relevant allergy/hypersensitivity (including allergy to the drug or its excipients) as judged clinically relevant by the investigator
  • Intake of drugs with a long half-life (>24 hours) within at least 1 month or less than 10 half-lives of the respective drug prior to randomisation
  • Use of drugs which might reasonably influence the results of the trial based on the knowledge at the time of protocol preparation within 10 days prior to enrolment in the study or during the study
  • Participation in another trial with an investigational drug within 2 months prior to randomisation
  • Smoker (>10 cigarettes or >3 cigars or >3 pipes/day)
  • Inability to refrain from smoking on trial days as judged by the investigator
  • Alcohol abuse (more than 40 g alcohol a day)
  • Drug abuse
  • Blood donation (more than 100 mL blood within 4 weeks prior to randomisation or during the trial)
  • Excessive physical activities within 1 week prior to randomisation or during the trial
  • Any laboratory value outside the reference range that is of clinical relevance
  • Inability to comply with dietary regimen of the study centre
  • The following exclusion criteria are specific for this study due to the known class side effect profile of ß2-mimetics:
  • Asthma or history of pulmonary hyperreactivity
  • Hyperthyrosis
  • Allergic rhinitis in need of treatment
  • Clinically relevant cardiac arrhythmia
  • Paroxysmal tachycardia (>100 beats per minute)
  • The following exclusion criteria are specific for this study due to the known class side effect profile of tiotropium:
  • Hypersensitivity to tiotropium and/or related drugs of this class

About this study

Official title: A Randomised, Open-label Four-way Crossover Study to Evaluate Relative Bioavailability of Tiotropium and Salmeterol After Inhalation of a Fixed Combined Single Dose (7.5 μg Tiotropium, 25 μg Salmeterol, Inhalation Powder, Hard Capsule, HandiHaler®2), a Free Combined Single Dose of 18 μg Tiotropium [Spiriva® HandiHaler®] and 50 μg Salmeterol [Serevent® Diskus®], a Single Dose of 50μg Salmeterol (Serevent® Diskus®) and a Single Dose of 18 μg Tiotropium (Spiriva® HandiHaler®) in Healthy Male Volunteers

Assessment of the relative bioavailability of a fixed dose combination of tiotropium and salmeterol compared to a free dose combination of the marketed products of tiotropium and salmeterol (Spiriva® and Serevent® Diskus®).

Assessment of the relative bioavailability of a fixed dose combination of tiotropium and salmeterol compared to tiotropium and salmeterol administered as individual mono substances from the marketed products.

Assessment of safety and tolerability of the fixed combination of tiotropium and salmeterol in a PE (Polyethylene) capsule administered via the HandiHaler® 2

Conditions
Healthy
Being tested
Tiotropium/Salmeterol, Serevent® Diskus®, Spiriva®

What participants receive

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

  • Tiotropium/SalmeterolDrug

    Fixed dose combination of tiotropium 7.5 μg and salmeterol 25 μg inhalation powder, PE capsule via HandiHaler®

  • Serevent® Diskus®Drug

  • Spiriva®Drug

Study groups in NCT02254174
Study groupRoleWhat they receive
Tiotropium/SalmeterolExperimentalNot described
Receives: Drug: Tiotropium/Salmeterol
Serevent® Diskus®Active comparatorNot described
Receives: Drug: Serevent® Diskus®
Spiriva®Active comparatorNot described
Receives: Drug: Spiriva®
Spiriva® and Serevent® Diskus®Active comparatorNot described
Receives: Drug: Serevent® Diskus®; Drug: Spiriva®

What is being measured

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

  1. AUC0-∞ (area under the concentration-time curve of salmeterol in blood plasma over the time interval from 0 extrapolated to infinity);

    Measured: Up to 8 hours after drug administration

  2. Cmax (maximum measured concentration of salmeterol in blood plasma)

    Measured: Up to 8 hours after drug administration

  3. Ae0-8 (urinary excretion of tiotropium over an 8 hour interval)

    Measured: Up to 8 hours after drug administration

Secondary outcomes (19)
  1. AUC0-tz (area under the concentration-time curve in plasma over the time interval from 0 to the time of the last quantifiable data point)

    Measured: Up to 8 hours after drug administration

  2. AUC0-∞ (area under the concentration-time curve of tiotropium in blood plasma over the time interval from 0 extrapolated to infinity)

    Measured: Up to 8 hours after drug administration

  3. Cmax (maximum measured concentration of tiotropium in blood plasma)

    Measured: Up to 8 hours after drug administration

  4. AUCt1-t2 (area under the concentration time curve in plasma over the time interval t1 to t2)

    Measured: up to 8 hours after inhalation

  5. tmax (time from dosing to the maximum concentration of in plasma)

    Measured: Up to 8 hours after drug administration

  6. λz (terminal rate constant in plasma)

    Measured: Up to 8 hours after drug administration

  7. t½ (terminal half-life of in plasma)

    Measured: Up to 8 hours after drug administration

  8. MRTih (mean residence time in the body after inhalational administration)

    Measured: Up to 8 hours after drug administration

  9. CL/F (apparent clearance of in the plasma after extravascular administration)

    Measured: Up to 8 hours after drug administration

  10. Vz/F (apparent volume of distribution during the terminal phase λz following an extravascular dose)

    Measured: Up to 8 hours after drug administration

  11. Aet1-t2 (amount of analyte that is eliminated in urine from the time point t1 to time point t2

    Measured: up to 8 hours after inhalation

  12. fet1-t2 (fraction of analyte eliminated in urine from time point t1 to time point t2)

    Measured: up to 8 hours after inhalation

  13. CLR,t1-t2 (renal clearance of the analyte from the time point t1 until the time point t2)

    Measured: up to 8 hours after inhalation

  14. Number of participants with abnormal findings in physical examination

    Measured: up to 90 days after first drug administration

  15. Number of participants with clinically significant changes in vital signs

    Measured: up to 90 days after first drug administration

  16. Number of participants with abnormal findings in 12-lead ECG

    Measured: up to 90 days after first drug administration

  17. Number of participants with abnormal changes in clinical laboratory parameters

    Measured: up to 90 days after first drug administration

  18. Number of participants with adverse events

    Measured: up to 90 days after first drug administration

  19. Tolerability assessed by investigator on a 4-point scale

    Measured: up to 90 days after first drug administration

Timeline

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

  1. First posted1 Oct 2014 (estimated)
  2. Study startMar 2006
  3. Primary completionJul 2006

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
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02254174
Sponsor's protocol ID
1184.11
Status last verified
Sep 2014
First submitted
29 Sep 2014
Last updated
1 Oct 2014
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Tiotropium/Salmeterol, Serevent® Diskus® and Spiriva® in people with Healthy, run by Boehringer Ingelheim.

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 26 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 1 Oct 2014. Status can change between updates, so confirm with the study contact before making plans.

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 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.

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

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

AUC0-∞ (area under the concentration-time curve of salmeterol in blood plasma over the time interval from 0 extrapolated to infinity); (time frame: Up to 8 hours after drug administration). The study lists 3 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 1 Oct 2014.

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