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COPDPhase 1GOLDEN7NCT02512302

Study to Determine the Amount of Glycopyrrolate Absorbed in the Lungs After Taking the Medicine With a eFlow Nebulizer and Seebri® Breezhaler® With and Without Activated Charcoal in Subjects With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD).

A Phase 1 study testing SUN-101 via eFlow nebulizer, SUN-101 via eFlow nebulizer with activated charcoal and Seebri® Breezhaler® in people with COPD, run by Sunovion Respiratory Development Inc. at 2 sites in United Kingdom.

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

The purpose of this research study is to determine the amount of medicine absorbed in the lungs following dosing via eFlow nebulizer and Seebri® Breezhaler® with and without activated charcoal in subjects with moderate to severe chronic obstructive pulmonary disease (COPD). Read more about this study

Who is it for?
Ages 40 to 70 years
Conditions the study is for
COPD
What is being tested?
SUN-101 via eFlow nebulizer, SUN-101 via eFlow nebulizer with activated charcoal and Seebri® Breezhaler®
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
2 sitesUnited Kingdom
Study dates
Oct 2015to Apr 2016
Phase
Phase 1
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 40 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female patients 40 to 70 years-old, inclusive.
  • A clinical diagnosis of moderate to severe COPD according to the GOLD 2014 guidelines.
  • Current smokers or ex-smokers with at least 10 pack-year smoking history (eg, at least 1 pack/day for 10 years, or equivalent).
  • Post-bronchodilator (following inhalation of ipratropium bromide) FEV1 ≥ 30% and ≤ 80% of predicted normal during the Screening Period.
  • Post-bronchodilator (following inhalation of ipratropium bromide) FEV1/FVC ratio ≤ 0.70 during the Screening Period.
  • Ability to perform reproducible spirometry according to the American Thoracic Society (ATS) and/or European Respiratory Society (ERS) guidelines (2005).
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  • Subject, if female ≤ 70 years of age and of child bearing potential, must have a negative urine pregnancy test at Visit 1. Females of childbearing potential must be instructed to and agree to avoid pregnancy during the study and must use an acceptable method of birth control: a) an oral contraceptive, an intrauterine device (IUD), implantable contraceptive, transdermal or injectable contraceptive for at least 1 month prior to entering the study with continued use throughout the study and for thirty days following participation; b) barrier method of contraception, eg, condom and /or diaphragm with spermicide while participating in the study; and/or c) abstinence.
  • Willing and able to remain at the study site for at least 24 hours for each treatment day.
  • Willing and able to provide written informed consent.
  • Willing and able to attend all study visits and adhere to all study assessments and procedures.

Who cannot join

  • Severe comorbidities including unstable cardiac or pulmonary disease or any other medical conditions that would, in the opinion of the Investigator, preclude the subject from safely completing the required tests or the study, or is likely to result in disease progression that would require withdrawal of the subject, included but not limited to the following:
  • Unstable ischemic heart disease (diagnosis of myocardial infarction or admission for acute coronary syndrome) within 6 months of screening.
  • Unstable cardiac arrhythmia or heart failure (change in treatment plan) within 6 months.
  • Treatment for diabetes mellitus within 6 months of screening.
  • Current evidence or history of a clinically significant abnormality of cardiac rhythm and/or conduction findings.
  • Concomitant clinically significant respiratory disease other than COPD (eg, asthma, tuberculosis, bronchiectasis, or other non-specific pulmonary disease).
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  • History of malignancy of any organ system treated or untreated within the past 5 years, with the exception of localized basal cell carcinoma of the skin.
  • Recent history of COPD exacerbation requiring hospitalization or need for increased treatments for COPD within 6 weeks prior to the Screening Period.
  • Use of daily oxygen therapy > 10 hours per day.
  • Use of oral, intravenous, or intramuscular steroids within 3 months prior to the Screening Period.
  • Respiratory tract infection within 6 weeks prior to or during the Screening Period.
  • Significant blood loss (> 500 mL) or donated blood within 60 days preceding screening or plans to donate blood within 60 days after completing the study.
  • History of or clinically significant ongoing bladder outflow obstruction or history of catheterization for relief of bladder outflow obstruction within the previous 6 months.
  • History of narrow-angle glaucoma.
  • Prolonged QTc interval (> 450 msec for males and > 470 msec for females) during the Screening Period, or history of long QT syndrome.
  • Recent documented history (previous 12 months) of substance abuse.
  • .Positive urine drug screen at Visit 1 provided the subject is unable to produce a valid medical rationale for the test result (eg, prescription medication).
  • Positive HbsAg, Hepatitis C antibody, or HIV 1/2 antibody test at Screening.
  • History of hypersensitivity or intolerance to aerosol medications, β2-agonists, anticholinergics, or sympathomimetic amines.
  • Significant psychiatric disease that would likely result in the subject not being able to complete the study, in the opinion of the Investigator.
  • Participation in another investigational drug study where drug was received within 30 days prior to the Screening Period, or current participation in another investigational drug trial in which study treatment is being administered, including a SUN-101 study
  • Previously received SUN-101 (active treatment; formerly known as EP-101).
  • Previously received any glycopyrrolate product within 28 days of Screening.
  • Subject is taking theophylline.

Trial locations and contacts

2 sites in 1 country.

United Kingdom2 sites
  • Queen Anne Street Medical Center

    London, W1G 8HU

  • Medicines evaluation Unit Ltd.

    Manchester, M23 9QZ

Other trials in United Kingdom

About this study

Official title: A Crossover Clinical Pharmacology Study to Evaluate the Total Systemic Exposure and Lung Bioavailability of SUN-101 and Seebri® Breezhaler® Administered With and Without Activated Charcoal in Subjects With Moderate to Severe Chronic Obstructive Pulmonary Disease (COPD)

The purpose of this research study is to determine the amount of medicine absorbed in the lungs following dosing via eFlow nebulizer and Seebri® Breezhaler® with and without activated charcoal in subjects with moderate to severe chronic obstructive pulmonary disease (COPD).

Read the detailed description

This is a randomized, open-label, single-dose per dosing period, five-way crossover study in subjects 40 to 70 years of age with a diagnosis of moderate to severe COPD per Global Initiative for Chronic Obstructive Lung Disease guidelines. After a subject provides consent for study participation, there will be a Screening Period lasting up to 3 weeks to determine study eligibility and to allow for appropriate washout of prohibited medications.

Eligible subjects will be randomized to one of 10 treatment Sequences. There will be a minimum of a 7-day washout period between each treatment visit. At each visit, subjects will receive one dose of study medication according to the sequence assigned.

Subjects with a ≥ 20% decrease in forced expiratory volume in one second (FEV1) based on review of the Visit predose value compared with the Screening value will be evaluated by the investigator for continuation in the study.

Subjects taking theophylline will not be able to participate in the study.

Conditions
COPD
Being tested
SUN-101 via eFlow nebulizer, SUN-101 via eFlow nebulizer with activated charcoal, Seebri® Breezhaler®, Seebri® Breezhaler® with activated charcoal, Glycopyrrolate Injection
Keywords
COPD
Medical subject headings
Pulmonary Disease, Chronic Obstructive

What participants receive

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

  • SUN-101 via eFlow nebulizerDrug

    Also called Glycopyrrolate

    50 mcg glycopyrrolate via Electronic Nebulizer

  • SUN-101 via eFlow nebulizer with activated charcoalDrug

    Also called Glycopyrrolate

    50 mcg glycopyrrolate via Electronic Nebulizer with activated charcoal

  • Seebri® Breezhaler®Drug

    Also called glycopyrronium, glycopyrronium bromide

    63 mcg glycopyrronium bromide (50 mcg glycopyrronium) via DPI

  • Seebri® Breezhaler® with activated charcoalDrug

    Also called glycopyrronium, glycopyrronium bromide

    63 mcg glycopyrronium bromide (50 mcg glycopyrronium) via DPI with activated charcoal

  • Glycopyrrolate InjectionDrug

    Also called Glycopyrrolate

    50 mcg glycopyrrolate via IV

Study groups in NCT02512302
Study groupRoleWhat they receive
SUN-101 via eFlow nebulizerExperimental50 mcg glycopyrrolate via Electronic Nebulizer
Receives: Drug: SUN-101 via eFlow nebulizer
SUN-101 via eFlow nebulizer with activated charcoalExperimental50 mcg glycopyrrolate via Electronic Nebulizer with activated charcoal
Receives: Drug: SUN-101 via eFlow nebulizer with activated charcoal
Seebri® Breezhaler®Active comparator63 mcg glycopyrronium bromide (50 mcg glycopyrronium) via DPI
Receives: Drug: Seebri® Breezhaler®
Seebri® Breezhaler® with activated charcoalActive comparator: : 63 mcg glycopyrronium bromide (50 mcg glycopyrronium) via DPI with activated charcoal
Receives: Drug: Seebri® Breezhaler® with activated charcoal
: Glycopyrrolate InjectionActive comparator50 mcg glycopyrrolate via IV infusion
Receives: Drug: Glycopyrrolate Injection

What is being measured

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

  1. Cmax

    maximum observed concentration-Cmax is calculated from plasma concentrations analyzed from blood samples collected between 0 and 48 hr.

    Measured: Up to Week 5

  2. Area Under the Curve From Time Zero to 24 Hours (AUC0_24)

    Area under the drug concentration-time curve from time zero to 24 hours postdose pk parameteres are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr

    Measured: Up to Week 5

  3. Area Under the Curve From Time Zero to Infinity (AUC0_infinity)

    calculated by summing AUC0-last and the AUC extrapolated from tlast to infinity: AUC0-∞ = AUC0-last+ Clast / | λz | Clast / | λz | is the extrapolated area under the curve from tlast to infinity. If this quantity is greater than 20% of AUC0-∞, then AUC0-∞ was considered to be missing.

    Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.

    Measured: Up to Week 5

Secondary outcomes (15)
  1. Clearance (CL) for IV Infusion of 50 mcg of Glycopyrrolate

    calculated as Dose/AUC0-inf after the IV dose administration. If AUC0-inf is missing, then CL was considered as missing.

    Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.

    Measured: Up to Week 5

  2. Volume of Distribution During the Elimination Phase (Vz) for IV Infusion of 50 mcg of Glycopyrrolate

    calculated as Dose/(AUC0-inf*λz). Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.

    Measured: Up to Week 5

  3. Time of Occurrence of Cmax (Tmax) for IV Infusion of 50 mcg of Glycopyrrolate

    The time 0 is based on start of the infusion. Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.

    Measured: Up to Week 5

  4. Terminal Half Life (t1/2) for IV Infusion of 50 mcg of Glycopyrrolate

    calculated as ln(2) / λz . At least 3 data points at the terminal elimination phase were required to determine t½.

    Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.

    Measured: Up to Week 5

  5. Area Under the Curve Zero to 48 Hours (AUC0_48) for Seebri Breezhaler and Sun-101 AUC0-48, CL/F, Vz/F, Tmax, t½, and Dose Normalized Cmax, AUC0-24, AUC0-48, AUC0-∞ - AUC0-∞ -

    Area under the drug concentration-time curve from time zero to 48 hours postdose Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.

    Measured: Up to Week 5

  6. Apparent Clearance Calculated as Dose/AUC0-INF After Extravascular Dose Administration of Seebri Breezhaler and SUN-101

    calculated as Dose/AUC0-∞ after extravascular dose administration, where F = Bioavailability. If AUC0-∞ is missing, then CL/F is considered as missing.

    Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.

    Measured: up to week 5

  7. Apparent Volume of Distribution (Vz/F) After Extravascular Dose Administration of Seebri Breezhaler and SUN-101

    calculated as Dose/(AUC0-∞* λz), where F = Bioavailability. If AUC0-∞ is missing, then Vz/F is considered as missing.

    Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr

    Measured: up to week 5

  8. Time of Occurrence of Cmax (Tmax) for Seebri Breezhaler and SUN-101

    The time 0 is based on start of the inhalation. Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.

    Measured: up to week 5

  9. Terminal Half Life (t1/2) for for Seebri Breezhaler and SUN-101

    calculated as ln(2) / λz . At least 3 data points at the terminal elimination phase were required to determine t½.

    Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.

    Measured: up to week 5

  10. Dose Normalized Cmax for Seebri and SUN-101.

    Maximum observed concentration multiplied by the dose normalization factor. Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.

    The dose normalization factor calculation has two components: dose equivalent glycopyrrolate amount and the delivery efficiency (% dose delivered). For Sun-101 50 mcg, the dose normalization factor is 1.59, for Seebri Breezhaler it is 0.9.

    Measured: up to week 5

  11. Dose Normalized Area Under the Curve Zero to 24 Hours (AUC0_24) for Seebri and SUN-101

    Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.

    Area under the drug concentration-time curve from time zero to 24 hours postdose multiplied by the dose normalization factor. The dose normalization factor calculation has two components: dose equivalent glycopyrrolate amount and the delivery efficiency (% dose delivered). For Sun-101 50 mcg, the dose normalization factor is 1.59, for Seebri Breezhaler it is 0.9.

    Measured: up to week 5

  12. Dose Normalized Area Under the Curve Zero to 48 Hours (AUC0_48) for Seebri and SUN-101

    Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.

    Area under the drug concentration-time curve from time zero to 48 hours postdose multiplied by the dose normalization factor. The dose normalization factor calculation has two components: dose equivalent glycopyrrolate amount and the delivery efficiency (% dose delivered). For Sun-101 50 mcg, the dose normalization factor is 1.59, for Seebri Breezhaler it is 0.9.

    Measured: up to week 5

  13. Dose Normalized Area Under the Curve Zero From Zero to Infinity (AUC0_inf) for Seebri and SUN-101

    Pk parameters are calculated from plasma concentration analyzed from blood samples collected between 0 and 48 hr.

    Area under the drug concentration-time curve from zero to infinity, calculated by summing AUC0-last and the AUC extrapolated from tlast to infinity multiplied by the dose normalization factor: dose normalization factor* (AUC0-∞ = AUC0-last+ Clast / | λz | ) Clast / | λz | is the extrapolated area under the curve from tlast to infinity. If this quantity is greater than 20% of AUC0-∞, then AUC0-∞ was considered to be missing.

    The dose normalization factor calculation has two components: dose equivalent glycopyrrolate amount and the delivery efficiency (% dose delivered). For Sun-101 50mcg , the dose normalization factor is 1.59, for Seebri Breezhaler it is 0.9.

    Measured: up to week 5

  14. The Number of Subjects With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs Leading to Discontinuation

    An adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date.

    Measured: Up to Week 5

  15. The Percentage of Subjects With Adverse Events (AEs), Serious Adverse Events (SAEs), and AEs Leading to Discontinuation

    An adverse event (AE) that occurred on or after the first dose of study medication, any AE with a missing start date and a stop date on or after the first dose of study medication, or any AE with both a missing start and stop date.

    Measured: Up to Week 5

Timeline

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

  1. First posted30 Jul 2015 (estimated)
  2. Study startOct 2015
  3. Primary completionApr 2016
  4. Study completionApr 2016

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
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02512302
Sponsor's protocol ID
SUN101-105
Acronym
GOLDEN7
Status last verified
Sep 2018
First submitted
24 Jul 2015
Last updated
25 Oct 2018
Data monitoring committee
No

Publications

  • Leaker BR, Singh D, Nicholson GC, Hezelova B, Goodin T, Ozol-Godfrey A, Galluppi G, Barnes PJ. Evaluation of systemic absorption and bronchodilator effect of glycopyrronium bromide delivered by nebulizer or a dry powder inhaler in subjects with chronic obstructive pulmonary disease. Respir Res. 2019 Jun 28;20(1):132. doi: 10.1186/s12931-019-1113-z.

    PubMed 31253162

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing SUN-101 via eFlow nebulizer, SUN-101 via eFlow nebulizer with activated charcoal and Seebri® Breezhaler® in people with COPD, run by Sunovion Respiratory Development Inc. at 2 sites in United Kingdom.

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 10 inclusion and 24 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 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United Kingdom. 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 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?

Yes. Results are posted in the registry (first posted 14 Sep 2018). 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?

Cmax (time frame: Up to Week 5). 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?

On the ClinicalTrials.gov record for NCT02512302, which also lists 1 linked publication.

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 Oct 2018.

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