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Pharmacokinetics and PharmacoDynamics of GW685698 in Paedeatric Asthmatic Patients

A Randomized, Double-blind, Placebo-controlled, Two-way Crossover 14-day Study to Investigate the Safety, Tolerability, Pharmacodynamics and Pharmacokinetics of Repeat Dose Inhaled Fluticasone Furoate 100ug (Micrograms) in Children Aged 5-11 Years With Persistent Asthma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01332292
Enrollment
27
Registered
2011-04-11
Start date
2010-05-31
Completion date
2011-01-31
Last updated
2017-03-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Asthma

Keywords

inhalation profiles, pharmacokinetics, pharyngometry, asthma, pediatric subjects, GW685698, Fluticasone furoate, safety

Brief summary

This study will investigate the effect of dosing with flutucasone furoate in asthmatic subjects aged 5-11 years of age. A randomized, two-way crossover, with placebo control, over a 14 day treatment period, it will investigate safety, tolerability, pharmacokinetics and serum cortisol levels.

Detailed description

This study will investigate the effect of dosing with fluticasone furoate 100 μg (micrograms) in asthmatic subjects aged 5-11 years of age. Fluticasone furoate is currently under development as the inhaled corticosteroid component of a combination product containing an inhaled corticosteroid and a long-acting beta-agonist. The study will be a randomized two-way crossover, with a placebo control. During each treatment period subjects will receive a daily dose via a novel dry powder inhaler for 14 days. Approximately 26 subjects will be recruited to this study, with the aim that 20 will complete the study. Safety, tolerability, pharmacokinetics and serum cortisol levels will be investigated.

Interventions

DRUGFluticasone furoate

Novel dry powder inhaler: 100µg per blister One blister strip containing fluticasone furoate micronised drug blended with lactose and a second blister strip containing lactose and magnesium stearate.

DRUGMatching placebo

Novel dry powder inhaler: One blister strip containing lactose and a second blister strip containing lactose and magnesium stearate.

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
5 Years to 11 Years
Healthy volunteers
No

Inclusion criteria

* Male and pre-menarchial female subjects aged 5-11 years on the last planned treatment day are eligible for this study. Pre-menarchial females are defined as any female who has yet to begin menses and is considered Tanner Stage 2 or less. * Diagnosis of asthma at least 6 months prior to screening. * Patients must be controlled on their existing asthma treatment at screening as defined by a Childhood Asthma Control Test score of \>19 and PEF (Peak Expiratory Flow) ≥80% predicted. * Apart from asthma, eczema and rhinitis, subjects should be healthy and suffer from no other significant medical conditions. * Subjects must be taking a stable regimen of a short acting beta-agonist inhaler on an as-need basis for at least 4 weeks prior to screening. * Subjects must weigh at least 15 kg (kilograms). * Subjects must demonstrate ability to accept and effectively use the fluticasone furoate devices using the demonstration kits provided to the site. * Subjects and parents/guardians must be able to understand and comply with protocol requirements, instructions and protocol-stated restrictions. Parents/guardians must have the ability to read, write and record diary information collected throughout the study. They must also have the ability to manage study drug administration and PEF assessments. * A signed and dated written informed consent from at least one parent/guardian, and accompanying informed assent from the subject prior to admission to the study.

Exclusion criteria

* Subjects who have changed their asthma medication within 4 weeks of screening or subjects currently being treated with inhaled corticosteroids or have received such treatment within 4 weeks of screening. In addition, subjects currently receiving (or have received within 4 weeks of screening) any of the following asthma therapies: theophyllines, long-acting inhaled beta-agonists or oral beta-agonists. * Any medical condition or circumstance making the volunteer unsuitable for participation in the study (e.g. history of life-threatening asthma). * Any clinically relevant abnormality identified on the screening medical assessment, including asthma exacerbation requiring systemic corticosteroids (oral, intramuscular, intravenous) or emergency room attendance within 3 months or asthma exacerbation requiring hospitalization within 6 months prior to screening. * Culture-documented or suspected bacterial or viral infection of the upper or lower respiratory tract, sinus or middle ear that is not resolved within 4 weeks of screening and led to a change in asthma management or, in the opinion of the Investigator, is expected to affect the subject's asthma status or the subject's ability to participate in the study. * Clinical visual evidence of oral candidiasis at screening. * Parent/guardian has history of psychiatric disease, intellectual deficiency, substance abuse, or other condition (e.g., inability to read, comprehend and write) which will limit the validity of consent to participate in this study. * Any adverse reaction including immediate or delayed hypersensitivity to any beta-2-agonist, sympathomimetic drug, or any intranasal, inhaled or systemic corticosteroid therapy. * Known or suspected sensitivity to the constituents of the novel dry powder inhaler (i.e., lactose or magnesium stearate), for example, history of severe milk protein allergy. * A subject will not be eligible for this study if he/she is an immediate family member of the participating Investigator, sub-Investigator, study coordinator, or employee of the participating Investigator. * Children who are wards of the state or government. * Evidence of clinically significant abnormality in the 12-lead ECG (electrocardiogram) at screening.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodBaseline and Day 14 of the respective treatment period (up to Study Day 44)PR, QRS, QT, QTcB, QTcF, and RR were measured at Baseline and Day 14 of the respective treatment period. Baseline is defined as the pre-dose measurement at Day 1 for each period. Change from Baseline was calculated as the value at Day 14 minus the Baseline value. QTcB is the QT duration corrected for heart rate by Bazett's formula. QTcF is the QT duration corrected for heart rate by Fridericia's formula.
Basophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodDay 14 of the respective treatment period (up to Study Day 44)Blood samples were collected for the measurement of basophils, eosinophils, lymphocytes, monocytes, total neutrophils, platelets, and white blood cell (WBC) count at Day 14 of the respective treatment period.
Hemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC) Values at Day 14 of the Respective Treatment PeriodDay 14 of the respective treatment period (up to Study Day 44)Blood samples were collected for the measurement of hemoglobin and MCHC at Day 14 of the respective treatment period.
Reticulocyte and Red Blood Cell (RBC) Values at Day 14 of the Respective Treatment PeriodDay 14 of the respective treatment period (up to Study Day 44)Blood samples were collected for the measurement of reticulocyte and RBCs at Day 14 of the respective treatment period.
Hematocrit Values at Day 14 of the Respective Treatment PeriodDay 14 of the respective treatment period (up to Study Day 44)Blood samples were collected for the measurement of hematocrit at Day 14 of the respective treatment period. Hematocrit is a measure of the percentage of the volume of the whole blood that is composed of red blood cells, as determined by separation of red blood cells from the plasma (usually by centrifugation).
Mean Corpuscle Volume (MCV) Value at Day 14 of the Respective Treatment PeriodDay 14 of the respective treatment period (up to Study Day 44)Blood samples were collected for the measurement of MCV at Day 14 of the respective treatment period.
Mean Corpuscle Hemoglobin (MCH) Values at Day 14 of the Respective Treatment PeriodDay 14 of the respective treatment period (up to Study Day 44)Blood samples were collected for the measurement of MCH at Day 14 of the respective treatment period.
Alanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment PeriodDay 14 of the respective treatment period (up to Study Day 44)Blood samples were collected for the measurement of ALT, ALP, AST, and GGT at Day 14 of the respective treatment period.
Albumin and Total Protein Values at Day 14 of the Respective Treatment PeriodDay 14 of the respective treatment period (up to Study Day 44)Blood samples were collected for the measurement of albumin and total protein at Day 14 of the respective treatment period.
Calcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodDay 14 of the respective treatment period (up to Study Day 44)Blood samples were collected for the measurement of calcium, chloride, carbon dioxide content/bicarbonate (CO2/BI), glucose, potassium, sodium, and urea/BUN at Day 14 of the respective treatment period.
Total Bilirubin, Creatinine, and Uric Acid Values at Day 14 of the Respective Treatment PeriodDay 14 of the respective treatment period (up to Study Day 44)Blood samples were collected for the measurement of total bilirubin, creatinine, and uric acid at Day 14 of the respective treatment period.
Peak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 1 and Day 14 of the respective treatment period (up to Study Day 44)Peak Expiratory Flow (PEF) is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF is calculated as the maximum of three readings taken at each timepoint for each participant. Baseline is defined as the maximum pre-dose measurement at Day 1 for each period.
Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodBaseline and Day 14 of the respective treatment period (up to Study Day 44)SBP and DBP were measured at Baseline and Day 14 of the respective treatment period. Baseline is defined as the pre-dose measurement at Day 1 for each period.
Heart Rate at Baseline and Day 14 of the Respective Treatment PeriodBaseline and Day 14 of the respective treatment period (up to Study Day 44)Heart rate (HR) was measured at Baseline and Day 14 of the respective treatment period. Baseline is defined as the pre-dose measurement at Day 1 for each period.
Number of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) During the Treatment PeriodFrom the start of study medication until Week 11 (Visit 6)/Early WithdrawalAn AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. Medical or scientific judgment should be exercised in deciding whether reporting is appropriate in other situations. Refer to the General Adverse AE/SAE module for a complete list of AEs and SAEs.

Secondary

MeasureTime frameDescription
Cmax on Day 14 of the Respective Treatment PeriodDay 14 of the respective treatment periodCmax is defined as the maximum observed concentration on Day 14 of the respective treatment period. Samples were collected at the following times: pre-dose; 30 minutes, 1, 2, 4, 7, and 12 hours post-dose on Day 14 of the respective treatment period.
Tmax and t at Day 14 of the Respective Treatment PeriodDay 14 of the respective treatment periodtmax is defined as the time to reach the observed maximum concentration, and t is defined as the time of the last observed quantifiable concentration on Day 14 of the respective treatment period. Samples were collected at the following times: pre-dose; 30 minutes, 1, 2, 4, 7, and 12 hours post-dose on Day 14 of the respective treatment period.
Serum Cortisol Weighted Mean (0-12 Hours) on Day 14 of the Respective Treatment PeriodDay 14 of the respective treatment periodSerum cortisol weighted mean was determined for each participant over the time period 0-12 hours on Day 14 of the respective treatment period. Samples were collected at the following times: pre-dose; 30 minutes, 1, 2, 4, 7, and 12 hours post-dose on Day 14 of the respective treatment period.
Average Oropharyngeal Cross-sectional Area on Days 1 and 14 of the Respective Treatment PeriodDays 1 and 14 of the respective treatment periodDuring the pharyngometry assessment, participants inhaled through a wavetube, which had a mouthpiece with the same dimensions as the mouthpiece on the dry powder inhaler used for this study. This technique was used to measure the size of the throat and mouth (oropharynx) in the form of pharyngograms. Pharyngometry data were recorded for each day (Days 1 and 14 of the respective treatment period) using the mean of four measurements (pharyngograms), and the average oropharyngeal cross-sectional area was calculated.
Distance of Assessment on Days 1 and 14 of the Respective Treatment PeriodDays 1 and 14 of the respective treatment periodDuring the pharyngometry assessment, participants inhaled through a wavetube, which had a mouthpiece with the same dimensions as the mouthpiece on the dry powder inhaler used for this study. This technique was used to measure the size of the throat and mouth (oropharynx) in the form of pharyngograms. Distance of assessment is defined as the distance (length measured in centimeters \[cm\]) estimated to be from the lips to the larynx. Pharyngometry data were recorded for each day (Days 1 and 14 of each treatment period) using the mean of four measurements (pharyngograms), and the average oropharyngeal cross-sectional area was calculated.
Oropharyngeal Volume on Days 1 and 14 of the Respective Treatment PeriodDays 1 and 14 of the respective treatment periodDuring the pharyngometry assessment, participants inhaled through a wavetube, which had a mouthpiece with the same dimensions as the mouthpiece on the dry powder inhaler used for this study. This technique was used to measure the size of the throat and mouth (oropharynx) in the form of pharyngograms. Oropharyngeal volume is defined as the volume (cm\^3) of the mouth and throat estimated to be from the lips to the larynx. Pharyngometry data were recorded for each day (Days 1 and 14 of the respective treatment period) using the mean of four measurements (pharyngograms), and the average oropharyngeal cross-sectional area was calculated.
Average Flow Rate and Peak Inspiratory Flow Rate (PIFR) on Days 1 and 14 of the Respective Treatment PeriodDay 1 and Day 14 of the respective treatment periodDuring the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Average flow rate is defined as the average inspiratory flow rate (Liters \[L\]/min) across the inhalation profile when inhaling across the resistance of the inhaler. PIFR is defined as the Peak Inspiratory Flow Rate (L/min) of the inhalation profile when inhaling across the resistance of the inhaler.The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was used for each day (Days 1 and 14 of the respective treatment period), and the average flow rate and PIFR were determined.
Inhalation Time on Days 1 and 14 of the Respective Treatment PeriodDay 1 and Day 14 of the respective treatment periodDuring the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Inhalation time is defined as the duration of the inhalation(s) when inhaling across the resistance of the inhaler. The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was used for each day (Days 1 and 14 of the respective treatment period), and the inhalation time was determined.
Inhaled Volume on Days 1 and 14 of the Respective Treatment PeriodDay 1 and Day 14 of the respective treatment periodDuring the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Inhaled volume is defined as the volume of air (Liters) inhaled during the inhalation across the resistance of the inhaler. The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was used for each day (Days 1 and 14 of the respective treatment period), and the inhalaled volume was determined.
Peak Pressure Drop on Days 1 and 14 of the Respective Treatment PeriodDay 1 and Day 14 of the respective treatment periodDuring the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Peak pressure drop is defined as the maximum pressure drop (kilopascal \[kPa\]) achieved during inhalation across the resistance of the inhaler. The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was calculated for each day (Days 1 and 14 of the respective treatment period), and used for subsequent modeling and prediction of dose emission attributes.
Total Emitted Dose (TED) on Days 1 and 14 of the Respective Treatment PeriodDay 1 and Day 14 of the respective treatment periodThe total emitted dose (TED) is defined as the mass (micrograms) of the nominal dose that passes beyond the throat. The recorded inhalation profiles of the participants and the mouth-throat (oropharyngeal) models of the sizes that approximated to pharyngometry measurements of the participants were used in conjunction with the electronic Lung (eLung) for in vitro assessment. The eLung is a breathing simulator that replicates the selected inhalation profile with an active inhaler placed at the lips end of the selected ororpharyngeal model. After the dose is emitted from the inhaler, the analysis and assay of throat deposition and material passing beyond the throat was used to derive the nominal, minimum, and maximum predicted total emitted dose.
Ex-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment PeriodDay 1 and Day 14 of the respective treatment periodThe ex-throat dose (ETD) and the nominal ETD is the mass (micrograms) of active investigational material that passes beyond the throat, nominal being the mean.The recorded inhalation profiles of the participants and the mouth-throat (oropharyngeal) models of the sizes that approximated to pharyngometry measurements of the participants were used in conjunction with the electronic Lung (eLung) for in vitro assessment. The eLung is a breathing simulator that replicates the selected inhalation profile with an active inhaler placed at the lips end of the selected ororpharyngeal model. After the dose is emitted from the inhaler, the analysis and assay of throat deposition and material passing beyond the throat was used to derive the nominal, minimum, and maximum predicted ETD and ETD \<2 microns.
AUC(0-t) on Day 14 of the Respective Treatment PeriodDay 14 of the respective treatment periodArea under the concentration-time (AUC(0-t)) curve from time zero (pre-dose) to the last time of quantifiable concentration of FF on Day 14 of the respective treatment period was measured. Samples were collected at the following times: pre-dose; 30 minutes, 1, 2, 4, 7, and 12 hours post-dose on Day 14 of the respective treatment period. Due to non-quantifiable values, it was not possible to derive AUC(0-12).

Countries

United States

Participant flow

Recruitment details

Participants were enrolled into one of two cohorts based upon age; the younger cohort was enrolled after a review of the safety/pharmacokinetic data of at least six participants from the older cohort. Each participant was assigned to treatment randomly; assignment was not to be influenced by whether participants were in Cohort 1 or Cohort 2.

Pre-assignment details

A Baseline assessment was carried out on Day 1 of the first treatment period. Participants were then randomized to one of the two possible treatment sequences (fluticasone furoate \[FF\] 100 µg followed by placebo; placebo followed by FF 100 µg). Results are reported by intervention, regardless of the age of the participant.

Participants by arm

ArmCount
FF 100 µg/Placebo or Placebo/FF 100 µg
Participants received either fluticasone furoate (FF) 100 micrograms (µg) or matching placebo in the first of two 14-day treatment periods, followed by the other therapy (the therapy not received in the first treatment period) in the second 14-day treatment period. Inhaled FF 100 µg or matching placebo was administered once daily in the morning (Day 1 to Day 14) via the Dry Powder Inhaler. The washout period between the treatment periods was at least 7 days.
27
Total27

Withdrawals & dropouts

PeriodReasonFG000FG001
Treatment Period 1 (14 Days)Adverse Event10
Treatment Period 1 (14 Days)Protocol Violation11
Treatment Period 2 (14 Days)Physician Decision11

Baseline characteristics

CharacteristicFF 100 µg/Placebo or Placebo/FF 100 µg
Age, Continuous8.2 Years
STANDARD_DEVIATION 2.08
Race/Ethnicity, Customized
African American/African Heritage
9 participants
Race/Ethnicity, Customized
African American/African Heritage & White
1 participants
Race/Ethnicity, Customized
Unknown; Child Was Adopted
1 participants
Race/Ethnicity, Customized
White
16 participants
Sex: Female, Male
Female
13 Participants
Sex: Female, Male
Male
14 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
4 / 258 / 26
serious
Total, serious adverse events
0 / 250 / 26

Outcome results

Primary

Alanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment Period

Blood samples were collected for the measurement of ALT, ALP, AST, and GGT at Day 14 of the respective treatment period.

Time frame: Day 14 of the respective treatment period (up to Study Day 44)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboAlanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment PeriodALP, n=22, 20257.8 International units per liter (IU/L)Standard Deviation 59.24
PlaceboAlanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment PeriodALT, n=22, 2012.2 International units per liter (IU/L)Standard Deviation 3.06
PlaceboAlanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment PeriodAST, n=22, 1926.8 International units per liter (IU/L)Standard Deviation 4.39
PlaceboAlanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment PeriodGGT, n=22, 2014.3 International units per liter (IU/L)Standard Deviation 3.58
FF 100 µgAlanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment PeriodGGT, n=22, 2015.4 International units per liter (IU/L)Standard Deviation 4.5
FF 100 µgAlanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment PeriodALT, n=22, 2013.0 International units per liter (IU/L)Standard Deviation 6.04
FF 100 µgAlanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment PeriodALP, n=22, 20260.7 International units per liter (IU/L)Standard Deviation 64.15
FF 100 µgAlanine Amino Transferase (ALT), Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), and Gamma Glutamyl Transferase (GGT) Values at Day 14 of the Respective Treatment PeriodAST, n=22, 1926.1 International units per liter (IU/L)Standard Deviation 4.53
Primary

Albumin and Total Protein Values at Day 14 of the Respective Treatment Period

Blood samples were collected for the measurement of albumin and total protein at Day 14 of the respective treatment period.

Time frame: Day 14 of the respective treatment period (up to Study Day 44)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboAlbumin and Total Protein Values at Day 14 of the Respective Treatment PeriodAlbumin, n=22, 2043.0 Grams per literStandard Deviation 2.26
PlaceboAlbumin and Total Protein Values at Day 14 of the Respective Treatment PeriodTotal protein, n=22, 2067.8 Grams per literStandard Deviation 2.98
FF 100 µgAlbumin and Total Protein Values at Day 14 of the Respective Treatment PeriodAlbumin, n=22, 2042.9 Grams per literStandard Deviation 1.83
FF 100 µgAlbumin and Total Protein Values at Day 14 of the Respective Treatment PeriodTotal protein, n=22, 2067.8 Grams per literStandard Deviation 2.57
Primary

Basophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment Period

Blood samples were collected for the measurement of basophils, eosinophils, lymphocytes, monocytes, total neutrophils, platelets, and white blood cell (WBC) count at Day 14 of the respective treatment period.

Time frame: Day 14 of the respective treatment period (up to Study Day 44)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboBasophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodTotal neutrophils, n=23, 212.740 10^9 cells per liter (GI/L)Standard Deviation 1.2091
PlaceboBasophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodMonocytes, n=23, 210.280 10^9 cells per liter (GI/L)Standard Deviation 0.1669
PlaceboBasophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodEosinophils, n=23, 210.308 10^9 cells per liter (GI/L)Standard Deviation 0.2204
PlaceboBasophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodPlatelets, n=23, 20266.4 10^9 cells per liter (GI/L)Standard Deviation 48.59
PlaceboBasophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodBasophils, n=23, 210.022 10^9 cells per liter (GI/L)Standard Deviation 0.0153
PlaceboBasophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodWBCs, n=23, 215.94 10^9 cells per liter (GI/L)Standard Deviation 1.696
PlaceboBasophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodLymphocytes, n=23, 212.595 10^9 cells per liter (GI/L)Standard Deviation 0.7834
FF 100 µgBasophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodWBCs, n=23, 216.18 10^9 cells per liter (GI/L)Standard Deviation 1.513
FF 100 µgBasophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodBasophils, n=23, 210.022 10^9 cells per liter (GI/L)Standard Deviation 0.0154
FF 100 µgBasophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodEosinophils, n=23, 210.252 10^9 cells per liter (GI/L)Standard Deviation 0.2182
FF 100 µgBasophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodLymphocytes, n=23, 212.430 10^9 cells per liter (GI/L)Standard Deviation 0.6563
FF 100 µgBasophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodTotal neutrophils, n=23, 213.209 10^9 cells per liter (GI/L)Standard Deviation 1.3103
FF 100 µgBasophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodPlatelets, n=23, 20263.3 10^9 cells per liter (GI/L)Standard Deviation 55.9
FF 100 µgBasophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil, Platelet, and White Blood Cell Count Values at Day 14 of the Respective Treatment PeriodMonocytes, n=23, 210.270 10^9 cells per liter (GI/L)Standard Deviation 0.1204
Primary

Calcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment Period

Blood samples were collected for the measurement of calcium, chloride, carbon dioxide content/bicarbonate (CO2/BI), glucose, potassium, sodium, and urea/BUN at Day 14 of the respective treatment period.

Time frame: Day 14 of the respective treatment period (up to Study Day 44)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboCalcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodUrea/BUN, n=22, 204.66 Millimoles per liter (mmol/L)Standard Deviation 0.993
PlaceboCalcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodGlucose, n=22, 205.13 Millimoles per liter (mmol/L)Standard Deviation 0.614
PlaceboCalcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodChloride, n=22, 20105.2 Millimoles per liter (mmol/L)Standard Deviation 1.93
PlaceboCalcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodPotassium, n=20, 194.24 Millimoles per liter (mmol/L)Standard Deviation 0.2564
PlaceboCalcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodCalcium, n=20, 192.371 Millimoles per liter (mmol/L)Standard Deviation 0.0791
PlaceboCalcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodSodium, n=22, 20138.3 Millimoles per liter (mmol/L)Standard Deviation 1.55
PlaceboCalcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodCO2 content/bicarbonate, n=20, 1917.4 Millimoles per liter (mmol/L)Standard Deviation 2.04
FF 100 µgCalcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodUrea/BUN, n=22, 204.83 Millimoles per liter (mmol/L)Standard Deviation 1.331
FF 100 µgCalcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodCalcium, n=20, 192.366 Millimoles per liter (mmol/L)Standard Deviation 0.0626
FF 100 µgCalcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodChloride, n=22, 20104.7 Millimoles per liter (mmol/L)Standard Deviation 1.72
FF 100 µgCalcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodCO2 content/bicarbonate, n=20, 1917.8 Millimoles per liter (mmol/L)Standard Deviation 1.86
FF 100 µgCalcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodGlucose, n=22, 204.86 Millimoles per liter (mmol/L)Standard Deviation 0.319
FF 100 µgCalcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodPotassium, n=20, 194.24 Millimoles per liter (mmol/L)Standard Deviation 0.289
FF 100 µgCalcium, Chloride, Carbon Dioxide (CO2) Content/Bicarbonate, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values at Day 14 of the Respective Treatment PeriodSodium, n=22, 20137.4 Millimoles per liter (mmol/L)Standard Deviation 1.54
Primary

Change From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment Period

PR, QRS, QT, QTcB, QTcF, and RR were measured at Baseline and Day 14 of the respective treatment period. Baseline is defined as the pre-dose measurement at Day 1 for each period. Change from Baseline was calculated as the value at Day 14 minus the Baseline value. QTcB is the QT duration corrected for heart rate by Bazett's formula. QTcF is the QT duration corrected for heart rate by Fridericia's formula.

Time frame: Baseline and Day 14 of the respective treatment period (up to Study Day 44)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcF Interval, Predose, n=24, 2314.2 milliseconds (msec)Standard Deviation 9.92
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 PR Interval, 7 hour, n=23, 238.3 milliseconds (msec)Standard Deviation 6.56
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QRS Interval, 1 hour, n=23, 235.7 milliseconds (msec)Standard Deviation 3.54
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QRS Interval, 4 hours, n=23, 235.6 milliseconds (msec)Standard Deviation 3.85
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QRS Interval, 7 hours, n=23, 236.1 milliseconds (msec)Standard Deviation 5.25
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QT Interval, 4 hours, n=23, 2313.3 milliseconds (msec)Standard Deviation 9.65
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcB Interval, 4 hours, n=23, 2314.7 milliseconds (msec)Standard Deviation 9.13
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcF Interval, 7 hours, n=23, 239.3 milliseconds (msec)Standard Deviation 7.77
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcF Interval, 12 hours, n=23, 238.8 milliseconds (msec)Standard Deviation 5.84
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 RR Interval, 1 hour, n=25, 2693.5 milliseconds (msec)Standard Deviation 64.97
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 PR Interval, Predose, n=24, 237.8 milliseconds (msec)Standard Deviation 6.76
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 PR Interval, 1 hour, n=23, 238.7 milliseconds (msec)Standard Deviation 6.74
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 PR Interval, 12 hours, n=22, 237.2 milliseconds (msec)Standard Deviation 7.5
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QRS Interval, 30 minutes, n=25, 264.6 milliseconds (msec)Standard Deviation 3.46
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QRS Interval, 1 hour, n=25, 264.1 milliseconds (msec)Standard Deviation 2.84
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QRS Interval, 2 hours, n=25, 264.0 milliseconds (msec)Standard Deviation 2.64
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QRS Interval, Predose, n=24, 234.2 milliseconds (msec)Standard Deviation 3.71
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QRS Interval, 12 hours, n=23, 235.0 milliseconds (msec)Standard Deviation 4.7
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QT Interval, 30 minutes, n=25, 269.8 milliseconds (msec)Standard Deviation 8.14
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QT Interval, 1 hour, n=25, 2613.1 milliseconds (msec)Standard Deviation 11.04
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QT Interval, 2 hours, n=25, 2617.5 milliseconds (msec)Standard Deviation 13.88
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QT Interval, Predose, n=24, 2312.5 milliseconds (msec)Standard Deviation 9.81
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QT Interval, 1 hour, n=23, 2311.4 milliseconds (msec)Standard Deviation 6.45
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QT Interval, 7 hours, n=23, 2314.7 milliseconds (msec)Standard Deviation 10.94
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QT Interval, 12 hours, n=23, 2314.7 milliseconds (msec)Standard Deviation 10.42
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QTcB Interval, 30 minutes, n=25, 2615.4 milliseconds (msec)Standard Deviation 14.44
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QTcB Interval, 1 hour, n=25, 2617.3 milliseconds (msec)Standard Deviation 13.46
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QTcB Interval, 2 hours, n=25, 2613.6 milliseconds (msec)Standard Deviation 11.07
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcB Interval, Predose, n=24, 2320.7 milliseconds (msec)Standard Deviation 15.54
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcB Interval, 1 hour, n=23, 2316.6 milliseconds (msec)Standard Deviation 9.43
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcB Interval, 7 hours, n=23, 2314.5 milliseconds (msec)Standard Deviation 10.14
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcB Interval, 12 hours, n=23, 2313.8 milliseconds (msec)Standard Deviation 10.7
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QTcF Interval, 30 minutes, n=25, 2610.8 milliseconds (msec)Standard Deviation 9.31
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QTcF Interval, 1 hour, n=25, 2611.6 milliseconds (msec)Standard Deviation 9.57
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QTcF Interval, 2 hours, n=25, 2610.4 milliseconds (msec)Standard Deviation 8.36
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 PR Interval, 4 hours, n=23, 236.4 milliseconds (msec)Standard Deviation 3.7
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcF Interval, 1 hour, n=23, 239.3 milliseconds (msec)Standard Deviation 6.09
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcF Interval, 4 hours, n=23, 237.8 milliseconds (msec)Standard Deviation 6.97
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 PR Interval, 30 minutes, n=25, 266.4 milliseconds (msec)Standard Deviation 6.37
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 RR Interval, 30 minutes, n=25, 2670.4 milliseconds (msec)Standard Deviation 66.47
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 PR Interval, 1 hour, n=25, 267.3 milliseconds (msec)Standard Deviation 6.68
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 RR Interval, 2 hours, n=25, 26102.0 milliseconds (msec)Standard Deviation 61.66
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 RR Interval, Predose, n=24, 23106.0 milliseconds (msec)Standard Deviation 73.2
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 RR Interval, 1 hour, n=23, 2392.5 milliseconds (msec)Standard Deviation 64.45
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 RR Interval, 4 hours, n=23, 2392.1 milliseconds (msec)Standard Deviation 65.93
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 RR Interval, 7 hours, n=23, 2389.6 milliseconds (msec)Standard Deviation 63.06
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 RR Interval, 12 hours, n=23, 2394.4 milliseconds (msec)Standard Deviation 73.45
PlaceboChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 PR Interval, 2 hours, n=25, 268.0 milliseconds (msec)Standard Deviation 8.61
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 RR Interval, 7 hours, n=23, 2374.5 milliseconds (msec)Standard Deviation 78.18
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QT Interval, 7 hours, n=23, 2315.3 milliseconds (msec)Standard Deviation 11.93
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QRS Interval, 1 hour, n=25, 264.4 milliseconds (msec)Standard Deviation 3.86
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 RR Interval, Predose, n=24, 23103.5 milliseconds (msec)Standard Deviation 78.48
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QT Interval, 12 hours, n=23, 2324.8 milliseconds (msec)Standard Deviation 14.93
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QRS Interval, 4 hours, n=23, 234.9 milliseconds (msec)Standard Deviation 3.93
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcF Interval, 1 hour, n=23, 2311.4 milliseconds (msec)Standard Deviation 9.56
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QRS Interval, 7 hours, n=23, 234.3 milliseconds (msec)Standard Deviation 4.22
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QTcB Interval, 30 minutes, n=25, 2614.2 milliseconds (msec)Standard Deviation 11.64
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 PR Interval, 2 hours, n=25, 269.5 milliseconds (msec)Standard Deviation 10.48
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcB Interval, 4 hours, n=23, 2316.8 milliseconds (msec)Standard Deviation 9.23
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QTcF Interval, 2 hours, n=25, 2615.4 milliseconds (msec)Standard Deviation 12.88
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcF Interval, Predose, n=24, 2312.6 milliseconds (msec)Standard Deviation 10.99
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcF Interval, 4 hours, n=23, 2315.7 milliseconds (msec)Standard Deviation 7.41
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QTcB Interval, 1 hour, n=25, 2617.7 milliseconds (msec)Standard Deviation 13.18
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcF Interval, 7 hours, n=23, 2315.0 milliseconds (msec)Standard Deviation 9.51
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 RR Interval, 1 hour, n=23, 2387.7 milliseconds (msec)Standard Deviation 63.3
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcF Interval, 12 hours, n=23, 2315.8 milliseconds (msec)Standard Deviation 11.61
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QTcB Interval, 2 hours, n=25, 2618.2 milliseconds (msec)Standard Deviation 17.54
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 PR Interval, 30 minutes, n=25, 267.5 milliseconds (msec)Standard Deviation 7.54
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 PR Interval, Predose, n=24, 239.6 milliseconds (msec)Standard Deviation 9.82
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcB Interval, Predose, n=24, 2317.9 milliseconds (msec)Standard Deviation 14.92
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 PR Interval, 1 hour, n=23, 238.3 milliseconds (msec)Standard Deviation 6.03
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 PR Interval, 4 hours, n=23, 238.9 milliseconds (msec)Standard Deviation 6.86
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 PR Interval, 7 hour, n=23, 2310.2 milliseconds (msec)Standard Deviation 10.09
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 RR Interval, 12 hours, n=23, 23110.3 milliseconds (msec)Standard Deviation 101.24
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 PR Interval, 12 hours, n=22, 239.7 milliseconds (msec)Standard Deviation 6.54
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcB Interval, 1 hour, n=23, 2316.2 milliseconds (msec)Standard Deviation 9.71
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QRS Interval, 30 minutes, n=25, 265.2 milliseconds (msec)Standard Deviation 4.7
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 RR Interval, 4 hours, n=23, 2363.6 milliseconds (msec)Standard Deviation 47.14
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcB Interval, 7 hours, n=23, 2319.6 milliseconds (msec)Standard Deviation 12.03
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QRS Interval, 2 hours, n=25, 264.5 milliseconds (msec)Standard Deviation 3.61
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 RR Interval, 30 minutes, n=25, 2654.2 milliseconds (msec)Standard Deviation 44.61
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QRS Interval, Predose, n=24, 234.7 milliseconds (msec)Standard Deviation 4.29
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QRS Interval, 1 hour, n=23, 235.3 milliseconds (msec)Standard Deviation 4.71
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QTcB Interval, 12 hours, n=23, 2318.5 milliseconds (msec)Standard Deviation 15.7
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QRS Interval, 12 hours, n=23, 234.8 milliseconds (msec)Standard Deviation 4.02
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 RR Interval, 1 hour, n=25, 2690.7 milliseconds (msec)Standard Deviation 52.94
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QT Interval, 30 minutes, n=25, 2610.5 milliseconds (msec)Standard Deviation 9.57
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QTcF Interval, 30 minutes, n=25, 2611.8 milliseconds (msec)Standard Deviation 9.3
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QT Interval, 1 hour, n=25, 2612.7 milliseconds (msec)Standard Deviation 11.53
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 PR Interval, 1 hour, n=25, 268.4 milliseconds (msec)Standard Deviation 7.17
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QT Interval, 2 hours, n=25, 2615.5 milliseconds (msec)Standard Deviation 13.83
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 QTcF Interval, 1 hour, n=25, 2612.6 milliseconds (msec)Standard Deviation 10
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QT Interval, Predose, n=24, 2315.5 milliseconds (msec)Standard Deviation 13.34
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 1 RR Interval, 2 hours, n=25, 2680.4 milliseconds (msec)Standard Deviation 71.51
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QT Interval, 1 hour, n=23, 2315.9 milliseconds (msec)Standard Deviation 11.11
FF 100 µgChange From Baseline in the Indicated Electrocardiographic (ECG) Parameters at the Indicated Time Points on Day 14 of the Respective Treatment PeriodDay 14 QT Interval, 4 hours, n=23, 2316.7 milliseconds (msec)Standard Deviation 12.52
Primary

Heart Rate at Baseline and Day 14 of the Respective Treatment Period

Heart rate (HR) was measured at Baseline and Day 14 of the respective treatment period. Baseline is defined as the pre-dose measurement at Day 1 for each period.

Time frame: Baseline and Day 14 of the respective treatment period (up to Study Day 44)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 1, Baseline, n=25, 2678.7 Beats per minuteStandard Deviation 13.18
PlaceboHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 14, Predose, n=24, 2376.8 Beats per minuteStandard Deviation 13.52
PlaceboHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 1, 1 hour, n=25, 2678.6 Beats per minuteStandard Deviation 12.62
PlaceboHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 14, 1 hour, n=23, 2380.3 Beats per minuteStandard Deviation 14.76
PlaceboHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 1, 30 minutes, n=25, 2678.5 Beats per minuteStandard Deviation 13.99
PlaceboHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 14, 7 hours, n=23, 2383.1 Beats per minuteStandard Deviation 14.65
PlaceboHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 1, 2 hours, n=25, 2680.6 Beats per minuteStandard Deviation 13.3
PlaceboHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 14, 12 hours, n=23, 2383.6 Beats per minuteStandard Deviation 11.7
PlaceboHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 14, 4 hours, n=23, 2378.2 Beats per minuteStandard Deviation 10.46
FF 100 µgHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 14, 12 hours, n=23, 2381.1 Beats per minuteStandard Deviation 10.71
FF 100 µgHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 14, 4 hours, n=23, 2377.7 Beats per minuteStandard Deviation 9.77
FF 100 µgHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 1, Baseline, n=25, 2675.9 Beats per minuteStandard Deviation 11.48
FF 100 µgHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 1, 30 minutes, n=25, 2675.5 Beats per minuteStandard Deviation 10.9
FF 100 µgHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 1, 1 hour, n=25, 2677.6 Beats per minuteStandard Deviation 11.49
FF 100 µgHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 1, 2 hours, n=25, 2679.6 Beats per minuteStandard Deviation 11.78
FF 100 µgHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 14, Predose, n=24, 2374.5 Beats per minuteStandard Deviation 10.6
FF 100 µgHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 14, 1 hour, n=23, 2376.2 Beats per minuteStandard Deviation 8.6
FF 100 µgHeart Rate at Baseline and Day 14 of the Respective Treatment PeriodDay 14, 7 hours, n=23, 2381.2 Beats per minuteStandard Deviation 12.13
Primary

Hematocrit Values at Day 14 of the Respective Treatment Period

Blood samples were collected for the measurement of hematocrit at Day 14 of the respective treatment period. Hematocrit is a measure of the percentage of the volume of the whole blood that is composed of red blood cells, as determined by separation of red blood cells from the plasma (usually by centrifugation).

Time frame: Day 14 of the respective treatment period (up to Study Day 44)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed.

ArmMeasureValue (MEAN)Dispersion
PlaceboHematocrit Values at Day 14 of the Respective Treatment Period0.3840 percentage of red blood cells in bloodStandard Deviation 0.02621
FF 100 µgHematocrit Values at Day 14 of the Respective Treatment Period0.3854 percentage of red blood cells in bloodStandard Deviation 0.02296
Primary

Hemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC) Values at Day 14 of the Respective Treatment Period

Blood samples were collected for the measurement of hemoglobin and MCHC at Day 14 of the respective treatment period.

Time frame: Day 14 of the respective treatment period (up to Study Day 44)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboHemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC) Values at Day 14 of the Respective Treatment PeriodHemoglobin, n=23, 21129.1 Grams per liter (g/L)Standard Deviation 7.15
PlaceboHemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC) Values at Day 14 of the Respective Treatment PeriodMCHC, n=23, 21336.4 Grams per liter (g/L)Standard Deviation 7.66
FF 100 µgHemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC) Values at Day 14 of the Respective Treatment PeriodHemoglobin, n=23, 21129.6 Grams per liter (g/L)Standard Deviation 6.5
FF 100 µgHemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC) Values at Day 14 of the Respective Treatment PeriodMCHC, n=23, 21336.6 Grams per liter (g/L)Standard Deviation 7.8
Primary

Mean Corpuscle Hemoglobin (MCH) Values at Day 14 of the Respective Treatment Period

Blood samples were collected for the measurement of MCH at Day 14 of the respective treatment period.

Time frame: Day 14 of the respective treatment period (up to Study Day 44)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed.

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Corpuscle Hemoglobin (MCH) Values at Day 14 of the Respective Treatment Period29.18 10^12 picograms (pg) per cellStandard Deviation 1.279
FF 100 µgMean Corpuscle Hemoglobin (MCH) Values at Day 14 of the Respective Treatment Period29.24 10^12 picograms (pg) per cellStandard Deviation 1.458
Primary

Mean Corpuscle Volume (MCV) Value at Day 14 of the Respective Treatment Period

Blood samples were collected for the measurement of MCV at Day 14 of the respective treatment period.

Time frame: Day 14 of the respective treatment period (up to Study Day 44)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed .

ArmMeasureValue (MEAN)Dispersion
PlaceboMean Corpuscle Volume (MCV) Value at Day 14 of the Respective Treatment Period86.8 10^15 femtoliters (fL) per cellStandard Deviation 4.05
FF 100 µgMean Corpuscle Volume (MCV) Value at Day 14 of the Respective Treatment Period86.9 10^15 femtoliters (fL) per cellStandard Deviation 4.4
Primary

Number of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) During the Treatment Period

An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. Medical or scientific judgment should be exercised in deciding whether reporting is appropriate in other situations. Refer to the General Adverse AE/SAE module for a complete list of AEs and SAEs.

Time frame: From the start of study medication until Week 11 (Visit 6)/Early Withdrawal

Population: All Subjects Population: all participants who received at least one dose of study medication

ArmMeasureGroupValue (NUMBER)
PlaceboNumber of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) During the Treatment PeriodAny AE4 participants
PlaceboNumber of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) During the Treatment PeriodAny SAE0 participants
FF 100 µgNumber of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) During the Treatment PeriodAny AE8 participants
FF 100 µgNumber of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) During the Treatment PeriodAny SAE0 participants
Primary

Peak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment Period

Peak Expiratory Flow (PEF) is defined as the maximum airflow during a forced expiration beginning with the lungs fully inflated. PEF is calculated as the maximum of three readings taken at each timepoint for each participant. Baseline is defined as the maximum pre-dose measurement at Day 1 for each period.

Time frame: Day 1 and Day 14 of the respective treatment period (up to Study Day 44)

Population: All Subjects Population, Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 1, Baseline, n=25, 25242.3 liters/minuteStandard Deviation 77.68
PlaceboPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 1, 15 minutes post-dose, n=25, 25242.1 liters/minuteStandard Deviation 78.98
PlaceboPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 1, 30 minutes post-dose, n=25, 25249.2 liters/minuteStandard Deviation 78.07
PlaceboPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 1, 1 hour post-dose, n=25, 25247.7 liters/minuteStandard Deviation 72.54
PlaceboPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 1, 2 hours post-dose, n=25, 25252.3 liters/minuteStandard Deviation 89.08
PlaceboPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 14, Pre-dose, n=24, 23242.0 liters/minuteStandard Deviation 73.6
PlaceboPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 14, 30 minutes post-dose, n=23, 23246.1 liters/minuteStandard Deviation 81.17
PlaceboPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 14, 1 hours post-dose, n=23, 23247.0 liters/minuteStandard Deviation 77.95
PlaceboPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 14, 2 hours post-dose, n=23, 23249.5 liters/minuteStandard Deviation 74.09
PlaceboPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 14, 4 hours post-dose, n=23, 23250.6 liters/minuteStandard Deviation 82.43
PlaceboPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 14, 7 hours post-dose, n=23, 23246.3 liters/minuteStandard Deviation 79.07
PlaceboPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 14, 12 hours post-dose, n=23, 23241.9 liters/minuteStandard Deviation 75.8
FF 100 µgPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 14, 7 hours post-dose, n=23, 23232.1 liters/minuteStandard Deviation 59.82
FF 100 µgPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 1, Baseline, n=25, 25238.4 liters/minuteStandard Deviation 64.98
FF 100 µgPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 14, 30 minutes post-dose, n=23, 23238.8 liters/minuteStandard Deviation 88.78
FF 100 µgPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 1, 15 minutes post-dose, n=25, 25238.2 liters/minuteStandard Deviation 58.97
FF 100 µgPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 14, 4 hours post-dose, n=23, 23246.2 liters/minuteStandard Deviation 70.43
FF 100 µgPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 1, 30 minutes post-dose, n=25, 25246.0 liters/minuteStandard Deviation 62.65
FF 100 µgPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 14, 1 hours post-dose, n=23, 23237.6 liters/minuteStandard Deviation 78.66
FF 100 µgPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 1, 1 hour post-dose, n=25, 25247.0 liters/minuteStandard Deviation 64.75
FF 100 µgPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 14, 12 hours post-dose, n=23, 23245.6 liters/minuteStandard Deviation 76.68
FF 100 µgPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 1, 2 hours post-dose, n=25, 25252.6 liters/minuteStandard Deviation 61.77
FF 100 µgPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 14, 2 hours post-dose, n=23, 23242.3 liters/minuteStandard Deviation 72.02
FF 100 µgPeak Expiratory Flow on Day 1 and Day 14 of the Respective Treatment PeriodDay 14, Pre-dose, n=24, 23240.6 liters/minuteStandard Deviation 83.88
Primary

Reticulocyte and Red Blood Cell (RBC) Values at Day 14 of the Respective Treatment Period

Blood samples were collected for the measurement of reticulocyte and RBCs at Day 14 of the respective treatment period.

Time frame: Day 14 of the respective treatment period (up to Study Day 44)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboReticulocyte and Red Blood Cell (RBC) Values at Day 14 of the Respective Treatment PeriodReticulocytes, n=23, 210.04952 10^12 cells per liter (TI/L)Standard Deviation 0.024497
PlaceboReticulocyte and Red Blood Cell (RBC) Values at Day 14 of the Respective Treatment PeriodRBCs, n=23, 214.43 10^12 cells per liter (TI/L)Standard Deviation 0.277
FF 100 µgReticulocyte and Red Blood Cell (RBC) Values at Day 14 of the Respective Treatment PeriodReticulocytes, n=23, 210.04499 10^12 cells per liter (TI/L)Standard Deviation 0.021309
FF 100 µgReticulocyte and Red Blood Cell (RBC) Values at Day 14 of the Respective Treatment PeriodRBCs, n=23, 214.46 10^12 cells per liter (TI/L)Standard Deviation 0.296
Primary

Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment Period

SBP and DBP were measured at Baseline and Day 14 of the respective treatment period. Baseline is defined as the pre-dose measurement at Day 1 for each period.

Time frame: Baseline and Day 14 of the respective treatment period (up to Study Day 44)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 DBP, Predose, n=25, 2662.0 Millimeters of mercury (mmHg)Standard Deviation 9.71
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 SBP, 30 minutes, n=25, 26101.2 Millimeters of mercury (mmHg)Standard Deviation 8.57
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 DBP, 30 minutes, n=25, 2663.0 Millimeters of mercury (mmHg)Standard Deviation 9.09
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 SBP, 1 hour, n=23, 23102.6 Millimeters of mercury (mmHg)Standard Deviation 9.14
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 DBP, 1 hour, n=25, 2661.4 Millimeters of mercury (mmHg)Standard Deviation 8.69
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 SBP, Predose, n=25, 26103.1 Millimeters of mercury (mmHg)Standard Deviation 9.29
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 DBP, 2 hours, n=25, 2663.0 Millimeters of mercury (mmHg)Standard Deviation 8.34
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 SBP, 4 hours, n=23, 23102.0 Millimeters of mercury (mmHg)Standard Deviation 9.07
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 DBP, Predose, n=24, 2361.3 Millimeters of mercury (mmHg)Standard Deviation 6.91
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 SBP, 2 hours, n=25, 26102.9 Millimeters of mercury (mmHg)Standard Deviation 9.98
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 DBP, 1 hour, n=23, 2363.9 Millimeters of mercury (mmHg)Standard Deviation 10.14
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 SBP, 7 hours, n=23, 23103.4 Millimeters of mercury (mmHg)Standard Deviation 9.34
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 DBP, 4 hours, n=23, 2360.4 Millimeters of mercury (mmHg)Standard Deviation 8.81
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 SBP, 1 hour, n=25, 26102.7 Millimeters of mercury (mmHg)Standard Deviation 11.11
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 DBP, 7 hours, n=23, 2361.8 Millimeters of mercury (mmHg)Standard Deviation 9.27
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 SBP, 12 hours, n=23, 23103.2 Millimeters of mercury (mmHg)Standard Deviation 7.42
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 DBP, 12 hours, n=23, 2362.0 Millimeters of mercury (mmHg)Standard Deviation 8.1
PlaceboSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 SBP, Predose, n=24, 23101.8 Millimeters of mercury (mmHg)Standard Deviation 8.04
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 DBP, 12 hours, n=23, 2363.9 Millimeters of mercury (mmHg)Standard Deviation 8.68
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 SBP, Predose, n=25, 26102.9 Millimeters of mercury (mmHg)Standard Deviation 9.68
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 SBP, 1 hour, n=25, 26105.2 Millimeters of mercury (mmHg)Standard Deviation 11.19
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 SBP, 2 hours, n=25, 26103.9 Millimeters of mercury (mmHg)Standard Deviation 9.04
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 SBP, Predose, n=24, 23102.1 Millimeters of mercury (mmHg)Standard Deviation 9.92
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 SBP, 1 hour, n=23, 23103.1 Millimeters of mercury (mmHg)Standard Deviation 8.04
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 SBP, 4 hours, n=23, 23102.7 Millimeters of mercury (mmHg)Standard Deviation 9.43
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 SBP, 7 hours, n=23, 23103.9 Millimeters of mercury (mmHg)Standard Deviation 9.88
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 SBP, 12 hours, n=23, 23106.3 Millimeters of mercury (mmHg)Standard Deviation 10.61
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 DBP, Predose, n=25, 2661.7 Millimeters of mercury (mmHg)Standard Deviation 7.66
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 DBP, 30 minutes, n=25, 2662.6 Millimeters of mercury (mmHg)Standard Deviation 6.39
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 DBP, 1 hour, n=25, 2662.3 Millimeters of mercury (mmHg)Standard Deviation 8.73
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 DBP, 2 hours, n=25, 2661.2 Millimeters of mercury (mmHg)Standard Deviation 8.39
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 DBP, Predose, n=24, 2361.4 Millimeters of mercury (mmHg)Standard Deviation 6.81
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 DBP, 1 hour, n=23, 2362.7 Millimeters of mercury (mmHg)Standard Deviation 6.88
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 DBP, 4 hours, n=23, 2360.5 Millimeters of mercury (mmHg)Standard Deviation 6.73
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 14 DBP, 7 hours, n=23, 2362.3 Millimeters of mercury (mmHg)Standard Deviation 8.23
FF 100 µgSystolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Baseline and Day 14 of the Respective Treatment PeriodDay 1 SBP, 30 minutes, n=25, 26103.8 Millimeters of mercury (mmHg)Standard Deviation 10.44
Primary

Total Bilirubin, Creatinine, and Uric Acid Values at Day 14 of the Respective Treatment Period

Blood samples were collected for the measurement of total bilirubin, creatinine, and uric acid at Day 14 of the respective treatment period.

Time frame: Day 14 of the respective treatment period (up to Study Day 44)

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed for different parameters, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboTotal Bilirubin, Creatinine, and Uric Acid Values at Day 14 of the Respective Treatment PeriodTotal bilirubin, n= 22, 205.9 Micromoles per liter (µmol/L)Standard Deviation 2.27
PlaceboTotal Bilirubin, Creatinine, and Uric Acid Values at Day 14 of the Respective Treatment PeriodCreatinine, n= 22, 2039.89 Micromoles per liter (µmol/L)Standard Deviation 7.775
PlaceboTotal Bilirubin, Creatinine, and Uric Acid Values at Day 14 of the Respective Treatment PeriodUric acid, n= 22, 20237.7 Micromoles per liter (µmol/L)Standard Deviation 65.46
FF 100 µgTotal Bilirubin, Creatinine, and Uric Acid Values at Day 14 of the Respective Treatment PeriodUric acid, n= 22, 20234.5 Micromoles per liter (µmol/L)Standard Deviation 70.97
FF 100 µgTotal Bilirubin, Creatinine, and Uric Acid Values at Day 14 of the Respective Treatment PeriodTotal bilirubin, n= 22, 205.6 Micromoles per liter (µmol/L)Standard Deviation 1.23
FF 100 µgTotal Bilirubin, Creatinine, and Uric Acid Values at Day 14 of the Respective Treatment PeriodCreatinine, n= 22, 2040.62 Micromoles per liter (µmol/L)Standard Deviation 8.421
Secondary

AUC(0-t) on Day 14 of the Respective Treatment Period

Area under the concentration-time (AUC(0-t)) curve from time zero (pre-dose) to the last time of quantifiable concentration of FF on Day 14 of the respective treatment period was measured. Samples were collected at the following times: pre-dose; 30 minutes, 1, 2, 4, 7, and 12 hours post-dose on Day 14 of the respective treatment period. Due to non-quantifiable values, it was not possible to derive AUC(0-12).

Time frame: Day 14 of the respective treatment period

Population: Pharmacokinetic (PK) Population: all participants in the All Subjects Population for whom a PK sample was obtained and analyzed

ArmMeasureValue (GEOMETRIC_MEAN)
FF 100 µgAUC(0-t) on Day 14 of the Respective Treatment Period91.29 picograms*hour per milliliter (pg*hr/mL)
Secondary

Average Flow Rate and Peak Inspiratory Flow Rate (PIFR) on Days 1 and 14 of the Respective Treatment Period

During the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Average flow rate is defined as the average inspiratory flow rate (Liters \[L\]/min) across the inhalation profile when inhaling across the resistance of the inhaler. PIFR is defined as the Peak Inspiratory Flow Rate (L/min) of the inhalation profile when inhaling across the resistance of the inhaler.The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was used for each day (Days 1 and 14 of the respective treatment period), and the average flow rate and PIFR were determined.

Time frame: Day 1 and Day 14 of the respective treatment period

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboAverage Flow Rate and Peak Inspiratory Flow Rate (PIFR) on Days 1 and 14 of the Respective Treatment PeriodDay 1 PIFR, n=21, 2051.83 Liters per minute (L/min)Standard Deviation 17.286
PlaceboAverage Flow Rate and Peak Inspiratory Flow Rate (PIFR) on Days 1 and 14 of the Respective Treatment PeriodDay 1 Average flow rate, n=21, 2035.38 Liters per minute (L/min)Standard Deviation 11.441
PlaceboAverage Flow Rate and Peak Inspiratory Flow Rate (PIFR) on Days 1 and 14 of the Respective Treatment PeriodDay 14 PIFR, n=21, 2255.70 Liters per minute (L/min)Standard Deviation 16.589
PlaceboAverage Flow Rate and Peak Inspiratory Flow Rate (PIFR) on Days 1 and 14 of the Respective Treatment PeriodDay 14 Average flow rate, n=21, 2236.25 Liters per minute (L/min)Standard Deviation 11.243
FF 100 µgAverage Flow Rate and Peak Inspiratory Flow Rate (PIFR) on Days 1 and 14 of the Respective Treatment PeriodDay 14 PIFR, n=21, 2254.76 Liters per minute (L/min)Standard Deviation 17.986
FF 100 µgAverage Flow Rate and Peak Inspiratory Flow Rate (PIFR) on Days 1 and 14 of the Respective Treatment PeriodDay 1 Average flow rate, n=21, 2034.65 Liters per minute (L/min)Standard Deviation 10.84
FF 100 µgAverage Flow Rate and Peak Inspiratory Flow Rate (PIFR) on Days 1 and 14 of the Respective Treatment PeriodDay 1 PIFR, n=21, 2052.90 Liters per minute (L/min)Standard Deviation 16.028
FF 100 µgAverage Flow Rate and Peak Inspiratory Flow Rate (PIFR) on Days 1 and 14 of the Respective Treatment PeriodDay 14 Average flow rate, n=21, 2236.17 Liters per minute (L/min)Standard Deviation 12.772
Secondary

Average Oropharyngeal Cross-sectional Area on Days 1 and 14 of the Respective Treatment Period

During the pharyngometry assessment, participants inhaled through a wavetube, which had a mouthpiece with the same dimensions as the mouthpiece on the dry powder inhaler used for this study. This technique was used to measure the size of the throat and mouth (oropharynx) in the form of pharyngograms. Pharyngometry data were recorded for each day (Days 1 and 14 of the respective treatment period) using the mean of four measurements (pharyngograms), and the average oropharyngeal cross-sectional area was calculated.

Time frame: Days 1 and 14 of the respective treatment period

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboAverage Oropharyngeal Cross-sectional Area on Days 1 and 14 of the Respective Treatment PeriodDay 1, n=14, 184.06 centimeters squared (cm^2)Standard Deviation 1.875
PlaceboAverage Oropharyngeal Cross-sectional Area on Days 1 and 14 of the Respective Treatment PeriodDay 14, n= 12, 125.49 centimeters squared (cm^2)Standard Deviation 1.586
FF 100 µgAverage Oropharyngeal Cross-sectional Area on Days 1 and 14 of the Respective Treatment PeriodDay 1, n=14, 184.24 centimeters squared (cm^2)Standard Deviation 1.677
FF 100 µgAverage Oropharyngeal Cross-sectional Area on Days 1 and 14 of the Respective Treatment PeriodDay 14, n= 12, 124.58 centimeters squared (cm^2)Standard Deviation 1.497
Secondary

Cmax on Day 14 of the Respective Treatment Period

Cmax is defined as the maximum observed concentration on Day 14 of the respective treatment period. Samples were collected at the following times: pre-dose; 30 minutes, 1, 2, 4, 7, and 12 hours post-dose on Day 14 of the respective treatment period.

Time frame: Day 14 of the respective treatment period

Population: PK Population

ArmMeasureValue (GEOMETRIC_MEAN)
FF 100 µgCmax on Day 14 of the Respective Treatment Period24.68 picograms per milliliter (pg/mL)
Secondary

Distance of Assessment on Days 1 and 14 of the Respective Treatment Period

During the pharyngometry assessment, participants inhaled through a wavetube, which had a mouthpiece with the same dimensions as the mouthpiece on the dry powder inhaler used for this study. This technique was used to measure the size of the throat and mouth (oropharynx) in the form of pharyngograms. Distance of assessment is defined as the distance (length measured in centimeters \[cm\]) estimated to be from the lips to the larynx. Pharyngometry data were recorded for each day (Days 1 and 14 of each treatment period) using the mean of four measurements (pharyngograms), and the average oropharyngeal cross-sectional area was calculated.

Time frame: Days 1 and 14 of the respective treatment period

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboDistance of Assessment on Days 1 and 14 of the Respective Treatment PeriodDay 1, n=14, 1818.63 centimeters (cm)Standard Deviation 1.736
PlaceboDistance of Assessment on Days 1 and 14 of the Respective Treatment PeriodDay 14, n= 12, 1219.37 centimeters (cm)Standard Deviation 1.823
FF 100 µgDistance of Assessment on Days 1 and 14 of the Respective Treatment PeriodDay 1, n=14, 1818.69 centimeters (cm)Standard Deviation 1.432
FF 100 µgDistance of Assessment on Days 1 and 14 of the Respective Treatment PeriodDay 14, n= 12, 1218.61 centimeters (cm)Standard Deviation 1.942
Secondary

Ex-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment Period

The ex-throat dose (ETD) and the nominal ETD is the mass (micrograms) of active investigational material that passes beyond the throat, nominal being the mean.The recorded inhalation profiles of the participants and the mouth-throat (oropharyngeal) models of the sizes that approximated to pharyngometry measurements of the participants were used in conjunction with the electronic Lung (eLung) for in vitro assessment. The eLung is a breathing simulator that replicates the selected inhalation profile with an active inhaler placed at the lips end of the selected ororpharyngeal model. After the dose is emitted from the inhaler, the analysis and assay of throat deposition and material passing beyond the throat was used to derive the nominal, minimum, and maximum predicted ETD and ETD \<2 microns.

Time frame: Day 1 and Day 14 of the respective treatment period

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
FF 100 µgEx-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment PeriodDay 1, Nominal ETD, n=0, 1729.37 microgramsStandard Deviation 2.874
FF 100 µgEx-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment PeriodDay 14, Nominal ETD, n=0, 1229.83 microgramsStandard Deviation 2.528
FF 100 µgEx-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment PeriodDay 1, Minimum ETD, n=0, 1728.47 microgramsStandard Deviation 3.241
FF 100 µgEx-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment PeriodDay 14, Minimum ETD, n=0, 1229.35 microgramsStandard Deviation 2.664
FF 100 µgEx-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment PeriodDay 1, Maximum ETD, n=0, 1730.26 microgramsStandard Deviation 2.598
FF 100 µgEx-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment PeriodDay 14, Maximum ETD, n=0, 1230.26 microgramsStandard Deviation 2.472
FF 100 µgEx-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment PeriodDay 1, ETD <2 microns, n=0, 175.13 microgramsStandard Deviation 0.498
FF 100 µgEx-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment PeriodDay 14, ETD <2 microns, n=0, 125.07 microgramsStandard Deviation 0.455
FF 100 µgEx-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment PeriodDay 1, Minimum ETD <2 microns, n=0, 174.96 microgramsStandard Deviation 0.459
FF 100 µgEx-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment PeriodDay 14, Minimum ETD <2 microns, n=0, 124.99 microgramsStandard Deviation 0.448
FF 100 µgEx-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment PeriodDay 1, Maximum ETD <2 microns, n=0, 175.30 microgramsStandard Deviation 0.559
FF 100 µgEx-throat Dose (ETD) and ETD <2 Microns on Days 1 and 14 of the Respective Treatment PeriodDay 14, Maximum ETD <2 microns, n=0, 125.17 microgramsStandard Deviation 0.476
Secondary

Inhalation Time on Days 1 and 14 of the Respective Treatment Period

During the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Inhalation time is defined as the duration of the inhalation(s) when inhaling across the resistance of the inhaler. The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was used for each day (Days 1 and 14 of the respective treatment period), and the inhalation time was determined.

Time frame: Day 1 and Day 14 of the respective treatment period

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboInhalation Time on Days 1 and 14 of the Respective Treatment PeriodDay 1, n=21, 201.71 SecondsStandard Deviation 0.534
PlaceboInhalation Time on Days 1 and 14 of the Respective Treatment PeriodDay 14, n= 21, 221.60 SecondsStandard Deviation 0.802
FF 100 µgInhalation Time on Days 1 and 14 of the Respective Treatment PeriodDay 1, n=21, 201.93 SecondsStandard Deviation 0.861
FF 100 µgInhalation Time on Days 1 and 14 of the Respective Treatment PeriodDay 14, n= 21, 221.61 SecondsStandard Deviation 0.858
Secondary

Inhaled Volume on Days 1 and 14 of the Respective Treatment Period

During the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Inhaled volume is defined as the volume of air (Liters) inhaled during the inhalation across the resistance of the inhaler. The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was used for each day (Days 1 and 14 of the respective treatment period), and the inhalaled volume was determined.

Time frame: Day 1 and Day 14 of the respective treatment period

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboInhaled Volume on Days 1 and 14 of the Respective Treatment PeriodDay 1, n=21, 200.99 LitersStandard Deviation 0.461
PlaceboInhaled Volume on Days 1 and 14 of the Respective Treatment PeriodDay 14, n= 21, 221.00 LitersStandard Deviation 0.58
FF 100 µgInhaled Volume on Days 1 and 14 of the Respective Treatment PeriodDay 1, n=21, 201.07 LitersStandard Deviation 0.48
FF 100 µgInhaled Volume on Days 1 and 14 of the Respective Treatment PeriodDay 14, n= 21, 220.95 LitersStandard Deviation 0.541
Secondary

Oropharyngeal Volume on Days 1 and 14 of the Respective Treatment Period

During the pharyngometry assessment, participants inhaled through a wavetube, which had a mouthpiece with the same dimensions as the mouthpiece on the dry powder inhaler used for this study. This technique was used to measure the size of the throat and mouth (oropharynx) in the form of pharyngograms. Oropharyngeal volume is defined as the volume (cm\^3) of the mouth and throat estimated to be from the lips to the larynx. Pharyngometry data were recorded for each day (Days 1 and 14 of the respective treatment period) using the mean of four measurements (pharyngograms), and the average oropharyngeal cross-sectional area was calculated.

Time frame: Days 1 and 14 of the respective treatment period

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboOropharyngeal Volume on Days 1 and 14 of the Respective Treatment PeriodDay 1, n=14, 1874.19 cubic centimeters (cm^3)Standard Deviation 32.402
PlaceboOropharyngeal Volume on Days 1 and 14 of the Respective Treatment PeriodDay 14, n= 12, 12106.31 cubic centimeters (cm^3)Standard Deviation 33.188
FF 100 µgOropharyngeal Volume on Days 1 and 14 of the Respective Treatment PeriodDay 14, n= 12, 1286.22 cubic centimeters (cm^3)Standard Deviation 34.363
FF 100 µgOropharyngeal Volume on Days 1 and 14 of the Respective Treatment PeriodDay 1, n=14, 1878.86 cubic centimeters (cm^3)Standard Deviation 31.092
Secondary

Peak Pressure Drop on Days 1 and 14 of the Respective Treatment Period

During the inhalation profile assessment, participants inhaled through a mouthpiece from a device with a similar resistance to the dry powder inhaler used for this study. Peak pressure drop is defined as the maximum pressure drop (kilopascal \[kPa\]) achieved during inhalation across the resistance of the inhaler. The pressure drop during the inhalation was measured, and the inhalation profiles (pressure drop versus time profile) of the participants were obtained. The mean of the two inhalation profile measurements was calculated for each day (Days 1 and 14 of the respective treatment period), and used for subsequent modeling and prediction of dose emission attributes.

Time frame: Day 1 and Day 14 of the respective treatment period

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPeak Pressure Drop on Days 1 and 14 of the Respective Treatment PeriodDay 1, n=21, 202.44 Kilopascal (kpa)Standard Deviation 1.63
PlaceboPeak Pressure Drop on Days 1 and 14 of the Respective Treatment PeriodDay 14, n= 21, 222.78 Kilopascal (kpa)Standard Deviation 1.543
FF 100 µgPeak Pressure Drop on Days 1 and 14 of the Respective Treatment PeriodDay 1, n=21, 202.53 Kilopascal (kpa)Standard Deviation 1.56
FF 100 µgPeak Pressure Drop on Days 1 and 14 of the Respective Treatment PeriodDay 14, n= 21, 222.74 Kilopascal (kpa)Standard Deviation 1.609
Secondary

Serum Cortisol Weighted Mean (0-12 Hours) on Day 14 of the Respective Treatment Period

Serum cortisol weighted mean was determined for each participant over the time period 0-12 hours on Day 14 of the respective treatment period. Samples were collected at the following times: pre-dose; 30 minutes, 1, 2, 4, 7, and 12 hours post-dose on Day 14 of the respective treatment period.

Time frame: Day 14 of the respective treatment period

Population: All Subjects Population. Only those participants available at the specified time point were analyzed.

ArmMeasureValue (GEOMETRIC_MEAN)
PlaceboSerum Cortisol Weighted Mean (0-12 Hours) on Day 14 of the Respective Treatment Period178.76 nanomoles per Liter
FF 100 µgSerum Cortisol Weighted Mean (0-12 Hours) on Day 14 of the Respective Treatment Period150.41 nanomoles per Liter
Secondary

Tmax and t at Day 14 of the Respective Treatment Period

tmax is defined as the time to reach the observed maximum concentration, and t is defined as the time of the last observed quantifiable concentration on Day 14 of the respective treatment period. Samples were collected at the following times: pre-dose; 30 minutes, 1, 2, 4, 7, and 12 hours post-dose on Day 14 of the respective treatment period.

Time frame: Day 14 of the respective treatment period

Population: PK Population. Only those participant who had quantifiable FF concentrations were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
FF 100 µgTmax and t at Day 14 of the Respective Treatment Periodtmax0.863 hoursStandard Deviation 0.7926
FF 100 µgTmax and t at Day 14 of the Respective Treatment Periodt6.953 hoursStandard Deviation 4.0875
Secondary

Total Emitted Dose (TED) on Days 1 and 14 of the Respective Treatment Period

The total emitted dose (TED) is defined as the mass (micrograms) of the nominal dose that passes beyond the throat. The recorded inhalation profiles of the participants and the mouth-throat (oropharyngeal) models of the sizes that approximated to pharyngometry measurements of the participants were used in conjunction with the electronic Lung (eLung) for in vitro assessment. The eLung is a breathing simulator that replicates the selected inhalation profile with an active inhaler placed at the lips end of the selected ororpharyngeal model. After the dose is emitted from the inhaler, the analysis and assay of throat deposition and material passing beyond the throat was used to derive the nominal, minimum, and maximum predicted total emitted dose.

Time frame: Day 1 and Day 14 of the respective treatment period

Population: All Subjects Population. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles). Different participants may have been analyzed at different time points, so the overall number of participants analyzed reflects everyone in the All Subjects Population.

ArmMeasureGroupValue (MEAN)Dispersion
FF 100 µgTotal Emitted Dose (TED) on Days 1 and 14 of the Respective Treatment PeriodDay 1, Minimum TED, n=0, 2084.84 microgramsStandard Deviation 1.617
FF 100 µgTotal Emitted Dose (TED) on Days 1 and 14 of the Respective Treatment PeriodDay 1, Nominal TED, n=0, 2085.35 microgramsStandard Deviation 1.576
FF 100 µgTotal Emitted Dose (TED) on Days 1 and 14 of the Respective Treatment PeriodDay 14, Nominal TED, n=0, 2285.57 microgramsStandard Deviation 1.857
FF 100 µgTotal Emitted Dose (TED) on Days 1 and 14 of the Respective Treatment PeriodDay 14, Minimum TED, n=0, 2285.17 microgramsStandard Deviation 1.905
FF 100 µgTotal Emitted Dose (TED) on Days 1 and 14 of the Respective Treatment PeriodDay 1, Maximum TED, n=0, 2085.86 microgramsStandard Deviation 1.639
FF 100 µgTotal Emitted Dose (TED) on Days 1 and 14 of the Respective Treatment PeriodDay 14, Maximum TED, n=0, 2285.97 microgramsStandard Deviation 1.861

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026