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Lung Bioavailability and Total Systemic Exposure to Beclomethasone17MonoPropionate and Formoterol Across Two Strengths of NEXThaler Inhalation Powder

A Phase II, Monocentric, Open, Randomized, 6-way Cross-over Clinical Pharmacology Study to Evaluate the Lung Bioavailability of BDP/B17MP and Formoterol and the Total Systemic Exposure Across Two Different Strengths of CHF 1535 NEXThaler Dry Powder Inhaler (Fixed Combination of Beclomethasone Dipropionate Plus Formoterol Fumarate 100/6 mcg and 200 mcg) Administered With and Without Activated Charcoal in Adult Asthmatic Patients.

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01738087
Enrollment
30
Registered
2012-11-30
Start date
2012-11-30
Completion date
2013-01-31
Last updated
2021-10-29

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

Conditions

Asthmatic

Keywords

patients, Adult

Brief summary

The study is aimed to assess the dose proportional total systemic exposure (when the administration is without the activated charcoal) to B17MP (active metabolite of BDP) and its lung bioavailability (when the administration is with the activated charcoal) after single inhalation of CHF 1535 NEXThaler DPI at two dose strengths. At the same time, the study will assess if the lung deposition and the total systemic exposure to Formoterol is affected by increasing doses of BDP.

Interventions

DRUGNEXThaler 100/6 mcg DPI
DRUGFlixotide Accuhaler 500 mcg

Active comparator

DRUGNEXThaler 200/6 mcg DPI
DRUGNEXThaler placebo

Placebo comparator

Sponsors

Chiesi Farmaceutici S.p.A.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No

Inclusion criteria

* Diagnosis of asthma as defined by Global Initiative for Asthma (GINA) 2011 * Asthmatic patients already treated with low daily doses of Inhaled Corticosteroids (ICS) (eg budesonide or equivalent lower than 400 mcg/day) or low dose of ICS/Long Acting Beta2 Agonists (LABA) fixed combinations. * Patients with Forced Expiratory Volume in 1 sec (FEV1) \>= 70 % of predicted values * Non or ex-smokers * Body Mass Index (BMI) \>= 18.5 and \<= 32 kg/m2

Exclusion criteria

* Pregnant or lactating women unless using acceptable methods of contraception * Diagnosis of Chronic Obstructive Pulmonary Disease (COPD) * History of near fatal asthma * Patients with abnormal QTcF at screening Visit * Hospitalization due to asthma exacerbation within 4 weeks prior to the screening visit or during the run-in period. * Lower respiratory tract infection within 4 weeks prior to the screening visit or during the run-in period. * History of drug addiction or excessive use of alcohol ; * Diagnosis of restrictive lung disease. * Patients treated with oral or parenteral corticosteroids in the previous 2 months before the screening visit (3 months for parenteral depot corticosteroids) * Significant medical history or any laboratory abnormality indicative of a significant underlying condition

Design outcomes

Primary

MeasureTime frame
Formoterol AUC0-t and B17MP AUC0-tfrom predose until 12 hr post dose

Secondary

MeasureTime frameDescription
BDP pharmacokinetic (PK) parametersfrom predose until 12 hr post doseThe following parameters will be evaluated: AUC0-t, AUC0-12h, AUC0-inf, Cmax, tmax, t1/2
Other PK parameter of B17MP and formoterolfrom predose until 12 hours postdosethe following pharmacokinetic parameters will be evaluated: AUC0-12, AUCinf, Cmax, tmax, t1/2

Other

MeasureTime frameDescription
Plasma potassiumfrom predose until 12 hours postdosethe following parameters will be evaluated: AUC0-4h, AUC0-12h, Cmin ad tmin
Plasma glucosefrom predose until 12 hours postdosethe following parameters will be evaluated: AUC0-4h, AUC0-12h, Cmax and tmax
Systolic and Diastolic Blood Pressure (SBP and DBP)from predose until 12 hours postdosethe following parameters will be evaluated: SBP AUC0-12/12h and DBP AUC0-12/12h
Heart rate (HR)from predose until 12 hours postdosethe following parameters will be evaluated: HR AUC0-12/12h
Plasma cortisolfrom predose until 24 hours postdosethe following parameters will be evaluated: AUC0-24, Cmin and tmin

Countries

United Kingdom

Outcome results

None listed

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