Asthma
Conditions
Keywords
Asthma, ICS+LABA, Children, Inhalation, pMDI
Brief summary
The rationale is to investigate the systemic availability of BDP/B17MP and formoterol after single oral inhalation of CHF 1535 50/6 pMDI vs the free combination of approved BDP and Formoterol pMDIs, in asthmatic children (5 to 11 years old).
Interventions
Four inhalations for a total dose of BDP/FF 200/24 mcg
Four inhalations for a total dose of BDP 200 mcg
Four inhalations for a total dose of Formoterol 24 mcg
Sponsors
Study design
Eligibility
Inclusion criteria
* Male/Female children aged 5-11 years * Written informed consent obtained by parents/legal representative (according to local regulation) and by the minor (age and local regulation permitting). * children with stable asthma on regular treatment with ICS or using short-acting inhaled beta2-agonists as reliever to control asthma symptoms * Forced expiratory volume in one second (FEV1) \> 70% of predicted values (% pred) after withholding beta2-agonist treatment for a minimum of 4 h prior to each dose period. 6\. A cooperative attitude and ability to be trained about the proper use of pMDI with a spacer device and compliant to study procedures.
Exclusion criteria
* Past or present diagnoses of cardiovascular, renal or liver disease * Known hypersensitivity to the active treatments * Exacerbation of asthma symptoms within the previous 4 weeks * Inability to perform the required breathing technique and blood sampling * Hospitalization due to exacerbation of asthma within 1 month prior to inclusion * Lower respiratory tract infection within 1 month prior to inclusion * Disease (other than asthma) which might influence the outcome of the study * Obesity, i.e. \> 97% weight percentile by local standards
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| B17MP AUC0-t | pre-dose until 8hours post dose | B17MP (active metabolite of BDP) systemic exposure as AUC0-t |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| BDP PK prolile | Pre-dose until 8 hours post-dose | — |
| Formoterol PK profile | Pre-dose until 8 hours post-dose | — |
| Plasma potassium AUC, Cmin, tmin | Pre-dose until 8 hours post-dose | Plasma potassium to evaluate drug systemic effect |
| B17MP PK profile | pre-dose until 8 hours post-dose | — |
| Glucose in urine | Pre-dose until 8 hours post-dose | Glucose to evaluate the drug systemic effects |
| Heart rate Time averaged heart rate value (AUC0-t)/t | Pre-dose until 8 hours post-dose | Heart rate to evaluate the drug systemic effects |
| Spirometry: PEF | Pre-dose until 8 hours post-dose | Peak respiratory flow as a measure of drug efficacy |
| Urinary Cortisol excretion | Pre-dose until 8 hours post-dose | 8h urinary excretion of cortisol and 8h urinary excretion of cortisol normalized for 8h creatinine excretion to evaluate dru systemic effects |
Countries
Denmark