Healthy
Conditions
Brief summary
The objective of the study was to investigate safety, tolerability and pharmacokinetics of butylated hydroxytoluene (BHT) (sub-study 1) administered via Respimat® Soft MistTM Inhaler B (SMI B); to assess safety, tolerability and pharmacokinetics of multiple rising doses of BI 54903 XX administered via Respimat® SMI B (main study), and to compare systemic exposure of single dose BI 54903 XX administered via Respimat® SMI B (sub-study 2) with single dose Alvesco® (ciclesonide) administered via HFA-134a propellant metered dose inhaler (MDI).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy males based upon a complete medical history, including the physical examination, vital signs (blood pressure (BP), pulse rate (PR)), 12-lead Electrocardiogram (ECG) and clinical laboratory tests * Age \>= 21 and \<= 50 years * BMI \>= 18.5 and \<= 29.9 kg/m2 * Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice (GCP) and the local legislation
Exclusion criteria
* Any finding of the medical examination (including BP, PR and ECG) deviating from normal and of clinical relevance * Any evidence of a clinically relevant concomitant disease * Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders * Surgery of the gastrointestinal tract (except appendectomy) * Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders * History of relevant orthostatic hypotension, fainting spells or blackouts * Chronic or relevant acute infections * History of relevant allergy/hypersensitivity (including allergy to drug or its excipients) * Intake of drugs with a long half-life (\>24 h) within at least one month or less than 10 half-lives of the respective drug prior to administration or during the trial * Use of drugs that could reasonably influence the results of the trial within 10 days prior to administration or during the trial (based on the knowledge at the time of protocol preparation) * Participation in another trial with an investigational drug within 2 months prior to administration or during the trial * Smoker (\>10 cigarettes or \>3 cigars or \>3 pipes per day) * Inability to refrain from smoking on trial days * Alcohol abuse (more than 60 g per day) * Drug abuse * Blood donation (\>100 mL within 4 weeks prior to administration or during the trial) * Excessive physical activities (within 1 week prior to administration or during the trial) * Any laboratory value outside the reference range that is of clinical relevance * Inability to comply with dietary regimen of the trial site * Bacterial and viral infections of the lung, including active or latent tuberculosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of patients with adverse events | up to 21 days after last drug administration |
| Number of patients with clinically significant findings in vitals signs | up to 21 days after last drug administration |
| Number of patients with clinically significant findings in ECG | up to 21 days after last drug administration |
| Number of patients with clinically significant findings in laboratory tests | up to 21 days after last drug administration |
| Investigator assessed tolerability on a 4-point scale | up to 21 days after last drug administration |
| Change in airway resistance (Raw) | baseline, after 80 hours |
Secondary
| Measure | Time frame |
|---|---|
| AUCt1-t2 (area under the concentration-time curve in plasma over the time interval from time t1 to time t2) | up to 24 hours after last drug administration |
| AUC0-tz (area under the concentration-time curve in plasma over the time interval from 0 to the last quantifiable concentration at tz) | up to 24 hours after last drug administration |
| %AUCtz-∞ (the percentage of the AUC 0-∞ that is obtained by extrapolation) | up to 24 hours after last drug administration |
| λz (terminal rate constant in plasma) | up to 24 hours after last drug administration |
| t1/2 (terminal half-life in plasma) | up to 24 hours after last drug administration |
| MRTih (mean residence time in the body after inhalation administration) | up to 24 hours after last drug administration |
| CL/F (apparent clearance in plasma following inhalation administration) | up to 24 hours after last drug administration |
| Metabolite-to-parent ratio for AUC (AUCt1-t2,Met) | up to 24 hours after last drug administration |
| Aet1-t2 (amount that is eliminated in urine from the time point t1 to time point t2) | up to 24 hours after last drug administration |
| fet1-t2 (fraction that is eliminated in urine from time point t1 to time point t2) | up to 24 hours after last drug administration |
| CLR,t1-t2 (renal clearance from the time point t1 until the time point t2) | up to 24 hours after last drug administration |
| Accumulation ratio based on Cmax (RA,Cmax) | up to 24 hours after last drug administration |
| Accumulation ratio based on AUC (RA,AUC) | up to 24 hours after last drug administration |
| Linearity index (LI) | up to 24 hours after last drug administration |
| Vz/F (apparent volume of distribution during the terminal phase λz following inhalation administration) | up to 24 hours after last drug administration |
| Metabolite-to-parent ratio for Cmax (RCmax,Met) | up to 24 hours after last drug administration |
| Cmax (maximum measured concentration in plasma) | up to 24 hours after last drug administration |
| tmax (time from dosing to maximum measured concentration in plasma) | up to 24 hours after last drug administration |
| AUCτ (area under the concentration-time curve in plasma over a uniform dosing interval τ) | up to 24 hours after last drug administration |
| AUC0-inf (area under the concentration-time curve in plasma over the time interval from 0 extrapolated to infinity) | up to 24 hours after last drug administration |