- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06297668
A Study to Assess the Pharmacokinetics and Safety of Budesonide, Glycopyrronium, & Formoterol (BGF) Metered Dose Inhaler (MDI) Hydrofluoroolefin (HFO) With a Spacer (Treatment B), BGF MDI Hydrofluoroalkane (HFA) With a Spacer (Treatment A), as Well as BGF MDI HFO Without a Spacer (Treatment C).
A Phase I, Randomized, Partial Double-blind, Single-dose, 3-Way Cross-over Study to Assess the Total Systemic Exposure of Budesonide, Glycopyrronium, and Formoterol for BGF MDI HFO Compared With BGF MDI HFA Using an AeroChamber Plus Flow-Vu Spacer and to Compare the Total Systemic Exposure of BGF MDI HFO With a Spacer to BGF MDI HFO Without a Spacer
Study Overview
Status
Conditions
Detailed Description
This is a Phase I, randomized, partial double-blind, single dose, three way cross-over study to assess the effect of total systemic exposure of BGF when administered as BGF MDI HFO compared with BGF MDI HFA Using an AeroChamber Plus Flow-Vu Spacer and to compare the Total Systemic Exposure of BGF MDI HFO with a Spacer to BGF MDI HFO without a Spacer in participants with Chronic Obstructive Pulmonary Disease (COPD).
The study will comprise of:
- A Screening Period of up to 27 days prior to first dosing.
- Three treatment periods: participants will be resident at the Clinical Unit from Day -1 until 24 hours after dosing with the final treatment, with a washout period of 3 to 7 days between each dose administration.
- Follow-up: a final Follow-up Phone Call within 5 to 7 days after the last administration of BGF MDI in Treatment Period 3.
Participants will receive all 3 treatments (Treatment A, B and C) (one treatment per treatment period) in one of six possible treatment sequences; ABC, ACB, BAC, BCA, CAB, or CBA. There will be a washout period of 3 to 7 days between each dose administration.
Study Type
Enrollment (Estimated)
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: AstraZeneca Clinical Study Information Center
- Phone Number: 1-877-240-9479
- Email: information.center@astrazeneca.com
Study Locations
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Berlin, Germany, 14050
- Research Site
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Harrow, United Kingdom, HA1 3UJ
- Research Site
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Females must have a negative pregnancy test at screening and on admission to the Clinical Unit, must not be lactating, confirmed at screening.
- Women of childbearing potential who are sexually active with a non-sterilized male partner, must use 1 highly effective form of birth control from enrolment throughout the study and until at least 14 days after last dose of IMP. Women should be stable on their chosen method of birth control for at least 1 month from enrolment.
- Have a body mass index between 18 and 30 kg/m2 inclusive and weigh at least 50 kg.
- Have a Forced expiratory volume in the first second (FEV1) ≥ 80% of the predicted normal value and an FEV1/forced vital capacity> 70% regarding age, height, and ethnicity at screening.
- Demonstrate basic understanding of how to use an MDI device with and without a spacer after receiving training.
- Participants should be fully/sufficiently vaccinated as per local definitions against SARS-CoV-2 (in combination with confirmed past infections with SARS-CoV-2).
Exclusion Criteria:
- History or current evidence of any clinically significant disease or disorder, including endocrinological diseases, such as thyrotoxicosis, which, in the opinion of the investigator, may either put the participant at risk because of participation in the study, or influence the results through participation in the study.
- Participants who have previously received BGF MDI HFO.
- History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity, as judged by the investigator, or history of hypersensitivity to drugs with a similar chemical structure or class to BGF or to its excipients, such as norflurane.
- History or presence of gastrointestinal, hepatic, or renal disease, or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
- Any clinically significant illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of investigational medicinal product (IMP).
- History of narrow angle glaucoma or change in vision that may be relevant.
- History of symptomatic prostatic hypertrophy or bladder neck obstruction/urinary retention that, which in the opinion of the investigator, is clinically significant.
- Unresectable cancer that has not been in complete remission for at least 5 years.
- Any clinically significant abnormalities in clinical chemistry, hematology, or urinalysis results, at screening as judged by the investigator.
- Any clinically significant abnormal findings in physical examination or vital signs at screening, as judged by the investigator.
- Any clinically significant abnormalities on 12-lead ECG at screening, as judged by the investigator.
- Any positive result on screening for serum hepatitis B surface antigen or anti-hepatitis B core antibody, indicative of hepatitis B, hepatitis C antibody, or human immunodeficiency virus.
- Positive reverse transcription polymerase chain reaction test for SARS-CoV-2 prior to randomization.
- Participant has clinical signs and symptoms consistent with COVID-19, eg, fever, dry cough, dyspnea, sore throat, fatigue, new smell or taste disorder or confirmed infection by appropriate laboratory test within the last 4 weeks prior to screening or on admission.
- Participant who had severe course of COVID-19 (ie, hospitalization, extracorporeal membrane oxygenation, or mechanically ventilated).
- Recent (within 14 days prior to admission to the Clinical Unit) exposure to someone who has COVID-19 symptoms or tested positive for SARS-CoV-2.
- History of any respiratory disorders such as asthma, COPD, or idiopathic pulmonary fibrosis.
- Known or suspected history of drug abuse.
- Current smokers or those who have smoked or used nicotine products (including e-cigarettes) within the 3 months prior to screening.
- Use of drugs with enzyme-inducing properties such as St John's Wort within 3 weeks prior to the first administration of IMP.
- Use of any prescribed or non-prescribed medication including antacids, analgesics (other than paracetamol/acetaminophen), herbal remedies, megadose vitamins (intake of 20 to 600 times the recommended daily dose) and minerals during the 2 weeks prior to the first administration of IMP or longer if the medication has a long half-life.
- Known or suspected history of alcohol or drug abuse or excessive intake of alcohol.
- Excessive intake of caffeine-containing drinks or food (eg, coffee, tea, chocolate).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Treatment Sequence 1: ABC
Participants will be randomized to one of the 6 different treatment sequences.
Each participant will receive 3 single-dose treatments of BGF MDI HFA with spacer (Treatment A), followed by BGF MDI HFO with spacer (Treatment B), and then BGF MDI HFO without spacer (Treatment C) with single dose (4 puffs) on Day 1 of all treatment periods.
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Participants will receive 4 inhalations of BGF MDI HFA as a single dose with AeroChamber Plus Flow-Vu spacer.
Participants will receive 4 inhalations of BGF MDI HFO as a single dose with AeroChamber Plus Flow-Vu spacer.
Participants will receive 4 inhalations of BGF MDI HFO as a single dose without spacer.
Participants will receive 4 inhalations of BGF MDI HFA (Treatment A) and BGF MDI HFO (Treatment B) as a single dose with spacer.
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Experimental: Treatment Sequence 2: ACB
Participants will be randomized to one of the 6 different treatment sequences.
Each participant will receive 3 single-dose treatments of BGF MDI HFA with spacer (Treatment A), followed by BGF MDI HFO without spacer (Treatment C), and then BGF MDI HFO with spacer (Treatment B) with single dose (4 puffs) on Day 1 of all treatment periods.
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Participants will receive 4 inhalations of BGF MDI HFA as a single dose with AeroChamber Plus Flow-Vu spacer.
Participants will receive 4 inhalations of BGF MDI HFO as a single dose with AeroChamber Plus Flow-Vu spacer.
Participants will receive 4 inhalations of BGF MDI HFO as a single dose without spacer.
Participants will receive 4 inhalations of BGF MDI HFA (Treatment A) and BGF MDI HFO (Treatment B) as a single dose with spacer.
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Experimental: Treatment Sequence 3: BAC
Participants will be randomized to one of the 6 different treatment sequences.
Each participant will receive 3 single-dose treatments of BGF MDI HFO with spacer (Treatment B), followed by BGF MDI HFA with spacer (Treatment A), and then BGF MDI HFO without spacer (Treatment C) with single dose (4 puffs) on Day 1 of all treatment periods.
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Participants will receive 4 inhalations of BGF MDI HFA as a single dose with AeroChamber Plus Flow-Vu spacer.
Participants will receive 4 inhalations of BGF MDI HFO as a single dose with AeroChamber Plus Flow-Vu spacer.
Participants will receive 4 inhalations of BGF MDI HFO as a single dose without spacer.
Participants will receive 4 inhalations of BGF MDI HFA (Treatment A) and BGF MDI HFO (Treatment B) as a single dose with spacer.
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Experimental: Treatment Sequence 4: BCA
Participants will be randomized to one of the 6 different treatment sequences.
Each participant will receive 3 single-dose treatments of BGF MDI HFO with spacer (Treatment B) followed by BGF MDI HFO without spacer (Treatment C), and then BGF MDI HFA with spacer (Treatment A) with single dose (4 puffs) on Day 1 of all treatment periods.
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Participants will receive 4 inhalations of BGF MDI HFA as a single dose with AeroChamber Plus Flow-Vu spacer.
Participants will receive 4 inhalations of BGF MDI HFO as a single dose with AeroChamber Plus Flow-Vu spacer.
Participants will receive 4 inhalations of BGF MDI HFO as a single dose without spacer.
Participants will receive 4 inhalations of BGF MDI HFA (Treatment A) and BGF MDI HFO (Treatment B) as a single dose with spacer.
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Experimental: Treatment Sequence 5: CAB
Participants will be randomized to one of the 6 different treatment sequences.
Each participant will receive 3 single-dose treatments of BGF MDI HFO without spacer (Treatment C), followed by BGF MDI HFA with spacer (Treatment A), and then BGF MDI HFO with spacer (Treatment B) with single dose (4 puffs) on Day 1 of all treatment periods.
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Participants will receive 4 inhalations of BGF MDI HFA as a single dose with AeroChamber Plus Flow-Vu spacer.
Participants will receive 4 inhalations of BGF MDI HFO as a single dose with AeroChamber Plus Flow-Vu spacer.
Participants will receive 4 inhalations of BGF MDI HFO as a single dose without spacer.
Participants will receive 4 inhalations of BGF MDI HFA (Treatment A) and BGF MDI HFO (Treatment B) as a single dose with spacer.
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Experimental: Treatment Sequence 6: CBA
Participants will be randomized to one of the 6 different treatment sequences.
Each participant will receive 3 single-dose treatments of BGF MDI HFO without spacer (Treatment C), followed by BGF MDI HFO with spacer (Treatment B), and then BGF MDI HFA with spacer (Treatment A) with single dose (4 puffs) on Day 1 of all treatment periods.
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Participants will receive 4 inhalations of BGF MDI HFA as a single dose with AeroChamber Plus Flow-Vu spacer.
Participants will receive 4 inhalations of BGF MDI HFO as a single dose with AeroChamber Plus Flow-Vu spacer.
Participants will receive 4 inhalations of BGF MDI HFO as a single dose without spacer.
Participants will receive 4 inhalations of BGF MDI HFA (Treatment A) and BGF MDI HFO (Treatment B) as a single dose with spacer.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Area Under the Plasma Concentration-curve from Zero to the Last Quantifiable Concentration (AUClast) of BGF MDI
Time Frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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To assess that the total systemic exposure of budesonide, glycopyrronium, and formoterol administered as BGF MDI HFO with AeroChamber Plus Flow-Vu spacer does not exceed that with BGF MDI HFA with AeroChamber Plus Flow-Vu spacer.
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Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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Maximum Observed Concentration (Cmax) of BGF MDI
Time Frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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To assess that the total systemic exposure of budesonide, glycopyrronium, and formoterol administered as BGF MDI HFO with AeroChamber Plus Flow-Vu spacer does not exceed that with BGF MDI HFA with AeroChamber Plus Flow-Vu spacer.
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Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Area Under the Plasma Concentration-curve from Zero to the Last Quantifiable Concentration (AUClast)
Time Frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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To assess the relative bioavailability of budesonide, glycopyrronium, and formoterol administered as BGF MDI HFO with a spacer versus BGF MDI HFO without a spacer.
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Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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Maximum Observed Concentration (Cmax)
Time Frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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To assess the relative bioavailability of budesonide, glycopyrronium, and formoterol administered as BGF MDI HFO with a spacer versus BGF MDI HFO without a spacer.
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Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUCinf)
Time Frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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To characterize the PK parameters of budesonide, glycopyrronium, and formoterol administered as BGF MDI HFO (with and without spacer) and BGF MDI HFA with a spacer.
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Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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Time to Reach Maximum Observed Concentration (tmax)
Time Frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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To characterize the PK parameters of budesonide, glycopyrronium, and formoterol administered as BGF MDI HFO (with and without spacer) and BGF MDI HFA with a spacer.
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Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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Terminal Rate Constant (λz)
Time Frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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To characterize the PK parameters of budesonide, glycopyrronium, and formoterol administered as BGF MDI HFO (with and without spacer) and BGF MDI HFA with a spacer.
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Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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Half-life Associated with Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t1/2λz)
Time Frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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To characterize the PK parameters of budesonide, glycopyrronium, and formoterol administered as BGF MDI HFO (with and without spacer) and BGF MDI HFA with a spacer.
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Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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Mean Residence Time of the Unchanged Drug in the Systemic Circulation from Zero to Infinity (MRTinf)
Time Frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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To characterize the PK parameters of budesonide, glycopyrronium, and formoterol administered as BGF MDI HFO (with and without spacer) and BGF MDI HFA with a spacer.
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Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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Apparent Total Body Clearance of Drug from Plasma After Extravascular Administration (CL/F)
Time Frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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To characterize the PK parameters of budesonide, glycopyrronium, and formoterol administered as BGF MDI HFO (with and without spacer) and BGF MDI HFA with a spacer.
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Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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Apparent Volume of Distribution at Steady State Following Extravascular Administration (Vz/F)
Time Frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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To characterize the PK parameters of budesonide, glycopyrronium, and formoterol administered as BGF MDI HFO (with and without spacer) and BGF MDI HFA with a spacer.
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Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
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Number of Participants with Adverse Events
Time Frame: From Baseline up to 48 days
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To assess the safety and tolerability of single doses of BGF MDI HFO (with and without spacer) and BGF MDI HFA with a spacer, in healthy participants.
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From Baseline up to 48 days
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Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- D5985C00008
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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