A Trial to Evaluate the Safety and Efficacy of HL231 Solution for Inhalation in Patients with COPD

A Multicenter, Randomized, Placebo and Active Controlled, Phase II Clinical Study to Evaluate the Efficacy and Safety of HL231 Solution for Inhalation in Patients with Chronic Obstructive Pulmonary Disease (COPD)

To evaluate the efficacy and safety of HL231 Solution for Inhalation vs Ultibro in Chinese patients with moderate to severe COPD.

Study Overview

• Status: Completed
• Conditions: Chronic Obstructive Pulmonary Disease (COPD)
• Intervention / Treatment: Drug: HL231 Dose 1/2/3/4

Detailed Description

This study is a randomized, single-dose, multi-center, two-part, crossover, dose-ranging study of HL231 in the treatment of subjects with COPD. This study is divided into 2 parts.

Part A is a 5 treatment period single dose study. Each treatment period will be separated by a washout period of at least 14 days. The primary comparison for bronchodilation was between HL231 doses vs Ultibro or placebo in COPD patients.

Part B is a 3 treatment period single dose study. Each treatment period will be separated by a washout period of at least 14 days. The primary comparison for pharmacokinetic profile was between HL231 vs Ultibro in COPD patients.

• Study Type: Interventional
• Enrollment (Actual): 102
• Phase: Phase 2

Contacts and Locations

Study Locations

• China
  • Sichuan
    • Chengdu, Sichuan, China, 610041
      • West China Hospital of Sichuan University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Males and females of Chinese ethnicity, at least 40 years of age;
• Patients with with a clinical diagnosis of moderate to severe COPD confirmed by spirometry according to according to GOLD criteria；
• Current or ex-smokers with a>10 year pack history；
• Patients with a post-bronchodilator Forced Expiratory Volume in one second (FEV1) < 80% and ≥ 30% of the predicted normal value , and post-bronchodilator FEV1/FVC (Forced Vital Capacity) < 0.70 at visit 1；
• Patients have airway reversibility based a ≥12% increase in FEV1 following ipratropium and salbutamol treatment；
• Patients on no maintenance/background therapy or could withhold prohibited COPD medications in protocol during the screening and treatment period (except study-supplied salbutamol as an rescue medication);
• Modified Medical Research Council (mMRC) grade of at least 2 at visit 1.

Exclusion Criteria:

• Patients with any of the following significant diseases: α-1 antitrypsin deficiency, cystic fibrosis, significant asthma, active bronchiectasis, obliterated bronchiolitis, active pulmonary tuberculosis, sarcoidosis, lung fibrosis, pulmonary hypertension, pulmonary edema, interstitial lung disorder, lung cancer or other active pulmonary disease；
• Evidence or history of other clinically significant cardiovascular disease or abnormality (such as, but not limited to, unstable ischemic heart disease, congestive heart failure, uncontrolled hypertension, uncontrolled coronary artery disease, myocardial infarction, arrhythmia, long QT syndrome, paroxysmal atrial fibrillation), renal, neurological, endocrine, immunological, psychiatric, gastrointestinal, hepatic, or hematological disease or abnormality which, in the opinion of the investigator, would put the patient at risk through study participation, or would affect the study analyses if the disease exacerbates during the study;
• Patients with paradoxical bronchospasm, narrow-angle glaucoma, symptomatic benign prostatic hyperplasia(benign prostatic hyperplasia patients who were stable on treatment could have been considered), bladder-neck obstruction, severe renal impairment, or urinary retention, or any other medical history, which, in the opinion of the investigator, would contraindicate the use of an anticholinergic agent;
• Hospitalization for COPD or pneumonia within 12 weeks prior to screening (Visit 1) or screening;
• Patients who have had a COPD exacerbation that required treatment with antibiotics, systemic steroids , hospitalization or emergency treatment in the 12 weeks prior to screening (Visit 1);
• Patients who have had an acute (viral or bacterial) upper or lower respiratory tract infection, sinusitis, pharyngitis or urinary tract infections within 6 weeks prior to screening (Visit 1) or screening;
• Patients with conditions contraindicated for treatment with or having a history of allergy or hypersensitivity to any of the following inhaled drugs, drugs of a similar class or any component thereof: Anticholinergic/muscarinic receptor antagonist, Long- or short-acting β2-agonists, Sympathomimetic amines, Lactose/milk proteins, or any of the other excipients of the delivery system;
• History of frequent COPD exacerbations of moderate to severe severity averaging 2 or more per year, over the last 3 years.

Other protocol-defined inclusion/exclusion criteria may apply.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: Single

Number of Arms

8

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: HL231 Dose 1（Part A）; single dose, oral inhalation by PARI BOY nebulizer	Drug: HL231 Dose 1/2/3/4; HL231 Solution for Inhalation, dose 1/2/3 (Part A) , dose 2/4（Part B） single dose, oral inhalation by PARI BOY nebulizer
Experimental: HL231 Dose 2（Part A）; single dose, oral inhalation by PARI BOY nebulizer	Drug: HL231 Dose 1/2/3/4; HL231 Solution for Inhalation, dose 1/2/3 (Part A) , dose 2/4（Part B） single dose, oral inhalation by PARI BOY nebulizer
Experimental: HL231 Dose 3（Part A）; single dose, oral inhalation by PARI BOY nebulizer	Drug: HL231 Dose 1/2/3/4; HL231 Solution for Inhalation, dose 1/2/3 (Part A) , dose 2/4（Part B） single dose, oral inhalation by PARI BOY nebulizer
Active Comparator: Ultibro （Part A）; Ultibro capsule for inhalation, consisting of a fixed dose combination of indacaterol 110µg and glycopyrronium 50µg, single dose, oral inhalation by Breezhaler	Drug: HL231 Dose 1/2/3/4; HL231 Solution for Inhalation, dose 1/2/3 (Part A) , dose 2/4（Part B） single dose, oral inhalation by PARI BOY nebulizer
Placebo Comparator: Placebo Solution for Inhalation (Part A); Placebo Solution for Inhalation, single dose, oral inhalation by PARI BOY nebulizer	Drug: HL231 Dose 1/2/3/4; HL231 Solution for Inhalation, dose 1/2/3 (Part A) , dose 2/4（Part B） single dose, oral inhalation by PARI BOY nebulizer
Experimental: HL231 Dose 2（Part B）; single dose, oral inhalation by PARI BOY nebulizer	Drug: HL231 Dose 1/2/3/4; HL231 Solution for Inhalation, dose 1/2/3 (Part A) , dose 2/4（Part B） single dose, oral inhalation by PARI BOY nebulizer
Experimental: HL231 Dose 4（Part B）; single dose, oral inhalation by PARI BOY nebulizer	Drug: HL231 Dose 1/2/3/4; HL231 Solution for Inhalation, dose 1/2/3 (Part A) , dose 2/4（Part B） single dose, oral inhalation by PARI BOY nebulizer
Active Comparator: Active Comparator （Part B）; Ultibro capsule for inhalation, consisting of a fixed dose combination of indacaterol 110µg and glycopyrronium 50µg, single dose, oral inhalation by Breezhaler	Drug: HL231 Dose 1/2/3/4; HL231 Solution for Inhalation, dose 1/2/3 (Part A) , dose 2/4（Part B） single dose, oral inhalation by PARI BOY nebulizer

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Part A：Change from baseline in Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-12 Hours	Up to 12 hours after investigational product administration
Part B：Pharmacokinetic variables: AUC0-t	Up to 144 hours after investigational product administration
Part B：Pharmacokinetic variables: AUC0-∞	Up to 144 hours after investigational product administration
Part B：Pharmacokinetic variables: Cmax	Up to 144 hours after investigational product administration

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Part B：Change from baseline in Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-12 Hours		Up to 12 hours after investigational product administration
Part B: Pharmacokinetic variables: Tmax		Up to 144 hours after investigational product administration
Part B: Pharmacokinetic variables: t1/2		Up to 144 hours after investigational product administration
Part A & Part B：Adverse event rate	Adverse events are summarized according to the system organ classification and standard name, and the system organ classification and standard name are arranged in descending order of the frequency of the tested preparation group	From the time of informed consent up to 14 (±2) days after the last dose of investigational product.
Part A & Part B：Change from baseline in Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-24 Hours		Up to 24 hours after investigational product administration
Part A & Part B：Change from baseline in Forced Expiratory Volume in 1 Second Area Under the Curve (FEV1 AUC) 0-4 Hours		Up to 4 hours after investigational product administration

Collaborators and Investigators

• Sponsor: Haisco Pharmaceutical Group Co., Ltd.
• Investigators: Principal Investigator: Zhu Luo, M.D., West China Hospital

Study record dates

Study Major Dates

• Study Start (Actual): January 12, 2022
• Primary Completion (Actual): May 29, 2023
• Study Completion (Actual): May 29, 2023

Study Registration Dates

• First Submitted: September 12, 2024
• First Submitted That Met QC Criteria: September 25, 2024
• First Posted (Actual): October 1, 2024

Study Record Updates

• Last Update Posted (Actual): October 16, 2024
• Last Update Submitted That Met QC Criteria: October 14, 2024
• Last Verified: October 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Respiratory Tract Diseases; Disease Attributes; Chronic Disease; Lung Diseases; Lung Diseases, Obstructive; Pulmonary Disease, Chronic Obstructive
• Other Study ID Numbers: HEISCO-231-201

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No