AzTrials
AzTrials

PharmacokineticsPhase 2NCT03739294

Urine Concentrations of Vilanterol After Inhaled Administration of Vilanterol/Fluticasone Furoate

A Phase 2 study testing Fluticasone Furoate/ Vilanterol Trifenatate in people with Pharmacokinetics, run by Bispebjerg Hospital at 1 site in Denmark.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Introduction: The prevalence of asthma and exercise-induced bronchoconstriction is high in the athletic population. In endurance sport, the prevalence has been reported to be as high as 30-50% compared to the general population prevalence of approximately 5-10% in Western countries. Read more about this study

Who is it for?
Ages 18 to 39 yearsHealthy volunteers can take part
Conditions the study is for
Pharmacokinetics
What is being tested?
Fluticasone Furoate/ Vilanterol Trifenatate
Could I receive a placebo?
No, everyone receives an active treatment
How many people
26 participants
Where
1 siteDenmark
Study dates
8 Feb 2019to 14 Dec 2020
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 39 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy
  • Age between 18 and 39 years, both included at time of screening
  • Ability to correctly use the inhaler device
  • Active at least 5 h pr. week (defined as endurance exercise)
  • VO2-max classified as high or very high (table 1)(Astrand, 1960) measured during an incremental test to exhaustion at the screening visit
  • Male or non-pregnant female
Show all 19Show fewer
  • Females of childbearing potential has to use one or more of the following highly effective methods for contraception in order to be included:
  • Vasectomized partner
  • Bilateral tubal occlusion
  • Sexual abstinence
  • Intrauterine device
  • Hormonal contraception
  • Females who are considered to have no childbearing potential are
  • Bilateral tubal ligation
  • Bilateral oophorectomy
  • Complete hysterectomy
  • Postmenopausal defined as 12 months with no menses without an alternative medical cause
  • Non-smokers
  • No daily use of prescribed medication

Who cannot join

  • Diagnosis of heart, pulmonary (including asthma in Global initiative for asthma (GINA) 2-5), intestinal and renal diseases
  • Allergy towards the active drug or any substances used in the drug
  • Non-compliance with the protocol

Trial locations and contacts

1 site in 1 country.

Denmark1 site
  • Respiratory research unit, Bispebjerg University Hospital

    Copenhagen, 2400

Other trials in Denmark

About this study

Official title: Urine Concentrations of Vilanterol After Inhaled Administration of Vilanterol/Fluticasone Furoate: Defining a Urine Threshold and Decision Limit for Vilanterol in Doping Control Analysis

Introduction: The prevalence of asthma and exercise-induced bronchoconstriction is high in the athletic population. In endurance sport, the prevalence has been reported to be as high as 30-50% compared to the general population prevalence of approximately 5-10% in Western countries. First-line treatment in asthma is reliever medication and inhaled corticosteroids (ICS). Therefore, β2-adrenoceptor agonists and ICS are commonly prescribed drugs to athletes. Although long-acting β2-agonists (LABA) are the most commonly used β2-agonists in asthma management, development of ultra-long acting β2-agonists (U-LABA) as vilanterol may change this. U-LABA has a long duration of action (24 hours) compared with LABA (12 hours). The accumulated number of inhalations per day for elite athletes may thus be reduced when prescribed with U-LABA as compared to LABA. Use of β2-agonists are restricted by the World Anti-Doping Agency (WADA). As of 2018, β2-agonists salbutamol, formoterol and salmeterol are allowed by inhalation in therapeutic doses, whereas other β2-agonists, such as terbutaline and vilanterol still require the athlete to obtain a therapeutic use exemption (TUE). To discriminate therapeutic use from supra-therapeutic misuse, WADA has established urinary thresholds and decision limits based on urine concentrations of salbutamol, salmeterol and formoterol. However, while data on urine concentrations of these three β2-agonists are well-described in studies that simulate sport-specific situations that are applicable for doping control, no such data exist for the novel U-LABA vilanterol. For instance, asthmatic athletes using β2-agonists usually inhale the drug before training or competition as prophylaxis for bronchoconstriction. Thus, studies are needed to investigate the urine concentrations of vilanterol after inhaled administration in set-ups that are applicable to doping control which this study aims to investigate.

Method: The study is divided in two phases. The first phase consists of a pharmacokinetic pilot trial (EXP1). Depending on the analytical outcome of the pilot study, the study proceeds into the second phase, which is a larger pharmacokinetic trial (EXP2). Both EXP1 and EXP 2 are open label studies.

Read more

EXP1: 6 healthy, well trained individuals are recruited to perform two trial days. First trial day consists of inhalation of the study drug in 4 times therapeutic dose followed by an exercise session. Before second trial day subjects inhales 4 times the therapeutic dose at home and on day 7 perform a training session. Urine and blood are collected in the following 72 hours both days.

EXP2: 20 healthy, well trained individuals are recruited to perform four trial days in the same way as EXP1. But here both normal use and four times normal dose is investigated.

Read the detailed description

OBJECTIVES The main objective of the present study is to investigate urine concentrations of vilanterol and its metabolites (GSK932009 and GW630200) after single dose inhalation of Relvar® (22/184 mcg VI/FF) at therapeutic and supratherapeutic doses. A secondary objective is to investigate whether vilanterol and its metabolites (GSK932009 and GW630200) are present at higher concentrations in urine after seven days of daily inhalation of Relvar® at therapeutic and supratherapeutic doses.

Applicability The results from the study will help establish a urine threshold and decision limit for vilanterol on the WADA list of prohibited substances, thus lessening the administrative burdens associated with TUEs.

Study drug Study treatment in this study is refers to either therapeutic dosage of 22/184 micrograms of vilanterol/fluticasone furoate or four times therapeutic dosage of vilanterol/fluticasone furoate (88/736 micrograms, 4 puffs).

METHODS Study design The study is divided in two phases. The first phase consists of a pharmacokinetic pilot trial (EXP1). Depending on the analytical outcome of the pilot study, the study proceeds into the second phase which is a larger pharmacokinetic trial (EXP2).

Progression from the pilot phase (EXP1) of the study to the second phase (EXP2) of the study depends on a successful pilot phase (EXP1). Success will be concluded provided the pilot phase generates adequate urine concentration data for vilanterol and/or its metabolites (GSK932009, GW630200) with values above the assay limits of quantitation for at least 8 hours post dose. The pilot phase urine concentration data, together with plasma concentration data, will also be used to estimate the urinary concentrations of vilanterol and/or its metabolites at therapeutic and supratherapeutic under various conditions. These estimates will be used to determine whether progression to the second phase of the study is feasible and has a high probability of success in achieving its objectives.

Type of study The study is an open-label study. The study is classified as a Phase II study investigating pharmacokinetics Screening In EXP1 and EXP2, subjects are examined by a medical doctor and electrocardiography (ECG) is performed. Furthermore, subjects' lung function is measured with a spirometer and maximal oxygen consumption (VO2max) and performance are determined during an incremental bike ergometer test to exhaustion. Prior to the test, subjects warm up for 15 min. Subjects are told to keep a cadence of 80-100 rpm during the test. During the warm-up and incremental test, gas exchange is measured breath-by-breath.

After the VO2max-test, inhaler technique is practiced with a demonstrator device.

Pharmacokinetic trials

In EXP1, subjects meet at the laboratory for two trials:

Trial A1: Supra-therapeutic inhalation of Relvar® 22/184 (4 puffs) once Trial A2: Supra-therapeutic inhalation of Relvar® 22/184 (4 puffs) daily for 7 days

In EXP2, subjects meet at the laboratory for four trials:

Trial A1: Supra-therapeutic inhalation of Relvar® 22/184 (4 puffs) once Trial A2: Supra-therapeutic inhalation of Relvar® 22/184 (4 puffs) daily for 7 days Trial B1: Therapeutic inhalation of Relvar® 22/184 (1 puff) once Trial B2: Therapeutic inhalation of Relvar® 22/184 (1 puff) daily for 7 days

During each of the trials, subjects meet in the morning after an overnight fast. A urine sample is collected and subjects ingest a standardized meal and drink. One hour after the meal, study drug is administered during supervision and subjects start performing 60 min of exercise on a bike ergometer. Exercise is based on subjects' individual VO2max. To simulate the shifts in intensity during real-life competitive stages, the exercise protocol is performed at various shifting intensities, but still at a relative load of subjects' VO2max for inter-individual comparisons. Subjects are allowed to drink water during the exercise.

After exercise, subjects remain inactive for the rest of the trial. Three hours after administration of the study drug, subjects receive a standardized lunch and drink.

Urine is collected 0-1, 1-2, 2-4, 4-6, 6-8, 8-12, 12-16, 16-24, 24-36, 36-48 and 48-72 h following administration (corresponding to 0-71 h post exercise).

Venous blood samples are collected through a catheter in the antecubital vein ½, 1½, 3, 5, 7 and 10 h following administration.

Detailed instructions for urine and blood sample collection, processing, storage and transportation will be provided in the Study Procedures Manual) Concerning the Pilot study (EXP1) and the main study (EXP2): Between trials 1 and 2, subjects receive a Relvar® inhaler for six days of home use of 4 puffs per day, which will be monitored by staff via Skype or Facetime video call at the same time of the day as during trial 1. Twenty-four hours after the sixth day of home inhalation, subjects meet for trial 2. In EXP1 Trial A1 and Trial A2 is separated with minimum one week to ensure washout. In EXP2, Trial A1 and A2 and B1 and B2 are separated by at least 1 week to ensure washout.

End of trial The trial is finished when the last patient has been at the last visit. Pilot study (EXP1) is estimated to end at the end of 2018 and the large study is estimated to end at the end of 2019.

Being tested
Fluticasone Furoate/ Vilanterol Trifenatate

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Fluticasone Furoate/ Vilanterol TrifenatateDrug

    Also called Relvar Ellipta 184/22 micrograms

    Asthma inhalation medication

Study groups in NCT03739294
Study groupRoleWhat they receive
PILOT: 4 puffs onceExperimental4 puffs of Fluticasone Furoate/ Vilanterol Trifenatate 184/22 micrograms
Receives: Drug: Fluticasone Furoate/ Vilanterol Trifenatate
PILOT: 4 puffs once a day for 7 daysExperimental4 puffs of Fluticasone Furoate/ Vilanterol Trifenatate 184/22 micrograms for 7 days
Receives: Drug: Fluticasone Furoate/ Vilanterol Trifenatate
LARGE: 4 puffs onceExperimentalSupra-therapeutic inhalation of Fluticasone Furoate/ Vilanterol Trifenatate 184/22 micrograms (4 puffs) once
Receives: Drug: Fluticasone Furoate/ Vilanterol Trifenatate
LARGE: 4 puffs once a day for 7 daysExperimentalSupra-therapeutic inhalation of Fluticasone Furoate/ Vilanterol Trifenatate 184/22 micrograms (4 puffs) daily for 7 days
Receives: Drug: Fluticasone Furoate/ Vilanterol Trifenatate
LARGE: 1 puff onceExperimentalTherapeutic inhalation of Fluticasone Furoate/ Vilanterol Trifenatate 184/22 micrograms (1 puff) once
Receives: Drug: Fluticasone Furoate/ Vilanterol Trifenatate
LARGE: 1 puff once a day for 7 daysExperimentalTherapeutic inhalation of Fluticasone Furoate/ Vilanterol Trifenatate 184/22 (1 puff) daily for 7 days
Receives: Drug: Fluticasone Furoate/ Vilanterol Trifenatate

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Vilanterol and its metabolites

    Urine concentrations of vilanterol and its metabolites (GSK932009 and GW630200) 0-72 hours post drug administration.

    Measured: 72 hours post drug administration

  2. Vilanterol and its metabolites

    Blood concentrations of vilanterol and its metabolites (GSK932009 and GW630200) 0-10 hours post drug administration

    Measured: 0-10 hours post drug administration

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Nov 2018
  2. Study start8 Feb 2019
  3. Primary completion14 Dec 2020
  4. Study completion14 Dec 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Basic science
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
26 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03739294
Sponsor's protocol ID
WADAVIL2018
Status last verified
Jan 2021
First submitted
9 Nov 2018
Last updated
27 Jan 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Fluticasone Furoate/ Vilanterol Trifenatate in people with Pharmacokinetics, run by Bispebjerg Hospital at 1 site in Denmark.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 19 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Vilanterol and its metabolites (time frame: 72 hours post drug administration). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jan 2021.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in