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BioequivalencePhase 1NCT04462822

A Pilot Bioequivalence Study Between Fluticasone Propionate 250 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respirent Pharmaceuticals vs. ADVAIR DISKUS® 250/50 Inhalation Powder/GSK in Healthy Volunteers

A Phase 1 study testing Fluticasone propionate 250 mcg and salmeterol xinafoate 50 mcg/Respirent and ADVAIR DISKUS® 250/50 in people with Bioequivalence, run by Respirent Pharmaceuticals Co Ltd. at 1 site in Greece.

Completed

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

Official record
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Trial summary

Bioequivalence study between two inhaler products of fixed dose combination of fluticasone propionate and salmeterol xinafoate inhalation powder Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Bioequivalence
What is being tested?
Fluticasone propionate 250 mcg and salmeterol xinafoate 50 mcg/Respirent and ADVAIR DISKUS® 250/50
Could I receive a placebo?
No, everyone receives an active treatment
How many people
14 participants
Where
1 siteGreece
Study dates
24 Aug 2020to 31 Dec 2020
Phase
Phase 1
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 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy volunteers of both genders, aged ≥18 and ≤60 years.
  • Subjects with Body Mass Index (ΒΜΙ) ≥18.5 and <30.0 kg/m2.
  • Healthy volunteers are declared healthy based on medical history, physical examination, ECG, pulmonary function test (a forced expiratory volume in 1 second (FEV1) ≥80% of the predicted normal value), and clinical laboratory values within the laboratory stated normal range; if not within this range, they must be without any clinical significance according to the Investigator.
  • Females who participate in the study are either at reproductive age i.e.pre-menopausal or unable to gestate [i.e. post-menopausal (absence of menses for 12 months prior to drug administration), hysterectomy, bilateral oophorectomy, tubal ligation at least 6 months prior to drug administration].
  • Subjects that are non-smokers.
  • Subjects that, in the opinion of the principal investigator/medical officer, are able to communicate and comply with the study procedures and protocol restrictions as evidenced by the Informed Consent Form (ICF) duly read, signed and dated by the subject prior to study initiation.
  • Subjects able to use the inhalers according to given instructions, as judged by the Investigator or study nurse.

Who cannot join

  • Hypersensitivity to the active substance(s) or to the excipient (lactose which contains small amounts of milk protein may cause allergic reactions) or related class (any sympathomimetic drug or any inhaled, intranasal, or systemic corticosteroid therapy) of the medicinal product
  • Clinically significant illness or surgery within four weeks prior to dosing.
  • Clinically significant ECG abnormalities or vital sign abnormalities (seated systolic blood pressure <90 or >140 mmHg, seated diastolic blood pressure <50 or >90 mmHg or heart rate less than 50 or over 100 bpm) at screening.
  • Clinically significant history or presence of chronic bronchitis, emphysema,asthma or any other lung disease.
  • History or presence of pulmonary tuberculosis.
  • Viral or bacterial, upper or lower respiratory tract infection or sinus or middle ear infection within 4 weeks prior to the screening visit.
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  • History or presence of significant cardiovascular, endocrinal, neurologic, immunological, psychiatric or metabolic disease.
  • History of significant alcohol or drug abuse within one year prior to the screening visit.
  • Regular use of alcohol within six months prior to screening visit (more than 14 alcohol units per week) [1Unit =150 ml of wine, 360 ml of beer, or 45 ml of 40% alcohol].
  • Inability to abstain from alcohol for the duration of study period.
  • Presence of disease markers for Hepatitis B, Hepatitis C or HIV at screening.
  • Positive results for drugs of abuse (barbiturates, marijuana, opioids, benzodiazepines and methadone) in saliva before each administration.
  • Positive alcohol breath test before each administration.
  • Use of soft drugs (such as marijuana) within three months prior to screening or hard drugs such as crack, cocaine or heroin within one year prior to screening visit
  • Intake of any drugs known to induce or inhibit hepatic drug metabolism (examples of inducers are barbiturates, carbamazepine, phenytoin, glucocorticoids, rifampin/rifabutin; examples of inhibitors are, erythromycin, ketoconazole, indinavir, cobicistat-containing products) within one month prior to administration of the study medication. Under these circumstances, subject inclusion will be judged by the principal investigator.
  • History of peptic ulcer, other gastrointestinal disorders (e.g. chronic diarrhoea, irritable bowel syndrome) or unresolved gastrointestinal symptoms (e.g. diarrhea, vomiting) or significant hepatic, renal or other condition that is known to interfere with the absorption, distribution, metabolism or excretion of the drug.
  • Use of oral or parenteral corticosteroids in the previous four 4 weeks
  • Eye disorders especially Glaucoma (or a family history of glaucoma)
  • Use of prescription medication (within 14 days prior to the first administration of study medication) or over-the-counter (OTC) products (including food supplements vitamins and herbal supplements) within one week (7 days) prior to the first administration of study medication, except for topical products without systematic absorption. Contraceptives are allowed.
  • Vaccination for prophylaxis from seasonal flu or any other vaccination within seven days prior to administration
  • History of allergy to any food, intolerance or special diet, that in the opinion of the medical sub-investigator could contraindicate the subject's participation in the study.
  • A depot injection or an implant of any drug (except hormonal contraceptives) within 3 months prior to treatment administration.
  • Donation of plasma (500 ml) within 7 days prior to treatment administration.
  • Donation of whole blood or loss of whole blood ≥ 500 ml prior to administration of the study medication within 30 days prior to treatment administration.
  • Participation in another clinical trial simultaneously.
  • Subjects receiving special diet or having intolerance in any of the provided study meals or refusing to eat the study meals
  • Application of tattoo or body piercing within 30 days prior to treatment administration.
  • Non-tolerance to venipuncture.
  • Breastfeeding women.
  • Positive pregnancy test at screening
  • Females of reproductive age that had sexual intercourse with a non-sterile male partner without protection within 14 days prior to drug administration
  • Reliable contraception methods are considered the following:
  • combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation: oral or transdermal
  • progestogen-only hormonal contraception associated with inhibition of ovulation oral or injectable
  • bilateral tubal occlusion
  • vasectomised partner
  • sexual abstinence

Trial locations and contacts

1 site in 1 country.

Greece1 site
  • BECRO Clinical Facility

    Larissa, Thessaly, 41100

Other trials in Greece

About this study

Official title: A Pilot Randomized, Single-dose, Open Label, Two-treatment, Two-sequence, Two-period, Crossover Study Under Fasting Conditions to Examine the Bioequivalence Between Fluticasone Propionate 250 mcg and Salmeterol Xinafoate 50 mcg Inhalation Powder/Respirent Pharmaceuticals vs. ADVAIR DISKUS® 250/50 Inhalation Powder/GSK in Healthy Volunteers

Bioequivalence study between two inhaler products of fixed dose combination of fluticasone propionate and salmeterol xinafoate inhalation powder

Read the detailed description

A bioequivalence study of a single dose of the fixed-dose combination of fluticasone propionate and salmeterol xinafoate inhalation powder administered from Fluticasone propionate 250 mcg and Salmeterol xinafoate 50 mcg inhalation powder/Respirent Pharmaceuticals (test-Τ) as 2 inhalations and ADVAIR DISKUS® 250/50 mcg inhalation powder/GSK (reference-R) in healthy volunteers under fasting conditions. The study will be one-center crossover, randomized, 2-period, 2-sequence (RT and TR), single dose, laboratory-blinded.

Conditions
Bioequivalence
Being tested
Fluticasone propionate 250 mcg and salmeterol xinafoate 50 mcg/Respirent, ADVAIR DISKUS® 250/50
Keywords
bioequivalence, fluticasone propionate, salmeterol xinafoate, ADVAIR

What participants receive

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

  • Fluticasone propionate 250 mcg and salmeterol xinafoate 50 mcg/RespirentDrug

    2 inhalations of Test and Reference product in each study period

  • ADVAIR DISKUS® 250/50Drug

    2 inhalations of Test and Reference product in each study period

Study groups in NCT04462822
Study groupRoleWhat they receive
Test ProductExperimentalFluticasone propionate 250 mcg and salmeterol xinafoate 50 mcg/Respirent Pharmaceuticals
Receives: Drug: Fluticasone propionate 250 mcg and salmeterol xinafoate 50 mcg/Respirent
Reference ProductActive comparatorADVAIR DISKUS® 250/50
Receives: Drug: ADVAIR DISKUS® 250/50

What is being measured

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

  1. Cmax

    Maximum plasma concentration, it is read directly from the raw data

    Measured: up to 36 hours post-administration

  2. AUC0-t

    Area under the plasma concentration curve from time 0 to the last measured

    Measured: up to 36 hours post-administration

Secondary outcomes (5)
  1. AUC0-∞

    Area under the plasma concentration-time curve extrapolated to infinity

    Measured: up to 36 hours post-administration

  2. Tmax

    Time until Cmax is reached, it is read directly from the observed concentrations

    Measured: up to 36 hours post-administration

  3. t1/2

    Plasma concentration halflife, it is calculated from the ratio 0.693/λZ.

    Measured: up to 36 hours post-administration

  4. λz

    Terminal elimination rate constant, calculated from the slope of the final phase of the ln-concentration curve versus time with regression analysis

    Measured: up to 36 hours post-administration

  5. Residual area

    [AUC(0-∞)-AUC(0-t)]/AUC(0-∞)]

    Measured: up to 36 hours post-administration

Timeline

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

  1. First posted8 Jul 2020
  2. Study start24 Aug 2020
  3. Primary completion9 Sep 2020
  4. Study completion31 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 1
Primary purpose
Other
Allocation
Randomised
Intervention model
Crossover
Model description
One-center crossover, randomized, 2-period, 2-sequence (RT and TR), single dose, laboratory-blinded study
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
14 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04462822
Sponsor's protocol ID
BECRO/RESP/BE250-PILOT
Status last verified
Oct 2020
First submitted
5 Jul 2020
Last updated
20 Jan 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Fluticasone propionate 250 mcg and salmeterol xinafoate 50 mcg/Respirent and ADVAIR DISKUS® 250/50 in people with Bioequivalence, run by Respirent Pharmaceuticals Co Ltd. at 1 site in Greece.

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 7 inclusion and 37 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 20 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 Greece. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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?

Cmax (time frame: up to 36 hours post-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 20 Jan 2021.

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