AzTrials
AzTrials

AsthmaPhase 1NCT05830071

A Thorough QT (TQT) Study of CHF5993 pMDI in Healthy Volunteers (HV)

A Phase 1 study testing CHF5993, CHF5259 and Moxifloxacin 400mg in people with Asthma and Chronic Obstructive Pulmonary Disease (COPD), run by Chiesi Farmaceutici S.p.A. at 1 site in United States.

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

The purpose of this study is to evaluate the potential for cardiac repolarization, according to electrocardiographic monitoring (including QT and QTc intervals), of two dose levels of CHF5993 pMDI (beclomethasone dipropionate/formoterol fumarate/glycopyrronium bromide (BDP/FF/GB)) and of one dose of CHF5259 (GB) in… Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
What is being tested?
CHF5993, CHF5259 and Moxifloxacin 400mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
95 participants
Where
1 siteUnited States
Study dates
29 Mar 2023to 13 Oct 2023
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 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Subject's written informed consent;
  • 18-55 years of age;
  • Ability to understand the study procedures, the risks involved and ability to be trained to use the inhalers correctly;
  • Body Mass Index (BMI) between 18 and 32 kg/m2 extremes inclusive;
  • Non- or ex-smokers who smoked < 5 pack years and stopped smoking > 1 year prior to screening;
  • Good physical and mental status, determined on the basis of the medical history and a general clinical examination;
Show all 10Show fewer
  • Vital signs within normal limits at screening and prior to randomization: Diastolic BP 40-89 mmHg, Systolic BP 90-139 mmHg extremes included (mean value of three measures). Body temperature < 37.5°C;
  • 12 -lead digitized Electrocardiogram (12-lead ECG) in triplicate considered as normal (40 ≤ Heart rate ≤ 110bpm, 120 ms ≤ PR ≤ 220 ms, QRS ≤ 110 ms, QTcF ≤ 450 ms);
  • Lung function measurements within normal limits (normal values: forced expiratory volume in the 1st second [FEV1]/forced vital capacity [FVC] > 0.70 and FEV1 > 80% predicted);
  • Female subjects of non-child bearing potential or females of child bearing potential with negative pregnancy test; and acceptable contraceptive methods.

Who cannot join

  • Participation in another clinical trial where investigational drug was received and last investigations within the last 8 weeks;
  • Clinically significant abnormal standard ECG at screening;
  • Clinically relevant and uncontrolled respiratory, cardiac, hepatic, gastrointestinal, renal, endocrine, metabolic, neurologic, or psychiatric disorders that may interfere with successful completion of this protocol;
  • Subjects with medical diagnosis of narrow-angle glaucoma, prostatic hypertrophy or bladder neck obstruction that in the opinion of the investigator would prevent use of anticholinergic;
  • Subjects with history of breathing problems (i.e., history of asthma including childhood asthma);
  • Positive urine test for cotinine;
Show all 12Show fewer
  • Intake of non-permitted concomitant medications in the predefined period prior to screening or prior to randomization, or the subject is expected to take non-permitted concomitant medications during the study;
  • Presence of any current infection, or previous infection that resolved less than 7 days prior to screening or to randomization;
  • Known intolerance and/or hypersensitivity to any of the excipients contained in the formulation used in the trial;
  • Women who are pregnant or lactating;
  • Use of any kind of smoking electronic devices within 6 months before Screening.
  • Other inclusion/exclusion criteria as defined by the protocol.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • PAREXEL Baltimore Early Phase Clinical Unit

    Baltimore, Maryland, 21225

Other trials in United States

About this study

Official title: A Randomized, Double-blind, Positive and Placebo-controlled, Single-dose, Crossover Study of the Effects of CHF5993 pMDI (BDP/FF/GB) at the Proposed Therapeutic and Supratherapeutic Doses, on the Cardiovascular Safety in Healthy Subjects

The purpose of this study is to evaluate the potential for cardiac repolarization, according to electrocardiographic monitoring (including QT and QTc intervals), of two dose levels of CHF5993 pMDI (beclomethasone dipropionate/formoterol fumarate/glycopyrronium bromide (BDP/FF/GB)) and of one dose of CHF5259 (GB) in healthy subjects compared to moxifloxacin and placebo.

Read the detailed description

The main purpose of this study is to evaluate the effect of a single supratherapeutic dose of inhaled BDP/FF/GB on cardiovascular safety. The secondary purposes of the study are to: 1) evaluate the effect of a single supratherapeutic dose of inhaled BDP/FF/GB and GB on cardiovascular safety; 2) establish assay sensitivity by demonstrating the effect of a single oral dose of 400 mg moxifloxacin on cardiovascular safety; 3) determine the pharmacokinetics (PK) of single, inhaled therapeutic and supratherapeutic BDP/FF/GB doses and supratherapeutic GB dose; 4) determine if there is a relationship between the duration of the QTc intervals and the plasma concentrations of the B17MP (beclomethasone 17monopropionate active metabolite of BDP), FF and GB following the administration of BDP/FF/GB and GB pMDIs; 5) generate additional safety and tolerability information.

Being tested
CHF5993, CHF5259, Moxifloxacin 400mg, CHF5993 Placebo
Medical subject headings
Asthma, Pulmonary Disease, Chronic Obstructive

What participants receive

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

  • CHF5993Drug

    Also called beclometasone dipropionate /formoterol fumarate/glycopyrronium bromide, BDP/FF/GB

    BDP/FF/GB 100/6/12.5 μg pMDI

  • CHF5259Drug

    Also called glycopyrronium bromide, GB

    GB 12.5 μg pMDI

  • Moxifloxacin 400mgDrug

    Also called Moxifloxacin hydrochloride

    400 mg Oral Tablets

  • CHF5993 PlaceboDrug

    Also called BDP/FF/GB Placebo

    placebo pMDI

Study groups in NCT05830071
Study groupRoleWhat they receive
Single therapeutic dose of CHF5993 (BDP/FF/GB)ExperimentalDose: BDP/FF/GB 100/6/12.5 μg, single dose inhalation via pressurized metered dose inhaler (2 puffs from 1 BDP/FF/GB 100/6/12.5 μg pMDI + 2 puffs from 3 placebo pMDI)
Receives: Drug: CHF5993; Drug: CHF5993 Placebo
Single supra-therapeutic dose of CHF5993 (BDP/FF/GB)ExperimentalDose: BDP/FF/GB 800/48/100 μg single dose inhalation, via pressurized metered dose inhaler (8 puffs from 4 BDP/FF/GB 100/6/12.5 μg pMDI)
Receives: Drug: CHF5993
Single supra-therapeutic dose CHF5259 (GB)ExperimentalDose: GB 100 μg single dose inhalation, via pressurized metered dose inhaler (8 puffs from 4 GB 12.5 μg pMDI)
Receives: Drug: CHF5259
Single dose PlaceboPlacebo comparatorDose: placebo single dose inhalation, via pressurized metered dose inhaler 8 puffs from 4 CHF5993 placebo pMDI
Receives: Drug: CHF5993 Placebo
MoxifloxacinActive comparatorDose: moxifloxacin 400 mg single dose, for oral use - open label treatment (1 tablet of moxifloxacin 400 mg PO)
Receives: Drug: Moxifloxacin 400mg

What is being measured

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

  1. Effect of BDP/FF/GB pMDI at therapeutic dose on the heart rate-corrected QT interval based on the Fridericia's correction (QTcF).

    Placebo-adjusted change in QTc interval based on the Fridericia's correction (ΔΔQTcF) after dosing CHF5993 pMDI (200/12/25 μg). Through digitised 12-lead ECG, extracted from 12-Lead Holter ECG.

    Measured: time 0 (pre-dose) to 24 hours

Secondary outcomes (21)
  1. Effect of BDP/FF/GB pMDI and GB pMDI at supra-therapeutic dose on the heart rate-corrected QT interval based on the Fridericia's correction (QTcF).

    Placebo-adjusted change from baseline in QTc interval based on the Fridericia's correction (ΔΔQTcF) after dosing CHF5993 pMDI (800/48/100 μg) and GB pMDI (100 μg). Through digitised 12-lead ECG, extracted from 12-Lead Holter ECG.

    Measured: time 0 (pre-dose) to 24 hours

  2. Assay sensitivity by demonstrating the effect of a single oral therapeutic dose of moxifloxacin on QTcF.

    Placebo-adjusted change from baseline in QTc interval based on the Fridericia's correction (ΔΔQTcF) after dosing 400 mg of moxifloxacin. Through digitised 12-lead ECG, extracted from 12-Lead Holter ECG

    Measured: time 0 (pre-dose) to 6 hours

  3. Effect of BDP/FF/GB pMDI at therapeutic and supra-therapeutic dose and of GB pMDI at supra-therapeutic dose on Hearth Rate (HR).

    Placebo-adjusted change from baseline of HR (ΔΔHR) after dosing BDP/FF/GB pMDI (200/12/25 μg and 800/48/100 μg) and GB pMDI (100 μg) will be summarized by means of descriptive statistics at each analysis time point and by treatment. Through digitised 12-lead ECG, extracted from 12-Lead Holter ECG.

    Measured: time 0 (pre-dose) to 24 hours

  4. Effect of BDP/FF/GB pMDI at therapeutic and supra-therapeutic dose and of GB pMDI at supra-therapeutic dose on PR interval (PR).

    Placebo-adjusted change from baseline of PR (ΔΔPR) after dosing BDP/FF/GB pMDI (200/12/25 μg and 800/48/100 μg) and GB pMDI (100 μg) will be summarized by means of descriptive statistics at each analysis time point and by treatment. Through digitised 12-lead ECG, extracted from 12-Lead Holter ECG.

    Measured: time 0 (pre-dose) to 24 hours

  5. Effect of BDP/FF/GB pMDI at therapeutic and supra-therapeutic dose and of GB pMDI at supra-therapeutic dose on QRS interval (QRS).

    Placebo-adjusted change from baseline of QRS (ΔΔQRS) after dosing BDP/FF/GB pMDI (200/12/25 μg and 800/48/100 μg) and GB pMDI (100 μg) will be summarized by means of descriptive statistics at each analysis time point and by treatment. Through digitised 12-lead ECG, extracted from 12-Lead Holter ECG.

    Measured: time 0 (pre-dose) to 24 hours

  6. Effect of BDP/FF/GB pMDI at therapeutic and supra-therapeutic dose and of GB pMDI at supra-therapeutic dose on individual-corrected QT interval (QTcI)

    Placebo-adjusted change from baseline in individual-corrected QT interval (ΔΔQTcI) after dosing BDP/FF/GB pMDI (200/12/25 μg and 800/48/100 μg) and GB pMDI (100 μg). Through digitised 12-lead ECG, extracted from 12-Lead Holter ECG.

    Measured: time 0 (pre-dose) to 24 hours

  7. Effect of moxifloxacin at therapeutic dose on individual-corrected QT interval.

    Placebo-adjusted change from baseline in individual-corrected QT interval (ΔΔQTcI) after dosing 400 mg of moxifloxacin. Through digitised 12-lead ECG, extracted from 12-Lead Holter ECG.

    Measured: time 0 (pre-dose) to 6 hours

  8. Changes in T-wave morphology and U-wave presence.

    Frequency of treatment-emergent changes in T-wave morphology and U-wave presence after dosing BDP/FF/GB pMDI (200/12/25 μg and 800/48/100 μg) and GB pMDI (100 μg). Through digitised 12-lead ECG, extracted from 12-Lead Holter ECG.

    Measured: time 0 (pre-dose) to 24 hours

  9. Analysis of categorical outliers of Hearth Rate (HR), PR interval (PR), QRS interval (QRS) and QTcF interval (QTcF), after BDP/FF/GB pMDI dosing at therapeutic and supra-therapeutic dose, and after GB dosing at supra-therapeutic dose.

    Results of categorical outliers will be summarized by treatment in frequency tables reporting: counts and percentages for number of subjects and number of time points with 1) abnormal actual QTcF values, and 2) abnormal change from baseline of HR, PR, QRS and QTcF. Through digitised 12-lead ECG, extracted from 12-Lead Holter ECG.

    Measured: time 0 (pre-dose) to 24 hours

  10. Analysis of Maximum plasma concentration (Cmax), pharmacokinetic parameter of FF, GB, BDP and B17MP

    Analysis of Cmax after dosing BDP/FF/GB pMDI (200/12/25 μg and 800/48/100 μg) and GB pMDI (100 μg).

    Measured: time 0 (pre-dose) to 24 hours

  11. Analysis of Area under the curve from 0 to 12 hours post-dose (AUC0-12), pharmacokinetic parameter of FF, GB, BDP and B17MP

    Analysis of AUC0-12, after dosing BDP/FF/GB pMDI (200/12/25 μg and 800/48/100 μg) and GB pMDI (100 μg).

    Measured: time 0 (pre-dose) to 24 hours

  12. Analysis of Area under the plasma concentration-time curve from time 0 to time t (AUC0 t), pharmacokinetic parameter of FF, GB, BDP and B17MP

    Analysis of AUC0-t after dosing BDP/FF/GB pMDI (200/12/25 μg and 800/48/100 μg) and GB pMDI (100 μg).

    Measured: time 0 (pre-dose) to 24 hours

  13. Analysis of Area under the curve from time 0 to infinity (AUC0-∞), pharmacokinetic parameter of FF, GB, BDP and B17MP

    Analysis of AUC0-∞ after dosing BDP/FF/GB pMDI (200/12/25 μg and 800/48/100 μg) and GB pMDI (100 μg).

    Measured: time 0 (pre-dose) to 24 hours

  14. Analysis of Time to maximum plasma concentration (tmax), pharmacokinetic parameter of FF, GB, BDP and B17MP

    Analysis of tmax, after dosing BDP/FF/GB pMDI (200/12/25 μg and 800/48/100 μg) and GB pMDI (100 μg).

    Measured: time 0 (pre-dose) to 24 hours

  15. Analysis of Terminal half-life (t1/2), pharmacokinetic parameter of FF, GB, BDP and B17MP

    Analysis of t1/2, after dosing BDP/FF/GB pMDI (200/12/25 μg and 800/48/100 μg) and GB pMDI (100 μg).

    Measured: time 0 (pre-dose) to 24 hours

  16. Incidence of Adverse events

    Number and percentage of subjects with at least one event and number of treatment emergent events

    Measured: from study start through study completion, an average of 4 months

  17. Incidence of Adverse Drug Reactions

    Number and percentage of subjects with at least one event and number of treatment emergent events

    Measured: from study start through study completion, an average of 4 months

  18. Change of systolic and diastolic blood pressure

    Number and percentage of subjects with with abnormal changes from baseline

    Measured: from study start through study completion, an average of 4 months

  19. Body temperature abnormal values

    Number and percentage of subjects with at least one event and number of treatment emergent events

    Measured: from study start through study completion, an average of 4 months

  20. Abnormal results of physical examinations

    Number and percentage of subjects with at least one event and number of treatment emergent events

    Measured: from study start through study completion, an average of 4 months

  21. Abnormal clinical chemistry and haematology laboratory tests

    Number and percentage of subjects with at least one event and number of treatment emergent events

    Measured: from study start through study completion, an average of 4 months

Timeline

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

  1. First posted26 Apr 2023
  2. Study start29 Mar 2023
  3. Primary completion13 Oct 2023
  4. Study completion13 Oct 2023

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
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
95 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05830071
Sponsor's protocol ID
CLI-05993AB7-03
Status last verified
Sep 2024
First submitted
28 Mar 2023
Last updated
4 Sep 2024
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 CHF5993, CHF5259 and Moxifloxacin 400mg in people with Asthma and Chronic Obstructive Pulmonary Disease (COPD), run by Chiesi Farmaceutici S.p.A. at 1 site in United States.

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 10 inclusion and 12 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 4 Sep 2024. 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 United States. 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. Some participants in this study may receive a placebo. 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?

Effect of BDP/FF/GB pMDI at therapeutic dose on the heart rate-corrected QT interval based on the Fridericia's correction (QTcF). (time frame: time 0 (pre-dose) to 24 hours). 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 4 Sep 2024.

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