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Completed

NCT Number: NCT02254174

Relative Bioavailability of Tiotropium and Salmeterol After Inhalation of a Fixed Combined Dose Compared to Monocomponents in Healthy Male Volunteers

Assessment of the relative bioavailability of a fixed dose combination of tiotropium and salmeterol compared to a free dose combination of the marketed products of tiotropium and salmeterol (Spiriva® and Serevent® Diskus®).

Assessment of the relative bioavailability of a fixed dose combination of tiotropium and salmeterol compared to tiotropium and salmeterol administered as individual mono substances from the marketed products.

Assessment of safety and tolerability of the fixed combination of tiotropium and salmeterol in a PE (Polyethylene) capsule administered via the HandiHaler® 2

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Key information

Conditions

Age range

21 year–50 year

Sex eligibility

Male

Study type

Interventional

Phase

Phase 1

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Healthy male based upon a complete medical history, including the physical examination, regarding vital signs (blood pressure (BP), pulse rate (PR)), 12-lead ECG (electrocardiogram) measurement, and clinical laboratory tests. There is no finding deviating from normal and of clinical relevance.

There is no evidence of a clinically relevant concomitant disease

  • Age ≥21 and ≤50 years
  • BMI ≥18.5 and <30 kg/m2 (Body Mass Index)
  • Signed and dated written informed consent prior to admission to the study in accordance with GCP (Good Clinical Practice) and the local legislation

Exclusion criteria

  • Any finding of the medical examination (including BP, PR, and ECG measurements) deviating from normal and of clinical relevance
  • Evidence of a clinically relevant concomitant disease
  • Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
  • Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
  • History of relevant orthostatic hypotension, fainting spells or blackouts
  • Chronic or relevant acute infections
  • History of relevant allergy/hypersensitivity (including allergy to the drug or its excipients) as judged clinically relevant by the investigator
  • Intake of drugs with a long half-life (>24 hours) within at least 1 month or less than 10 half-lives of the respective drug prior to randomisation
  • Use of drugs which might reasonably influence the results of the trial based on the knowledge at the time of protocol preparation within 10 days prior to enrolment in the study or during the study
  • Participation in another trial with an investigational drug within 2 months prior to randomisation
  • Smoker (>10 cigarettes or >3 cigars or >3 pipes/day)
  • Inability to refrain from smoking on trial days as judged by the investigator
  • Alcohol abuse (more than 40 g alcohol a day)
  • Drug abuse
  • Blood donation (more than 100 mL blood within 4 weeks prior to randomisation or during the trial)
  • Excessive physical activities within 1 week prior to randomisation or during the trial
  • Any laboratory value outside the reference range that is of clinical relevance
  • Inability to comply with dietary regimen of the study centre

The following exclusion criteria are specific for this study due to the known class side effect profile of ß2-mimetics:

  • Asthma or history of pulmonary hyperreactivity
  • Hyperthyrosis
  • Allergic rhinitis in need of treatment
  • Clinically relevant cardiac arrhythmia
  • Paroxysmal tachycardia (>100 beats per minute)

The following exclusion criteria are specific for this study due to the known class side effect profile of tiotropium:

  • Hypersensitivity to tiotropium and/or related drugs of this class

Treatment and study plan

Tiotropium/Salmeterol

Drug

Fixed dose combination of tiotropium 7.5 μg and salmeterol 25 μg inhalation powder, PE capsule via HandiHaler®

Serevent® Diskus®

Drug

Spiriva®

Drug

Primary outcomes

  1. AUC0-∞ (area under the concentration-time curve of salmeterol in blood plasma over the time interval from 0 extrapolated to infinity);

    Time frame: Up to 8 hours after drug administration

  2. Cmax (maximum measured concentration of salmeterol in blood plasma)

    Time frame: Up to 8 hours after drug administration

  3. Ae0-8 (urinary excretion of tiotropium over an 8 hour interval)

    Time frame: Up to 8 hours after drug administration

Secondary outcomes

  1. AUC0-tz (area under the concentration-time curve in plasma over the time interval from 0 to the time of the last quantifiable data point)

    Time frame: Up to 8 hours after drug administration

  2. AUC0-∞ (area under the concentration-time curve of tiotropium in blood plasma over the time interval from 0 extrapolated to infinity)

    Time frame: Up to 8 hours after drug administration

  3. Cmax (maximum measured concentration of tiotropium in blood plasma)

    Time frame: Up to 8 hours after drug administration

  4. AUCt1-t2 (area under the concentration time curve in plasma over the time interval t1 to t2)

    Time frame: up to 8 hours after inhalation

  5. tmax (time from dosing to the maximum concentration of in plasma)

    Time frame: Up to 8 hours after drug administration

  6. λz (terminal rate constant in plasma)

    Time frame: Up to 8 hours after drug administration

  7. t½ (terminal half-life of in plasma)

    Time frame: Up to 8 hours after drug administration

  8. MRTih (mean residence time in the body after inhalational administration)

    Time frame: Up to 8 hours after drug administration

  9. CL/F (apparent clearance of in the plasma after extravascular administration)

    Time frame: Up to 8 hours after drug administration

  10. Vz/F (apparent volume of distribution during the terminal phase λz following an extravascular dose)

    Time frame: Up to 8 hours after drug administration

  11. Aet1-t2 (amount of analyte that is eliminated in urine from the time point t1 to time point t2

    Time frame: up to 8 hours after inhalation

  12. fet1-t2 (fraction of analyte eliminated in urine from time point t1 to time point t2)

    Time frame: up to 8 hours after inhalation

  13. CLR,t1-t2 (renal clearance of the analyte from the time point t1 until the time point t2)

    Time frame: up to 8 hours after inhalation

  14. Number of participants with abnormal findings in physical examination

    Time frame: up to 90 days after first drug administration

  15. Number of participants with clinically significant changes in vital signs

    Time frame: up to 90 days after first drug administration

  16. Number of participants with abnormal findings in 12-lead ECG

    Time frame: up to 90 days after first drug administration

  17. Number of participants with abnormal changes in clinical laboratory parameters

    Time frame: up to 90 days after first drug administration

  18. Number of participants with adverse events

    Time frame: up to 90 days after first drug administration

  19. Tolerability assessed by investigator on a 4-point scale

    Time frame: up to 90 days after first drug administration

Sponsors and collaborators

Lead sponsor

Boehringer Ingelheim

Industry

Registry information

Official study title

A Randomised, Open-label Four-way Crossover Study to Evaluate Relative Bioavailability of Tiotropium and Salmeterol After Inhalation of a Fixed Combined Single Dose (7.5 μg Tiotropium, 25 μg Salmeterol, Inhalation Powder, Hard Capsule, HandiHaler®2), a Free Combined Single Dose of 18 μg Tiotropium [Spiriva® HandiHaler®] and 50 μg Salmeterol [Serevent® Diskus®], a Single Dose of 50μg Salmeterol (Serevent® Diskus®) and a Single Dose of 18 μg Tiotropium (Spiriva® HandiHaler®) in Healthy Male Volunteers

Important dates

Study start
2006
Primary completion
2006
First posted
Oct 1, 2014
Registry last updated
Oct 1, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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