E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
The study is focused on chronic obstructive pulmonary disease (COPD) |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The aim of this study is to assess intrapulmonary deposition of two Formoterol formulations (FORAIR, Foradil P) in patients with COPD. |
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E.2.2 | Secondary objectives of the trial |
Secondary objective is to describe pharmacokinetic properties of both drug formulations. |
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
• Age 40 - 70 • Ability to properly use the MDI and DPI • Body weight resulting in a Body Mass Index (BMI) between 18.0 and 35 kg/m2 • Normal blood pressure and heart rate (supine SBP 100-140 mmHg, supine DBP 45-90 mmHg, heart rate 45-90 bpm). Minor deviations are acceptable provided that they are not judged relevant by the clinical investigator • Electrocardiogram (12 lead) with computerized protocol interpretation considered as normal (120ms PR 220ms, QRS 120ms, QTc 450ms (male), 470 ms (female)). Minor deviations are acceptable provided that they are not judged relevant by the clinical investigator • Primary diagnosis of COPD (Diagnosis can be made during the screening process) • Moderate COPD (FEV1/FVC ≤ 70 %, Stage III GOLD classification) documented at screening visit • Reversibility of FEV1 < 12 % of the initial value after inhalation of 200µg Salbutamol within the screening period • Treatment with inhaled ß2-agonists at a constant dosage during the last 4 weeks prior to inclusion • In good health on the basis of a medical history, physical examination, clinical laboratory studies and ECG, with the exception of COPD • Minimum smoking history of 10 pack-years (pack-years = the number of cigarette per day/ 20 x number of years) • Understanding of the study and agreement to give written informed consent before the first selection procedure.
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E.4 | Principal exclusion criteria |
• Blood donation (equal or more than 450 ml) or blood loss less than 8 weeks before the first intake of study drug • Positive HIV1 or HIV2 serology • Positive results from the Hepatitis serology which indicates acute or chronic Hepatitis B or Hepatitis C • Unsuitable veins for repeated venipuncture • Female patients: pregnant, positive pregnancy test, lactating mother or lack of efficient contraception (according to CPMP/ICH 286/95 note 3 ). Postmenopausal women < 1 year must have efficient contraception • History of substance abuse or drug abuse within 12 months or with a positive urine drug screen • Clinically relevant abnormal laboratory values suggesting an unknown disease and requiring further clinical investigation • Clinically significant and uncontrolled cardiac, hepatic, renal, gastrointestinal, endocrine, metabolic, neurologic, or psychiatric disorder that may interfere with successful completion of this protocol • Participation in an investigational drug study within 30 days prior to Visit 1 or current participation in another investigational drug study • Known sensitivity to Formoterol, Salmeterol or Albuterol or any of the excipients contained in any of these formulations • Concomitant severe diseases or diseases which are contra indications for the use of inhaled 2-agonist • Clinically relevant abnormal laboratory values suggesting an unknown disease and requiring further clinical investigation • Use of systemic steroids 4 weeks prior to inclusion (injectable depot steroids 6 weeks) or more than 3 periods during the last 6 months • History of significant sensitivity or allergy to 2-agonists or related drugs • Recent relevant infectious disease (less than two months) • Life-threatening/unstable respiratory status including upper or lower respiratory tract infection, within the previous 30 days • Requirement of continuous supplemental oxygen therapy; the use of supplemental oxygen may not exceed 2l/min, at night time only and/or only during exercise is allowed • Change in dose or type of any medications for COPD within 4 weeks prior to the screening visit • Use of any prescription drug for which concomitant beta-agonist administration is contraindicated • Exacerbation within the 4 weeks prior to inclusion
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E.5 End points |
E.5.1 | Primary end point(s) |
• Intrapulmonary deposition (DL) |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | Yes |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
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E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 3 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 3 |