Pan African Clinical Trials Registry

South African Medical Research Council, South African Cochrane Centre
PO Box 19070, Tygerberg, 7505, South Africa
Telephone: +27 21 938 0506 / +27 21 938 0834 Fax: +27 21 938 0836
Email: pactradmin@mrc.ac.za Website: pactr.samrc.ac.za
Trial no.: PACTR201508001220273 Date of Approval: 27/07/2015
Trial Status: Registered in accordance with WHO and ICMJE standards
TRIAL DESCRIPTION
Public title Systemic exposure bioequivalence study between two formulations of orally inhaled fluticasone propionate and salmeterol xinafoate....
Official scientific title A single center, single dose, open label, randomized, two period crossover study to determine the bioequivalence of two formulations containing fluticasone propionate and salmeterol xinafoate 250/25 mcg per actuation, administered from a pressurized metered dose inhaler (pMDI), in at least 60 healthy male and female subjects with charcoal under fasting conditions
Brief summary describing the background and objectives of the trial To determine the bioequivalence of a new formulation of orally inhaled fluticasone propionate and salmeterol xinafoate with the already marketed product, through the measurement of blood level profiles and determination of pharmacokinetic systemic exposure (Cmax and AUC), following charcoal block. The eventual objective is to obtain a marketing authorisation for the new formulation generic product
Type of trial RCT
Acronym (If the trial has an acronym then please provide)
Disease(s) or condition(s) being studied Healthy subjects, intended disorder is asthma,Respiratory
Sub-Disease(s) or condition(s) being studied
Purpose of the trial Treatment: Other
Anticipated trial start date 28/08/2015
Actual trial start date
Anticipated date of last follow up 25/09/2015
Actual Last follow-up date
Anticipated target sample size (number of participants) 60
Actual target sample size (number of participants)
Recruitment status Completed
Publication URL
Secondary Ids Issuing authority/Trial register
PSX2005-04 / PXL220106 South African CTR 4037
STUDY DESIGN
Intervention assignment Allocation to intervention If randomised, describe how the allocation sequence was generated Describe how the allocation sequence/code was concealed from the person allocating the participants to the intervention arms Masking If masking / blinding was used
Crossover: all participants receive all interventions in different sequence during study Randomised SAS software PROC PLAN procedure Allocation to be determined by off-site holder of the sequence Open-label(Masking Not Used)
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Experimental Group Prosonix fluticasone propionate 250mcg per actuation + salmeterol xinafoate 25mcg per actuation 4 actuation single dose = fluticasone propionate 1000mcg + salmeterol xinafoate 100mcg Single dose PSX2005 FP/SX 250/25 60
Control Group Seretide Evohaler fluticasone propionate 250mcg + salmeterol xinafoate 25mcg per actuation 4 actuation single dose = fluticasone propionate 1000mcg + salmeterol xinafoate 100mcg Single dose Seretide Evohaler FP/SX 250/25 60 Active-Treatment of Control Group
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
1. Healthy male and female subjects, 18 years (inclusive) and older 2. Body Mass Index (BMI) between 18.5 (inclusive) and 30 kg/m2 3. Body mass not less than 50 kg for males and 52 kg for females 4. Medical history, vital signs, physical examination, standard 12-lead ECG and laboratory investigations must be clinically acceptable or within laboratory reference ranges for the relevant laboratory tests, unless the investigator considers the deviation to be irrelevant for the purpose of the study 5. Non smokers 6. Females, if: ¿ Not of childbearing potential, e.g., has been surgically sterilized, undergone a hysterectomy, amenorrhea for = 12 months and considered post menopausal, Note: In postmenopausal women, the value of the serum pregnancy test may be slightly increased. This test will be repeated to confirm the results. If there is no increase indicative of pregnancy, the female will be included in the study. OR ¿ Of childbearing potential, the following conditions are to be met: - Negative pregnancy test. If this test is positive, the subject will be excluded from the study. In the rare circumstance that a pregnancy is discovered after the subject received IMP, every attempt must be made to follow her to term. - Not lactating - Abstaining from sexual activity (if this is the usual lifestyle of the subject) or must agree to use an accepted method of contraception and agree to continue with the same method throughout the study. Examples of reliable methods of contraception include non hormonal intrauterine device and barrier methods combined with an additional contraceptive method. In this study the concomitant use of hormonal contraceptives is NOT allowed. Other methods, if considered by the investigator as reliable, will be accepted. 7. Subjects with normal potassium levels (according to local laboratory reference ranges). 8. Written consent given for participation in the study. 1. Evidence of psychiatric disorder, or disorders limiting the ability to comply with protocol requirements. 2. Current alcohol use > 21 units of alcohol per week for males and > 14 units of alcohol per week for females. 3. Regular exposure to substances of abuse (other than alcohol) within the past year. 4. Use of any medication, prescribed or over the counter or herbal remedies, within two weeks prior to the first administration of IMP except if this will not affect the outcome of the study. Cconcomitant use of hormonal contraceptives is NOT allowed. 5. Participation in another study with an experimental drug, where the last administration of the previous IMP was within eight weeks before the first administration of IMP in this study. 6. Treatment within the previous three months before the first administration of IMP with any drug with a well defined potential for adversely affecting a major organ or system. 7. A major illness during the three months before commencement of the screening period. 8. History of hypersensitivity or allergy to the IMP or its excipients or any related medication. 9. History of bronchial asthma or any other bronchospastic disease. 10. History of epilepsy, porphyria, cataracts, glaucoma or oral candida. 11. Relevant history or laboratory or clinical findings indicative of acute or chronic disease, likely to influence study outcome. 12. Hypokalaemia 13. Relevant conditions that can decrease the potassium levels. 14. Donation or loss of blood equal to or exceeding 500 mL during the eight weeks before the first administration of IMP. 15. Diagnosis of hypertension made during the screening period or current diagnosis of hypertension. 16. Resting pulse of > 100 beats per minute or < 40 beats per minute during the screening period, either supine or standing. 17. Positive testing for HIV, hepatitis B or hepatitis C. 18. Positive urine screen for drugs of abuse or tobacco use. 19. Positive pregnancy test. 20. Serum levels of = 2x upper limit of the normal range for alanine aminotransferase, aspartate aminotransferase, gamma-glutamyl transpeptidase, alkaline phosphatase (ALP) AND/OR serum levels of = 2x upper limit for total bilirubin. 21. Inability to tolerate orally administered charcoal block. 22. Unable to demonstrate proper inhalation techniques. 23. Immunization using a live organism vaccine within four weeks prior to the first dosing of IMP. 24. Forced expiratory volume in 1 second (FEV1) ¿ 80% of the predicted value regarding age, height, gender and ethnicity. 18 Year(s) 65 Year(s) Both
ETHICS APPROVAL
Has the study received appropriate ethics committee approval Date the study will be submitted for approval Date of approval Name of the ethics committee
Yes 29/06/2015 University of the Free State Ethics Committee
Ethics Committee Address
Street address City Postal code Country
Block D, Dean's Division, Room D104, PO Box 339 Bloemfontein 9300 South Africa
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome Plasma fluticasone propionate and salmeterol xinafoate levels Pre-dose 2, 4, 6, 8, 10, 15, 20, 25, 30, 40, 50 and 60 minutes post-dose 1 hour 15 minutes 1 hour 30 minutes 1 hour 45 minutes 2 hours 2 hours 30 minutes 3 hours 4 hours 6 hours 8 hours 12 hours 16 hours 24 hours 36 hours
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
FARMOVS PAREXEL Kampuslaan Suid, University of the Free State Bloemfontein 9300 South Africa
FUNDING SOURCES
Name of source Street address City Postal code Country
Prosonix Limited Magdalen Centre, Oxford Science Park Oxford OX4 4GA United Kingdom
SPONSORS
Sponsor level Name Street address City Postal code Country Nature of sponsor
Primary Sponsor Prosonix Limited Magdalen Centre, Oxford Science Park Oxford OX4 4GA United Kingdom Commercial Sector/Industry
COLLABORATORS
Name Street address City Postal code Country
FARMOVS PAREXEL Kampuslaan Suid, University of the Free State Bloemfontein 9300 South Africa
CONTACT PEOPLE
Role Name Email Phone Street address
Principal Investigator Anel Pretorius anel.pretorius@parexel.com +27 51 410 3358 Kampuslaan Suid, University of the Free State
City Postal code Country Position/Affiliation
Bloemfontein 9300 South Africa Clinical Research Physician
Role Name Email Phone Street address
Public Enquiries Lizette Herbst lizette.herbst@parexel.com +27 51 410 3004 Kampuslaan Suid, University of the Free State
City Postal code Country Position/Affiliation
Bloemfontein 9300 South Africa Clinical Project Manager
Role Name Email Phone Street address
Scientific Enquiries Geoff Down geoff.down@prosonix.co.uk +441865784244 Magdalen Centre, Oxford Science Park
City Postal code Country Position/Affiliation
Oxford OX4 4GA United Kingdom Chief Medical Officer
REPORTING
Share IPD Description Additional Document Types Sharing Time Frame Key Access Criteria
URL Results Available Results Summary Result Posting Date First Journal Publication Date
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Result URL Hyperlinks Link To Protocol
Result URL Hyperlinks
Changes to trial information