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.: PACTR201608001741317 Date of Approval: 11/08/2016
Trial Status: Registered in accordance with WHO and ICMJE standards
TRIAL DESCRIPTION
Public title Systemic exposure study between three formulations of orally inhaled fluticasone propionate and salmeterol xinafoate
Official scientific title An exploratory, single-centre, single-dose, open-label, randomised, three-way crossover study to investigate the pharmacokinetics of three orally inhaled formulations containing fluticasone propionate and salmeterol (as xinafoate) 50/25 ¿g per actuation administered from a pressurised metered dose inhaler, in at least 24 healthy male and female subjects
Brief summary describing the background and objectives of the trial The fluticasone propionate/salmeterol (as xinafoate) fixed dose combination to be administered in this study is indicated for the treatment of asthma. The two classes of medication used in this combination product have different effects on clinical and physiological indicators. The primary objective is to investigate the single-dose PK profiles for two test products (fluticasone propionate (as xinafoate) 50/25 µg per actuation via pDMI and the reference product, Seretide® Evohaler® 50/25 µg per actuation via pMDI, under fasting conditions in healthy male and female subjects.
Type of trial RCT
Acronym (If the trial has an acronym then please provide) PSX2005 06
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: Drugs
Anticipated trial start date 22/08/2016
Actual trial start date 22/09/2016
Anticipated date of last follow up 20/09/2016
Actual Last follow-up date 14/10/2016
Anticipated target sample size (number of participants) 24
Actual target sample size (number of participants) 30
Recruitment status Completed
Publication URL
Secondary Ids Issuing authority/Trial register
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 Simple randomisation using a radomisation table created by a computer software program Allocation was determined by the holder of the sequence who is situated off site Open-label(Masking Not Used)
INTERVENTIONS
Intervention type Intervention name Dose Duration Intervention description Group size Nature of control
Experimental Group luticasone propionate 50mcg per actuation + salmeterol xinafoate 25mcg per actuation 4 actuation single dose = fluticasone propionate 200mcg + salmeterol xinafoate 100mcg Single dose PSX2005 FP/SX 50/25 24
Control Group eretide Evohaler fluticasone propionate 50mcg + salmeterol xinafoate 25mcg per actuation 4 actuation single dose = fluticasone propionate 200mcg + salmeterol xinafoate 100mcg single dose Seretide Evohaler FP/SX 50/25 24 Active-Treatment of Control Group
Experimental Group luticasone propionate 50mcg per actuation + salmeterol xinafoate 25mcg per actuation 4 actuation single dose = fluticasone propionate 200mcg + single dose PSX2005 FP/SX 50/25 24
ELIGIBILITY CRITERIA
List inclusion criteria List exclusion criteria Age Category Minimum age Maximum age Gender
1. Healthy male and female subjects, 18 years and older; 2. Body mass index (BMI) between 18.5 and 30 kg/m2 (both inclusive); 3. Body mass not less than 52 kg for males and 57 kg for females; 4. Medical history, vital signs, physical examination, standard 12 lead electrocardiogram (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., been surgically sterilised, undergone hysterectomy, amenorrhea for ¿ 12 months and considered post menopausal; OR Of childbearing potential, following conditions to be met: Negative pregnancy test; If test positive, subject will be excluded from study. In rare circumstance that pregnancy discovered after subject receives IMP, every attempt must be made to follow her to term; Not lactating; Abstaining from sexual activity (if this is usual lifestyle of subject) or must agree to use accepted method of contraception, and agree to continue with same method throughout the study; Examples of reliable methods of contraception include non hormonal intrauterine device, barrier methods combined with additional contraceptive method; 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. Psychiatric disorder or emotional, personality or intellectual problems likely to limit ability to consent or comply with study requirements; 2. Excess alcohol use; 3. Regular exposure to substances of abuse (other than alcohol) within past year; 4. Use within 2 weeks before IMP administration of any medication or other remedies that may interfere with the conduct or results of the study; 5. Concomitant use of hormonal replacement therapy or hormonal contraceptives; 6. Participation in a clinical investigation within 8 weeks before IMP administration in this study; 7. Use of any drug with well-defined potential for adversely affecting any organ or system, within 3 months before IMP administration; 8. Major illness in 3 months before start of screening; 9. History of hypersensitivity or allergy to IMP, excipients or related medication; 10. History of asthma or other bronchospastic disease; 11. History of epilepsy, porphyria, or current cataracts or glaucoma; 15. History of oral candida requiring treatment in last 3 years; 16. History, laboratory or clinical findings indicative of disease likely to influence study outcomes; 17. Conditions causing hypokalemia; 18. Blood loss equal to or exceeding 500 mL within 8 weeks before IMP administration; 19. Hypotension diagnosed at screening; 20. Current hypertension or diagnosis at screening; 21. Resting tachy- or bradycardia at screening; 22. Positive HIV, Hepatitis B or Hepatitis C tests; 23. Positive urinary drugs of abuse or cotinine; 24. Positive pregnancy test; 25. Inadequate inhalation technique at screening; 26. FEV1 < 80% predicted value; 27. Immunisation with live vaccine within 4 weeks before IMP administration; 28. Vulnerable subjects. 18 Year(s) 100 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
No 17/06/2016 a
Ethics Committee Address
Street address City Postal code Country
OUTCOMES
Type of outcome Outcome Timepoint(s) at which outcome measured
Primary Outcome single-dose pharmacokinetic (PK) profiles for the test products 1: (PSX2005 E2 50/25) and 2: (PSX2005 M1 50/25), fluticasone propionate/salmeterol (as xinafoate) 50/25 µg per actuation via metered dose pressurised inhalation (pDMI), and the reference product, Seretide® Evohaler® 50/25 µg per actuation via pMDI, under fasting conditions in healthy male and female subjects. a
RECRUITMENT CENTRES
Name of recruitment centre Street address City Postal code Country
Parexel Bloemfontein Unit Campus of the University of the Free State Bloemfontein 9301 South Africa
FUNDING SOURCES
Name of source Street address City Postal code Country
Circassia Limited Northbrook House, Robert Robinson Avenue, The Oxford Science Park Oxford OX4 4GA United Kingdom
SPONSORS
Sponsor level Name Street address City Postal code Country Nature of sponsor
Primary Sponsor Circassia Limited Northbrook HOuse, Robert Robinson Avenue, The Oxford Science Park Oxford OX4 4GA United Kingdom Funding Agency
COLLABORATORS
Name Street address City Postal code Country
Parexel Bloemfontein Unit Campus of the University of the Free State Bloemfontein 9301 South Africa
CONTACT PEOPLE
Role Name Email Phone Street address
Principal Investigator Andre Nell Andre.Nell@parexel.com +27 51 410 3046 Campus of the University of the Free State
City Postal code Country Position/Affiliation
Bloemfontein 9301 South Africa Principal Investigator
Role Name Email Phone Street address
Public Enquiries Geoff Down geoff.down@circassia.com +44 1865 402 681 Circassia Ltd, Northbrook House, Robert Robinson Ave, Oxford Science Park
City Postal code Country Position/Affiliation
Oxford OX4 4GA United Kingdom VP, Medical Development
Role Name Email Phone Street address
Scientific Enquiries Geoff Down geoff.down@circassia.com +44 1865 402 681 Northbrook House, Robert Robinson Avenue, The Oxford Science Park
City Postal code Country Position/Affiliation
Oxford OX4 4GA United Kingdom VP, Medical Development
REPORTING
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