Study to Determine the Pharmacokinetics and Tolerability of Fluticasone Propionate MDPI and Fluticasone Propionate/Salmeterol MDPI Compared to High Strength FLOVENT® DISKUS® and ADVAIR® DISKUS® in Patients With Persistent Asthma 12 Years of Age and Older



Status:Completed
Conditions:Asthma
Therapuetic Areas:Pulmonary / Respiratory Diseases
Healthy:No
Age Range:12 - Any
Updated:4/21/2016
Start Date:May 2015
End Date:September 2015

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An Open-Label, Crossover Study to Determine the Pharmacokinetic Profile and Tolerability of Single Doses of High Strength Fluticasone Propionate Multidose Dry Powder Inhaler and Fluticasone Propionate/Salmeterol Multidose Dry Powder Inhaler Compared to High Strength FLOVENT® DISKUS® and ADVAIR® DISKUS® in Patients With Persistent Asthma 12 Years of Age and Older

Each patient will participate in the study for approximately 7 weeks. Participation will
include a screening period of up to 21 days and 4 treatment periods; each consisting of a
3-day/2-night inpatient period.


- Criteria: • Inclusion Criteria:

- The patient has persistent asthma.

- To meet current asthma therapy requirements patients must be currently treated with
inhaled corticosteroids (ICSs) at a dose that has been stable for at least 30 days
before the SV.

- Written informed consent/assent is obtained. For adult patients (aged 18 years and
older, or as applicable per local regulations), the written ICF must be signed and
dated by the patient before conducting any study-related procedure. For minor
patients (aged 12 to 17 years, or as applicable per local regulations), the written
ICF must be signed and dated by the parent/legal guardian and the written assent form
must be signed and dated by the patient (if applicable) before conducting any study
related procedure. Note: Age requirements are as specified by local regulations.

- The patient is a male or female 12 years of age or older, as of the visit when the
ICF/assent form is signed (SV).

- Asthma diagnosis: The patient has a diagnosis of asthma as defined by the NIH. The
asthma diagnosis has been present for a minimum of 3 months and has been stable
(defined as no exacerbations and no changes in asthma medication) for at least 30
days before providing informed consent.

- The patient is able to demonstrate acceptable and reproducible inhalation technique
with the DISKUS device and the Teva MDPI device.

- The patient is able to withhold (as judged by the investigator) his or her rescue
medication for at least 6 hours before the SV and before all treatment visits where
spirometry is performed.

- The patient has a body mass index (BMI = weight [kg] ÷ height2 [m]) within the 5th
and 97thpercentiles for the patient's age and gender. The patient must have a weight
of 115 pounds or higher.

- The patient/parent/legal guardian/caregiver is capable of understanding the
requirements, risks, and benefits of study participation, and, as judged by the
investigator, capable of giving informed consent/assent and being compliant with all
study requirements (eg, dose schedules, visit schedules, blood draws, procedures, and
record keeping).

- Other criteria may apply, please contact the investigator for more information.

- Exclusion Criteria:

- The patient has a history of a life-threatening asthma exacerbation that is defined
for this protocol as an asthma episode that required intubation and/or was associated
with hypercapnia, respiratory arrest, or hypoxic seizures.

- The patient is pregnant or lactating, or plans to become pregnant during the study
period or for 30 days after the patient's last study-related visit (for eligible
patients only, if applicable). Eligible female patients unwilling to employ
appropriate contraceptive measures to ensure that pregnancy will not occur during the
study will be excluded. Any patient becoming pregnant during the study will be
withdrawn from the study.

- The patient has participated as a randomized patient in any investigational drug
study within 30 days (starting from the final follow-up visit of that study)
preceding the SV or plans to participate in another investigational drug study at any
time during this study.

- The patient has previously participated in an Fp MDPI or FS MDPI study. Participation
is defined as randomization to treatment.

- The patient has a known hypersensitivity to any corticosteroid, salmeterol, or any of
the excipients in the study drug (ie, lactose).

- The patient has been treated with any known cytochrome P450 (CYP) 3A4 inhibitors (eg,
azole antifungals, ritonavir, or clarithromycin) within 30 days before the SV or
plans to be treated with any CYP3A4 inhibitor during the study.The patient has been
treated with any of the prohibited medications during the prescribed (per protocol)
washout periods before the SV.

- The patient has either lost or donated ≥500 mL of whole blood within the 60 days
before the first dose of study drug or the patient has received or donated plasma,
white blood cells, or platelets within the 14 days before the first dose of study
drug. Patients that have plans to donate blood or blood products during the study or
within the 90 days after completion of the study are also excluded.

- The patient currently smokes or has a smoking history of 10 pack years or more (a
pack year is defined as smoking 1 pack of cigarettes/day for 1 year). The patient may
not have used tobacco products within the past year (eg, cigarettes, cigars, chewing
tobacco, or pipe tobacco).

- The patient has a culture-documented or suspected bacterial or viral upper
respiratory tract infection (URTI) or lower respiratory tract infection (LRTI),

- The patient has a history of alcohol or drug abuse within 2 years preceding the SV.

- The patient has had an asthma exacerbation requiring systemic corticosteroids within
30 days before the SV, or has had any hospitalization for asthma within 2 months
before the SV.

- The patient has untreated oral candidiasis at the SV. Patients with clinical visual
evidence of oral candidiasis who agree to receive treatment and comply with
appropriate medical monitoring may enter the study. Note: Azole antifungals are
prohibited.

- The patient is either an employee or an immediate relative of an employee of the
investigational center.

- A member of the patient's household is participating in the study at the same time.
However, after the enrolled patient completes or discontinues participation in the
study, another patient from the same household may be screened.

- The patient has a disease/condition that in the medical judgment of the investigator
would put the safety of the patient at risk through participation or that could
affect the efficacy or safety analysis if the disease/condition worsened during the
study.

- Other criteria may apply, please contact the investigator for more information.
We found this trial at
3
sites
San Antonio, Texas
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San Antonio, TX
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Edmond, OK
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Raleigh, North Carolina
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Raleigh, NC
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