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The objective of the study was to investigate safety, tolerability and pharmacokinetics of butylated hydroxytoluene (BHT) (sub-study 1) administered via Respimat® Soft MistTM Inhaler B (SMI B); to assess safety, tolerability and pharmacokinetics of multiple rising doses of BI 54903 XX administered via Respimat® SMI B (main study), and to compare systemic exposure of single dose BI 54903 XX administered via Respimat® SMI B (sub-study 2) with single dose Alvesco® (ciclesonide) administered via HFA-134a propellant metered dose inhaler (MDI).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BHT low | Experimental |
| |
| BHT medium | Experimental |
| |
| BHT high | Experimental |
| |
| BI 54903 XX low | Experimental |
| |
| BI 54903 XX medium 1 | Experimental |
| |
| BI 54903 XX medium 2 | Experimental |
| |
| BI 54903 XX high | Experimental |
| |
| BI 54903 XX medium single dose | Experimental |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BHT low | Drug |
| ||
| BHT medium |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with adverse events | up to 21 days after last drug administration | |
| Number of patients with clinically significant findings in vitals signs | up to 21 days after last drug administration | |
| Number of patients with clinically significant findings in ECG | up to 21 days after last drug administration | |
| Number of patients with clinically significant findings in laboratory tests | up to 21 days after last drug administration | |
| Investigator assessed tolerability on a 4-point scale | up to 21 days after last drug administration | |
| Change in airway resistance (Raw) | baseline, after 80 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax (maximum measured concentration in plasma) | up to 24 hours after last drug administration | |
| tmax (time from dosing to maximum measured concentration in plasma) | up to 24 hours after last drug administration |
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Inclusion Criteria:
Exclusion Criteria:
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|
| Ciclesonide | Active Comparator |
|
|
| BHT high | Drug |
|
| BI 54903 XX low | Drug |
|
| BI 54903 XX medium 1 | Drug |
|
| BI 54903 XX medium 2 | Drug |
|
| BI 54903 XX high | Drug |
|
| Ciclesonide | Drug |
|
| AUCτ (area under the concentration-time curve in plasma over a uniform dosing interval τ) | up to 24 hours after last drug administration |
| AUC0-inf (area under the concentration-time curve in plasma over the time interval from 0 extrapolated to infinity) | up to 24 hours after last drug administration |
| AUCt1-t2 (area under the concentration-time curve in plasma over the time interval from time t1 to time t2) | up to 24 hours after last drug administration |
| AUC0-tz (area under the concentration-time curve in plasma over the time interval from 0 to the last quantifiable concentration at tz) | up to 24 hours after last drug administration |
| %AUCtz-∞ (the percentage of the AUC 0-∞ that is obtained by extrapolation) | up to 24 hours after last drug administration |
| λz (terminal rate constant in plasma) | up to 24 hours after last drug administration |
| t1/2 (terminal half-life in plasma) | up to 24 hours after last drug administration |
| MRTih (mean residence time in the body after inhalation administration) | up to 24 hours after last drug administration |
| CL/F (apparent clearance in plasma following inhalation administration) | up to 24 hours after last drug administration |
| Vz/F (apparent volume of distribution during the terminal phase λz following inhalation administration) | up to 24 hours after last drug administration |
| Aet1-t2 (amount that is eliminated in urine from the time point t1 to time point t2) | up to 24 hours after last drug administration |
| fet1-t2 (fraction that is eliminated in urine from time point t1 to time point t2) | up to 24 hours after last drug administration |
| CLR,t1-t2 (renal clearance from the time point t1 until the time point t2) | up to 24 hours after last drug administration |
| Accumulation ratio based on Cmax (RA,Cmax) | up to 24 hours after last drug administration |
| Accumulation ratio based on AUC (RA,AUC) | up to 24 hours after last drug administration |
| Linearity index (LI) | up to 24 hours after last drug administration |
| Metabolite-to-parent ratio for Cmax (RCmax,Met) | up to 24 hours after last drug administration |
| Metabolite-to-parent ratio for AUC (AUCt1-t2,Met) | up to 24 hours after last drug administration |
| ID | Term |
|---|---|
| C120481 | ciclesonide |
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