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Assessment of the relative bioavailability of a fixed dose combination of tiotropium and salmeterol compared to a free dose combination of the marketed products of tiotropium and salmeterol (Spiriva® and Serevent® Diskus®).
Assessment of the relative bioavailability of a fixed dose combination of tiotropium and salmeterol compared to tiotropium and salmeterol administered as individual mono substances from the marketed products.
Assessment of safety and tolerability of the fixed combination of tiotropium and salmeterol in a PE (Polyethylene) capsule administered via the HandiHaler® 2
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tiotropium/Salmeterol | Experimental |
| |
| Serevent® Diskus® | Active Comparator |
| |
| Spiriva® | Active Comparator |
| |
| Spiriva® and Serevent® Diskus® | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tiotropium/Salmeterol | Drug | Fixed dose combination of tiotropium 7.5 μg and salmeterol 25 μg inhalation powder, PE capsule via HandiHaler® |
|
| Measure | Description | Time Frame |
|---|---|---|
| AUC0-∞ (area under the concentration-time curve of salmeterol in blood plasma over the time interval from 0 extrapolated to infinity); | Up to 8 hours after drug administration | |
| Cmax (maximum measured concentration of salmeterol in blood plasma) | Up to 8 hours after drug administration | |
| Ae0-8 (urinary excretion of tiotropium over an 8 hour interval) | Up to 8 hours after drug administration |
| Measure | Description | Time Frame |
|---|---|---|
| AUC0-tz (area under the concentration-time curve in plasma over the time interval from 0 to the time of the last quantifiable data point) | Up to 8 hours after drug administration | |
| AUC0-∞ (area under the concentration-time curve of tiotropium in blood plasma over the time interval from 0 extrapolated to infinity) |
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Inclusion Criteria:
Healthy male based upon a complete medical history, including the physical examination, regarding vital signs (blood pressure (BP), pulse rate (PR)), 12-lead ECG (electrocardiogram) measurement, and clinical laboratory tests. There is no finding deviating from normal and of clinical relevance.
There is no evidence of a clinically relevant concomitant disease
Age ≥21 and ≤50 years
BMI ≥18.5 and <30 kg/m2 (Body Mass Index)
Signed and dated written informed consent prior to admission to the study in accordance with GCP (Good Clinical Practice) and the local legislation
Exclusion Criteria:
Any finding of the medical examination (including BP, PR, and ECG measurements) deviating from normal and of clinical relevance
Evidence of a clinically relevant concomitant disease
Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
History of relevant orthostatic hypotension, fainting spells or blackouts
Chronic or relevant acute infections
History of relevant allergy/hypersensitivity (including allergy to the drug or its excipients) as judged clinically relevant by the investigator
Intake of drugs with a long half-life (>24 hours) within at least 1 month or less than 10 half-lives of the respective drug prior to randomisation
Use of drugs which might reasonably influence the results of the trial based on the knowledge at the time of protocol preparation within 10 days prior to enrolment in the study or during the study
Participation in another trial with an investigational drug within 2 months prior to randomisation
Smoker (>10 cigarettes or >3 cigars or >3 pipes/day)
Inability to refrain from smoking on trial days as judged by the investigator
Alcohol abuse (more than 40 g alcohol a day)
Drug abuse
Blood donation (more than 100 mL blood within 4 weeks prior to randomisation or during the trial)
Excessive physical activities within 1 week prior to randomisation or during the trial
Any laboratory value outside the reference range that is of clinical relevance
Inability to comply with dietary regimen of the study centre
The following exclusion criteria are specific for this study due to the known class side effect profile of ß2-mimetics:
Asthma or history of pulmonary hyperreactivity
Hyperthyrosis
Allergic rhinitis in need of treatment
Clinically relevant cardiac arrhythmia
Paroxysmal tachycardia (>100 beats per minute)
The following exclusion criteria are specific for this study due to the known class side effect profile of tiotropium:
Hypersensitivity to tiotropium and/or related drugs of this class
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| Serevent® Diskus® | Drug |
|
| Spiriva® | Drug |
|
| Up to 8 hours after drug administration |
| Cmax (maximum measured concentration of tiotropium in blood plasma) | Up to 8 hours after drug administration |
| AUCt1-t2 (area under the concentration time curve in plasma over the time interval t1 to t2) | up to 8 hours after inhalation |
| tmax (time from dosing to the maximum concentration of in plasma) | Up to 8 hours after drug administration |
| λz (terminal rate constant in plasma) | Up to 8 hours after drug administration |
| t½ (terminal half-life of in plasma) | Up to 8 hours after drug administration |
| MRTih (mean residence time in the body after inhalational administration) | Up to 8 hours after drug administration |
| CL/F (apparent clearance of in the plasma after extravascular administration) | Up to 8 hours after drug administration |
| Vz/F (apparent volume of distribution during the terminal phase λz following an extravascular dose) | Up to 8 hours after drug administration |
| Aet1-t2 (amount of analyte that is eliminated in urine from the time point t1 to time point t2 | up to 8 hours after inhalation |
| fet1-t2 (fraction of analyte eliminated in urine from time point t1 to time point t2) | up to 8 hours after inhalation |
| CLR,t1-t2 (renal clearance of the analyte from the time point t1 until the time point t2) | up to 8 hours after inhalation |
| Number of participants with abnormal findings in physical examination | up to 90 days after first drug administration |
| Number of participants with clinically significant changes in vital signs | up to 90 days after first drug administration |
| Number of participants with abnormal findings in 12-lead ECG | up to 90 days after first drug administration |
| Number of participants with abnormal changes in clinical laboratory parameters | up to 90 days after first drug administration |
| Number of participants with adverse events | up to 90 days after first drug administration |
| Tolerability assessed by investigator on a 4-point scale | up to 90 days after first drug administration |
| ID | Term |
|---|---|
| D000069447 | Tiotropium Bromide |
| D000068299 | Salmeterol Xinafoate |
| ID | Term |
|---|---|
| D012602 | Scopolamine Derivatives |
| D014326 | Tropanes |
| D053961 | Azabicyclo Compounds |
| D001372 | Aza Compounds |
| D009930 | Organic Chemicals |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D019086 | Bridged Bicyclo Compounds, Heterocyclic |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D000420 | Albuterol |
| D004983 | Ethanolamines |
| D000605 | Amino Alcohols |
| D000438 | Alcohols |
| D000588 | Amines |
| D010627 | Phenethylamines |
| D005021 | Ethylamines |
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