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To investigate safety, tolerability, pharmacokinetics and pharmacodynamics of BI 1744 CL and Tiotropium Bromide when given as fixed dose combination
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BI 1744 CL in combination with Tiotropium | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Single rising doses of BI 1744 CL, solution for oral inhalation | Drug |
| ||
| Tiotropium, fixed dose, solution for oral inhalation |
| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects with clinically relevant findings in physical examination | Up to day 32 | |
| Number of subjects with clinically relevant findings in vital signs | blood pressure, pulse rate | Up to day 32 |
| Number of subjects with clinically relevant findings in 12-lead ECG | Up to day 32 | |
| Number of subjects with clinically relevant findings in laboratory tests | Up to day 32 | |
| Number of subjects witch clinically relevant changes in additional safety laboratory test parameters | Systemic metabolic parameters: cyclic adenosine mono phosphate (cAMP) and potassium | up to 318 hours after start of treatment |
| Number of subjects with clinically relevant changes in airway resistance (Raw) measured by body plethysmography | Pre-dose, up to 408 hours after start of treatment | |
| Number of subjects with adverse events | Up to day 32 | |
| Global assessment of tolerability by investigator on a 4-point scale | Up to day 32 |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum concentration in plasma (Cmax) | up to 504 hours after start of treatment | |
| Time from dosing to maximum concentration in plasma (tmax) | up to 504 hours after start of treatment | |
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Inclusion Criteria:
Exclusion Criteria:
The following exclusion criteria are specific for this study due to the known class side effect profile of ß2-mimetics:
The following exclusion criteria are specific for this study due to the known class side effect profile of Tiotropium:
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| Drug |
|
| Placebo | Drug |
|
| Area under the concentration-time curve in plasma (AUC) |
| up to 504 hours after start of treatment |
| Area under the concentration-time curve in plasma over the time interval from 0 extrapolated to infinity (AUC0-∞) | up to 504 hours after start of treatment |
| Percentage of AUC 0-∞ that is obtained by extrapolation (%AUCtz-∞) | up to 504 hours after start of treatment |
| Terminal rate constant in plasma (λz) | up to 504 hours after start of treatment |
| Terminal half-life in plasma (t½) | up to 504 hours after start of treatment |
| Mean residence time in the body after inhalation (MRTih) | up to 504 hours after start of treatment |
| Apparent clearance after extravascular administration (CL/F) | up to 504 hours after start of treatment |
| Apparent volume of distribution during the terminal phase λz following an extravascular dose (Vz/F) | up to 504 hours after start of treatment |
| Amount eliminated in urine from the time point t1 to t2 (Aet1-t2) | up to 336 hours after start of treatment |
| Fraction excreted in urine from time point t1 to t2 (fet1-t2) | up to 336 hours after start of treatment |
| Renal clearance from the time point t1 until the time point t2 (CLR,t1-t2) | up to 504 hours after start of treatment |
| Minimum measured concentration in plasma at steady state over a uniform dosing interval τ (Cmin,ss) | up to 504 hours after start of treatment |
| Predose concentration of the analytes in plasma at steady state immediately before administration of the next dose (Cpre,ss) | Pre-dose every 24 hours |
| Time of last measurable concentration in plasma (tz) | up to 504 hours after start of treatment |
| Linearity index (LI) | up to 504 hours after start of treatment |
| Accumulation ratio based on Cmax (RA,Cmax) | up to 504 hours after start of treatment |
| Accumulation ratio based on AUCτ (RA,AUC) | up to 504 hours after start of treatment |
| ID | Term |
|---|---|
| D012996 | Solutions |
| D001239 | Inhalation |
| D000069447 | Tiotropium Bromide |
| ID | Term |
|---|---|
| D004364 | Pharmaceutical Preparations |
| D015656 | Respiratory Mechanics |
| D012119 | Respiration |
| D012143 | Respiratory Physiological Phenomena |
| D002943 | Circulatory and Respiratory Physiological Phenomena |
| 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 |
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