The purpose of this study is to evaluate the safety and the efficacy of Glycopyrrolate as pMDI after single and repeated administration.
The study is divided into two parts: \- Part 1 will be conducted according to a single-centre, randomized, double-blind, placebo-controlled, single-dose escalation, alternating crossover design in two groups of COPD patients. Treatments to be administered on Part 1 (SD1, SD2, SD3, SD4, SD5, SP). The primary objective of Part 1 is the evaluation of the safety and tolerability of Glyco after single administration. \- Part 2 will be conducted according to a single-centre, randomized, double-blind, placebo-controlled, 4-period, 4-treatment, repeated dose cross-over design followed by an open-label extension period with tiotropium. Treatments administered on Part 2 (MD1, MD2, MD3, MP, Tiotropium). On the last treatment day in the morning, Formoterol 12 µg will be administered to all patients on top of placebo or Glyco or Tiotropium. The primary objective of Part 2 is the evaluation of the efficacy of Glyco after repeated administration. Part 2 will start after a safety review of the results obtained from Part 1.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
65
pressurized metered dose inhaler
inhalation powder, hard capsule
pressurized metered dose inhaler
Medicines Evaluation Unit
Manchester, United Kingdom
Safety
Adverse events, vital signs, ECG parameters, 24-hours ECG holter recording, clinical laboratory abnormalities. This primary outcome is for the Part 1 of the study.
Time frame: Up to 24 hours after single administration
Lung function (trough FEV1)
This primary variable is for the Part 2 of the study.
Time frame: 12 hours post dose after repeated administration
Lung function
for Part 1 of the study
Time frame: up to 24 hours post dose
Lung function (other parameters)
for Part 2 of the study
Time frame: up to 12 hours after repated administration
Body plethysmography
for Part 2 of the study
Time frame: up tp 12 hours after repeated administration
Pharmacokinetics
Pharmacokinetics in plasma and urine. For Part 2 of the study.
Time frame: up to 12 hours after single and repeated administration
Safety
Adverse events, Vital signs, ECG parameters, 24-hour ECG holter recording. For Part 2 of the study.
Time frame: up to 12 hours after single and repeated administration
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