The study will evaluate bioequivalence, pharmacokinetics, safety, and tolerability of Budesonide, Glycopyrronium and Formoterol (BGF) metered dose inhaler (MDI) formulated with hydrofluoroolefin (HFO) \[Test\] and hydrofluoroalkane (HFA) \[Reference\] in healthy participants (male or female).
This is a Phase I, randomized, double-blind, single-dose, single-center, partial-replicate, 3 way cross-over study to assess pharmacokinetic and safety of BGF MDI when administered with different propellants, HFO (HFO-1234ze) - test and HFA (HFA-134a) - reference. The study will comprise of: * A screening period up to 28 days prior to first dosing; * Three Treatment Periods: Participants will be resident at the Clinical Unit from the morning on the day before dosing with BGF MDI on Day -1 of Treatment Period 1, until 24 hours following the final dose on Day 2 of Treatment Period 3, with a washout period of 3 to 7 days between each dose; and * Follow-up: final safety Follow-up Phone Call within 3 to 7 days after the last administration of BGF MDI in Treatment Period 3. Each participant will receive 3 single dose treatments of BGF MDI (Treatment A: BGF MDI HFO \[Test\]; Treatment B: BGF MDI HFA \[Reference\]) following an overnight fast of at least 8 hours on Day 1 of each treatment period. The reference formulation will be administered during 2 of the 3 treatment periods. There will be a minimum of a 3 to 7 day washout between administration of each treatment. Each participant will be involved in the study for approximately 55 days.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
108
Participants will receive 4 oral inhalations as a single dose - test formulation; administered during 1 treatment period.
Participants will receive 4 oral inhalations as a single dose - reference formulation; administered during 2 treatment periods.
Research Site
Glendale, California, United States
Area Under Plasma Concentration-time Curve From Zero to Infinity (AUCinf)
The AUCinf of budesonide, glycopryrronium and formoterol in participants was evaluated.
Time frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
Area Under the Plasma Concentration-curve From Zero to the Last Quantifiable Concentration (AUClast)
The AUClast of budesonide, glycopryrronium and formoterol in participants was evaluated.
Time frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
Maximum Observed Plasma (Peak) Drug Concentration (Cmax)
The Cmax of budesonide, glycopryrronium and formoterol in participants was evaluated.
Time frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
Time to Reach Peak or Maximum Observed Concentration or Response Following Drug Administration (Tmax)
The tmax of budesonide, glycopryrronium and formoterol in participants was evaluated.
Time frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
Terminal Rate Constant, Estimated by Log-linear Least Squares Regression of the Terminal Part of the Concentration-time Curve (λz)
The λz of budesonide, glycopryrronium and formoterol in participants was evaluated.
Time frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz)
The t½λz of budesonide, glycopryrronium and formoterol in participants was evaluated.
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Time frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
Mean Residence Time of the Unchanged Drug in the Systemic Circulation From Zero to Infinity (MRTinf)
The MRTinf of budesonide, glycopryrronium and formoterol in participants was evaluated.
Time frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (CL/F)
The CL/F of budesonide, glycopryrronium and formoterol in participants was evaluated.
Time frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
Volume of Distribution (Apparent) at Steady State Following Extravascular Administration (Based on Terminal Phase) (Vz/F)
The Vz/F of budesonide, glycopryrronium and formoterol in participants was evaluated.
Time frame: Day 1 and Day 2 of each treatment period (each treatment period is of 2 days)
Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
The safety and tolerability of single doses of BGF MDI HFO and BGF MDI HFA was evaluated in healthy participants.
Time frame: From Screening up to Follow-up (3 to 7 days post final dose) [approximately 55 days]