This is a phase 1 study, randomized, double-blind, placebo-controlled, 2 treatment, 2 period crossover study to evaluate the pharmacokinetics, safety, and tolerability of a single inhaled dose of ASY202 in adults with stable asthma. Following screening, eligible participants will be enrolled and randomized to one of two treatment sequences. Participants will receive a single inhaled dose of ASY202 and a single inhaled dose of placebo, each administered once during separate study periods. During each treatment period, subjects will stay in the clinical research unit for safety monitoring and PK assessments, including serial blood sampling, spirometry, vital signs, clinical laboratory tests, and ECGs. Each period will include post dose assessments for up to 24 hours. Participants will return for their next treatment period after a washout interval to ensure complete clearance of study medication. All subjects will receive both treatments over the course of the study. A follow-up visit will occur after the last dose to assess ongoing safety and tolerability.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
TRIPLE
Enrollment
40
ASY202 is a pre-metered drug-device combination product containing a dry-powder formulation of dihydroergotamine (DHE) intended for oral inhalation, delivered via a dry powder inhaler (DPI).
Placebo inhalation powder delivered via a dry powder inhaler (DPI) device.
Sun City Clinical Research
Glendale, Arizona, United States
ACTIVE_NOT_RECRUITINGCenExel- Anaheim Clinical trials LLC
Anaheim, California, United States
RECRUITINGWorldwide Clinical Trials- Early Phase Research Unit
San Antonio, Texas, United States
WITHDRAWNEffect of a single dose of ASY202 2 mg compared with placebo on pulmonary function in adults with asthma.
Percentage change from baseline in FEV1 over time measured by spirometry at predefined timepoints post-dose (5 minutes, 15 minutes, 40 minutes, 1 hour, 2 hours and 4 hours), following administration of investigational product.
Time frame: Post dose 5 minutes, 15 minutes, 40 minutes, 1hour, 2 hours and 4 hours.
Effect of a single dose of ASY202 2 mg compared with placebo on additional pulmonary function in adults with asthma.
Change from baseline in FEV1 in absolute value at post-dose time points
Time frame: Post dose 5 minutes, 15 minutes, 40 minutes, 1 hour, 2 hours and 4 hours.
Effect of a single dose of ASY202 2 mg compared with placebo on additional pulmonary function in adults with asthma.
Change from baseline in FEV1 in % predicted at post-dose time points
Time frame: Post dose 5 minutes, 15 minutes, 40 minutes, 1 hour, 2 hours and 4 hours.
Effect of a single dose of ASY202 2 mg compared with placebo on additional pulmonary function in adults with asthma.
Change from baseline in FVC at any of the post-dose time points.
Time frame: Post dose 5 minutes, 15 minutes, 40 minutes, 1 hour, 2 hours and 4 hours.
Effect of a single dose of ASY202 2 mg compared with placebo on additional pulmonary function in adults with asthma.
Change from baseline in FEV1/FVC ratio at any of the post-dose time points
Time frame: Post dose 5 minutes, 15 minutes, 40 minutes, 1 hour, 2 hours and 4 hours
Effect of a single dose of ASY202 2 mg compared with placebo on additional pulmonary function in adults with asthma.
Change from baseline in FEF 25-75 at any of the post-dose time points
Time frame: Post dose 5 minutes, 15 minutes, 40 minutes, 1 hour, 2 hours and 4 hours
Effect of a single dose of ASY202 2 mg compared with placebo on additional pulmonary function in adults with asthma
Proportion of participants with ≥20%, ≥15%, ≥10% reduction in FEV1 from baseline at any of the post-dose time points.
Time frame: Post dose 5 minutes, 15 minutes, 40 minutes, 1 hour, 2 hours and 4 hours
Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability) of a single dose of ASY202 2 mg compared with placebo in adults with asthma.
Incidence and severity of Treatment Emergent Adverse Events (TEAEs)
Time frame: Up to 24 hours post dose and safety follow up to seven days after last dose
Characterization of the PK of DHE and its major metabolite 8'-OH-DHE after administration of single dose of DHE inhalation powder in adults with asthma.
AUC0-t, AUC0-inf, AUC0-30min and AUC0-2h of plasma concentrations of DHE and 8'-OH-DHE of DHE and its metabolite
Time frame: Multiple post-dose timepoints: 5 minutes, 10 minutes, 15 minutes, 30 minutes, 45 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 8 hours and 24 hours, following study drug administration
Characterization of the PK of DHE and its major metabolite 8'-OH-DHE after administration of single dose of DHE inhalation powder in adults with asthma.
Cmax of plasma concentrations of DHE and 8'-OH-DHE
Time frame: Multiple post-dose timepoints: 5 minutes, 10 minutes, 15 minutes, 30 minutes, 45 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 8 hours and 24 hours, following study drug administration
Characterization of the PK of DHE and its major metabolite 8'-OH-DHE after administration of single dose of DHE inhalation powder in adults with asthma.
Tmax of plasma concentrations of DHE and 8'-OH-DHE
Time frame: Multiple post-dose timepoints: 5 minutes, 10 minutes, 15 minutes, 30 minutes, 45 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 8 hours and 24 hours, following study drug administration
Characterization of the PK of DHE and its major metabolite 8'-OH-DHE after administration of single dose of DHE inhalation powder in adults with asthma
Kel of plasma concentrations of DHE and 8'-OH-DHE
Time frame: Multiple post-dose timepoints: 5 minutes, 10 minutes, 15 minutes, 30 minutes, 45 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 8 hours and 24 hours, following study drug administration
Characterization of the PK of DHE and its major metabolite 8'-OH-DHE after administration of single dose of DHE inhalation powder in adults with asthma
T1/2 el of plasma concentrations of DHE and 8'-OH-DHE
Time frame: Multiple post-dose timepoints: 5 minutes, 10 minutes, 15 minutes, 30 minutes, 45 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 8 hours and 24 hours, following study drug administration
Characterization of the PK of DHE and its major metabolite 8'-OH-DHE after administration of single dose of DHE inhalation powder in adults with asthma
CL/F during the terminal phase of DHE
Time frame: Multiple post-dose timepoints: 5 minutes, 10 minutes, 15 minutes, 30 minutes, 45 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 8 hours and 24 hours, following study drug administration
Characterization of the PK of DHE and its major metabolite 8'-OH-DHE after administration of single dose of DHE inhalation powder in adults with asthma
Vz/F during the terminal phase of DHE
Time frame: Multiple post-dose timepoints: 5 minutes, 10 minutes, 15 minutes, 30 minutes, 45 minutes, 1 hour, 2 hours, 3 hours, 4 hours, 8 hours and 24 hours, following study drug administration
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.