Overview

Salmeterol Inhalation Powder Administered as the Xinafoate Salt From Hard Polyethylene Capsules Via the HandiHaler® 2, and Serevent® Diskus® in Patients With Chronic Obstructive Pulmonary Disease (COPD)

Status:
Completed
Trial end date:
1969-12-31
Target enrollment:
0
Participant gender:
All
Summary
The primary objective of this trial was to establish non-inferiority of lung function response to two doses [25 μg (1 capsule) and 50 μg (2 capsules of 25 μg)] salmeterol, administered as the xinafoate salt, in an inhalation powder delivered from hard polyethylene (PE) capsules via the HandiHaler® 2 compared to Serevent® Diskus® (salmeterol 50 μg, administered as the xinafoate salt) following single dose inhalation in patients with COPD. A hard capsule with half the strength (12.5 μg) was included to investigate a dose ordering effect. The secondary objectives were to characterize the pharmacokinetics of salmeterol inhalation powder delivered by HandiHaler® 2 from the PE hard capsule(s) and salmeterol xinafoate delivered by Serevent® Diskus®, and to compare the safety of the different pharmaceutical forms and/or doses.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Boehringer Ingelheim
Treatments:
Salmeterol Xinafoate
Criteria
Inclusion Criteria:

1. All patients must sign an informed consent consistent with International Conference on
Harmonization Good Clinical Practice (ICH-GCP) guidelines and local legislations prior
to any study-related procedures, which includes medication washout and restrictions

2. All patients must have a diagnosis of chronic obstructive pulmonary disease and must
meet the following spirometric criteria:

- Patients must have relatively stable* airway obstruction with a pre-dose FEV1 ≤
60% of predicted normal and FEV1 ≤ 70% of FVC at Visits 1 and 2

- *The enrolment of patients who have had an exacerbation within six weeks
prior to planned study entry should be postponed

3. At Visit 1, patients must demonstrate an improvement in FEV1 of ≥12% over the
pre-bronchodilator value 45 minutes after inhalation of 4 puffs of 100 µg salbutamol
(Sultanol® MDI)

4. Male or female patients 40 years of age or older

5. Patients must be current or ex-smokers with a smoking history of more than 10
pack-years

6. Patients must be able to perform technically acceptable pulmonary function tests
during the study period as required in the protocol

7. Patients must be able to inhale medication in a competent manner from the HandiHaler®
2 device and the Diskus® device

Exclusion Criteria:

1. Patients with significant diseases other than COPD will be excluded. A significant
disease is defined as a disease which in the opinion of the investigator may either
put the patient at risk because of participation in the study or a disease which may
influence the results of the study or the patient's ability to participate in the
study.

2. Patients with a recent history (i.e., six months or less) of myocardial infarction

3. Patients who have been hospitalized for heart failure (New York Heart Association
(NYHA) class III or IV) within the past year

4. Patients with any unstable or life threatening cardiac arrhythmia or cardiac
arrhythmia requiring intervention or a change in drug therapy within the past year

5. Patients with malignancy for which the patient has undergone resection, radiation
therapy or chemotherapy within the last five years. Patients with treated basal cell
carcinoma are allowed

6. Patients with a history of asthma, allergic rhinitis or atopy or who have a total
blood eosinophil count ≥600/mm3

7. Patients with a history of life threatening pulmonary obstruction, or a history of
cystic fibrosis or clinically evident bronchiectasis

8. Patients with known active tuberculosis

9. Patients with significant alcohol or drug abuse within the past two years

10. Patients who have undergone thoracotomy with pulmonary resection. Patients with a
history of thoracotomy for other reasons should be evaluated as per exclusion
criterion No. 1.

11. Patients who have completed a pulmonary rehabilitation program in the six weeks prior
to the Screening Visit (Visit 1) or patients who are currently in a pulmonary
rehabilitation program that will not be maintained throughout the duration of the
study

12. Patients who regularly use daytime oxygen therapy for more than one hour per day and
in the investigator's opinion will be unable to abstain from the use of oxygen therapy

13. Patients who are being treated with antihistamines (H1 receptor antagonists),
antileukotrienes or leukotriene receptor antagonists for asthma or excluded allergic
conditions. See exclusion criterion No 6

14. Patients who have been treated with cromolyn sodium or nedocromil sodium within one
month prior to Visit 1 or during the run-in period

15. Patients using oral corticosteroid medication at unstable doses (i.e., less than six
weeks on a stable dose) or at doses in excess of the equivalent of 10 mg of prednisone
per day or 20 mg every other day

16. Patients with known hypersensitivity to beta-adrenergics, lactose or any other
components of the inhalation capsule delivery system or the Diskus®

17. Pregnant or nursing women or women of childbearing potential not using a medically
approved means of contraception for the previous three months (i.e. oral
contraceptives, intrauterine devices, diaphragm or subdermal implants, e.g.:
Norplant®)

18. Patients who have taken an investigational drug within one month or six half lives
(whichever is greater) prior to Visit 1

19. Patients who have been treated with oral beta-adrenergics within one month prior to
Visit 1 or during the run-in period

20. Patients who have been treated with theophylline preparations within one month prior
to Visit 1 or during the run-in period

21. Patients who have been treated with the long-acting anticholinergic tiotropium
(Spiriva®) within one month prior to Visit 1 or during the run-in period

22. Patients with any respiratory infections in the six weeks prior to the Screening Visit
(Visit 1) or during the run-in period. In the case of a respiratory infection during
the run-in period the latter may be extended up to six weeks

23. Patients who are currently participating in another study