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CompletedNCT02271334A006-DUpdated Apr 19, 2017

Evaluation of Pharmacokinetics and Safety of A006 in Healthy Volunteers

A Phase 2 interventional study of A006 DPI and A006 DPI in Asthma, sponsored by Amphastar Pharmaceuticals, Inc.. Completed at 1 site in United States. Open to participants aged 18 Years to 40 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-04-19.

Sponsored by Amphastar Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
22
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Study summary

The objective of this study is to evaluate the pharmacokinetics (PK) and safety profiles of A006, an Albuterol dry powder inhaler (DPI), following a single dose of 110 mcg (T1) or 220 mcg (T2), in healthy male and female adult volunteers.

Read the detailed description

This study is a randomized, double or evaluator-blinded, single dose, four-arm, crossover PK study in eighteen (18) healthy volunteers, both male and female adults, at 18-40 years of age.

All candidates will be screened and only those who satisfy all enrollment criteria will be enrolled into this study. Each study subject will participate in a screening visit and four (4) study visits with one (1) randomized study treatment given in each visit.

PK samples will be analyzed with an established LC/MS/MS method. An End-of-Study (EOS) safety evaluation will be conducted at the end of Study Visit-4.

02

Conditions studied

  • Asthma

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Keywords

  • Asthma
  • Albuterol
03

In context

Asthma

3,921 studies on the registry are indexed under Asthma; 507 are open to participants now.

This study's enrollment of 22 is below the median of 83 across 2,752 interventional studies indexed under Asthma.

Browse Asthma studies →

Lead sponsor

Amphastar Pharmaceuticals, Inc. is the lead sponsor of 19 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Generally healthy, male and female adults, 18-40 years of age at Screening;
  • Having no clinically significant respiratory, cardiovascular and other systemic or organic illnesses;
  • Body weight ≥ 50 kg for men and ≥ 45 kg for women, and BMI within the range of 18.5 - 30.0 kg/m2 inclusive;
  • Sitting blood pressure ≤ 135/90 mmHg;
  • Demonstrating negative HIV, HBsAg and HCV tests, alcohol and nine panel urine drug screen tests;
  • Demonstrating proficiency in the use of DPI and MDI or able to be trained in the proper use of these devices;
  • Demonstrating Peak Inspiratory Flow Rate (PIF) within 80-150 L/min (after training), for at least 2 times consecutively, with a maximum of 5 attempts;
  • Having no known hypersensitivity to any ingredients of A006 and Proventil® MDI (Albuterol, sulfate, lactose, milk protein, HFA-134a, oleic acid, or ethanol). (Subjects must be able to tolerate at least one teaspoon of milk);
  • Women of child-bearing potential must be non-pregnant, non-lactating, and practicing a clinically acceptable form of birth control; and
  • Having properly consented and satisfied all other inclusion/exclusion criteria as required for this protocol.

Exclusion criteria

Exclusion Criteria:

  • A smoking history of ≥ 5 pack-years, or having smoked within 6 months prior to Screening;
  • Upper respiratory tract infections within 2 weeks, or lower respiratory tract infection within 4 weeks, prior to Screening;
  • Previous history of asthma or COPD;
  • Any current or recent respiratory conditions that, per investigator discretion, might significantly affect pharmacodynamic response to the study drugs, including cystic fibrosis, bronchiectasis, tuberculosis, emphysema, and other significant respiratory diseases;
  • Concurrent clinically significant cardiovascular, hematological, renal, neurologic, hepatic, endocrine, psychiatric, malignant, or other illnesses that in the opinion of the investigator could impact on the conduct, safety and evaluation of the study;
  • ECG at Screening and Visit-1 baseline expressed any single or multiple premature ventricular contractions (PVC);
  • ECG at Screening and Visit-1 baseline with a QTc reading greater than 450ms;
  • Use of prohibited drugs or failure to observe the drug washout restrictions; and
  • Having been on other clinical drug/device studies or donated blood in the last 30 days prior to Screening.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    Treatment T1

    One inhalation of 110 mcg A006 DPI. Total 110 mcg

    Drug: A006 DPI

  • Experimental
    Treatment T2

    One inhalation of 220 mcg A006 DPI. Total 220 mcg.

    Drug: A006 DPI

  • Active comparator
    Treatment R1

    One inhalation of 90 mcg Proventil® MDI. Total 90 mcg.

    Drug: Proventil® MDI

  • Active comparator
    Treatment R2

    Two inhalations of 90 mcg Proventil® MDI. Total 180 mcg

    Drug: Proventil® MDI

Interventions

  • DrugA006 DPI

    Single dose 110 mcg, 1 inhalation

    Also known as: Albuterol, Albuterol DPI

  • DrugA006 DPI

    Single dose 220 mcg, 1 inhalation

    Also known as: Albuterol, Albuterol DPI

  • DrugProventil® MDI

    Single dose 90 mcg, 1 inhalation

    Also known as: Proventil®

  • DrugProventil® MDI

    Single dose 90 mcg, 2 inhalations

    Also known as: Proventil®

06

What researchers measure

Primary outcomes

  1. Area Under the Curve of Drug Concentration versus Time (AUC[0-t])

    Subject PK blood samples will be taken prior to dosing and at multiple time points, up to 8 hours after dosing during each treatment period. PK samples will be analyzed using a validated test method. Area under the curve of the drug concentration versus time curve (AUC\[0-t\]) for each treatment period will be calculated using the trapezoidal rule.

    Time frame: Within 30 minutes prior to dosing (baseline) to 8 hours post-dose

  2. Peak Plasma Concentration (C[max])

    Subject PK blood samples will be taken prior to dosing and at multiple time points, up to 8 hours after dosing during each treatment period. PK samples will be analyzed using a validated test method. Peak plasma concentration (C\[max\]) will be the highest concentration of Albuterol during each treatment period.

    Time frame: Within 30 minutes prior to dosing (baseline) to 8 hours post-dose

  3. Time to Reach Peak Plasma Concentration (t[max])

    Subject PK blood samples will be taken prior to dosing and at multiple time points, up to 8 hours after dosing during each treatment period. PK samples will be analyzed using a validated test method. Time to reach peak plasma concentration (t\[max\]) will be the time it takes to reach the highest concentration of Albuterol during each treatment period.

    Time frame: Within 30 minutes prior to dosing (baseline) to 8 hours post-dose

  4. Plasma Albuterol Concentrations at All Time Points

    Subject PK blood samples will be taken prior to dosing and at multiple time points, up to 8 hours after dosing during each treatment period. PK samples will be analyzed using a validated test method. Plasma Albuterol concentrations at these time points will be reported during each treatment period.

    Time frame: Within 30 minutes prior to dosing (baseline) to 8 hours post-dose

Other outcomes

  1. Systolic Blood Pressure (SBP) at Screening

    Subjects will have their vital signs, i.e., blood pressure and heart rate, measured during the Screening Visit to ensure they are generally healthy.

    Time frame: Within 14 days prior to Day 1 (Visit 1)

  2. Systolic Blood Pressure (SBP)

    Subject will have their vital signs, i.e., blood pressure and heart rate, measured prior to dosing and at multiple time points, up to 8 hours after dosing during each treatment period.

    Time frame: Within 30 minutes prior to dosing (baseline) to 8 hours post-dose

  3. Diastolic Blood Pressure (DBP) at Screening

    Subjects will have their vital signs, i.e., blood pressure and heart rate, measured during the Screening Visit to ensure they are generally healthy.

    Time frame: Within 14 days prior to Day 1 (Visit 1)

  4. Diastolic Blood Pressure (DBP)

    Subject will have their vital signs, i.e., blood pressure and heart rate, measured prior to dosing and at multiple time points, up to 8 hours after dosing during each treatment period.

    Time frame: Within 30 minutes prior to dosing (baseline) to 8 hours post-dose

  5. Heart Rate (HR) at Screening

    Subjects will have their vital signs, i.e., blood pressure and heart rate, measured during the Screening Visit to ensure they are generally healthy.

    Time frame: Within 14 days prior to Day 1 (Visit 1)

  6. Heart Rate (HR)

    Subject will have their vital signs, i.e., blood pressure and heart rate, measured prior to dosing and at multiple time points, up to 8 hours after dosing during each treatment period.

    Time frame: Within 30 minutes prior to dosing (baseline) to 8 hours post-dose

  7. 12-Lead ECG QT Intervals at Screening

    12-Lead ECGs will be performed to measure QT and QTc intervals during the Screening Visit to ensure absence of overt cardiac illnesses.

    Time frame: Within 14 days prior to Day 1 (Visit 1)

  8. 12-Lead ECG QT Intervals

    12-Lead ECGs will be performed to measure QT and QTc intervals prior to dosing and at multiple time points, up to 8 hours after dosing during each treatment period.

    Time frame: Within 30 minutes prior to dosing (baseline) to 8 hours post-dose

  9. 12-Lead ECG QTc Intervals at Screening

    12-Lead ECGs will be performed to measure QT and QTc intervals during the Screening Visit to ensure absence of overt cardiac illnesses.

    Time frame: Within 14 days prior to Day 1 (Visit 1)

  10. 12-Lead ECG QTc Intervals

    12-Lead ECGs will be performed to measure QT and QTc intervals prior to dosing and at multiple time points, up to 8 hours after dosing during each treatment period.

    Time frame: Within 30 minutes prior to dosing (baseline) to 8 hours post-dose

  11. Complete Blood Count (CBC) at Screening

    A CBC will be performed as part of the subject safety evaluations at screening.

    Time frame: Within 14 days prior to Day 1 (Visit 1)

  12. Complete Blood Count (CBC) at End-of-Study

    A CBC will be performed as part of the End-of-Study subject safety evaluations at end-of-study.

    Time frame: 4 hours post-dose at Visit 4 (within 6 weeks after Day 1 (Visit 1))

  13. Comprehensive Metabolic Panel (CMP) at Screening

    A CMP will be performed as part of the subject safety evaluations at screening.

    Time frame: Within 14 days prior to Day 1 (Visit 1)

  14. Comprehensive Metabolic Panel (CMP) at End-of-Study

    A CMP will be performed as part of the End-of-Study subject safety evaluations at end-of-study.

    Time frame: 4 hours post-dose at Visit 4 (within 6 weeks after Day 1 (Visit 1))

  15. Urinalysis at Screening

    Routine and microscopic urinalysis will be performed as part of the subject safety evaluations at screening.

    Time frame: Within 14 days prior to Day 1 (Visit 1)

  16. Urinalysis at End-of-Study

    Routine and microscopic urinalysis will be performed as part of the End-of-Study subject safety evaluations at end-of-study.

    Time frame: 4 hours post-dose at Visit 4 (within 6 weeks after Day 1 (Visit 1))

  17. Incidents of Pregnancy at Screening

    A urinary pregnancy test will be performed for women of child-bearing potential as a part of the Screening Visit evaluations to determine the eligibility of the subject for the study.

    Time frame: Within 14 days prior to Day 1 (Visit 1)

  18. Incidents of Pregnancy at End-of-Study

    A urinary pregnancy test will be performed for women of child-bearing potential as a part of the End-of-Study safety evaluations to determine if a pregnancy had occurred during the study.

    Time frame: 4 hours post-dose at Visit 4 (within 6 weeks after Day 1 (Visit 1))

  19. Serious Adverse Events

    Adverse drug events (ADEs), whether observed by investigators or reported by the subjects, will be documented, evaluated, followed up, and treated if deemed necessary. According to FDA guidelines, a serious ADE will refer to any adverse drug experience occurring at any dose that results in any of the following outcomes: 1) death; 2) a life-threatening adverse drug experience; 3) inpatient hospitalization or prolongation of existing hospitalization; 4) persistent or significant disability/incapacity; 5) congenital anomaly/birth defect; 6) other important medical events that may jeopardize the subject or may require medical or surgical intervention to prevent one of the outcomes listed in this definition. ADEs will be followed until stabilized/resolved or 30 days from the date the subject has finished the study, whichever is sooner.

    Time frame: Signing of Informed Consent at Screening Visit to End-of-Study Visit, an expected average of 7 Weeks

  20. Other Adverse Events

    Adverse drug events (ADEs), whether observed by investigators or reported by the subjects, will be documented, evaluated, followed up, and treated if deemed necessary. ADEs will be followed until stabilized/resolved or 30 days from the date the subject has finished the study, whichever is sooner.

    Time frame: Signing of Informed Consent at Screening Visit to End-of-Study Visit, an expected average of 7 Weeks

07

Study locations

1 site
  • Amphastar Site 0035
    Cypress, California 90630, United States
08

References and documents

Publications

  • Lipworth BJ, Clark DJ. Lung delivery of salbutamol given by breath activated pressurized aerosol and dry powder inhaler devices. Pulm Pharmacol Ther. 1997 Aug;10(4):211-4. doi: 10.1006/pupt.1997.0093. PubMed 9695144 ↗
  • Ahrens RC. The role of the MDI and DPI in pediatric patients: "Children are not just miniature adults". Respir Care. 2005 Oct;50(10):1323-8; discussion 1328-30. PubMed 16185368 ↗
  • Goldstein DA, Tan YK, Soldin SJ. Pharmacokinetics and absolute bioavailability of salbutamol in healthy adult volunteers. Eur J Clin Pharmacol. 1987;32(6):631-4. doi: 10.1007/BF02456001. PubMed 3653233 ↗
  • Hindle M, Newton DA, Chrystyn H. Dry powder inhalers are bioequivalent to metered-dose inhalers. A study using a new urinary albuterol (salbutamol) assay technique. Chest. 1995 Mar;107(3):629-33. doi: 10.1378/chest.107.3.629. PubMed 7874928 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 19, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02271334
Lead sponsor
Amphastar Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Oct 22, 2014
Start date
Aug 2014
Primary completion
Oct 2014
Completion
Mar 2015
Last update
Apr 19, 2017

Study contacts

Safety Monitor
study director · Amphastar Pharmeceuticals, Inc.

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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