Trial Outcomes & Findings for Relative Bioavailability of Olodaterol and Fluconazole (NCT NCT01153724)

NCT ID: NCT01153724

Last Updated: 2014-06-10

Results Overview

AUC0-6,ss represents the area under the concentration curve of olodaterol in plasma from 0 to time t=6 hours at steady state, where t is defined as the latest time-point where at least 2/3 of the subjects in both treatment periods reveal quantifiable plasma concentrations of olodaterol. The geometric mean is actually the adjusted geometric mean. The geometric coefficient of variation (gCV) is the intra-individual gCV.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

35 participants

Primary outcome timeframe

Day 8 of period 1 and day 14 of period 2

Results posted on

2014-06-10

Participant Flow

Participant milestones

Participant milestones
Measure
Overall Study
Total number of patients treated in the study. This was an open-label, fixed sequence, phase I trial in healthy volunteers. 35 subjects received in period 1 Olodaterol 10 microgram delivered by Respimat inhaler once daily for 8 days and in period 2 Olodaterol 10 microgram delivered by Respimat inhaler once daily plus 1 capsule Fluconazole 400 milligram once daily, both for 14 days (with a loading dose of 800 milligram on the first day).
Treatment Period 1
STARTED
35
Treatment Period 1
COMPLETED
34
Treatment Period 1
NOT COMPLETED
1
Treatment Period 2
STARTED
34
Treatment Period 2
COMPLETED
32
Treatment Period 2
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Overall Study
Total number of patients treated in the study. This was an open-label, fixed sequence, phase I trial in healthy volunteers. 35 subjects received in period 1 Olodaterol 10 microgram delivered by Respimat inhaler once daily for 8 days and in period 2 Olodaterol 10 microgram delivered by Respimat inhaler once daily plus 1 capsule Fluconazole 400 milligram once daily, both for 14 days (with a loading dose of 800 milligram on the first day).
Treatment Period 1
Withdrawal by Subject
1
Treatment Period 2
Adverse Event
1
Treatment Period 2
Other reason not defined above
1

Baseline Characteristics

Relative Bioavailability of Olodaterol and Fluconazole

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Study
n=35 Participants
Total number of patients treated in the study. This was an open-label, fixed sequence, phase I trial in healthy volunteers. 35 subjects received in period 1 Olodaterol 10 microgram delivered by Respimat inhaler once daily for 8 days and in period 2 Olodaterol 10 microgram delivered by Respimat inhaler once daily plus 1 capsule Fluconazole 400 milligram once daily, both for 14 days (with a loading dose of 800 milligram on the first day).
Age, Continuous
32.0 years
STANDARD_DEVIATION 9.0 • n=99 Participants
Sex: Female, Male
Female
18 Participants
n=99 Participants
Sex: Female, Male
Male
17 Participants
n=99 Participants

PRIMARY outcome

Timeframe: Day 8 of period 1 and day 14 of period 2

Population: Pharmacokinetic (PK) analysis set includes all evaluable subjects in the treated set providing at least 1 observation for at least 1 PK endpoint without important protocol violations.

AUC0-6,ss represents the area under the concentration curve of olodaterol in plasma from 0 to time t=6 hours at steady state, where t is defined as the latest time-point where at least 2/3 of the subjects in both treatment periods reveal quantifiable plasma concentrations of olodaterol. The geometric mean is actually the adjusted geometric mean. The geometric coefficient of variation (gCV) is the intra-individual gCV.

Outcome measures

Outcome measures
Measure
Olodaterol
n=24 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 8 days.
Olodaterol Plus Fluconazole
n=28 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 14 days plus Fluconazole 400mg capsule administered orally once daily for 14 days.
Area Under Curve From 0 to 6 Hours at Steady State (AUC0-6,ss)
19.659 Picogram*hours/milliliter
Geometric Coefficient of Variation 13.6
22.271 Picogram*hours/milliliter
Geometric Coefficient of Variation 13.6

PRIMARY outcome

Timeframe: Day 8 of period 1 and day 14 of period 2

Population: PK analysis set

Cmax,ss represents the maximum concentration of olodaterol and olodaterol glucuronide (a metabolite of olodaterol) in plasma at steady state. The geometric mean is actually the adjusted geometric mean. The geometric coefficient of variation (gCV) is the intra-individual gCV.

Outcome measures

Outcome measures
Measure
Olodaterol
n=33 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 8 days.
Olodaterol Plus Fluconazole
n=32 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 14 days plus Fluconazole 400mg capsule administered orally once daily for 14 days.
Maximum Concentration at Steady State (Cmax,ss)
Olodaterol (N=30;32)
5.336 Picogram/milliliter
Geometric Coefficient of Variation 15.5
5.805 Picogram/milliliter
Geometric Coefficient of Variation 15.5
Maximum Concentration at Steady State (Cmax,ss)
Olodaterol glucuronide (N=33;32)
4.211 Picogram/milliliter
Geometric Coefficient of Variation 19.4
3.621 Picogram/milliliter
Geometric Coefficient of Variation 19.4

SECONDARY outcome

Timeframe: Day 8 of period 1 and day 14 of period 2

Population: PK analysis set

tmax,ss represents the time from dosing to maximum concentration of olodaterol and olodaterol glucuronide in plasma at steady state.

Outcome measures

Outcome measures
Measure
Olodaterol
n=33 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 8 days.
Olodaterol Plus Fluconazole
n=32 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 14 days plus Fluconazole 400mg capsule administered orally once daily for 14 days.
Time From Dosing to the Maximum Concentration at Steady State (Tmax,ss)
Olodaterol (N=30;32)
0.250 Hours
Interval 0.117 to 1.0
0.250 Hours
Interval 0.083 to 1.0
Time From Dosing to the Maximum Concentration at Steady State (Tmax,ss)
Olodaterol glucuronide (N=33;32)
2.00 Hours
Interval 0.033 to 22.9
2.03 Hours
Interval 0.033 to 23.0

SECONDARY outcome

Timeframe: Day 8 of period 1 and day 14 of period 2

Population: PK analysis set

fe0-24,ss represents the fraction of olodaterol eliminated in urine from time point 0 to 24 hours after administration at steady state.

Outcome measures

Outcome measures
Measure
Olodaterol
n=32 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 8 days.
Olodaterol Plus Fluconazole
n=32 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 14 days plus Fluconazole 400mg capsule administered orally once daily for 14 days.
Fraction of Urine Excretion From 0 to 24 Hours at Steady State (fe0-24,ss)
5.63 percentage of olodaterol
Geometric Coefficient of Variation 39.8
6.45 percentage of olodaterol
Geometric Coefficient of Variation 33.1

SECONDARY outcome

Timeframe: Day 8 of period 1 and day 14 of period 2

Population: PK analysis set

Ae0-24,ss represents the amount of olodaterol and olodaterol glucuronide excreted in urine from 0 to time t=24 at steady state. The geometric mean is actually the adjusted geometric mean. The geometric coefficient of variation (gCV) is the intra-individual gCV.

Outcome measures

Outcome measures
Measure
Olodaterol
n=32 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 8 days.
Olodaterol Plus Fluconazole
n=32 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 14 days plus Fluconazole 400mg capsule administered orally once daily for 14 days.
Amount of the Analyte Excreted in Urine From 0 to 24 Hours at Steady State (Ae0-24,ss)
Olodaterol
563.459 ng
Geometric Coefficient of Variation 33.5
647.004 ng
Geometric Coefficient of Variation 33.5
Amount of the Analyte Excreted in Urine From 0 to 24 Hours at Steady State (Ae0-24,ss)
Olodaterol glucuronide
465.946 ng
Geometric Coefficient of Variation 26.5
347.030 ng
Geometric Coefficient of Variation 26.5

SECONDARY outcome

Timeframe: Day 8 of period 1 and day 14 of period 2

Population: PK analysis set

AUC0-12,ss represents the area under the concentration curve of olodaterol glucuronide in plasma from 0 to time t=12 at steady state, where t is defined as the latest timepoint where at least 2/3 of the subjects in both treatment periods reveal quantifiable plasma concentrations of the analyte. The geometric mean is actually the adjusted geometric mean. The geometric coefficient of variation (gCV) is the intra-individual gCV.

Outcome measures

Outcome measures
Measure
Olodaterol
n=27 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 8 days.
Olodaterol Plus Fluconazole
n=29 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 14 days plus Fluconazole 400mg capsule administered orally once daily for 14 days.
Area Under Curve From 0 to 12 Hours at Steady State (AUC0-12,ss)
33.389 Picogram*hours/milliliter
Geometric Coefficient of Variation 14.6
24.735 Picogram*hours/milliliter
Geometric Coefficient of Variation 14.6

SECONDARY outcome

Timeframe: First administration of trial medication until 6 days after last administration of trial medication

Population: Treated set (TS) - Treated set includes all patients who had taken at least 1 dose of trial medication.

Clinical relevant abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECG. New abnormal findings or worsening of baseline conditions were reported as Adverse Events.

Outcome measures

Outcome measures
Measure
Olodaterol
n=35 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 8 days.
Olodaterol Plus Fluconazole
n=34 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 14 days plus Fluconazole 400mg capsule administered orally once daily for 14 days.
Clinical Relevant Abnormalities for Vital Signs, Blood Chemistry, Haematology, Urinalysis and ECG
0 participants
0 participants

SECONDARY outcome

Timeframe: End of period 1 and end of period 2

Population: TS

The investigator assessed tolerability based on adverse events and the laboratory evaluation at the end-of-trial examination. The investigator classified the overall tolerability according to the categories 'good', 'satisfactory', 'not satisfactory', and 'bad'.

Outcome measures

Outcome measures
Measure
Olodaterol
n=35 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 8 days.
Olodaterol Plus Fluconazole
n=34 Participants
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 14 days plus Fluconazole 400mg capsule administered orally once daily for 14 days.
Assessment of Tolerability by the Investigator
Good
35 participants
30 participants
Assessment of Tolerability by the Investigator
Satisfactory
0 participants
3 participants
Assessment of Tolerability by the Investigator
Not satisfactory
0 participants
0 participants
Assessment of Tolerability by the Investigator
Bad
0 participants
1 participants
Assessment of Tolerability by the Investigator
Not assessable
0 participants
0 participants

Adverse Events

Olodaterol

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Olodaterol Plus Fluconazole

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Olodaterol
n=35 participants at risk
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 8 days.
Olodaterol Plus Fluconazole
n=34 participants at risk
Oral inhalation of Olodaterol 10 microgram solution with Respimat A5 device once daily for 14 days plus Fluconazole 400mg capsule administered orally once daily for 14 days.
Gastrointestinal disorders
Constipation
2.9%
1/35 • First administration of trial medication until 6 days after last administration of trial medication
Adverse events presented for treated set which includes all patients who had taken at least 1 dose of trial medication.
5.9%
2/34 • First administration of trial medication until 6 days after last administration of trial medication
Adverse events presented for treated set which includes all patients who had taken at least 1 dose of trial medication.
Gastrointestinal disorders
Paraesthesia oral
0.00%
0/35 • First administration of trial medication until 6 days after last administration of trial medication
Adverse events presented for treated set which includes all patients who had taken at least 1 dose of trial medication.
5.9%
2/34 • First administration of trial medication until 6 days after last administration of trial medication
Adverse events presented for treated set which includes all patients who had taken at least 1 dose of trial medication.
General disorders
Fatigue
0.00%
0/35 • First administration of trial medication until 6 days after last administration of trial medication
Adverse events presented for treated set which includes all patients who had taken at least 1 dose of trial medication.
20.6%
7/34 • First administration of trial medication until 6 days after last administration of trial medication
Adverse events presented for treated set which includes all patients who had taken at least 1 dose of trial medication.
Metabolism and nutrition disorders
Decreased appetite
0.00%
0/35 • First administration of trial medication until 6 days after last administration of trial medication
Adverse events presented for treated set which includes all patients who had taken at least 1 dose of trial medication.
26.5%
9/34 • First administration of trial medication until 6 days after last administration of trial medication
Adverse events presented for treated set which includes all patients who had taken at least 1 dose of trial medication.
Nervous system disorders
Headache
2.9%
1/35 • First administration of trial medication until 6 days after last administration of trial medication
Adverse events presented for treated set which includes all patients who had taken at least 1 dose of trial medication.
14.7%
5/34 • First administration of trial medication until 6 days after last administration of trial medication
Adverse events presented for treated set which includes all patients who had taken at least 1 dose of trial medication.
Psychiatric disorders
Sleep disorder
0.00%
0/35 • First administration of trial medication until 6 days after last administration of trial medication
Adverse events presented for treated set which includes all patients who had taken at least 1 dose of trial medication.
8.8%
3/34 • First administration of trial medication until 6 days after last administration of trial medication
Adverse events presented for treated set which includes all patients who had taken at least 1 dose of trial medication.

Additional Information

Boehringer Ingelheim Call Center

Boehringer Ingelheim Pharmaceuticals

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place