Therapeutic Equivalence of Fluticasone Propionate Pressurized Metered Dose Inhaler, 110 mcg, to Flovent® HFA 110 mcg

• ClinicalTrials.gov Identifier: NCT03879837
• Recruitment Status: Completed
• First Posted: March 19, 2019
• Last Update Posted: September 1, 2021
• Sponsor: Actavis Inc.
• Collaborator: Teva Pharmaceuticals USA
• Information provided by (Responsible Party): Actavis Inc.

Study Description

Brief Summary:

A Randomized, Blinded, Parallel Group, Placebo-Controlled, Multiple Dose, Multicenter Study to Compare the Therapeutic Equivalence of Fluticasone Propionate Pressurized Metered Dose Inhaler, 110 mcg, to Flovent® HFA 110 mcg, in Adult Subjects with Asthma.

Condition or disease	Intervention/treatment	Phase
Asthma	Drug: Fluticasone propionate pressurized metered dose inhaler; Drug: Flovent HFA pressurized metered dose inhaler; Drug: Placebo pressurized metered dose inhaler	Phase 3

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 1902 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
• Primary Purpose: Treatment
• Official Title: A Randomized, Blinded, Parallel Group, Placebo-Controlled, Multiple Dose, Multicenter Study to Compare the Therapeutic Equivalence of Fluticasone Propionate Pressurized Metered Dose Inhaler, 110 mcg, to Flovent® HFA 110 mcg, in Adult Subjects With Asthma
• Actual Study Start Date: March 25, 2019
• Actual Primary Completion Date: May 28, 2021
• Actual Study Completion Date: July 9, 2021

Arms and Interventions

Arm	Intervention/treatment
Experimental: Investigational Test Product; Fluticasone propionate pressurized metered dose inhaler, 110 mcg per actuation	Drug: Fluticasone propionate pressurized metered dose inhaler; 110 mcg per actuation
Active Comparator: Reference Listed Drug; Flovent HFA pressurized metered dose inhaler, 110 mcg per actuation	Drug: Flovent HFA pressurized metered dose inhaler; 110 mcg per actuation; Other Name: Fluticasone propionate pressurized metered dose inhaler
Placebo Comparator: Placebo; Placebo pressurized metered dose inhaler, no active content	Drug: Placebo pressurized metered dose inhaler; no active content

Outcome Measures

Primary Outcome Measures :

1. Mean change in baseline adjusted morning pre-dose FEV1 from the time of treatment randomization to Week 4. [ Time Frame: 4 weeks ]

Secondary Outcome Measures :

1. Superiority over Placebo [ Time Frame: Approximately 4 Weeks ]
   To confirm the Test and Reference listed Drug products are statistically superior to placebo (p< 0.05) on the primary study endpoint.

Eligibility Criteria

• Ages Eligible for Study: 18 Years to 75 Years (Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria:

1. Adult ≥18 and ≤75 years of age male or female subjects of non-child bearing potential or of child bearing potential committing to consistent and correct use of an acceptable method of birth control.
2. Body mass index (BMI) ≥18 and ≤45.
3. Diagnosis of asthma, as defined by the NAEPP-EPR3 at least 12 months prior to Enrollment at Screening Visit 1a.
4. Pre bronchodilator highest forced expiratory volume in 1 second (FEV1) ≥45% and ≤85% of predicted normal value at Screening Visit 1b and on the first day of treatment prior to randomization.
5. Reversibility of airway obstruction ≥15% of FEV1 within 30 minutes of 360mcg albuterol inhalation (4 puffs).
6. Subjects should be stable on their chronic asthma treatment regimen for at least 4 weeks prior to Enrollment at Screening Visit 1a.
7. Currently non-smoking, defined as abstinence from all smoking, including marijuana and all tobacco products (i.e., e-cigarettes, cigarettes, cigars, pipe, ortobacco) within the past year, a negative cotinine screening test at Screening Visit 1b, and <10 pack years of historical use.
8. Able to replace current short-acting β agonist (SABA) with study issued albuterol inhaler for use as needed for the duration of the study.
9. Able to withhold all inhaled SABAs for at least 6 hours prior to lung function assessments on study visits.
10. Able to withhold all inhaled long acting β agonists (LABA) 24 hours before Screening Visit 1b.
11. Able to discontinue current asthma medications (e.g., inhaled corticosteroids[ICS], LABA, etc.) during the Run-in period and for remainder of the study.
12. Able to comply with study procedures, including correct use of inhaler devices and home peak expiratory flow (PEF) device, and maintaining an electronic diary (eDiary).
13. Willingness to give their written informed consent to participate in the study.

Exclusion Criteria:

1. Life-threatening asthma, defined as a history of asthma episodes(s) requiring intubation, and/or associated with hypercapnia, respiratory arrest or hypoxic seizures, asthma related syncopal episode(s), or hospitalizations due to asthma within the past year prior to Enrollment, or during the Screening or Run-in period.
2. History of significant respiratory disease other than asthma (e.g., chronic obstructive pulmonary disease [COPD], interstitial lung disease, chronic bronchitis, emphysema, etc.).
3. Evidence or history of clinically significant disease or abnormality including congestive heart failure, uncontrolled hypertension, uncontrolled coronary artery disease, myocardial infarction, or cardiac dysrhythmia. In addition, historical or current evidence of significant hematologic, hepatic, neurologic, psychiatric, renal, cardiovascular, endocrine, or other diseases that, in the opinion of the Investigator, would put the subject at risk through study participation, or would affect the study analyses if the disease exacerbates during the study.
4. Viral or bacterial, upper/lower respiratory tract infection (U/LRTI), or sinus, or middle ear infection within 4 weeks prior to Screening Visit 1b, during the Run-in period, or on the first day of treatment prior to randomization.
5. Hypersensitivity to any sympathomimetic drug (e.g., albuterol) or any inhaled, intranasal, or systemic corticosteroid therapy.
6. Hypersensitivity to any of the ingredients of FP pMDI or Flovent HFA.
7. Subjects receiving β2 blockers, anti-arrhythmics, anti-depressants, and/or monoamine oxidase inhibitors within 4 weeks prior to Screening Visit 1b.
8. Subjects who required systemic or oral corticosteroids (for any reason) within the past 6 months prior to Screening Visit 1b.
9. Subjects receiving medications that are strong cytochrome P4503A4 inhibitors (e.g., ritonavir, ketoconazole, itraconazole) within 2 weeks prior to Screening Visit 1b.
10. Subjects receiving any approved or investigational biological treatment for asthma (e.g., omalizumab, mepolizumab) within 6 months prior to Screening Visit 1b.
11. Subjects with clinically relevant abnormal chemistry laboratory findings at Screening Visit 1b as assessed by the Investigator.
12. Subjects with clinically significant electrocardiogram (ECG) findings at Screening Visit 1b as assessed by the Investigator and/or cardiologist.
13. Subjects who have received any Investigational Product (IP) within 1 month prior to Screening Visit 1b and as described in the Washout Table in Appendix 1.
14. Female subjects who are pregnant or breast feeding.
15. Evidence of oral candidiasis at Screening or randomization, or history within 1year prior to Screening Visit 1b.
16. Evidence or history of tuberculosis, hypercorticism, or adrenal suppression.
17. Evidence or history within the 6 months prior to Screening Visit 1b of clinically relevant eye problems such as cataracts. Any previous diagnosis or treatment for ocular hypertension or glaucoma is exclusionary.
18. Subjects with hyperbilirubinemia (defined as aspartate aminotransferase [AST] or alanine aminotransferase [ALT] ≥3 times the upper limit of the normal range [ULN], or bilirubin ≥2 times the ULN) or Hy's Law events.
19. Evidence or history of drug or alcohol abuse in the 2 years prior to Enrollment at Screening Visit 1a or a positive drug or alcohol test at Screening Visit 1b.

Contacts and Locations

Locations

United States, South Carolina

Site 1

Spartanburg, South Carolina, United States, 29303

Sponsors and Collaborators

Actavis Inc.

Teva Pharmaceuticals USA

More Information

• Responsible Party: Actavis Inc.
• ClinicalTrials.gov Identifier: NCT03879837
• Other Study ID Numbers: TPI-18-03
• First Posted: March 19, 2019
• Last Update Posted: September 1, 2021
• Last Verified: August 2021

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: No
• Plan Description: Participant data will not be shared.

• Studies a U.S. FDA-regulated Drug Product: Yes
• Studies a U.S. FDA-regulated Device Product: No
• Product Manufactured in and Exported from the U.S.: No

Keywords provided by Actavis Inc.:

Bioequivalence

Additional relevant MeSH terms:

Asthma; Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases; Fluticasone; Xhance; Anti-Inflammatory Agents; Bronchodilator Agents; Autonomic Agents; Peripheral Nervous System Agents; Physiological Effects of Drugs; Anti-Asthmatic Agents; Respiratory System Agents; Dermatologic Agents; Anti-Allergic Agents