Pharmacokinetics of indacaterol, glycopyrronium and mometasone furoate administered as an inhaled fixed-dose combination in Japanese and Caucasian healthy subjects.

Background: A once-daily (o.d.) fixed-dose combination of indacaterol acetate (IND), glycopyrronium bromide (GLY), and mometasone furoate (MF) delivered via the Breezhaler® device (IND/GLY/MF) is being developed for treatment of asthma. This study compared steady-state pharmacokinetics of IND, GLY a...

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Publicado en:BMC Pulmonary Medicine Vol. 21; no. 1; pp. 1 - 13
Autores principales: Inoue, Satoru, Vaidya, Soniya, Tillmann, Hanns-Christian, Sakita, Yohei, Machineni, Surendra, Heudi, Olivier, Furihata, Kenichi
Formato: clinical trial research tables/charts Journal Article
Publicado: BioMed Central 1/7/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 1/7/2021
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      pub: BioMed Central
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        10.1186/s12890-020-01382-6
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        atl: Pharmacokinetics of indacaterol, glycopyrronium and mometasone furoate administered as an inhaled fixed-dose combination in Japanese and Caucasian healthy subjects.
      aug:
        au:
          Inoue, Satoru
          Vaidya, Soniya
          Tillmann, Hanns-Christian
          Sakita, Yohei
          Machineni, Surendra
          Heudi, Olivier
          Furihata, Kenichi
        affil: Novartis Pharma KK, Tokyo, Japan
      sug:
        subj:
          Bronchodilator Agents Pharmacokinetics
          Antiinfective Agents, Quinolone Pharmacokinetics
          Glycopyrrolate Pharmacokinetics
          Hydrocarbons Pharmacokinetics
          Asians
          Crossover Design
          Female
          Research Subjects
          Drug Combinations
          Bronchodilator Agents Administration and Dosage
          Male
          Human
          Glycopyrrolate Administration and Dosage
          Antiinfective Agents, Quinolone Administration and Dosage
          Young Adult
          Hydrocarbons Administration and Dosage
          Adult
          Administration, Inhalation
          Clinical Trials
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Adult: 19-44 years
          Female
          Male
      ab: Background: A once-daily (o.d.) fixed-dose combination of indacaterol acetate (IND), glycopyrronium bromide (GLY), and mometasone furoate (MF) delivered via the Breezhaler® device (IND/GLY/MF) is being developed for treatment of asthma. This study compared steady-state pharmacokinetics of IND, GLY and MF between Japanese and Caucasian male subjects after multiple inhalations of IND/GLY/MF o.d.Methods: This was a single-center, open-label, 2-treatment crossover study with a 21-day washout period. Japanese and Caucasian subjects received IND/GLY/MF 150/50/80 μg (inhaled corticosteroid [ICS] medium-dose) or 150/50/160 μg o.d. (ICS high-dose) for 14 days in each period. Pharmacokinetics were characterized up to 24 h post-dose on Days 1 and 14.Results: In total, 16 Japanese (median age 31 years [range 20-40 years], mean weight 68.3 kg) and 17 Caucasian subjects (median age 27 years [range 21-43 years], mean weight 75.0 kg) were randomized. Geometric mean ratios (Japanese/Caucasian) [90% confidence interval (CI)] for Cmax for IND, GLY and MF at the high ICS dose on Day 14 were 1.31 [1.13, 1.51] 1.38 [1.13, 1.69] and 1.07 [0.969, 1.18], respectively. Geometric mean ratios (Japanese/Caucasian) [90% CI] for AUC0-24h on Day 14 for IND, GLY and MF at the high ICS dose were 1.17 [1.01, 1.35], 1.05 [0.920, 1.20] and 1.15 [1.05, 1.27] respectively. Similar trends were noted for all components for the medium ICS dose treatment. IND/GLY/MF was safe and well tolerated; no AEs suspected to be study drug-related were observed.Conclusion: Pharmacokinetics of IND, GLY and MF (high and medium dose) when delivered as a fixed-dose combination were comparable between Japanese and Caucasian subjects. The IND/GLY/MF combination at the administrated doses was safe and well tolerated in both ethnic groups.Trial Registration: Japan Registry of Clinical Trial: jRCT2031200227, retrospectively registered on 04, December, 2020.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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