A Phase I Study of the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics for a Single Dose of HRS-9821 Powder for Inhalation and Inhalation Suspension Administered in Healthy Subjects and Multiple Doses in Patients With COPD.

Phase
Recruitment status
Participants
Lead sponsor
Guangdong Hengrui Pharmaceutical Co., Ltd
Start date
Number of sites

Summary
The aim of this study was to evaluate the safety and tolerability of HRS-9821 Powder for Inhalation and inhalation suspension administered in a single dose in healthy individuals and multiple doses in patients with COPD
Short title
A Phase I Study of the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics for a Single Dose of HRS-9821 Powder for Inhalation and Inhalation Suspension Administered in Healthy Subjects and Multiple Doses in Patients With COPD.
Official title
A Phase I Study of the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics for a Single Dose of HRS-9821 Powder for Inhalation and Inhalation Suspension Administered in Healthy Subjects and Multiple Doses in Patients With COPD.

Control arm
Registry reports results
Listing at source
Recruitment status
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Participants
Participant count basis
Planned participants
Protocol amendments
Number of sites

Registry sponsor category
Lead sponsor
Guangdong Hengrui Pharmaceutical Co., Ltd
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Treatment
Masking
Quadruple masking
Masked roles
Participants, Care providers, Investigators, Outcome assessors
Sources for study design

  1. Change from baseline in the rate of adverse events

    Timeframe: The screening period lasted until 40 days after administration

  1. Plasma drug concentration after administration

    Timeframe: The screening period lasted until 40 days after administration

  2. Changes in heart rate from baseline after a single dose of HRS-9821 aerosol inhalation in healthy subjects。

    Timeframe: The screening period lasted until 29 days after administration

  3. Changes in QT interval from baseline after a single dose of HRS-9821 aerosol inhalation in healthy subjects.

    Timeframe: The screening period lasted until 29 days after administration

  4. Lung epithelial lining fluid (ELF) drug concentrations based on alveolar lavage (BAL) measurements in healthy subjects after a single dose of HRS-9821 aerosol inhalation

    Timeframe: The screening period lasted until 29 days after administration

  5. Theoretical intracellular drug concentrations based on alveolar lavage fluid (BALF) cells measured by alveolar lavage (BAL) after a single dose of HRS-9821 aerosol inhalation in healthy subjects.

    Timeframe: The screening period lasted until 29 days after administration

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
18 Years
Maximum age
75 Years
Healthy volunteers
Yes

  1. Informed consent was obtained to participate in the trial

  2. Body weight ≥45 kg, BMI 18-33 kg/m2 (both ends included)

  3. The 12-lead ECG was normal or abnormal but clinically insignificant until randomization

  4. Contraception was strict from the time informed consent was signed until 1 month (for subjects receiving HRS-9821/ placebo) or 3 months (for male subjects receiving moxifloxacin) after the last dose

  5. All study regulations and procedures were followed and inhalation devices used in the study were used correctly during the study

    The following inclusion criteria apply only to healthy subjects:

  6. Vital signs were normal at screening

  7. Pulmonary function was normal during screening

  8. No smoking or smoking cessation ≥12 months before screening, and previous smoking history <5 pack-years;

  9. Healthy male 18-50 years old The following inclusion criteria apply only to subjects with COPD

  10. Male or female, aged 40-75 years;

  11. Patients diagnosed with COPD;

  12. A post-bronchodilator FEV1 /FVC < 0.7,40% ≤FEV1 < 80% of the predicted value,;

  13. Smoking history of≥ 10 pack-years;

  14. Normal chest X-ray examination results at screening;

  15. Supporting discontinuation of COPD-related medications before randomization;

  1. Mean QTcF ≥ 450 ms at screening;

  2. Persons who had donated blood or had massive blood loss (> 400 ml) within 4 weeks before screening or who were interested in donating blood during the study

  3. Receipt of the investigational drug or device within 4 weeks before randomization or less than 5 times the half-life of the drug, whichever was greater;

  4. Patients who had difficulty in blood collection or could not tolerate venipuncture in the past, such as dizzy with needles or blood

  5. History of malignancy in any organ system

  6. Known allergies to salbutamol, study medication, or any excipients in the formulation

  7. Known previous infection with human immunodeficiency virus (HIV), hepatitis B virus (HBV) or hepatitis C virus (HCV); Or positive HIV (according to a trial-site SOP), treponema pallidum antibody, HBV surface antigen, or HCV antibody before randomization

  8. History of alcohol abuse

  9. History of drug abuse and drug dependence in the past 5 years;

  10. Positive for alcohol or substance abuse test before randomization

  11. During the study, surgery or treatment that might interfere with the conduct of the study was planned;

  12. Unable or unwilling to fully adhere to the study protocol

  13. Mentally or legally incapacitated

  14. There were any other reasons for the subject not to participate in the study in the opinion of the investigator;

  15. Use of a strong/moderate potency drug that inhibits or induces the hepatic drug-metabolizing enzyme CYP3A4 14 days before the first dose;

  16. Drugs with effects on P-glycoprotein (P-gp) or breast cancer resistance protein (BCRP) were anticipated to be used during the study;

  17. History of using HRS-9821 suspension;

    The following exclusion criteria apply only to healthy subjects:

  18. Have been treated with antibiotics for upper and lower respiratory tract infections within 12 weeks prior to screening;

  19. Abnormal laboratory or physical examination results with clinical significance;

  20. Positive urine nicotine test before randomization;

  21. Have consumed a prescription within 14 days prior to the first dose or over-the-counter drugs within 48 h prior to the first dose; The following exclusion criteria apply only to subjects with COPD

  22. History of life-threatening acute exacerbation of COPD (AECOPD), including admission to intensive care unit and/or need for invasive ventilator support;

  23. Diagnosed with other respiratory disorders;

  24. Pulmonary heart disease, or pulmonary hypertension caused by lung disease and/or hypoxia;

  25. History of lung volume reduction surgery, partial lung resection, lung transplantation, and other surgeries that may affect pulmonary function results;

  26. History of AECOPD requiring systemic glucocorticoids or antibiotics or hospitalization within 4 weeks prior to screening;

  27. Lower respiratory tract infection requiring antibiotic treatment within 4 weeks prior to screening;

  28. Requiring oxygen therapy or home non-invasive ventilation;

  29. Currently using or plan to use non-selective beta blockers or other drugs with bronchoconstrictive effects during the study;

  30. Patients with serious trauma or major surgery within 6 months prior to screening who are still in the recovery period;

  31. Abnormal laboratory tests at screening and baseline.

Sources for eligibility

  • West China Hospital, Sichuan UniversityChengdu, ChinaRecruiting
Sources for sites

Related records

Drugs (2)

Lead sponsors (1)

Conditions (2)

Targets (1)