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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04576325
Registration number
NCT04576325
Ethics application status
Date submitted
25/09/2020
Date registered
6/10/2020
Titles & IDs
Public title
Pharmacokinetic Profile of Voriconazole Inhalation Powder in Adult Subjects With Asthma
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Scientific title
A Randomized, Double-Blind, Placebo-Controlled Study Evaluating the Safety, Tolerability, and Pharmacokinetic Profile of Voriconazole Inhalation Powder in Adult Subjects With Asthma
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Secondary ID [1]
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TFF-V1-002
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Asthma
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Condition category
Condition code
Respiratory
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Asthma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Voriconazole Inhalation Powder
Treatment: Drugs - Placebo
Experimental: Voriconazole Inhalation Powder - Investigational drug will be supplied as capsules, each capsule contains 10 mg of Voriconazole Inhalation Powder. The capsules will be administered with the provided breath actuated Plastiape RS00 Model 8 Dry Powder Inhaler device.
Placebo comparator: Placebo - Placebo will be supplied as capsules, each capsule will contain no active ingredient. The capsules will be administered with the provided breath actuated Plastiape RS00 Model 8 Dry Powder Inhaler device.
Treatment: Drugs: Voriconazole Inhalation Powder
For each dose, multiple inhalations will be required (4 capsules in Cohort 1 and 8 capsules in Cohort 2). All capsules for a given dose must be inhaled over a maximum 10-minute period. Cohort 1 will receive 40 mg BID and Cohort 2 will receive 80 mg BID. Both Cohorts will administer study drug for 3.5 days (7 days total).
Treatment: Drugs: Placebo
For each dose, multiple inhalations will be required (4 capsules in Cohort 1 and 8 capsules in Cohort 2). All capsules must be inhaled over a maximum 10-minute period. Cohort 1 will receive 4 capsules of inactive BID and Cohort 2 will receive 8 capsules of inactive BID. Both Cohorts will administer placebo capsules for 3.5 days (7 days total).
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Number of participants who experience Adverse Events (AEs), Serious Adverse Events (SAEs) and withdrawals due to AEs
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Assessment method [1]
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Frequency of AEs, SAEs, and discontinuations due to AEs
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Timepoint [1]
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Through study completion, an average of 14 days
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Primary outcome [2]
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Number of participants who experience vital sign abnormalities
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Assessment method [2]
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Number of participants with potentially clinically significant vital sign values
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Timepoint [2]
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Baseline through study completion, an average of 14 days
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Primary outcome [3]
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Number of participants who experience pulse oximetry abnormalities
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Assessment method [3]
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Number of participants with potentially clinically significant pulse oximetry values
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Timepoint [3]
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Baseline through study completion, an average of 14 days
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Primary outcome [4]
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Mean change from baseline in forced expiratory volume (FEV1)
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Assessment method [4]
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Spirometry used to measure FEV1 lung function
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Timepoint [4]
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Baseline through study completion, an average of 14 days
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Primary outcome [5]
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Mean change from baseline in forced vital capacity (FVC)
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Assessment method [5]
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Spirometry used to measure FVC lung function
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Timepoint [5]
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Baseline through study completion, an average of 14 days
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Primary outcome [6]
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Mean change from baseline in forced expiratory flow over the middle 1/2 of the FVC (FEF25-75%)
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Assessment method [6]
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Spirometry used to measure FVC and FEF25-75% lung function
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Timepoint [6]
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Baseline through study completion, an average of 14 days
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Primary outcome [7]
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Mean change from baseline in FEV1/FVC ratio
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Assessment method [7]
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Spirometry used to measure FEV1 and FVC lung function
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Timepoint [7]
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Baseline through study completion, an average of 14 days
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Primary outcome [8]
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Mean change from baseline in QTcF changes via ECG
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Assessment method [8]
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Number of participants with potentially clinically significant ECG values
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Timepoint [8]
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Baseline through study completion, an average of 14 days
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Primary outcome [9]
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Number of participants who experience physical examination abnormalities
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Assessment method [9]
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Number of participants with potentially clinically significant physical examination findings
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Timepoint [9]
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Baseline through study completion, an average of 14 days
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Primary outcome [10]
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Number of participants who experience laboratory test abnormalities
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Assessment method [10]
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Number of participants with potentially clinically significant laboratory test results
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Timepoint [10]
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Baseline through study completion, an average of 14 days
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Secondary outcome [1]
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PK of VIP in plasma: Area under the plasma-concentration time curve (AUC)
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Assessment method [1]
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Blood samples will be collected for plasma analysis
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Timepoint [1]
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Predose Day 1 and through 12 hours post last dose (day 4)
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Secondary outcome [2]
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PK of VIP in plasma: Area under the plasma-concentration time curve over the first 12 hours after dosing (AUC0-12)
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Assessment method [2]
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Blood samples will be collected for analysis
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Timepoint [2]
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Predose Day 1 and through 12 hours post last dose (day 4)
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Secondary outcome [3]
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PK of VIP in plasma: Area under the concentration time curve, from time 0 to the last observed non-zero concentration (AUC0-tlast)
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Assessment method [3]
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Blood samples will be collected for analysis
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Timepoint [3]
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Predose Day 1 and through 12 hours post last dose (day 4)
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Secondary outcome [4]
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PK of VIP in plasma: Area under the concentration time curve from time 0 extrapolated to infinity (AUC8)
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Assessment method [4]
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Blood samples will be collected for analysis
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Timepoint [4]
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Predose Day 1 and through 12 hours post last dose (day 4)
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Secondary outcome [5]
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PK of VIP in plasma: Maximum observed concentration (Cmax)
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Assessment method [5]
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Blood samples will be collected for analysis
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Timepoint [5]
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Predose Day 1 and through 12 hours post last dose (day 4)
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Secondary outcome [6]
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PK of VIP in plasma: Time to maximal observed concentration (tmax)
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Assessment method [6]
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Blood samples will be collected for analysis
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Timepoint [6]
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Predose Day 1 and through 12 hours post last dose (day 4)
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Secondary outcome [7]
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PK of VIP in plasma: Termination elimination half-life (t½)
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Assessment method [7]
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Blood samples will be collected for analysis
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Timepoint [7]
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Predose Day 1 and through 12 hours post last dose (day 4)
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Secondary outcome [8]
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PK of VIP in plasma: Apparent total body clearance (CL/F)
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Assessment method [8]
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Blood samples will be collected for analysis
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Timepoint [8]
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Predose Day 1 and through 12 hours post last dose (day 4)
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Secondary outcome [9]
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PK of VIP in plasma: Apparent volume of distribution during the terminal elimination phase (Vz/F)
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Assessment method [9]
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Blood samples will be collected for analysis
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Timepoint [9]
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Predose Day 1 and through 12 hours post last dose (day 4)
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Eligibility
Key inclusion criteria
1. Provide written informed consent to participate and is willing and able to participate in the study and abide by study restrictions in the judgement of the Investigator.
2. Males or non-pregnant, non-lactating females.
3. Well-controlled Step 2 or Step 3 asthma defined by the GINA guidelines.
4. Body mass index (BMI) = 18.0 and = 35.0 kg/m2 at Screening.
5. Normal blood pressure at Screening and Check-In.
6. Normal clinical laboratory tests at Screening and Check-In.
7. Negative for hepatitis B surface antigen (HBsAg), hepatitis C antibody, human immunodeficiency virus (HIV) I and II antibodies, tuberculosis (TB), or COVID-19 at Screening.
8. Able to successfully perform spirometry and use the inhalation device, as demonstrated at Screening and Check-In.
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Minimum age
18
Years
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Maximum age
55
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. History or presence of clinically significant medical, ophthalmic, or psychiatric conditions or diseases in the opinion of the Investigator or designee.
2. History or current evidence of any chronic upper or lower respiratory conditions other than asthma or allergic (seasonal or perennial), or non-allergic rhinitis. History of mild acute upper or lower respiratory conditions are allowed, provided that it has been at least 3 months since the condition resolved and provided that in the Investigator's judgement, this occurrence poses no additional risk for this subject.
3. History of any illness or surgery within 6 months of Screening that, in the opinion of the Investigator, might confound the results of the study or that poses an additional risk to the subject by their participation in the study.
4. Current or former smokers, users of e-cigarettes or nicotine replacement products who have more than a 10-pack year history of smoking and who have used these products within the 6 months prior to Screening.
5. History or presence of alcoholism or drug abuse within the past 2 years prior to Screening.
6. History or presence of hypersensitivity or idiosyncratic reaction to voriconazole or any triazole antifungal.
7. Received any marketed or investigational biologic within 4 months or 5 half-lives prior to dosing, whichever is longer.
8. Received treatment with investigational study drug (or device) in another clinical study within 30 days or five half-lives of dosing, whichever is longer.
9. Subjects who have taken any of the protocol prohibited medications within 30 days of the first dose or who are expected to require these medications during the study.
10. ECG with a QTcF interval >450 msec for males or QTcF interval > 470 msec for females or ECG findings deemed clinically significantly abnormal by the Investigator prior to the first dose.
11. Unable to refrain from or anticipates the use of any vitamin supplements, prescription, over-the-counter (OTC), herbal preparations or medications other than those specified for asthma or allergic rhinitis medications, or topical ophthalmic drops beginning 14 days prior to the first dose and throughout the study.
12. Females requiring hormone replacement therapy within 30 days of Screening or during the study.
13. Allergy or sensitivity to lactose or milk products.
14. Donation of blood or blood products within the last 2 months.
15. Loss of 50 to 500 mL whole blood within the past two months.
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Study design
Purpose of the study
Other
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
15/11/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
12/11/2021
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Sample size
Target
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Accrual to date
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Final
17
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
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Q-Pharm Pty Ltd (Nucleus Networks) - Brisbane
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Recruitment postcode(s) [1]
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4006 - Brisbane
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
TFF Pharmaceuticals, Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a Phase 1b, randomized, double-blind, placebo-controlled trial to evaluate the safety, tolerability, and pharmacokinetic profiles of voriconazole inhalation powder in adult subjects with well-controlled asthma. This study will involve 2 cohorts.
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Trial website
https://clinicaltrials.gov/study/NCT04576325
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dale Christensen, PhD
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Address
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TFF Pharmaceuticals
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04576325