Evidence map›Paper›PMID 30521129›Full record

Trial reportBritish journal of clinical pharmacology2019

Particle size and gastrointestinal absorption influence tiotropium pharmacokinetics: a pilot bioequivalence study of PUR0200 and Spiriva HandiHaler.

Jason Perry, Brian Trautman, Joe Takher-Smith, Steve Kramer, Katie Kane, Michael Silverman, Lisa Tan, Scott Haughie, Wolfram Richter, Valentin Kirkov and 3 more

Open access · bronzeAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in British journal of clinical pharmacology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 4 countries.

Jason PerryPulmatrix Inc, 99 Hayden Ave, Suite 390, Lexington, MA, 02421, USA.
Brian TrautmanPulmatrix Inc, 99 Hayden Ave, Suite 390, Lexington, MA, 02421, USA.
Joe Takher-SmithMylan Global Respiratory Group, Discovery Park, Sandwich, UK.
Steve KramerPulmatrix Inc, 99 Hayden Ave, Suite 390, Lexington, MA, 02421, USA.
Katie KanePulmatrix Inc, 99 Hayden Ave, Suite 390, Lexington, MA, 02421, USA.
Michael SilvermanPulmatrix Inc, 99 Hayden Ave, Suite 390, Lexington, MA, 02421, USA.
Lisa TanPulmatrix Inc, 99 Hayden Ave, Suite 390, Lexington, MA, 02421, USA.
Scott HaughieMylan Global Respiratory Group, Discovery Park, Sandwich, UK.
Wolfram RichterCooperative Clinical Drug Research and Development, Hoppegarten, Germany.
Valentin KirkovClinic for Internal Diseases, MHAT Tokuda Hospital, Sofia, Bulgaria.
Sacha ArsovaCooperative Clinical Drug Research and Development, Hoppegarten, Germany.
Jonathan WardMylan Global Respiratory Group, Discovery Park, Sandwich, UK.
David L HavaPulmatrix Inc, 99 Hayden Ave, Suite 390, Lexington, MA, 02421, USA.ORCID 0000-0002-9200-1566
Pulmatrix (United States) · USPfizer (United Kingdom) · GBCooperative Clinical Drug Research and Development · DETokuda Hospital · BG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPlasma pharmacokinetics permit the assessment of efficacy and safety of inhaled drugs, and possibly their bioequivalence to other inhaled products. Correlating drug product attributes to lung deposited dose is important to achieving equivalence. PUR0200 is a spray-dried formulation of tiotropium that enables more efficient lung delivery than Spiriva

methodsA seven-period, single-dose, crossover study was performed in healthy subjects. PUR0200 formulations differing in dose and aerodynamic particle size were administered in five periods and Spiriva HH in two periods. In one period, Spiriva HH gastrointestinal absorption was blocked with oral charcoal. Tiotropium plasma concentrations were assessed over 8 h after inhalation.

resultsPUR0200 pharmacokinetics were influenced by aerodynamic particle size and the ratio of lung-to-oral deposition, with impactor sized mass (ISM) correlating most strongly with exposure. Formulation PUR0217a (3 μg tiotropium) lung deposition was similar to Spiriva HH (18 μg) with and without charcoal block, but total PUR0200 exposure was lower without charcoal. The C

conclusionsPharmacokinetic bioequivalence indicative of lung deposition and efficacy can be achieved by matching the reference product ISM. Due to reduced oral deposition and more efficient lung delivery, PUR0200 results in a lower AUC

Indexed as

Gastrointestinal AbsorptionAdministration, InhalationAdultArea Under CurveBronchodilator AgentsCross-Over StudiesDry Powder InhalersFemaleHealthy VolunteersHumansMaleMouth MucosaParticle SizePilot ProjectsPulmonary Disease, Chronic ObstructiveTherapeutic EquivalencyBronchodilator AgentsTiotropium Bromidebioequivalenceclinical trialsdrug deliveryinhalation

Identifiers

PMID30521129
PMCPMC6379222
OpenAlexW2903670284

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.