Evidence map›Paper›PMID 42309649›Full record

Trial reportBMJ open respiratory research2026

Developing low-carbon salbutamol MDI: assessment of relative bioavailability and pharmacodynamic relative potency of salbutamol MDI with propellant HFA-152a.

Sebastian Moreira, Laura Clow, Emily Coles-Piper, Alison Donald, Christer Janson, Dave Singh, David Slade, Pankaj Tiwari, Stephen Weng, Maximilian Plank

2 registry-linked trialsAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in BMJ open respiratory research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

NCT06433908 phase1completednot on this map

A Phase 1, Randomized, Open-label, Single Dose, 2-treatment Arm (200 μg and 800 μg), 4-way Crossover Study in Healthy Participants Aged 18 to 55 to Compare the Pharmacokinetics of Salbutamol Administered Via Metered Dose Inhalers Containing Propellants HFA-152A (Test) and HFA-134A (Reference)

TypeinterventionalSponsorGlaxoSmithKlineRan2024 to 2024Enrolled60ConditionsAsthma, Healthy ParticipantsArmsSalbutamol HFA-152a, Salbutamol HFA-134a
NCT06433921 phase1recruitingnot on this map

A Phase 1, Randomized, 2-part, 7-way Cross-over (Part 1) and 7-way Cross-over (Part 2), Blinded, Single Dose Study in Mild Asthmatics Aged 18-65 to Assess the Relative Potency of Salbutamol Administered Via Metered Dose Inhalers Containing Propellants HFA-152a (Test) and HFA-134a (Reference) Via Methacholine Bronchoprovocation and Systemic Pharmacodynamic Effects

TypeinterventionalSponsorGlaxoSmithKlineRan2024 to 2027Enrolled84ConditionsAsthma, Mild AsthmaArmsSalbutamol HFA-152a, Salbutamol HFA-134a, Placebo
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Sebastian MoreiraClinical Pharmacology Modeling & Simulation, GSK, Collegeville, Pennsylvania, USA sebastian.a.moreira@gsk.com.ORCID http://orcid.org/0009-0005-7316-2558
Laura ClowRespiratory, Immunology & Inflammation Research Unit Medicine Development Leaders, GSK, Stevenage, UK.
Emily Coles-PiperGlobal Clinical Operations Development - R&D, GSK, London, UK.
Alison DonaldDevelopment Biostatistics, GSK, Upper Providence, Pennsylvania, USA.
Christer JansonDepartment of Medical Sciences, Respiratory, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.ORCID http://orcid.org/0000-0001-5093-6980
Dave SinghCentre for Respiratory Medicine and Allergy, Institute of Inflammation and Repair, Manchester University NHS Foundation Trust, The University of Manchester, Manchester, UK.
David SladeRespiratory Clinical Research Unit, GSK, Collegeville, Pennsylvania, USA.
Pankaj TiwariStatistics (R&D), GSK, Bengaluru, Karnataka, India.
Stephen WengRespiratory Biostatistics, GSK, Stevenage, UK.
Maximilian PlankGlobal Medical Affairs, General Medicines, GSK, Gold Coast, Queensland, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionClimate change is a global threat. Propellant hydrofluoroalkane (HFA)-134a in metered-dose inhalers (MDIs) contributes to healthcare-related greenhouse gas emissions. HFA-152a is a new propellant with ~90% lower global warming potential than HFA-134a. Two phase I studies (NCT06433908/NCT06433921) compared the pharmacokinetics (PK), pharmacodynamics (PD) and safety of salbutamol MDI with HFA-152a or HFA-134a.

methodsRelative bioavailability (Study 1): healthy adults received single salbutamol doses (200/800 µg) via MDI with HFA-152a or HFA-134a. Primary PK endpoints were areas under the plasma concentration-time curve (0-30 min (AUC)

resultsStudy 1: 60 participants (30 per cohort) enrolled. In cohort 1 (200 µg), AUC

conclusionsSalbutamol with HFA-152a demonstrated equivalence in key PK and PD parameters, as well as a similar safety profile to salbutamol with HFA-134a, supporting salbutamol MDI with HFA-152a as a therapeutically equivalent, low-carbon replacement.

Indexed as

Aerosol PropellantsAlbuterolAsthmaBronchodilator AgentsHydrocarbons, FluorinatedMetered Dose InhalersAdministration, InhalationAdultBiological AvailabilityDouble-Blind MethodFemaleFluorocarbonsHumansMaleMiddle AgedYoung AdultAerosol PropellantsAlbuterolapafluraneBronchodilator AgentsFluorocarbonsHydrocarbons, FluorinatedAsthmaAsthma PharmacologyCOPD PharmacologyInhaler devices

Identifiers

PMID42309649
PMCPMC13289305

What OpenQuestion holds

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Registered trials

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.