Table 1. DD and FPD after storage of single BUD inhaler in 75% RH at both ambient temperature and at 40 °C.
Parameter | Time | Turbuhaler | P value | Novolizer | P value | Easyhaler | P value |
---|---|---|---|---|---|---|---|
40 °C/75% RH | |||||||
DDa μg per dose | Baseline | 138 | 192 | 198 | |||
1.5 months | 119 | 0.12 | 165 | 0.04 | 151 | 0.01b | |
3 months | 150 | 0.33 | 193 | 0.94 | 168 | 0.07 | |
6 months | 120 | 0.10 | 163 | <0.01b | 125 | <0.01 | |
FPDc μg per dose | Baseline | 74 | 78 | 54 | |||
1.5 months | 66 | 0.19 | 71 | 0.15 | 20 | <0.01b | |
3 months | 79 | 0.38 | 73 | 0.25 | 21 | <0.01b | |
6 months | 63 | 0.04 | 68 | 0.02 | 20 | <0.01b | |
Ambient temp/75% RH | |||||||
DDa μg per dose | Baseline | 138 | 192 | 198 | |||
1.5 months | NTd | NTd | 170 | 0.10 | |||
3 months | 134 | 0.67 | 209 | 0.22 | 179 | 0.25 | |
6 months | 127 | 0.24 | 165 | 0.01e | 149 | <0.01b | |
FPDc μg per dose | Baseline | 74 | 78 | 54 | |||
1.5 months | NTd | NT | 33 | <0.01e | |||
3 months | 72 | 0.67 | 85 | 0.15 | 30 | <0.01e | |
6 months | 66 | 0.11 | 71 | 0.06 | 25 | <0.01e |
Abbreviations: API, Active Pharmaceutical Ingredient; DD, delivered dose; FPD, fine-particle dose; NGI, Next-Generation Impactor; NT, not tested; RH, relative humidity.
DD is defined as the total amount of API delivered to the NGI.
Statistically significant, applying Bonferroni’s correction for three comparisons (P<0.0167=0.05/3).
FPD is defined as the amount of API contained in particles <5 μm in size, and the amount was calculated using interpolation between relevant stages, which depend on the flow rate (stage cutoffs vary with varying flow rate).
Only Giona Easyhaler was tested after storage for 1.5 months at ambient/75% RH, as this was a conditional test carried out only if significant changes were observed after storage at 40 °C/75% RH for 6 weeks.
Statistically significant, applying Bonferroni’s correction for two comparisons (P<0.025=0.05/2).