UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062162
Receipt number R000071137
Scientific Title The Non-Blinded Study Comparing Oral Residual Fluticasone Levels After Inhalation of FP/FM-HFA with and without Spacer in Healthy Adults
Date of disclosure of the study information 2026/07/07
Last modified on 2026/07/07 16:22:04

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Basic information

Public title

Comparative Study on the Amount of Steroid Residue in the Oral Cavity After Inhalation of Steroids With and Without Spacer Use

Acronym

CASROC Study(Comparative Amount of Steroid Residue in Oral Cavity Study)

Scientific Title

The Non-Blinded Study Comparing Oral Residual Fluticasone Levels After Inhalation of FP/FM-HFA with and without Spacer in Healthy Adults

Scientific Title:Acronym

CAFROC Study (Comparative Amount of Fluticasone Residue in Oral Cavity Study)

Region

Japan


Condition

Condition

No specific disease (Healthy Volunteers)

Classification by specialty

Pneumology Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim is to demonstrate that the use of a spacer (PARI Vortex) allows only the fine particles of inhaled corticosteroids to be inhaled, thereby reducing deposition in the oral cavity.

Basic objectives2

Bio-availability

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

oral residual levels of corticosteroids

Key secondary outcomes

residual levels of corticosteroids in the spacer and mouthpiece


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration


Blocking

NO

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine Device,equipment

Interventions/Control_1

inhalation of fluticasone

Interventions/Control_2

inhalation of fluticasone with the use of a spacer

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

65 years-old >

Gender

Male and Female

Key inclusion criteria

Generally healthy with no chronic diseases.
No abnormalities found in the health examination prior to the study.
Experience with inhaler use: no previous experience with inhalers or no use of inhalers for at least the past month.
Individuals who have received a thorough explanation of the study purpose, methods, risks,and benefits, and have provided written informed consent.

Key exclusion criteria

Individuals with a history of allergic reactions to inhaled drugs or their components.
Individuals currently receiving treatment for any chronic disease (e.g., hypertension, diabetes,heart disease).
Women who are pregnant or breastfeeding.
Individuals using medications during the study period that could affect the investigational drug or study procedures.
Individuals deemed medically unsuitable by the researcher.

Target sample size

10


Research contact person

Name of lead principal investigator

1st name Takahiko
Middle name
Last name Horiguchi

Organization

TOYOTA REGIONAL MEDICAL CENTER

Division name

Department of Respiratory Medicine and Allergy

Zip code

4710062

Address

3-30-1 Nishiyamacho, Toyota-shi, Aichi 471-0062, Japan

TEL

0565-34-3000

Email

ta-hori@fujita-hu.ac.jp


Public contact

Name of contact person

1st name Takahiko
Middle name
Last name Horiguchi

Organization

TOYOTA REGIONAL MEDICAL CENTER

Division name

Department of Respiratory Medicine and Allergy

Zip code

4710062

Address

3-30-1 Nishiyamacho, Toyota-shi, Aichi 471-0062, Japan

TEL

0565-34-3000

Homepage URL


Email

ta-hori@fujita-hu.ac.jp


Sponsor or person

Institute

TOYOTA REGIONAL MEDICAL CENTER,Department of Respiratory Medicine and Allergy,Takahiko Horiguchi

Institute

Department

Personal name

Takahiko Horiguchi


Funding Source

Organization

PARI Japan LLC

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Toyota Regional Medical Center Institutional review board

Address

3-30-1 Nishiyamacho, Toyota-shi, Aichi 471-0062, Japan

Tel

565-34-3000

Email

soumu@toyotachiiki-mc.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 07 Month 07 Day


Related information

URL releasing protocol

Not applicable

Publication of results

Unpublished


Result

URL related to results and publications

Not applicable

Number of participants that the trial has enrolled

10

Results

The median amount of oral fluticasone residue after FP FM HFA inhalation using a pressurized metered dose inhaler alone was 129.5 micrograms range 31.9 to 234.0. When a valved holding chamber was used the median residue decreased to 26.3 micrograms range 1.9 to 40.9.

This represented an approximately 80 percent reduction in oral fluticasone residue. The difference was statistically significant with a p value less than 0.001

Results date posted

2026 Year 07 Month 07 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Healthy adult men and women aged 20 years or older and younger than 65 years, with no chronic diseases, no abnormalities detected on a pre-study health examination, and no previous experience using inhalation devices or no use of inhalation devices within the past one month.

Participant flow

After obtaining written informed consent, participant eligibility will be assessed. Eligible participants who meet the inclusion criteria will be enrolled and undergo the inhalation test according to the study protocol. Following completion of the test, oral drug deposition will be measured, and the collected data will be analyzed to complete the study.

Adverse events

No adverse events were observed.

Outcome measures

oral residual levels of corticosteroids  
residual levels of corticosteroids in the spacer and mouthpiece

Plan to share IPD

No plan to share individual participant data (IPD).

IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2024 Year 10 Month 09 Day

Date of IRB

2024 Year 11 Month 26 Day

Anticipated trial start date

2025 Year 01 Month 29 Day

Last follow-up date

2025 Year 06 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 07 Month 07 Day

Last modified on

2026 Year 07 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071137