Bioequivalence Study Comparing Rifampicin In A Fixed-Dose Combination (Rifampicin+Isoniazid, Myrin© 2) And The Reference Drug (Rifampicin, Rimactane®)
Primary Purpose
Tuberculosis
Status
Completed
Phase
Phase 1
Locations
Philippines
Study Type
Interventional
Intervention
Myrin© 2 (Rifampicin + Isoniazid)
Rimactane® (Rifampicin)
Sponsored by
About this trial
This is an interventional treatment trial for Tuberculosis focused on measuring bioequivalence; rifampicin
Eligibility Criteria
Inclusion Criteria:
- Healthy male subjects between the ages of 18 and 55 years, inclusive.
- Body Mass Index (BMI) of 17.5 to 30.5 kg/m2; and a total body weight >50 kg (110 lbs).
- An informed consent document signed and dated by the subject.
- Subjects willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
Exclusion Criteria:
- Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing).
- Any condition possibly affecting drug absorption (e.g., gastrectomy).
- A positive urine drug screen.
- History of regular alcohol consumption exceeding 21 drinks/week (1 drink = 5 ounces (150 ml) of wine or 12 ounces (360 ml) of beer or 1.5 ounces (45 ml) of hard liquor) within 6 months of screening.
- Treatment with an investigational drug within 3 months (or as determined by the local requirement, whichever is longer) or 5 half-lives preceding the first dose of study medication.
- 12-lead ECG demonstrating QTc >450 msec at screening. If QTc exceeds 450 msec, the ECG should be repeated two more times and the average of the three QTc values should be used to determine the subject's eligibility.
- History of previous treatment for TB or is suspected of suffering from TB.
- Use of prescription or nonprescription drugs and dietary supplements within 7 days or 5 half-lives (whichever is longer) prior to the first dose of study medication. Herbal medication, herbal supplements and hormone replacement therapy must be discontinued 28 days prior to the first dose of study medication. As an exception, acetaminophen / paracetamol may be used at doses of less than 1 g/day. Limited use of non-prescription medications that are not believed to affect subject safety or the overall results of the study may be permitted on a case-by-case basis following approval by the sponsor.
- Blood donation of approximately 1 pint (500 ml) within 56 days prior to dosing.
- A history of hypersensitivity to any of the study medications or related substances, or to any of the ingredients used in the study drug formulations.
- Unwilling or unable to comply with the Lifestyle guidelines described in this protocol.
- Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study.
- Recent history of diarrhea (2 weeks).
- Recent use of oral (2 weeks) or IV (2-3 months) antibiotics to assure normal bowel flora at study start.
Sites / Locations
- Pfizer Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Active Comparator
Arm Label
A
B
Arm Description
Test
Reference
Outcomes
Primary Outcome Measures
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUC [0-t])
AUC (0-t)= Area under the plasma concentration versus time curve from time zero (pre-dose) to time of last quantifiable concentration (0-t)
Maximum Observed Plasma Concentration (Cmax)
Secondary Outcome Measures
Time to Reach Maximum Observed Plasma Concentration (Tmax)
Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUC [0-∞])
AUC (0-∞)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞).
Plasma Decay Half-life (t1/2)
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.
Extrapolated Area Under the Curve (AUC Percent [%] Extrapolated)
AUC%extrapolated is the extrapolated area under the plasma concentration time profile following the last measured concentration. It is calculated as (AUC [0-∞] minus AUC[0-10])*100/ AUC (0-∞), where AUC (0-∞) = Area under the plasma concentration versus time curve from time zero (pre-dose) to extrapolated infinite time (0-∞) and AUC(0-10) = area under the plasma concentration time-curve from zero (pre-dose) to the last quantifiable concentration.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01311505
Brief Title
Bioequivalence Study Comparing Rifampicin In A Fixed-Dose Combination (Rifampicin+Isoniazid, Myrin© 2) And The Reference Drug (Rifampicin, Rimactane®)
Official Title
An Open Label, Single Dose, Randomized, Two-Way Cross-Over Bioequivalence Study Comparing Rifampicin In A Fixed-Dose Combination Rifampicin + Isoniazid (Myrin© 2, Pfizer Inc) Tablet With The Reference Drug (Rimactane®, Novartis Sandoz) Capsule In Healthy Filipino Male Subjects
Study Type
Interventional
2. Study Status
Record Verification Date
June 2012
Overall Recruitment Status
Completed
Study Start Date
April 2011 (undefined)
Primary Completion Date
May 2011 (Actual)
Study Completion Date
May 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Pfizer
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study is done to demonstrate bioequivalence of rifampicin component in Myrin© 2 Fixed-Dose Combination Tablet (each contains 75 mg isoniazid and 150 mg rifampicin, Pfizer Inc) with equivalent dose of the reference Rimactane® capsule (each contains 300 mg rifampicin, Novartis Sandoz) in healthy Filipino male subjects. This study also aims to determine the safety and tolerability of Myrin© 2 tablets and Rimactane® capsules in these subjects.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Tuberculosis
Keywords
bioequivalence; rifampicin
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
21 (Actual)
8. Arms, Groups, and Interventions
Arm Title
A
Arm Type
Active Comparator
Arm Description
Test
Arm Title
B
Arm Type
Active Comparator
Arm Description
Reference
Intervention Type
Drug
Intervention Name(s)
Myrin© 2 (Rifampicin + Isoniazid)
Other Intervention Name(s)
Myrin© 2 (Pfizer Inc.)
Intervention Description
Two (2) fixed-dose combination tablets each containing Rifampicin 150 mg and Isoniazid 75 mg
Intervention Type
Drug
Intervention Name(s)
Rimactane® (Rifampicin)
Other Intervention Name(s)
Rimactane® (Novartis Sandoz)
Intervention Description
One (1) capsule of Rifampicin 300 mg
Primary Outcome Measure Information:
Title
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUC [0-t])
Description
AUC (0-t)= Area under the plasma concentration versus time curve from time zero (pre-dose) to time of last quantifiable concentration (0-t)
Time Frame
0 (pre-dose), 1, 2, 3, 4, 6, 8 and 10 hours (hrs) post-dose
Title
Maximum Observed Plasma Concentration (Cmax)
Time Frame
0 (pre-dose), 1, 2, 3, 4, 6, 8 and 10 hrs post-dose
Secondary Outcome Measure Information:
Title
Time to Reach Maximum Observed Plasma Concentration (Tmax)
Time Frame
0 (pre-dose), 1, 2, 3, 4, 6, 8 and 10 hrs post-dose
Title
Area Under the Curve From Time Zero to Extrapolated Infinite Time (AUC [0-∞])
Description
AUC (0-∞)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-∞). It is obtained from AUC (0-t) plus AUC (t-∞).
Time Frame
0 (pre-dose), 1, 2, 3, 4, 6, 8 and 10 hrs post-dose
Title
Plasma Decay Half-life (t1/2)
Description
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.
Time Frame
0 (pre-dose), 1, 2, 3, 4, 6, 8 and 10 hrs post-dose
Title
Extrapolated Area Under the Curve (AUC Percent [%] Extrapolated)
Description
AUC%extrapolated is the extrapolated area under the plasma concentration time profile following the last measured concentration. It is calculated as (AUC [0-∞] minus AUC[0-10])*100/ AUC (0-∞), where AUC (0-∞) = Area under the plasma concentration versus time curve from time zero (pre-dose) to extrapolated infinite time (0-∞) and AUC(0-10) = area under the plasma concentration time-curve from zero (pre-dose) to the last quantifiable concentration.
Time Frame
0 (pre-dose), 1, 2, 3, 4, 6, 8 and 10 hrs post-dose
Other Pre-specified Outcome Measures:
Title
Number of Participants With Abnormal Safety Laboratory Test Values
Description
Participants were evaluated for following safety laboratory tests: Hematology, chemistry, urinalysis.
Time Frame
Screening and Follow-up (1 week post-baseline)
Title
Clinically Significant Change From Baseline Supine Blood Pressure (BP)
Description
Mean change: vital sign value at observation (Day 1 and follow-up) minus vital sign value at baseline.
Time Frame
Baseline (Day 0), Day 1 (Hour 10), and follow-up (1 week post-baseline)
Title
Clinically Significant Change From Baseline Pulse Rate
Description
Mean change: vital sign value at observation (Day 1 and follow-up) minus vital sign value at baseline.
Time Frame
Baseline (Day 0), Day 1 (Hour 10), and follow-up (1 week post-baseline)
Title
Clinically Significant Change From Baseline Oral Temperature
Description
Mean change: vital sign value at observation (Day 1 and follow-up) minus vital sign value at baseline.
Time Frame
Baseline (Day 0), Day 1 (Hour 10), and follow-up (1 week post-baseline)
Title
Clinically Significant Change From Baseline Respiratory Rate
Description
Mean change: vital sign value at observation (Day 1 and follow-up) minus vital sign value at baseline.
Time Frame
Baseline (Day 0), Day 1 (Hour 10), and follow-up (1 week post-baseline)
Title
Number of Participants With Adverse Events (AEs)
Description
Any untoward medical occurrence in a participant who received study treatment was considered an AE without regard to possibility of causal relationship.
Time Frame
Baseline (Day 0), Day 1 and Follow-up (1 week post-baseline)
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Healthy male subjects between the ages of 18 and 55 years, inclusive.
Body Mass Index (BMI) of 17.5 to 30.5 kg/m2; and a total body weight >50 kg (110 lbs).
An informed consent document signed and dated by the subject.
Subjects willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.
Exclusion Criteria:
Evidence or history of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic, psychiatric, neurologic, or allergic disease (including drug allergies, but excluding untreated, asymptomatic, seasonal allergies at time of dosing).
Any condition possibly affecting drug absorption (e.g., gastrectomy).
A positive urine drug screen.
History of regular alcohol consumption exceeding 21 drinks/week (1 drink = 5 ounces (150 ml) of wine or 12 ounces (360 ml) of beer or 1.5 ounces (45 ml) of hard liquor) within 6 months of screening.
Treatment with an investigational drug within 3 months (or as determined by the local requirement, whichever is longer) or 5 half-lives preceding the first dose of study medication.
12-lead ECG demonstrating QTc >450 msec at screening. If QTc exceeds 450 msec, the ECG should be repeated two more times and the average of the three QTc values should be used to determine the subject's eligibility.
History of previous treatment for TB or is suspected of suffering from TB.
Use of prescription or nonprescription drugs and dietary supplements within 7 days or 5 half-lives (whichever is longer) prior to the first dose of study medication. Herbal medication, herbal supplements and hormone replacement therapy must be discontinued 28 days prior to the first dose of study medication. As an exception, acetaminophen / paracetamol may be used at doses of less than 1 g/day. Limited use of non-prescription medications that are not believed to affect subject safety or the overall results of the study may be permitted on a case-by-case basis following approval by the sponsor.
Blood donation of approximately 1 pint (500 ml) within 56 days prior to dosing.
A history of hypersensitivity to any of the study medications or related substances, or to any of the ingredients used in the study drug formulations.
Unwilling or unable to comply with the Lifestyle guidelines described in this protocol.
Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study.
Recent history of diarrhea (2 weeks).
Recent use of oral (2 weeks) or IV (2-3 months) antibiotics to assure normal bowel flora at study start.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
Pfizer Investigational Site
City
Dasmariñas City
ZIP/Postal Code
4114
Country
Philippines
12. IPD Sharing Statement
Links:
URL
https://trialinfoemail.pfizer.com/pages/landing.aspx?StudyID=B3801001&StudyName=Bioequivalence%20Study%20Comparing%20Rifampicin%20In%20A%20Fixed-Dose%20Combination%20%28Rifampicin+Isoniazid%2C%20Myrin%A9%202%29%20And%20The%20Reference%20Drug%20%28Rifampi
Description
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Bioequivalence Study Comparing Rifampicin In A Fixed-Dose Combination (Rifampicin+Isoniazid, Myrin© 2) And The Reference Drug (Rifampicin, Rimactane®)
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