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Bioequivalence Fasting Study in Patients

Primary Purpose

Schizophrenia

Status
Completed
Phase
Phase 2
Locations
India
Study Type
Interventional
Intervention
Asenapine Sublingual Tablets 10 mg
Asenapine Sublingual Tablets 10 mg
Sponsored by
Amneal Pharmaceuticals, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Schizophrenia

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Adult patients of either sex with age between 18 to 65 years (both inclusive) and have been taking a stable dose of asenapine maleate sublingual tablet, EQ 10 mg base twice daily therapy for at least three months.
  • Willing and able to comply with study visit schedule and other protocol requirements as indicated by signed written informed consent witnessed by a legally acceptable representative.
  • Females of childbearing (who has not completed 01 year after menopause & have not gone through hysterectomy or bilateral tubal ligation) potential must have a negative pregnancy test (at screening, before randomization and before check-in to housing) as well as must be non-lactating at screening and must agree to use an effective contraceptive method during study.

Exclusion Criteria:

  • History of allergic or adverse reactions to asenapine maleate or olanzapine as judged by investigator
  • If consuming tobacco orally (spit tobacco, gutka, pan masala, pan, etc.)
  • A history of severe hepatic impairment, drug induced leukopenia/ neutropenia, congenital prolongation of the QT interval, cardiac arrhythmias, myocardial infarction or unstable heart disease
  • Concurrent primary psychiatric or neurological diagnosis, including organic mental disorder, severe tardive dyskinesia, or idiopathic Parkinson's disease
  • Abnormal laboratory results
  • A history of granulocytopenia or myeloproliferative disorders (drug-induced or idiopathic)
  • A medical or surgical condition that might interfere with the absorption, metabolism, or excretion of asenapine maleate
  • History of multiple syncopal episodes
  • History of epilepsy or risk for seizures
  • Any condition/ Abnormal baseline findings that in the investigators' judgment might increase the risk to the patient (e.g. Significant orthostatic hypotension defined as a drop in systolic blood pressure of 30 mm Hg or more and/or a drop in diastolic blood pressure of 20 mm Hg or more on standing) or decrease the chance of obtaining satisfactory data needed to obtain the objective of the study.
  • A history of alcohol or drug dependence by DSM-IV criteria during the 6-month period immediately prior to study entry
  • Positive tests for drug or alcohol abuse at screening or baseline
  • Use of any of the following medication in the 14 days preceding enrollment: Strong CYP3A4 inhibitors, Strong CYP3A4 inducers, CYP1A2 inhibitors, Antihypertensive medication or any medication that might predispose to orthostatic hypotension, Drugs known to suppress bone marrow function, medications known to prolong the QTc interval.
  • Participation in any other clinical study or receipt of treatment with any investigational drug or device within 1 month prior Screening.
  • Blood donation/ loss exceeding 550 mL within last 90 days.
  • Any expected changes in concomitant medications during the period of study
  • Compliance with outpatient medication schedule not expected

Sites / Locations

  • Shri Hatkesh Healthcare Foundation
  • Divyam Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Asenapine Sublingual Tablets

Saphris Subligual Tablets

Arm Description

Asenapine Sublingual Tablets, 10 mg. Twice daily for a period of 7 days

Asenapine Sublingual Tablets, 10 mg. Twice daily for 2 periods of 7 days each.

Outcomes

Primary Outcome Measures

AUC 0-tau
The area under plasma concentration versus time curve, over the steady state dosing interval, calculated using linear trapezoidal method.
Cmax
Maximum measured plasma concentration over the steady state doing interval

Secondary Outcome Measures

Cmin
Minimum measured plasma concentration over the steady state dosing interval
Tmax
Time the maximum measured plasma concentration over the steady state dosing interval
Cavg
Average calculated plasma concentration over the steady state dosing interval
Percentage Fluctuation
[Cmax - Cmin/ Cavg] x 100

Full Information

First Posted
February 25, 2014
Last Updated
June 25, 2014
Sponsor
Amneal Pharmaceuticals, LLC
Collaborators
Accutest Research Laboratories (I) Pvt. Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT02072954
Brief Title
Bioequivalence Fasting Study in Patients
Official Title
A Multicentric, Open Label, Randomized, Balanced, Two Treatment, Three Period, Three Sequence, Crossover, Multiple Dose, Steady State Bioequivalence Study of Asenapine Sublingual Tablets, 10 mg Manufactured by AMNEAL PHARMACEUTICALS, USA With Reference Product SAPHRIS® (Asenapine) Sublingual Tablets, 10 mg Manufactured by Catalent UK Swindon Zydis Ltd., Blagrove, Swindon, Wiltshire, SN5 8RU, UK; Distributed by Merck Sharp & Dohme Corp., a Subsidiary of Merck & Co., Inc., Whitehouse Station, NJ, 08889, USA in Adult Human Male & Female Patients Under Fasting Condition.
Study Type
Interventional

2. Study Status

Record Verification Date
June 2014
Overall Recruitment Status
Completed
Study Start Date
November 2013 (undefined)
Primary Completion Date
February 2014 (Actual)
Study Completion Date
June 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Amneal Pharmaceuticals, LLC
Collaborators
Accutest Research Laboratories (I) Pvt. Ltd.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To compare and evaluate the oral bioavailability of Asenapine Sublingual Tablets, 10 mg manufactured by AMNEAL PHARMACEUTICALS, USA with SAPHRIS® (asenapine) sublingual tablets, 10 mg.
Detailed Description
To compare and evaluate the oral bioavailability of Asenapine Sublingual Tablets, 10 mg manufactured by AMNEAL PHARMACEUTICALS, USA with SAPHRIS® (asenapine) sublingual tablets, 10 mg following a multiple-dose administration in adult human patients who are receiving a stable twice daily dose of asenapine maleate EQ 10 mg base. To monitor the safety and tolerability of a multiple doses of asenapine sublingual tablets 10 mg in adult human patients who are receiving a stable twice daily dose of asenapine maleate EQ 10 mg base.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Schizophrenia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Asenapine Sublingual Tablets
Arm Type
Experimental
Arm Description
Asenapine Sublingual Tablets, 10 mg. Twice daily for a period of 7 days
Arm Title
Saphris Subligual Tablets
Arm Type
Active Comparator
Arm Description
Asenapine Sublingual Tablets, 10 mg. Twice daily for 2 periods of 7 days each.
Intervention Type
Drug
Intervention Name(s)
Asenapine Sublingual Tablets 10 mg
Intervention Description
White to off-white, round, uncoated,unscored, flat-faced radius edge tablet. Debossed with A on one side and 17 on the other side
Intervention Type
Drug
Intervention Name(s)
Asenapine Sublingual Tablets 10 mg
Intervention Description
Round, white to off-white sublingual tablets, with "10" on one side within a circle
Primary Outcome Measure Information:
Title
AUC 0-tau
Description
The area under plasma concentration versus time curve, over the steady state dosing interval, calculated using linear trapezoidal method.
Time Frame
Dosing interval on day 7
Title
Cmax
Description
Maximum measured plasma concentration over the steady state doing interval
Time Frame
Dosing interval on day 7
Secondary Outcome Measure Information:
Title
Cmin
Description
Minimum measured plasma concentration over the steady state dosing interval
Time Frame
Dosing interval on day 7
Title
Tmax
Description
Time the maximum measured plasma concentration over the steady state dosing interval
Time Frame
Dosing interval on day 7
Title
Cavg
Description
Average calculated plasma concentration over the steady state dosing interval
Time Frame
Dosing interval on day 7
Title
Percentage Fluctuation
Description
[Cmax - Cmin/ Cavg] x 100
Time Frame
Dosing interval on day 7

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Adult patients of either sex with age between 18 to 65 years (both inclusive) and have been taking a stable dose of asenapine maleate sublingual tablet, EQ 10 mg base twice daily therapy for at least three months. Willing and able to comply with study visit schedule and other protocol requirements as indicated by signed written informed consent witnessed by a legally acceptable representative. Females of childbearing (who has not completed 01 year after menopause & have not gone through hysterectomy or bilateral tubal ligation) potential must have a negative pregnancy test (at screening, before randomization and before check-in to housing) as well as must be non-lactating at screening and must agree to use an effective contraceptive method during study. Exclusion Criteria: History of allergic or adverse reactions to asenapine maleate or olanzapine as judged by investigator If consuming tobacco orally (spit tobacco, gutka, pan masala, pan, etc.) A history of severe hepatic impairment, drug induced leukopenia/ neutropenia, congenital prolongation of the QT interval, cardiac arrhythmias, myocardial infarction or unstable heart disease Concurrent primary psychiatric or neurological diagnosis, including organic mental disorder, severe tardive dyskinesia, or idiopathic Parkinson's disease Abnormal laboratory results A history of granulocytopenia or myeloproliferative disorders (drug-induced or idiopathic) A medical or surgical condition that might interfere with the absorption, metabolism, or excretion of asenapine maleate History of multiple syncopal episodes History of epilepsy or risk for seizures Any condition/ Abnormal baseline findings that in the investigators' judgment might increase the risk to the patient (e.g. Significant orthostatic hypotension defined as a drop in systolic blood pressure of 30 mm Hg or more and/or a drop in diastolic blood pressure of 20 mm Hg or more on standing) or decrease the chance of obtaining satisfactory data needed to obtain the objective of the study. A history of alcohol or drug dependence by DSM-IV criteria during the 6-month period immediately prior to study entry Positive tests for drug or alcohol abuse at screening or baseline Use of any of the following medication in the 14 days preceding enrollment: Strong CYP3A4 inhibitors, Strong CYP3A4 inducers, CYP1A2 inhibitors, Antihypertensive medication or any medication that might predispose to orthostatic hypotension, Drugs known to suppress bone marrow function, medications known to prolong the QTc interval. Participation in any other clinical study or receipt of treatment with any investigational drug or device within 1 month prior Screening. Blood donation/ loss exceeding 550 mL within last 90 days. Any expected changes in concomitant medications during the period of study Compliance with outpatient medication schedule not expected
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ashutosh Jani, MD
Organizational Affiliation
Accutest Reserach laboratories (i) Pvt. Ltd.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Shri Hatkesh Healthcare Foundation
City
Junagadh
State/Province
Gujurat
ZIP/Postal Code
362 001
Country
India
Facility Name
Divyam Hospital
City
Surat
State/Province
Gujurat
ZIP/Postal Code
395 001
Country
India

12. IPD Sharing Statement

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Bioequivalence Fasting Study in Patients

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