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Bioequivalence of Fresenius Kabi USA, LLC Glucagon for SC Injection Compared to Glucagon for Injection (Bedford Laboratories)

Primary Purpose

Hypoglycemia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Glucagon for Injection (Fresenius Kabi USA)
Glucagon for Injection (Bedford Laboratories)
Sponsored by
Fresenius Kabi USA, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypoglycemia focused on measuring Bioequivalence

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Males and females, 18 years or older, with a body mass index (BMI) of 18- 30 kg/m2 inclusive.
  2. Good health as determined by lack of clinically significant abnormalities in health assessments performed at screening.
  3. Signed and dated informed consent form, which meets all criteria of current guidelines of the Medical Research Council (MRC) of Canada and FDA regulations.
  4. If female and of child bearing potential prepared to abstain from sexual intercourse, use a reliable non-hormonal method of contraception during the study (e.g. condom with spermicide, IUD). Females using hormonal contraceptives must have used the same method for at least 28 days prior and throughout the study.

Exclusion Criteria:

  1. If female, pregnant, lactating or likely to become pregnant during the study.
  2. History of allergy or sensitivity to glucagon or history of any drug hypersensitivity or intolerance which, in the opinion of the Investigator, would compromise the safety of the subject or the study.
  3. Significant history or current evidence of chronic infectious disease, system disorders or organ dysfunction.
  4. Presence of gastrointestinal disease or history of malabsorption within the last year. Any history of duodenal or gastric ulcer.
  5. History of psychiatric disorders occurring within the last two years that required hospitalization medication.
  6. Presence of a medical condition requiring regular treatment with prescription drugs.
  7. Use of any drugs known to induce or inhibit hepatic drug metabolism (examples of inducers: barbiturates, carbamazepine, phenytoin, glucocorticoids, omeprazole; examples of inhibitors: antidepressants (SSRI), cimetidine, diltiazem, macrolides, imidazoles, neuroleptics, verapamil, fluoroquinolones, antihistamines) within 30 days prior to administration of the study medication.
  8. Receipt of any drug as part of a research study within 30 days prior to dosing.
  9. Drug or alcohol addiction requiring treatment in the past 12 months.
  10. Donation or significant loss of whole blood (480 ml or more) within 3 months or plasma within 14 days prior to dosing.
  11. Positive test results for HIV, Hepatitis B surface antigen or Hepatitis C antibody.
  12. Unable, or unwilling to tolerate multiple venipunctures.
  13. Has difficulty fasting or consuming the standard meals that will be provided.
  14. No prescription medications (other than contraceptives) used within 14 days prior to initial study dosing and throughout the times of sample collection each period.
  15. No over-the-counter medications within 14 days prior to each dosing and throughout the times of sample collection each period.
  16. No alcohol, caffeine/xanthine or grapefruit containing food or beverages (e.g. chocolate, coffee, tea, cola, Fresca®) ingested within 3 days prior to each dosing and throughout the times of sample collection each period.
  17. All subjects will have a saliva/urine test for drugs of abuse at check- in each study period. Subjects with positive results will be withdrawn from the study.
  18. All female subjects will be screened for pregnancy at check-in each study period with a urine pregnancy test. Subjects with positive results will be withdrawn from the study.

Sites / Locations

  • West Houston Clinical Research Services, 2026 Wirt Road

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

A Glucagon for Injection, Fresenius Kabi USA

B GlucaGen® (Bedford Laboratories)

Arm Description

The subjects will be administered the test (A) (Glucagon for Injection, Fresenius Kabi USA)or reference (B) product (GlucaGen® for Injection, Bedford Laboratories) according to a two treatments, four periods replicate crossover, randomized design with two sequences (BABA and ABAB, the Left-Right site of injection for each period and treatment will be randomized.

The subjects will be administered the test (A) Glucagon for Injection, Fresenius Kabi USA; or reference (B) product, GlucaGen® (Bedford Laboratories) according to a two treatments, four periods replicate crossover, randomized design with two sequences (BABA and ABAB, the Left-Right site of injection for each period and treatment will be randomized.

Outcomes

Primary Outcome Measures

Glucagon and Glucose concentrations in plasma.

Secondary Outcome Measures

Full Information

First Posted
March 11, 2014
Last Updated
March 12, 2014
Sponsor
Fresenius Kabi USA, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT02086227
Brief Title
Bioequivalence of Fresenius Kabi USA, LLC Glucagon for SC Injection Compared to Glucagon for Injection (Bedford Laboratories)
Official Title
Bioequivalence of a Test Formulation of Glucagon for SC Injection Compared to Glucagon for Injection (Bedford Laboratories) Under Fasted Conditions
Study Type
Interventional

2. Study Status

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

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Fresenius Kabi USA, LLC

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of this study is to ascertain the pharmacokinetics (PK) and pharmacodynamics (PD) bioequivalence of a subcutaneous (SC) injection of 1 mg (1 IU) of Glucagon (Fresenius Kabi USA) in comparison to the reference product, GlucaGen® (Bedford Laboratories), 1 mg (1 IU), SC in healthy adult subjects.
Detailed Description
This investigation will serve as a basis for Fresenius Kabi USA, to obtain regulatory approval of a synthetic version of Glucagon (Fresenius Kabi USA), 1 mg (1 IU), SC. The aim is to conduct direct comparative pharmacokinetics and pharmacodynamics of 1 mg (1 IU) of synthetic Glucagon (Fresenius Kabi USA) with that of GlucaGen® (manufactured by Novo Nordisk A/S, marketed by Bedford Laboratories), 1 mg (1 IU), SC in healthy adult subjects. This study will examine a comparison of the bioavailability pharmacokinetics of 1 mg (1 IU) of Glucagon (Fresenius Kabi USA) by having each subject receive in each period either a single dose of 1 mg (1 IU) of Glucagon (Fresenius Kabi USA) or a single dose of GlucaGen® (Bedford Laboratories), 1 mg (1 IU), via subcutaneous injection. Blood samples will be collected three (3) times starting 2 hours prior to dosing and at intervals over 4 hours post dose. The concentrations of glucagon and glucose will be measured.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hypoglycemia
Keywords
Bioequivalence

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
32 (Actual)

8. Arms, Groups, and Interventions

Arm Title
A Glucagon for Injection, Fresenius Kabi USA
Arm Type
Experimental
Arm Description
The subjects will be administered the test (A) (Glucagon for Injection, Fresenius Kabi USA)or reference (B) product (GlucaGen® for Injection, Bedford Laboratories) according to a two treatments, four periods replicate crossover, randomized design with two sequences (BABA and ABAB, the Left-Right site of injection for each period and treatment will be randomized.
Arm Title
B GlucaGen® (Bedford Laboratories)
Arm Type
Active Comparator
Arm Description
The subjects will be administered the test (A) Glucagon for Injection, Fresenius Kabi USA; or reference (B) product, GlucaGen® (Bedford Laboratories) according to a two treatments, four periods replicate crossover, randomized design with two sequences (BABA and ABAB, the Left-Right site of injection for each period and treatment will be randomized.
Intervention Type
Drug
Intervention Name(s)
Glucagon for Injection (Fresenius Kabi USA)
Other Intervention Name(s)
Reference product A
Intervention Description
Test product: A 1 mg (1 IU/ml) Glucagon for Injection (Fresenius Kabi USA)
Intervention Type
Drug
Intervention Name(s)
Glucagon for Injection (Bedford Laboratories)
Other Intervention Name(s)
Reference Product B: GlucaGen® (Bedford Laboratories)
Intervention Description
Reference product: B 1 mg (1 IU/ml) of GlucaGen® for Injection (Bedford Laboratories)
Primary Outcome Measure Information:
Title
Glucagon and Glucose concentrations in plasma.
Time Frame
Plasma samples for Glucose and Glucagon will be collected until 4 hours post dose.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Males and females, 18 years or older, with a body mass index (BMI) of 18- 30 kg/m2 inclusive. Good health as determined by lack of clinically significant abnormalities in health assessments performed at screening. Signed and dated informed consent form, which meets all criteria of current guidelines of the Medical Research Council (MRC) of Canada and FDA regulations. If female and of child bearing potential prepared to abstain from sexual intercourse, use a reliable non-hormonal method of contraception during the study (e.g. condom with spermicide, IUD). Females using hormonal contraceptives must have used the same method for at least 28 days prior and throughout the study. Exclusion Criteria: If female, pregnant, lactating or likely to become pregnant during the study. History of allergy or sensitivity to glucagon or history of any drug hypersensitivity or intolerance which, in the opinion of the Investigator, would compromise the safety of the subject or the study. Significant history or current evidence of chronic infectious disease, system disorders or organ dysfunction. Presence of gastrointestinal disease or history of malabsorption within the last year. Any history of duodenal or gastric ulcer. History of psychiatric disorders occurring within the last two years that required hospitalization medication. Presence of a medical condition requiring regular treatment with prescription drugs. Use of any drugs known to induce or inhibit hepatic drug metabolism (examples of inducers: barbiturates, carbamazepine, phenytoin, glucocorticoids, omeprazole; examples of inhibitors: antidepressants (SSRI), cimetidine, diltiazem, macrolides, imidazoles, neuroleptics, verapamil, fluoroquinolones, antihistamines) within 30 days prior to administration of the study medication. Receipt of any drug as part of a research study within 30 days prior to dosing. Drug or alcohol addiction requiring treatment in the past 12 months. Donation or significant loss of whole blood (480 ml or more) within 3 months or plasma within 14 days prior to dosing. Positive test results for HIV, Hepatitis B surface antigen or Hepatitis C antibody. Unable, or unwilling to tolerate multiple venipunctures. Has difficulty fasting or consuming the standard meals that will be provided. No prescription medications (other than contraceptives) used within 14 days prior to initial study dosing and throughout the times of sample collection each period. No over-the-counter medications within 14 days prior to each dosing and throughout the times of sample collection each period. No alcohol, caffeine/xanthine or grapefruit containing food or beverages (e.g. chocolate, coffee, tea, cola, Fresca®) ingested within 3 days prior to each dosing and throughout the times of sample collection each period. All subjects will have a saliva/urine test for drugs of abuse at check- in each study period. Subjects with positive results will be withdrawn from the study. All female subjects will be screened for pregnancy at check-in each study period with a urine pregnancy test. Subjects with positive results will be withdrawn from the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Oscar De Valle, M.D.
Organizational Affiliation
West Houston Clinical Research Services
Official's Role
Principal Investigator
Facility Information:
Facility Name
West Houston Clinical Research Services, 2026 Wirt Road
City
Houston
State/Province
Texas
ZIP/Postal Code
77055
Country
United States

12. IPD Sharing Statement

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Bioequivalence of Fresenius Kabi USA, LLC Glucagon for SC Injection Compared to Glucagon for Injection (Bedford Laboratories)

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