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Comparative Bioequivalence Study in Adult Patients Suffering From Chronic Myeloid Leukemia & Gastrointestinal Stromal Tumor Under Fed Conditions

Primary Purpose

Chronic Myeloid Leukemia, Gastrointestinal Stromal Tumor

Status
Completed
Phase
Phase 2
Locations
India
Study Type
Interventional
Intervention
Imatinib Mesylate Tablets, 400 mg
Imatinib Mesylate Tablets, 400 mg
Sponsored by
Amneal Pharmaceuticals, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Myeloid Leukemia

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age 18 to 55 years (both inclusive) and either sex
  • Diagnosed case of Philadelphia chromosome positive (Ph+) CML patients in chronic phase or GIST and presently being treated with imatinib 400 mg tablets.
  • Willing to give written informed consent for participation in the study as well as willing and able to comply with study visit schedule and other protocol requirements.
  • Female patients of child bearing potential (except for those who have completed one year since menopause or have gone through hysterectomy or bilateral tubal ligation) must have negative serum pregnancy test at the screening, negative urine pregnancy test on check in to housing, must be non-lactating at screening and must agree to use effective contraception (barrier or hormonal) for the study period.

Exclusion Criteria:

  • History of hypersensitivity to imatinib mesylate or to any of the excipients as judged by investigator.
  • Patient of CML receiving treatment in Myeloid Blast Crisis or Accelerated Phase
  • Abnormal laboratory results as below:
  • History of a heart failure, renal insufficiency, hypereosinophilic syndrome (HES), myelodysplastic syndrome (MDS)/ myeloproliferative disease (MPD) or acute systemic mastocytosis (ASM).
  • History of therapy with any of the following as per timelines before randomization: inducers of CYP3A4 activity and inhibitors of CYP3A4 activity, within 14 days, investigational product/device within last one month
  • Alcohol or any drug dependence within past one year.
  • Blood donation/loss exceeding 200 ml within last 60 days.

Sites / Locations

  • Kailash Cancer Hospital & Research Centre
  • Srinivasam Cancer Care Hospitals India Pvt.
  • Karnataka Caner Hospital
  • Lokmaya Hospital
  • Dr. G Viswanathan Speciality Hospitals

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Imatinib Mesylate Tablets, 400 mg

Gleevec Tablets, 400 mg

Arm Description

Imatinib Mesylate Tablets, 400 mg. Once daily for 14 days.

Imatinib Mesylate Tablets, 400 mg. Once daily for 14 days.

Outcomes

Primary Outcome Measures

Cmax
Peak maximum concentration over dosing interval in the steady state
AUC0-tau
The area under the blood concentration curve versus time, calculated by the trapezoid method, from zero time to the dose interval (tau) in the steady state

Secondary Outcome Measures

Tmax
The time to reach such peak over dosing interval in the steady state
Cmin
Minimum concentration established at each dose interval end of the steady state
Cavg
Average concentration in the steady state (= AUC0-tau / tau)
Swing
Swing in steady state pharmacokinetics, calculated as (CmaxSS-CminSS)/ CminSS
Fluctuation Rate
Degree of fluctuation in the steady state pharmacokinetics, calculated as (Cmax-Cmin)/CavSS

Full Information

First Posted
April 1, 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
NCT02103322
Brief Title
Comparative Bioequivalence Study in Adult Patients Suffering From Chronic Myeloid Leukemia & Gastrointestinal Stromal Tumor Under Fed Conditions
Official Title
A Randomized, Open Label, Two-Treatment, Multiple Dose, Steady State, Two-period, Cross-over, Multi-Centre Comparative Bioequivalence Study of Imatinib Mesylate Tablet 400 mg of Amneal Pharmaceuticals, USA With GLEEVEC® (Imatinib Mesylate) Tablets 400 mg Distributed by Novartis Pharmaceuticals Corporation, East Hanover, New Jersey 07936 in Adult Patients Suffering From Chronic Myeloid Leukemia & Gastrointestinal Stromal Tumor Under Fed Conditions
Study Type
Interventional

2. Study Status

Record Verification Date
June 2014
Overall Recruitment Status
Completed
Study Start Date
February 2014 (undefined)
Primary Completion Date
March 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 characterize pharmacokinetic profile of test product compared to that of the corresponding reference product in adult patients, who are diagnosed to have Chronic Myeloid Leukemia & Gastrointestinal Stromal Tumor under Fed Conditions.
Detailed Description
To characterize pharmacokinetic profile of Imatinib Mesylate tablets EQ 400 mg base of Amneal Pharmaceuticals LLC, compared to that of the reference product - GLEEVEC® (imatinib mesylate) tablets 400 mg in adult patients, who are diagnosed to have CML or GIST and are presently receiving stable dose of imatinib mesylate tablets 400 mg, and assess their bioequivalence.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Myeloid Leukemia, Gastrointestinal Stromal Tumor

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
Imatinib Mesylate Tablets, 400 mg
Arm Type
Experimental
Arm Description
Imatinib Mesylate Tablets, 400 mg. Once daily for 14 days.
Arm Title
Gleevec Tablets, 400 mg
Arm Type
Active Comparator
Arm Description
Imatinib Mesylate Tablets, 400 mg. Once daily for 14 days.
Intervention Type
Drug
Intervention Name(s)
Imatinib Mesylate Tablets, 400 mg
Intervention Description
Brown, oval, scored, film coated, beveled edge tablet. Debossed with AN on scored side and 795 on the other side.
Intervention Type
Drug
Intervention Name(s)
Imatinib Mesylate Tablets, 400 mg
Other Intervention Name(s)
Gleevec
Intervention Description
Very dark yellow to brownish orange, film-coated tablets, ovaloid, biconvex with bevelled edges, debossed with "400" on one side with score on the other side, and "SL" on each side of the score.
Primary Outcome Measure Information:
Title
Cmax
Description
Peak maximum concentration over dosing interval in the steady state
Time Frame
Days 5, 6, 7, 12, 13, 14 and 15
Title
AUC0-tau
Description
The area under the blood concentration curve versus time, calculated by the trapezoid method, from zero time to the dose interval (tau) in the steady state
Time Frame
Days 5, 6, 7, 12, 13, 14 and 15
Secondary Outcome Measure Information:
Title
Tmax
Description
The time to reach such peak over dosing interval in the steady state
Time Frame
Days 5, 6, 7, 12, 13, 14 and 15
Title
Cmin
Description
Minimum concentration established at each dose interval end of the steady state
Time Frame
Days 5, 6, 7, 12, 13, 14 and 15
Title
Cavg
Description
Average concentration in the steady state (= AUC0-tau / tau)
Time Frame
Days 5, 6, 7, 12, 13, 14 and 15
Title
Swing
Description
Swing in steady state pharmacokinetics, calculated as (CmaxSS-CminSS)/ CminSS
Time Frame
Days 5, 6, 7, 12, 13, 14 and 15
Title
Fluctuation Rate
Description
Degree of fluctuation in the steady state pharmacokinetics, calculated as (Cmax-Cmin)/CavSS
Time Frame
Days 5, 6, 7, 12, 13, 14 and 15

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age 18 to 55 years (both inclusive) and either sex Diagnosed case of Philadelphia chromosome positive (Ph+) CML patients in chronic phase or GIST and presently being treated with imatinib 400 mg tablets. Willing to give written informed consent for participation in the study as well as willing and able to comply with study visit schedule and other protocol requirements. Female patients of child bearing potential (except for those who have completed one year since menopause or have gone through hysterectomy or bilateral tubal ligation) must have negative serum pregnancy test at the screening, negative urine pregnancy test on check in to housing, must be non-lactating at screening and must agree to use effective contraception (barrier or hormonal) for the study period. Exclusion Criteria: History of hypersensitivity to imatinib mesylate or to any of the excipients as judged by investigator. Patient of CML receiving treatment in Myeloid Blast Crisis or Accelerated Phase Abnormal laboratory results as below: History of a heart failure, renal insufficiency, hypereosinophilic syndrome (HES), myelodysplastic syndrome (MDS)/ myeloproliferative disease (MPD) or acute systemic mastocytosis (ASM). History of therapy with any of the following as per timelines before randomization: inducers of CYP3A4 activity and inhibitors of CYP3A4 activity, within 14 days, investigational product/device within last one month Alcohol or any drug dependence within past one year. Blood donation/loss exceeding 200 ml within last 60 days.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ashutosh Jani, MD
Organizational Affiliation
Accutest Research Laboratories (I) Pvt. Ltd.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Kailash Cancer Hospital & Research Centre
City
Vadodara
State/Province
Gujurat
ZIP/Postal Code
391760
Country
India
Facility Name
Srinivasam Cancer Care Hospitals India Pvt.
City
Bangalore
State/Province
Karnataka
ZIP/Postal Code
560076
Country
India
Facility Name
Karnataka Caner Hospital
City
Bengaluru
State/Province
Karnataka
ZIP/Postal Code
560096
Country
India
Facility Name
Lokmaya Hospital
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411044
Country
India
Facility Name
Dr. G Viswanathan Speciality Hospitals
City
Tiruchirappalli
State/Province
Tamil Nadu
ZIP/Postal Code
620 008
Country
India

12. IPD Sharing Statement

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Comparative Bioequivalence Study in Adult Patients Suffering From Chronic Myeloid Leukemia & Gastrointestinal Stromal Tumor Under Fed Conditions

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