search
Back to results

Assessment of Intra-subject Variability in the Bioavailability of Chlorpromazine Hydrochloride

Primary Purpose

Anti-Psychotic, Management of Manifestations of Psychotic Disorders, Treatment of Schizophrenia

Status
Completed
Phase
Phase 1
Locations
South Africa
Study Type
Interventional
Intervention
Chlorpromazine Hydrochloride
Sponsored by
Cycle Pharmaceuticals Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Anti-Psychotic focused on measuring Chlorpromazine, Hydrochloride, Chlorpromazine Hydrochloride, Bioavailability, Variability, Variable, Absorption, USL Pharma, USL, Healthy, South Africa, Cycle, Anti-Psychotic

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy males and females, 18 to 65 years (both inclusive) at signing of informed consent.
  2. Body Mass Index (BMI) between 18.5 and 30 kg/m2 (both inclusive).
  3. Body mass not less than 50 kg.
  4. Medical history, vital signs, physical examination, standard 12-lead electrocardiogram (ECG) and laboratory investigations must be clinically acceptable or within laboratory reference ranges for the relevant laboratory tests, unless the investigator considers the deviation to be irrelevant for the purpose of the study.
  5. Non-smokers.
  6. Females, if:

    • Not of childbearing potential, e.g., has been surgically sterilized, undergone a hysterectomy, amenorrhea for ≥ 12 months and considered post-menopausal, Note: In postmenopausal women, the value of the serum pregnancy test may be slightly increased. This test will be repeated to confirm the results. If there is no increase indicative of pregnancy, the female will be included in the study.

    OR

    • Of childbearing potential, the following conditions are to be met:
    • Negative pregnancy test
    • If this test is positive, the subject will be excluded from the study. In the rare circumstance that a pregnancy is discovered after the subject received IMP, every attempt must be made to follow her to term.
    • Not lactating
    • Abstaining from sexual activity (if this is the usual lifestyle of the subject) or must agree to use an accepted method of contraception, and agree to continue with the same method throughout the study. Examples of reliable methods of contraception include non-hormonal intrauterine device, and barrier methods combined with an additional contraceptive method.

    In this study the concomitant use of hormonal contraceptives is NOT allowed. Other methods, if considered by the investigator as reliable, will be accepted.

  7. Written consent given for participation in the study.

Exclusion Criteria:

  1. Evidence of psychiatric disorder, antagonistic personality, poor motivation, emotional or intellectual problems likely to limit the validity of consent to participate in the study or limit the ability to comply with protocol requirements.
  2. Current alcohol use > 21 units of alcohol per week for males and > 14 units of alcohol per week for females.
  3. Consumption of more than 5 cups of coffee (or equivalent amounts of caffeine) per day.
  4. Regular exposure to substances of abuse (other than alcohol) within the past year.
  5. Use of any medication, prescribed or over-the-counter or herbal remedies, within 2 weeks before the first administration of IMP except if this will not affect the outcome of the study in the opinion of the investigator.

    In this study the concomitant use of hormonal contraceptives is NOT allowed.

  6. Participation in another study with an experimental drug, where the last administration of the previous IMP was within 8 weeks (or within 10 elimination half-lives for chemical entities or 2 elimination half-lives for antibodies or insulin), whichever is the longer) before administration of IMP in this study, at the discretion of the investigator.
  7. Treatment within the previous 3 months before the first administration of IMP with any drug with a well-defined potential for adversely affecting a major organ or system.
  8. A major illness during the 3 months before commencement of the screening period.
  9. History of hypersensitivity or allergy to the IMP or its excipients or any related medication including phenothiazines or other anti-psychotics or anti-emetics.
  10. History of extrapyramidal symptoms.
  11. History of liver or renal dysfunction, epilepsy, Parkinson's disease, hypothyroidism, cardiac failure, phaeochromocytoma, myasthenia gravis, prostate hypertrophy.
  12. Familial history of deep vein thrombosis.
  13. Hereditary problems of galactose intolerance, Lapp lactase deficiency.
  14. History of QT prolongation or signs of QT prolongation on ECG.
  15. History of bronchial asthma or any other bronchospastic disease.
  16. History of convulsions.
  17. History of porphyria.
  18. Relevant history or laboratory or clinical findings indicative of acute or chronic disease, likely to influence study outcome.
  19. Donation or loss of blood equal to or exceeding 500 mL during the 8 weeks before the first administration of IMP.
  20. Diagnosis of hypotension made during the screening period.
  21. Diagnosis of hypertension made during the screening period or current diagnosis of hypertension.
  22. Resting pulse of > 100 beats per minute or < 40 beats per minute during the screening period, either supine or standing.
  23. Positive testing for HIV and Hepatitis B and Hepatitis C.
  24. Positive urine screen for drugs of abuse. In case of a positive result the urine screen for drugs of abuse may be repeated once at the discretion of the investigator.
  25. Positive urine screen for tobacco use.
  26. Female subjects that are pregnant (positive pregnancy test) or breastfeeding.
  27. Difficulty in swallowing.
  28. Any specific investigational product safety concern.
  29. Vulnerable subjects, e.g., persons in detention.

Sites / Locations

  • Farmovs Parexel

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Treatment Period 1

Treatment Period 2

Arm Description

First dosing period in which all enrolled subjects are administered a single dose of 25 mg Chlorpromazine Hydrochloride Tablet.

Second dosing period in which all enrolled subjects are administered a single dose of 25 mg Chlorpromazine Hydrochloride Tablet.

Outcomes

Primary Outcome Measures

Maximum Observed Plasma Concentration (Cmax) - Chlorpromazine
Time Frame = sampling times.
Maximum Observed Plasma Concentration (Cmax) - 7-Hydroxy-Chlorpromazine
Time Frame = sampling times.
Area Under the Plasma Concentration Versus Time Curve, From Time Zero to t, Where t is the Time of the Last Quantifiable Concentration (AUC(0-t)) - Chlorpromazine
Time Frame = sampling times.
Area Under the Plasma Concentration Versus Time Curve, From Time Zero to t, Where t is the Time of the Last Quantifiable Concentration (AUC(0-t)) - 7-Hydroxy-Chlorpromazine
Time Frame = sampling times.
Area Under the Plasma Concentration Versus Time Curve, With Extrapolation to Infinity (AUC(0-∞)) - Chlorpromazine
Time Frame = sampling times.
Area Under the Plasma Concentration Versus Time Curve, With Extrapolation to Infinity (AUC(0-∞)) - 7-Hydroxy-Chlorpromazine
Time Frame = sampling times.

Secondary Outcome Measures

Time to Maximum Observed Plasma Concentration (Tmax) - Chlorpromazine
Time Frame = sampling times
Time to Maximum Observed Plasma Concentration (Tmax) - 7-Hydroxy-Chlorpromazine
Time Frame = sampling times
Terminal Elimination Rate Constant (λz) - Chlorpromazine
Time Frame = sampling times
Terminal Elimination Rate Constant (λz) - 7-Hydroxy-Chlorpromazine
Time Frame = sampling times
Apparent Terminal Elimination Half-life (t1/2) - Chlorpromazine
Time Frame = sampling times
Apparent Terminal Elimination Half-life (t1/2) - 7-Hydroxy-Chlorpromazine
Time Frame = sampling times

Full Information

First Posted
October 21, 2016
Last Updated
October 12, 2017
Sponsor
Cycle Pharmaceuticals Ltd.
Collaborators
Parexel
search

1. Study Identification

Unique Protocol Identification Number
NCT02943213
Brief Title
Assessment of Intra-subject Variability in the Bioavailability of Chlorpromazine Hydrochloride
Official Title
A Single Center, Single Dose, Open-Label, Two-Period Replicate Pilot Study to Investigate Intra-subject Variability in the Bioavailability of a Formulation Containing Chlorpromazine Hydrochloride (25 mg Sugar Coated Tablets) in at Least 16 Healthy Males and Females Under Fasting Conditions
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
November 2016 (undefined)
Primary Completion Date
December 2016 (Actual)
Study Completion Date
December 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cycle Pharmaceuticals Ltd.
Collaborators
Parexel

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Cycle Pharmaceuticals Ltd. (Cycle) is developing an oral tablet formulation of Chlorpromazine Hydrochloride and intends to conduct bioequivalence trials to demonstrate its similarity to the RLD. The aim of this pilot study is to investigate intrasubject variability in the bioavailability of Chlorpromazine Hydrochloride 25 mg sugar coated tablets. Cycle aims to demonstrate that Chlorpromazine Hydrochloride has a shallow dose response curve and a wide safety margin. This will then allow for the modification of bioequivalence acceptance criteria in future pivotal studies which will reduce the number of participants required whilst still maintaining assurance of safety and efficacy. Pilot Subjects (n): 20 Periods: 2 (2xR) Dosing: Single-dose Strength: 25 mg Test Product: N/A Reference: USL PHARMA Chlorpromazine Hydrochloride Analytes (in plasma): Chlorpromazine; 7-Hydroxychlorpromazine Bioequivalence based on 90% CI (Cmax, AUC): Standard; 80.00 - 125.00%
Detailed Description
This will be a single-dose, open-label, two-period replicate pilot study with orally administered chlorpromazine hydrochloride 25 mg (sugar coated tablets) conducted under fasting conditions in at least 16 healthy male and female subjects at a single study center. Up to 20 eligible subjects will be enrolled in the study with 16 evaluable subjects to complete the study. Analytes to be measured will be Chlorpromazine and 7-hydroxy-Chlorpromazine (free) as stipulated by FDA Guidance for assessment of bioequivalence for Chlorpromazine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anti-Psychotic, Management of Manifestations of Psychotic Disorders, Treatment of Schizophrenia, Control Nausea and Vomiting, Relief of Restlessness and Apprehension Before Surgery, Acute Intermittent Porphyria, Adjunct in the Treatment of Tetanus, Control Manifestations of the Manic Type of Mani-depressive Illness, Relief of Intractable Hiccups
Keywords
Chlorpromazine, Hydrochloride, Chlorpromazine Hydrochloride, Bioavailability, Variability, Variable, Absorption, USL Pharma, USL, Healthy, South Africa, Cycle, Anti-Psychotic

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Treatment Period 1
Arm Type
Experimental
Arm Description
First dosing period in which all enrolled subjects are administered a single dose of 25 mg Chlorpromazine Hydrochloride Tablet.
Arm Title
Treatment Period 2
Arm Type
Experimental
Arm Description
Second dosing period in which all enrolled subjects are administered a single dose of 25 mg Chlorpromazine Hydrochloride Tablet.
Intervention Type
Drug
Intervention Name(s)
Chlorpromazine Hydrochloride
Other Intervention Name(s)
Trade name: Chlorpromazine Hydrochloride 25 mg Tablets, USP
Intervention Description
Chlorpromazine Hydrochloride (25 mg Tablet) - Generic US Applicant holder is USL Pharma Inc.
Primary Outcome Measure Information:
Title
Maximum Observed Plasma Concentration (Cmax) - Chlorpromazine
Description
Time Frame = sampling times.
Time Frame
0, 0.5, 1, 1.3, 1.6, 2, 2.5, 3, 4, 5, 6, 9, 12, 16, 24, 36, 48, 72 and 96 hours
Title
Maximum Observed Plasma Concentration (Cmax) - 7-Hydroxy-Chlorpromazine
Description
Time Frame = sampling times.
Time Frame
0, 0.5, 1, 1.3, 1.6, 2, 2.5, 3, 4, 5, 6, 9, 12, 16, 24, 36, 48, 72 and 96 hours
Title
Area Under the Plasma Concentration Versus Time Curve, From Time Zero to t, Where t is the Time of the Last Quantifiable Concentration (AUC(0-t)) - Chlorpromazine
Description
Time Frame = sampling times.
Time Frame
0, 0.5, 1, 1.3, 1.6, 2, 2.5, 3, 4, 5, 6, 9, 12, 16, 24, 36, 48, 72 and 96 hours
Title
Area Under the Plasma Concentration Versus Time Curve, From Time Zero to t, Where t is the Time of the Last Quantifiable Concentration (AUC(0-t)) - 7-Hydroxy-Chlorpromazine
Description
Time Frame = sampling times.
Time Frame
0, 0.5, 1, 1.3, 1.6, 2, 2.5, 3, 4, 5, 6, 9, 12, 16, 24, 36, 48, 72 and 96 hours
Title
Area Under the Plasma Concentration Versus Time Curve, With Extrapolation to Infinity (AUC(0-∞)) - Chlorpromazine
Description
Time Frame = sampling times.
Time Frame
0, 0.5, 1, 1.3, 1.6, 2, 2.5, 3, 4, 5, 6, 9, 12, 16, 24, 36, 48, 72 and 96 hours
Title
Area Under the Plasma Concentration Versus Time Curve, With Extrapolation to Infinity (AUC(0-∞)) - 7-Hydroxy-Chlorpromazine
Description
Time Frame = sampling times.
Time Frame
0, 0.5, 1, 1.3, 1.6, 2, 2.5, 3, 4, 5, 6, 9, 12, 16, 24, 36, 48, 72 and 96 hours
Secondary Outcome Measure Information:
Title
Time to Maximum Observed Plasma Concentration (Tmax) - Chlorpromazine
Description
Time Frame = sampling times
Time Frame
0, 0.5, 1, 1.3, 1.6, 2, 2.5, 3, 4, 5, 6, 9, 12, 16, 24, 36, 48, 72 and 96 hours
Title
Time to Maximum Observed Plasma Concentration (Tmax) - 7-Hydroxy-Chlorpromazine
Description
Time Frame = sampling times
Time Frame
0, 0.5, 1, 1.3, 1.6, 2, 2.5, 3, 4, 5, 6, 9, 12, 16, 24, 36, 48, 72 and 96 hours
Title
Terminal Elimination Rate Constant (λz) - Chlorpromazine
Description
Time Frame = sampling times
Time Frame
0, 0.5, 1, 1.3, 1.6, 2, 2.5, 3, 4, 5, 6, 9, 12, 16, 24, 36, 48, 72 and 96 hours
Title
Terminal Elimination Rate Constant (λz) - 7-Hydroxy-Chlorpromazine
Description
Time Frame = sampling times
Time Frame
0, 0.5, 1, 1.3, 1.6, 2, 2.5, 3, 4, 5, 6, 9, 12, 16, 24, 36, 48, 72 and 96 hours
Title
Apparent Terminal Elimination Half-life (t1/2) - Chlorpromazine
Description
Time Frame = sampling times
Time Frame
0, 0.5, 1, 1.3, 1.6, 2, 2.5, 3, 4, 5, 6, 9, 12, 16, 24, 36, 48, 72 and 96 hours
Title
Apparent Terminal Elimination Half-life (t1/2) - 7-Hydroxy-Chlorpromazine
Description
Time Frame = sampling times
Time Frame
0, 0.5, 1, 1.3, 1.6, 2, 2.5, 3, 4, 5, 6, 9, 12, 16, 24, 36, 48, 72 and 96 hours

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy males and females, 18 to 65 years (both inclusive) at signing of informed consent. Body Mass Index (BMI) between 18.5 and 30 kg/m2 (both inclusive). Body mass not less than 50 kg. Medical history, vital signs, physical examination, standard 12-lead electrocardiogram (ECG) and laboratory investigations must be clinically acceptable or within laboratory reference ranges for the relevant laboratory tests, unless the investigator considers the deviation to be irrelevant for the purpose of the study. Non-smokers. Females, if: Not of childbearing potential, e.g., has been surgically sterilized, undergone a hysterectomy, amenorrhea for ≥ 12 months and considered post-menopausal, Note: In postmenopausal women, the value of the serum pregnancy test may be slightly increased. This test will be repeated to confirm the results. If there is no increase indicative of pregnancy, the female will be included in the study. OR Of childbearing potential, the following conditions are to be met: Negative pregnancy test If this test is positive, the subject will be excluded from the study. In the rare circumstance that a pregnancy is discovered after the subject received IMP, every attempt must be made to follow her to term. Not lactating Abstaining from sexual activity (if this is the usual lifestyle of the subject) or must agree to use an accepted method of contraception, and agree to continue with the same method throughout the study. Examples of reliable methods of contraception include non-hormonal intrauterine device, and barrier methods combined with an additional contraceptive method. In this study the concomitant use of hormonal contraceptives is NOT allowed. Other methods, if considered by the investigator as reliable, will be accepted. Written consent given for participation in the study. Exclusion Criteria: Evidence of psychiatric disorder, antagonistic personality, poor motivation, emotional or intellectual problems likely to limit the validity of consent to participate in the study or limit the ability to comply with protocol requirements. Current alcohol use > 21 units of alcohol per week for males and > 14 units of alcohol per week for females. Consumption of more than 5 cups of coffee (or equivalent amounts of caffeine) per day. Regular exposure to substances of abuse (other than alcohol) within the past year. Use of any medication, prescribed or over-the-counter or herbal remedies, within 2 weeks before the first administration of IMP except if this will not affect the outcome of the study in the opinion of the investigator. In this study the concomitant use of hormonal contraceptives is NOT allowed. Participation in another study with an experimental drug, where the last administration of the previous IMP was within 8 weeks (or within 10 elimination half-lives for chemical entities or 2 elimination half-lives for antibodies or insulin), whichever is the longer) before administration of IMP in this study, at the discretion of the investigator. Treatment within the previous 3 months before the first administration of IMP with any drug with a well-defined potential for adversely affecting a major organ or system. A major illness during the 3 months before commencement of the screening period. History of hypersensitivity or allergy to the IMP or its excipients or any related medication including phenothiazines or other anti-psychotics or anti-emetics. History of extrapyramidal symptoms. History of liver or renal dysfunction, epilepsy, Parkinson's disease, hypothyroidism, cardiac failure, phaeochromocytoma, myasthenia gravis, prostate hypertrophy. Familial history of deep vein thrombosis. Hereditary problems of galactose intolerance, Lapp lactase deficiency. History of QT prolongation or signs of QT prolongation on ECG. History of bronchial asthma or any other bronchospastic disease. History of convulsions. History of porphyria. Relevant history or laboratory or clinical findings indicative of acute or chronic disease, likely to influence study outcome. Donation or loss of blood equal to or exceeding 500 mL during the 8 weeks before the first administration of IMP. Diagnosis of hypotension made during the screening period. Diagnosis of hypertension made during the screening period or current diagnosis of hypertension. Resting pulse of > 100 beats per minute or < 40 beats per minute during the screening period, either supine or standing. Positive testing for HIV and Hepatitis B and Hepatitis C. Positive urine screen for drugs of abuse. In case of a positive result the urine screen for drugs of abuse may be repeated once at the discretion of the investigator. Positive urine screen for tobacco use. Female subjects that are pregnant (positive pregnancy test) or breastfeeding. Difficulty in swallowing. Any specific investigational product safety concern. Vulnerable subjects, e.g., persons in detention.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dr. Yolandi Swart, FCPHM(SA)
Organizational Affiliation
Bloemfontein Early Phase Clinical Unit, PAREXEL International (South Africa)
Official's Role
Principal Investigator
Facility Information:
Facility Name
Farmovs Parexel
City
Bloemfontein
State/Province
Kampuslaan Suid
ZIP/Postal Code
9300
Country
South Africa

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
participants are healthy volunteers.

Learn more about this trial

Assessment of Intra-subject Variability in the Bioavailability of Chlorpromazine Hydrochloride

We'll reach out to this number within 24 hrs