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Bioavailability Study of Amitriptyline Hydrochloride Tablets (AMTL-BE)

Primary Purpose

Depressive Disorder

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting)
Amitriptyline Hydrochloride 25Mg Tablet(Sandoz)
Sponsored by
First Affiliated Hospital of Zhejiang University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Depressive Disorder focused on measuring Amitriptyline hydrochloride

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Age 18-45 years old (including 18 and 45 years old), both male and female;
  2. Male subjects weigh more than 50kg (including 50kg) and female subjects weigh more than 45kg (including 45kg); Body mass index [BMI = body weight (kg)/height (m)2] is in the range of 19 to 26 kg/m2;
  3. According to past medical history, comprehensive physical examination and prescribed laboratory tests, the investigator determined that Healthy subjects;
  4. Women of childbearing age have a negative blood pregnancy test and are effective from 14 days before dosing to 6 months after the end of study Appropriate contraceptive measures;
  5. Male volunteers must take effective and appropriate 14 days before dosing until 6 months after the end of the study.

    The contraceptive measures and agrees not to perform sperm donation within six months from the administration until the end of the study;

  6. Fully understand the purpose of the test, the nature of the test, the study procedures, and possible adverse reactions.

    Willing to participate in the trial and sign the informed consent form (the process of obtaining the informed consent accords with GCP regulations);

  7. Communicate well with the researcher, follow the requirements of the entire study, and be willing to stay in the Phase I clinical research ward as required.

Exclusion Criteria:

  1. Can not tolerate venipuncture, who have a history of dizziness and pinching blood;
  2. Clearly have a history of allergies to the drug ingredients or similar species or to two or more other drugs Sensitive history and highly sensitive to food and environmental substances;
  3. Have a history of any serious clinical illness, including but not limited to digestive system, cardiovascular system, respiratory system, Urinary system, musculoskeletal system, endocrine system, neuropsychiatric system, blood system, immune system Patients with a history of diseases and metabolic disorders;
  4. Laboratory tests (blood routine, urine routine, blood chemistry, etc.) and chest X-ray and ECG within 2 weeks before the test Those who have abnormal clinical findings
  5. Hematological screening (HIV antibody or HBV surface antigen or HCV antibody or TP antibody) positive;
  6. women who are breastfeeding, pregnant or plan to become pregnant recently;
  7. Female subjects are in lactation or positive pregnancy test during the screening period or during the trial;
  8. Male and female subjects who have not taken effective contraception or whose spouse plans to have children within six months;
  9. Persons with mental or legal disabilities;
  10. Screening for history of prescription drug abuse and/or history of illegal drug abuse within the first 6 months of screening;
  11. A person who has a history of alcohol abuse within the first 6 months of screening, ie drinking more than 14 units of alcohol per week (1 unit = 12 ounces or 360 mL beer, 1.5 ounces or 45 mL alcohol 40% spirits, 5 ounces or 150mL wine);
  12. Smoke more than 5 cigarettes per day within 6 months before screening;
  13. positive for substance abuse screening or alcohol testing;
  14. Those with a history of hospitalization or surgery within 3 months prior to screening (excluding appendicitis);
  15. Participate in other drug clinical trials within 3 months before screening;
  16. Have blood donation or acute blood loss history (≥400 mL) within the first 2 months of screening or 1 after the end of the trial Intended to donate blood during the month;
  17. Those who used any other medicine within 2 weeks before the test (prescription drugs, non-prescription drugs, any vitamins) Products or herbs);
  18. Drink more than 1L of tea, coffee, and/or caffeinated beverages daily;
  19. Those who have special dietary requirements and cannot accept a unified diet;
  20. Those who are lactose intolerant (have been drinking milk diarrhea);
  21. Those who do not understand the content of the informed consent and those who do not meet the criteria for the trial enrollment;
  22. Subjects are poorly adhered to, or the investigator believes there are any individuals who are unfit to participate in the trial.

Sites / Locations

  • The First Affiliated Hospital,ZheJiang Univercity

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Fast group

Feeding group

Arm Description

During the study session, healthy subjects will be administered a single dose of Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting) or Amitriptyline Hydrochloride 25Mg Tablet(Sandoz) under fasting condition . cycle 1 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting)/cycle 2 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Sandoz) or cycle 1 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Sandoz)/cycle 2 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting)

During the study session, healthy subjects will be administered a single dose of Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting) or Amitriptyline Hydrochloride 25Mg Tablet(Sandoz) under feeding condition. cycle 1 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting)/cycle 2 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Sandoz) or cycle 1 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Sandoz)/cycle 2 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting)

Outcomes

Primary Outcome Measures

Cmax
Maximum Observed Plasma Concentration for amitriptyline
Tmax
Time to Reach the Maximum Plasma Concentration
AUC(0-inf)
Area Under the Plasma Concentration-time Curve from Time 0 to Infinity for amitriptyline
AUC(0-144h)
Area Under the Plasma Concentration-Time Curve From Time 0 to 36 hours Postdose for amitriptyline

Secondary Outcome Measures

Full Information

First Posted
May 18, 2018
Last Updated
July 30, 2019
Sponsor
First Affiliated Hospital of Zhejiang University
Collaborators
Hunan DongtingPharm.Co.Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT03646526
Brief Title
Bioavailability Study of Amitriptyline Hydrochloride Tablets
Acronym
AMTL-BE
Official Title
Bioavailability Study of Amitriptyline Hydrochloride Tablets
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Completed
Study Start Date
April 4, 2018 (Actual)
Primary Completion Date
January 31, 2019 (Actual)
Study Completion Date
January 31, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
First Affiliated Hospital of Zhejiang University
Collaborators
Hunan DongtingPharm.Co.Ltd

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
Main Objectives: In Chinese healthy subjects under both fasting and postprandial conditions, amitriptyline hydrochloride tablets (size: 25 mg) produced by Sandoz Inc., US Orange Book, were used as reference preparations. A single-dose oral reference preparation and amitriptyline hydrochloride tablets (size: 25 mg) produced by Hunan Dongting Pharmaceutical Co., Ltd., and the calculation of the drug by the time course of amitriptyline and its active metabolite, nortriptyline, in vivo The kinetic parameters were compared, and the relative bioavailability of the two was compared to evaluate bioequivalence, which provided the basis for the bioequivalence study of amitriptyline hydrochloride tablets by Hunan Dongting Pharmaceutical Co., Ltd. Secondary Objective: To monitor the safety of fasting and postprandial oral test and reference preparations.
Detailed Description
This clinical study is a single-center, randomized, open clinical study divided into two parts, the first part is the pre-test and the second part is the formal test. Both pre-test and formal trials were designed using two preparations, two cycles, and a self-crossover controlled trial. Twelve subjects were enrolled in the pre-test and randomly divided into two groups. Each group received 25 mg of the test preparation or reference preparation in the first day of each cycle, before the administration (0 h) and after the administration 0.5 h, 1.0 h, 2.0 h, 2.5 h, 3.0 h, 3.5 h, 4.0 h, 4.5 h, 5.0 h, 5.5 h, 6.0 h, 7.0 h, 8.0 h, 10.0 h, 12.0 h, 24.0 h, 36.0 h, 48.0 h, 72.0 h, 96.0 h, 120.0 h, 144 h, 168 h, and 192 h blood samples were measured for plasma amitriptyline concentration for bioequivalence analysis, and the concentration of the active metabolite nortriptyline was determined as supportive evidence of comparable efficacy. The pre-test results will provide the basis for formal testing. The cleaning period is 21 ± 1 day. The formal trials were divided into fasting and postprandial trials to evaluate the bioequivalence of the test preparation and the reference preparation in a single dose of hollow and postprandial administration in healthy Chinese subjects. Fasting and postprandial trials were enrolled in 24 subjects and randomly divided into 2 groups. Each group received 25 mg of the test preparation or reference preparation on the first day of each cycle, before the administration (0 h) and after the administration 0.5 h, 1.0 h, 2.0 h, 3.0 h, 4.0 h, 5.0 h, 6.0 h, 7.0 h, 8.0 h, 10.0 h, 12.0 h, 24.0 h, 36.0 h, 48.0 h, 72.0 h, 96.0 h, 120.0 h and 144 h blood samples were measured for plasma concentrations of amitriptyline for bioequivalence analysis, and the concentration of the active metabolite nortriptyline was determined as supportive evidence of comparable efficacy.. The cleaning period is 21 ± 1 day. Based on the results of the first part of the pre-test evaluation, the experimental design and sampling time and other contents of the second part of the formal test may require necessary modifications. The fasting test and the postprandial test in the formal test were carried out independently.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Depressive Disorder
Keywords
Amitriptyline hydrochloride

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Fast group
Arm Type
Experimental
Arm Description
During the study session, healthy subjects will be administered a single dose of Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting) or Amitriptyline Hydrochloride 25Mg Tablet(Sandoz) under fasting condition . cycle 1 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting)/cycle 2 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Sandoz) or cycle 1 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Sandoz)/cycle 2 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting)
Arm Title
Feeding group
Arm Type
Experimental
Arm Description
During the study session, healthy subjects will be administered a single dose of Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting) or Amitriptyline Hydrochloride 25Mg Tablet(Sandoz) under feeding condition. cycle 1 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting)/cycle 2 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Sandoz) or cycle 1 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Sandoz)/cycle 2 Drug: Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting)
Intervention Type
Drug
Intervention Name(s)
Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting)
Intervention Description
Amitriptyline Hydrochloride 25Mg Tablet(Hunan Dongting)is a generic product manufactured by Hunan Dongting Pharmaceutical Co., Ltd.
Intervention Type
Drug
Intervention Name(s)
Amitriptyline Hydrochloride 25Mg Tablet(Sandoz)
Intervention Description
Amitriptyline Hydrochloride 25Mg Tablet(Sandoz)is a generic product manufactured by Sandoz Inc;
Primary Outcome Measure Information:
Title
Cmax
Description
Maximum Observed Plasma Concentration for amitriptyline
Time Frame
144 hours post-dose on Day 1,22
Title
Tmax
Description
Time to Reach the Maximum Plasma Concentration
Time Frame
144 hours post-dose on Day 1,22
Title
AUC(0-inf)
Description
Area Under the Plasma Concentration-time Curve from Time 0 to Infinity for amitriptyline
Time Frame
144 hours post-dose on Day 1,22
Title
AUC(0-144h)
Description
Area Under the Plasma Concentration-Time Curve From Time 0 to 36 hours Postdose for amitriptyline
Time Frame
144 hours post-dose on Day 1,22

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Age 18-45 years old (including 18 and 45 years old), both male and female; Male subjects weigh more than 50kg (including 50kg) and female subjects weigh more than 45kg (including 45kg); Body mass index [BMI = body weight (kg)/height (m)2] is in the range of 19 to 26 kg/m2; According to past medical history, comprehensive physical examination and prescribed laboratory tests, the investigator determined that Healthy subjects; Women of childbearing age have a negative blood pregnancy test and are effective from 14 days before dosing to 6 months after the end of study Appropriate contraceptive measures; Male volunteers must take effective and appropriate 14 days before dosing until 6 months after the end of the study. The contraceptive measures and agrees not to perform sperm donation within six months from the administration until the end of the study; Fully understand the purpose of the test, the nature of the test, the study procedures, and possible adverse reactions. Willing to participate in the trial and sign the informed consent form (the process of obtaining the informed consent accords with GCP regulations); Communicate well with the researcher, follow the requirements of the entire study, and be willing to stay in the Phase I clinical research ward as required. Exclusion Criteria: Can not tolerate venipuncture, who have a history of dizziness and pinching blood; Clearly have a history of allergies to the drug ingredients or similar species or to two or more other drugs Sensitive history and highly sensitive to food and environmental substances; Have a history of any serious clinical illness, including but not limited to digestive system, cardiovascular system, respiratory system, Urinary system, musculoskeletal system, endocrine system, neuropsychiatric system, blood system, immune system Patients with a history of diseases and metabolic disorders; Laboratory tests (blood routine, urine routine, blood chemistry, etc.) and chest X-ray and ECG within 2 weeks before the test Those who have abnormal clinical findings Hematological screening (HIV antibody or HBV surface antigen or HCV antibody or TP antibody) positive; women who are breastfeeding, pregnant or plan to become pregnant recently; Female subjects are in lactation or positive pregnancy test during the screening period or during the trial; Male and female subjects who have not taken effective contraception or whose spouse plans to have children within six months; Persons with mental or legal disabilities; Screening for history of prescription drug abuse and/or history of illegal drug abuse within the first 6 months of screening; A person who has a history of alcohol abuse within the first 6 months of screening, ie drinking more than 14 units of alcohol per week (1 unit = 12 ounces or 360 mL beer, 1.5 ounces or 45 mL alcohol 40% spirits, 5 ounces or 150mL wine); Smoke more than 5 cigarettes per day within 6 months before screening; positive for substance abuse screening or alcohol testing; Those with a history of hospitalization or surgery within 3 months prior to screening (excluding appendicitis); Participate in other drug clinical trials within 3 months before screening; Have blood donation or acute blood loss history (≥400 mL) within the first 2 months of screening or 1 after the end of the trial Intended to donate blood during the month; Those who used any other medicine within 2 weeks before the test (prescription drugs, non-prescription drugs, any vitamins) Products or herbs); Drink more than 1L of tea, coffee, and/or caffeinated beverages daily; Those who have special dietary requirements and cannot accept a unified diet; Those who are lactose intolerant (have been drinking milk diarrhea); Those who do not understand the content of the informed consent and those who do not meet the criteria for the trial enrollment; Subjects are poorly adhered to, or the investigator believes there are any individuals who are unfit to participate in the trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jian LIU, Master
Organizational Affiliation
The First Affiliated Hospital,ZheJiang Univercity
Official's Role
Study Chair
Facility Information:
Facility Name
The First Affiliated Hospital,ZheJiang Univercity
City
Hanzhou
State/Province
Zhejiang
ZIP/Postal Code
310000
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
32801649
Citation
Zhai Y, Wu L, Zheng Y, Wu M, Huang Y, Huang Q, Shentu J, Zhao Q, Liu J. Bioequivalence Study of Amitriptyline Hydrochloride Tablets in Healthy Chinese Volunteers Under Fasting and Fed Conditions. Drug Des Devel Ther. 2020 Aug 4;14:3131-3142. doi: 10.2147/DDDT.S258173. eCollection 2020.
Results Reference
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Bioavailability Study of Amitriptyline Hydrochloride Tablets

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