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A Study to Compare the Pharmacokinetics of BR4002 and BR4002-1 in Healthy Volunteers

Primary Purpose

Dementia Alzheimers

Status
Completed
Phase
Early Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
BR4002
BR4002-1
Sponsored by
Boryung Pharmaceutical Co., Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Dementia Alzheimers

Eligibility Criteria

19 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy adults aged ≥ 19 and ≤ 55 years at screening
  2. Body weight of ≥ 50 kg with calculated body mass index (BMI) of ≥ 18.0 to ≤ 29.0 kg/m2
  3. Determined eligible based on the results of physical examination and investigator questioning conducted according to this protocol. That is, absence of congenital or chronic disease, and absence of pathological symptoms or findings based on medical examination in the last 3 years.
  4. Determined eligible based on the results of the laboratory tests and electrocardiogram (ECG) conducted according to this protocol
  5. Voluntarily decided to participate in the study and provided written consent to follow precautions after receiving a detailed explanation on this study and fully understanding the information

Exclusion Criteria:

  1. Hypersensitivity to, or history of clinically significant hypersensitivity to donepezil hydrochloride, piperidine derivatives or any ingredients of piperidine derivatives, or other drugs (aspirin, antibiotics, etc.)
  2. Hereditary disorders including galactose intolerance, Lapp lactase deficiency, and glucose-galactose malabsorption
  3. History of heart disease such as sinus node syndrome, intra-atrial conduction disturbance or atrioventricular junctional conduction disturbance
  4. Ongoing administration of non-steroidal anti-inflammatory drugs or history of peptic ulcer
  5. History of asthma or obstructive pulmonary disease
  6. Extrapyramidal disorder
  7. Psychotic disorders or drug addiction
  8. Presence or prior history of a gastrointestinal disorder or prior history of gastrointestinal surgery or skin graft that may affect the absorption of the IP
  9. Presence or prior history of clinically significant cardiovascular, respiratory, hepatic, renal, neurological, endocrine, hematological and oncological, psychotic, or urinary disease
  10. Clinically significant hypotension (systolic blood pressure < 90 mmHg) or hypertension (systolic blood pressure ≥ 150 mmHg or diastolic blood pressure ≥ 95 mmHg) at screening
  11. Any of the following results from screening tests:

    • AST or ALT > 2 times the upper limit of normal
    • Total bilirubin > 2.0 mg/dL
    • Estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73m2
  12. QTc > 450 ms or any clinically significant abnormal finding from an ECG result at screening
  13. Continuous alcohol intake or inability to stop drinking during the study period
  14. Continuous smoking or inability to stop smoking throughout the hospitalization during the study period
  15. Participated in another clinical study or bioequivalence study within 6 months prior to the first administration of the IP
  16. Donated whole blood within 60 days or blood components within 30 days, or received blood transfusion within 30 days prior to the first administration of the IP
  17. Used any prescription drugs or herbal medicines within 14 days, or any over-the-counter (OTC) drugs within 7 days prior to the first administration of the IP
  18. Used drugs inducing and inhibiting drug-metabolizing enzymes, such as barbitals, within 1 month prior to initiation of the study
  19. Have been on a diet (especially grapefruit juice or its product) which may affect absorption, distribution, metabolism, and excretion of the drug within 7 days prior to the first administration of the IP
  20. Do not agree to exclude the possibility of pregnancy by using medically acceptable methods of contraception from the first day of administration of the IP up to 7 days after the last day of administration of the IP
  21. Unwillingness or inability to comply with the diet and lifestyle guidelines required for the study
  22. Clinically significant abnormal laboratory results or considered ineligible for study participation by the investigator for any other reason
  23. Women who are pregnant, have a positive serum/urine hCG test, or are breastfeeding

Sites / Locations

  • Inha University Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Other

Other

Other

Other

Other

Other

Arm Label

sequence 1

sequence 2

sequence 3

sequence 4

sequence 5

sequence 6

Arm Description

A total of 18 subjects will be randomized into 6 sequence groups. The investigational products (IPs) will be administered according to the treatment groups (R, T1, and T2) assigned to each sequence group in Period 1, Period 2, and Period 3. In between each period, there will be a washout period (28 days) long enough for the administered IP to be metabolized and eliminated. R(Reference): BR4002-1 (oral intake) 5mg single-dose T1(Test1): BR4002 (patch) 5mg single-dose (using the applicator) T2(Test2): BR4002 (patch) 5mg single-dose (not using the applicator) sequence 1: R - T1 - T2

A total of 18 subjects will be randomized into 6 sequence groups. The investigational products (IPs) will be administered according to the treatment groups (R, T1, and T2) assigned to each sequence group in Period 1, Period 2, and Period 3. In between each period, there will be a washout period (28 days) long enough for the administered IP to be metabolized and eliminated. R(Reference): BR4002-1 (oral intake) 5mg single-dose T1(Test1): BR4002 (patch) 5mg single-dose (using the applicator) T2(Test2): BR4002 (patch) 5mg single-dose (not using the applicator) sequence 2: R - T2 - T1

A total of 18 subjects will be randomized into 6 sequence groups. The investigational products (IPs) will be administered according to the treatment groups (R, T1, and T2) assigned to each sequence group in Period 1, Period 2, and Period 3. In between each period, there will be a washout period (28 days) long enough for the administered IP to be metabolized and eliminated. R(Reference): BR4002-1 (oral intake) 5mg single-dose T1(Test1): BR4002 (patch) 5mg single-dose (using the applicator) T2(Test2): BR4002 (patch) 5mg single-dose (not using the applicator) sequence 3: T1 - R - T2

A total of 18 subjects will be randomized into 6 sequence groups. The investigational products (IPs) will be administered according to the treatment groups (R, T1, and T2) assigned to each sequence group in Period 1, Period 2, and Period 3. In between each period, there will be a washout period (28 days) long enough for the administered IP to be metabolized and eliminated. R(Reference): BR4002-1 (oral intake) 5mg single-dose T1(Test1): BR4002 (patch) 5mg single-dose (using the applicator) T2(Test2): BR4002 (patch) 5mg single-dose (not using the applicator) sequence 4: T1 - T2 - R

A total of 18 subjects will be randomized into 6 sequence groups. The investigational products (IPs) will be administered according to the treatment groups (R, T1, and T2) assigned to each sequence group in Period 1, Period 2, and Period 3. In between each period, there will be a washout period (28 days) long enough for the administered IP to be metabolized and eliminated. R(Reference): BR4002-1 (oral intake) 5mg single-dose T1(Test1): BR4002 (patch) 5mg single-dose (using the applicator) T2(Test2): BR4002 (patch) 5mg single-dose (not using the applicator) sequence 5: T2 - R - T1

A total of 18 subjects will be randomized into 6 sequence groups. The investigational products (IPs) will be administered according to the treatment groups (R, T1, and T2) assigned to each sequence group in Period 1, Period 2, and Period 3. In between each period, there will be a washout period (28 days) long enough for the administered IP to be metabolized and eliminated. R(Reference): BR4002-1 (oral intake) 5mg single-dose T1(Test1): BR4002 (patch) 5mg single-dose (using the applicator) T2(Test2): BR4002 (patch) 5mg single-dose (not using the applicator) sequence 6: T2 - T1 - R

Outcomes

Primary Outcome Measures

Pharmacokinetic variables -Area Under the concentration-time Curve from time 0 to t after single dosing(AUCt) of BR4002 and BR4002-1
PK data of subjects who complete all of the scheduled blood collections without any major protocol deviations considered to affect the PK results after administration of the IP and have quantifiable drug concentrations for PK assessment will be analyzed.
Pharmacokinetic variables - maximum observed plasma concentration(Cmax) of BR4002 and BR4002-1
PK data of subjects who complete all of the scheduled blood collections without any major protocol deviations considered to affect the PK results after administration of the IP and have quantifiable drug concentrations for PK assessment will be analyzed.

Secondary Outcome Measures

Pharmacokinetic variables - Area Under the concentration-time Curve from time 0 to infinite after single dosing(AUCinf) of BR4002 and BR4002-1
PK data of subjects who complete all of the scheduled blood collections without any major protocol deviations considered to affect the PK results after administration of the IP and have quantifiable drug concentrations for PK assessment will be analyzed.
Pharmacokinetic variables - Time of occurrence of Cmax(Tmax) of BR4002 and BR4002-1
PK data of subjects who complete all of the scheduled blood collections without any major protocol deviations considered to affect the PK results after administration of the IP and have quantifiable drug concentrations for PK assessment will be analyzed.

Full Information

First Posted
July 1, 2020
Last Updated
October 27, 2020
Sponsor
Boryung Pharmaceutical Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT04462029
Brief Title
A Study to Compare the Pharmacokinetics of BR4002 and BR4002-1 in Healthy Volunteers
Official Title
A Randomized, Open-label, Single-dose, Crossover Study to Evaluate the Pharmacokinetics and Safety/Tolerability of BR4002 Comparing to BR4002-1 in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
October 2020
Overall Recruitment Status
Completed
Study Start Date
June 5, 2020 (Actual)
Primary Completion Date
October 7, 2020 (Actual)
Study Completion Date
October 7, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Boryung Pharmaceutical 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
This study is designed as a randomized, open-label, single-dose, 6x3 crossover study.
Detailed Description
A total of 18 subjects will be randomized into 6 sequence groups. The investigational products will be administered according to the treatment groups (R, T1, and T2) assigned to each sequence group in Period 1, Period 2, and Period 3. In between each period, there will be a washout period (28 days) long enough for the administered IP to be metabolized and eliminated.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Treatment
Study Phase
Early Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
18 (Actual)

8. Arms, Groups, and Interventions

Arm Title
sequence 1
Arm Type
Other
Arm Description
A total of 18 subjects will be randomized into 6 sequence groups. The investigational products (IPs) will be administered according to the treatment groups (R, T1, and T2) assigned to each sequence group in Period 1, Period 2, and Period 3. In between each period, there will be a washout period (28 days) long enough for the administered IP to be metabolized and eliminated. R(Reference): BR4002-1 (oral intake) 5mg single-dose T1(Test1): BR4002 (patch) 5mg single-dose (using the applicator) T2(Test2): BR4002 (patch) 5mg single-dose (not using the applicator) sequence 1: R - T1 - T2
Arm Title
sequence 2
Arm Type
Other
Arm Description
A total of 18 subjects will be randomized into 6 sequence groups. The investigational products (IPs) will be administered according to the treatment groups (R, T1, and T2) assigned to each sequence group in Period 1, Period 2, and Period 3. In between each period, there will be a washout period (28 days) long enough for the administered IP to be metabolized and eliminated. R(Reference): BR4002-1 (oral intake) 5mg single-dose T1(Test1): BR4002 (patch) 5mg single-dose (using the applicator) T2(Test2): BR4002 (patch) 5mg single-dose (not using the applicator) sequence 2: R - T2 - T1
Arm Title
sequence 3
Arm Type
Other
Arm Description
A total of 18 subjects will be randomized into 6 sequence groups. The investigational products (IPs) will be administered according to the treatment groups (R, T1, and T2) assigned to each sequence group in Period 1, Period 2, and Period 3. In between each period, there will be a washout period (28 days) long enough for the administered IP to be metabolized and eliminated. R(Reference): BR4002-1 (oral intake) 5mg single-dose T1(Test1): BR4002 (patch) 5mg single-dose (using the applicator) T2(Test2): BR4002 (patch) 5mg single-dose (not using the applicator) sequence 3: T1 - R - T2
Arm Title
sequence 4
Arm Type
Other
Arm Description
A total of 18 subjects will be randomized into 6 sequence groups. The investigational products (IPs) will be administered according to the treatment groups (R, T1, and T2) assigned to each sequence group in Period 1, Period 2, and Period 3. In between each period, there will be a washout period (28 days) long enough for the administered IP to be metabolized and eliminated. R(Reference): BR4002-1 (oral intake) 5mg single-dose T1(Test1): BR4002 (patch) 5mg single-dose (using the applicator) T2(Test2): BR4002 (patch) 5mg single-dose (not using the applicator) sequence 4: T1 - T2 - R
Arm Title
sequence 5
Arm Type
Other
Arm Description
A total of 18 subjects will be randomized into 6 sequence groups. The investigational products (IPs) will be administered according to the treatment groups (R, T1, and T2) assigned to each sequence group in Period 1, Period 2, and Period 3. In between each period, there will be a washout period (28 days) long enough for the administered IP to be metabolized and eliminated. R(Reference): BR4002-1 (oral intake) 5mg single-dose T1(Test1): BR4002 (patch) 5mg single-dose (using the applicator) T2(Test2): BR4002 (patch) 5mg single-dose (not using the applicator) sequence 5: T2 - R - T1
Arm Title
sequence 6
Arm Type
Other
Arm Description
A total of 18 subjects will be randomized into 6 sequence groups. The investigational products (IPs) will be administered according to the treatment groups (R, T1, and T2) assigned to each sequence group in Period 1, Period 2, and Period 3. In between each period, there will be a washout period (28 days) long enough for the administered IP to be metabolized and eliminated. R(Reference): BR4002-1 (oral intake) 5mg single-dose T1(Test1): BR4002 (patch) 5mg single-dose (using the applicator) T2(Test2): BR4002 (patch) 5mg single-dose (not using the applicator) sequence 6: T2 - T1 - R
Intervention Type
Drug
Intervention Name(s)
BR4002
Intervention Description
Administration to the T1 group: 5 mg of BR4002 (patch) will be attached using an applicator for 24 hours Administration to the T2 group: 5 mg of BR4002 (patch) will be attached without using an applicator for 24 hours
Intervention Type
Drug
Intervention Name(s)
BR4002-1
Intervention Description
Administration to the R group: 5 mg of BR4002-1 (oral formulation) will be administered with 150 mL of water
Primary Outcome Measure Information:
Title
Pharmacokinetic variables -Area Under the concentration-time Curve from time 0 to t after single dosing(AUCt) of BR4002 and BR4002-1
Description
PK data of subjects who complete all of the scheduled blood collections without any major protocol deviations considered to affect the PK results after administration of the IP and have quantifiable drug concentrations for PK assessment will be analyzed.
Time Frame
0~240 hours after medication
Title
Pharmacokinetic variables - maximum observed plasma concentration(Cmax) of BR4002 and BR4002-1
Description
PK data of subjects who complete all of the scheduled blood collections without any major protocol deviations considered to affect the PK results after administration of the IP and have quantifiable drug concentrations for PK assessment will be analyzed.
Time Frame
0~240 hours after medication
Secondary Outcome Measure Information:
Title
Pharmacokinetic variables - Area Under the concentration-time Curve from time 0 to infinite after single dosing(AUCinf) of BR4002 and BR4002-1
Description
PK data of subjects who complete all of the scheduled blood collections without any major protocol deviations considered to affect the PK results after administration of the IP and have quantifiable drug concentrations for PK assessment will be analyzed.
Time Frame
0~240 hours after medication
Title
Pharmacokinetic variables - Time of occurrence of Cmax(Tmax) of BR4002 and BR4002-1
Description
PK data of subjects who complete all of the scheduled blood collections without any major protocol deviations considered to affect the PK results after administration of the IP and have quantifiable drug concentrations for PK assessment will be analyzed.
Time Frame
0~240 hours after medication

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adults aged ≥ 19 and ≤ 55 years at screening Body weight of ≥ 50 kg with calculated body mass index (BMI) of ≥ 18.0 to ≤ 29.0 kg/m2 Determined eligible based on the results of physical examination and investigator questioning conducted according to this protocol. That is, absence of congenital or chronic disease, and absence of pathological symptoms or findings based on medical examination in the last 3 years. Determined eligible based on the results of the laboratory tests and electrocardiogram (ECG) conducted according to this protocol Voluntarily decided to participate in the study and provided written consent to follow precautions after receiving a detailed explanation on this study and fully understanding the information Exclusion Criteria: Hypersensitivity to, or history of clinically significant hypersensitivity to donepezil hydrochloride, piperidine derivatives or any ingredients of piperidine derivatives, or other drugs (aspirin, antibiotics, etc.) Hereditary disorders including galactose intolerance, Lapp lactase deficiency, and glucose-galactose malabsorption History of heart disease such as sinus node syndrome, intra-atrial conduction disturbance or atrioventricular junctional conduction disturbance Ongoing administration of non-steroidal anti-inflammatory drugs or history of peptic ulcer History of asthma or obstructive pulmonary disease Extrapyramidal disorder Psychotic disorders or drug addiction Presence or prior history of a gastrointestinal disorder or prior history of gastrointestinal surgery or skin graft that may affect the absorption of the IP Presence or prior history of clinically significant cardiovascular, respiratory, hepatic, renal, neurological, endocrine, hematological and oncological, psychotic, or urinary disease Clinically significant hypotension (systolic blood pressure < 90 mmHg) or hypertension (systolic blood pressure ≥ 150 mmHg or diastolic blood pressure ≥ 95 mmHg) at screening Any of the following results from screening tests: AST or ALT > 2 times the upper limit of normal Total bilirubin > 2.0 mg/dL Estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73m2 QTc > 450 ms or any clinically significant abnormal finding from an ECG result at screening Continuous alcohol intake or inability to stop drinking during the study period Continuous smoking or inability to stop smoking throughout the hospitalization during the study period Participated in another clinical study or bioequivalence study within 6 months prior to the first administration of the IP Donated whole blood within 60 days or blood components within 30 days, or received blood transfusion within 30 days prior to the first administration of the IP Used any prescription drugs or herbal medicines within 14 days, or any over-the-counter (OTC) drugs within 7 days prior to the first administration of the IP Used drugs inducing and inhibiting drug-metabolizing enzymes, such as barbitals, within 1 month prior to initiation of the study Have been on a diet (especially grapefruit juice or its product) which may affect absorption, distribution, metabolism, and excretion of the drug within 7 days prior to the first administration of the IP Do not agree to exclude the possibility of pregnancy by using medically acceptable methods of contraception from the first day of administration of the IP up to 7 days after the last day of administration of the IP Unwillingness or inability to comply with the diet and lifestyle guidelines required for the study Clinically significant abnormal laboratory results or considered ineligible for study participation by the investigator for any other reason Women who are pregnant, have a positive serum/urine hCG test, or are breastfeeding
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sang-Heon Cho
Organizational Affiliation
Inha University Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Inha University Hospital
City
Incheon
Country
Korea, Republic of

12. IPD Sharing Statement

Learn more about this trial

A Study to Compare the Pharmacokinetics of BR4002 and BR4002-1 in Healthy Volunteers

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