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Evaluate Bioequivalence of Palonosetron (0.25mg/5mL)

Primary Purpose

Chemotherapy-induced Nausea and Vomiting, Prophylaxis

Status
Completed
Phase
Phase 4
Locations
Taiwan
Study Type
Interventional
Intervention
Palonosetron
Sponsored by
Yung Shin Pharm. Ind. Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Chemotherapy-induced Nausea and Vomiting, Prophylaxis

Eligibility Criteria

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

Inclusion Criteria:

  1. Healthy adult male or female subjects between 20-45 years of age (inclusive) at the screening visit.
  2. Body mass index (BMI) between 18 and 27 kg/m2 (not inclusive) at the screening visit.
  3. Acceptable medical history and physical examination including:

    • no particular clinically significant abnormalities in ECG results within six months prior to Period I dosing.
    • no particular clinical significance in general disease history within two months prior to Period I dosing.
  4. Acceptable biochemistry determinations (within normal limits or considered by the investigator or physician to be of no clinical significance) within two months prior to Period I dosing, which includes AST (SGOT), ALT (SGPT), γ-GT, alkaline phosphatase, total bilirubin, albumin, glucose, BUN, uric acid, creatinine, total cholesterol and triglyceride (TG).
  5. Acceptable hematology (within normal limits or considered by the investigator or physician to be of no clinical significance) within two months prior to Period I dosing, which includes hemoglobin, hematocrit, red blood cell count, white blood cell count with differentials and platelets.
  6. Acceptable urinalysis (within normal limits or considered by the investigator or physician to be of no clinical significance) within two months prior to Period I dosing, which includes pH, blood, glucose, ketones, bilirubin and protein.
  7. Female of childbearing potential practicing an acceptable method of birth control for the duration of the study.
  8. Have signed the written informed consent to participate in the study.

Exclusion Criteria:

  1. A clinically significant disorder involving the cardiovascular, respiratory, hepatic, renal, urinary tract, gastrointestinal, immunologic, hematologic, endocrine or neurologic system(s) or psychiatric disease.
  2. A clinically significant illness or surgery within four weeks prior to Period I dosing.
  3. History of gastrointestinal obstruction, inflammatory bowel disease, gallbladder disease, pancreas disorder over last two years or history of gastrointestinal tract surgery over last five years.
  4. History of kidney disease or urination problem over last two years deemed by the investigator to be clinically significant.
  5. Known or suspected history of drug abuse within lifetime.
  6. History of alcohol addiction or abuse within last five years or use of more than 7 units of alcohol per week within two weeks prior to dosing. (1 unit of alcohol = 10 g of alcohol or about 350 mL of beer or about 83 mL of red wine or about 30 mL of beverage containing 40% (v/v) alcohol).
  7. History of allergic response(s) to palonosetron or any other related drugs.
  8. Evidence of chronic or acute infectious diseases.
  9. Positive result for serum hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCVAb), or human immunodeficiency virus (HIV).
  10. Female subjects demonstrating a positive pregnancy screen prior to the study.
  11. Female subjects who are currently breastfeeding.
  12. Taking any drug known to induce or inhibit hepatic drug metabolism within four weeks prior to Period I dosing. Examples of inducers include: piperidines, carbamazepine, dexamethasone and rifampin. Examples of inhibitors include: cimetidine, diphenhydramine, fluvastatin, methadone and ranitidine.
  13. Taking any prescription medications within four weeks or any nonprescription medications (excluding flu vaccination) within two weeks prior to Period I dosing.
  14. Use of any investigational drug within four weeks prior to Period I dosing.
  15. Donating more than 250 mL of blood within two months prior to Period I dosing or donating plasma (e.g. plasmapheresis) within two weeks prior to Period I dosing.
  16. Any other medical reason as determined by the investigator.

Sites / Locations

  • Taichung Veterans General Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Palonosetron (Stothu®)

Palonosetron (Aloxi®)

Arm Description

Stothu® Solution for Injection 0.25 mg/5 mL

Aloxi® Solution for Injection 0.25 mg/5mL

Outcomes

Primary Outcome Measures

Peak concentration (Cmax)
The two-sided 90% confidence interval for the difference of means in natural log-transformed Cmax, AUC0-t and AUC0-∞ between test and reference drug will be calculated.
Time to reach peak concentration (Tmax)
The two-sided 90% confidence interval for the difference of means in natural log-transformed Cmax, AUC0-t and AUC0-∞ between test and reference drug will be calculated.
Area under the concentration-time curve from time zero to time of last quantifiable concentration (AUC0-t)
The two-sided 90% confidence interval for the difference of means in natural log-transformed Cmax, AUC0-t and AUC0-∞ between test and reference drug will be calculated.
Area under the concentration-time curve from time zero to infinity (AUC0-∞)
The two-sided 90% confidence interval for the difference of means in natural log-transformed Cmax, AUC0-t and AUC0-∞ between test and reference drug will be calculated.
Elimination rate constant (入z)
The two-sided 90% confidence interval for the difference of means in natural log-transformed Cmax, AUC0-t and AUC0-∞ between test and reference drug will be calculated.
Terminal elimination half-life (t1/2)
The two-sided 90% confidence interval for the difference of means in natural log-transformed Cmax, AUC0-t and AUC0-∞ between test and reference drug will be calculated.
Ratio of AUC0-t to AUC0-∞
The two-sided 90% confidence interval for the difference of means in natural log-transformed Cmax, AUC0-t and AUC0-∞ between test and reference drug will be calculated.

Secondary Outcome Measures

Full Information

First Posted
October 6, 2020
Last Updated
July 28, 2021
Sponsor
Yung Shin Pharm. Ind. Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04585412
Brief Title
Evaluate Bioequivalence of Palonosetron (0.25mg/5mL)
Official Title
A Randomized, Single-dose, Two-way Crossover Study to Evaluate Bioequivalence of Two Formulations of Palonosetron After Intravenous Administration of Palonosetron in Healthy Volunteers Under Fasting Conditions
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
August 17, 2020 (Actual)
Primary Completion Date
October 24, 2020 (Actual)
Study Completion Date
December 31, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Yung Shin Pharm. Ind. Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
A randomized, single-dose, two-way crossover study to evaluate bioequivalence of two formulations of palonosetron after intravenous administration of palonosetron in healthy volunteers under fasting conditions.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chemotherapy-induced Nausea and Vomiting, Prophylaxis

7. Study Design

Primary Purpose
Other
Study Phase
Phase 4
Interventional Study Model
Crossover Assignment
Model Description
An open-label, randomized, balanced, two-treatment, two-period, twosequence, single dose, two-way crossover study
Masking
None (Open Label)
Allocation
Randomized
Enrollment
16 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Palonosetron (Stothu®)
Arm Type
Experimental
Arm Description
Stothu® Solution for Injection 0.25 mg/5 mL
Arm Title
Palonosetron (Aloxi®)
Arm Type
Active Comparator
Arm Description
Aloxi® Solution for Injection 0.25 mg/5mL
Intervention Type
Drug
Intervention Name(s)
Palonosetron
Other Intervention Name(s)
Stothu®
Intervention Description
Pharmacokinetic study under fasting conditions
Primary Outcome Measure Information:
Title
Peak concentration (Cmax)
Description
The two-sided 90% confidence interval for the difference of means in natural log-transformed Cmax, AUC0-t and AUC0-∞ between test and reference drug will be calculated.
Time Frame
0 (pre-dose), ≤2, 5, 15, and 30 minutes, and 1, 2, 4, 6, 12, 24, 48, 72, 96, 120, 144, and 168 hours post dose
Title
Time to reach peak concentration (Tmax)
Description
The two-sided 90% confidence interval for the difference of means in natural log-transformed Cmax, AUC0-t and AUC0-∞ between test and reference drug will be calculated.
Time Frame
0 (pre-dose), ≤2, 5, 15, and 30 minutes, and 1, 2, 4, 6, 12, 24, 48, 72, 96, 120, 144, and 168 hours post dose
Title
Area under the concentration-time curve from time zero to time of last quantifiable concentration (AUC0-t)
Description
The two-sided 90% confidence interval for the difference of means in natural log-transformed Cmax, AUC0-t and AUC0-∞ between test and reference drug will be calculated.
Time Frame
0 (pre-dose), ≤2, 5, 15, and 30 minutes, and 1, 2, 4, 6, 12, 24, 48, 72, 96, 120, 144, and 168 hours post dose
Title
Area under the concentration-time curve from time zero to infinity (AUC0-∞)
Description
The two-sided 90% confidence interval for the difference of means in natural log-transformed Cmax, AUC0-t and AUC0-∞ between test and reference drug will be calculated.
Time Frame
0 (pre-dose), ≤2, 5, 15, and 30 minutes, and 1, 2, 4, 6, 12, 24, 48, 72, 96, 120, 144, and 168 hours post dose
Title
Elimination rate constant (入z)
Description
The two-sided 90% confidence interval for the difference of means in natural log-transformed Cmax, AUC0-t and AUC0-∞ between test and reference drug will be calculated.
Time Frame
0 (pre-dose), ≤2, 5, 15, and 30 minutes, and 1, 2, 4, 6, 12, 24, 48, 72, 96, 120, 144, and 168 hours post dose
Title
Terminal elimination half-life (t1/2)
Description
The two-sided 90% confidence interval for the difference of means in natural log-transformed Cmax, AUC0-t and AUC0-∞ between test and reference drug will be calculated.
Time Frame
0 (pre-dose), ≤2, 5, 15, and 30 minutes, and 1, 2, 4, 6, 12, 24, 48, 72, 96, 120, 144, and 168 hours post dose
Title
Ratio of AUC0-t to AUC0-∞
Description
The two-sided 90% confidence interval for the difference of means in natural log-transformed Cmax, AUC0-t and AUC0-∞ between test and reference drug will be calculated.
Time Frame
0 (pre-dose), ≤2, 5, 15, and 30 minutes, and 1, 2, 4, 6, 12, 24, 48, 72, 96, 120, 144, and 168 hours post dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adult male or female subjects between 20-45 years of age (inclusive) at the screening visit. Body mass index (BMI) between 18 and 27 kg/m2 (not inclusive) at the screening visit. Acceptable medical history and physical examination including: no particular clinically significant abnormalities in ECG results within six months prior to Period I dosing. no particular clinical significance in general disease history within two months prior to Period I dosing. Acceptable biochemistry determinations (within normal limits or considered by the investigator or physician to be of no clinical significance) within two months prior to Period I dosing, which includes AST (SGOT), ALT (SGPT), γ-GT, alkaline phosphatase, total bilirubin, albumin, glucose, BUN, uric acid, creatinine, total cholesterol and triglyceride (TG). Acceptable hematology (within normal limits or considered by the investigator or physician to be of no clinical significance) within two months prior to Period I dosing, which includes hemoglobin, hematocrit, red blood cell count, white blood cell count with differentials and platelets. Acceptable urinalysis (within normal limits or considered by the investigator or physician to be of no clinical significance) within two months prior to Period I dosing, which includes pH, blood, glucose, ketones, bilirubin and protein. Female of childbearing potential practicing an acceptable method of birth control for the duration of the study. Have signed the written informed consent to participate in the study. Exclusion Criteria: A clinically significant disorder involving the cardiovascular, respiratory, hepatic, renal, urinary tract, gastrointestinal, immunologic, hematologic, endocrine or neurologic system(s) or psychiatric disease. A clinically significant illness or surgery within four weeks prior to Period I dosing. History of gastrointestinal obstruction, inflammatory bowel disease, gallbladder disease, pancreas disorder over last two years or history of gastrointestinal tract surgery over last five years. History of kidney disease or urination problem over last two years deemed by the investigator to be clinically significant. Known or suspected history of drug abuse within lifetime. History of alcohol addiction or abuse within last five years or use of more than 7 units of alcohol per week within two weeks prior to dosing. (1 unit of alcohol = 10 g of alcohol or about 350 mL of beer or about 83 mL of red wine or about 30 mL of beverage containing 40% (v/v) alcohol). History of allergic response(s) to palonosetron or any other related drugs. Evidence of chronic or acute infectious diseases. Positive result for serum hepatitis B surface antigen (HBsAg), hepatitis C antibody (HCVAb), or human immunodeficiency virus (HIV). Female subjects demonstrating a positive pregnancy screen prior to the study. Female subjects who are currently breastfeeding. Taking any drug known to induce or inhibit hepatic drug metabolism within four weeks prior to Period I dosing. Examples of inducers include: piperidines, carbamazepine, dexamethasone and rifampin. Examples of inhibitors include: cimetidine, diphenhydramine, fluvastatin, methadone and ranitidine. Taking any prescription medications within four weeks or any nonprescription medications (excluding flu vaccination) within two weeks prior to Period I dosing. Use of any investigational drug within four weeks prior to Period I dosing. Donating more than 250 mL of blood within two months prior to Period I dosing or donating plasma (e.g. plasmapheresis) within two weeks prior to Period I dosing. Any other medical reason as determined by the investigator.
Facility Information:
Facility Name
Taichung Veterans General Hospital
City
Taichung
Country
Taiwan

12. IPD Sharing Statement

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Evaluate Bioequivalence of Palonosetron (0.25mg/5mL)

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