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Study to Assess Bioequivalence and Adhesion Properties Between Two Granisetron Transdermal Patches.

Primary Purpose

Healthy Volunteers

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Sancuso - Part 1
Sancuso - Part 2
Sponsored by
Kyowa Kirin, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Healthy Volunteers focused on measuring Patch, Nausea, Anti-emetic, Granisetron

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female 18 to 55 years, inclusive
  • BMI 18 to 30 kg/m2
  • Healthy volunteers, health as determined by medical history, clinical laboratory test results, vital sign measurements, 12-lead ECG results and physical examination.
  • Agrees to comply with all protocol requirements.
  • Able to provide written and voluntary informed consent.
  • Female participants of childbearing potential have a negative pregnancy test and agree to adhere to an acceptable methods of birth control.
  • Male participants with female partners of childbearing potential agree to acceptable methods of birth control.

Exclusion Criteria:

Participant to be excluded if,

  • Presents with baseline systolic blood pressure >140 mm Hg and diastolic blood pressure >90 mm Hg.
  • Any clinically significant ECG finding or QTcF interval >450 msec for males and >470 msec for females.
  • A history of sensitivity to granisetron or other components of the transdermal patch.
  • Pregnant or breastfeeding.
  • Severe acute or chronic medical or laboratory abnormality that may increase the risk associated with study participation or investigational product administration, or may interfere with the interpretation of study results, as determined by the investigator.
  • Participants with following pre-existing liver functioning test elevations will be excluded: alanine aminotransferase or aspartate aminotransferase elevation >2 × ULN, and/or bilirubin >2 × ULN
  • Acute or chronic renal or hepatic impairment, that may increase the risk associated with study participation or investigational product administration, or may interfere with the interpretation of study results, as determined by the investigator.
  • Acute or chronic psychiatric condition, including, but not limited to compulsive-depressive disorders, anxiety, and/or sleep disorders that may increase the risk associated with study participation or investigational product administration, or may interfere with the interpretation of study results.
  • A history of coronary heart disease, arterial or pulmonary hypertension, supraventricular or ventricular tachycardias, or other arrhythmias or heart rhythm and conduction disorders.
  • A positive test result for hepatitis B surface antigen, hepatitis C virus antibody, or HIV types 1 or 2 antibodies at screening.
  • If used any prescription (excluding hormonal birth control) or over the counter medications (except paracetamol [up to 2 g per day]), including herbal or nutritional supplements, within 14 days before the first application of the transdermal patch.
  • If used 5-HT3 receptor antagonists and other serotonergic drugs (eg, selective serotonin reuptake inhibitors, serotonin and norepinephrine reuptake inhibitors, monoamine oxidase inhibitors, mirtazapine, fentanyl, lithium, tramadol, and IV methylene blue) within 14 days before the first application of the transdermal patch.
  • If used antihistamines within 72 hours prior to patch application or systemic or topical corticosteroids within 3 weeks before the first application of the transdermal patch.
  • Present with a dermatological disorder at any relevant patch application site that precludes proper placement or may interfere with adhesion, site assessment, or potentially affect drug absorption.
  • Has allergies or other contraindications to transdermal systems or patch adhesives or to medical adhesive tape, adhesive dressings, or other skin patches.
  • If not willing to allow hair to be removed or clipped at the proposed patch application sites that may prevent proper placement of the patch.
  • If presents with and has oily skin or any skin problems such as being damaged (cut or scraped) or irritated (redness or a rash) at the application sites.
  • If consumed grapefruit or grapefruit juice, Seville orange or Seville orange-containing products (eg, marmalade), or alcohol-, caffeine-, or xanthine containing products within 48 hours before the first application
  • The subject is a smoker or has used nicotine or nicotine-containing products (eg, snuff, nicotine patch, nicotine chewing gum, mock cigarettes, or inhalers) within 3 months before the first application of the transdermal patch.
  • If has a history of alcohol abuse or drug addiction within a year.
  • If presents with a positive test result for drugs of abuse, alcohol, or cotinine (indicating active current smoking).
  • If involved in strenuous activity or contact sports within 24 hours before the first application and during the study.
  • If donated blood or blood products >450 mL within 30 days before the first application.
  • If has a history of relevant drug and/or food or significant food allergy that could preclude a standard diet in the CRU.
  • If received study drug in another investigational study within 30 days of the first application.
  • In the opinion of the investigator, the subject is not suitable for entry into the study.

Sites / Locations

  • PPD Development

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Part 1 - Bioequivalence

Part 2 - Adhesion

Arm Description

Bioequivalence will be measured in approximately 42 healthy male and female subjects at a single center in the US to achieve at least 33 completers.

Adhesion will be measured in approximately 90 healthy male and female subjects are planned to be enrolled at a single center in the US.

Outcomes

Primary Outcome Measures

Area under the plasma concentration versus time curve AUC (0-t)
AUC from time 0 to the time of the last measurable plasma concentration, calculated using the linear trapezoidal rule
Area under the plasma concentration versus time curve AUC (0-inf)
AUC from time 0 extrapolated to infinity, calculated as (AUC 0-t + [Clast/λz]) where Clast is the last measurable plasma concentration
Peak Plasma Concentration (Cmax)
Maximum concentration after dosing
Maximum concentration (Tmax)
Time to reach the maximum plasma concentration after dosing (Tmax)
T1/2
Terminal phase half-life
CL/F
Total clearance after dosing
Vz/F
Apparent volume of distribution during the terminal phase, calculated as (CL/F)λz
Mean adhesion score (FDA scale)
Adhesion of the patch to the skin is assessed by the FDA 0-4 scoring system. The scoring for adhesion is: 0 = ≥ 90% adhered (essentially no lift off the skin), 1 = ≥ 75% to < 90% adhered (some edges only lifting off the skin), 2 = ≥ 50% to < 75% adhered (less than half of the patch lifting off the skin), 3 = > 0% to < 50% adhered but not detached (more than half of the patch lifting off the skin without falling off), and 4 = 0% adhered (patched completely off the skin). Adhesion is assessed daily when patches are insitu. The mean adhesion score will be derived from its individual adhesion scores at each assessment time point, averaged across all the equally spaced time points (except baseline timepoint). Difference in mean adhesion score between test and reference transdermal patches will be compared using a mixed-model analysis of variance.

Secondary Outcome Measures

Number of subjects with treatment related adverse events will be as assessed as mild, moderate or severe and will be summarized descriptively and presented as frequency and percentage.
Actual values and changes from baseline for clinical laboratory test results, vital sign measurements and 12-lead ECG results will be summarized by test and reference patches at each time point using descriptive statistics (number of subjects, mean, SD, median, minimum and maximum)
Adhesion performance score (FDA Scale)
Adhesion of the patch to the skin is assessed by the FDA 0-4 scoring system. The scoring for adhesion is: 0 = ≥ 90% adhered (essentially no lift off the skin), 1 = ≥ 75% to < 90% adhered (some edges only lifting off the skin), 2 = ≥ 50% to < 75% adhered (less than half of the patch lifting off the skin), 3 = > 0% to < 50% adhered but not detached (more than half of the patch lifting off the skin without falling off), and 4 = 0% adhered (patched completely off the skin). Adhesion is assessed daily when patches are insitu. Proportion of subjects with adhesion performance score of interest will be compared between the test and reference transdermal patches. Time to mean adhesion score more than or equal to 2 will be investigated graphically if data warrant.

Full Information

First Posted
August 9, 2021
Last Updated
February 8, 2023
Sponsor
Kyowa Kirin, Inc.
Collaborators
PPD
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1. Study Identification

Unique Protocol Identification Number
NCT05027646
Brief Title
Study to Assess Bioequivalence and Adhesion Properties Between Two Granisetron Transdermal Patches.
Official Title
A Randomized, Open-Label, Replicate Treatment, 2-Part, Crossover Study to Assess Bioequivalence and Adhesion Properties Between Two Granisetron Transdermal Patches Manufactured at Different Sites.
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
July 6, 2021 (Actual)
Primary Completion Date
December 22, 2021 (Actual)
Study Completion Date
January 19, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Kyowa Kirin, Inc.
Collaborators
PPD

4. Oversight

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

5. Study Description

Brief Summary
The study is designed to evaluate the BE and adhesion properties of granisetron transdermal patches manufactured at 2 different sites. The study has been designed in accordance with the FDA Guidance for Industry. Bioequivalence will be based on the Cmax and AUC to determine the peak and total drug exposure, respectively.
Detailed Description
This is a single-center, randomized, 2-part, open-label, crossover study in healthy subjects to establish bioequivalence (Part 1) and evaluate adhesion (Part 2) between granisetron transdermal patches manufactured at 2 different sites (Sancuso [test] and Sancuso [reference]). Each part of the study will consist of a screening period, check-in days, treatment periods, washout period (Part 1 only), and an end-of-study visit. The duration of subject participation, excluding screening, for Part 1 is approximately 39 days and for Part 2 is approximately 17 days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy Volunteers
Keywords
Patch, Nausea, Anti-emetic, Granisetron

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Model Description
This is a single-center, randomized, 2-part, open-label, crossover study in healthy subjects to establish BE (Part 1) and evaluate adhesion (Part 2) between granisetron transdermal patches.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
134 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part 1 - Bioequivalence
Arm Type
Experimental
Arm Description
Bioequivalence will be measured in approximately 42 healthy male and female subjects at a single center in the US to achieve at least 33 completers.
Arm Title
Part 2 - Adhesion
Arm Type
Experimental
Arm Description
Adhesion will be measured in approximately 90 healthy male and female subjects are planned to be enrolled at a single center in the US.
Intervention Type
Drug
Intervention Name(s)
Sancuso - Part 1
Other Intervention Name(s)
Granisetron Transdermal Patch
Intervention Description
Part 1 - A Potent anti-emetic and highly selective antagonist of 5-HT3 receptors.
Intervention Type
Drug
Intervention Name(s)
Sancuso - Part 2
Other Intervention Name(s)
Granisetron Transdermal Patch
Intervention Description
Part 2 - A Potent anti-emetic and highly selective antagonist of 5-HT3 receptors.
Primary Outcome Measure Information:
Title
Area under the plasma concentration versus time curve AUC (0-t)
Description
AUC from time 0 to the time of the last measurable plasma concentration, calculated using the linear trapezoidal rule
Time Frame
6 months
Title
Area under the plasma concentration versus time curve AUC (0-inf)
Description
AUC from time 0 extrapolated to infinity, calculated as (AUC 0-t + [Clast/λz]) where Clast is the last measurable plasma concentration
Time Frame
6 months
Title
Peak Plasma Concentration (Cmax)
Description
Maximum concentration after dosing
Time Frame
6 months
Title
Maximum concentration (Tmax)
Description
Time to reach the maximum plasma concentration after dosing (Tmax)
Time Frame
6 months
Title
T1/2
Description
Terminal phase half-life
Time Frame
6 months
Title
CL/F
Description
Total clearance after dosing
Time Frame
6 months
Title
Vz/F
Description
Apparent volume of distribution during the terminal phase, calculated as (CL/F)λz
Time Frame
6 months
Title
Mean adhesion score (FDA scale)
Description
Adhesion of the patch to the skin is assessed by the FDA 0-4 scoring system. The scoring for adhesion is: 0 = ≥ 90% adhered (essentially no lift off the skin), 1 = ≥ 75% to < 90% adhered (some edges only lifting off the skin), 2 = ≥ 50% to < 75% adhered (less than half of the patch lifting off the skin), 3 = > 0% to < 50% adhered but not detached (more than half of the patch lifting off the skin without falling off), and 4 = 0% adhered (patched completely off the skin). Adhesion is assessed daily when patches are insitu. The mean adhesion score will be derived from its individual adhesion scores at each assessment time point, averaged across all the equally spaced time points (except baseline timepoint). Difference in mean adhesion score between test and reference transdermal patches will be compared using a mixed-model analysis of variance.
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Number of subjects with treatment related adverse events will be as assessed as mild, moderate or severe and will be summarized descriptively and presented as frequency and percentage.
Description
Actual values and changes from baseline for clinical laboratory test results, vital sign measurements and 12-lead ECG results will be summarized by test and reference patches at each time point using descriptive statistics (number of subjects, mean, SD, median, minimum and maximum)
Time Frame
6 Months
Title
Adhesion performance score (FDA Scale)
Description
Adhesion of the patch to the skin is assessed by the FDA 0-4 scoring system. The scoring for adhesion is: 0 = ≥ 90% adhered (essentially no lift off the skin), 1 = ≥ 75% to < 90% adhered (some edges only lifting off the skin), 2 = ≥ 50% to < 75% adhered (less than half of the patch lifting off the skin), 3 = > 0% to < 50% adhered but not detached (more than half of the patch lifting off the skin without falling off), and 4 = 0% adhered (patched completely off the skin). Adhesion is assessed daily when patches are insitu. Proportion of subjects with adhesion performance score of interest will be compared between the test and reference transdermal patches. Time to mean adhesion score more than or equal to 2 will be investigated graphically if data warrant.
Time Frame
6 Months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Male or female 18 to 55 years, inclusive BMI 18 to 30 kg/m2 Healthy volunteers, health as determined by medical history, clinical laboratory test results, vital sign measurements, 12-lead ECG results and physical examination. Agrees to comply with all protocol requirements. Able to provide written and voluntary informed consent. Female participants of childbearing potential have a negative pregnancy test and agree to adhere to an acceptable methods of birth control. Male participants with female partners of childbearing potential agree to acceptable methods of birth control. Exclusion Criteria: Participant to be excluded if, Presents with baseline systolic blood pressure >140 mm Hg and diastolic blood pressure >90 mm Hg. Any clinically significant ECG finding or QTcF interval >450 msec for males and >470 msec for females. A history of sensitivity to granisetron or other components of the transdermal patch. Pregnant or breastfeeding. Severe acute or chronic medical or laboratory abnormality that may increase the risk associated with study participation or investigational product administration, or may interfere with the interpretation of study results, as determined by the investigator. Participants with following pre-existing liver functioning test elevations will be excluded: alanine aminotransferase or aspartate aminotransferase elevation >2 × ULN, and/or bilirubin >2 × ULN Acute or chronic renal or hepatic impairment, that may increase the risk associated with study participation or investigational product administration, or may interfere with the interpretation of study results, as determined by the investigator. Acute or chronic psychiatric condition, including, but not limited to compulsive-depressive disorders, anxiety, and/or sleep disorders that may increase the risk associated with study participation or investigational product administration, or may interfere with the interpretation of study results. A history of coronary heart disease, arterial or pulmonary hypertension, supraventricular or ventricular tachycardias, or other arrhythmias or heart rhythm and conduction disorders. A positive test result for hepatitis B surface antigen, hepatitis C virus antibody, or HIV types 1 or 2 antibodies at screening. If used any prescription (excluding hormonal birth control) or over the counter medications (except paracetamol [up to 2 g per day]), including herbal or nutritional supplements, within 14 days before the first application of the transdermal patch. If used 5-HT3 receptor antagonists and other serotonergic drugs (eg, selective serotonin reuptake inhibitors, serotonin and norepinephrine reuptake inhibitors, monoamine oxidase inhibitors, mirtazapine, fentanyl, lithium, tramadol, and IV methylene blue) within 14 days before the first application of the transdermal patch. If used antihistamines within 72 hours prior to patch application or systemic or topical corticosteroids within 3 weeks before the first application of the transdermal patch. Present with a dermatological disorder at any relevant patch application site that precludes proper placement or may interfere with adhesion, site assessment, or potentially affect drug absorption. Has allergies or other contraindications to transdermal systems or patch adhesives or to medical adhesive tape, adhesive dressings, or other skin patches. If not willing to allow hair to be removed or clipped at the proposed patch application sites that may prevent proper placement of the patch. If presents with and has oily skin or any skin problems such as being damaged (cut or scraped) or irritated (redness or a rash) at the application sites. If consumed grapefruit or grapefruit juice, Seville orange or Seville orange-containing products (eg, marmalade), or alcohol-, caffeine-, or xanthine containing products within 48 hours before the first application The subject is a smoker or has used nicotine or nicotine-containing products (eg, snuff, nicotine patch, nicotine chewing gum, mock cigarettes, or inhalers) within 3 months before the first application of the transdermal patch. If has a history of alcohol abuse or drug addiction within a year. If presents with a positive test result for drugs of abuse, alcohol, or cotinine (indicating active current smoking). If involved in strenuous activity or contact sports within 24 hours before the first application and during the study. If donated blood or blood products >450 mL within 30 days before the first application. If has a history of relevant drug and/or food or significant food allergy that could preclude a standard diet in the CRU. If received study drug in another investigational study within 30 days of the first application. In the opinion of the investigator, the subject is not suitable for entry into the study.
Facility Information:
Facility Name
PPD Development
City
Austin
State/Province
Texas
ZIP/Postal Code
78744
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
There is no plan to make individual participant data (IPD) available to other researchers.
Citations:
Citation
Bioavailability and Bioequivalence Studies Submitted in NDAs or INDs - General Considerations (DHHS 2014). U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER). March 2014
Results Reference
background
Citation
Guidance for Industry: Assessing Adhesion With Transdermal and Topical Delivery Systems for ANDAs (DHHS 2018). U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER) October 2018
Results Reference
background

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Study to Assess Bioequivalence and Adhesion Properties Between Two Granisetron Transdermal Patches.

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