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Bioequivalence Study of Feniramidol HCl 400 mg Film Tablet (Pharmactive, Turkey) Under Fed Conditions (PHENYRAMIDOL)

Primary Purpose

Bioequivalence

Status
Completed
Phase
Phase 1
Locations
Turkey
Study Type
Interventional
Intervention
Phenyramydol HCl 400 mg Film Tablet
Cabral 400 mg Film Tablet
Sponsored by
Humanis Saglık Anonim Sirketi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Bioequivalence focused on measuring Phenyramidol, Pharmactive Ilaç San.ve Tic. A.S

Eligibility Criteria

18 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

Only volunteers fulfilling all of the following criteria should be enrolled in the present trial:

  1. Healthy Caucasian male subjects aged between 18 and 55 years,
  2. Non smokers or smoking maximum 5 cigarettes a day, those who won't smoke or drink coffee during each study period,
  3. Negative alcohol breath test results,
  4. Normal physical examination at screening visit,
  5. Having the Body Mass Index ranged between 18.5-30 kg/m2 (see Appendix I) which is in the desirable range according to the age,
  6. Ability to communicate adequately with the investigator himself or his/her representatives,
  7. Ability and agreement to comply with the study requirements,
  8. Normal blood pressure and heart rate measured under stabilised conditions at the screening visit after at least 5 minutes of rest under supine position: SBP within 100 to 140 mmHg, DBP within 60 to 90 mmHg and HR within 50 to 90 bpm,
  9. Normal/ acceptable 12-lead electrocardiographic results at least after 5 minutes of rest,
  10. Laboratory results within normal range or clinically non-significant (CBC, glucose, urea, uric acid, creatinine, estimated GFR (eGFR), total bilirubin, sodium, potassium, calcium, chloride, SGOT (AST), SGPT (ALT), GGT, alkaline phosphatase, total protein and urinalysis), drug addiction scanning in urine results in negative (amphetamine, barbiturate, benzodiazepine, cannabinoid, cocaine, opiate),
  11. Understanding of the study and agreement to give a written informed consent according to section 20.3.

Exclusion Criteria:

Volunteers presenting any of the following exclusion criteria will not be included in the trial:

  1. Who have atopic constitution or asthma and/or known allergy for phenyramidol HCl or any other ingredients of the products.
  2. Any history or presence of clinical relevance of cardiovascular, neurological, musculoskeletal, haematological, hepatic, gastrointestinal, renal, pulmonary, endocrinological, metabolism or psychiatric disease, any type of porphyria.
  3. Symptomatic or asymptomatic orthostatic hypotension at screening or before the first drug administration defined by a decrease of SBP more than 20 mmHg or DBD more than 10 mmHg occurs between sitting/supine to standing position subject will be excluded (if it deemed necessary by the investigator).
  4. Presence or history of malabsorption or any gastrointestinal surgery except appendectomy or except herniotomy.
  5. Subjects who have given more than 400 mL blood within the last two months before the first drug administration and subjects who have participated to any drug research within the last two months before the first drug administration.
  6. Subjects suspected to have a high probability of non-compliance to the study procedure and/or completion of the study according to the investigator's judgement.
  7. Subjects who used any of prescribed systemic or topical medication (including OTC medication) within 2 weeks (or six elimination half lives of this medication, whichever is longer) before the initiation of the study (except single doses of analgesics which have no drug interaction with study product).
  8. Use of any vitamins or herbal products within 7 days prior to the initial dose of the study medication.
  9. History of allergic response to heparin.
  10. Subjects who have any chronic disease which might interfere with absorption, distribution, metabolism or excretion of the drug.
  11. Subjects who regular consumed of beverages or food containing methylxanthines (e.g. coffee, tea, cola, caffeine, chocolate, sodas,) equivalent to more than 500 mg methylxanthines per day.
  12. Subjects who has taken any grapefruit or grapefruit juice during 7 days prior to drug administration, during the study, or during the washout periods.
  13. History of drug abuse.
  14. History of alcohol abuse and/or regular use of more than 2 units of alcohol per day or 10 units per week and/or positive alcohol breath test results (Note: one unit of alcohol equals 250 mL beer, 125 mL wine or 25 mL spirits).
  15. Positive blood test for HBV, HCV and HIV.
  16. Who have relationship to the investigator.
  17. Who are not suitable to any of inclusion criteria.
  18. History of difficulty of swallowing.
  19. Intake of depot injectable solutions (including study medications) within 6 months before start of the study.
  20. Intake of enzyme-inducing, organotoxic or long half-life drugs within 4 weeks before start of the study.
  21. Special diet due to any reason, e.g. vegetarian.

Sites / Locations

  • Novagenix Drug R&D Center

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Active Comparator

Experimental

Active Comparator

Arm Label

Phenyramydol then Cabral

Cabral then Phenyramydol

Phenyramydol then Cabral Replicate

Cabral then Phenyramydol Replicate

Arm Description

Participants first receive Phenyramydol HCl 400 mg Film Tablet manufactured by Pharmactive Ilac San ve Tİc A.S. in fed state. After a wash out period of 7 days, they then received Cabral 400 mg Film Tablet manufactured by Recordati Ilac San ve Tİc A.S. in fed state

Participants first receive Cabral 400 mg Film Tablet manufactured by Recordati Ilac San ve Tİc A.S. in fed state. After a wash out period of 7 days, they then received Phenyramydol HCl 400 mg Film Tablet manufactured by Pharmactive Ilac San ve Tİc A.S.in fed state

Participants first receive Phenyramydol HCl 400 mg Film Tablet manufactured by Pharmactive Ilac San ve Tİc A.S. in fed state. After a wash out period of 7 days, they then received Cabral 400 mg Film Tablet manufactured by Recordati Ilac San ve Tİc A.S. in fed state

Participants first receive Cabral 400 mg Film Tablet manufactured by Recordati Ilac San ve Tİc A.S. in fed state. After a wash out period of 7 days, they then received Phenyramydol HCl 400 mg Film Tablet manufactured by Pharmactive Ilac San ve Tİc A.S.in fed state

Outcomes

Primary Outcome Measures

Cmax
Cmax of phenyramydol will be obtained from plasma concentrations
AUCt-last
AUC0-tlast of phenyramydol will be obtained from plasma concentrations
AUC0-inf
AUC0-inf of phenyramydol will be obtained from plasma concentrations

Secondary Outcome Measures

tmax
tmax of phenyramydol will be obtained from plasma concentrations

Full Information

First Posted
September 29, 2020
Last Updated
September 27, 2023
Sponsor
Humanis Saglık Anonim Sirketi
Collaborators
Novagenix Bioanalytical Drug R&D Center, Farmagen Ar-Ge Biyot. Ltd. Sti
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1. Study Identification

Unique Protocol Identification Number
NCT04639869
Brief Title
Bioequivalence Study of Feniramidol HCl 400 mg Film Tablet (Pharmactive, Turkey) Under Fed Conditions
Acronym
PHENYRAMIDOL
Official Title
Open-label, Randomized, Single Dose, 4period, Replicated, Cross-over Trial to Assess the Bioequivalence of Feniramidol HCl 400 mg Film Tablet in Comparison With Cabral 400 mg Film Tablet in Healthy Male Subjects Under Fed Conditions
Study Type
Interventional

2. Study Status

Record Verification Date
November 2020
Overall Recruitment Status
Completed
Study Start Date
June 26, 2019 (Actual)
Primary Completion Date
July 26, 2019 (Actual)
Study Completion Date
August 27, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Humanis Saglık Anonim Sirketi
Collaborators
Novagenix Bioanalytical Drug R&D Center, Farmagen Ar-Ge Biyot. Ltd. Sti

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
OPEN-LABEL, RANDOMISED, SINGLE ORAL DOSE, FOUR-PERIOD, REPLICATED, CROSS-OVER TRIAL TO ASSESS THE BIOEQUIVALENCE OF FENIRAMIDOL HCl 400 MG FILM TABLET (TEST DRUG) IN COMPARISON WITH CABRAL 400 MG FILM TABLET (REFERENCE DRUG) IN HEALTHY MALE SUBJECTS UNDER FED CONDITIONS
Detailed Description
Phenyramidol shows its muscle relaxant activity by interneuronal blockage without disrupting neuromuscular function. Thus, it relieves muscle spasm, and breaks pain-spasm chain by blocking polisynaptic reflexes in the brain and medulla spinalis. It does not affect monosynaptic reflexes. Phenyramidol has a very high analgesic effect than aspirin and close to codeine. It used in the treatment of acute and chronic human musculoskeletal system pains as muscle relaxant and analgesic. Pharmacokinetics Phenyramidol reaches maximum plasma concentration in an hour (0.25-1) after absorption from gastrointestinal tract. It is widely distributed in skeletal muscles and involved in circulatory system very slowly. Studies have shown that cytochrome P450 enzymes are effective in phenyramidol metabolism. It is conjugated with glucuronic acid in the liver and it is excreted as glucuronide conjugates from the urinary tract. The drug is eliminated from the bile and the bacterial glucuronidase enzymes make the glucuronide conjugate of phenyramidol free. The drug enters enterohepatic circulation and is excreted by faeces. Its elimination half-life is 1-2 hours. Indications Phenyramidol is indicated in the symptomatic treatment of acute painful muscle spasms associated with musculoskeletal system.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bioequivalence
Keywords
Phenyramidol, Pharmactive Ilaç San.ve Tic. A.S

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Model Description
Full replicate cross-over bioequivalence study
Masking
None (Open Label)
Allocation
Randomized
Enrollment
44 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Phenyramydol then Cabral
Arm Type
Experimental
Arm Description
Participants first receive Phenyramydol HCl 400 mg Film Tablet manufactured by Pharmactive Ilac San ve Tİc A.S. in fed state. After a wash out period of 7 days, they then received Cabral 400 mg Film Tablet manufactured by Recordati Ilac San ve Tİc A.S. in fed state
Arm Title
Cabral then Phenyramydol
Arm Type
Active Comparator
Arm Description
Participants first receive Cabral 400 mg Film Tablet manufactured by Recordati Ilac San ve Tİc A.S. in fed state. After a wash out period of 7 days, they then received Phenyramydol HCl 400 mg Film Tablet manufactured by Pharmactive Ilac San ve Tİc A.S.in fed state
Arm Title
Phenyramydol then Cabral Replicate
Arm Type
Experimental
Arm Description
Participants first receive Phenyramydol HCl 400 mg Film Tablet manufactured by Pharmactive Ilac San ve Tİc A.S. in fed state. After a wash out period of 7 days, they then received Cabral 400 mg Film Tablet manufactured by Recordati Ilac San ve Tİc A.S. in fed state
Arm Title
Cabral then Phenyramydol Replicate
Arm Type
Active Comparator
Arm Description
Participants first receive Cabral 400 mg Film Tablet manufactured by Recordati Ilac San ve Tİc A.S. in fed state. After a wash out period of 7 days, they then received Phenyramydol HCl 400 mg Film Tablet manufactured by Pharmactive Ilac San ve Tİc A.S.in fed state
Intervention Type
Drug
Intervention Name(s)
Phenyramydol HCl 400 mg Film Tablet
Other Intervention Name(s)
Test Phenyramydol
Intervention Description
Phenyramydol HCL 400 mg Film Tablet contains 400 mg phenyramydol manufactured by Pharmactive Ilac.San ve Tic A.S
Intervention Type
Drug
Intervention Name(s)
Cabral 400 mg Film Tablet
Other Intervention Name(s)
Reference Phenyramydol
Intervention Description
Cabral 400 mg Film Tablet 400 mg phenyramydol manufactured by Recordati Ilac SAn ve Tic A.S.
Primary Outcome Measure Information:
Title
Cmax
Description
Cmax of phenyramydol will be obtained from plasma concentrations
Time Frame
0 to 10 hours post-dose
Title
AUCt-last
Description
AUC0-tlast of phenyramydol will be obtained from plasma concentrations
Time Frame
0 to 10 hours post-dose
Title
AUC0-inf
Description
AUC0-inf of phenyramydol will be obtained from plasma concentrations
Time Frame
0 to 10 hours post-dose
Secondary Outcome Measure Information:
Title
tmax
Description
tmax of phenyramydol will be obtained from plasma concentrations
Time Frame
0 to 10 hours post-dose

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Only volunteers fulfilling all of the following criteria should be enrolled in the present trial: Healthy Caucasian male subjects aged between 18 and 55 years, Non smokers or smoking maximum 5 cigarettes a day, those who won't smoke or drink coffee during each study period, Negative alcohol breath test results, Normal physical examination at screening visit, Having the Body Mass Index ranged between 18.5-30 kg/m2 (see Appendix I) which is in the desirable range according to the age, Ability to communicate adequately with the investigator himself or his/her representatives, Ability and agreement to comply with the study requirements, Normal blood pressure and heart rate measured under stabilised conditions at the screening visit after at least 5 minutes of rest under supine position: SBP within 100 to 140 mmHg, DBP within 60 to 90 mmHg and HR within 50 to 90 bpm, Normal/ acceptable 12-lead electrocardiographic results at least after 5 minutes of rest, Laboratory results within normal range or clinically non-significant (CBC, glucose, urea, uric acid, creatinine, estimated GFR (eGFR), total bilirubin, sodium, potassium, calcium, chloride, SGOT (AST), SGPT (ALT), GGT, alkaline phosphatase, total protein and urinalysis), drug addiction scanning in urine results in negative (amphetamine, barbiturate, benzodiazepine, cannabinoid, cocaine, opiate), Understanding of the study and agreement to give a written informed consent according to section 20.3. Exclusion Criteria: Volunteers presenting any of the following exclusion criteria will not be included in the trial: Who have atopic constitution or asthma and/or known allergy for phenyramidol HCl or any other ingredients of the products. Any history or presence of clinical relevance of cardiovascular, neurological, musculoskeletal, haematological, hepatic, gastrointestinal, renal, pulmonary, endocrinological, metabolism or psychiatric disease, any type of porphyria. Symptomatic or asymptomatic orthostatic hypotension at screening or before the first drug administration defined by a decrease of SBP more than 20 mmHg or DBD more than 10 mmHg occurs between sitting/supine to standing position subject will be excluded (if it deemed necessary by the investigator). Presence or history of malabsorption or any gastrointestinal surgery except appendectomy or except herniotomy. Subjects who have given more than 400 mL blood within the last two months before the first drug administration and subjects who have participated to any drug research within the last two months before the first drug administration. Subjects suspected to have a high probability of non-compliance to the study procedure and/or completion of the study according to the investigator's judgement. Subjects who used any of prescribed systemic or topical medication (including OTC medication) within 2 weeks (or six elimination half lives of this medication, whichever is longer) before the initiation of the study (except single doses of analgesics which have no drug interaction with study product). Use of any vitamins or herbal products within 7 days prior to the initial dose of the study medication. History of allergic response to heparin. Subjects who have any chronic disease which might interfere with absorption, distribution, metabolism or excretion of the drug. Subjects who regular consumed of beverages or food containing methylxanthines (e.g. coffee, tea, cola, caffeine, chocolate, sodas,) equivalent to more than 500 mg methylxanthines per day. Subjects who has taken any grapefruit or grapefruit juice during 7 days prior to drug administration, during the study, or during the washout periods. History of drug abuse. History of alcohol abuse and/or regular use of more than 2 units of alcohol per day or 10 units per week and/or positive alcohol breath test results (Note: one unit of alcohol equals 250 mL beer, 125 mL wine or 25 mL spirits). Positive blood test for HBV, HCV and HIV. Who have relationship to the investigator. Who are not suitable to any of inclusion criteria. History of difficulty of swallowing. Intake of depot injectable solutions (including study medications) within 6 months before start of the study. Intake of enzyme-inducing, organotoxic or long half-life drugs within 4 weeks before start of the study. Special diet due to any reason, e.g. vegetarian.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Muradiye Nacak, MD,PhD
Organizational Affiliation
Farmagen Ar-Ge Biyot. Ltd. Sti
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Taner Ezgi, MD
Organizational Affiliation
Farmagen Ar-Ge Biyot. Ltd. Sti
Official's Role
Study Chair
First Name & Middle Initial & Last Name & Degree
Hakan Gürpınar, MSc
Organizational Affiliation
Pharmactive İlaç San.ve Tic.A.S
Official's Role
Study Director
Facility Information:
Facility Name
Novagenix Drug R&D Center
City
Akyurt
State/Province
Ankara
ZIP/Postal Code
06970
Country
Turkey

12. IPD Sharing Statement

Plan to Share IPD
No

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Bioequivalence Study of Feniramidol HCl 400 mg Film Tablet (Pharmactive, Turkey) Under Fed Conditions

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