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Bioequivalence Study of SAL001 and FORSTEO in Healthy Chinese Adults

Primary Purpose

Postmenopausal Osteoporosis

Status
Completed
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
SAL001
FORSTEO
Sponsored by
Shenzhen Salubris Pharmaceuticals Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Postmenopausal Osteoporosis focused on measuring Teriparatide; Bioequivalence

Eligibility Criteria

20 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Those who volunteer to participate in the trial and sign the informed consent form.
  2. Healthy Chinese male or female adults, the number of single sex volunteers is no less than 1/3, aged 20 to 50 years old (including the boundary value).
  3. Males weighted ≥50kg, females weighted ≥45kg, body mass index (BMI) between 19-25 kg/m^2 (including boundary value), BMI= weight (kg)/height^2 (m^2).

Exclusion Criteria:

  1. The existence of clinically significant diseases of heart, liver, lung, kidney, digestive tract, endocrine, metabolic and hematological systems.
  2. history of parathyroid disease, or abnormal PTH with clinically significance judged by investigators.
  3. Physical examination, laboratory examination, electrocardiogram (ECG), chest radiograph, abdominal ultrasound san(digestive system, urinary system), vital signs, etc., indicate that the subject has clinically significant abnormalities judged by the investigator.
  4. Serum total calcium > upper limit of normal according to the normal range of the center, or previous hypercalcemia.
  5. Hyperuricemia, or a previous history of gout, or abnormal blood uric acid with clinically significance judged by investigators at the time of screening.
  6. Those with active urolithiasis.
  7. Those who had received anti-osteoporosis agents (such as bisphosphonates, calcitonin, estrogen, selective estrogen receptor modulator, parathyroid hormone and its analogues, strontium salts, active vitamin D and its analogues, vitamin K2, etc.) within 6 months before the first administration of the trial.
  8. Those who had received oral or intravenous administration of glucocorticoids 3 months before the first administration of the trial.
  9. Those who had taken any drug within 14 days before the first administration of the trial.
  10. Allergies, such as allergic to two or more kinds of drugs or food; or known allergic to this drug components.
  11. Alcoholism within 1 year before screening (drinking more than 3 times a day or more than 7 times a week, drinking 1 time =150mL red wine, or 360mL beer, or 50mL white wine), or a positive alcohol breath test.
  12. A history of drug abuse within 1 year before screening, or a positive urine test for drugs at screening.
  13. Those who were smoking more than 5 cigarettes a day within 3 months before screening.
  14. Those who had participated in any other clinical trial within 3 months before the first administration of the trial.
  15. Those who had blood donation or blood loss ≥400mL within 3 months before the first administration of the trial.
  16. Those who do not agree to avoid the use of tobacco, alcohol or caffeinated beverages within 24 hours before the administration and during the trial, or do not agree to avoid strenuous exercise, or do not agree to avoid other factors affecting the absorption, distribution, metabolism and excretion of the drug.
  17. Women who are pregnant or lactating, or who are positive for serum HCG, or who cannot/do not follow the instructions of investigators to take contraceptive measures approved by investigators during the study period.
  18. Those who intend to give birth within 1 year.
  19. Those with positive results of HBV surface antigen, or hepatitis C virus antibody positive, or Treponema pallidum antibody positive, or human immunodeficiency virus antibody positive.
  20. Those with positive results of novel coronavirus nucleic acid test.
  21. Those who are considered to be unsuitable for participation in this clinical study by investigators.

Sites / Locations

  • The Fifth Affiliated Hospital of Guangzhou Medical University

Arms of the Study

Arm 1

Arm 2

Arm Type

Other

Other

Arm Label

Sequence A

Sequence B

Arm Description

The test drug (SAL001) is administrated once by subcutaneous injection in the first period, and the reference drug (FORSTEO) is administrated once by subcutaneous injection in the second period.

The reference drug (FORSTEO) is administrated once by subcutaneous injection in the first period, and the test drug (SAL001) is administrated once by subcutaneous injection in the second period.

Outcomes

Primary Outcome Measures

PK parameters: area under the plasma concentration time curve from-time zero to time t (AUC0-t)
Central lab will be used to detect the plasma concentration of drugs.
PK parameters: peak plasma concentration (Cmax)
Central lab will be used to detect the plasma concentration of drugs.

Secondary Outcome Measures

PK parameters: area under the plasma concentration time curve from time zero to time infinity (AUC0-∞)
Central lab will be used to detect the plasma concentration of drugs.
PK parameters: time to reach peak drug concentration (Tmax)
Central lab will be used to detect the plasma concentration of drugs.
PK parameters: half-life (t1/2)
Central lab will be used to detect the plasma concentration of drugs.
PK parameters: AUC extrapolated from Tmax to infinity in percentage of the total AUC (AUC%extrap)
Central lab will be used to detect the plasma concentration of drugs.
PK parameters: time to last measurable concentration (Tlast)
Central lab will be used to detect the plasma concentration of drugs.
PK parameters: terminal elimination rate constant (λz)
Central lab will be used to detect the plasma concentration of drugs.
PK parameters: apparent total clearance (CL/F)
Central lab will be used to detect the plasma concentration of drugs.
PK parameters: apparent distribution volume (Vz/F)
Central lab will be used to detect the plasma concentration of drugs.
PK parameters: mean residence time from time zero to t (MRT0-t)
Central lab will be used to detect the plasma concentration of drugs.
PK parameters: mean residence time from time zero to infinity (MRT0-∞)
Central lab will be used to detect the plasma concentration of drugs.
PD parameters: area under the serum concentration time curve from-time zero to time t (AUC0-t)
Central lab will be used to detect the serum total calcium concentration. Serum-corrected calcium concentration will be use to calculate above PD parameters.
PD parameters: area under the serum concentration time curve from time zero to time infinity (AUC0-∞)
Central lab will be used to detect the serum total calcium concentration. Serum-corrected calcium concentration will be use to calculate above PD parameters.
PD parameters: peak serum concentration (Cmax)
Central lab will be used to detect the serum total calcium concentration. Serum-corrected calcium concentration will be use to calculate above PD parameters.
PD parameters: time to reach peak serum concentration (Tmax)
Central lab will be used to detect the serum total calcium concentration. Serum-corrected calcium concentration will be use to calculate above PD parameters.

Full Information

First Posted
February 3, 2021
Last Updated
February 6, 2021
Sponsor
Shenzhen Salubris Pharmaceuticals Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04747392
Brief Title
Bioequivalence Study of SAL001 and FORSTEO in Healthy Chinese Adults
Official Title
A Randomized, Open, Self-crossover, Single-dose Clinical Study to Compare Pharmacokinetic of Teriparatide Injection (SAL001) and the Original Drug FORSTEO in Healthy Chinese Adult Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
February 2021
Overall Recruitment Status
Completed
Study Start Date
August 19, 2020 (Actual)
Primary Completion Date
October 30, 2020 (Actual)
Study Completion Date
November 11, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Shenzhen Salubris Pharmaceuticals 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 is a single-center, randomized, open label, single-dose, the original drug controlled, crossover design, two sequence, two periods, Phase Ⅰclinical study. 64 qualified subjects will be randomly assigned to two administration sequences (sequence A and sequence B) at the ratio of 1∶1, with 32 subjects in each sequence. Each period will be given subcutaneous injection once, and the washout period will be 72 hours, and each subject will be given subcutaneous injection twice. Sequence A: the test drug (SAL001) is injected in the first period, and the reference drug (FORSTEO) is injected in the second period. Sequence B: the reference drug (FORSTEO) is injected in the first period, and the test drug (SAL001) is injected in the second period. If the geometric mean ratio (GMR) 90% confidence interval of the major pharmacokinetic indexes (AUC0-t, Cmax) for SAL001 and FORSTEO is between 80.00% and 125.00%, the two drugs are considered to be bioequivalent.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Postmenopausal Osteoporosis
Keywords
Teriparatide; Bioequivalence

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Sequence A
Arm Type
Other
Arm Description
The test drug (SAL001) is administrated once by subcutaneous injection in the first period, and the reference drug (FORSTEO) is administrated once by subcutaneous injection in the second period.
Arm Title
Sequence B
Arm Type
Other
Arm Description
The reference drug (FORSTEO) is administrated once by subcutaneous injection in the first period, and the test drug (SAL001) is administrated once by subcutaneous injection in the second period.
Intervention Type
Biological
Intervention Name(s)
SAL001
Intervention Description
administrated once by subcutaneous injection
Intervention Type
Biological
Intervention Name(s)
FORSTEO
Intervention Description
administrated once by subcutaneous injection
Primary Outcome Measure Information:
Title
PK parameters: area under the plasma concentration time curve from-time zero to time t (AUC0-t)
Description
Central lab will be used to detect the plasma concentration of drugs.
Time Frame
Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4
Title
PK parameters: peak plasma concentration (Cmax)
Description
Central lab will be used to detect the plasma concentration of drugs.
Time Frame
Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4
Secondary Outcome Measure Information:
Title
PK parameters: area under the plasma concentration time curve from time zero to time infinity (AUC0-∞)
Description
Central lab will be used to detect the plasma concentration of drugs.
Time Frame
Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4
Title
PK parameters: time to reach peak drug concentration (Tmax)
Description
Central lab will be used to detect the plasma concentration of drugs.
Time Frame
Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4
Title
PK parameters: half-life (t1/2)
Description
Central lab will be used to detect the plasma concentration of drugs.
Time Frame
Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4
Title
PK parameters: AUC extrapolated from Tmax to infinity in percentage of the total AUC (AUC%extrap)
Description
Central lab will be used to detect the plasma concentration of drugs.
Time Frame
Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4
Title
PK parameters: time to last measurable concentration (Tlast)
Description
Central lab will be used to detect the plasma concentration of drugs.
Time Frame
Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4
Title
PK parameters: terminal elimination rate constant (λz)
Description
Central lab will be used to detect the plasma concentration of drugs.
Time Frame
Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4
Title
PK parameters: apparent total clearance (CL/F)
Description
Central lab will be used to detect the plasma concentration of drugs.
Time Frame
Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4
Title
PK parameters: apparent distribution volume (Vz/F)
Description
Central lab will be used to detect the plasma concentration of drugs.
Time Frame
Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4
Title
PK parameters: mean residence time from time zero to t (MRT0-t)
Description
Central lab will be used to detect the plasma concentration of drugs.
Time Frame
Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4
Title
PK parameters: mean residence time from time zero to infinity (MRT0-∞)
Description
Central lab will be used to detect the plasma concentration of drugs.
Time Frame
Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4
Title
PD parameters: area under the serum concentration time curve from-time zero to time t (AUC0-t)
Description
Central lab will be used to detect the serum total calcium concentration. Serum-corrected calcium concentration will be use to calculate above PD parameters.
Time Frame
Within 60 minutes before administration, and 120, 180, 240, 360, 480, 720 minutes after administration of Day 1 and Day 4
Title
PD parameters: area under the serum concentration time curve from time zero to time infinity (AUC0-∞)
Description
Central lab will be used to detect the serum total calcium concentration. Serum-corrected calcium concentration will be use to calculate above PD parameters.
Time Frame
Within 60 minutes before administration, and 120, 180, 240, 360, 480, 720 minutes after administration of Day 1 and Day 4
Title
PD parameters: peak serum concentration (Cmax)
Description
Central lab will be used to detect the serum total calcium concentration. Serum-corrected calcium concentration will be use to calculate above PD parameters.
Time Frame
Within 60 minutes before administration, and 120, 180, 240, 360, 480, 720 minutes after administration of Day 1 and Day 4
Title
PD parameters: time to reach peak serum concentration (Tmax)
Description
Central lab will be used to detect the serum total calcium concentration. Serum-corrected calcium concentration will be use to calculate above PD parameters.
Time Frame
Within 60 minutes before administration, and 120, 180, 240, 360, 480, 720 minutes after administration of Day 1 and Day 4

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Those who volunteer to participate in the trial and sign the informed consent form. Healthy Chinese male or female adults, the number of single sex volunteers is no less than 1/3, aged 20 to 50 years old (including the boundary value). Males weighted ≥50kg, females weighted ≥45kg, body mass index (BMI) between 19-25 kg/m^2 (including boundary value), BMI= weight (kg)/height^2 (m^2). Exclusion Criteria: The existence of clinically significant diseases of heart, liver, lung, kidney, digestive tract, endocrine, metabolic and hematological systems. history of parathyroid disease, or abnormal PTH with clinically significance judged by investigators. Physical examination, laboratory examination, electrocardiogram (ECG), chest radiograph, abdominal ultrasound san(digestive system, urinary system), vital signs, etc., indicate that the subject has clinically significant abnormalities judged by the investigator. Serum total calcium > upper limit of normal according to the normal range of the center, or previous hypercalcemia. Hyperuricemia, or a previous history of gout, or abnormal blood uric acid with clinically significance judged by investigators at the time of screening. Those with active urolithiasis. Those who had received anti-osteoporosis agents (such as bisphosphonates, calcitonin, estrogen, selective estrogen receptor modulator, parathyroid hormone and its analogues, strontium salts, active vitamin D and its analogues, vitamin K2, etc.) within 6 months before the first administration of the trial. Those who had received oral or intravenous administration of glucocorticoids 3 months before the first administration of the trial. Those who had taken any drug within 14 days before the first administration of the trial. Allergies, such as allergic to two or more kinds of drugs or food; or known allergic to this drug components. Alcoholism within 1 year before screening (drinking more than 3 times a day or more than 7 times a week, drinking 1 time =150mL red wine, or 360mL beer, or 50mL white wine), or a positive alcohol breath test. A history of drug abuse within 1 year before screening, or a positive urine test for drugs at screening. Those who were smoking more than 5 cigarettes a day within 3 months before screening. Those who had participated in any other clinical trial within 3 months before the first administration of the trial. Those who had blood donation or blood loss ≥400mL within 3 months before the first administration of the trial. Those who do not agree to avoid the use of tobacco, alcohol or caffeinated beverages within 24 hours before the administration and during the trial, or do not agree to avoid strenuous exercise, or do not agree to avoid other factors affecting the absorption, distribution, metabolism and excretion of the drug. Women who are pregnant or lactating, or who are positive for serum HCG, or who cannot/do not follow the instructions of investigators to take contraceptive measures approved by investigators during the study period. Those who intend to give birth within 1 year. Those with positive results of HBV surface antigen, or hepatitis C virus antibody positive, or Treponema pallidum antibody positive, or human immunodeficiency virus antibody positive. Those with positive results of novel coronavirus nucleic acid test. Those who are considered to be unsuitable for participation in this clinical study by investigators.
Facility Information:
Facility Name
The Fifth Affiliated Hospital of Guangzhou Medical University
City
Guangzhou
State/Province
Guangdong
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

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Bioequivalence Study of SAL001 and FORSTEO in Healthy Chinese Adults

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