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India Dexamethasone and Betamethasone

Primary Purpose

Preterm Birth, Antenatal Corticosteroids

Status
Completed
Phase
Phase 1
Locations
India
Study Type
Interventional
Intervention
Dexamethasone 4 mg/ml
Betamethasone 4 mg/ml
Celestone Soluspan 6Mg/Ml Suspension for Injection
Dexamethasone Oral Tablet
Betamethasone Oral Tablet
Sponsored by
Children's Hospital Medical Center, Cincinnati
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Preterm Birth focused on measuring Antenatal Corticosteroids, Betamethasone, Dexamethasone

Eligibility Criteria

18 Years - 40 Years (Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  1. - Healthy, adult, female subjects within the age range of 18 to 40 years [both inclusive].
  2. - Weight not less than 45 kg.
  3. - BMI [18.00 to 25.00 kg/m2] [both inclusive].
  4. - Willingness to provide written informed consent to participate in the study.
  5. - Without any medical or surgical condition that might interfere with gastrointestinal absorption of the study drug.
  6. - Free of significant diseases or clinically significant abnormal findings during screening, medical history, physical examination, laboratory evaluations, 12-lead ECG, Chest X-ray [PA view].
  7. - Subjects should be non-smoker or moderate smokers (less than 10 cigarettes a day), and should not be consuming tobacco containing products [ defined as someone who has stopped smoking for a year from the date of screening].
  8. - Subject must be either a non-drinker or an occasional drinker of alcohol and agreed to abstain from alcoholic consumption during the study duration.
  9. - Absence of disease markers of HIV I and 2, Hepatitis Band C and Syphilis.
  10. - Female subjects of childbearing potential must be using two acceptable methods of contraception, ( e.g., intra-uterine device (IUD) plus condom, spermicidal gel plus condom, diaphragm plus condom, progestin only implants and long acting injectables (Depo Provera), etc.). These measures are required during the study and for at least two weeks after the last dose and conveyed during the inform consent process (or) postmenopausal women for at least 1 year or surgically sterile (bilateral tubal ligation, bilateral oophorectomy or hysterectomy have been performed).
  11. - Subject should be literate.

Exclusion Criteria:

  1. - History or presence of significant: Cardiovascular, pulmonary, hepatic, renal, hematological, gastro- intestinal, endocrine, immunologic, dermatologic, neurological, HEENT (Head, Eyes, Ears, Nose And Throat), psychiatric disease/ disorder.
  2. - History or presence of significant:

    • Asthma, urticaria or other allergic type reactions or hypersensitivity after taking Dexamethasone or Betamethasone or any other drug.
    • Ulceration or history of gastric and / or duodenal ulcer.
    • Stomach or intestinal bleeding.
    • Jaundice in the past 6 months.
  3. - History of drug abuse.
  4. - History of renal impairment or severe hepatic impairment.
  5. - History or presence of psychiatric disorders
  6. - Have donated 500 mL or more blood within 90 days before receiving the first dose of study drug.
  7. - Major illness during 3 months before screening.
  8. - Subjects who have participated in another clinical study in the past 3 months prior to commencement of this study.
  9. - Any difficulty in accessibility of forearm veins for cannulation or blood sampling and or difficulty with donating blood.
  10. - Refuse to abstain from food for at least 10 h prior to dosing and for at least 4 h after dosing in each period and for at least 10 h before and at least 4 h after collecting the baseline assessment blood sample in Period 1.
  11. - Refuse to abstain from fluid for at least 1 h before and 1 h after dosing.
  12. - Refuse to abstain from alcohol for the duration of the study.
  13. - Positive during breath alcohol test.
  14. - Positive during urine drug screening.
  15. - History of difficulty in swallowing study formulations.
  16. - Received any medication [including over-the-counter products, vitamins, herbal products] for 14 days preceding the study.
  17. - Use of enzyme modifying drugs, MAO inhibitors within 30 days prior to receiving the first dose of study medication.
  18. - History of dehydration from diarrhea, vomiting or any other reason within a period of 24 hours prior to study check-in of each period.
  19. - Consumption of xanthine containing food and beverages (chocolates, tea, coffee or cola drinks) for at least 48 hours prior to study check-in.
  20. - Consumption of grapefruit juice within the 7-days prior to study check-in.
  21. - Pregnant females as determined by positive test for pregnancy.
  22. - Lactating females.
  23. - Investigator/physician feels that it is not in the subject's and/or study's best interest to enroll the subject.

Sites / Locations

  • Syngene International Limited, Tower I

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Active Comparator

Arm Label

Treatments A & B (6 subjects)

Treatments B & A (6 subjects)

Treatments C & D (6 subjects)

Treatments D & C (6 subjects)

Treatments E & D (6 subjects)

Treatments D & E (6 subjects)

Treatments C & E (6 subjects)

Treatments E & C (6 subjects)

Arm Description

After overnight fasting of at least 10 hours, a single dose of investigational product A will be administered intramuscularly at gluteal or thigh region to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product B will be administered intramuscularly at gluteal or thigh region to each subject in this arm. (Treatment A: Dexamethasone sodium phosphate intramuscular injection, 4mg/mL - Total dose: 1.5mL (6mg)) (Treatment B: Betamethasone phosphate solution intramuscular injection, 4mg/mL - Total dose: 1.5mL (6mg))

After overnight fasting of at least 10 hours, a single dose of investigational product B will be administered intramuscularly at gluteal or thigh region to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product A will be administered intramuscularly at gluteal or thigh region to each subject in this arm. (Treatment B: Betamethasone phosphate solution intramuscular injection, 4mg/mL - Total dose: 1.5mL (6mg)) (Treatment A: Dexamethasone sodium phosphate intramuscular injection, 4mg/mL - Total dose: 1.5mL (6mg))

After overnight fasting of at least 10 hours, a single dose of investigational product C will be administered intramuscularly at gluteal or thigh region to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product D will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. (Treatment C: Celestone Soluspan intramuscular injection, 6mg/mL (3mg phosphate and 3 mg acetate salts) - Total dose: 1mL (6mg)) (Treatment D: Dexamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg))

After overnight fasting of at least 10 hours, a single dose of investigational product D will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product C will be administered intramuscularly at gluteal or thigh region to each subject in this arm. (Treatment D: Dexamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg)) (Treatment C: Celestone Soluspan intramuscular injection, 6mg/mL (3mg phosphate and 3 mg acetate salts) - Total dose 1mL (6mg))

After overnight fasting of at least 10 hours, a single dose of investigational product E will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product D will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. (Treatment E: Betamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg)) (Treatment D: Dexamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg))

After overnight fasting of at least 10 hours, a single dose of investigational product D will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product E will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. (Treatment D: Dexamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg)) (Treatment E: Betamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg))

After overnight fasting of at least 10 hours, a single dose of investigational product C will be administered intramuscularly at gluteal or thigh region to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product E will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. C: Celestone Soluspan intramuscular injection, 6mg/mL (3mg phosphate and 3 mg acetate salts) - Total dose 1mL (6mg) E: Betamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg)

After overnight fasting of at least 10 hours, a single dose of investigational product E will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product C will be administered intramuscularly at gluteal or thigh region to each subject in this arm. E: Betamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg) C: Celestone Soluspan intramuscular injection, 6mg/mL (3mg phosphate and 3 mg acetate salts) - Total dose 1mL (6mg)

Outcomes

Primary Outcome Measures

Measurements of pharmacokinetic parameters of each drug
Plasma concentration versus time curves of Dexamethasone and Betamethasone given orally and intramuscularly to non-pregnant females.
Measurements of pharmacodynamic parameters of each drug
Measurements of glucose, cortisol and lymphocyte population changes versus time resulting from the steroid treatment given orally and intramuscularly to non-pregnant females.

Secondary Outcome Measures

Adverse Events
To monitor the adverse events and to ensure the safety of the subjects. Safety assessments will be analyzed descriptively. All continuous variables will be summarized using the following descriptive statistics: n, mean, standard deviation, median, minimum value, and maximum value. Categorical variables will be summarized using frequency counts and percentages. No formal statistical inferences are planned.

Full Information

First Posted
August 10, 2018
Last Updated
July 13, 2020
Sponsor
Children's Hospital Medical Center, Cincinnati
Collaborators
Bill and Melinda Gates Foundation, Syngene International
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1. Study Identification

Unique Protocol Identification Number
NCT03668860
Brief Title
India Dexamethasone and Betamethasone
Official Title
A Phase 1, Open-Label, Randomized Study to Compare the Pharmacokinetics and Pharmacodynamics of Single Dose Dexamethasone and Betamethasone Administered Orally and Intramuscularly in Healthy Female Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
July 2020
Overall Recruitment Status
Completed
Study Start Date
September 20, 2018 (Actual)
Primary Completion Date
February 28, 2019 (Actual)
Study Completion Date
December 31, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Children's Hospital Medical Center, Cincinnati
Collaborators
Bill and Melinda Gates Foundation, Syngene International

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
An open label, randomized, two-period, crossover, study to compare the pharmacokinetics and pharmacodynamics of single dose Dexamethasone and Betamethasone administered orally and intramuscularly in 48 healthy, adult, female subjects under fasting conditions. This study is being conducted in Bangalore, India.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Preterm Birth, Antenatal Corticosteroids
Keywords
Antenatal Corticosteroids, Betamethasone, Dexamethasone

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Treatments A & B (6 subjects)
Arm Type
Active Comparator
Arm Description
After overnight fasting of at least 10 hours, a single dose of investigational product A will be administered intramuscularly at gluteal or thigh region to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product B will be administered intramuscularly at gluteal or thigh region to each subject in this arm. (Treatment A: Dexamethasone sodium phosphate intramuscular injection, 4mg/mL - Total dose: 1.5mL (6mg)) (Treatment B: Betamethasone phosphate solution intramuscular injection, 4mg/mL - Total dose: 1.5mL (6mg))
Arm Title
Treatments B & A (6 subjects)
Arm Type
Active Comparator
Arm Description
After overnight fasting of at least 10 hours, a single dose of investigational product B will be administered intramuscularly at gluteal or thigh region to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product A will be administered intramuscularly at gluteal or thigh region to each subject in this arm. (Treatment B: Betamethasone phosphate solution intramuscular injection, 4mg/mL - Total dose: 1.5mL (6mg)) (Treatment A: Dexamethasone sodium phosphate intramuscular injection, 4mg/mL - Total dose: 1.5mL (6mg))
Arm Title
Treatments C & D (6 subjects)
Arm Type
Active Comparator
Arm Description
After overnight fasting of at least 10 hours, a single dose of investigational product C will be administered intramuscularly at gluteal or thigh region to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product D will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. (Treatment C: Celestone Soluspan intramuscular injection, 6mg/mL (3mg phosphate and 3 mg acetate salts) - Total dose: 1mL (6mg)) (Treatment D: Dexamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg))
Arm Title
Treatments D & C (6 subjects)
Arm Type
Active Comparator
Arm Description
After overnight fasting of at least 10 hours, a single dose of investigational product D will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product C will be administered intramuscularly at gluteal or thigh region to each subject in this arm. (Treatment D: Dexamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg)) (Treatment C: Celestone Soluspan intramuscular injection, 6mg/mL (3mg phosphate and 3 mg acetate salts) - Total dose 1mL (6mg))
Arm Title
Treatments E & D (6 subjects)
Arm Type
Active Comparator
Arm Description
After overnight fasting of at least 10 hours, a single dose of investigational product E will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product D will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. (Treatment E: Betamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg)) (Treatment D: Dexamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg))
Arm Title
Treatments D & E (6 subjects)
Arm Type
Active Comparator
Arm Description
After overnight fasting of at least 10 hours, a single dose of investigational product D will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product E will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. (Treatment D: Dexamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg)) (Treatment E: Betamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg))
Arm Title
Treatments C & E (6 subjects)
Arm Type
Active Comparator
Arm Description
After overnight fasting of at least 10 hours, a single dose of investigational product C will be administered intramuscularly at gluteal or thigh region to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product E will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. C: Celestone Soluspan intramuscular injection, 6mg/mL (3mg phosphate and 3 mg acetate salts) - Total dose 1mL (6mg) E: Betamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg)
Arm Title
Treatments E & C (6 subjects)
Arm Type
Active Comparator
Arm Description
After overnight fasting of at least 10 hours, a single dose of investigational product E will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product C will be administered intramuscularly at gluteal or thigh region to each subject in this arm. E: Betamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg) C: Celestone Soluspan intramuscular injection, 6mg/mL (3mg phosphate and 3 mg acetate salts) - Total dose 1mL (6mg)
Intervention Type
Drug
Intervention Name(s)
Dexamethasone 4 mg/ml
Intervention Description
Intramuscular. Total dose: 1.5 mL (6 mg)
Intervention Type
Drug
Intervention Name(s)
Betamethasone 4 mg/ml
Intervention Description
Intramuscular. Total dose: 1.5 mL (6 mg)
Intervention Type
Drug
Intervention Name(s)
Celestone Soluspan 6Mg/Ml Suspension for Injection
Intervention Description
Intramuscular. Total dose: 1 mL (6 mg)
Intervention Type
Drug
Intervention Name(s)
Dexamethasone Oral Tablet
Intervention Description
Oral. Total dose: 12 Tablets (6 mg)
Intervention Type
Drug
Intervention Name(s)
Betamethasone Oral Tablet
Intervention Description
Oral. Total dose: 12 Tablets (6 mg)
Primary Outcome Measure Information:
Title
Measurements of pharmacokinetic parameters of each drug
Description
Plasma concentration versus time curves of Dexamethasone and Betamethasone given orally and intramuscularly to non-pregnant females.
Time Frame
23 days
Title
Measurements of pharmacodynamic parameters of each drug
Description
Measurements of glucose, cortisol and lymphocyte population changes versus time resulting from the steroid treatment given orally and intramuscularly to non-pregnant females.
Time Frame
23 days
Secondary Outcome Measure Information:
Title
Adverse Events
Description
To monitor the adverse events and to ensure the safety of the subjects. Safety assessments will be analyzed descriptively. All continuous variables will be summarized using the following descriptive statistics: n, mean, standard deviation, median, minimum value, and maximum value. Categorical variables will be summarized using frequency counts and percentages. No formal statistical inferences are planned.
Time Frame
23 days

10. Eligibility

Sex
Female
Gender Based
Yes
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: - Healthy, adult, female subjects within the age range of 18 to 40 years [both inclusive]. - Weight not less than 45 kg. - BMI [18.00 to 25.00 kg/m2] [both inclusive]. - Willingness to provide written informed consent to participate in the study. - Without any medical or surgical condition that might interfere with gastrointestinal absorption of the study drug. - Free of significant diseases or clinically significant abnormal findings during screening, medical history, physical examination, laboratory evaluations, 12-lead ECG, Chest X-ray [PA view]. - Subjects should be non-smoker or moderate smokers (less than 10 cigarettes a day), and should not be consuming tobacco containing products [ defined as someone who has stopped smoking for a year from the date of screening]. - Subject must be either a non-drinker or an occasional drinker of alcohol and agreed to abstain from alcoholic consumption during the study duration. - Absence of disease markers of HIV I and 2, Hepatitis Band C and Syphilis. - Female subjects of childbearing potential must be using two acceptable methods of contraception, ( e.g., intra-uterine device (IUD) plus condom, spermicidal gel plus condom, diaphragm plus condom, progestin only implants and long acting injectables (Depo Provera), etc.). These measures are required during the study and for at least two weeks after the last dose and conveyed during the inform consent process (or) postmenopausal women for at least 1 year or surgically sterile (bilateral tubal ligation, bilateral oophorectomy or hysterectomy have been performed). - Subject should be literate. Exclusion Criteria: - History or presence of significant: Cardiovascular, pulmonary, hepatic, renal, hematological, gastro- intestinal, endocrine, immunologic, dermatologic, neurological, HEENT (Head, Eyes, Ears, Nose And Throat), psychiatric disease/ disorder. - History or presence of significant: Asthma, urticaria or other allergic type reactions or hypersensitivity after taking Dexamethasone or Betamethasone or any other drug. Ulceration or history of gastric and / or duodenal ulcer. Stomach or intestinal bleeding. Jaundice in the past 6 months. - History of drug abuse. - History of renal impairment or severe hepatic impairment. - History or presence of psychiatric disorders - Have donated 500 mL or more blood within 90 days before receiving the first dose of study drug. - Major illness during 3 months before screening. - Subjects who have participated in another clinical study in the past 3 months prior to commencement of this study. - Any difficulty in accessibility of forearm veins for cannulation or blood sampling and or difficulty with donating blood. - Refuse to abstain from food for at least 10 h prior to dosing and for at least 4 h after dosing in each period and for at least 10 h before and at least 4 h after collecting the baseline assessment blood sample in Period 1. - Refuse to abstain from fluid for at least 1 h before and 1 h after dosing. - Refuse to abstain from alcohol for the duration of the study. - Positive during breath alcohol test. - Positive during urine drug screening. - History of difficulty in swallowing study formulations. - Received any medication [including over-the-counter products, vitamins, herbal products] for 14 days preceding the study. - Use of enzyme modifying drugs, MAO inhibitors within 30 days prior to receiving the first dose of study medication. - History of dehydration from diarrhea, vomiting or any other reason within a period of 24 hours prior to study check-in of each period. - Consumption of xanthine containing food and beverages (chocolates, tea, coffee or cola drinks) for at least 48 hours prior to study check-in. - Consumption of grapefruit juice within the 7-days prior to study check-in. - Pregnant females as determined by positive test for pregnancy. - Lactating females. - Investigator/physician feels that it is not in the subject's and/or study's best interest to enroll the subject.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Alan Jobe, MD, Ph.D
Organizational Affiliation
Children's Hospital Medical Center, Cincinnati
Official's Role
Study Director
Facility Information:
Facility Name
Syngene International Limited, Tower I
City
Bangalore
ZIP/Postal Code
560 100
Country
India

12. IPD Sharing Statement

Plan to Share IPD
No

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India Dexamethasone and Betamethasone

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