Study to Determine the Equivalence of Three Products Containing Metronidazole Benzoate.
Primary Purpose
Bacterial Infections
Status
Completed
Phase
Phase 1
Locations
Jordan
Study Type
Interventional
Intervention
Metronidazole benzoate
Flagyl 125 mg/5 ml oral suspension
Flagyl 400 mg Tablets
Sponsored by
About this trial
This is an interventional treatment trial for Bacterial Infections
Eligibility Criteria
Inclusion Criteria:
- Age 18 to 50 years, inclusive.
- Body Mass Index (BMI) range is within 18.5 - 30 Kg/m2.
- Subject does not have a known allergy to the drug under investigation or any of its ingredients or any other related drugs.
Exclusion Criteria:
- Medical demographics performed not longer than two weeks before the initiation of the clinical study with significant deviations from the normal ranges.
- Results of laboratory tests are within the normal range except for Hb and RBC indices test that should be within the 5% of reference range and kidney function tests (Creatinine will be accepted if below reference range) that are outside the reference range. (Laboratory tests are performed not longer than two weeks before the initiation of the clinical study).
- Acute infection within one week preceding first study drug administration.
- History of drug or alcohol abuse.
- Subject is a heavy smoker (more than 10 cigarettes per day).
- Subject does not agree not to take any prescription or non-prescription drugs within the two weeks preceding the first study drug administration until donating the last sample of the study.
- Subject does not agree not to take any vitamins taken for nutritional purposes within two days before first study drug administration until donating the last sample of the study.
- Subject is on a special diet (for example subject is a vegetarian).
- Subject consumes large quantities of alcohol or beverages containing methylxanthines e.g. caffeine (coffee, tea, cola, chocolate etc).
- Subject does not agree not to consume any beverages or food containing alcohol 48 hours prior to study drug administration until donating the last sample in each respective period.
- Subject does not agree not to consume any beverages or food containing methyl-xanthines e.g. caffeine (coffee, tea, cola, chocolate etc.) 24 hours prior to the study drug administration until the end of confinement period.
- Subject does not agree not to consume any beverages or food containing grapefruit 7 days prior to first study drug administration until donating the last sample in the study.
- Subject has a history of severe diseases which have direct impact on the study.
- Participation in a bioequivalence study or in a clinical study within the last 80 days before first study drug administration.
- Subject intends to be hospitalized within 3 months after first study drugs administration.
- Subjects who donated blood or its derivatives in the past 3 months or who through completion of this study, would have donated more than 1250 ml in 120 days, 1500 ml in 180 days, 2000 ml in 270 days, 2500 ml of blood in 1 year.
- Subject has a history of significant asthma, peptic or gastric ulcer, sinusitis, pharyngitis, renal disorder (impaired renal function), hepatic disorder (impaired hepatic function), cardiovascular disorder, neurological disease such as epilepsy, haematological disorders or diabetes, psychiatric, dermatologic or immunological disorders.
- Subject who have been engaged in strenuous exercise at least one day prior to dosing till the last sample of each respective period.
- Subject having at screening examination a pulse outside the normal range of (60-100 beat per minute) or a body temperature outside the normal range of (36.4-37.7 ○C) or a respiratory rate outside the normal range of (14-20 breath per minute) or a sitting blood pressure less than 100/60 mm Hg or more than or equal to 140/90 mm Hg.
- Subject has history of difficulties in swallowing or any gastrointestinal disease which could affect the drug absorption.
Sites / Locations
- International Pharmaceutical Research Center (IPRC)
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Active Comparator
Active Comparator
Arm Label
Test Product Formula A
Reference Product Formula B
Reference Product Formula C
Arm Description
Metronidazole benzoate
Flagyl 125 mg/5 ml oral suspension
Flagyl 400 mg Tablets
Outcomes
Primary Outcome Measures
Plasma concentration time profiles under the curve (AUC)
The area under the plasma concentration versus time curve
Secondary Outcome Measures
Maximum concentration (Cmax)
Maximum measured plasma concentration
Time to maximum concentration (Tmax)
Time of the maximum measured plasma concentration. If the maximum value occurs at more than one time point, tmax is defined as the first time point with this value
Elimination rate constant (Kel)
Apparent first-order elimination or terminal rate constant
Terminal half life (t1/2)
The elimination or terminal half-life
Number of participants with Adverse Events
Subjects will be monitored throughout the study for Adverse Events
Full Information
NCT ID
NCT02146209
First Posted
May 16, 2014
Last Updated
July 31, 2014
Sponsor
Verisfield UK Ltd. Greek Branch
1. Study Identification
Unique Protocol Identification Number
NCT02146209
Brief Title
Study to Determine the Equivalence of Three Products Containing Metronidazole Benzoate.
Official Title
Comparative Randomized, Single Dose, Three-Period Crossover Open-Label Study to Determine the Bioequivalence Of Terix Labs Ltd Metronidazole Benzoate (400 mg Metronidazole Per Sachet Oral Granules (Formula A)) Relative to 500 mg From Sanofi-aventis Flagyl 125 mg/5 ml (125 mg Metronidazole Per 5 ml Suspension (Formula B)) and Zentiva Flagyl™ 400 mg Tablets (400 mg Metronidazole Per Film Coated Tablets (Formula C)) , After an Oral Administration to Healthy Adults Under Fasting Conditions
Study Type
Interventional
2. Study Status
Record Verification Date
July 2014
Overall Recruitment Status
Completed
Study Start Date
June 2014 (undefined)
Primary Completion Date
June 2014 (Actual)
Study Completion Date
June 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Verisfield UK Ltd. Greek Branch
4. Oversight
5. Study Description
Brief Summary
The purpose of this study is to determine whether Terix Labs Ltd Metronidazole benzoate (400 mg Metronidazole Per Sachet Oral Granules) is bioequivalent to 500 mg Sanofi-aventis Flagyl 125 mg/5 ml (125 mg Metronidazole Per 5 ml Suspension) and to Zentiva Flagyl™ 400 mg Tablets (400 mg Metronidazole Per Film Coated Tablets).
Detailed Description
This study is a pilot study exploited for exploratory purposes to compare the absorption and disposition kinetics of three products containing metronidazole under fasting conditions. These products are: Metronidazole benzoate (formula A), Test product manufactured by ONE PHARMA, Greece. Flagyl 125 mg/5 ml (formula B), a Reference product manufactured by Unither Liquid Manufacturing, France and Flagyl™ 400 mg Tablets (formula C), a Reference product manufactured by Famar Health Care Services, Spain. The bioequivalence of a single 400 mg dose of products A and C, and a single 500 mg dose of product B will be assessed by comparing the pharmacokinetic parameters derived from the plasma concentration-time profiles for metronidazole.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bacterial Infections
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
6 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Test Product Formula A
Arm Type
Experimental
Arm Description
Metronidazole benzoate
Arm Title
Reference Product Formula B
Arm Type
Active Comparator
Arm Description
Flagyl 125 mg/5 ml oral suspension
Arm Title
Reference Product Formula C
Arm Type
Active Comparator
Arm Description
Flagyl 400 mg Tablets
Intervention Type
Drug
Intervention Name(s)
Metronidazole benzoate
Intervention Description
Single oral dose of 400 mg
Intervention Type
Drug
Intervention Name(s)
Flagyl 125 mg/5 ml oral suspension
Intervention Description
Single oral dose of 500 mg (20 ml suspension)
Intervention Type
Drug
Intervention Name(s)
Flagyl 400 mg Tablets
Intervention Description
Single oral dose of 400 mg
Primary Outcome Measure Information:
Title
Plasma concentration time profiles under the curve (AUC)
Description
The area under the plasma concentration versus time curve
Time Frame
0, 15, 30 and 45 minutes and 1.00, 1.33, 1.67, 2.00, 2.50, 3.00, 4.00, 6.00, 8.00, 10.00, 12.00, 16.00, 24.00, 36.00 and 48.00 hours post-dose
Secondary Outcome Measure Information:
Title
Maximum concentration (Cmax)
Description
Maximum measured plasma concentration
Time Frame
0, 15, 30 and 45 minutes and 1.00, 1.33, 1.67, 2.00, 2.50, 3.00, 4.00, 6.00, 8.00, 10.00, 12.00, 16.00, 24.00, 36.00 and 48.00 hours post-dose
Title
Time to maximum concentration (Tmax)
Description
Time of the maximum measured plasma concentration. If the maximum value occurs at more than one time point, tmax is defined as the first time point with this value
Time Frame
0, 15, 30 and 45 minutes and 1.00, 1.33, 1.67, 2.00, 2.50, 3.00, 4.00, 6.00, 8.00, 10.00, 12.00, 16.00, 24.00, 36.00 and 48.00 hours post-dose
Title
Elimination rate constant (Kel)
Description
Apparent first-order elimination or terminal rate constant
Time Frame
0, 15, 30 and 45 minutes and 1.00, 1.33, 1.67, 2.00, 2.50, 3.00, 4.00, 6.00, 8.00, 10.00, 12.00, 16.00, 24.00, 36.00 and 48.00 hours post-dose
Title
Terminal half life (t1/2)
Description
The elimination or terminal half-life
Time Frame
0, 15, 30 and 45 minutes and 1.00, 1.33, 1.67, 2.00, 2.50, 3.00, 4.00, 6.00, 8.00, 10.00, 12.00, 16.00, 24.00, 36.00 and 48.00 hours post-dose
Title
Number of participants with Adverse Events
Description
Subjects will be monitored throughout the study for Adverse Events
Time Frame
17 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Age 18 to 50 years, inclusive.
Body Mass Index (BMI) range is within 18.5 - 30 Kg/m2.
Subject does not have a known allergy to the drug under investigation or any of its ingredients or any other related drugs.
Exclusion Criteria:
Medical demographics performed not longer than two weeks before the initiation of the clinical study with significant deviations from the normal ranges.
Results of laboratory tests are within the normal range except for Hb and RBC indices test that should be within the 5% of reference range and kidney function tests (Creatinine will be accepted if below reference range) that are outside the reference range. (Laboratory tests are performed not longer than two weeks before the initiation of the clinical study).
Acute infection within one week preceding first study drug administration.
History of drug or alcohol abuse.
Subject is a heavy smoker (more than 10 cigarettes per day).
Subject does not agree not to take any prescription or non-prescription drugs within the two weeks preceding the first study drug administration until donating the last sample of the study.
Subject does not agree not to take any vitamins taken for nutritional purposes within two days before first study drug administration until donating the last sample of the study.
Subject is on a special diet (for example subject is a vegetarian).
Subject consumes large quantities of alcohol or beverages containing methylxanthines e.g. caffeine (coffee, tea, cola, chocolate etc).
Subject does not agree not to consume any beverages or food containing alcohol 48 hours prior to study drug administration until donating the last sample in each respective period.
Subject does not agree not to consume any beverages or food containing methyl-xanthines e.g. caffeine (coffee, tea, cola, chocolate etc.) 24 hours prior to the study drug administration until the end of confinement period.
Subject does not agree not to consume any beverages or food containing grapefruit 7 days prior to first study drug administration until donating the last sample in the study.
Subject has a history of severe diseases which have direct impact on the study.
Participation in a bioequivalence study or in a clinical study within the last 80 days before first study drug administration.
Subject intends to be hospitalized within 3 months after first study drugs administration.
Subjects who donated blood or its derivatives in the past 3 months or who through completion of this study, would have donated more than 1250 ml in 120 days, 1500 ml in 180 days, 2000 ml in 270 days, 2500 ml of blood in 1 year.
Subject has a history of significant asthma, peptic or gastric ulcer, sinusitis, pharyngitis, renal disorder (impaired renal function), hepatic disorder (impaired hepatic function), cardiovascular disorder, neurological disease such as epilepsy, haematological disorders or diabetes, psychiatric, dermatologic or immunological disorders.
Subject who have been engaged in strenuous exercise at least one day prior to dosing till the last sample of each respective period.
Subject having at screening examination a pulse outside the normal range of (60-100 beat per minute) or a body temperature outside the normal range of (36.4-37.7 ○C) or a respiratory rate outside the normal range of (14-20 breath per minute) or a sitting blood pressure less than 100/60 mm Hg or more than or equal to 140/90 mm Hg.
Subject has history of difficulties in swallowing or any gastrointestinal disease which could affect the drug absorption.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Naji Najib, B.Sc. Pharm
Organizational Affiliation
IPRC Jordan
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Abdullah Hiyari, MD
Organizational Affiliation
IPRC Jordan
Official's Role
Principal Investigator
Facility Information:
Facility Name
International Pharmaceutical Research Center (IPRC)
City
Amman
ZIP/Postal Code
963166
Country
Jordan
12. IPD Sharing Statement
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Study to Determine the Equivalence of Three Products Containing Metronidazole Benzoate.
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