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CTRI Number  CTRI/2024/09/074038 [Registered on: 19/09/2024] Trial Registered Prospectively
Last Modified On: 23/12/2024
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Randomized, Crossover Trial 
Public Title of Study   An Open Label Balanced Randomized Single Dose Two Treatment Two Sequence Two Period Two Way Crossover Oral Bioavailability Study Comparing Apixaban 5 mg Oral Solution 1mg/mL Manufactured by XL Laboratories Pvt Ltd 430 DLF Towers Shivaji Marg New Delhi India  
Scientific Title of Study   An Open Label Balanced Randomized Single Dose Two Treatment Two Sequence Two Period Two Way Crossover Oral Bioavailability Study Comparing Apixaban 5 Mg Oral Solution 1mg Per Ml Manufactured By Xl Laboratories Pvt Ltd 430 Dlf Towers Shivaji Marg New Delhi 110015 India With Eliquis Apixaban 5 Mg Film Coated Tablets Marketing Authorisation Holder Bristol Myers Squibb Pfizer Eeig Plaza 254 Blanchardstown Corporate Park 2 Dublin 15 D15 T867 Ireland In Healthy Adult Human Subjects Under Fasting Conditions 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
SLS-BE-0039-24-APIX Version No 02 date 17 May 24   Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pradeep T 
Designation  Principal Investigator 
Affiliation  Spino Life science and research private limited 
Address  Spinos life science and Research Private limited Ground floor No 29 A Krishna Madhuravanam Vellakinar Pirivu Thudiyalur Coimbatore - 641029 Tamil Nadu India

Coimbatore
TAMIL NADU
641029
India 
Phone  8220586899  
Fax    
Email  pradeep.t@spinoslifescience.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pradeep T 
Designation  Principal Investigator 
Affiliation  Spino Life science and research private limited 
Address  Spinos life science and Research Private limited Ground floor No 29 A Krishna Madhuravanam Vellakinar Pirivu Thudiyalur Coimbatore - 641029 Tamil Nadu India

Coimbatore
TAMIL NADU
641029
India 
Phone  8220586899  
Fax    
Email  pradeep.t@spinoslifescience.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pradeep T 
Designation  Principal Investigator 
Affiliation  Spino Life science and research private limited 
Address  Spinos life science and Research Private limited Ground floor No 29 A Krishna Madhuravanam Vellakinar Pirivu Thudiyalur Coimbatore - 641029 Tamil Nadu India

Coimbatore
TAMIL NADU
641029
India 
Phone  8220586899  
Fax    
Email  pradeep.t@spinoslifescience.com  
 
Source of Monetary or Material Support  
Mahashiv Limited UK Unit 1 Kataria Point 1 Riches Road llford England IG1 1JH  
 
Primary Sponsor  
Name  Mahashiv Limited  
Address  Mahashiv Limited UK Unit 1 Kataria Point 1 Riches Road llford England IG1 1JH  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
SpinoS Lifescience And Research Private Limited  Door No 29A Krishna Maduravanam Vellakinar Pirivu Thudiyalur Coimbatore 641029 Tamil Nadu 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Pradeep T  SpinosLife Science research Private Limited  Clinical Pharmacology Unit Ground floor 29 A Krishna Madhuravanam Vellakinar Pirivu Thudiyalur Coimbatore 641029 Tamil Nadu India
Coimbatore
TAMIL NADU 
8220586899

pradeep.t@spinoslifescience.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Research Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Fasting Conditions 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Apixaban 5 mg Oral Solution (1mg/ml)  Apixaban 5 mg Oral Solution 1 mg/ml single dose oral administration  
Comparator Agent  Eliquis (Apixaban) 5 mg Film Coated Tablets   Eliquis (Apixaban) 5 mg Film Coated Tablets single dose oral administration 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  Normal healthy adult human subjects of age between 18 to 45 years and Body Mass Index BMI ranges between 18.50 kg/m2 to 30.00 kg/m2
Subjects who have no evidence of underlying disease during screening and check in and whose screening is performed within 21 days of check in
Subjects whose screening laboratory values are within normal limits or considered by the physician or principal clinical investigator to be of no clinical significance
Healthy as documented by the medical history physical examination including but may not be limited to an evaluation of the cardiovascular gastrointestinal respiratory musculoskeletal and central nervous system and vital sign assessments
Generally healthy as documented by 12-lead electrocardiogram ECG Chest X- Ray and clinical laboratory assessments Willing to consume Ovo lacto-vegetarian diet
Willing to comply to all requirements of this study protocol as well as instructed by the study personnel Non smokers
Generally healthy as documented by gynaecological examination and breast examination

 
 
ExclusionCriteria 
Details  Evidence of allergy or known hypersensitivity to Apixaban or its inactive ingredients
Subjects with hepatic encephalopathy cholestasis myasthenia pre existing liver disease alcohol abuse existing tinnitus and pre existing gallbladder disease
Any major illness in the last three months or any significant ongoing chronic medical illness Renal or liver impairment History of alcohol addiction or abuse
Consumption of caffeine and or Xanthine containing products coffee tea chocolate and caffeine containing sodas cola etc cigarettes and tobacco containing products for at least 48.00 hours prior to check-in and throughout the entire study Consumption of alcohol and its products grapefruit and or its juice and poppy containing foods within 48.00 hours prior to clinic admission and throughout the entire study
Subjects who have taken any prescription medications within 14 days prior to study check in and throughout the study and any over the counter medicinal products herbal medications within 07 days prior to study check in and throughout the study
Subjects who have taken an unusual diet for whatever reason for 48.00 hours prior to dosing and throughout the study Subject who had participated in any other study within the 90 days of check in
History of difficulty in swallowing
History of difficulty in accessibility of veins Positive results for urine screen of drugs of abuse Marijuana THC amphetamine AMP barbiturates BAR cocaine COC benzodiazepines-BZD and morphine MOR in urine prior to check-in of this study period
Any blood donation excess blood loss within 90 days of check in Ingestion of any hormonal agent at any time within 14 days prior to start of study check in
Use of hormone replacement therapy for a Period of 06 months prior to dosing





 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pharmacy-controlled Randomization 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To assess the Bioavailability on Apixaban 5 mg Oral Solution 1mg/mL Manufactured by XL Laboratories Pvt Ltd 430 DLF Towers Shivaji Marg New Delhi 110015 India With Eliquis Apixaban 5 mg Film Coated Tablets Marketing Authorisation Holder Bristol Myers Squibb Pfizer EEIG Plaza 254 Blanchardstown Corporate Park 2 Dublin 15 D15 T867 Ireland In Healthy Adult Human Subjects Under Fasting Conditions  23 blood samples
00.00 hrs 00.25 hrs 00.50 hrs 00.75 hrs 01.00 hrs 01.33 hrs 01.67nhrs 02.00 hrs 02.33 hrs 02.67 hrs 03.00 hrs 03.33 hrs
03.67 hrs 04.00 hrs 04.50 hrs 05.00 hrs 06.00 hrs 08.00 hrs 12.00 hrs 24.00 hrs 36.00 hrs 48.00 hrs and 72.00 hrs 
 
Secondary Outcome  
Outcome  TimePoints 
To monitor the safety and tolerability of single dose administered in healthy adult human subjects under fasting conditions  23 blood samples
00.00 hrs 00.25 hrs 00.50 hrs 00.75 hrs 01.00 hrs 01.33 hrs 01.67nhrs 02.00 hrs 02.33 hrs 02.67 hrs 03.00 hrs 03.33 hrs
03.67 hrs 04.00 hrs 04.50 hrs 05.00 hrs 06.00 hrs 08.00 hrs 12.00 hrs 24.00 hrs 36.00 hrs 48.00 hrs and 72.00 hrs
 
 
Target Sample Size   Total Sample Size="28"
Sample Size from India="28" 
Final Enrollment numbers achieved (Total)= "28"
Final Enrollment numbers achieved (India)="28" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/10/2024 
Date of Study Completion (India) 29/11/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Enough volunteers shall be recruited in order to evaluate and start the study with at least 28 subjects, as this Bioavailability study will be conducted on healthy, adult, human subjects.

 As per the discretion of Investigator, additionally a sufficient number of stand-by subjects will be included to ensure successful dosing of 28 subjects in period I.

 In each period subjects will be housed in the clinical facility for at least 11.00 hours pre-dose to 24.00 hours post-dose and the washout period of at least 04 days from the successive dosing day.


 
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