CTRI/2024/09/073270 [Registered on: 03/09/2024] Trial Registered Prospectively
Last Modified On:
30/09/2024
Post Graduate Thesis
No
Type of Trial
BA/BE
Type of Study
Study Design
Randomized, Crossover Trial
Public Title of Study
Risperidone patient population study to establish bioequivalence
Scientific Title of Study
An open label, balanced, randomized, crossover, two-treatment, two-period, two-sequence, multiple dose, multi-center, steady state bioequivalence study of Risperidone Long acting Injection 25 mg/vial of Amneal EU, Limited and Rispolept® Consta® 25 mg Risperidone powder and solvent for injectable suspension prolonged release of Janssen Pharmaceutica NV Turnhoutseweg 30, B-2340, Beerse, Belgium, in subjects with schizophrenia
Trial Acronym
Nil
Secondary IDs if Any
Secondary ID
Identifier
RIS/CR/114/23-24
Protocol Number
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Name
Dr Sudershan Vishwanath
Designation
Senior Clinical Pharmacologist – Clinical Research
Affiliation
Vimta Labs Ltd.
Address
Vimta Labs Ltd.
142, IDA, Phase II, Cherlapally
Hyderabad-500 051, INDIA
Tel: 91-40-27264141 Extn: 233
Fax:91-40-27263657
Hyderabad TELANGANA 500051 India
Phone
9441487578
Fax
91-40-27263657
Email
vishwanath.sudershan@vimta.com
Details of Contact Person Scientific Query
Name
Dr Sudershan Vishwanath
Designation
Senior Clinical Pharmacologist – Clinical Research
Affiliation
Vimta Labs Ltd.
Address
Vimta Labs Ltd.
142, IDA, Phase II, Cherlapally
Hyderabad-500 051, INDIA
Tel: 91-40-27264141 Extn: 233
Fax:91-40-27263657
Hyderabad TELANGANA 500051 India
Phone
9441487578
Fax
91-40-27263657
Email
vishwanath.sudershan@vimta.com
Details of Contact Person Public Query
Name
Dr Sudershan Vishwanath
Designation
Senior Clinical Pharmacologist – Clinical Research
Affiliation
Vimta Labs Ltd.
Address
Vimta Labs Ltd.
142, IDA, Phase II, Cherlapally
Hyderabad-500 051, INDIA
Tel: 91-40-27264141 Extn: 233
Fax:91-40-27263657
Rispolept® Consta® 25 mg Risperidone powder and solvent for injectable suspension prolonged release
Subjects who are adult male and female who are non-pregnant and who are non-lactating with schizophrenia who have already received a stable regimen of Risperidone injection 25 mg/vial (at least four (4) doses), via intramuscular route.
Inclusion Criteria
Age From
18.00 Year(s)
Age To
65.00 Year(s)
Gender
Both
Details
1.Subjects diagnosed with schizophrenia according to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V) criteria.
2.Subjects with body mass index between 18.0 to 30.0 kg/ m2 (both inclusive) and aged between 18 to 65 years (both inclusive).
Double barrier method of contraception (condom and occlusive cap or condom and spermicidal agent)
d. Male sterilization (at least 6 months prior to screening, should be the sole male partner for that subject)
e. Female sterilization (surgical bilateral oophorectomy) or tubal ligation at least 6 weeks prior to study participation
f. Total abstinence, partial abstinence is not acceptable.
3.Subjects who are already receiving Risperidone prolonged-release suspension for intramuscular injection 25 mg/vial every two weeks and who have received at least four (4) doses
4.Subjects with no significant abnormality in ECG.
5.Subjects willing to comply with the visit schedule and able to adhere to the lifestyle restrictions specified in this protocol.
6.Subjects must be clinically stable, defined as no hospitalizations for acute exacerbations, no changes in any antipsychotic medication within 3 months and CGI (severity) scale score of 2-4 (both inclusive) at screening and randomization.
7.Subjects with adequate hematological reserve at screening.
a.Hemoglobin ≥9 gm/dL
b.WBC (white blood cells) ≥4000/c.mm
c.ANC ≥ 1500/mm3
d.Platelets ≥100,000/mm3
9.Subjects with adequate renal function at screening as defined by Creatinine clearance ≥ 60 mL/minute at screening.
8. Subjects with adequate and stable hepatic function at screening as defined by bilirubin less than 1.2 mg/dL and AST/ALT less than or equal to 2 X ULN
10.Females of childbearing potential with negative serum pregnancy test at screening.
11. Women of childbearing potential, (defined as women physiologically capable of becoming pregnant, unless they are using effective method of contraception during dosing of the investigational product) practicing any two acceptable methods of contraception.
a.Oral or other (e.g., injection, patch or implant) hormonal contraception which has been used continuously for at least one month prior to the first dose of study medication
Intrauterine device or intrauterine system
12. Male participants are eligible to participate if they agree to the following criteria during the intervention period and for at least three months after the last dose of study intervention:
a. Must agree not to donate sperm for the purpose of reproduction.
b. Must agree to use contraception / double barrier methods (e.g., condom and occlusive cap or condom and spermicidal agent)
13. Subject and the legally authorized representative (LAR) must demonstrate adequate decision – making ability in order to make an informed choice about participating in this study by providing written informed consent. Illiterate subjects can be considered when performed according to GCP, as well as regulations/guidance of DCGI.
14. Negative Hepatitis B &C, HIV
15. Subjects with negative urine screen for drugs of abuse (except for benzodiazepines which are permissible when supported by a prescription) and urine alcohol test at screening and randomization visit.
ExclusionCriteria
Details
1.Subjects with known allergies, hypersensitivity, or intolerance to Risperidone, Paliperidone, heparin or to any excipients of study drug and contraindications to the use of Rispolept Consta® long-acting injection.
2.Subjects with uncontrolled hypertension (i.e., BP greater than 150/100 mm of Hg).
3.Subjects with significant orthostatic hypotension at screening or before check-in on day 1; average of two orthostatic hypotension measurements will be considered when there is drop in systolic blood pressure of 20 mm Hg or more or diastolic blood pressure of 10 mm Hg or more on standing from supine measurements.
4.Subjects with inadequate mass in the gluteal regions to receive intramuscular drug injection.
5.Institutionalized subjects
6.Subjects who are having concurrent primary psychiatric (other than schizophrenia) or neurological diagnosis, including Neuroleptic malignant syndrome (NMS), dementia related psychosis, organic mental disorder, tardive dyskinesia, mood disorders, Parkinson’s disease, priapism, history or presence of epilepsy or other conditions that potentially lower the seizure threshold, history of cerebrovascular disease.
7. History or presence of uncontrolled diabetes mellitus.
8.History or presence of circumstances that may increase the risk of the occurrence of torsade de pointes and/or sudden death in association with the use of drugs that prolong the QTc interval, including: bradycardia, cardiac arrhythmias, hypokalemia or hypomagnesemia, concomitant use of other drugs that known to prolong the QTc interval (e.g. Class 1A (e.g., quinidine, procainamide) or Class III (e.g., amiodarone, sotalol) antiarrhythmic medications, antipsychotic medications (e.g., chlorpromazine, thioridazine), antibiotics (e.g., gatifloxacin, moxifloxacin), or any other class of medications known to prolong the QTc interval); and presence of prolonged QT interval at screening (QTc greater than 450 msec in male subject or QT cgreater than 470 msec in female subjects, QTc interval calculated with Bazett’s Formula: QTCorrected equal to (QT Interval / sqr (RR Interval) ð‘„ð‘‡ð‘ðµ equal to ð‘„ð‘‡/√ð‘…R
Where QT is the QT interval and RR is the interval from the onset of the QRS complex to the onset of the next QRS complex.
Note If the subject was on any of these drugs, sufficient wash out period (of at least 5 half-lives) must have elapsed since the last dose of such drug before the first dose of investigational medicinal product for the current study.
9. Subjects who are having Hyperprolactinemia greater than or equal to 200ng/mL or greater than 200ng/mL with associated clinical symptoms at screening.
10. Pregnant or lactating women.
11. Subjects with history/presence of venous thromboembolism.
12. Subjects who are on active treatment with drugs that are known to interact with risperidone (such as Strong CYP2D6 inhibitors, CYP3A4. Note: If the subject was on any of these drugs, sufficient wash out period (of at least 5 half- lives) must have elapsed since the last dose of such drug before the first dose of investigational medicinal product for the current study (Refer appendix 5).
13. Subjects with medical or surgical condition that might interfere with the absorption, metabolism, or excretion of risperidone.
14. Subjects who undergone major surgery within 4 weeks prior to study entry, or who have not recovered from prior major surgery.
15. Subjects who smoke greater than or equal to 10 cigarettes or equivalent per day.
16. Subjects with history of myeloproliferative disorder, either drug-induced or idiopathic.
17. Subjects with history of clinically significant cardiovascular, renal, hematologic, immunologic, dermatologic, neurologic, genitourinary, musculoskeletal disease, or malignancies, hepatic, respiratory, endocrine (except noninsulin-dependent diabetes mellitus), or gastrointestinal disease or any other significant illness unless deemed not clinically significant by the principal investigator or medical investigator.
18. Donation of blood (one unit or 350 mL) within 90 days prior to study check-in Period-I.
19. Participation in any clinical trial within the past 90 days prior to study check-in Period-I.
20. Subjects with a history of difficulty donating blood or difficulty in accessibility of veins.
21. Participants who are at imminent risk of suicide or violent behavior as clinically assessed by the investigator.
22. Subjects who pose a significant risk of a suicide attempt based on history, investigators judgment or have answered yes on the questions 4 or 5 at Screening and randomization on Columbia Suicide Severity Rating Scale
23.Subjects with history of drug or alcohol abuse within 6 months before screening.
To compare and evaluate steady state pharmacokinetic profile of Risperidone Long acting Injection 25 mg/vial (test product) and Rispolept® Consta® 25 mg Risperidone powder and solvent for injectable suspension prolonged release (reference product)
The Serial blood samples will be collected following the 5th dose in period-I and the 3rd and 5th doses in period-II at the following times 1.00, 1.50, 2.00, 3.00, 4.00, 8.00, 12.00, 24.00, 48.00, 72.00, 96.00, 120.00, 144.00, 192.00, 240.00, 288.00, 336.00.
Secondary Outcome
Outcome
TimePoints
Safety and tolerability assessment of test product compared to reference product by monitoring adverse events.
The post dose PK samples will be collected on day 57 at 1.00, 1.50, 2.00, 3.00, 4.00, 8.00, 12.00 hours, 24.00hours (day 58) post dose and ambulatory sample collection on day 59, day 60, day 61, day 62, day 63, day 65, day 67, day 69, and day 71
Target Sample Size
Total Sample Size="110" Sample Size from India="110" Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials" Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials"
An open label, balanced, randomized, crossover, two-treatment, two-period, two-sequence, multiple dose, multi-center, steady state bioequivalence study of Risperidone Long acting Injection 25 mg/vial of Amneal EU, Limited and Rispolept® Consta® 25 mg Risperidone powder and solvent for injectable suspension prolonged release of Janssen Pharmaceutica NV Turnhoutseweg 30, B-2340, Beerse, Belgium, in subjects with schizophrenia.
Primary Objective:
To compare and evaluate bioavailability of Risperidone Long acting Injection 25 mg/vial (test product) and Rispolept® Consta® 25 mg Risperidone powder and solvent for injectable suspension prolonged release in subjects with schizophrenia.
Secondary Objective:
To monitor adverse events and to ensure safety of subjects.