CTRI Number |
CTRI/2015/08/006138 [Registered on: 27/08/2015] Trial Registered Prospectively |
Last Modified On: |
14/04/2016 |
Post Graduate Thesis |
No |
Type of Trial |
BA/BE |
Type of Study
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Study Design |
Randomized, Crossover Trial |
Public Title of Study
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Bioequivalence study comparing felbamate tablets USP 600 mg of Emcure Pharmaceuticals Ltd., India to the Reference Listed Drug (RLD), Felbatol® (felbamate) 600 mg tablets manufactured by MEDA Pharmaceuticals Inc, USA in adult male and nonpregnant female epilepsy patients. |
Scientific Title of Study
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A multi-centre, randomized, open label, multi-dose, two treatment, two-way crossover, steady state, bioequivalence study comparing felbamate tablets USP 600 mg of Emcure Pharmaceuticals Ltd., India to the Reference Listed Drug (RLD), Felbatol® (felbamate) 600 mg tablets manufactured by MEDA Pharmaceuticals Inc, USA in adult male and nonpregnant female epilepsy patients under fasting condition. |
Trial Acronym |
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Secondary IDs if Any
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Secondary ID |
Identifier |
MA-CT-15-002, Final version 1.0, Amendment 2.0, 10 Jul 2015 |
Protocol Number |
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Details of Principal Investigator or overall Trial Coordinator (multi-center study)
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Name |
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Designation |
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Affiliation |
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Address |
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Phone |
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Fax |
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Email |
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Details of Contact Person Scientific Query
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Name |
Dr Shivashankar P |
Designation |
Associate Manager- Medical Affairs and Phamacovigilance |
Affiliation |
Manipal AcuNova Ltd., |
Address |
Mobius Towers, SJR-i-Park, EPIP
Whitefield, Bangalore-560 066, India.
Bangalore KARNATAKA 560 066 India |
Phone |
91-8066915700 |
Fax |
91-8066915719 |
Email |
shivashankar.p@ecronacunova.com |
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Details of Contact Person Public Query
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Name |
Sudhir A Patel |
Designation |
Senior Project Manager |
Affiliation |
Manipal Acunova Limited |
Address |
Mobius Towers, SJR i-Park, EPIP, Whitefield, Bangalore – 560 066, India.
Bangalore KARNATAKA 560 066 India |
Phone |
91-8066915751 |
Fax |
91-8066915719 |
Email |
sudhir.patel@ecronacunova.com |
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Source of Monetary or Material Support
|
Emcure Pharmaceuticals Ltd Plot No P2 ITBT Park MIDC
Phase II Hinjwadi Pune 411057
India |
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Primary Sponsor
|
Name |
Emcure Pharmaceuticals Ltd |
Address |
Plot No P2 ITBT Park MIDC
Phase II Hinjwadi Pune 411057
India
Tel 91-20-39821300
Fax 91-20-39821340
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Type of Sponsor |
Pharmaceutical industry-Indian |
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Details of Secondary Sponsor
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Countries of Recruitment
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India |
Sites of Study
Modification(s)
|
No of Sites = 4 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Santosh Sontakke |
Grant Medical Foundation Ruby Hall Clinic |
40 Sassoon road Pune 411001 Maharashtra India Pune MAHARASHTRA |
020-66455100 020-26164529 info@rubyhall.com |
Dr Shankara Nellikunja |
Mangala Hospital and Mangala kidney Foundation |
Vajra Hills Kadri Road Mangalore-575003 Karnataka State India Dakshina Kannada KARNATAKA |
91-824-2443088 91-824-2444124 mangalahospital@rediffmail.com |
Dr Praveen Jain Harawat |
Medipoint Hospitals |
241/1, New D.P.Road,
Aundh, Pune-411007,
Maharashtra, India. Pune MAHARASHTRA |
020-39841200 020-27298081 info@astermedipoint.com |
Dr Vaishal N Vora |
Ratandeep Multispeciality Hospital |
2nd Floor Nakshatra Complex Above HDFC Bank
Maninagar Cross Roads Maninagar Ahmedabad-380008 Gujarat India
Ahmadabad GUJARAT |
079-25465119 079-22124022 ratandeepmsh@yahoo.in |
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Details of Ethics Committee
Modification(s)
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No of Ethics Committees= 4 |
Name of Committee |
Approval Status |
Institutional Ethics Committee Poona Medical Research Foundation |
Approved |
Mangala Institutional Ethics Committee |
Approved |
PENTA-MED ETHICS COMMITTEE |
Approved |
Ratandeep Institutional Ethics Committee |
Approved |
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Regulatory Clearance Status from DCGI
Modification(s)
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Health Condition / Problems Studied
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Health Type |
Condition |
Patients |
Refractory Epilepsy, |
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Intervention / Comparator Agent
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Type |
Name |
Details |
Intervention |
Felbamate tablets USP 600 mg of Emcure Pharmaceuticals Ltd, administrated orally
|
Dose: 1800 mg to 3600 mg/day based on stabilization
In three divided doses, for 2 to 6 weeks |
Comparator Agent |
Felbatol® (felbamate) 600 mg tablet of MEDA Pharmaceuticals, administrated orally |
Dose: 1800 to 3600 mg/day
In three divided doses, for 2 to 6 weeks |
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Inclusion Criteria
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Age From |
18.00 Year(s) |
Age To |
65.00 Year(s) |
Gender |
Both |
Details |
1.Male and non-pregnant female patients aged between 18 – 65 years.
2.Patients diagnosed with epilepsy who do not respond adequately to alternative treatment and whose epilepsy is so severe that a substantial risk of aplastic anemia and/or liver failure is deemed acceptable when treated with felbamate.
3. Patients must provide written informed consent prior to any study related procedures being performed.
4. Patients must have a willingness and ability to comply with the protocol requirements.
5. Patients should be otherwise healthy as per investigator‟s discretion as determined by physical examination, medical history, and routine hematological and biochemical tests.
6. Female patients of childbearing potential, in addition to having a negative serum pregnancy test, must be willing to use a reliable means of contraception (other than hormonal contraceptives) e.g. barrier method (diaphragm, condom, etc.), surgical sterilization or abstinence for the duration of the study. Hormonal contraceptives should be avoided within 2 month prior to study entry.
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ExclusionCriteria |
Details |
1.History of allergic reactions to felbamate and related drugs.
2.Concurrent psychiatric diagnosis
3.RBC, WBC and platelet counts below the lower limit of normal for the laboratory conducting the test and / or as per Investigator’s discretion
4.History of aplastic anemia or bone marrow suppression
5.Medical or surgical condition interfering with absorption, metabolism, or excretion of felbamate
6.Serum transaminases >2x the upper limit of normal or history or evidence of hepatic dysfunction
7.Concurrent use of drugs known to suppress bone marrow function
8.Expected change of concomitant medications during trial
9.History of alcohol dependence, alcohol abuse or drug abuse within the past 6 months. Recent or current alcohol abuse (more than 5 units per week, 1 unit equal to 10 mL or 8 gm of pure alcohol) or suspected abuse.
10.Compliance with outpatient medication schedule not expected.
11. Patients who are unable to fulfill study requirements in relation to conforming to the visit schedule. |
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Method of Generating Random Sequence
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Other |
Method of Concealment
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Blinding/Masking
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Open Label |
Primary Outcome
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Outcome |
TimePoints |
To determine the bioavailability of Emcure Pharmaceuticals’ felbamate relative to that of Felbatol |
Blood samples for pharmacokinetic evaluations will be drawn within 15 minutes prior to the morning dose on days 1, 5, 6 and 7. On day 7, additional post-dose samples will be collected at 0.25, 0.50, 0.75, 1.00, 1.25, 1.50, 1.75, 2.00, 2.25, 2.50, 2.75, 3.00, 3.50, 4.00, 4.50, 5.00, 5.50, 6.00 and 8.00 hours |
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Secondary Outcome
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Outcome |
TimePoints |
Safety endpoints:
• Incidence and nature of adverse events
• Incidence of drug related adverse events
• Clinically significant changes in the vital signs, physical and laboratory examination and ECG |
Not Applicable |
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Target Sample Size
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Total Sample Size="28" Sample Size from India="28"
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" |
Phase of Trial
|
Phase 1 |
Date of First Enrollment (India)
|
05/09/2015 |
Date of Study Completion (India) |
Date Missing |
Date of First Enrollment (Global) |
Date Missing |
Date of Study Completion (Global) |
Date Missing |
Estimated Duration of Trial
|
Years="0" Months="4" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
Recruitment Status of Trial (India) |
Completed |
Publication Details
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Individual Participant Data (IPD) Sharing Statement
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Will individual participant data (IPD) be shared publicly (including data dictionaries)?
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Brief Summary
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The study is a comparative randomized, open-label,
two-treatment, two-way crossover, two-sequence, two period, steady-state
bioequivalence trial with no washout between the two periods under fasting
condition. A three to six week period of open-label felbamate therapy (Felbatol®) given alone or
in combination with other antiepileptic therapy will precede day 1 of the
pharmacokinetic portion of the study.
Primary Objective: The primary objective of this study is to compare the steady-state
bioavailability of Emcure Pharmaceuticals’ felbamate tablets USP 600 mg with
Felbatol® 600 mg tablets MEDA Pharmaceuticals after repeated administration in
adult male and non-pregnant female epilepsy patients already established on felbamate monotherapy or
adjunctive therapy under fasting
condition.
Secondary
Objective: The
secondary objective of this study is to monitor the safety and tolerability of
multiple doses of felbamate 600 mg tablets in adult male and non-pregnant
female epilepsy patients. |