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CTRI Number  CTRI/2015/12/006440 [Registered on: 17/12/2015] Trial Registered Prospectively
Last Modified On: 10/06/2021
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Randomized, Crossover Trial 
Public Title of Study   BIOEQUIVALENCE STUDY OF NILUTAMIDE TABLET, 150 MG WITH NILANDRON (NILUTAMIDE) TABLET, 150 MG IN METASTATIC PROSTATE CANCER PATIENTS UNDER FED CONDITION. 
Scientific Title of Study   A RANDOMIZED, OPEN LABEL, TWO TREATMENT, MULTIPLE DOSE, CROSSOVER, PIVOTAL, STEADY STATE BIOEQUIVALENCE STUDY OF NILUTAMIDE TABLET, 150 MG MANUFACTURED BY STASON PHARMACEUTICALS, INC. USA WITH NILANDRON (NILUTAMIDE) TABLET, 150 MG OF COVIS PHARMA SARL. USA (acquired by CONCORDIA, USA) IN METASTATIC PROSTATE CANCER PATIENTS UNDER FED CONDITION. 
Trial Acronym  None 
Secondary IDs if Any  
Secondary ID  Identifier 
CLCD-098-14, version 1.0 dated 17.02.2015  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Anand Eswaraiah MD 
Designation  Head Regulatory affairs  
Affiliation  Syngene International Limited 
Address  Syngene International Limited, Clinical Development Tower 1 Semicon Park Electronics City Phase II

Bangalore
KARNATAKA
560100
India 
Phone  9945622776  
Fax    
Email  anand.eswaraiah@syngeneintl.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anand Eswaraiah MD 
Designation  Head Regulatory affairs  
Affiliation  Syngene International Limited 
Address  Syngene International Limited, Clinical Development Tower 1 Semicon Park Electronics City Phase II

Bangalore
KARNATAKA
560100
India 
Phone  9945622776  
Fax    
Email  anand.eswaraiah@syngeneintl.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anand Eswaraiah MD 
Designation  Head Regulatory affairs  
Affiliation  Syngene International Limited 
Address  Syngene International Limited, Clinical Development Tower 1 Semicon Park Electronics City Phase II

Bangalore
KARNATAKA
560100
India 
Phone  9945622776  
Fax    
Email  anand.eswaraiah@syngeneintl.com  
 
Source of Monetary or Material Support  
Stason Pharmaceutical Inc USA 
 
Primary Sponsor  
Name  Stason Pharmaceutical Inc 
Address  11 Morgan, Irvine, CA 92618, USA 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 5  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Rishi Grover   Apple Hospital  Apple Hospital Udhana Darwaja Surat 39500 Gujarat
Surat
GUJARAT 
09824735922

drrishi.grover@gmail.com 
Dr Shailesh A Shah   Bodyline Hospital  Bodyline Hospital Opposite Annapurna Hall New Vikas Gruh Road Paldi Ahmedabad 7 Gujarat India
Ahmadabad
GUJARAT 
09824035673

shaileshshahuro@yahoo.com 
Dr Smita Gupte   Jasleen Hospital  Jasleen Hospital, Opposite to Big Bazaar, Panchashil Square Dhantoli Nagpur 44001 Maharashtra India
Nagpur
MAHARASHTRA 
0712-2458303

smita_gupte@rediffmail.com 
Dr Apul Goel   King George’s Medical University  King George’s Medical University Chowk Lucknow 226003 Uttar Pradesh, India
Lucknow
UTTAR PRADESH 
09839181465

apul.goel@maxbiosite.in 
Dr Venugopal Konanki   Meenakshi Mission Hospital & Research centre  Lake Are, Melur Road Madurai 625107 Tamil Nadu India
Madurai
TAMIL NADU 
09443058741

konanki9@rediffmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 5  
Name of Committee  Approval Status 
Apple Hospital Ethics Committee  Approved 
Bodyline Hospitals ethics committee  Approved 
Institutional ethics committee Jasleen Hospital  Approved 
King Georges medical College  Submittted/Under Review 
Meenakshi Mission Hospital & Reseach Center  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
No Objection Certificate 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  METASTATIC PROSTATE CANCER,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nilandron (Nilutamide) tablet 150 mg   Nilandron (Nilutamide) tablet 150 mg of Covis Pharma Sarl USA (acquired by CONCORDIA, USA) 
Intervention  Nilutamide Tablet 150 mg   Nilutamide Tablet 150 mg Manufactured by Stason Pharmaceuticals Inc. USA 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  70.00 Year(s)
Gender  Male 
Details  1. Patients willing to participate by providing written informed consent.
2. Male between 30 to 70 years of age with a histopathologically confirmed metastatic prostate cancer consistent with stage D2 (Stage IV [subtype D2] metastatic prostate cancer).
3. Body mass index of 18–25 kg/m2 (both inclusive).
4. Patients who completed the active run-in period (30 days at 300mg followed by 150 mg once a day as their individual therapy for at least 15 days prior to randomization).
5. Performance status with 0 or 1 as per Eastern Cooperative Oncology Group (ECOG) scale.
6. Life expectancy must be ≥ 6 months.
7. Laboratory values must be as follows:
 White blood cell count: ≥ 3,000/mm3,
 Absolute granulocyte count: ≥ 1,500/mm3
 Platelets: ≥ 100,000/mm3
 Hemoglobin: ≥ 8g/dL
 Serum creatinine:≤ 1.5 x upper limit of normal (ULN)
 Alkaline Phosphatase ≤3 x UNL
 AST: ≤ 3 x ULN
 ALT: ≤3 x ULN
 Serum calcium: ≤ ULN
 Total bilirubin: ≤1.5 x ULN
8. Patient must be willing to provide written informed consent and agree to - use effective contraception while on treatment and for three months after completion of therapy. 
 
ExclusionCriteria 
Details  1. Patients with any pre-planned inpatient hospitalizations for a procedure or elective surgery that would occur during participation in the study.
2. Patients with a history of severe hypersensitivity reaction to nilutamide or any component of this preparation.
3. Patient has received any other investigational agent within 90 days of first day of study drug dosing.
4. Patient has another severe and/or life-threatening medical disease.
5. Patients with evidence of recent deep venous thrombosis, pulmonary emboli, unstable angina or clinical congestive heart failure.
6. Patients with a prior history of myocardial infarction, pulmonary embolism, cerebral vascular accident (CVA) or atrial fibrillation.
7. Patients with evidence of active angina as evidenced by chest pain responsive to sublingual nitroglycerin or other anginal equivalent.
8. Patients with known evidence of brain metastases or carcinomatous meningitis.
9. Patients with a history of other cancers except curatively-treated non-melanomatous skin cancer. Other cured tumors may be entered after discussion with and approval of the study chair.
10. Patients with an active serious infection or other serious underlying medical condition that would otherwise impair their ability to receive protocol treatment.
11. Immunocompromised patients (other than that related to the use of corticosteroids) including patients with known HIV infection.
12. Dementia or significantly altered mental status that would prohibit the understanding and/or giving of informed consent.
13. Patients with current peripheral neuropathy of any etiology that is greater than Grade I.
14. Patient with a history of severe hepatic impairment and severe respiratory insufficiency.
15. Prior radiation therapy is allowed; at least 21 days must have elapsed since completion of radiation therapy, and patients must have recovered from side effects.
16. Patients may have received prior surgery; at least 21 days must have elapsed since completion of surgery and patient must have recovered from all side effects.
17. Previous history or evidence of drug abuse in past 10 years
18. Positive serological tests for HIV, Hepatitis B &/or C.
19. Patient who are considered for any reason by the investigator to be inappropriate for study participation.
20. Patient who are not expected to survive for the duration of the study.
21. Refuse to abstain from food for at least 10 h before dosing and for at least 4 h after dose in each period.
22. Refuse to abstain from fluid for at least 1 h before and 1 h after dosing.
23. Patients with documented anti androgen withdrawal syndrome with nilutamide
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To demonstrate pharmacokinetic bioequivalence of Nilutamide tablet 150 mg manufactured by Stason Pharmaceuticals, Inc., versus Nilandron (Nilutamide) tablet, 150 mg of Covis Pharma Sarl (acquired by CONCORDIA, USA) in Metastatic Prostate Cancer Patients.  Two 28 days assessment periods i.e. on 56th day assessment will be done. tablet 150 mg manufactured by Stason Pharmaceuticals, Inc., versus Nilandron (Nilutamide) tablet, 150 mg of Covis Pharma Sarl (acquired by CONCORDIA, USA) in Metastatic Prostate Cancer Patients. 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the safety and tolerability of Nilutamide tablets  During the study period 
 
Target Sample Size   Total Sample Size="36"
Sample Size from India="36" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/01/2016 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="7"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Not applicable 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
The current study will be a randomized, open label, Two Treatment, multiple dose, crossover, pivotal, steady state bioequivalence study of Nilutamide tablet, 150 mg of Stason Pharmaceuticals, Inc. in metastatic prostate cancer patients 
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