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CTRI Number  CTRI/2025/06/089848 [Registered on: 30/06/2025] Trial Registered Prospectively
Last Modified On: 27/06/2025
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 Three Sequence Three Period Partial Replicate Reference scaled Average Oral Bioequivalence Design In Healthy Adult Human Subjects Under Fasting Conditions 
Scientific Title of Study   An Open Label Balanced Randomized Single Dose Two Treatment Three Sequence Three Period Partial Replicate Reference scaled Average Oral Bioequivalence Study Comparing Resmetirom 100 mg Tablets Manufactured by BDR Pharmaceuticals International Pvt Ltd India with Rezdiffra Resmetirom 100 mg Tablets Manufactured and Distributed by Madrigal Pharmaceuticals West Conshohocken PA In Healthy Adult Human Subjects Under Fasting Conditions 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
SLS-BE-0013-25-RESM Version No: 01 Date:11 Feb 25  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pradeep T 
Designation  Principal Investigator 
Affiliation  Spinos Lifescience and research private limited 
Address  Clinical Pharmacology unit Ground Floor No 29 A Krishna Maduravanam Vellakinar pirivuThudiyalur Coimbatore

Coimbatore
TAMIL NADU
641029
India 
Phone  08220586899  
Fax    
Email  pradeep.t@spinoslifescience.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pradeep T 
Designation  Principal Investigator 
Affiliation  Spinos Lifescience and research private limited 
Address  Clinical Pharmacology unit Ground Floor No 29 A Krishna Maduravanam Vellakinar pirivuThudiyalur Coimbatore


TAMIL NADU
641029
India 
Phone  08220586899  
Fax    
Email  pradeep.t@spinoslifescience.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pradeep T 
Designation  Principal Investigator 
Affiliation  Spinos Lifescience and research private limited 
Address  Clinical Pharmacology unit Ground Floor No 29 A Krishna Maduravanam Vellakinar pirivuThudiyalur Coimbatore


TAMIL NADU
641029
India 
Phone  08220586899  
Fax    
Email  pradeep.t@spinoslifescience.com  
 
Source of Monetary or Material Support  
BDR pharmaceuticals International Pvt Ltd Engineering Centre 6th floor 9 Matthew Road Opera House Mumbai 400004 India  
 
Primary Sponsor  
Name  BDR pharmaceuticals International Pvt Ltd 
Address  Engineering Centre 6th floor 9 Matthew Road Opera House Mumbai 400004 India  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
Spinos Life Science and ResearchPrivate limited  M s 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  Spinos Lifescience andResearch privatelimited  Spinos Lifescience andResearch privatelimited
Coimbatore
TAMIL NADU 
08220586899

pradeep.t@spinoslifescience.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Research EthicsCommittee  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  Resmetirom 100 mg Tablets Manufactured by BDR Pharmaceuticals International Pvt Ltd India  A Single oral dose of Resmetirom 100 mg Tablets will be administered ineach period Total Duration 14 Days 
Comparator Agent  Rezdiffra Resmetirom 100 mg Tablets Manufactured and Distributed by Madrigal Pharmaceuticals West Conshohocken PA  A Single oral dose of Rezdiffra Resmetirom 100 mg Tablets will be administered in each period Total Duration is 14 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  Normal healthy adult human male and female subjects of age between 18 to 45 years and Body Mass Index BMI ranges between 18.50 kg per m2 to 29.99 kg per 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 are considered by the physicianor principal or clinical investigator to be of no clinical significance

Healthy as documented by the medical history physical examination including but not limited to an evaluation of the cardiovascular gastrointestinal respiratory musculoskeletal and central nervoussystem and vital sign assessments

Generally healthy as documented by a 12 lead electrocardiogram ECG Chest X Ray and clinical laboratory assessments
Willing to consume Ovo lacto vegetarian diet

Willing to comply with all requirements of this study protocol as well as instruction from the study personnel
Non smokers

Generally healthy, as documented by gynaecological examination and breast examination period I only

Females of childbearing potential must have a negative serum pregnancy test performed within 21days prior to the initiation of the study and a negative urine pregnancy test prior to check in for each period

If the subject is female currently not pregnant not lactating or not attempting to become pregnant for 4 weeks before the screening visit throughout the duration of the study and 3 weeks after the subjects last study related visit for eligible subjects only if applicable has a negative serum pregnancy test and is of
non-childbearing potential defined as
greater or equal to 01 year post menopausal no menstrual period for at least 12 consecutive months without any other medical cause
Surgically sterile bilateral tubal ligation bilateral oophorectomy or hysterectomy
or is of childbearing potential willing to commit to using a consistent and acceptable method of birth controlas defined below for the duration of the study

double barrier methods condoms cervical cap diaphragm and vaginal contraceptive film with spermicide
intrauterine device IUD with a low failure rate of less than 1 percentage per year
or is of

childbearing potential and not sexually active willing to commit to using a consistent and acceptable method of birth control as defined above for the duration of the study in the event the subject becomes sexually active 
 
ExclusionCriteria 
Details  Evidence of allergy or known hypersensitivity to Resmetirom 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

Any disease or condition that might compromise the haemopoeitic gastrointestinal renal hepatic cardiovascular Musculoskeletal respiratory central nervous system or any other body system including presence of Diabetes Mellitus and Psychosis

History of alcohol addiction or abuse

Consumption of caffeine and or xanthine containing products i e coffee tea chocolate caffeine-containing sodas colas 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 any unusual diet for whatever reason e g low salt 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

Positive results for alcohol test prior to check in of each period

Any blood donation or excess blood loss within 90 days of check-in

Ingestion of any hormonal agent at any time within 14 days prior to the start of the study check in

Use of hormone replacement therapy for a period of 06 months prior to dosing

Female subjects demonstrating a positive pregnancy screen

Female subjects who are currently lactating

Females who are are likely to become pregnant during the course of the study

 
 
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 Bioequivalence on Resmetirom 100 mg Tablets Manufactured by BDR Pharmaceuticals International PvtLtd India with Rezdiffra Resmetirom 100 mg Tablets Manufactured & Distributed by Madrigal Pharmaceuticals, West Conshohocken PA, In Healthy Adult Human Subjects Under Fasting Conditions  21 blood samples
00 00 hrs 00 50 hrs 01 00 hrs 02 00 hrs 03 00 hrs 03 25 hrs 03 50 hrs 03 75 hrs 04 00hrs 04 25 hrs 04 50 hrs
04 75hrs 05 00 hrs 05 50 hrs 06 00 hrs 07 00 hrs 08 00 hrs 10 00 hrs 12 00 hrs 24 00 hrs 48 00 hrs 
 
Secondary Outcome  
Outcome  TimePoints 
To monitor the safety and tolerability of a single dose test and reference products administered in Healthy Adult Human Subjects Under Fasting Conditions  21 blood samples
00 00 hrs 00 50 hrs 01 00 hrs 02 00 hrs 03 00 hrs 03 25 hrs 03 50 hrs 03 75 hrs 04 00hrs 04 25 hrs 04 50 hrs
04 75hrs 05 00 hrs 05 50 hrs 06 00 hrs 07 00 hrs 08 00 hrs 10 00 hrs 12 00 hrs 24 00 hrs 48 00 hrs
 
 
Target Sample Size   Total Sample Size="48"
Sample Size from India="48" 
Final Enrollment numbers achieved (Total)= "48"
Final Enrollment numbers achieved (India)="48" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/07/2025 
Date of Study Completion (India) 24/09/2025 
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)   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  

At least 48 number of healthy, Human Male and Post Menopausal Female subjects will be recruited to evaluate the Bioequivalence of Test product with the Reference product .

As per the discretion of the Investigator, a sufficient number of stand-by subjects will be included additionally to ensure successful dosing of  48 subjects in period I alone.

Note: If needed the study will be conducted as batch wise

In each period, subjects will be housed in the clinical facility for at least 11.00 hours pre-dose to 48.00 hours post-dose. A washout period of at least 18 days will be maintained between each dosing period

In each period, after an overnight fasting of at least 10.00 hours prior to Ovo lacto-vegetarian diet, in the morning a single oral dose of either the test product (T) or reference product (R) will be administered (as per the randomization schedule) with 240 mL of drinking water

Blood pressure, radial pulse rate, body temperature and wellbeing status will be enquired and recorded at pre-dose 00.00 hour (within 75 minutes of before dosing) and at 03.00, 06.00, 12.00, 24.00,  and 48.00  hours (± 60 minutes) post-dose

Monitoring for adverse events will be done throughout the study period in clinical phase

 
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