Title of the study An open-label, balanced, randomized, single-dose, three-treatment, four-sequence, four-period, reference replicate crossover bioequivalence study of two Test drug products i.e. Test1 and Test2 of Barnidipine Hydrochloride Modified-Release Capsules 20 mg of Centaur Pharmaceuticals Pvt. Ltd. India with Cyress 20, 20 mg capsules met gereguleerde afgifte (Barnidipine hydrochloride) i.e. Reference of BModesto Minervaweg 2 8239 DL Lelystad Netherlands, in healthy, adult, male, human Subjects under fasting conditions. Protocol number: LBS-015-25/1, Version 01 Regulatory submission: EMA Indication and usage: Mild to moderate essential hypertension. Study design: Open-label, Balanced, Randomized, Single-dose, Three-treatment, Four-sequence, Four-period, Reference replicate crossover Under fasting conditions Primary objective To investigate bioequivalence between two individual Test drug products [Test1 and Test2] of Barnidipine Hydrochloride Modified-Release Capsules 20 mg of Centaur Pharmaceuticals Pvt. Ltd. India and Reference drug product of Cyress 20, 20 mg capsules met gereguleerde afgifte (Barnidipine hydrochloride) of BModesto Minervaweg 2 8239 DL Lelystad Netherlands, in healthy, adult, male, human Subjects following single dose administration of 1 capsule of Test1 or Test2 or Reference drug product under fasting conditions with a washout period of at least 14 days between two consecutive periods, by means of rate and extent of absorption. Secondary objective To monitor the safety of the participating Subjects in this bioequivalence study determined by means of hematology, clinical biochemistry, vital signs and physical examination, 12-lead ECG and AE/SAE monitoring. Number of Subjects LifeSan Clinical Research, Division of Centaur Pharmaceuticals Pvt. Ltd. Basement – A and B wing, Ground floor – A wing, 5th floor – B wing and 6th floor – A and B wing, Centaur House, Near Hotel Grand Hyatt, Santacruz [East], Mumbai 400055, India.
Drug Product Test drug product (T1): Barnidipine Hydrochloride Modified-Release Capsules 20 mg of Centaur Pharmaceuticals Pvt. Ltd. India Test drug product (T2): Barnidipine Hydrochloride Modified-Release Capsules 20 mg of Centaur Pharmaceuticals Pvt. Ltd. India Reference drug product (R): Cyress 20, 20 mg capsules met gereguleerde afgifte (Barnidipine hydrochloride) of BModesto Minervaweg 2 8239 DL Lelystad Netherlands One capsule of ‘Test1’ or ‘Test2’ or ‘Reference’ drug product will be administered orally with 240 ± 2 mL of water at ambient temperature in each period as per randomization sequence generated by the biostatistician of LCR, if following all conditions are met: At least 10.000 hrs. fasting prior to scheduled dosing time Water restriction enforced 1.000 hr. prior to scheduled dosing time Normal vital parameters demonstrated in pre-dose vital signs examination conducted within 1.000 hr. prior to scheduled dosing time. Pre-dose sample is collected within 1.000 hr. prior to scheduled dosing time Suitability is defined by the qualified medical staff Washout period: At least 14 days between 2 consecutive drug product administrations Duration of the study: At least 48 days Hosing of Subjects: In each period of study, Subjects will be housed in clinical facility until 48.000 hrs. after IMP administration. Discharge: In each period of study, Subjects will be discharged at 48.000 hrs. after IMP administration. Ambulatory visits: In each period of study, Subjects will return to clinical facility at 72.000 and 96.000 hrs. after IMP administration. Admission in the period I of the study: Subjects will be asked to report to the clinical facility of LifeSan Clinical Research [LCR] at early morning on the admission day and will be admitted in ward at least 13.000 hrs. before IMP administration. After obtaining the informed consent, all volunteers will undergo urine alcohol test, urine screen for presence of drugs of abuse, 12-lead ECG in supine position followed by vital signs and systemic medical examination. Further, they will be assessed from inclusion-exclusion criteria and will be admitted in the ward, once they are declared as eligible for the study. Admission in the study in period II/ III/ IV: In the period II, III and IV, admission procedures will be identical with the exception of any informed consent. Protocol compliance will be judged as part of admission procedure. Overnight pre-dose fasting: All Subjects will undergo an overnight fasting for at least 10.000 hrs. prior to scheduled dosing time. Pre-dose procedures: Cannulation: On the day of IMP administration, a cannula will be inserted in the prominent vein Subject’s forearm or dorsal aspect of arm before IMP administration. Pre-dose vital signs examination will be conducted within 1.000 hr. prior to scheduled dosing time. Pre-dose sample will be collected within 1.000 hr. prior to scheduled dosing time. Water restriction will be enforced 1.000 hr. prior to scheduled dosing time.
Dosing: One capsule of Test1 or Test2 or Reference IMP will be administered at scheduled time as per the randomization schedule with 240 ± 2 mL of water at ambient temperature after suitability of the Subject is decided by the qualified medical staff. The dosing activity will be performed under sodium vapor lamp. Pharmacokinetic blood sampling: The concentration of barnidipine will be determined in plasma separated from venous blood samples collected in K3EDTA vacutainers during period I, II, III and IV at following 26 time points: At 0.000 hr. [pre-dose, collected within 1.000 hr. of dosing] and at 1.000, 2.000, 3.000, 4.000, 4.333, 4.667, 5.000, 5.333, 5.667, 6.000, 6.333, 6.667, 7.000, 7.500, 8.000, 9.000, 10.000, 12.000, 18.000, 24.000, 30.000, 36.000, 48.000, 72.000 and 96.000 hrs. after IMP administration. The collection of blood samples will be performed under sodium vapor lamp. Total blood loss: Four [4] mL blood will be collected at each sampling time point. Total blood loss will not exceed 462.0 ± 10 mL. This blood loss includes blood loss for general screening, PSSA and discarded blood. Restrictions: All the Subjects will be restricted to sitting posture on bed for first 1.000 hr. post-dose followed by lie-on-bed postural restriction until at least 8.000 hrs. post-dose. During this period, all study procedures will be conducted bedside. Water restriction will begin 1.000 hr. prior to IMP administration and continue until 1.000 hr. post-dose, except for 240 ± 2 mL of water administered with the IMP. In case of natural urge during restriction period, the Subjects will be allowed to visit toilet but must be accompanied by clinical custodian staff. The other restrictions are described in the section 13.4 of the protocol. Vital signs examination: During their confinement period and at ambulatory visits, vital signs examination & well-being assessment will be performed at the following times: At the time of admission [Pulse, BP, RR and temperature] Pre-dose [Pulse, BP and temperature] within 1.000 hr. prior to scheduled dosing time At 2.000, 5.000, 9.000, 14.000, 22.000, 30.000 and 37.000 hrs. after IMP administration [Pulse, BP and temperature] At the time of discharge at 48.000 hrs. [Pulse, BP, RR and temperature] At the time of ambulatory visits at 72.000 and 96.000 hrs. [Pulse, BP and temperature] Vital signs and medical examination could be conducted any time in case of medical necessity Meals: During their confinement period, Subjects will be given standardized meals at the following times in each period: Dinner at least 12.000 hrs. prior to scheduled dosing time Lunch at 4.000 and 28.000 hrs. after IMP administration Snacks at 8.000 and 32.000 hrs. after IMP administration Dinner at 12.000 and 36.000 hrs. after IMP administration Breakfast at 24.000 hrs. after IMP administration 12-lead ECG examination: 12-lead ECG examination will be conducted at the following times in each period: At the time of admission after volunteer/ Subject is found eligible through urine alcohol test and urine screen for presence of drugs of abuse At the time of discharge At the time of PSSA As per investigator’s discretion any time during the study Special procedure: Since barnidipine is light-sensitive, the study procedures of drug product receipt, dispensing, dosing, sample collection, matrix separation, segregation and bioanalysis will be conducted under sodium vapor lamp. |