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CTRI Number  CTRI/2026/01/101997 [Registered on: 23/01/2026] Trial Registered Prospectively
Last Modified On: 23/01/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   A drug-drug interaction study in healthy adult human subjects under fasting conditions. 
Scientific Title of Study   A drug-drug interaction study of Treatment A [Usnoflast (ZYIL1) 75mg (Usnoflast (ZYIL1) 50 mg capsule + Usnoflast (ZYIL1) 25 mg capsule)] and Treatment B [Caffeine Citrate Oral Solution, USP 20 mg/mL, (equivalent to 10 mg/mL of caffeine base) (Dose = 100 mg of Caffeine base), Midazolam Hydrochloride syrup 2mg/mL (Each mL contains 2 mg of Midazolam base) (Dose = 2 mg) and Bupropion 75mg Tablet] in healthy adult human subjects under fasting conditions 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
C1B05514, Ver 01 , dated 12 March 2025  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Deven V Parmar MD FCP 
Designation  Chief Medical Officer & Head – Clinical R & D 
Affiliation  Zydus Lifescience Ltd 
Address  Zydus Research Centre, Survey No. 396/403, Sarkhej-Bavla National Highway No. 8A Moraiya,

Ahmadabad
GUJARAT
382213
India 
Phone  02717665555  
Fax    
Email  dparmar@zydustherapeutics.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Maulik Doshi MD DM 
Designation  General Manager 
Affiliation  Zydus Lifescience Ltd 
Address  Zydus Research Centre, Survey No. 396/403, Sarkhej-Bavla National Highway No. 8A Moraiya,

Ahmadabad
GUJARAT
382213
India 
Phone  02717665555  
Fax    
Email  Maulik.Doshi@zyduslife.com  
 
Details of Contact Person
Public Query
 
Name  Dr Maulik Doshi MD DM 
Designation  General Manager 
Affiliation  Zydus Lifescience Ltd 
Address  Zydus Research Centre, Survey No. 396/403, Sarkhej-Bavla National Highway No. 8A Moraiya,

Ahmadabad
GUJARAT
382213
India 
Phone  02717665555  
Fax    
Email  Maulik.Doshi@zyduslife.com  
 
Source of Monetary or Material Support  
Zydus Lifesciences Limited Zydus Research Centre, Survey No. 396/403, Sarkhej-Bavla National Highway No. 8A Moraiya, Ahmedabad – 382213, Gujarat, India 
 
Primary Sponsor  
Name  Zydus Lifesciences Limited 
Address  Zydus Research Centre, Survey No. 396/403, Sarkhej-Bavla National Highway No. 8A Moraiya, Ahmedabad – 382213, Gujarat, India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
Ms Zydus Lifesciences Limited  Survey No. 417, 419 & 420 Sarkhej-Bavla National Highway No. 8A, Village- Moraiya Sanand (India)- 382210. 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Dhruv Patel  Cliantha Research Limited  "Cliantha Corporate, TP 86, FP 28/1, Off S.P. Ring Road, Sarkhej, Ahmedabad-382210, Gujarat, India Tel#+91-2717-698500"
Ahmadabad
GUJARAT 
9978336240

dppatel@cliantha.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sangini Hospital Ethics Committee Sangini Hospital, Santorini Square, B/H Abhishree Complex, Opp. Star Bazar, Nr. Jodhpur Cross Roads, Satellite, Ahmedabad-380015, Gujarat, India   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  NA 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Caffeine Citrate + Midazolam Hydrochloride + Bupropion  Dose : 20 mg/mL + 2mg/mL + 75 mg Form : Oral Solution + Syrup + tablet Route : Oral Duration : Single Dose 
Comparator Agent  NA  NA 
Intervention  Usnoflast  Dose : 75 mg (50 mg +25 mg) Form : Capsule Route : Oral Duration : 14 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1)Male and/or non-pregnant, non-lactating female.
2)Female of child-bearing potential must have a negative serum beta human chorionic gonadotropin pregnancy test performed within 28 days of the first dose of study medication. They must be using an acceptable form of contraception.
3)18.5 to 30.0 kg/m2, both inclusive; BMI value should be rounded off to one significant digit after decimal point.
4)Able to communicate effectively with study personnel.
5) Non-smokers, non-tobacco and non-alcoholic users (i.e. having no past history of alcoholism, smoking and tobacco consuming for at least one year prior to study)
6) Willing to provide written informed consent to participate in the study.
7) All volunteers must be judged by the principal or sub-investigator or physician as normal and healthy during a pre-study safety assessment performed within 28 days of the first dose of study medication 
 
ExclusionCriteria 
Details  1)History of allergic responses to Caffeine, Bupropion & Midazolam or other related drugs, or any of its and usnoflast formulation ingredients.
2) Have significant diseases or clinically significant abnormal findings during screening [medical history, physical examination (clinical examination), laboratory evaluations, ECG recording and Chest X-ray, gynecological history and examination (including pelvic examination and routine breast examination) (for female volunteers)].
3) Any disease or condition like diabetes, psychosis or others, which might compromise the haemopoietic, gastrointestinal, renal, hepatic, cardiovascular, respiratory, central nervous system or any other body system.
4) History or presence of respiratory conditions (i.e., moderate to severe asthma, chronic obstructive pulmonary disease [COPD], etc.).
5) Use of any hormone replacement therapy within 3 months prior to Period 1 dosing.
6) Use of any depot injection or implant of any drug within 3 months prior to Period 1 dosing.
7)Use of CYP enzyme inhibitors or inducers within 30 days prior to Period 1 dosing.
8) History or evidence of drug dependence.
9) History of difficulty with donating blood or difficulty in accessibility of veins.
10) A positive hepatitis screen (includes subtypes B & C).
11) A positive test result for HIV antibody.
12) Volunteer who have received a known investigational drug within seven elimination half-life of the administered drug prior to Period 1 dosing.
13)History of difficulty in swallowing or of any gastrointestinal disease, which could affect drug absorption.
14)Intolerance to venipuncture.
15)Any food allergy, intolerance, restriction or special diet that, in the opinion of the principal investigator or sub-investigator, could contraindicate the volunteer’s participation in this study.
16)Institutionalized volunteer
17)Use of any prescribed medications within 30 days prior to Period 1 dosing.
18)Use of any OTC products, vitamin and herbal products, etc., within 7 days prior to Period 1 dosing.
19)Use of grapefruit and grapefruit containing products within 7 days prior to Period 1 dosing.
20)Ingestion of any caffeine or xanthine products (i.e. coffee, tea, chocolate, and caffeine-containing sodas, colas, etc.) and except protocol defined drug B1 (Caffeine Citrate Oral Solution) administration, recreational drugs within 72 hours prior to Period 1 dosing.
21)Ingestion of any unusual diet, for whatever reason (e.g.: low sodium) for three weeks prior to Period 1 dosing.
22) SGOT, SGPT and alkaline phosphatase values are 1.1 times higher than the upper limit of normal range during screening.
23) Serum bilirubin values are higher than the upper limit of normal range during screening.
24) Serum creatinine higher than upper limit during screening
25) History or symptoms of narrow angle glaucoma.
26) History of head trauma.
27) History or presence of seizure, epilepsy, central nervous system (CNS) tumor, bulimia, anorexia nervosa.
28) History or presence of severe hepatic cirrhosis.
29) Volunteer who are undergoing abrupt discontinuation of sedatives (including benzodiazepines). 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To evaluate the drug-drug interaction of Treatment A [Usnoflast (ZYIL1) 75mg (Usnoflast (ZYIL1) 50 mg capsule + Usnoflast (ZYIL1) 25 mg capsule)] and Treatment B [Caffeine Citrate Oral Solution, USP 20 mg/mL, (equivalent to 10 mg/mL of caffeine base) (Dose = 100 mg of Caffeine base), Midazolam Hydrochloride syrup (Each mL contains 2 mg of Midazolam base) 2mg/mL (Dose = 2 mg) and Bupropion 75mg Tablet] in healthy adult human subjects under fasting conditions.  Day 1 to Day 14 
 
Secondary Outcome  
Outcome  TimePoints 
To monitor the safety and tolerability of the subjects  Day 1 to Day 14 
 
Target Sample Size   Total Sample Size="34"
Sample Size from India="34" 
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   Phase 1 
Date of First Enrollment (India)   10/02/2026 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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  
An open label, non-randomized, three-period, two-treatment, single-sequence, a drug-drug interaction study. The study will be conducted in three-period.
Period I: Single dose administration of Treatment B [Caffeine Citrate Oral Solution, USP 20 mg/mL (Dose = 100 mg of Caffeine base), Midazolam Hydrochloride syrup 2mg/mL (Dose = 2 mg) and Bupropion 75mg Tablet] in the morning on Day 01.

Period II: Treatment A [Usnoflast (ZYIL1) 75mg (Usnoflast (ZYIL1) 50 mg capsule + Usnoflast (ZYIL1) 25 mg capsule] will be administered twice a day (morning & evening) on Day 01 and once a day in the morning on Day 02 and Single dose administration of Treatment B [Caffeine Citrate Oral Solution, USP 20 mg/mL (Dose = 100 mg of Caffeine base), Midazolam Hydrochloride syrup 2mg/mL (Dose = 2 mg) and Bupropion 75mg Tablet] in the morning on Day 02.

Period III: Treatment A [Usnoflast (ZYIL1) 75mg (Usnoflast (ZYIL1) 50 mg capsule + Usnoflast (ZYIL1) 25 mg capsule] will be administered twice daily (morning & evening) for 13 days and once a day in the morning on Day 14 and Single dose administration of Treatment B [Caffeine Citrate Oral Solution, USP 20 mg/mL (Dose = 100 mg of Caffeine base), Midazolam Hydrochloride syrup 2mg/mL (Dose = 2 mg) and Bupropion 75mg Tablet] in the morning on Day 14.
 
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