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CTRI Number  CTRI/2016/08/007209 [Registered on: 19/08/2016] Trial Registered Prospectively
Last Modified On: 29/01/2020
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Randomized, Crossover Trial 
Public Title of Study   A clinical trial intended to compare safety and efficacy of two formulations of paclitaxel protein-bound particles for injectable suspension (albumin-bound) in patients with metastatic breast cancer under fasting conditions. 
Scientific Title of Study   A Randomized, Open-Label, Two Period, Two-Treatment, Two Sequence, Single-Dose, Crossover, Bioequivalence Study of Paclitaxel Protein-bound Particles for Injectable Suspension (albumin-bound) of Panacea Biotec, India with ABRAXANE® (Paclitaxel Protein-bound Particles for Injectable Suspension) (albumin-bound) manufactured for Celgene Corporation, Summit, NJ in Patients with Metastatic Breast Cancer under Fasting Conditions. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
CRL121526, version 2.0 dated 18 Feb 2016  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Ripal Gharia 
Designation  Sr. Medical Monitor 
Affiliation  Cliantha Research Limited 
Address  Garden View Corporate House No.8,3rd Floor Opposite Auda Garden, Bodakdev, Ahmedabad India

Ahmadabad
GUJARAT
380054
India 
Phone  9179-66219543  
Fax  9179-66219549  
Email  rgharia@cliantha.in  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Ripal Gharia 
Designation  Sr. Medical Monitor 
Affiliation  Cliantha Research Limited 
Address  Garden View Corporate House No.8, 3rd Floor Opposite Auda Garden, Bodakdev, Ahmedabad India

Ahmadabad
GUJARAT
380054
India 
Phone  9179-66219543  
Fax  9179-66219549  
Email  rgharia@cliantha.in  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Mr Vikrant Tripathi 
Designation  Sr. Project Manager 
Affiliation  Cliantha Research Limited 
Address  Garden View Corporate House No.8,2nd Floor, Opposite Auda Garden, Bodakdev, Ahmedabad India

Ahmadabad
GUJARAT
380054
India 
Phone  9179-66219533  
Fax  9179-66219549  
Email  vtripathi@cliantha.in  
 
Source of Monetary or Material Support  
PANACEA BIOTEC LIMITED 
 
Primary Sponsor  
Name  PANACEA BIOTEC LIMITED 
Address  B-1 Extn/ G-3, Mohan Co-op. Industrial Estate, Mathura Road, New Delhi – 110044, India  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
Cliantha Research Ltd   Garden View Corporate House No.08, Opp. Auda Garden, Bodakdev, Ahmedabad-380054, India  
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 19  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Saroj Kumar Dasmajumdar  All India Institute of Medical Sciences  2nd Floor, Dept of Oncology, Sijua, Patrapada, Bhubaneswar, Odisha, Pin-751019
Khordha
ORISSA 
91-9438884066
91674-2476789
sarojmajumdar@gmail.com 
Dr Ghanshyam N Patel  Apple Hospital  4th Floor, Clnical research dept, Udhna Darwaja, Ring Road, Surat 395002, Gujarat, India
Surat
GUJARAT 
91-9376913131
91261-6696078
gnonco@gmail.com 
Dr Rashmi Gudur  Apple Saraswati Multispeciality Hospital  Apple Saraswati Multispeciality Hospital, A Venture of Apple Hospital and Research Institute Ltd, Circuit House Kadamwadi Road, Kolhapur Maharashtra
Kolhapur
MAHARASHTRA 
9860249027

kanvikar.rashmi@gmail.com 
DrFrancisco M Oswald L Desa  Campal clinic  Campal clinic opp,parade grounds campal,panaji
North Goa
GOA 
9158592127
0832-6644404
cromgoa@gmail.com 
Dr Rajnish Nagarkar  Curie Manavata Cancer Centre  OPD, Ground Floor, Opp. Mahamarg Bus Stand, Mumbai Naka, Nashik-422004, Maharashtra, India
Nashik
MAHARASHTRA 
919823061929
0253-2594866
drraj@manavatacancercentre.com 
Dr Krishna Kamble  Govt. Medical College and Hospital  2nd Floor, Dept. Of Radiation Therapy and Oncology, Govt. Medical College and Hospital, Nagpur-440003, Maharashtra
Nagpur
MAHARASHTRA 
91-9850246275
91712-2745209
drkambleonco@gmail.com 
Dr Bala Murugan  Guru Hospital  4/120-F, Pandi Kovil ring road, Madurai-625107
Madurai
TAMIL NADU 
91-9486467768
91452-2094647
info@guruhospital.com 
Dr Kakali Choudhury  Health Point Hospital  Health Point Hospital, Lansdown Padmapukur, 21 Prannath Pandit Street, Kolkata 700025, West Bengal
Kolkata
WEST BENGAL 
9883083052
033-2455-9037
kakalichoudhury@gmail.com 
Dr Bidisa Ghosh Naskar  IPGME & R and SSKM   HospitalIPGME & R and SSKM Hospital, 244, AJC Bose Road, Kolkata-700020
Kolkata
WEST BENGAL 
9432164842
0831-2470400
bghoshn@gmail.com 
Dr Promod Patil  Kailash Cancer Hospital and Research Center   st floor, Muni Seva Ashram, P.O. Goraj-391760, Tal.Waghodia, Dis.Vadodara, Gujarat, India
Vadodara
GUJARAT 
91-9727787080
912668-268048
pramod.patil@greenshram.com 
Dr Sourjya Banarjee  Kasturba Medical College Hospital  Department of Rediation Oncology, Ground Floor, Attavar, Mangalore - 575001, Karnataka, India
Dakshina Kannada
KARNATAKA 
91-9880345339
91824-2425092
sourjya.banerjee@gmail.com 
Dr Rohan Basawantrao Bhise  KLES Dr. Prabhakar Kore Hospital and Medical Research Center  31, Oncology Department, Nehru Nagar, Belagavi - 590010, Karnataka, India
Belgaum
KARNATAKA 
91-9448866712
91831-2470732
rohanbhise30@gmail.com 
Dr Suraj Pawar  Kolhapur Cancer Centere Pvt Ltd  R-S 238, Opposite Mayur Petrol Pump,Gokul Shirgaon, Karveer, Kolhapur, Maharashtra-416234
Kolhapur
MAHARASHTRA 
91-9822014908
91231-2677990
surajpawar2001@yahoo.co.in 
DrYadav Amod Eknath   Lifepoint Multispeciality Hospital  145/1, Mumbai Bangalore Highway, Near Hotel Sayaji, Wakad, Pune- 411057, Maharashtra, India
Pune
MAHARASHTRA 
91-9890196118
9120-66434300
yadav.amod57@gmail.com 
Dr Kirushna Kumar   Meenakshi Mission Hospital & research Centre  Deaprtment of Radiation Oncology, Ground Floor, Lake area, Melur Road, Madurai- 625017, Tamilnadu, India
Madurai
TAMIL NADU 
91-9787713004
91452-2586353
drkskk@yahoo.com 
Dr Rakesh Neve  Nobel hospital Pvt Ltd  153, Magarpatta City Road, Hadapsar, Pune, Maharashtra 411013
Pune
MAHARASHTRA 
91-9881143140

rakesh.neve@gmail.com 
DrAniket Thoke  Sanjeevani CBCC USA Cancer Hospital  Sanjeevani CBCC USA Cancer Hospital, Infront of Jain Mandir, Dawada Colony, Pachpedi Naka, Raipur-492001(C.G) India
Raipur
CHHATTISGARH 
9752929741
91-771-4013120
drthoke@gmail.com 
Dr Lokanatha Dasappa  Sri Venkateshwara Hospital  Sri Venkateshwara Hospital, #86 Hosur Main Road, Madiwala, Bangalore - 56006, Karnataka
Bangalore
KARNATAKA 
9845695589

drlok61@gmail.com 
Dr KCLakshmaiah  Srinivasam Cancer Care Hospital India Pvt.Ltd  Srinivasam Cancer Care Hospital India Pvt.Ltd., #236/1, Vijayashree layout, Arekere, Bannerghatta Main Road, Banglore-560076, Karnataka
Bangalore
KARNATAKA 
91-9448055949
9180-42099074
kcluck@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 19  
Name of Committee  Approval Status 
Apple Hospital Ethics Committee, Udhna Darwaja, Ring Road, Surat 395002, Gujarat, India  Approved 
Apple Saraswati Multispeciality Hospital Institutional Ethics Committee 804/2,805/2,E Ward, Circuit House, To Kadamwadi Road, Bhosalewadi, Kolhapur, Maharashtra 416003  Approved 
Campal clinic institutional ethics committee,campal clinic opp,parade grounds campal,panaji  Approved 
Ethics Committee KLE University , Nehru Nagar, Belagavi - 590010, Karnataka, India  Approved 
Healthpoint Ethics Committee, 21, Prannath Pandit Street(opposite landsdowne Padmapukur) Kolkata 700025, West Bengal India  Approved 
Institute Ethics Committee, All India Institute of Medical Sciences, Sijua, Patrapada, Bhubaneswar, Odisha, Pin-751019  Approved 
Institutional Ethics Committee - Guru Hospital, 4/120-F, Pandi Kovil ring road, Madurai-625107  Approved 
Institutional Ethics Committee Meenakshi Mission Hospital & research Centre, Lake area, Melur Road, Madurai- 625017, Tamilnadu, India  Approved 
Institutional Ethics Committee, Sanjeevani Cancer Hospital, Jain Mandir, Dawada Colony, Pachpedi Naika Raipur, Chhattisgargh  Approved 
Institutional Ethics Committee,Dept. Of Pharmacology, Govt. Medical College and Hospital, Nagpur-440003, Maharashtra  Approved 
IPGME & R Research Oversight Committee, 244,AJC Bose Road,Kolkata-700020  Approved 
Kailash Cancer & Medical Centre Institutional Ethics Committee,Department of Clinical Research,Kailash Cancer Hospital and Research Centre, Muni Seva Ashram, P.O. Goraj-391760, Tal.Waghodia, Dis.Vadodara, Gujarat, India  Approved 
Kolhapur Cancer Centere Institutional Ethics Committee Opposite Mayur Petrol Pump,Gokul Shirgaon, Karveer, Kolhapur, Maharashtra-416234   Approved 
LPR Ethics Committee Lifepoint Multispeciality Hospital , 145/1, Mumbai Bangalore Highway, Near Hotel Sayaji, Wakad, Pune- 411057, Maharashtra, India  Approved 
Manavata Clinical Research Institutional Ethics Committee (MCRI EC) , Curie Manavata Cancer Centre, Opp. Mahamarg Bus Stand, Mumbai Naka, Nashik-422004, Maharashtra, India  Approved 
Manipal University Ethics Committee, 7th Floor, KMC Hospital, Attavar, Mangalore- 575001, Karnataka, India  Approved 
Sri Venkateshwara Hospital Ethics Committee, Sri Venkateshwara Hospital, #86 Hosur Main Road, Madiwala, Bangalore - 56006, Karnataka  Approved 
Srinivasam Cancer Care Hospital - Institutional Ethics Committee, Board Room,4 th Floor, Srinivasam Cancer Care Hospital India Pvt. Ltd., #236/1, Vijayashree layout, Arekere, Bannerghatta main Road, Banglore-560076, Karnataka  Approved 
Sterling Hospital Institutional Ethics Committee, Sec No 27, Near Bhel Chowk, Nigdi Pradhikaran, Pune 411044, Maharashtra, India  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Metastatic Breast Cancer,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  ABRAXANE® (Paclitaxel Protein-bound Particles for Injectable Suspension) (albumin-bound)  Single intravenous infusion (260 mg/m2) over period of 30 minutes 
Intervention  Paclitaxel (Biosimilar)   Single intravenous infusion (260 mg/m2) over period of 30 minutes 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Female 
Details  1. Female patients 18 to 70 years of age (both inclusive) having breast cancer who
a. Has histologically confirmed diagnosis of breast cancer.
b. Has metastatic breast cancer
c. Has failure of combination chemotherapy for metastatic disease or relapse within 6 months of adjuvant chemotherapy. Prior therapy should have included an anthracycline unless clinically contraindicated.
2. Body surface area (BSA) that is within 1.2 to 2.2 m2
3. Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2.
4. Patient has adequate hematological, renal, and hepatic function.
 
 
ExclusionCriteria 
Details  1. Patients with a history of other malignancies
2. Patients who have previously received a taxane within the 30 days prior to randomization.
3. Patients who have not completely recovered from any toxicities from previous chemotherapy, hormone therapy, immunotherapy, or radiotherapies Grade 1 or higher by CTCAE, with the exception of alopecia.
4. Prior chemotherapy must be completed at least 30 days prior to randomization (42 days for mitomycin C or nitrosoureas). Prior immunotherapy, prior antitumor hormonal therapy, and prior radiotherapy must be completed at least 14 days prior to randomization.
5. Patient had major surgery within 30 days prior to randomization, or patient has not recovered from prior major surgery.
6. Sensory / Peripheral neuropathy of Grade 2 or higher by CTCAE version 4.03 at Screening.
7. Abnormal ECG : QTc>470 msec in female patients at screening and randomization.
8. Patients with known brain metastases.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Pharmacokinetic parameters: AUCt, AUCi, Kel, Cmax,Tmax,Kel, tHalf .  Period 1 and 2:
0.167, 0.333, 0.50, 0.833, 1.000, 1.500, 2.000, 3.000, 4.000, 5.000, 6.000, 8.000, 10.000, 16.000, 24.000, 48.000, 72.000, 96.000 and 120.000 hours after start of infusion
 
 
Secondary Outcome  
Outcome  TimePoints 
NA  NA 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
Final Enrollment numbers achieved (Total)= "78"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/09/2016 
Date of Study Completion (India) 05/06/2017 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This study is to evaluate the bioequivalence of Paclitaxel Protein-bound Particles for Injectable Suspension (albumin-bound) of Panacea Biotec Ltd, India with ABRAXANE® (Paclitaxel Protein-bound Particles for Injectable Suspension) (albumin-bound) of manufactured for Celgene Corporation, Summit, NJ in patients with Metastatic Breast Cancer under fasting conditions. Expected study duration of clinical part is at least 26 days from the day of check-in of first period. Two consecutive treatment cycles will be used for the two treatment periods. The two arms of the crossover study will be conducted on two of the days when the patients are scheduled to receive their usual therapy so that the treatment regimen is not altered or delayed. Pharmacokinetic parameters Cmax, AUCt, AUCi, Tmax, Kel and tHalf will be calculated using professional software.

 
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