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CTRI Number  CTRI/2017/07/009123 [Registered on: 27/07/2017] Trial Registered Prospectively
Last Modified On: 17/11/2018
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Randomized, Crossover Trial 
Public Title of Study   Comparative evaluation of two formulations of Imatinib Mesylate Tablet 400 mg in Adult Patients Suffering from Cancer under Fed Conditions 
Scientific Title of Study   A Randomized, Open Label, Two-Treatment, Multiple Dose, Steady State, Two-period, Cross-over, Multi-Centre Comparative Bioequivalence Study of Imatinib Mesylate Tablet 400 mg of Qilu Pharmaceutical (Hainan) Co.,Ltd. with gleevec®(Imatinib Mesylate) Tablet 400 mg Distributed by Novartis Pharmaceuticals Corporation, East Hanover, New Jersey 07936 in Adult Patients Suffering from Chronic Myeloid Leukemia or Gastrointestinal Stromal Tumor under Fed Conditions 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
ARL/CT/16/010 Version No. 00 Amendment 00 Dated 17 May 2017  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ajaykumar B Malle 
Designation  General Manager Clinical Trials 
Affiliation  Accutest Research Laboratories (I) Pvt Ltd 
Address  A 77, Khairne MIDC, TTC Industrial Area, Khairne, Navi Mumbai

Mumbai
MAHARASHTRA
400709
India 
Phone  02227780718  
Fax  02227780720  
Email  ajay.malle@accutestglobal.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ajaykumar B Malle 
Designation  General Manager Clinical Trials 
Affiliation  Accutest Research Laboratories (I) Pvt Ltd 
Address  A 77, Khairne MIDC, TTC Industrial Area, Khairne, Navi Mumbai

Mumbai
MAHARASHTRA
400709
India 
Phone  02227780718  
Fax  02227780720  
Email  ajay.malle@accutestglobal.com  
 
Details of Contact Person
Public Query
 
Name  Dr Hiren Gandhecha 
Designation  Manager - Clinical Operations 
Affiliation  Accutest Research Laboratories (I) Pvt Ltd 
Address  Opp. The Grand Bhagwati, S.G. Highway, Bodakdev, Ahmedabad 380059, Gujarat

Ahmadabad
GUJARAT
380059
India 
Phone  07940231600  
Fax  07940029317  
Email  hiren.gandhecha@accutestglobal.com  
 
Source of Monetary or Material Support  
Qilu Pharmaceutical Co Ltd, No.243 Gong Ye Bei Road, Jinan, Shandong Province, P.R. China, 250100  
 
Primary Sponsor  
Name  Qilu Pharmaceutical Co Ltd 
Address  No.243 Gong Ye Bei Road, Jinan, Shandong Province, P.R. China, 250100  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr M Gopichand   City Cancer Centre   Department of Oncology, Clinical Reseaerch Room City Cancer Center, 33-25-33, CH. Venkata krishnayya street suryarao pet, Vijayawada-520002, AndhraPradesh, India
Krishna
ANDHRA PRADESH 
09885256059

mgopichand@yahoo.com 
Dr Kartikeya Jain  Kailash Cancer Hospital & Research Centre   Kailash Cancer Hospital & Research Centre, Muni Seva Ashram, Goraj, Ta: Waghodia, Vadodara - 391760, Gujarat, India
Vadodara
GUJARAT 
07042519274

kartikeya.jain@greenashram.org 
Dr Jyothi N  Karnataka Cancer Hospital & Research Centre   No-99, Jharakabande kaval, Krishnadanagar, Nandim layout, Bangalore, 560096
Bangalore
KARNATAKA 
09448051964

jyothichinnali@yahoo.com 
Dr Dyaneshwar Upase   Lifepoint Multispeciality Hospital   Lifepoint Research LLP Lifepoint Multispeciality Hospital, 145/1, Mumbai Bangalore Highway, Near Hotel Sayaji, Wakad, Pune -411 057, Maharashtra, India
Pune
MAHARASHTRA 
09623707572

upase.dnyneshwar111@gmail.com 
Dr K C Lakshmaiah   Srinivasam Cancer Care Multispeciality Hospitals India Private Limited  36 1st A Main, 5th Cross (Nethravati Street), Maruthinagar, Nagarbhavi main road, Banglore-560072
Bangalore
KARNATAKA 
09448055949

kcluck@gmail.com 
Dr Keyur Bhatt  Surat Institute of Digestive Science  Vijay Nagar Gate No-3, Besides Nirman Bhavan, Opp. Gandhi College, Majura Gate, Surat, Gujarat 395002
Surat
GUJARAT 
09712939693

drkeyurbhatt@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Institutional Ethics Committee, City Cancer Centre  Approved 
Institutional Ethics Committee, Karnataka Cancer Hospital & Research Centre   Approved 
Kailash Cancer & Medical Centre,IEC  Approved 
LPR Ethics Committee  Approved 
Srinivasam Cancer Care Multispeciality IEC  Approved 
Surat Institute of Digestive sciences, ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Adult Patients Suffering from Chronic Myeloid Leukemia or Gastrointestinal Stromal Tumor under Fed Conditions, (1) ICD-10 Condition: C921||Chronic myeloid leukemia, BCR/ABL-positive,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Gleevec®(Imatinib Mesylate) Tablet 400 mg  400 mg once a day for 7 Days 
Intervention  Imatinib mesylate tablets is 400 mg  400 mg once a day for 7 Days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1.Age 18 to 55 years (both inclusive) and either sex.
2.Diagnosed case of Philadelphia chromosome positive (Ph+) CML patients in chronic phase or GIST and presently being treated with imatinib 400 mg tablets
3.Eastern Cooperative Oncology Group (ECOG) performance status of 0–2.
4.Willing to give written informed consent for participation in the study as well as willing and able to comply with study visit schedule and other protocol requirements.
5.Patient’s screening laboratory assessments are clinically non-significant as per the discretion of the Investigator.
6.Female patients of child bearing potential (except for those who have completed one year since menopause or have gone through hysterectomy or bilateral tubal ligation) must have negative serum pregnancy test at the screening, negative urine pregnancy test on check in to housing, must be non-lactating at screening and must agree to use effective contraception (barrier or hormonal) for the study period.
 
 
ExclusionCriteria 
Details  1.History of hypersensitivity to imatinib mesylate or to any of the excipients as judged by investigator.
2.Patient of CML receiving treatment in Myeloid Blast Crisis or Accelerated Phase
The Patients with any of the following criteria should be excluded:
3.Abnormal laboratory results as below:
Absolute neutrophils count < 1 x 109/L or < 1000/ mm3
Platelet Count < 50 x 109/L or 50,000/mm3
SGOT &/or SGPT > 5 times upper limit of normal (ULN)
Serum total Bilirubin > 3 times ULN
Serum TSH > 10 μIU/mL
Serum Uric Acid > 12 mg/dL
Reactive for HIV antibody, HBsAg or HCV antibody
4.History of a heart failure, renal insufficiency, hypereosinophilic syndrome (HES), myelodysplastic syndrome (MDS)/ myeloproliferative disease (MPD) or acute systemic mastocytosis (ASM).
5.Alcohol or any drug dependence within past one year.
6.Blood donation/ loss exceeding 200 mL within last 60 days.
7.History of therapy with any of the following as per timelines before randomization:
Inducers of CYP3A4 activity within 14 days
Inhibitors of CYP3A4 activity within 14 days.
Investigational product/ device within last one month




 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To characterize pharmacokinetic profile of test product – Imatinib Mesylate tablets compared to that of the corresponding reference product– gleevec® (imatinib mesylate) tablets 400 mg who are diagnosed to have CML or GIST and are presently receiving stable dose of imatinib mesylate tablets 400 mg, and assess their bioequivalence.  On days 5 and 12, 1st pre-dose blood sampling within 10 minutes before IP dose will be done
On days 6 and 13, 2nd pre-dose blood sampling within 10 minutes before IP dose will be done
On days 7 and 14, 3rd pre-dose sample will be taken within 10 minutes before IP dose and thereafter post dose sampling will be done at 00.25, 00.50, 01.00, 01.50, 02.00, 02.33, 02.67, 03.00, 03.33, 03.67, 04.00, 04.50, 05.00, 05.50, 06.00, 06.50, 07.00, 08.00, 10.00, 12.00, 16.00, and 24.00 hrs post-dose.
 
 
Secondary Outcome  
Outcome  TimePoints 
To monitor the safety and tolerability of a multiple doses of imatinib mesylate tablets 400 mg in adult patients, who are diagnosed to have CML or GIST and are presently receiving stable dose of imatinib mesylate tablets 400 mg.  Monitoring and Reporting of Adverse Events. 
 
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)   07/08/2017 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="10"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Not Applicable 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

The present study is being conducted in adult patients, who are diagnosed to have CML or GIST and are presently receiving stable dose of imatinib mesylate tablets 400 mg, to avoid the risk of adverse effects in healthy volunteers.

Present protocol is randomized, open label, two-treatment, multiple dose, steady state, two-period, cross-over, multi-centre comparative bioequivalence study under fed condition.

 
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