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CTRI Number  CTRI/2011/11/002104 [Registered on: 04/11/2011] Trial Registered Prospectively
Last Modified On: 29/08/2012
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Randomized, Crossover Trial 
Public Title of Study   This is a comperative study for the Etoposide 50 mg capsules manufactured with Etoposide 50 mg capsules of Mylan Inc. USA, in patients with small cell lung cancers under fasting condition.  
Scientific Title of Study   A randomized, multiple site, open label, two treatment, two period, two sequence, multiple-dose, crossover, bioequivalence study of Etoposide 50mg Capsules of Banner Pharmacaps, USA compared with Etoposide 50mg Capsules of Mylan Inc., USA in adult patients with small cell lung cancer under fasting steady-state conditions 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
10-VIN-195 Version:01 Dated:1-July-2011  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Brijesh Wadekar 
Designation  Head Of Department 
Affiliation  Veeda Clinical Research Pvt. Ltd. 
Address  Veeda Clinical Research Pvt. Ltd., Insignia, Sindhu Bhavan Road, Bodakdev road, S. G. Highway, Ahmedabad
Veeda Clinical Research Pvt. Ltd., Insignia, Sindhu Bhavan Road, Bodakdev road, S. G. Highway, Ahmedabad
Ahmadabad
GUJARAT
380059
India 
Phone  079-30013000  
Fax  079-30013010  
Email  brijesh.wadekar@veedacr.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Brijesh Wadekar 
Designation  Head Of Department 
Affiliation   
Address  Veeda Clinical Research Pvt. Ltd., Insignia, Sindhu Bhavan Road, Bodakdev road, S. G. Highway, Ahmedabad


GUJARAT
380059
India 
Phone    
Fax    
Email  brijesh.wadekar@veedacr.com  
 
Details of Contact Person
Public Query
 
Name  Dr Brijesh Wadekar 
Designation  Head Of Department 
Affiliation   
Address  Veeda Clinical Research Pvt. Ltd., Insignia, Sindhu Bhavan Road, Bodakdev road, S. G. Highway, Ahmedabad


GUJARAT
380059
India 
Phone    
Fax    
Email  brijesh.wadekar@veedacr.com  
 
Source of Monetary or Material Support  
Banner Pharmacaps, USA 
 
Primary Sponsor  
Name  Banner Pharmacaps 
Address  Banner Pharmacaps 4125 Premier Dr, High Point, NC 27265, United states of America Phone: 336-812-8700 Fax: 336-812-9091  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 8  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ajay Mehta  Central India Cancer Research Institute  11, shankar Nagar, Nagpur 440010 Maharastra
Nagpur
MAHARASHTRA 
9823190192

ajayonco@hotmail.com 
Dr G N Patel  Jeevandeep Oncosurgical Hospital  Jeevandeep Oncosurgical Hospital, 302, 3rd floor, Ayush building, Near Param Doctor House, Laldarwaja-Station Road, Surat.
Surat
GUJARAT 
9376913131

gnonco@gmail.com 
Dr Niraj Bhatt  Kailash Cancer Hospital and Research Centre  Chemotherapy Day care Unit, ground floor, Muni Seva Ashram, Goraj, Dist: Vadodara 391760, Gujarat, India
Vadodara
GUJARAT 
9925581480

medonc12@gmail.com 
Dr SPShrivastav  Life Research Centre  401, Param Doctor House, Station Lal Darwaja Road, Surat 395003
Ahmadabad
GUJARAT 
2612242862

crconcolrc@yahoo.com 
Dr J K Singh  Mahavir Cancer Sansthan  Room no 222, 2nd floor, Magadh Clinical Research, Phulwarisharif, Patna-801505, Bihar
Patna
BIHAR 
9431021001

drjksingh147@gmail.com 
Dr Yathish kumar  NRR Hospital  NRR hospital OPD, First Floor, NRR Hospital, 3 & 3A, Hesaraghatta main road, Chikkasandra Near Chikkabanabara railawya station, Bangalore 560090
Bangalore
KARNATAKA 
9880462912

dryathish@hotmail.com 
Dr Ramesh Arya  Suyash Hospital  AB road, Opposite MGM Medical College, Indore
Indore
MADHYA PRADESH 
73140456206

draryaramesh@gmail.com 
Dr Shekhar Salkar  Vintage Hospital and Research Centre  Caculo Enclave, St. Inez, Panaji, Goa 403001
North Goa
GOA 
8322363831

salkar.shekhar@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 8  
Name of Committee  Approval Status 
Anveshhan Independent Ethics Committee (Ahmedabad)- Dr. Neeraj Bhatt  Approved 
Central India Cancer Research Institute (Nagpur)- Dr. Ajay Mehta  Approved 
Ethical Review Board, Mahavir Cancer Institute and Research Centre (Patna) - Dr. J. K. Singh  Approved 
Ethical Trial of Health In Community (ETHIC) Committee (Surat)- Dr. G. N. Patel  Approved 
Indore Independent Ethics Committee  Approved 
Institutional Ethics Committee, NRR Hospital (Banglore)- Dr. Yathish Kumar HM  Approved 
Research Independent Ethics Committee  Approved 
Vintage Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Notified 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Cancer Patients,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Etoposide 50 mg Capsule  DOSE:50 mg/m2/day for 5 days DURATION: 1 cycles FREQUENCY: Every 21 Days MODE OF ADMIN: Oral 
Intervention  Etoposide 50 mg capsules  DOSE:50 mg/m2/day for 5 days DURATION: 1 cycle FREQUENCY: Every 21 Days MODE OF ADMIN: Oral 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Male or female patients aged 18years of age or older.
Patients already receiving etoposide and expected to receive at least two additional cycles at the same dose.
Eastern Cooperative Oncology Group (ECOG) performance status < 2.
Life expectancy > 3 months.
 
 
ExclusionCriteria 
Details  The patients will be excluded from study, if they meet any of the following criteria:

Hypersensitivity to Etoposide or related class of drugs.
Extensive disease treatable with radiotherapy.
Past or current history of other malignant disease.
Concurrent severe medical problems other than small cell lung cancer.
Patients with central nervous system metastases receiving more than 12 mg /day dexamethasone or equivalent to control symptoms.
Patient had a clinically significant history of cardiac disease;
Patient had pre-existing severe motor or sensory neuropathy higher than grade 1, according to the National Cancer Institute Common Toxicity Criteria (CTC) Scale (34); had active infections or other serious concomitant medical conditions that would impair the ability of a patient to receive the protocol treatment;
Patients with low serum albumin.
Patient had dementia.
Women who are unwilling or unable to use an acceptable method to avoid pregnancy for the entire study period for a least 1 month before and at least 3 months after the completion of the study.
Women using a prohibited contraceptive method.
Women who are pregnant or breastfeeding.
Men whose sexual partners are women who are of childbearing potential, and who are unwilling or unable to use an acceptable method to avoid pregnancy of his partner for the entire study period as outlined above.
Known CYP450 strong inhibitors2 such as atazanavir, clarithromycin, indinavir, itraconazole, ketoconazole, nefazodone, nelfinavir, ritonavir, saquinavir or telithromycin and well known inducers2 such as rifampin, carbamazepine, rifabutin, rifapentin, dexamethasone, phenytoin, phenobarbital, and St. Johns wort within 1 month of the study starting.
History or presence of significant alcoholism or drug abuse in the past one year.
History or presence of significant smoking (more than 10 cigarettes or beedi’s/day).
History or presence of asthma, urticaria or other significant allergic reactions.
History or presence of significant gastric and/or duodenal ulceration.
History or presence of significant thyroid disease, adrenal dysfunction, organic intracranial lesion such as pituitary tumor.
Difficulty with donating blood.
Difficulty in swallowing solids like tablets or capsules.
Patients with any other condition which in the Investigators opinion would not make the patient a good candidate for the clinical trial.
Severe medical problems other than the cancer that would limit the ability of the patient to follow study guidelines or expose the patient to extreme risk.
Participation in a drug research study within past 3 months.
Donation of blood in the past 3 months before screening.
Positive screening test for any one or more: HIV, Hepatitis B and Hepatitis C.
History or presence of significant easy bruising or bleeding.
History or presence of significant recent trauma.
 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To compare and evaluate the rate and extent of absorption of Etoposide 50mg Capsules of Banner Pharmacaps, USA compared with Etoposide 50mg Capsules of Mylan Inc., USA in adult patients with small cell lung cancer under fasting steady-state conditions.  The pre-dose blood sample of 3.5mL (0.00 hr) will be collected within 5 minutes prior to dosing time on Day 3, 4 and 5. On Day 5 the post-dose blood samples of 3.5mL each will be drawn at 15, 20, 30, 45 and 60 mins and then 1.25, 1.50, 1.75, 2.00, 2.50, 3.00, 4.00, 6.00, 8.00, 10.00, 12.00, 16.00, 24.00, 36.00, and 48.00 hrs following drug administration in each period. 
 
Secondary Outcome  
Outcome  TimePoints 
• To monitor the adverse events of Etoposide and to ensure the safety of patients.  N/A 
 
Target Sample Size   Total Sample Size="24"
Sample Size from India="24" 
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   N/A 
Date of First Enrollment (India)   02/01/2012 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Primary Objective :  To compare and evaluate the rate and extent of absorption of Etoposide 50mg Capsules of Banner Pharmacaps, USA compared with Etoposide 50mg Capsules of Mylan Inc., USA in adult patients with small cell lung cancer  under fasting steady-state conditions.

 
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