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CTRI Number  CTRI/2011/12/002266 [Registered on: 21/12/2011] Trial Registered Prospectively
Last Modified On: 25/10/2012
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Other 
Public Title of Study   A clinical study to demonstrate bioequivalence between two drugs Xeloda (Reference) and Capecitabine 500 mg Tablets (Test) in cancer patients 
Scientific Title of Study   A multicentre, randomized, open-label, single dose, two-treatment, three-period, three sequence, partial replicate, crossover, pivotal bioequivalence study of Test capecitabine 500 mg tablets manufactured by Reliance Life Sciences Pvt. Ltd., India with Xeloda® (capecitabine 500 mg) manufactured by Roche Pharma AG, Germany in adult, human, cancer patients under fed condition. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
RC/0111/009, Version No. 01  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Parvez Kosgi 
Designation  Head RLS Clinical Trials 
Affiliation  Reliance Life Sciences Pvt. Ltd. 
Address  Reliance Clinical Research Services Reliance Life Science Pvt. Ltd. Dhirubhai Ambani Life Sciences Centre Plot No. R 282 TTC Area of MIDC Thane Belapur Road Rabale Navi Mumbai

Thane
MAHARASHTRA
400701
India 
Phone  02267678258  
Fax  02267678222  
Email  Parvez.kosgi@relclin.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ameykumar Mane 
Designation  Head Medical Affairs & Pharmacovigilance  
Affiliation  Reliance Life Sciences P. Ltd. 
Address  Reliance Clinical Research Services, Reliance Life Sciences Pvt. Ltd. Dhirubhai Ambani Life Sciences Center Plot No. R 282 Thane-Belapur Road Rabale Navi Mumbai India

Thane
MAHARASHTRA
400 701
India 
Phone  02267678269  
Fax  02267678222  
Email  Ameykumar_mane@relbio.com  
 
Details of Contact Person
Public Query
 
Name  Dr Parvez Kosgi 
Designation  Head RLS Clinical Trials 
Affiliation  Reliance Life Sciences Pvt. Ltd. 
Address  Reliance Clinical Research Services Reliance Life Science Pvt. Ltd. Dhirubhai Ambani Life Sciences Centre Plot No. R 282 TTC Area of MIDC Thane Belapur Road Rabale Navi Mumbai

Thane
MAHARASHTRA
400701
India 
Phone  02267678258  
Fax  02267678222  
Email  Parvez.kosgi@relclin.com  
 
Source of Monetary or Material Support  
Reliance Life Sciences Pvt. Ltd. 
 
Primary Sponsor  
Name  Reliance Life Sciences Pvt Ltd 
Address  Dhirubhai Ambani Life Sciences Center, Plot No. R 282,Thane-Belapur Road, Rabale, Navi Mumbai-400 701, India.  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 12  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Smita Gupte  Cancer Clinic  Room No 208 Shreewardhan Complex Wardha Road Nagpur- 440012
Nagpur
MAHARASHTRA 
09373107176
07122444729
smita_gupte@rediffmail.com 
Dr Praveen Gantawar  Columbia Hospital and Research Centre  Room No 3 3rd Floor, Hyatt Medicare Dhantoli Nagpur 440012
Nagpur
MAHARASHTRA 
09422108822

drpgantawar@gmail.com 
Dr Rajnish Vasant Nagarkar  Curie Manavata Cancer Centre  Curie Manavata Cancer Centre, Opp Mahamarg Bus Stand, Mumbai Naka, Nashik-422001
Nashik
MAHARASHTRA 
9823061929

drraj@manavatacancercentre.com 
Dr Jaiprakash Baraskar  Dr. Baraskar Hospital and Cancer Care Center  Room 05 3rd Floor 278 Central Bazaar Road Ramdaspeth Nagpur 440010
Nagpur
MAHARASHTRA 
07122420050

jpcancercare2005@yahoo.co.in 
Dr Unmesh Takalkar  Kodlikeri Memorial Hospital  8 Manjeet Nagar Opp. Akashwani Jalna Road Aurangabad 431005
Aurangabad
MAHARASHTRA 
09822042425
02402335751
Unmesh_3@sancharnet.in 
Dr Amit Parasnis  Medipoint Hospitals Pvt. Ltd  Medipoint Hospitals Pvt. Ltd New DP Road Aundh Pune 411007
Pune
MAHARASHTRA 
02039841200
02040098635
Drrahul.pentagon@gmail.com 
Dr Kirushna Kumar  Meenakshi Mission Hospital  1st Floor Department Of Medical Oncology Lake Area Melur Road Madurai 625 107
Madurai
TAMIL NADU 
09787713004

drkskk@yahoo.com 
Dr Bharath Rangarajan  Narayana Hrudayalaya Hospital  7th Floor 258/A Bommasandra Industrial Area Anekal Taluk Bangalore 560 099
Bangalore
KARNATAKA 
08027835315

bharath37@gmail.com 
Dr Minish Jain  Ruby Hall Clinic  40 Sassoon Road Pune 411 001
Pune
MAHARASHTRA 
9823133390

minishjain009@gmail.com 
Dr Shailesh Bondarde  Shatabdi Super Specialty Hospital  Opposite Mahamarg Bus Stand Mumbai Naka Nasik 422 005
Nashik
MAHARASHTRA 
0253-25008888

shaileshbondarde@yahoo.com 
Dr Nirmal Raut  Sterling Wockhardt Hospital  Room No 104 Ground Floor On Sion Panvel Expressway Sector 7 Vashi, Navi Mumbai 400703 India
Thane
MAHARASHTRA 
09930398156
02266804444
drnirmalraut@gmail.com 
Dr Vikram Gota  Tata Memorial Centre  ACTREC Sector 22 Kharghar Navi Mumbai 410210
Mumbai (Suburban)
MAHARASHTRA 
02227405130
02227405061
vgota@actrec.gov.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 12  
Name of Committee  Approval Status 
Ethical Review Board, Meenakshi Mission Hospital & Research Center, Madurai  Approved 
Ethics Committee, Kodlikeri Memorial Hospital & CIIGMA Hospital , Aurangabad  Approved 
Ethics RUs, Mumbai  Approved 
Global Health Concern Ethics Committee, Nagpur  Approved 
Human Ethics Committee, Tata Memorial Centre (HEC, TMC)  Submittted/Under Review 
MCRI Professional Ethics Committee  Submittted/Under Review 
Nagpur Independent Ethics Committee  Approved 
Nagpur Independent Ethics Committee, Nagpur  Approved 
Narayana Hrudayalaya Medical Ethics Committee, Bangalore  Approved 
Penta-Med Ethics Committee, Pune  Approved 
Poona Medical Research Foundation  Approved 
Shatabdi Super Specialty Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Locally advanced or metastatic breast cancer or metastatic colorectal cancer,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Capecitabine (Xeloda) Tablets  Dose & Frequency: 500 mg per day Duration: 3 days (D1, D3, D5) Mode of Administration: Oral  
Intervention  Capecitabine Tablets   Dose & Frequency: 500 mg per day Duration: 3 days (D1, D3, D5) Mode of Administration: Oral  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Males or females 18 to 70 years of age.
Patients with Body Mass Index (BMI) between 17 kg/m2 and 30 kg/m2.
Patients with histopathologically/ cytologically confirmed breast cancer or colorectal cancer.
Cancer patients who are already receiving stable twice daily dosing regimen of capecitabine as prescribed by treating physician.
Patients with Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2.
Patients with life expectancy of at least 3 months.
Patients should be non-smokers.
Patients willing to voluntarily provide written informed consent or consent from a Legally Acceptable Representative (LAR), if the patient is not in a condition to give consent.
 
 
ExclusionCriteria 
Details  Patients with inadequate venous access to allow the collection of all samples via venous cannula in the study.
Pregnant (female patients with a positive urine pregnancy test at screening and positive serum pregnancy test before period I of hospitalization) or lactating females.
Patients with the following abnormal laboratory parameters:
a. Serum creatinine more than 2.0 times of upper normal limit
b. Aspartate amino transferase (AST) or alanine amino transferase (ALT) more than 2.5 times of upper normal limit
c. Alkaline phosphatase ≥ 1.5 times of upper normal limit
d. Platelet count les than 100,000/μL.
e. Hemoglobin less than 8.0 g/dL.
f. Absolute Neutrophil Count (ANC) less than 1.5 x 10 to power 9 /L.
Patients with a known hypersensitivity to fluoropyrimidine therapy or known sensitivity to 5- fluorouracil or known Dihydropyrimidine dehydrogenase (DPD) deficiency.
Patients with known brain metastasis and/or pre-existing motor or sensory neurotoxicity of severity ≥2 by National; Cancer Institute Common Terminology Criteria for Adverse Event (NCI CTCAE) criteria.
History or evidence of uncontrolled coagulopathy.
History of hereditary galactose/ glucose/ lactase disorders.
History or evidence of cardiac disease (Myocardial Infarction in last 6 months, unstable angina, heart failure, uncontrolled ventricular arrhythmia, significant pericardial disease).
Patients with a history of alcoholism, found with current alcohol abuse based on Alcohol breath test and/ or drug abuse or who test positive in the urinary screening for drugs of abuse (Amphetamines, Morphine, Benzodiazepines, Marijuana, Cocaine and Barbiturates) except as required as medication for the current medical condition.
Patients diagnosed to be HIV 1 and 2 or Hepatitis B (HBsAg) or Hepatitis C (HCV) virus positive.
Patients having an abnormal serum calcium level at screening visit which as judged by the investigator could lead to safety risk to the patient upon participation in the trial or could interfere with the conduct of the trial.
Patients who have participated in any other clinical investigation using experimental drugs or have bled more than 300 mL in the past 3 months.
Any other condition which the investigator feels would pose a significant hazard to the patient if IP is administered.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Establish the bioequivalence of Test vs Reference in relation to the rate and extent of absorption on the basis of the following pharmacokinetic parameters:
• Cmax
• AUC0—t  



• D1, D3, D5
• D1, D3, D5
 
 
Secondary Outcome  
Outcome  TimePoints 
To monitor adverse events, including laboratory parameters   D1, D3, D5, D6 
To determine other pharmacokinetic parameters of Test and Reference products.
• Tmax
• AUC0-∞
• Kel
• t1/2  
D1, D3, D5
D1, D3, D5
D1, D3, D5
D1, D3, D5 
 
Target Sample Size   Total Sample Size="66"
Sample Size from India="66" 
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)   01/02/2012 
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="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This study is a randomized, open-label, single-dose, two-treatment, three-sequence, three-period, partial replicate, crossover, comparative bioequivalence study. Trial comparing bioequivalence of Xeloda 500 mg and Capacitabine 500 mg in 66 patients of locally advanced or metastatic breast cancer or metastatic colorectal cancer.  
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