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CTRI Number  CTRI/2020/09/028155 [Registered on: 30/09/2020] Trial Registered Prospectively
Last Modified On: 15/03/2023
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Randomized, Crossover Trial 
Public Title of Study   A study to compare two forms/formulations of Paclitaxel Injectable Suspension in metastatic Breast cancer patients 
Scientific Title of Study   A randomized, multicenter, single dose, two-treatment, two-period, crossover, bioequivalence study of Mylan’s Paclitaxel protein bound particles for Injectable Suspension (albumin-bound) and Abraxis Bioscience’s Abraxane® for Injectable Suspension in 110 breast cancer patients after failure of combination chemotherapy for metastatic disease or relapse within 6 months of adjuvant chemotherapy 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
PACL-1-19101 Version 4.0 Dated 20 Dec 2021  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Jayashri Krishnan 
Designation  Director – Operations 
Affiliation  JSS Medical Research Asia Pacific Private Limited 
Address  Tower 2, 1st Floor, South Wing, L & T Business Park, Plot no 12/4, Sector 27 D, Delhi Mathura Road, Near Sarai Khwaja Metro Station, Faridabad -121003, Haryana, India

Faridabad
HARYANA
121003
India 
Phone  09771407484  
Fax  911296613520  
Email  jayashri.krishnan@jssresearch.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Hemasundara Rao Dumpala 
Designation  Deputy General Manager Medical Monitoring and Safety 
Affiliation  JSS Medical Research Asia Pacific Private Limited 
Address  Tower 2, 1st Floor, South Wing, L & T Business Park, Plot no 12/4, Sector 27 D, Delhi Mathura Road, Near Sarai Khwaja Metro Station, Faridabad -121003, Haryana, India

Faridabad
HARYANA
121003
India 
Phone  8125991858  
Fax    
Email  Hemasundara.dumpala@jssresearch.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Jayashri Krishnan 
Designation  Director – Operations 
Affiliation  JSS Medical Research Asia Pacific Private Limited 
Address  Tower 2, 1st Floor, South Wing, L&T Business Park, Plot no 12/4, Sector 27 D, Delhi Mathura Road, Near Sarai Khwaja Metro Station, Faridabad -121003, Haryana, India

Faridabad
HARYANA
121003
India 
Phone  09771407484  
Fax  911296613520  
Email  jayashri.krishnan@jssresearch.com  
 
Source of Monetary or Material Support  
Mylan Laboratories Limited, India  
 
Primary Sponsor  
Name  Mylan Laboratories Limited 
Address  9th Floor, Prestige Tech Park II, VarthurHobli, Outer Ring Road, Kadubesanahalli, Bengaluru-580087, India  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
None  None 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 17  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Saju S V  Meenakshi Mission Hospital &Research Centre  Lake Area, Melur Road, Madurai- 625107, Tamil Nadu, India
Madurai
TAMIL NADU 
918891810070

drsajusv@gmail.com 
Dr Rajender Singh Arora  Sujan Surgical Cancer Hospital & Amravati Cancer Foundation  Sujan Surgical Cancer Hospital & Amravati Cancer Foundation. 52B, Shankar Nagar, Main Road, Amravati - 444605
Amravati
MAHARASHTRA 
9823097573

dr_rsarora@rediffmail.com 
Dr Chetan Deshmukh  Deenanath Mangeshkar Hospital & Research Centre  Off Karve Road, Erandawne, Pune -411004, Maharashtra, India.
Pune
MAHARASHTRA 
9850811449

drchetandeshmukh@gmail.com 
Dr Mohd Athar  Dept of Surgery, GSVM Medical College  Dept of Surgery, GSVM Medical College, Swaroop Nagar, Kanpur-208002
Kanpur Nagar
UTTAR PRADESH 
9839313534

Atharonco90@gmail.com 
Dr K Velavan   Erode Cancer Hospital  Erode Cancer Hospital. 1/393 Velavan Nagar Perundurai Road, Thindal, Erode - 638012
Erode
TAMIL NADU 
9842334222

kvels@rediffmail.com 
Dr Rohit Dominic Rebello  GBH Cancer Memorial Hospital  GBH Cancer Memorial Hospital.American International Institute of Medical Sciences, Udaipur- 313001
Udaipur
RAJASTHAN 
7046041170

rebello.oncology@gmail.com 
Dr Aditya Adhav  HCG Manavata Cancer Centre  Behind Shivang Auto,Mumbai Naka, Nasik, 422002,India
Nashik
MAHARASHTRA 
9860376209

draditya@mcrinasik.com 
Dr Ajay Mehta  HCG NCHRI Cancer Hospital  HCG NCHRI cancer Hospital, Kalamna Ring Road, Near Automotive square Nagpur-440026, India
Nagpur
MAHARASHTRA 
9823190192

drajay.mehta@hcgel.com 
Dr Pramod Patil   Kailash Cancer Hospital and Research Center  Muni Seva Ashram, Goraj-391760. Waghodia, Vadodara, Gujarat, India
Vadodara
GUJARAT 
9427787080

patil.pramod@greenashram.org 
Dr Mahesh Kalloli  KLE Dr. Prabhakar Kore Hospital and MRC  Nehru Nagar Belagavi – 590010, Karnataka, India
Belgaum
KARNATAKA 
919945014996

mahesh.kalloli@gmail.com 
Dr Nilesh Dhamne  Kolhapur Cancer Centre  R.S. 238, opp. Mayur petrol pump, Gokul Shirgaon, Kolhapur - 416234, Maharashtra, India.
Kolhapur
MAHARASHTRA 
7738245698

dr.nilesh.gmc@gmail.com 
Dr Smita Gupte   Meditrina Institute of Medical Science  278, Central Bazar Road, Ramdaspeth, Nagpur-440010, Maharashtra, India.
Nagpur
MAHARASHTRA 
9373107176

smitagupte@gmail.com 
Dr Minish Jain  Noble Hospital  Noble Hospital Pvt. Ltd. Magarpatta City Road, Hadapsar, Pune - 411013
Pune
MAHARASHTRA 
9823133390

minishjain009@gmail.com 
Dr Pandidurai M  Royepettah Govt. Hospital  1, West Cott Road, Royapettah, Chennai-600014, Tamilnadu, India.
Chennai
TAMIL NADU 
8248461542

Pandi19@gmail.com 
Dr Ghanashyam Biswas   Sparsh Hospital & Critical Care (P) Ltd  A/ 407, Saheed Nagar, Bhubaneswar, Odisha- 751007, India
Cuttack
ORISSA 
919937500878

drgbiswas@gmail.com 
Dr Rakesh Suresh Neve  Sterling Multispeciality Hospital   P.D.E.A.’S Ayurved Rugnalay and Sterling Multispeciality Hospital, Sector no-27,Near Bhel Chowk,Nigdi Pradhikaran, Pune- 410044
Pune
MAHARASHTRA 
9881143140

rakesh.neve@gmail.com 
Dr Tanveer M Maksud  Unique Hospital multispecialty and research  Opp Kiran Motor, Nr. Canal,Civil Hospital Char rasta - Sosyo Circle lane, Off Ring Road, Surat-395002 Gujarat, India
Surat
GUJARAT 
919909918887

tanveermaksud@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 17  
Name of Committee  Approval Status 
Amravati Ethics Committee, Sujan Surgical Cancer Hospital & Amravati Cancer Foundation, Amravati  Approved 
Ethics Committee GBH Memorial Cancer Hospital, Rajasthan  Approved 
Ethics Committee, GSVM Medical College, Kanpur, Uttar Pradesh  Approved 
Ethics Committee, Unique Hospital multispecialty and research  Approved 
IEC HCG Manavata Cancer Centre, Nasik, Maharshtra  Approved 
IEC HCG NCHRI , Nagpur  Approved 
IEC Sterling Multi Specialty Hospital, Pune  Approved 
Institutional Ethics Committee , KLE University  Approved 
Institutional Ethics Committee , Meenakshi Mission Hospital and Research Centre  Approved 
Institutional Ethics Committee Deenanath Mangeshkar Hospital & Research Centre  Approved 
Institutional Ethics Committee, Erode Cancer Centre, Erode  Approved 
Institutional Ethics Committee, Royepettah Govt. Hospital  Approved 
Institutional Ethics Committee, Sparsh Hospital and Critical Care Private Limited  Approved 
kailash Cancer Hospital and Research Centre ,Institutional Ethics Committee  Approved 
Kolhapur Cancer Centre Institutional Ethics Committee.  Approved 
Meditrina Institute Ethics Committee  Approved 
Noble Hospital Institutional Ethics Committee, Maharashtra  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C50||Malignant neoplasm of breast,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Abraxane® 100 mg/vial (Albumin bound Paclitaxel) intravenous infusion  Paclitaxel protein-bound particles for injectable suspension (albumin-bound) 100 mg/vial Dose- 260 mg/m2 Frequency: 3 weeks cycles (21 days) between two successive dosing periods. Mode of Administration: IV  
Intervention  Paclitaxel protein-bound particles for injectable suspension (albumin-bound) 100 mg/vial  Mylan’s Paclitaxel protein-bound particles for injectable suspension (albumin-bound) 100 mg/vial Dose- 260 mg/m2 Frequency: 3 weeks cycles (21 days) between two successive dosing periods. Mode of Administration: IV  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Has histological or cytological confirmed metastatic breast cancer after failure of combination chemotherapy for metastatic disease or has had a relapse within 6months of adjuvant chemotherapy (Prior therapy should have included anthracycline unless clinically contraindicated)
2. Male and/or non-pregnant, non-lactating females aged 18 years or older but less than 70 years (both inclusive)
3. ECOG performance status of less or equal 2
4. Adequate hemopoietic, renal and liver function.
5. Patients receiving stable concomitant medications are allowed to participate
6. Treated and stable brain metastases
 
 
ExclusionCriteria 
Details  1. Social Habits (for example) ingestion of alcoholic beverages, caffeine- or xanthine-containing food or beverage.
2. Use of any food (e.g. broccoli, Brussels sprouts, char-grilled meat, star fruit) known to induce or inhibit hepatic enzyme activity must be limited to no more than 2 standard servings.
3. History of any significant cardiovascular, hepatic, renal, pulmonary, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, psychological, genitourinary, musculoskeletal disease or malignancies except the disease/metastasis under study unless deemed not clinically significant by the Investigator
4. Patients who require a dose reduction to below 260 mg/m2.
5. Received chemotherapy and/ or radiotherapy within the past 30 days of first IMP
administration or has not recovered from the side effects of previous therapy or has less than 5 washout periods from previous therapy. The toxicities should not
be more than grade 1 at the time of dosing.
6. History of significant uncontrolled cardiac disease (i.e. unstable angina, recent
myocardial infarction within prior 6 months), patients classified as having a New
York Heart Association (NYHA) class III or IV congestive heart failure.
7. Known, existing uncontrolled coagulopathy.
8. Patients with another primary malignancy except if the other primary malignancy
is neither currently clinically significant or requiring active intervention.

 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Comparison of various pharmacokinetic parameters derived from the plasma concentration-time curves (e.g. AUCL, AUCINF and Cmax) of unbound and total Paclitaxel
 
Blood samples will be collected at various timepoints from day 1 to day 5 in both periods  
 
Secondary Outcome  
Outcome  TimePoints 
Not applicable  Not applicable 
 
Target Sample Size
Modification(s)  
Total Sample Size="111"
Sample Size from India="111" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="111" 
Phase of Trial   N/A 
Date of First Enrollment (India)
Modification(s)  
17/02/2021 
Date of Study Completion (India) 30/08/2022 
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   Not applicable 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  

A bioequivalence study with Paclitaxel injection in Metastatic breast cancer patients with the following objective:

To investigate the bioequivalence of Mylan’s Paclitaxel protein bound particles for injectable suspension to Abraxane® following a single, intravenous injection of 260 mg/m2 (1 × 100 mg) administered in breast cancer patients after failure of combination chemotherapy for metastatic disease or relapse within 6 months of adjuvant chemotherapy.


 
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