CTRI Number |
CTRI/2022/01/039171 [Registered on: 05/01/2022] Trial Registered Prospectively |
Last Modified On: |
13/05/2022 |
Post Graduate Thesis |
No |
Type of Trial |
PMS |
Type of Study
|
Drug |
Study Design |
Single Arm Study |
Public Title of Study
|
A study to observe the movement and time required by Mesalamine tablet manufactured by Hetero Healthcare Ltd to reach colon area. |
Scientific Title of Study
|
A clinical study to observe the gastric emptying and colon targeting of Mesalamine Tablets 1200mg (Test product) of Hetero Healthcare Ltd, Hyderabad, India in 6 healthy human adult subjects. |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
HETERO-2021-001, Version No-1, Date 11-Nov-2021 |
Protocol Number |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Kushagra Khanna |
Designation |
Principal Investigator |
Affiliation |
Lloyd Institute of Management & Technology |
Address |
Ground Floor, Room No -2 Research Lab, Department of Pharmacy, 11, Knowledge Park II, Greater Noida Gautam Buddha Nagar UTTAR PRADESH 201306 India |
Phone |
|
Fax |
|
Email |
kforkhanna2010@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Kushagra Khanna |
Designation |
Principal Investigator |
Affiliation |
Lloyd Institute of Management & Technology |
Address |
Ground Floor Research Lab Department of Pharmacy,
Plot No. 11 Knowledge Park II, Greater Noida Gautam Buddha Nagar UTTAR PRADESH 201306 India |
Phone |
|
Fax |
|
Email |
kforkhanna2010@gmail.com |
|
Details of Contact Person Public Query
|
Name |
Ms Shweta Vaidya |
Designation |
Senior Manager – Medical Services, Gastrocare |
Affiliation |
Hetero Healthcare Ltd. |
Address |
Gastrocare Devision, Room No -201, Sy No. 80-84 Melange Towers 4th floor C wing, Patrika Nagar, Madhapur, Hyderabad Hyderabad TELANGANA 500 081 India |
Phone |
|
Fax |
|
Email |
shweta.vaidya@heterohealthcare.com |
|
Source of Monetary or Material Support
|
Hetero Healthcare Ltd
Sy No. 80-84 Melange Towers
4th floor C wing, Patrika Nagar,
Madhapur, Hyderabad – 500 081
|
|
Primary Sponsor
|
Name |
Hetero Healthcare Ltd |
Address |
Sy No. 80-84 Melange Towers 4th floor C wing, Patrika Nagar, Madhapur, Hyderabad - 500 081 |
Type of Sponsor |
Pharmaceutical industry-Indian |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Ravin Sharma |
Ganesh Diagnostic & Imaging Centre Pvt. Ltd |
Room No -11, Second Floor, Department of Nuclear Medicine,
109, Pocket A - 1, Sector - 8, Rohini, New Delhi,
Delhi 110085
North West DELHI |
9212125996
sharmaravin999@yahoo.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Good Society for Ethical Research |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Healthy Human Volunteers |
Mesalamine is used to treat ulcerative colitis |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Intervention |
Mesalamine Tablet 1200mg Tablet |
A single dose of the radiolabelled Mesalamine Tablet 1200mg Tablet will be e administered with 240 mL of drinking water. |
Comparator Agent |
NIL |
NIL |
|
Inclusion Criteria
|
Age From |
19.00 Year(s) |
Age To |
45.00 Year(s) |
Gender |
Both |
Details |
Subject who are able to understand and ready to provide written informed consent.
Subject must be healthy male human beings within 18-45 years of age (both inclusive).
Subject should be having Body Mass Index (BMI) in the range 18.5-30 kg/m2 and weighing at least 50 kg.
Subject must be of normal health as determined by medical history and physical examination, ECG and laboratory tests performed within 21 days prior to the commencement of the study.
Subject whose screening laboratory values are within normal limits or considered by the physician / Principal Investigator to be of no clinical significance. |
|
ExclusionCriteria |
Details |
Subjects must not be enrolled in the study if they meet any one of the following criteria
Subject incapable of understanding the informed consent process or not ready to sign informed consent
Subject with significant history of hypersensitivity to study drug or any ingredients of the formulation or any related products as well as severe hypersensitivity reactions like angioedema to any drugs
Subject with of presence or history of significant gastrointestinal, liver or kidney disease, or any conditions known to interfere with the absorption, distribution, metabolism, or excretion of drugs or known to potentiate or predispose to undesired effects
Subject with active peptic ulceration or a history of peptic ulceration
Subject with resting hypotension Blood Pressure less than 90 by 60 or hypertension, BP more than 139 by 89
Subject with pulse rate below than 50 per min. and above than 99 per min
Subjects with or prior history of clinically significant, Cardiovascular, pulmonary, hepatic, renal, hematological, gastrointestinal, endocrine, immunologic, dermatologic, musculoskeletal, neurological, or psychiatric disease
Investigations with urine samples of subject’s shows clinically abnormal chemical and microscopic examination of urine defined as presence of RBC, WBC, more than 4HPF, Glucose (Positive) or Protein (Positive).
Subjects with a history of MI, Stroke, Peripheral Arterial Disease, GI Bleeding, Hepatic-Impairment, Renal Impairment, Epilepsy, and Intracranial hemorrhage.
Subject has inability to communicate well i.e., language problem, poor mental development, psychiatric illness, or poor cerebral function, that may impair the ability to provide, written as well as audio-video informed consent.
Subject with a history of known food allergy.
Subject who has suffered any illness or who have been hospitalized within the last 4 weeks preceding the start of the study.
Subject who has taken over the counter or prescribed medications, including any enzyme modifying drugs within the last 14 days prior to the study.
Subject with a history of drug abuse or alcoholism i.e., alcohol consumption more than 2 units per day or 10 units per week.
Subject with smoking history of more than 10 Cigarettes per day or Tobacco consumption more than 4 packets per day.
Subject who was participated in any other clinical trial requiring repeated blood sampling or a blood donation program or blood loss of more than 450 ml, in the past three months
Subject with clinically significant abnormal lab values.
Subject with positive Breath Alcohol Analysis before admission
|
|
Method of Generating Random Sequence
|
Not Applicable |
Method of Concealment
|
Not Applicable |
Blinding/Masking
|
Not Applicable |
Primary Outcome
|
Outcome |
TimePoints |
To evaluate the gastric emptying and colon targeting of Mesalamine Tablet 1200mg (through 99mTc based Scintigraphy for GI emptying) |
Within 05
Minutes of dosing, 02.0, 06.0, 08.0, 10.0, 12.0, 20.0 and 24.00 hrs of post dose |
|
Secondary Outcome
|
Outcome |
TimePoints |
To monitor the safety of the subjects |
base line, during the study and end of the study (post 24hrs of drug administration) |
|
Target Sample Size
|
Total Sample Size="6" Sample Size from India="6"
Final Enrollment numbers achieved (Total)= "6"
Final Enrollment numbers achieved (India)="6" |
Phase of Trial
|
N/A |
Date of First Enrollment (India)
|
10/01/2022 |
Date of Study Completion (India) |
19/02/2022 |
Date of First Enrollment (Global) |
Date Missing |
Date of Study Completion (Global) |
Date Missing |
Estimated Duration of Trial
|
Years="0" Months="1" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
Recruitment Status of Trial (India) |
Completed |
Publication Details
|
N/A |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
Brief Summary
|
Objectives:
|
Primary Objective
·
To evaluate the gastric emptying and colon targeting
of Mesalamine Tablet 1200mg (through 99mTc based Scintigraphy for
GI emptying)
Secondary Objective
·
To monitor the safety of the subjects.
|
Study Design:
|
An open label, single arm,
single dose, single-period, single-treatment, single-sequence, oral
Pharmacoscintigraphy based clinical study.
|
Study
population and sample size
|
A sufficient number of
subjects will be enrolled to ensure dosing of 6 healthy adult human subjects.
|
Housing:
|
At least 2 hours prior to
dosing until at least 12 hours post dose
|
Study duration:
|
Considering the minimum washout period, expected
study duration of clinical part is 8 days from the day of check-in of first
period.
|
Test Product:
|
Product
|
Mesalamine Tablet
|
Dosage Form
|
Extended-Release tablet
|
Strength
|
1200 mg
|
Drug Name
|
Mesalazine / Mesalamine
(1200mg)
|
Manufactured
By
|
Hetero
Healthcare Ltd Laboratories Ltd, Mumbai, India
|
|
Radioactive element
|
Technetium Pertechnetate -
99mTcO4
|
Radiation Dose
|
99mTc- labelled - Mesalamine will contain 500- 700 µCi of Technetium
pertechnetate/ Tablet
|
Pre-study Screening
|
Demographic
Data, Medical and Medication histories, General and Systemic Physical
Examination, Hematology, Biochemistry, Serology and Urine Analysis.
|
|
|
Admission and Stay
|
|
Administration of
Investigational products:
|
A single oral dose of the
investigational product (Test product) will be surface labeled with
Technetium -99mTc and will be administered to the subject in a
sitting posture with 240 mL of drinking water at ambient temperature on study
day under supervision of trained study personnel. The clinical staff (dosing
personnel) will ensure that the study subject has swallowed medication by
performing mouth check using torchlight and spatula to assess compliance to
dosing. Investigational products (must
be swallowed whole and must not be chewed, crushed or divided.
|
|
Sequential static imaging- shall be performed at 00.00 (Within 05
Minutes of dosing), 02.0, 06.0, 08.0, 10.0, 12.0, 20.0 and 24.00 hrs post dose for two minutes. Additional images
can be taken as per investigator discretion without discomfort to subject.
For post dose Gamma Imaging will be performed with a window period of ± 05
Minutes.
|
Food and fluid
restrictions:
|
Water will be restricted
from at least 01 hour prior to dosing until at least 01-hour post-dose, (except
for water given with dosing).
Subjects should not
consume alcohol and smoke 48 hours before drug administration and throughout
study period. Subject should not consume grapefruit containing products for
48 hours before the drug administration and throughout the study.
|
Posture restrictions:
|
Subject will remain in
semi recumbent position on bed for initial 08 hours post-dose and only
necessary movement will be allowed during this period. Thereafter subjects
will be allowed to ambulate freely during the remainder of the study.
|
Collection of
blood samples:
|
In this study, total 2 (10X
2 ml each) blood samples will be collected for Screening Sample and Post
study safety sample.
The pre-dose blood sample
for screening shall be taken within 120 minutes prior to dosing.
|
|
Blood volume up
to 10 ml and urine volume of up to 25 ml for additional or repeat clinical
laboratory tests will be taken if necessary.
|
Handling of
blood samples:
|
After collection, the blood
samples will be placed in an ice bath or other chilling device until
centrifugation. Blood samples will be placed in a refrigerated centrifuge
within 45 minutes of blood sample collection.
|
Safety
Assessment:
|
Vital
signs:
·
Sitting blood pressure, pulse rate and body
temperature will be measured at the time of check-in and prior to check-out.
Subjects must have vital signs clinically acceptable prior to check-in to
study.
·
Sitting blood pressure, pulse rate and body
temperature will be measured prior to dosing and during the study.
·
Sitting/supine blood pressure and pulse rate will be
measured at 6.0, & 12.0 hours (± 30 minutes) post dose and as needed in
study.
·
Sitting blood pressure, pulse rate and body
temperature will be measured at 12.0 hours (± 30 minutes) post dose in study.
Subject having
sitting systolic blood pressure less than 100 mmHg or sitting diastolic blood
pressure less than 60 mmHg during pre-dose will not be dosed.
Clinical
examination: At the time of
check-in and prior to check-out in study and during the study.
Well Being assessment:
Subjects will be
advised to report any AE and will be specifically asked by trained study
personnel in a non-leading manner about any AE at the time of clinical
examinations, during vital signs recording, at about 6.0, & 12.0 hours post dose and as needed and
during study. Necessary treatment of an AE will be performed by the Investigator
or physician and recorded.
All dosed study subjects
will be assessed for clinical examination including vital sign (sitting blood
pressure, pulse rate and body temperature) and laboratory tests at the end of
the study or as applicable
|
|
Parameters mentioned below will be evaluated
by imaging captured by Gamma camera (99mTc based Scintigraphy)-
·
Location of radiolabeled investigation
product in GIT at different time interval
·
Gastric residence time
·
Intestinal arrival time
·
Colon arrival time
·
Colon residence time
|
Statistical
Analysis:
|
Statistical analysis will
be performed on the observed parameters using suitable statistical software.
|
|