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CTRI Number  CTRI/2022/03/040997 [Registered on: 10/03/2022] Trial Registered Prospectively
Last Modified On: 01/07/2023
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Randomized, Crossover Trial 
Public Title of Study   Bioavailability study of Zolpidem Tartrate Sublingual Solution 
Scientific Title of Study   A randomized, open-label, two-treatment, two-period, two-sequence, single-dose, crossover, comparative bioavailability study of Zolpidem Tartrate Sublingual Solution 3.85% (a dose of two sprays equivalent to 10 mg) of Troikaa Pharmaceuticals Ltd., India with Zolfresh (Zolpidem Tartrate tablets) 10 mg of Abbott India Limited, India in healthy, adult subjects under fasting conditions 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
21-VIN-0158, Version 01, 04 Aug 2021  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Darshan Kharadi  
Designation  Principal Investigator  
Affiliation  Veeda Clinical Research Ltd  
Address  Veeda Clinical Research Pvt. Ltd. Shivalik Plaza Near I.I.M. Ambawadi Ahmedabad – 380015 Gujarat India

Ahmadabad
GUJARAT
380015
India 
Phone  079-67773000   
Fax  079-67773000   
Email  darshan.kharadi@veedacr.com  
 
Details of Contact Person
Scientific Query
 
Name  Mr Vivek Kumar Agarwal 
Designation  General Manager 
Affiliation  TroikaaPharmaceuticals Ltd.  
Address  Troikaa Pharmaceuticals Ltd. Commerce House-I Satya Marg Bodakdev Ahmedabad -380054 Gujarat India

Ahmadabad
GUJARAT
380054
India 
Phone  7926856242   
Fax    
Email  vivekagarwal@troikaapharma.com  
 
Details of Contact Person
Public Query
 
Name  Mr Vivek Kumar Agarwal 
Designation  General Manager 
Affiliation  TroikaaPharmaceuticals Ltd.  
Address  Troikaa Pharmaceuticals Ltd. Commerce House-I Satya Marg Bodakdev Ahmedabad -380054 Gujarat India

Ahmadabad
GUJARAT
380054
India 
Phone  7926856242   
Fax    
Email  vivekagarwal@troikaapharma.com  
 
Source of Monetary or Material Support  
Troikaa Pharmaceuticals Ltd. Commerce House-I Satya Marg Bodakdev Ahmedabad-380054 Gujarat India  
 
Primary Sponsor  
Name  Troikaa Pharmaceuticals Ltd 
Address  Commerce House-I Satya Marg Bodakdev Ahmedabad-380054 Gujarat India  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Darshan Kharadi   Veeda Clinical Research Ltd.  2/A Shivalik Plaza, Dr Vikram Sarabhai Marg, near IIM, Panjara Pol, Ambawadi 380015
Ahmadabad
GUJARAT 
07967773000
07930013010
darshan.kharadi@veedacr.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Anveshhan Independent Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Zolfresh (Zolpidem Tartrate tablets) 10 mg of Abbott India Limited, India  Zolfresh 10 mg (Zolpidem Tartrate 10 mg tablets) Dosage: 1 tablet of 10 mg to be administtered orally with 240 ml water 
Intervention  Zolpidem Sublingual Spray 3.85% of Troikaa Pharmaceuticals Ltd., India  Zolpidem Sublingual Spray 3.85% Dosage: Two sprays equivalent to 10 mg Zolpidem Tartrate to be administered under the tongue  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  1.Healthy human subjects aged between 18 and 45 years (both inclusive).
2.Subjects weight within clinically acceptable normal range according to normal values for Body Mass Index (18.50 to 30.00 kg/m2 (both inclusive)) with minimum of 50 kg weight.
3.Subjects with normal health as determined by personal medical history, clinical examination and laboratory examinations within the clinically acceptable reference range.
4.Non-smoker and non-alcoholics.
5.Subjects having clinically acceptable 12-lead electrocardiogram (ECG).
6. Subjects having clinically acceptable chest X-Ray (PA view), if taken.
7.Subjects having negative urine screen for drugs of abuse (including amphetamines, barbiturates, benzodiazepines, marijuana, cocaine, and
morphine).
8.Subjects having negative Urine Alcohol /alcohol breath test.
9.Subjects willing to adhere to the protocol requirements and to provide written
informed consent.
10. For Male Subjects: Subjects willing to follow approved birth control methods (a double barrier method) for the duration of the study until 6 months after the last dose of the study medication as judged by the investigator(s), such as Condom
with spermicide, Condom with diaphragm, or abstinence. Subjects should also not donate sperm and blood during this time.
11.Subject having negative Urine Pregnancy test at screening and negative Serum β-hCG pregnancy test on admission day of Period 01 (only for female subjects).
12. For Female Subjects:
- Female of child bearing potential practicing an acceptable method of birth control for the duration of the study as judged by the investigator(s), such as intrauterine device (IUD), abstinence or double barrier contraception, i.e., condom + diaphragm, condom + spermicidal or foam.
- Postmenopausal for at least 1 year, or if less than 1 year, then following acceptable contraceptive measures as mentioned above
- Surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy has been performed on the subject) 
 
ExclusionCriteria 
Details  1. Hypersensitivity to Zolpidem or related class of drugs or any of its excipients or heparin.
2. History or presence of significant cardiovascular, pulmonary, hepatic, renal, gastrointestinal, endocrine, immunological, psychiatric, urogenital, dermatological or neurological disease or disorder.
3. Any treatment which could bring about induction or inhibition of hepatic microsomal enzyme system within 01 month prior to dosing in Period 01.
4. History or presence of alcoholism or drug abuse
5. History or presence of smoking.
6. History or presence of asthma, urticaria or other significant allergic reactions.
7. History or presence of significant gastric and/or duodenal ulceration.
8. History or presence of significant thyroid disease, adrenal dysfunction, organic intracranial lesion such as pituitary tumor.
9. History or presence of cancer or basal or squamous cell carcinoma.
10. Difficulty with donating blood.
11. Difficulty in swallowing solids like tablets or liquid spray like sublingual solution.
12. Use of any prescribed medications and OTC medication Including vaccines, herbal drugs and vitamins within 30 days prior to admission in Period 01.
13. Major illness within past 03 months.
14. Volunteer who have donated blood (1 unit) or participation in a drug research study within past 90 days prior to the first dose of the study drug.
15. Consumption of grapefruit or grapefruit juice within 72.00 hours prior to dosing in period 01 and xanthine-containing products, tobacco containing products or alcohol or alcohol containing products for within 48.00 hours prior to admission in period 01.
16. Volunteer who have been on an abnormal diet (for whatever reason) during the four weeks preceding the study.
17. Positive screening test for any one or more: HIV, Hepatitis B and Hepatitis C.
18. History or presence of significant easy bruising or bleeding.
19. History or presence of Impotence, Altered (decreased) libido, Ejaculation disorders
20. History or presence of significant recent trauma.
21. Female Subjects who are lactating
22. Subjects who have family planning to have his own child during 06 months after the last dose of the study drug. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
The Plasma concentrations of Zolpidem will be measured using validated LC-MS/MS bioanalytical method
Primary variables
Cmax
AUC0-t
AUC0-inf  
Pre-dose, 2 min, 5 min, 10 min, 20 min, 30 min, 45 min and 1, 1.25, 1.5, 1.75, 2, 2.33, 2.67, 3, 3.5, 4, 5, 6, 8, 10, 12 and 16 hours 
 
Secondary Outcome  
Outcome  TimePoints 
The Plasma concentrations of Zolpidem will be measured using validated LC-MS/MS
Secondary Variables
Tmax,
AUC_%Extrap_obs,
t1/2 and
Kel.

PD paramenters through Digit Symbol Substitution Test
(DSST)  
PK: Pre-dose, 2 min, 5 min, 10 min, 20 min, 30 min, 45 min and 1, 1.25, 1.5, 1.75, 2, 2.33, 2.67, 3, 3.5, 4, 5, 6, 8, 10, 12 and 16 hours

DSST: Pre dose and 6 min, 13 min, 21 min, 31 min, 40 min, 62 min after dosing ± 5 minutes of the scheduled time in each period 
 
Target Sample Size   Total Sample Size="36"
Sample Size from India="36" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   01/04/2022 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [vivekagarwal@troikaapharma.com].

  6. For how long will this data be available start date provided 23-02-2022 and end date provided 23-02-2026?
    Response (Others) - 

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

Zolpidem is one of the most popular hypnotic drugs used to treat insomnia. The drug has proved to be a suitable and well-tolerated drug, especially with regard to efficacy in sleep initiation. In India, there is no approved sublingual formulation of Zolpidem available for the treatment of insomnia. Based on this fact, M/s Troikaa Pharmaceuticals Ltd. proposed to develop a new dosage form i.e. Sublingual Spray of Zolpidem

This bioavailability study is planned to demonstrate comparative bioavailability, safety and tolerability of Zolpidem Tartrate Sublingual Solution 3.85% (a dose of two sprays equivalent to 10 mg) of Troikaa Pharmaceuticals Ltd., India with Zolfresh (Zolpidem Tartrate tablets) 10 mg of Abbott India Limited, India in healthy, adult subjects under fasting conditions.

 
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