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CTRI Number  CTRI/2014/06/004689 [Registered on: 20/06/2014] Trial Registered Retrospectively
Last Modified On: 18/06/2014
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Randomized, Crossover Trial 
Public Title of Study   A Randomized, Open Label, Two Treatments, Two Periods, Two Sequences, Single Dose, Crossover, Bioequivalence Study of Doxorubicin Hydrochloride Liposome Injection 2 mg/ml (50mg/m2 dose) in patients with Ovarian Cancer 
Scientific Title of Study   A Randomized, Open Label, Two Treatments, Two Periods, Two Sequences, Single Dose, Crossover, Bioequivalence Study of Doxorubicin Hydrochloride Liposome Injection 2 mg/ml (50mg/m2 dose) of LC-101, Lipocure Ltd (Investigational Product) and Lipodox (Doxorubicin Hydrochloride Liposome Injection), of Sun Pharmaceutical Industries Ltd. (Reference Drug), in patients with Ovarian Cancer 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
LC-101-01 Version 1.0 dated 29/10/12  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Kasthuri P K 
Designation  Clinical Project Coordinator 
Affiliation  Quest Life Sciences Pvt. Limited 
Address  Quest Life Sciences Pvt. Limited, SDF III, MEPZ, Tambaram, Chennai
Quest Life Sciences Pvt. Limited, SDF III, MEPZ, Tambaram, Chennai
Chennai
TAMIL NADU
600045
India 
Phone    
Fax    
Email  kasthuri@questlifesciences.com  
 
Details of Contact Person
Scientific Query
 
Name  Kasthuri P K 
Designation  Clinical Project Coordinator 
Affiliation  Quest Life Sciences Pvt. Limited 
Address  Quest Life Sciences Pvt. Limited, SDF III, MEPZ, Tambaram, Chennai
Quest Life Sciences Pvt. Limited, SDF III, MEPZ, Tambaram, Chennai
Chennai
TAMIL NADU
600045
India 
Phone    
Fax    
Email  kasthuri@questlifesciences.com  
 
Details of Contact Person
Public Query
 
Name  Kasthuri P K 
Designation  Clinical Project Coordinator 
Affiliation  Quest Life Sciences Pvt. Limited 
Address  Quest Life Sciences Pvt. Limited, SDF III, MEPZ, Tambaram, Chennai
Quest Life Sciences Pvt. Limited, SDF III, MEPZ, Tambaram, Chennai
Chennai
TAMIL NADU
600045
India 
Phone    
Fax    
Email  kasthuri@questlifesciences.com  
 
Source of Monetary or Material Support  
Doxocure Ltd, Hadassah Ein Kerem Campus, Biotechnology Park, POB 12133 Jerusalem, 91120, Israel 
 
Primary Sponsor  
Name  Chaya Mazouz 
Address  Doxocure Ltd, Hadassah Ein Kerem Campus, Minrav Building, Biotechnology Park POB 12235, Jerusalem 91120, Israel 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 4  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Balashankar  Axon Hospitals  Clinical Research Division, 8-3-215, 3rd Floor, Srinivasa Nagar Colony (West), S.R. Nagar, Ameerpet Main Road, Opp. ICICI Bank
Hyderabad
ANDHRA PRADESH 
9440167173

sankarrmc2004@yahoo.co.in 
Dr Velavan  Erode Cancer Centre  CR Division, 1st Floor, Velavan Nagar, Perundurai Road, Thindal, Erode
Erode
TAMIL NADU 
9842334222

kvels@rediffmail.com 
Dr KNSrinivas  G Viswanathan Speciality Hospitals  27, Babu Road, 3rd Floor,
Tiruchirappalli
TAMIL NADU 
9443337230

kns68@yahoo.com 
DrRamakrishna  MNJ Institute of Oncology & Regional Cancer Centre  GAIL Room, 3rd Floor, Red Hills, Lakdikapool
Hyderabad
ANDHRA PRADESH 
9849030979

rkmalladi@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 4  
Name of Committee  Approval Status 
Axon Institutional Ethics Committee  Approved 
Hospital Ethics Committee  Approved 
Institutional Ethics Committee Erode Cancer Centre  Approved 
MNJIO AND RCC Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Ovarian Cancer,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  LC-101  DOXORUBICIN HYDROCHLORIDE LIPOSOME INJECTION, 2mg/mL (50mg/M2 DOSE), administered by Intravenous Infusion through an Infusion Pump. Frequency - Single, at-least 28 days between each drug administration. The total duration of the therapy will be for 28 days. 
Comparator Agent  LIPODOX  DOXORUBICIN HYDROCHLORIDE LIPOSOME INJECTION, 2mg/mL (50mg/M2 DOSE), administered by Intravenous Infusion through an Infusion Pump. Frequency - Single, at-least 28 days between each drug administration. The total duration of the therapy will be for 28 days. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Female 
Details  1. Adult female subjects between 18 to 75 years of age at the time of screening visit.

2. Availability of subject for the entire study period and willingness to adhere to protocol requirements.

3. Patients with documented diagnosis of Ovarian Cancer whose disease has progressed or recurred after platinum-based chemotherapy.

4. Subjects eligible for receiving a dose of 50mg/m2 of Doxorubicin liposome (preferably on no other concomitant medication, however, if considered necessary, to be documented and given).

5. Patients with Performance ≤ 2 on the ECOG performance scale.

6. Subjects whose screening laboratory values are within normal limits or considered by the clinical Investigator/Co-Investigator to be of no clinical significance.

7. Signed written informed consent
 
 
ExclusionCriteria 
Details  1. History or presence of significant:

a. Allergy or Significant history of hypersensitivity or idiosyncratic reactions to Doxorubicin Hydrochloride and/or any related compounds etc.
b. Clinically significant cardiovascular, pulmonary, hepatic, renal, gastrointestinal, endocrine, immunologic, dermatologic, musculoskeletal, neurological or psychiatric disease.
c. Alcohol dependence, alcohol abuse or drug abuse or addiction with any recreational drug within past one year.
d. Active opportunistic infection with mycobacteria, cytomegalovirus, toxoplasma, p. carinii or other microorganism
e. Clinically significant illness (except ovarian cancer)within four (4) weeks before the start of the study
f. Positive result to HIV.

g. Use of enzyme-modifying drugs (like Phenytoin, Carbamazepine, Barbiturates, Gresiofulvine etc.) in the previous 30 days before day 1 of this study and during the study.

2. Subjects who have:

h. Systolic blood pressure less than 90 mmHg or more than 160 mmHg

i. Diastolic blood pressure less than 60 mmHg or more than 95 mmHg

j. Pulse rate below 60/min. or above 100/min

3. Subject under treatment of myelotoxic drugs

4. Subject is currently enrolled in, or has not yet completed a period of at least 30 days since ending other investigational device or drug trial(s)
5. Subjects who are legally detained in an official institute
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the safety of subjects participating in the study and to assess the bioequivalence of LC-101 in comparison to LipoDox®, in patients with ovarian cancer.  Predose 5 ml each
0.00
0.25
0.50
0.75
1.00
1.083
1.250
1.50
2.00
4.00
6.00
9.00
25.00
49.00
97.00
169.00
241.00
337.00
504.00
672.00 
 
Secondary Outcome  
Outcome  TimePoints 
Primary Analytes following 28 Days post treatment

Free doxorubicin

Liposome encapsulated doxorubicin

Secondary Analytes following 28 Days post treatment

Doxorubicinol, a metabolite of doxorubicin

All samples will be measured in plasma using validated LC/MS/MS methods
 
Not applicable 
 
Target Sample Size   Total Sample Size="24"
Sample Size from India="24" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   N/A 
Date of First Enrollment (India)   16/03/2013 
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="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This will be a randomized, multi center, open label, two treatments, two periods, two sequences, single dose, crossover, bioequivalence study of Doxorubicin Hydrochloride Liposome injection, 2 mg/mL (50 mg/m2 dose). Subjects will be treated first with a single dose of the RLD (approved liposomal Doxorubicin Hydrochloride) or suggested generic formulation. Following 30+2 days after first treatment the same subject will be treated with the suggested generic formulation or RLD, respectively.

 

The study will comprise:

 

1.      Screening period of up to 30 days

 

2.      First treatment with RLD or generic formulation

 

3.      PK Blood sampling through Day 28

 

4.      Second treatment with RLD or generic formulation on Day 30+2 days

 

5.      PK Blood sampling through Day 56 and termination visit (28 days post second treatment)

A sufficient number of patients with ovarian cancer shall be recruited in order to complete the study with at least 24 patients. 
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