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CTRI Number  CTRI/2013/09/004006 [Registered on: 20/09/2013] Trial Registered Prospectively
Last Modified On: 22/11/2018
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Randomized, Crossover Trial 
Public Title of Study   Comparison of two Everolimus 10 mg tablets in the patients with Advanced Renal Cell Carcinoma  
Scientific Title of Study   A multicentre, randomized, open label, two treatment, two period, two-sequence, crossover, multiple dose, steady state bioequivalence study under fasting conditions comparing Everolimus tablets 10 mg (Manufactured by: ROXANE LABORATORIES, INC., Wilson Road, Columbus, Ohio 43228) to the reference listed drug AFINITOR® 10 mg tablets (Manufactured by: Novartis Pharma Stein AG Stein, Switzerland and Distributed by: Novartis Pharmaceuticals Corporation, East Hanover, New Jersey 07936) in patients of Advanced Renal Cell Carcinoma stabilized on Everolimus 10 mg. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
208-13_Version 1 Dated 07/06/2013  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mr Priyajeet Parekh 
Designation  Project Manager 
Affiliation  Lambda Therapeutic Research Ltd 
Address  Plot No. 38, Near Silver Oak Club, S. G. Highway, Gota,

Ahmadabad
GUJARAT
380061
India 
Phone  07940202057  
Fax  07940202022  
Email  priyajeetparekh@lambda-cro.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ankit Ranpura 
Designation  Assistant Manager 
Affiliation  Lambda Therapeutic Research Ltd 
Address  Plot No. 38, Near Silver Oak Club, S. G. Highway, Gota,

Ahmadabad
GUJARAT
380061
India 
Phone  07940202074  
Fax  07940202022  
Email  ankitranpura@lambda-cro.com  
 
Details of Contact Person
Public Query
 
Name  Dr Praveen Shetty 
Designation  Manager 
Affiliation  Lambda Therapeutic Research Ltd 
Address  Plot No.38, Near Silver Oak Club, S. G. Highway, Gota,

Ahmadabad
GUJARAT
380061
India 
Phone  07940202098  
Fax  07940202022  
Email  praveenshetty@lambda-cro.com  
 
Source of Monetary or Material Support  
ROXANE LABORATORIES INC. 
 
Primary Sponsor  
Name  ROXANE LABORATORIES INC 
Address  Wilson Road, Columbus, Ohio- 43228 USA 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 14  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ketan Shukla  Aarogyam Speciality Hospital  SHOM-1, Nr Darpan Sixs Road, Navrangpura, Ahmedabad-380014, Gujarat, India
Ahmadabad
GUJARAT 
9825097767

ketanshukla1968@gmail.com 
Dr Senapati Surendra Nath  Acharya Harilal Regional Cancer Centre  Dept of Radiation Oncology, Medical road, Mangalabag, Cuttack - 753007, Odisha, India
Cuttack
ORISSA 
9437031718

snsenapati2007@gmail.com 
Dr V Satya Suresh Attili  Bibi General Hospital and Cancer centre  16-3-991/1/C, Government printing press road, Malakpet, Hyderabad- 500024, Andhra Pradesh, India.
Hyderabad
ANDHRA PRADESH 
9246243034

sureshattili@yahoo.com 
Dr Smita Gupte  Cancer Clinic & Nursing Home  208, Shreewardhan complex, Wardha road, Ramdapeth and Block 4B, Hyatt Medicare, Plot No.12/2, Dr N.B.Khare Marg, Dhantoli, Nagpur – 440012, Maharastra, India
Nagpur
MAHARASHTRA 
9373107176

smita_gupte@rediffmail.com 
Dr Ajay Mehta  Centre India Cancer Research Institute  11 Shankar Nagar, west High Court Road, Nagpur – 440010, Maharashtra, India
Nagpur
MAHARASHTRA 
9823190192

ajayonco@hotmail.com 
Dr Rajnish Vasant Nagarkar  Curie Manavata Cancer Centre  Opp Mahamarg bus stand, Mumbai Naka, Nashik – 422004, Maharashtra, India.
Nashik
MAHARASHTRA 
9823061929

drraj@manavatacancercentre.com 
Dr Kartar Singh  Green City hospital  Near Dhantoli Police Station, Mehadia square, Nagpur - 440012, Maharashtra, India.
Nagpur
MAHARASHTRA 
9890354174

drkartarsingh@yahoo.co.in 
Dr Minish Jain  KEM Hospital Research Centre  3rd Floor, Day Care Centre, Banoo Koyaji Building, Rasta Peth, Sardar Moodliar Road, Pune – 411011, Maharashtra, India
Pune
MAHARASHTRA 
9823133390

drminishjain@yahoo.co.in 
Dr S P Srivastav  Lions cancer detection centre & Life Research Centre  New Civil Hospital campus, Majuragate, Surat-395004, Gujarat, India.
Surat
GUJARAT 
9824196710

liononco@gmail.com 
Dr Chiramana Haritha  M. S. Patel Cancer Centre, Shree Krishna Hospital & Medical Research Centre  Gokal Nagar, Karamsad - 388325, Gujarat, India
Anand
GUJARAT 
9427042969

ritu80@rediffmail.com 
Dr Kirushna kumar Kosanam Subramanian  Meenakshi Mission Hospital & Research Centre  Lake Area, Melur Road, Madurai-625107, Tamilnadu, India.
Madurai
TAMIL NADU 
9842113003

drkskk@yahoo.com 
Dr Rakesh Neve  Nandadeep Multispeciality Hospital  1195/1, F.C. Road, Shivajinagar, Pune – 411005, Maharashtra, India
Pune
MAHARASHTRA 
9881143140

rakesh.neve@gmail.com 
Dr J K Singh  S S Hospital, Malahi Pakri Chowk  Malahi Pakri Chowk, Doctors Colony, Kankarbagh, Patna-800020, Bihar, India
Patna
BIHAR 
9431021001

drjksingh147@hotmail.com 
Dr Satheesh CT  Sri Venkateshwara Hospital  # 86, Hosur Main Road, Madiwala, Bangalore - 560068, Karnataka, India.
Bangalore
KARNATAKA 
9242698750

drsatheeshct@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 14  
Name of Committee  Approval Status 
Acharya Harilal Regional Cancer Centre Institutional Ethics Committee, Cuttack-Dr. Senapati Surendra Nath  Submittted/Under Review 
Centre India Cancer Research Institute Ethics Committee, Nagpur-Dr. Ajay Mehta  Submittted/Under Review 
Ethics Committee of KEM Hospital Research, Pune-Dr. Minish Jain  Submittted/Under Review 
Human Research Ethics Committee, Karamsad (Dr. Chiramana Haritha)  Approved 
Institutional Ethics Committee, Bibi General Hospital and Cancer centre, Hyderabad (Dr. V. Satya Suresh Attili)  Approved 
Institutional Ethics Committee, Meenakshi Mission Hospital & Research Centre, Madurai-Dr. Kirushna kumar Kosanam Subramanian  Submittted/Under Review 
Institutional Ethics Committee, S S Hospital and Research Centre, Patna-Dr. J. K. Singh  Submittted/Under Review 
Institutional Ethics Committee, Sangini Hospital, Ahmedabad-Dr. Ketan Shukla  Submittted/Under Review 
Manavta Clinical Research Institute Professional Ethics Committee, Nashik-Dr. Rajnish Vasant Nagarkar  Submittted/Under Review 
Nagpur Independent Ethics Committee, Nagpur-Dr. Kartar Singh  Submittted/Under Review 
Nagpur Independent Ethics Committee, Nagpur-Dr. Smita Gupte  Submittted/Under Review 
Nandadeep Hospital Independent Ethics Committee, Pune- Dr. Rakesh Neve  Submittted/Under Review 
South Gujarat Independent Ethics Committee, Surat (Dr. S. P. Srivastav)  Approved 
Sri Venkateshwara Hospital Ethics Committee, Bangalore-Dr. Satheesh C.T  Submittted/Under Review 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C649||Malignant neoplasm of unspecifiedkidney, except renal pelvis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  AFINITOR® 10 mg tablet  10 mg tablets will be administered orally once daily for 14 days 
Intervention  Everolimus 10 mg tablets  10 mg tablets will be administered orally once daily for 14 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  •Patients willing to give written informed consent for participation in the trial.
•Patients must have an ECOG performance status of 0-2.
•Patients with diagnosis of advanced renal cell carcinoma (RCC).
•Patients should be able to comply with study procedures in the opinion of the investigator.
•In the case of female patients, the serum pregnancy test at the screening visit and the urine pregnancy test at Day 1 (before dosing) must be negative.
•Patients willing to avoid use of any recreational drugs/tobacco products/alcohol during the study (from screening to end of the study)
 
 
ExclusionCriteria 
Details  •Known hyper-sensitivity to Everolimus or to other Rapamycin derivatives or any of its excipients.
•Patients with human immunodeficiency virus (HIV) infection.
•A positive hepatitis screen including hepatitis B surface antigen, HCV and HAV antibodies.
•Use of any recreational drugs or history of drug addiction.
•Any other condition or abnormal baseline findings that, in the investigator’s judgement, might increase the risk to the patient or decrease the chance of obtaining satisfactory data
•Patients with a history of difficulty in donating blood or difficulty in accessibility of veins.
•Female patients who are lactating.
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To characterize the pharmacokinetic profile of the sponsor’s test formulation (Everolimus 10 mg tablets) relative to that of the reference formulation AFINITOR® 10 mg tablets (Everolimus 10 mg tablets) in Advanced Renal Cell Carcinoma and to assess bioequivalence at steady state under fasting conditions.  A total of 40 venous PK blood samples will be collected per patient. 
 
Secondary Outcome  
Outcome  TimePoints 
To monitor the safety of the patients exposed to the Investigational Medicinal Products.  NIL 
 
Target Sample Size   Total Sample Size="46"
Sample Size from India="46" 
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)   15/10/2013 
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="10"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Everolimus is an inhibitor of mammalian target of rapamycin (mTOR), a serine-threonine kinase, which ultimately reduces cell proliferation, angiogenesis, and glucose uptake. This study is being conducted to compare & characterize the relative bioavailability & pharmacokinetic profile of the sponsor’s formulation (Everolimus 10 mg tablets) with respect to the reference formulation (AFINITOR® Everolimus 10 mg tablets). This study will be carried out on adult Advanced Renal Cell Carcinoma patients. Treatment may be continued as long as there is no evidence of progressive disease or unacceptable toxicity.

 
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