CTRI/2023/08/056038 [Registered on: 02/08/2023] Trial Registered Prospectively
Last Modified On:
29/04/2024
Post Graduate Thesis
No
Type of Trial
BA/BE
Type of Study
Study Design
Randomized, Parallel Group Trial
Public Title of Study
The is a study which is Multicentric, Parallel Arm Bioequivalence Study of Ferric Carboxymaltose Intravenous Injection (750 mg Iron/15 mL) of Dr. Reddy’s Laboratories Ltd, India, with that of Injectafer® of American Regent Inc USA Under Fasting Condition in Adult Patients.
Scientific Title of Study
A Multicentre, Open Label, Randomized, Single-Dose, Two-Treatment, Parallel Arm Bioequivalence Study of Ferric Carboxymaltose Intravenous Injection (750 mg Iron/15 mL) of Dr. Reddy’s Laboratories Ltd, India, with that of Injectafer®
[Ferric Carboxymaltose Injection (750 mg Iron/15 mL)] of American Regent Inc USA under Fasting Condition in Adult Patients with Iron Deficiency Anaemia, for whom Oral Iron Supplementation Alone was Not Adequate or is Not Appropriate.
Trial Acronym
NA
Secondary IDs if Any
Secondary ID
Identifier
0228-23,Version No.1.0,Date: 14-June-2023
Protocol Number
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Name
Prashant Modi
Designation
Asst. Vice President
Affiliation
Lambda Therapeutic Research Ltd
Address
Lambda House, Department of Project Management & Regulatory
Affairs, Plot No. 38, Survey No. 388 Near Silver Oak Club, S. G.
Highway, Gota
Dosage form Single dose vial for injection,Frequency:Two doses separated by at least
12 days (after completion of last PK sampling,Route of administration: Intravenous injection
Comparator Agent
Ferric carboxymaltose Injectafer®
Dosage form Single dose vial for injection,Frequency:Two doses separated by at least 12 days (after completion of last PK sampling,Route of administration: Intravenous injection
Inclusion Criteria
Age From
18.00 Year(s)
Age To
65.00 Year(s)
Gender
Both
Details
Patients must satisfy all of the following criteria to be included in the study 1. Willing to provide written informed consent indicating that they understand the study requirements and are willing to participate in the study.2. Male and female patients aged between 18 and 65 years (including both).3. Adult patients with iron deficiency anemia, for whom oral supplementation alone was not adequate or is not appropriate in the opinion of the Investigator.4. Patient’s weight within clinically acceptable normal range with minimum of 50 kg body weight at screening visit.5. Haemoglobin value ranging between more than 7 and less than 12 g/dL at screening.6. Ferritin less than or equal to 100 ng/mL or Ferritin less than or equal to 300 ng/mL when TSAT is less than or equal to 30% at screening 7. For Female Patients:• Female patients of childbearing potential must have negative Serum B-hCG (pregnancy test) at screening and Urine Pregnancy test on Day 0 as well as be willing to use a reliable means of contraception (other than hormonal contraceptives) e.g., barrier method (diaphragm, condom, etc.) or abstinence for the duration of the study or • Surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy has been performed on the patient) or • Postmenopausal for at least one year based from the last menstrual date.
ExclusionCriteria
Details
Patients with any of the following criteria will be disqualified from entering the study:
1. Ongoing pregnancy or lactation for females
2. Known hypersensitivity to IMP, excipients, or other iron product
3. History of:
• Anaemia not caused by iron deficiency (e.g., aplastic, megaloblastic or haemolytic anaemia, sideroblastic anaemia) or related to acute or ongoing, haemoglobinopathies, rheumatic and other chronic diseases like CKD, autoimmune diseases, malignancies, bone marrow diseases, enzyme defects and drug induced anaemia
• Any ongoing acute or chronic infection at screening.
• Any chronic disorder or severe disease which, in the opinion of the investigator, might jeopardize patient’s safety or compliance with the protocol.
• Haemochromatosis or other iron storage disorders.
• Alcoholism or drug abuse, or severe emotional, behavioural or psychiatric problems within 6 months prior to screening, who may not be able to adequately comply with the requirements of the study.
• Any active malignancy within 5 years prior to screening.
• Clinically significant hypertension or labile hypertension.
4. Known:
• Significant comorbidities like major cardiovascular disease [including myocardial infarction within 6 months prior to study inclusion, congestive heart failure (New York Heart Association III or IV) or poorly controlled hypertension]; uncontrolled endocrinological or metabolic disorders; malignancy, active renal disease, active liver disease, active peptic ulcer, asthma or rheumatoid arthritis.
• HIV positive or Acquired Immunodeficiency Syndrome (AIDS) related illness, or HIV seropositivity at screening.
• Presence of hepatitis B surface antigen (HBsAg) at screening or within 3 months prior to first dose
of investigational intervention.
• Positive hepatitis C antibody test result at screening or within 3 months prior to starting investigational intervention.
NOTE: Participants with positive hepatitis C antibody due to prior resolved disease can be enrolled only if a confirmatory negative hepatitis C RNA test is obtained.
• Bleeding disorders; acute bleeding or recently documented haemorrhage or recent blood loss leading to hemodynamic instability within 3 months prior to screening
5. Receipt of:
• Medications that may affect PK results within 14 days before screening.
• Oral iron supplementation within the past 15 days prior to screening.
• Blood transfusion within 3 months prior to screening, or anticipated
need for a blood transfusion during the study.
• Parenteral iron therapy within the last 3 months prior to screening.
• Erythropoietin / Erythroid Stimulating Agent treatment within 6 months prior to screening.
6. Donation of blood (1 unit or 350 mL) or receipt of an investigational medicinal product or participation in a drug research study within 90 days prior to receiving the first dose of IMP.
7. Inadequate venous access for PK sampling as judged by investigator.
8. Requirement of any planned procedure or hospitalization for pre existing conditions during the study period
Method of Generating Random Sequence
Stratified randomization
Method of Concealment
An Open list of random numbers
Blinding/Masking
Not Applicable
Primary Outcome
Outcome
TimePoints
Total iron (TI) & transferrin bound iron (TBI) in serum.
From time zero to time t (AUC0-t) and from time zero to infinity (AUC0-∞.
Secondary Outcome
Outcome
TimePoints
To assess the bioequivalence of test product relative to that of reference product. Bioequivalence will be assessed based on TI only. Further, for both TI & TBI following PK parameters will be analysed & reported
From time t to infinity.
Target Sample Size
Total Sample Size="120" Sample Size from India="120" Final Enrollment numbers achieved (Total)= "120" Final Enrollment numbers achieved (India)="120"
Individual Participant Data (IPD) Sharing Statement
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
Brief Summary
A Multicentric, Open Label, Randomized, Single-Dose, Two-Treatment, Parallel Arm bioequivalence study of Ferric carboxymaltose intravenous injection (750 mg Iron/15 mL) of Dr. Reddy’s Laboratories Ltd, India, with that of Injectafer® [Ferric carboxymaltose injection (750 mg Iron/15 mL)] of American Regent Inc., USA under fasting condition in adult patients with iron deficiency anaemia, for whom oral Iron supplementation alone was not adequate or is not appropriate