Open Randomized Cross-over Two-period Study on Comparative Pharmacokinetics and Bioequivalence of Doxylamine + Pyridoxine, Enteric-soluble Film-coated Tablets, 10 mg + 10 mg (Valenta Farm, Russia) in Healthy Volunteers in Fasted Conditions
Overview
- Phase
- Not Applicable
- Intervention
- Doxylamine + Pyridoxine
- Conditions
- Pregnancy Related
- Sponsor
- Valenta Pharm JSC
- Enrollment
- 28
- Locations
- 1
- Primary Endpoint
- Pharmacokinetics - t1/2 (Doxylamine)
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The study aimed for:
- Comparative assessment of pharmacokinetic parameters and bioequivalence of the drug Doxylamine + Pyridoxine, enteric-soluble film-coated tablets, 10 mg + 10 mg (Valenta Pharm JSC, Russia), and Diclectin, delayed-release tablets, 10 mg + 10 mg (registrant: Tzamal Bio-Pharma, Israel, manufacturer: Duchesnay Inc, Canada), in healthy volunteers in fasted conditions.
- Comparative evaluation of the safety of the drug Doxylamine + Pyridoxine, enteric-soluble film-coated tablets, 10 mg + 10 mg (Valenta Pharm JSK, Russia), and Diclectin, delayed-release tablets, 10 mg + 10 mg (registrant: Tzamal Bio-Pharma, Israel, manufacturer: Duchesnay Inc, Canada), based on the analysis of adverse events (AEs).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Voluntary and handwritten informed consent form signed by a healthy volunteer to participate in the study before any of the study procedures.
- •Women of reproductive age (18 to 49 years inclusive, according to World Health Organization criteria).
- •Verified diagnosis "healthy" (absence of abnormalities according to clinical, laboratory, instrumental methods of examination stipulated by the protocol).
- •Blood pressure (BP) level: systolic blood pressure (SBP) from 100 to 139 mmHg, diastolic blood pressure (DBP) from 60 to 89 mmHg (inclusive).
- •Heart rate (HR) from 60 to 90 bpm (inclusive).
- •Respiratory rate (HR) from 12 to 18 bpm (inclusive).
- •Body temperature of 36 to 36.9°C (inclusive).
- •Body mass index (BMI) is 18.5 ≤ BMI ≤ 30 kg/m2, and the body weight must be ≥ 45 kg.
- •Consent to use adequate methods of contraception throughout the study and for 30 days after completion, negative pregnancy test.
- •Volunteers must behave adequately, coherent speech must be observed.
Exclusion Criteria
- •A history of allergic reactions.
- •Drug intolerance of active and/or excipients included in the study drugs in the anamnesis.
- •Chronic diseases of the cardiovascular, lymphatic, respiratory, nervous, endocrine, digestive, musculoskeletal, covering, immune systems, as well as of the urogenital system and hematopoietic organs.
- •Values of standard laboratory and instrumental indices beyond the limits of local laboratory norms.
- •History of gastrointestinal surgery (except appendectomy at least 1 year before screening).
- •Diseases/conditions that the investigator believes may affect the absorption, distribution, metabolism, or excretion of the study medication.
- •Acute infectious disease less than 4 weeks prior to screening.
- •Taking drugs that have a significant effect on hemodynamics and drugs that affect liver function (barbiturates, benzodiazepines, omeprazole, cimetidine, etc.) for less than one month before screening.
- •Regular intake of drugs less than 2 weeks before screening and one-time intake of drugs less than 7 days before screening.
- •Donating blood or plasma less than 3 months before the screening visit.
Arms & Interventions
RT-sequence
Group 1 (14 volunteers, RT sequence) will take 2 tablets of Diclectin in Period 1 and 2 tablets of Doxylamine + Pyridoxine in Period 2
Intervention: Doxylamine + Pyridoxine
TR-sequence
Group 2 (14 volunteers, sequence TR) will take 2 tablets of Doxylamine + Pyridoxine in Period 1 and 2 tablets of Diclectin in Period 2.
Intervention: Doxylamine + Pyridoxine
Outcomes
Primary Outcomes
Pharmacokinetics - t1/2 (Doxylamine)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Elimination half-life (t1/2)
Pharmacokinetics - tmax (Doxylamine)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Time to reach Cmax (tmax)
Pharmacokinetics - t1/2 (Pyridoxal-5-phosphate)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Elimination half-life (t1/2)
Pharmacokinetics - Cmax (Doxylamine)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Maximum plasma concentration (Cmax)
Pharmacokinetics - Cmax (Pyridoxal-5-phosphate)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Maximum plasma concentration (Cmax)
Pharmacokinetics - AUC0-t (Doxylamine)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Area under the plasma concentration-time curve from time 0 to t (AUC0-t)
Pharmacokinetics - kel (Doxylamine)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Elimination constant (kel)
Bioequivalence - ratio of Cmax (Pyridoxal-5-phosphate)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Ratio of geometric mean Cmax after intake of R or T (with 90% confidence intervals)
Pharmacokinetics - AUC0-inf (Doxylamine)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Area under the plasma concentration-time curve from time 0 to infinity (AUC0-inf)
Pharmacokinetics - AUC0-inf (Pyridoxal-5-phosphate)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Area under the plasma concentration-time curve from time 0 to infinity (AUC0-inf)
Pharmacokinetics - kel (Pyridoxal-5-phosphate)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Elimination constant (kel)
Pharmacokinetics - tmax (Pyridoxal-5-phosphate)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Time to reach Cmax (tmax)
Pharmacokinetics - MRT (Doxylamine)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Mean residence time (MRT)
Bioequivalence - ratio of Cmax (Doxylamine)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Ratio of geometric mean Cmax after intake of R or T (with 90% confidence intervals)
Pharmacokinetics - AUC0-t (Pyridoxal-5-phosphate)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Area under the plasma concentration-time curve from time 0 to t (AUC0-t)
Pharmacokinetics - AUCextr (Doxylamine)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Extrapolated AUC, defined as (AUC0-inf - AUC0-t)/AUC0-inf
Pharmacokinetics - AUCextr (Pyridoxal-5-phosphate)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Extrapolated AUC, defined as (AUC0-inf - AUC0-t)/AUC0-inf
Pharmacokinetics - MRT (Pyridoxal-5-phosphate)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Mean residence time (MRT)
Bioequivalence - ratio of AUC0-t (Doxylamine)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Ratio of geometric mean AUC0-t after intake of R or T (with 90% confidence intervals)
Bioequivalence - ratio of AUC0-t (Pyridoxal-5-phosphate)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Ratio of geometric mean AUC0-t after intake of R or T (with 90% confidence intervals)
Bioequivalence - ratio of AUC0-inf (Pyridoxal-5-phosphate)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Ratio of geometric mean AUC0-inf after intake of R or T (with 90% confidence intervals)
Bioequivalence - ratio of AUC0-inf (Doxylamine)
Time Frame: From 0 to 72 hours (Day 1-4 and Day 22-25)
Ratio of geometric mean AUC0-inf after intake of R or T (with 90% confidence intervals)
Secondary Outcomes
- Safety and Tolerability: adverse event (AE) number and frequency(From the screening (and signing informed consent form) to Day 29 of the study or to an early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: 12-lead electrocardiogram (ECG) - corrected QT interval (QTc)(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: urinalysis - protein(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: urinalysis (microscopy) - white blood cells(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: vital signs - heart rate (HR)(Screening, from Day 0 to Day 4, from Day 21 to Day 25, and/or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: 12-lead electrocardiogram (ECG) - heart rate(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: urinalysis - color(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: urinalysis - pH(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- serious adverse event (SAE) number and frequency(From the screening (and signing informed consent form) to Day 29 of the study or to an early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: vital signs - systolic blood pressure (SBP)(Screening, from Day 0 to Day 4, from Day 21 to Day 25, and/or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: vital signs - diastolic blood pressure (DBP)(Screening, from Day 0 to Day 4, from Day 21 to Day 25, and/or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: vital signs - respiratory rate (RR)(Screening, from Day 0 to Day 4, from Day 21 to Day 25, and/or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: 12-lead electrocardiogram (ECG) - PQ interval(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: 12-lead electrocardiogram (ECG) - QRS complex(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: complete blood count - eosinophils(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: urinalysis - specific gravity(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: urinalysis - glucose(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: vital signs - body temperature(Screening, from Day 0 to Day 4, from Day 21 to Day 25, and/or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: physical examination results(Screening, from Day 0 to Day 4, from Day 21 to Day 25, and/or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: urinalysis - transparency(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: urinalysis (microscopy) - red blood cells(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: urinalysis (microscopy) - epithelial cells(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: urinalysis (microscopy) - cylinders(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: urinalysis (microscopy) - mucus(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: urinalysis (microscopy) - bacteria(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: complete blood count - hemoglobin(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: complete blood count - red blood cells(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: complete blood count - white blood cells(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: blood test results - creatinine(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: complete blood count - hematocrit(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: complete blood count - erythrocyte sedimentation rate(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: complete blood count - neutrophils(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: complete blood count - lymphocytes(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: complete blood count - monocytes(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: blood test results - glucose(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: blood test results - total cholesterol(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: complete blood count - platelets(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: complete blood count - basophils(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: blood test results - total protein(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: blood test results - total bilirubin(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: blood test results - alanine transaminase (ALT)(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: blood test results - alkaline phosphatase (ALP)(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))
- Safety and Tolerability: blood test results - aspartate transaminase (AST)(Screening, Day 4, Day 25 or on early termination visit within the time frame of the study (from Day 0 to Day 29))