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Bioequivalence study of Mylan’s Ferric Carboxymaltose Injection 750mg/15mL (50mg/mL) with American Regent INC’s INJECTAFER® (Ferric Carboxymaltose Injection 750mg/15mL [50mg/mL]) in adult male and female patients with iron deficiency anemia.

Completed
Conditions
Iron deficiency anemia, unspecified, (2) ICD-10 Condition: N189||Chronic kidney disease, unspecified,
Registration Number
CTRI/2018/09/015767
Lead Sponsor
Mylan Laboratories Limited
Brief Summary

This was a multicenter, randomized, single-dose, parallel, two-treatment, single-period, bioequivalence study.

The study included screening safety assessments performed for the patients within 21 days of the Investigational Medicinal Product (IMP) administration. All eligible patients, entering into the study, were housed up to 72.00 hours post dose. After an overnight fast, as per randomization schedule, patients were administered undiluted study drug (Mylan’s Ferric Carboxymaltose Inj. or INJECTAFER®) in supine position as a slow intravenous injection using a calibrated syringe pump. Patients were checked out from the facility after the last post dose PK sample collection at 72.00 hrs and after completion of end of study procedures. Overalll, Ferric Carboxymaltose Injection 750 mg/15 mL (50 mg/ mL) was well tolerated as a single dose 750 mg/ 15 mL administered under fasting conditions.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
200
Inclusion Criteria
  • 1.Men or non-pregnant, non-lactating females aged 18-65 years (both inclusive) 2.Patients diagnosed with iron deficiency anemia, for whom oral supplementation alone is not adequate/not appropriate or with non-dialysis dependent chronic renal disease.
  • 3.Patients considered to be suitable for treatment with Ferric Carboxymaltose Inj.
  • based on Investigator judgement.
  • 4.Patients with body weight ≥ 50 kg at screening and check in, with BMI of 18.5 – 30.0 kg/m2 at the time of screening.
  • 5.Patients with Iron status at screening defined as: ohemoglobin of ≥ 9.0 g/dL and < 12g/dL at screening oFerritin levels of ≤ 100 ng/mL (or ≤ 300ng/mL when TSAT is ≤30%) 6.Patients with adequate hematopoeitic and liver function at screening 7.Female patients should have been postmenopausal for at least 1 year, or surgically sterilized via hysterectomy, bilateral oophorectomy; or practicing an acceptable form of birth control starting 60 days prior to dosing in case of women with a childbearing potential and prepared to continue for at least 30 days following the last treatment.
  • 8.Patient or LAR willing to provide written informed consent to participate.
Exclusion Criteria
  • 1.Patients with known hypersensitivity to ferric carboxymaltose, excipients, or similar product or any other iron preparation.
  • 2.Patients who have received any of the following medications in recent past: a.Parenteral iron therapy b.Oral iron therapy c.Erythropoiesis stimulating agents d.Concomitant medications that may affect the PK results based on investigators discretion.
  • 3.Patients with clinically significant or labile hypertension.
  • 4.Patients with Stage 5 Chronic Kidney Disease (CKD) 5.Patients considered to be anemic due to other aetiology..
  • 6.Patients with hemochromatosis or other iron storage disorders.
  • 8.Patients who had major surgery or invasive intervention within 4 weeks prior to screening, organ transplant within 6 months prior to screening, or have a surgery or intervention planned during the course of the study.
  • 9.Patients who received whole blood transfusion or red blood cell transfusion or donated blood within 90 days prior to randomization.
  • 10.Patients with history of alcohol abuse or drug abuse or drug dependence within last 1 year from screening.
  • 11.Patients who have HIV or positive hepatitis screen including hepatitis B surface antigen, HCV antibodies.
  • 12.Patients with positive alcohol breath test on the day of check-in.
  • 13.Patients who participated in another clinical trial within 60 days prior to randomization.
  • 14.Patients with known active malignancy 15.Patients with significant comorbidities that in the investigator’s judgement, might increase the risk to the patient or decrease the chance of obtaining satisfactory PK data.

Study & Design

Study Type
BA/BE
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare and evaluate the singleWithin 1 hr prior to dosing, 5.00 mins (after start of slow IV injection), 7.5 mins (after start of slow IV injection). At 20.00 mins, 40.00 mins, 1.00, 2.00, 3.00, 4.00, 5.00, 6.00, 7.00, 8.00, 9.00, 10.00, 11.00, 12.00, 18.00, 24.00, 30.00, 36.00, 48.00 and 72.00 hours (after start of slow IV injection)
dose, comparative bioavailability of Ferric Carboxymaltose Injection 750mg/15mL (50mg/mL).Within 1 hr prior to dosing, 5.00 mins (after start of slow IV injection), 7.5 mins (after start of slow IV injection). At 20.00 mins, 40.00 mins, 1.00, 2.00, 3.00, 4.00, 5.00, 6.00, 7.00, 8.00, 9.00, 10.00, 11.00, 12.00, 18.00, 24.00, 30.00, 36.00, 48.00 and 72.00 hours (after start of slow IV injection)
Secondary Outcome Measures
NameTimeMethod
Safety and tolerability as assessed by reported adverse events, laboratory and clinical investigationsVitals at Screening, Day -2 (check in), day0 to 3 Adverse events from screening to end of study

Trial Locations

Locations (18)

ACSR Government Medical College

🇮🇳

Nellore, ANDHRA PRADESH, India

Ajanta Research Centre

🇮🇳

Lucknow, UTTAR PRADESH, India

Baraskar Hospital and Research Centre

🇮🇳

Nagpur, MAHARASHTRA, India

Bodyline Hospitals

🇮🇳

Ahmadabad, GUJARAT, India

Grant Medical Foundation Ruby Hall Clinic

🇮🇳

Pune, MAHARASHTRA, India

Kanoria Hospital and Research Centre

🇮🇳

Gandhinagar, GUJARAT, India

KLE s Dr Prabhakar Kore Hospital and MRC

🇮🇳

Belgaum, KARNATAKA, India

KRM Hospital and Research Centre

🇮🇳

Lucknow, UTTAR PRADESH, India

Life Point Multispeciality Hospital

🇮🇳

Pune, MAHARASHTRA, India

M V Hospital and Research Centre

🇮🇳

Lucknow, UTTAR PRADESH, India

Scroll for more (8 remaining)
ACSR Government Medical College
🇮🇳Nellore, ANDHRA PRADESH, India
Dr Naushad Ali
Principal investigator
9494828694
projectspcr@gmail.com

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