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A Comparative, Crossover, Pharmacokinetic, Pharmacodynamic and Safety Study of Three Forms of PEG-G-CSF in Normal Healthy Volunteers

Phase 1
Conditions
Pharmacokinetics
Interventions
Biological: DRL_PG
Biological: Pegfilgrastim Form A
Biological: Pegfilgrastim Form B
Registration Number
NCT02205320
Lead Sponsor
Dr. Reddy's Laboratories Limited
Brief Summary

This is a comparative pharmacokinetic, pharmacodynamic and safety study in healthy volunteers with three forms of pegylated granulocyte colony stimulating factors.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
192
Inclusion Criteria
  1. Healthy male and female subjects aged 18 to 55 years

  2. A standardized body mass index

  3. General good health as determined by the Investigator

  4. Normal organ function as per the Investigator's judgement

  5. Must be non-smokers, or ex-smokers who have not smoked within the previous 6 months from the screening visit

  6. Female subjects must:

    • Not be lactating; not be pregnant
    • Agree to use an acceptable contraceptive method or be of non-childbearing potential
  7. Male subjects must refrain from donating sperm or fathering a child during the study and until 3 months after the last study drug

Exclusion Criteria
  1. Known hypersensitivity to Escherichia coli derived proteins, pegfilgrastim, filgrastim or any other related component
  2. Presence of antibodies to polyethylene glycol at screening
  3. Positive result for cotinine (>500 ng/mL) or drugs of abuse at screening or on admission
  4. Prior history of or current alcohol abuse or excessive intake of alcohol as judged by the Investigator
  5. Donation of blood (≥500 mL) or plasma within the previous 3 months
  6. History of unexplained syncopal episodes;
  7. Any disorder that, in the Investigator's opinion, may interfere with study compliance
  8. History of any cancer
  9. History of pulmonary infiltrate or pneumonia within the previous 6 months from screening visit
  10. Hereditary fructose and/or sorbitol intolerance
  11. Absolute neutrophil count below 1500/mm3 or above 12000/mm3 at screening
  12. Positive test for hepatitis B surface antigen, hepatitis C antibody, or human immunodeficiency virus (HIV) 1 or 2
  13. Any abnormality in 12-lead ECG that in the Investigator's opinion is clinically significant and/or suggestive of underlying cardiac abnormalities
  14. A clinical diagnosis of hypertension, significant hypercholesterolemia as judged by the Investigator, or thyroid abnormalities
  15. Family history of acute myeloid leukemia or subjects with splenomegaly at baseline, or with sickle cell disease
  16. Any prescribed or over the counter medications including analgesics, herbal remedies, vitamin therapy must not be used from 7 days prior to the first administration of study drugs

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Treatment Sequence II (DRL, B, A)Pegfilgrastim Form BPatients will receive study drugs in the following cross-over sequence: DRL_PG, Pegfilgrastim Form B, Pegfilgrastim Form A. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence V (B, A, DRL)Pegfilgrastim Form BPatients will receive study drugs in the following cross-over sequence: Pegfilgrastim Form B, Pegfilgrastim Form A, DRL_PG. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence I (DRL, A, B)DRL_PGPatients will receive study drugs in the following cross-over sequence: DRL_PG, Pegfilgrastim Form A, Pegfilgrastim Form B. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence III (A, DRL, B)Pegfilgrastim Form APatients will receive study drugs in the following cross-over sequence: Pegfilgrastim Form A, DRL_PG, Pegfilgrastim Form B. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence IV (A, B, DRL)Pegfilgrastim Form BPatients will receive study drugs in the following cross-over sequence: Pegfilgrastim Form A, Pegfilgrastim Form B, DRL_PG. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence IV (A, B, DRL)Pegfilgrastim Form APatients will receive study drugs in the following cross-over sequence: Pegfilgrastim Form A, Pegfilgrastim Form B, DRL_PG. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence I (DRL, A, B)Pegfilgrastim Form APatients will receive study drugs in the following cross-over sequence: DRL_PG, Pegfilgrastim Form A, Pegfilgrastim Form B. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence II (DRL, B, A)DRL_PGPatients will receive study drugs in the following cross-over sequence: DRL_PG, Pegfilgrastim Form B, Pegfilgrastim Form A. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence III (A, DRL, B)DRL_PGPatients will receive study drugs in the following cross-over sequence: Pegfilgrastim Form A, DRL_PG, Pegfilgrastim Form B. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence VI (B, DRL, A)Pegfilgrastim Form BPatients will receive study drugs in the following cross-over sequence: Pegfilgrastim Form B, DRL_PG, Pegfilgrastim Form A. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence I (DRL, A, B)Pegfilgrastim Form BPatients will receive study drugs in the following cross-over sequence: DRL_PG, Pegfilgrastim Form A, Pegfilgrastim Form B. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence II (DRL, B, A)Pegfilgrastim Form APatients will receive study drugs in the following cross-over sequence: DRL_PG, Pegfilgrastim Form B, Pegfilgrastim Form A. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence IV (A, B, DRL)DRL_PGPatients will receive study drugs in the following cross-over sequence: Pegfilgrastim Form A, Pegfilgrastim Form B, DRL_PG. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence V (B, A, DRL)DRL_PGPatients will receive study drugs in the following cross-over sequence: Pegfilgrastim Form B, Pegfilgrastim Form A, DRL_PG. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence III (A, DRL, B)Pegfilgrastim Form BPatients will receive study drugs in the following cross-over sequence: Pegfilgrastim Form A, DRL_PG, Pegfilgrastim Form B. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence V (B, A, DRL)Pegfilgrastim Form APatients will receive study drugs in the following cross-over sequence: Pegfilgrastim Form B, Pegfilgrastim Form A, DRL_PG. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence VI (B, DRL, A)DRL_PGPatients will receive study drugs in the following cross-over sequence: Pegfilgrastim Form B, DRL_PG, Pegfilgrastim Form A. Each drug is administered as a single, 6 mg, subcutaneous injection.
Treatment Sequence VI (B, DRL, A)Pegfilgrastim Form APatients will receive study drugs in the following cross-over sequence: Pegfilgrastim Form B, DRL_PG, Pegfilgrastim Form A. Each drug is administered as a single, 6 mg, subcutaneous injection.
Primary Outcome Measures
NameTimeMethod
AUC(0-t)105 days

Area under concentration-time curve from time 0 to the time of the last quantifiable concentration

AUC(0-inf)105 days

Area under concentration-time curve extrapolated from time 0 to infinity

Emax105 days

Maximum observed effect

AUEC(0-t)105 days

Area under the effect time curve from time zero (predose) to last measured time

Cmax105 days

Maximum plasma concentration

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

QPS Bio-Kinetic

🇺🇸

Springfield, Missouri, United States

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