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临床试验/CTRI/2016/07/007065
CTRI/2016/07/007065尚未招募不适用

A multicentric open label, balanced, randomized, two treatment, two-period, two-sequence, crossover, steady state bioequivalence evaluation of clozapine tablet 100 mg twice daily (test drug) with Clozaril® 100 mg tablets twice daily (reference drug, Novartis pharmaceuticals corporation, USA) after multiple dose administration in adult schizophrenic patients under fasting conditions

Prinston Pharmaceutical Inc10 个研究点 分布在 1 个国家目标入组 38 人开始时间: 2016年12月7日最近更新:

试验速览

阶段
不适用
状态
尚未招募
入组人数
38
试验地点
10
主要终点
Cmax,ss and AUC0-T,ss

研究概览

简要总结

The Sponsor has developed tablet formulation of clozapine. As a high number of healthy subjects experienced serious adverse effects after administration of antipsychotics such as hypotension, tachycardia etc., regulatory authorities recommend that pharmacokinetic study of clozapine should be conducted on schizophrenic patients. The objective of the present study is to assess and compare the bioavailability and to characterize the pharmacokinetic profile of the Sponsor’s formulation (Clozapine tablet 100 mg, twice daily) with respect to the reference formulation (ClozarilPrinston Pharmaceutical Inc., USA or Clozaril® of Novartis Pharmaceuticals Corporation, USA, 100 mg tablets twice daily) in schizophrenic patients stabilized on clozapine 200 mg per day under fasting condition. Through this study, we will prospectively collect the data from adult schizophrenic patients who will be randomly assigned to receive either clozapine 100 mg tablet of ® (Novartis Pharmaceuticals Corporation, USA) for the pharmacokinetic profiling.

研究设计

研究类型
Interventional
分配方式
Computer generated randomization
盲法
Open Label

入排标准

年龄范围
18.00 Year(s) 至 60.00 Year(s)(—)
性别
All

入选标准

  • Written informed consent for participation in the study by the patient and Patient’s Legally Acceptable Representative (LAR).
  • Patient has a documented clinical diagnosis of schizophrenia according to DSM IV-TR
  • Patients have a diagnosis of treatment-resistant schizophrenia
  • Male or female patients between 18 and 60 years of age
  • Having a Body Mass Index (BMI) between 18 and 30 (both inclusive), calculated as weight in kg / height in m
  • Not having any significant diseases or clinically significant abnormal findings except schizophrenia during screening
  • Patients have been on a daily stable dose of 200 mg clozapine formulation
  • Able to comply with study procedures in the opinion of the investigator.
  • Both male and female patients of child bearing potential must be practicing adequate contraception.Female patients of child-bearing potential must not be orlikely to be pregnant or lactating and must have a negative serum pregnancy test at screening and negative urine pregnancy test at randomization.

排除标准

  • Patient with known hypersensitivity/ intolerance to clozapine or any other component of the drug.
  • Clinically symptomatic orthostatic hypotension
  • Concurrent use of antihypertensive medication or any medication that might pre-dispose to orthostatic hypotension.
  • Concurrent primary psychiatric or neurological diagnosis (except schizophrenia), including organic mental disorder, severe tardive dyskinesia, or idiopathic Parkinson’s disease.
  • A history of granulocytopenia or myeloproliferative disorders (drug-induced or idiopathic).
  • A medical or surgical condition that might interfere with the absorption, metabolism, or excretion of clozapine.
  • Known case of poor metabolizer individuals with reduced activity of cytochrome P450 enzymes particularly, 1A2, 2D6 and 3A
  • Smokers who smoke 10 or more than 10 cigarette/day or inability to abstain from smoking during the study.
  • Positive tests for drug or alcohol abuse
  • A history of alcohol or drug dependence during the 6-month period immediately prior to study entry
  • Donation of blood (1 unit or 350 ml) within 90 days prior to receiving the first dose of study medication or during the study.
  • Receipt of an investigational medicinal product or participation in a drug research study within 90 days prior to receiving the first dose of study medication or during the study.
  • A positive hepatitis screen including hepatitis B surface antigen, HCV.
  • Known case of HIV infection.
  • Patients who, in the opinion of the investigator, pose an imminent risk of suicide or a danger to self or others.
  • Presence of glaucoma
  • History of clozapine induced agranulocytosis or severe granulocytopenia
  • Patient with hyperprolactinemia
  • Concurrent use of other drugs known to suppress bone marrow function.

结局指标

主要结局

Cmax,ss and AUC0-T,ss

时间窗: Day 10 and Day 20

次要结局

  • Incidence of drug related Adverse Events as assessed by clinical examination, vitals and/or laboratory parameters for both the treatments(Day 1 to Day 20)

研究者

申办方类型
Pharmaceutical industry-Global

研究点 (10)

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