Comparative Bioavailability Study of Two Test Products of Fixed Dose Combination Capsule of ASA (Acetylsalicylic Acid) and Pantoprazole (Each Capsule Contains ASA 100 mg and Pantoprazole 20 mg) Under Fasting Conditions

This study has been completed.
Sponsor:
Collaborator:
Piramal Clinical Research (Hyderabad, India)
Information provided by (Responsible Party):
GlaxoSmithKline
ClinicalTrials.gov Identifier:
NCT01847404
First received: May 2, 2013
Last updated: December 5, 2013
Last verified: December 2013
  Purpose

An open label, balanced, randomized, three-treatment, three-period, six-sequence, cross-over, single dose, comparative bioavailability pilot study under fasting conditions. The treatments will be administered after an overnight fasting of at least 10 hours in each period. Fasting will continue for four hours post-dose, and then meals will be provided at specified intervals. Drinking water will not be permitted one hour before dosing and until one hour post-dose.


Condition Intervention Phase
Ulcers, Duodenal and Gastric
Drug: Test 1= ASA 100 mg and pantoprazole 20 mg capsule formulation one
Drug: Test 2= ASA 100 mg and pantoprazole 20 mg capsule formulation two
Drug: ASA 100 mg tablet
Drug: Pantoprazole 20 mg gastro-resistant tablet
Phase 1

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Bio-availability Study
Intervention Model: Crossover Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: An Open Label, Balanced, Randomized, Three-treatment, Three-period, Six-sequence, Cross-over, Single Dose, Comparative Bioavailability Pilot Study of Two Test Formulations of Fixed Dose Combination Capsules of Acetylsalicylic Acid (ASA) and Pantoprazole (Each Capsule Contains ASA 100 mg and Pantoprazole 20 mg) Manufactured by Piramal Healthcare Limited, India for GSK Comparing With Aspirin® Protect 100 mg Tablets by Bayer Vital GmbH, and Protium® 20 mg Gastro-resistant Tablets by Nycomed GmbH, in Healthy, Adult, Human Subjects, Under Fasting Conditions

Resource links provided by NLM:


Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • Composite of pharmacokinetic (PK) parameters [ Time Frame: During each period at pre-dose, 0.167, 0.333, 0.5, 0.667, 0.833, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 3.5, 4, 4.5, 5, 6, 8, 10, 12, 14, 16 and 24 hrs post dose ] [ Designated as safety issue: No ]
    The bioavailability of two test products was compared with the reference products after determining the plasma PK parameters: Cmax (maximum measured plasma concentration), Tmax (time of Cmax), AUC0-t (area under the plasma concentration versus time curve from time zero to the last measurable concentration), AUC0-infinity (AUC from zero to infinity), t1/2 (time required for the plasma drug concentration to decrease by one half), Kel (terminal rate constant) and AUC_% Extrap_Obs (residual area in percentage determined by formula) for ASA and pantoprazole in relevant treatments.


Secondary Outcome Measures:
  • Tolerability of combined ASA and pantoprazole in subjects during the study [ Time Frame: Up to 16 days ] [ Designated as safety issue: No ]
    Tolerability of combined ASA and pantoprazole in subjects during the study assessed by adverse events, laboratory tests, vital signs and electrocardiogram (ECG).


Enrollment: 24
Study Start Date: May 2013
Study Completion Date: May 2013
Primary Completion Date: May 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Overall Study Arm
All the subjects in this study will take part in 3 treatment periods with one of the following treatments in each period. Subjects will receive all three treatments (one per period) in a random order after an overnight fasting of at least 10 hours fast in each period. Test 1= Fixed dose combination (FDC) formulation one of a capsule containing ASA 100 mg and pantoprazole 20 mg. Test 2= FDC formulation two of a capsule containing ASA 100 mg and pantoprazole 20 mg. Reference= ASA 100 mg tablet + pantoprazole 20 mg gastro-resistant tablet
Drug: Test 1= ASA 100 mg and pantoprazole 20 mg capsule formulation one
Formulation Test 1 of a fixed dose combination capsule of ASA and pantoprazole (Each capsule contains ASA 100 mg and pantoprazole 20 mg) manufactured by Piramal Healthcare Limited, India for GSK
Drug: Test 2= ASA 100 mg and pantoprazole 20 mg capsule formulation two
Formulation Test 2 of a fixed dose combination capsule of ASA and pantoprazole (Each capsule contains ASA 100 mg and pantoprazole 20 mg) manufactured by Piramal Healthcare Limited, India for GSK
Drug: ASA 100 mg tablet
Aspirin® Protect 100 mg tablets (Each tablet contains ASA 100 mg) manufactured by Bayer vital GmbH, 51368 Leverkusen, Germany
Other Name: Aspirin Protect
Drug: Pantoprazole 20 mg gastro-resistant tablet
Protium® 20 mg gastro-resistant tablets (Each gastro-resistant tablet contains 20 mg of pantoprazole (as sodium sesquihydrate)) marketing authorisation holder Nycomed GmbH, Byk-Gulden-Straβe 2, D-78467, Konstanz, Germany
Other Name: Protium

  Eligibility

Ages Eligible for Study:   18 Years to 45 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion criteria:

  • Healthy human subjects within the age range of 18 to 45 years (both inclusive)
  • Non-smokers since at least six months
  • Willingness to provide written informed consent to participate in the study
  • Body-mass index (BMI) of >=18.5 kilogram per meter square (kg/m^2) and <=24.9 kg/m^2, with body weight not less than 50 kg
  • Absence of significant disease or clinically significant abnormal laboratory values on laboratory evaluations, medical history or physical examination during the screening
  • Normal 12-lead ECG or one with abnormality considered to be clinically insignificant
  • Normal chest X-ray Posterior Anterior (PA) view
  • Comprehension of the nature and purpose of the study and compliance with the requirement of the protocol.
  • Female Subject is eligible to participate if she is of non-childbearing potential (surgically sterile or post-menopausal for at least 1 year); or of child bearing potential practicing an acceptable method of birth control while in the study and for 14 days after the end of the study, as judged by the investigator(s), such as condoms, foams, jellies, diaphragm, intrauterine device (IUD), or abstinence
  • Male Subjects willing to use an approved form of birth control (a double barrier method like condom with spermicide or condom with diaphragm) while in the study and for 14 days after the end of the study, and agree not to donate sperm during this period.

Exclusion criteria:

  • Personal / family history/ past history of allergy or hypersensitivity to ASA or pantoprazole or related drugs
  • Any contraindication to anticoagulant therapy
  • History of sensitivity to heparin or heparin-induced thrombocytopenia
  • Past history of active gastric or duodenal ulcer or esophagitis
  • A history of cholecystectomy or biliary tract disease including increased liver function tests of known or unknown etiology
  • Subjects who have been diagnosed with Gilbert's syndrome (Elevated Liver Function Test (LFT)'s Serum Glutamate Oxaloacetate Transaminase/ Serum Glutamate Pyruvate Transaminase (SGOT/SGPT) + Bilirubin (total and direct))
  • Past history of anaphylaxis or angioedema
  • Any history of myopathy
  • Female subject not willing to use acceptable method of contraception from the date of screening until 14 days after the end of the study
  • Male subject not willing to use acceptable method of contraception from the date of screening until 14 days after the end of the study
  • Any major illness in the past three months or any clinically significant ongoing chronic medical illness e.g.congestive heart failure, hepatitis, pancreatitis etc.
  • Presence of any clinically significant abnormal values during screening e.g. significant abnormality of LFT, Renal (kidney) Function Test (RFT) etc.
  • Any cardiac, renal or liver impairment, any other organ or system impairment
  • History of seizure or psychiatric disorders
  • Presence of disease markers of human immuno deficiency virus (HIV) 1 and 2, and hepatitis B and C virus
  • History of significant alcohol consumption for more than two years, or consumption of more than three alcoholic drinks per day or consumption of alcohol within 48 hours prior to check-in in each period and during the study [one drink is equal to one unit of alcohol [one glass wine, half pint beer, and one measure (one ounce) of spirit].
  • Presence of painful erythema, oedema, or ulceration in the oral cavity
  • Consumption of xanthine containing derivatives (coffee, tea, cola drinks, chocolate) within 48 hours before check-in of each period
  • Use of any recreational drug or a history of drug addiction
  • Participation in any clinical trial within the past 3 months
  • Inaccessibility of veins in left and right arm
  • Donation of blood [one unit or 330 millilitre (mL)] within 3 months prior to study check-in
  • History of use of any prescription drug therapy within four weeks or over-the-counter (OTC) drugs within two weeks prior to study check-in or repeated use of drugs within the last four weeks
  • History of unusual diet, for whatever reason, e.g. low sodium diet, for 7 days prior to check-in for all the three periods
  • History of consumption of grapefruit-containing food or drinks within 7 days prior to the study check-in for all the three periods
  • Recent history of dehydration from diarrhoea, vomiting or any other reason within a period of 7 days prior to the study check-in for all the three periods
  • Difficulty in swallowing solids like tablets/capsules
  • Systolic blood pressure below 100 millimetres of mercury (mm Hg) and above 138 mm Hg, diastolic blood pressure below 60 mm Hg and above 90 mmHg
  • Heart rate below 60 beats/minute and above 100 beats/minute
  • Temperature below 96.0 degree Fahrenheit (F) and above 98.6 degree F
  • Female volunteers demonstrating a positive test for pregnancy during screening or currently breastfeeding
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01847404

Locations
India
GSK Investigational Site
Hyderabad, India, 500 013
Sponsors and Collaborators
GlaxoSmithKline
Piramal Clinical Research (Hyderabad, India)
Investigators
Study Director: GSK Clinical Trials GlaxoSmithKline
  More Information

No publications provided

Responsible Party: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT01847404     History of Changes
Other Study ID Numbers: 116480
Study First Received: May 2, 2013
Last Updated: December 5, 2013
Health Authority: India: The Drugs Controller General of India (DCGI) Directorate General of Health Services Ministry of Health and Family Welfare Government of India

Keywords provided by GlaxoSmithKline:
Fixed dose combination
Acetylsalicylic acid
Pantoprazole

Additional relevant MeSH terms:
Duodenal Ulcer
Peptic Ulcer
Duodenal Diseases
Intestinal Diseases
Gastrointestinal Diseases
Digestive System Diseases
Aspirin
Pantoprazole
Anti-Inflammatory Agents, Non-Steroidal
Analgesics, Non-Narcotic
Analgesics
Sensory System Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Pharmacologic Actions
Anti-Inflammatory Agents
Therapeutic Uses
Antirheumatic Agents
Fibrinolytic Agents
Fibrin Modulating Agents
Molecular Mechanisms of Pharmacological Action
Cardiovascular Agents
Hematologic Agents
Platelet Aggregation Inhibitors
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Antipyretics
Central Nervous System Agents
Anti-Ulcer Agents
Gastrointestinal Agents

ClinicalTrials.gov processed this record on September 18, 2014