Bioequivalence of Ketoprofen Oral Gel vs Ketoprofen Lysine Salt as Granules for Oral Solution

Sponsor

Aziende Chimiche Riunite Angelini Francesco S.p.A (Industry)

Overall Status

Completed

CT.gov ID

NCT04678076

Collaborator

Cross Research S.A. (Industry)

Enrollment

Location

Arms

Actual Duration (Days)

84.3

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This is a single dose, open-label, randomised, two period, two-way cross-over, two stage bioequivalenve study with the aim to investigate the bioequivalence between a new formulation of ketoprofen 25 mg versus OKI 80 mg granules for oral solution (half sachet), after single dose administration in two consecutive periods to healthy voluteers under fed conditions.

Condition or Disease	Intervention/Treatment	Phase
Healthy	Drug: Ketoprofen Lysine Drug: Ketoprofen Oral Product	Phase 1

Detailed Description

The present bioequivalence phase I study has been designed to compare the bioavailability and the concentration-time profile of the new immediate release oral gel formulation of ketoprofen 25 mg with a marketed reference of ketoprofen lysine salt (KLS) as granules for oral solution (80 mg bipartite sachet, half sachet containing 40 mg of KLS, corresponding to 25 mg as ketoprofen), when administered in fed conditions to healthy male and female subjects. The study has been designed under fed conditions since the leaflet of the reference.

A two-stage design has been selected for the present study considering the margin of uncertainty existing over the sample size estimate in order to accomplish the primary study objectives in terms of ketoprofen rate (Cmax) and extent (AUC0-t) of absorption of the two formulations.

Study Design

Study Type:

Interventional

Actual Enrollment :

36 participants

Allocation:

Randomized

Intervention Model:

Crossover Assignment

Intervention Model Description:

Single dose, open-label, randomised, two-period, two-way cross-over, two-stage bioequivalence study.Single dose, open-label, randomised, two-period, two-way cross-over, two-stage bioequivalence study.

Masking:

None (Open Label)

Masking Description:

No masking procedure will be applied.

Primary Purpose:

Other

Official Title:

A Bioequivalence Study of a Test Formulation of Ketoprofen Oral Gel 25 mg Versus a Marketed Reference of Ketoprofen Lysine Salt as Granules for Oral Solution (80 mg Bipartite Sachet, Half Sachet) After Single Dose Administration Under Fed Conditions to Healthy Male and Female Subjects

Actual Study Start Date :

Jul 23, 2018

Actual Primary Completion Date :

Aug 5, 2018

Actual Study Completion Date :

Aug 5, 2018

Arms and Interventions

Arm	Intervention/Treatment
Experimental: ketoprofen 25mg/5ml oral gel stick pack Single dose of ketoprofen 25mg/5ml oral gel stick pack will be administered to healthy volunteers under fed conditions in two consecutive study periods with a wash-out interval of at least 7 days between the two administrations.	Drug: Ketoprofen Lysine A single oral dose of test product - ketoprofen 25 mg/5 ml oral gel stick pack - will be administered to healthy male and female volunteers under fed conditions in two consecutive study periods with a wash-out interval of at least 7 days between the two administrations.
Active Comparator: OKi 80 mg granules for oral solution (bipartite sachet) Single dose of half sachet containing 40 mg of ketoprofen lysine salt (corresponding to 25 mg as ketoprofen) will be administered to healthy volunteers under fed conditions in two consecutive study periods with a wash-out interval of at least 7 days between the two administrations.	Drug: Ketoprofen Oral Product A single oral dose of reference product as a single dose of half of a bipartite sachet of OKi® 80 mg granules for oral solution will be administered to healthy male and female volunteers under fed conditions in two consecutive study periods with a wash-out interval of at least 7 days between the two administrations. Other Names: OKI 80 mg

Arm

Intervention/Treatment

Experimental: ketoprofen 25mg/5ml oral gel stick pack

Single dose of ketoprofen 25mg/5ml oral gel stick pack will be administered to healthy volunteers under fed conditions in two consecutive study periods with a wash-out interval of at least 7 days between the two administrations.

Drug: Ketoprofen Lysine

A single oral dose of test product - ketoprofen 25 mg/5 ml oral gel stick pack - will be administered to healthy male and female volunteers under fed conditions in two consecutive study periods with a wash-out interval of at least 7 days between the two administrations.

Active Comparator: OKi 80 mg granules for oral solution (bipartite sachet)

Single dose of half sachet containing 40 mg of ketoprofen lysine salt (corresponding to 25 mg as ketoprofen) will be administered to healthy volunteers under fed conditions in two consecutive study periods with a wash-out interval of at least 7 days between the two administrations.

Drug: Ketoprofen Oral Product

A single oral dose of reference product as a single dose of half of a bipartite sachet of OKi® 80 mg granules for oral solution will be administered to healthy male and female volunteers under fed conditions in two consecutive study periods with a wash-out interval of at least 7 days between the two administrations.

Other Names:

OKI 80 mg

Outcome Measures

Primary Outcome Measures

Maximum plasma concentration of ketoprofen [pre-dose (0), 20, 40 minutes, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 hours post-dose]
to evaluate the rate (Cmax) of absorption of ketoprofen after single oral dose of test and reference.
Area under the concentration-time curve 0-t [pre-dose (0), 20, 40 minutes, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 hours post-dose]
to evaluate the extent (AUC0-t) of absorption after single oral dose of test and reference

Secondary Outcome Measures

Time to achieve Cmax [pre-dose (0), 20, 40 minutes, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 hours post-dose]
to evaluate Tmax after single oral dose of test and reference products
t1/2 [pre-dose (0), 20, 40 minutes, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 hours post-dose]
to evaluate Half-life after single oral dose of test and reference products
tlag after single oral dose of test and reference products [pre-dose (0), 20, 40 minutes, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 hours post-dose]
to evaluate Lag-time observed from the dosing time point prior to that of the first measurable plasma concentration
AUC0-∞ and residual area of ketoprofen derived from plasma concentrations after single oral dose of test and reference products; [pre-dose (0), 20, 40 minutes, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 6, 8, 12, 16 and 24 hours post-dose]
Area under the concentration-time curve extrapolated to infinity
Treatment-Emergent Adverse Events [through study completion, an average two weeks]
to evaluate number of TEAEs and percentage of subjects with TEAEs
Blood pressure measurement [pre-dose, 45 minutes and 24 hours post dose]
to assess diastolic and systolic blood pressure after 5 min of rest (sitting position).
Heart rate [pre-dose, 45 minutes and 24 hours post dose]
to assess heart rate after 5 min of rest (sitting position).

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 55 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Informed consent: signed written informed consent before inclusion in the study.
Sex and Age: males/females, 18-55 years old inclusive.
Body Mass Index (BMI): 18.5-30 kg/m2 inclusive.
Vital signs: systolic blood pressure 100-139 mmHg, diastolic blood pressure 50-89 mmHg and heart rate 50-90 bpm, measured after 5 min of rest in the sitting position.
Full comprehension: ability to comprehend the full nature and purpose of the study, including possible risks and side effects; ability to co-operate with the Investigator and to comply with the requirements of the entire study
Contraception and fertility (females only): females of child-bearing potential and with an active sexual life must be using at least one of the following reliable methods of contraception:

Hormonal oral, implantable, intrauterine device [IUD], transdermal or injectable contraceptives for at least 2 months before the screening visit
A non-hormonal IUD or female condom with spermicide or contraceptive sponge with spermicide or diaphragm with spermicide or cervical cap with spermicide for at least 2 months before the screening visit
A male sexual partner who agrees to use a male condom with spermicide
A sterile sexual partner

Female participants of non-child-bearing potential or in post-menopausal status for at least 1 year will be admitted. For all female subjects, pregnancy test result must be negative at screening and day -1 of each study period.

Exclusion Criteria:

Electrocardiogram (ECG 12-leads, supine position): clinically significant abnormalities.
Physical findings: clinically significant abnormal physical findings which could interfere with the objectives of the study.
Laboratory analyses: clinically significant abnormal laboratory values indicative of physical illness.
Allergy: ascertained or presumptive hypersensitivity to the active principles (ketoprofen) and/or formulations' ingredients; history of hypersensitivity to drugs (in particular to NSAIDs) or allergic reactions in general, which the Investigator considers may affect the outcome of the study.
Diseases: significant history of renal, hepatic, gastrointestinal, cardiovascular, respiratory (including asthma), skin, haematological, endocrine or neurological and autoimmune diseases that may interfere with the aim of the study.
Medications: medications, including over the counter (OTC) drugs [in particular ketoprofen, acetylsalicylic acid (ASA) and NSAIDs in general], herbal remedies and food supplements for 2 weeks before the start of the study. Paracetamol will be allowed as therapeutic counter-measure for adverse events (AEs) according to the Investigator's opinion. Hormonal contraceptives and hormone replacement therapies for females will be allowed.
Investigative drug studies: participation in the evaluation of any investigational product for 3 months before this study. The 3-month interval is calculated as the time between the first calendar day of the month that follows the last visit of the previous study and the first day of the present study (date of the informed consent signature).
Blood donation: blood donations for 3 months before this study.
Drug, alcohol, caffeine, tobacco: history of drug, alcohol [> 1 drink/day for females and > 2 drinks/day for males, defined according to the USDA Dietary Guidelines 2015-2020, caffeine (more of 5 cups coffee/tea/day) or tobacco abuse (more or equal of 6 cigarettes/day).
Drug test: positive result at the drug test at screening or day -1 of each study period.
Alcohol test: positive alcohol breath test at day -1 of each study period.
Diet: abnormal diets (< 1600 or > 3500 kcal/day) or substantial changes in eating habits in the 4 weeks before this study; vegetarians.
Pregnancy (females only): positive or missing pregnancy test at screening or day -1 of each study period; pregnant or lactating women.