A Study in Healthy Humans to Assess the Relative Bioavailability of One Fixed-dose Combination Tablet Empagliflozin/Metformin Versus Jardiance® Tablet and Glifage® Tablet Administered Together

Sponsor
Boehringer Ingelheim (Industry)
Overall Status
Completed
CT.gov ID
NCT05083949
Collaborator
(none)
24
1
2
1.6
15.2

Study Details

Study Description

Brief Summary

This trial is to establish bioequivalence of the fixed dose combination (FDC) tablets (containing 12.5 mg empagliflozin/850 mg metformin) (Test, T) compared with the single tablets (10 mg empagliflozin and Glifage® 850 mg tablets) (Reference, R).

Condition or Disease Intervention/Treatment Phase
Phase 1

Study Design

Study Type:
Interventional
Actual Enrollment :
24 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
None (Open Label)
Masking Description:
The bioanalytical staff involved are blinded to treatment
Primary Purpose:
Treatment
Official Title:
Relative Bioavailability of Empagliflozin/Metformin Fixed-dose Combination - Empaglifozin 12.5 mg + Metformin 850mg (Boehringer Ingelheim) Coated Tablet Versus Jardiance® 10mg (Reference 1: Boehringer Ingelheim) Coated Tablet and Glifage® 850mg (Reference 2: Merck S / A. ) Coated Tablet, Administered Together in Healthy Male and Female Subjects Under Fed Conditions: an Open-label, Randomised, Single-dose, Two-way Crossover Study
Actual Study Start Date :
Jul 23, 2021
Actual Primary Completion Date :
Aug 6, 2021
Actual Study Completion Date :
Sep 9, 2021

Arms and Interventions

Arm Intervention/Treatment
Experimental: Test: empagliflozin/metformin, fixed dose combination

Drug: empagliflozin/metformin
empagliflozin/metformin

Active Comparator: Reference: Jardiance® and Glifage® single dose each

Drug: Jardiance®
Jardiance®
Other Names:
  • Empagliflozin
  • Drug: Glifage®
    Glifage®
    Other Names:
  • Metformin
  • Outcome Measures

    Primary Outcome Measures

    1. Dose-normalized area under the curve from the time of dosing (Dosing_time) to the last measurable (positive) concentration of empagliflozin. [up to 14 days]

    2. Maximum observed concentration of empagliflozin, occurring at Tmax. If not unique, then the first maximum is used. [up to 14 days]

      Tmax = Time of maximum observed concentration of empagliflozin. For non-steady-state data, the entire curve is considered. For steady-state data, Tmax corresponds to points collected during a dosing interval. If the maximum observed concentration is not unique, then the first maximum is used.

    3. Area under the curve from the time of dosing (Dosing_time) to the last measurable (positive) concentration of metformin. [up to 14 days]

    4. Maximum observed concentration of metformin, occurring at Tmax. If not unique, then the first maximum is used. [up to 14 days]

      Tmax = Time of maximum observed concentration of metformin. For non-steady-state data, the entire curve is considered. For steady-state data, Tmax corresponds to points collected during a dosing interval. If the maximum observed concentration is not unique, then the first maximum is used.

    Secondary Outcome Measures

    1. Dose-normalized area under the curve from Dosing_time extrapolated to infinity, based on the last observed concentration of empagliflozin. [up to 14 days]

    2. Area under the curve from Dosing_time extrapolated to infinity, based on the last observed concentration of metformin. [up to 14 days]

    3. Time of maximum observed concentration of empagliflozin and metformin. [up to 14 days]

      For non-steady-state data, the entire curve is considered. For steady-state data, Tmax corresponds to points collected during a dosing interval. If the maximum observed concentration is not unique, then the first maximum is used.

    4. Percentage of Area under the curve from Dosing_time extrapolated to infinity, based on the last observed concentration (obs) due to extrapolation from Tlast to infinity of empagliflozin and metformin. [up to 14 days]

    5. Terminal half-life of first order rate constant associated with the terminal (log-linear) portion of the curve. Estimated by linear regression of time vs. log concentration of empagliflozin and metformin. [up to 14 days]

    6. First order rate constant associated with the terminal (log-linear) portion of the curve. Estimated by linear regression of time vs. log concentration of empagliflozin and metformin. [up to 14 days]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 50 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion criteria:
    • Healthy male or female subjects according to the assessment of the investigator, as based on a complete medical history including a physical examination, vital signs (blood pressure (BP), pulse rate (PR)), 12-lead Electrocardiogram (ECG), and clinical laboratory tests

    • Age of at least 18 (inclusive) to 50 years (inclusive)

    • Body mass index (BMI) of 18.5 to 29.9 weight divided by height squared (kg/m2) (inclusive)

    • Signed and dated written informed consent prior to admission to the study, in accordance with Good Clinical Practice (GCP) and local legislation

    • Male subjects, or female subjects who meet any of the following criteria from at least 30 days before the first administration of trial medication until 30 days after trial completion:

    • Use of adequate contraception, e.g. any of the following methods plus condom:

    • implants, injectables, combined oral or vaginal contraceptives, intrauterine device

    • Sexually abstinent

    • A vasectomised sexual partner (vasectomy at least 1 year prior to enrolment)

    • Surgically sterilised (including hysterectomy)

    Exclusion Criteria:
    • Any finding in the medical examination (including BP, PR or ECG) deviating from normal and assessed as clinically relevant by the investigator

    • Repeated measurement of systolic blood pressure outside the range of 90 to 140 millimetre of mercury (mmHg), diastolic blood pressure outside the range of 50 to 90 mmHg, or pulse rate outside the range of 50 to 90 beats per minute (bpm)

    • Any laboratory value outside the reference range that the investigator considers to be of clinical relevance

    • Cholecystectomy or other surgery of the gastrointestinal tract that could interfere with the pharmacokinetics of the trial medication (except appendectomy or simple hernia repair)

    • History of relevant orthostatic hypotension, fainting spells, or blackouts

    • Chronic or relevant acute infections

    • Use of drugs within 30 days of planned administration of trial medication that might reasonably influence the results of the trial (including drugs that cause time from the start of the Q wave to the end of the T wave (QT) / corrected QT (QTc) interval prolongation)

    • Smoker (more than 5 cigarettes or 1 cigar or 1 pipe per day)

    • Detection or indeterminate / inconclusive result of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Coronavirus ribonucleic acid (RNA) in the quantitative real-time polymerase chain reaction (RT-qPCR) exam performed on the day before the admission of each period;

    • The research participant presents symptoms of coronavirus disease 2019 (COVID-19) infection (even if the result is "undetected" in the RT-PCR exam for COVID-19)

    • Further exclusion criteria apply

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Instituto de Ciências Farmacêuticas de Estudos e Pesquisas - ICF Goiânia Brazil 74935-530

    Sponsors and Collaborators

    • Boehringer Ingelheim

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Boehringer Ingelheim
    ClinicalTrials.gov Identifier:
    NCT05083949
    Other Study ID Numbers:
    • 1276-0041
    First Posted:
    Oct 19, 2021
    Last Update Posted:
    Nov 1, 2021
    Last Verified:
    Oct 1, 2021
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Nov 1, 2021