Relative Bioavailability of Pyronaridine-artesunate in Tablet and Granule Formulations, in Healthy Volunteers

Sponsor
Medicines for Malaria Venture (Other)
Overall Status
Completed
CT.gov ID
NCT01868438
Collaborator
Shin Poong Pharmaceutical Co. Ltd. (Industry)
60
1
2
8
7.5

Study Details

Study Description

Brief Summary

The purpose of this study is to compare the bioavailability of two formulations (tablets and granules for dispersion) of the antimalarial drug Pyramax (which is a combination of pyronaridine and artesunate).

Condition or Disease Intervention/Treatment Phase
  • Drug: pyronaridine-artesunate granules
  • Drug: Pyronaridine-artesunate tablets
Phase 1

Study Design

Study Type:
Interventional
Actual Enrollment :
60 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Phase 1, Open-label, Cross-over Study to Investigate the Relative Bioavailability of Pyramax (Pyronaridine-artesunate) in Tablet and Granule Formulations, in Healthy Volunteers
Study Start Date :
May 1, 2013
Actual Primary Completion Date :
Oct 1, 2013
Actual Study Completion Date :
Jan 1, 2014

Arms and Interventions

Arm Intervention/Treatment
Active Comparator: Pyronaridine-artesunate granules (Period 1)

In first dosing period, single administration of pyronaridine-artesunate granules: total dose 540mg pyronaridine + 180mg artesunate. In second dosing period, cross-over to single administration of pyronaridine-artesunate tablets: total dose 540mg pyronaridine + 180mg artesunate.

Drug: pyronaridine-artesunate granules
Other Names:
  • Pyramax granules
  • Drug: Pyronaridine-artesunate tablets
    Other Names:
  • Pyramax tablets
  • Active Comparator: Pyronaridine-artesunate tablets (Period1)

    In first dosing period, single administration of pyronaridine-artesunate tablets: total dose 540mg pyronaridine + 180mg artesunate. In second dosing period, cross-over to single administration of pyronaridine-artesunate granules: total dose 540mg pyronaridine + 180mg artesunate.

    Drug: pyronaridine-artesunate granules
    Other Names:
  • Pyramax granules
  • Drug: Pyronaridine-artesunate tablets
    Other Names:
  • Pyramax tablets
  • Outcome Measures

    Primary Outcome Measures

    1. Area Under the concentration-time Curve from hour 0 to the last sampling point (AUC 0-t) for pyronaridine and dihydroartemisinin (DHA) [Pyronaridine PK to Day 43; DHA PK to 24 hours post dose.]

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    20 Years to 45 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Healthy male and/or female subjects between the ages of 20 and 45 years, inclusive. (Healthy is defined as no clinically relevant abnormalities identified by a detailed medical history, full physical examination, including blood pressure and pulse rate measurement, 12-lead ECG and clinical laboratory tests)

    • Weight between 50 kg and 80 kg and Body Mass Index (BMI) calculated using Quetelet's Index - weight(kg)/height (m2) between 18.5 to 27 kg/m2;

    • An informed consent document signed and dated by the subject (prior to screening and any study activities, including discontinuation of any prohibited medications)

    • Strictly normal values of alanine aminotransferase(ALT), aspartate aminotransferase (AST), and bilirubin, and normal or abnormal but clinically insignificant results of the other blood and urine laboratory parameters at screening.

    • Female subjects of non-childbearing potential [i.e., physiologically incapable of becoming pregnant, including any female who was post-menopausal (i.e., one year without menses) or who has undergone sterilization (via hysterectomy or bilateral tubal ligation)]

    • Female subjects of childbearing potential with a negative urine pregnancy test at screening, and a negative pregnancy blood test on admission, and who :

    • agree to double barrier method of contraception for 4 weeks before first study drug administration and throughout the entire study follow up period, or

    • whose partner has undergone vasectomy and has been negative for sperm for at least 6 months

    • Subjects who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures.

    Exclusion Criteria:
    • Known history or evidence of clinically significant disorders such as cardiovascular (including arrhythmia, acute corrected QT interval (QTc) greater or equal to 450 milliseconds), respiratory (including active tuberculosis), hepatic, renal, gastrointestinal, immunological (including active HIV-AIDS), neurological (including auditory), endocrine, infectious, malignancy, psychiatric or other abnormality (including head trauma)

    • Known history of hypersensitivity, allergic or adverse reactions to pyronaridine or artesunate or other artemisinins

    • Known active Hepatitis A IgM (HAV-IgM), Hepatitis B surface antigen (HBsAg) or Hepatitis C antibody (HCV Ab)

    • Seropositive HIV antibody, seropositive syphilis [Syphilis reagin test (+)]

    • Previous exposure to pyronaridine-artesunate (Pyramax)

    • Present or recent history (last two years) of tobacco abuse (≥10 cigarettes/day)

    • Known or suspected alcohol abuse or illicit drug use up to 5 years before the study start or positive findings on urine drug screen

    • Intake of alcoholic beverages or caffeine-containing food or beverages, such as coffee, tea, chocolate, or cola, 48 hours before study drug administration

    • Intake of grapefruit, Seville oranges or products containing these from 72 hours before the start of study drug administration

    • Gilbert's disease

    • Use of over-the-counter (OTC) medications, including vitamins, analgesics, antipyretics or antacids within 7 days before study drug administration

    • Use of prescription medications within 14 days before the start of study drug administration or required chronic use of any prescription medication

    • Use of enzyme-altering agents (e.g. barbiturates, phenothiazines, cimetidine, etc.) within 30 days before the start of study drug administration

    • Plasma donation within 60 days before the start of study drug administration

    • Blood donation of 500 mL or more within 60 days before the start of study drug administration

    • Participation AND having had drug administration in any other clinical study within the 60 days before start of study drug administration

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Dept. of Clinical Pharmacology and Therapeutics, Asan Medical Center, Univ. of Ulsan Seoul Korea, Republic of

    Sponsors and Collaborators

    • Medicines for Malaria Venture
    • Shin Poong Pharmaceutical Co. Ltd.

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Medicines for Malaria Venture
    ClinicalTrials.gov Identifier:
    NCT01868438
    Other Study ID Numbers:
    • SP-C-017-12
    First Posted:
    Jun 4, 2013
    Last Update Posted:
    Mar 31, 2014
    Last Verified:
    Mar 1, 2014
    Keywords provided by Medicines for Malaria Venture
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Mar 31, 2014