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The purpose of this study is to evaluate and compare the relative bioavailability of a test formulation of cilostazol tablets to an equivalent dose of PletalĀ® (cilostazol) tablets after a single oral dose administered under fasting conditions.
The purpose of this study is to evaluate and compare the relative bioavailability of a test formulation of cilostazol tablets to an equivalent dose of PletalĀ® (cilostazol) tablets after a single oral dose administered under fasting conditions. Thirty-two non-smoking, non-obese, healthy male and female volunteers between the ages of 18 and 55 will be randomly assigned in a crossover fashion to receive each of two cilostazol dosing regimens in sequence with a 7 day washout period between dosing periods. On the morning of Day 1, after an overnight fast of at least 10 hours, subjects will receive either a single oral dose of the test formulation, cilostazol (2 x 50 mg tablets), or a single oral dose of the reference formulation, PletalĀ® (2 x 50 mg tablets). After a 7 day washout period on the morning of Day 8, following an overnight fast of at least 10 hours, subjects will receive the alternate regimen. Blood samples will be drawn from all participants before dosing and for 24 hours post-dose on a confined basis at times sufficient to adequately define the pharmacokinetics of cilostazol. Blood sampling will then continue on a non-confined basis at 36 and 48 hours post-dose. A further goal of this study is to evaluate the safety and tolerability of this regimen in healthy volunteers. Subjects will be monitored throughout the confinement portion of the study for adverse reactions to the study drug and/or procedures. Blood pressure and pulse will be measured before dosing and at 3 and 24 hours post-dose. All adverse events whether elicited by query, spontaneously reported, or observed by clinic staff will be evaluated by the investigator and reported in the subject's case report form.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cilostazol 50 mg Tablets | Experimental | A single dose of cilostazol (2 x 50 mg tablets) administered after an overnight fast of at least 10 hours. |
|
| Cilostazol (PletalĀ® ) 50 mg Tablets | Experimental | A single dose of Cilostazol (PletalĀ® tablets, 2 x 50 mg ) administered after an overnight fast of at least 10 hours. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cilostazol 50 mg Tablets | Drug | Cilostazol (2 x 50 mg tablets) administered after an overnight fast of at least 10 hours |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Plasma Concentration (Cmax) | The maximum or peak concentration that cilostazol (test and reference product) reaches in the plasma. | serial pharmacokinetic plasma concentrations were drawn prior to dose administration (0 hour) and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 7, 8, 12, 16, 24, 36 and 48 hours after drug administration. |
| Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)] | The area under the plasma concentration versus time curve, from time 0 to the time of the last measurable concentration (t), as calculated by the linear trapezoidal rule. | serial pharmacokinetic plasma concentrations were drawn prior to dose administration (0 hour) and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 7, 8, 12, 16, 24, 36 and 48 hours after drug administration. |
| Area Under the Concentration Versus Time Curve From Time 0 Extrapolated to Infinity [AUC(0-ā)] | The area under the plasma concentration versus time curve from time 0 to infinity. AUC(0-ā) was calculated as the sum of AUC(0-t) plus the ratio of the last measurable plasma concentration to the elimination rate constant. | serial pharmacokinetic plasma concentrations were drawn prior to dose administration (0 hour) and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 7, 8, 12, 16, 24, 36 and 48 hours after drug administration. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Dilip K Guha-Ray, M.D. | BASi Baltimore Clinical Research Unit | Principal Investigator |
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| Label | URL |
|---|---|
| Recalls, Market Withdrawals and Safety Alerts | View source |
| Daily Med - Posting of Recently Submitted Labeling to the FDA | View source |
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Thirty-two healthy adult male and female volunteers from the community-at-large were enrolled.
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| ID | Title | Description |
|---|---|---|
| FG000 | Cilostazol 50 mg Tablets Then PletalĀ® 50 mg Tablets | On the morning of Day 1 subjects received two tablets of the test formulation, Cilostazol 50 mg, after an overnight fast of at least 10 hours, followed by a 7 day washout period. On the morning of Day 8 subjects received two tablets of the reference formulation, PletalĀ® 50 mg, after an overnight fast of at least 10 hours. |
| FG001 | PletalĀ® 50 mg Tablets Then Cilostazol 50 mg Tablets | On the morning of Day 1 subjects received two tablets of the reference formulation, PletalĀ® 50 mg, after an overnight fast of at least 10 hours, followed by a 7 day washout period. On the morning of Day 8 subjects received two tablets of the test formulation, Cilostazol 50 mg, after an overnight fast of at least 10 hours. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| First Intervention |
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| Washout Period of 7 Days |
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| Second Intervention |
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| ID | Title | Description |
|---|---|---|
| BG000 | Cilostazol 50 mg Tablets and PletalĀ® 50 mg Tablets | All subjects received each of the two study regimens in a randomly assigned sequence of dosing periods. On the mornings of Day 1 and Day 8, each subject received two tablets of either Cilostazol 50 mg or PletalĀ® 50 mg following an overnight fast of at least 10 hours. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Maximum Plasma Concentration (Cmax) | The maximum or peak concentration that cilostazol (test and reference product) reaches in the plasma. | Posted | Mean | Standard Deviation | ng/mL | serial pharmacokinetic plasma concentrations were drawn prior to dose administration (0 hour) and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 7, 8, 12, 16, 24, 36 and 48 hours after drug administration. |
|
All adverse events were recorded during the 14 day course of the study.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Cilostazol 50 mg Tablets | All subjects received each of the two study regimens in a randomly assigned sequence of dosing periods. On the mornings of Day 1 and Day 8, each subject received two tablets of either cilostazol 50 mg or PletalĀ® 50 mg following an overnight fast of at least 10 hours. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | Nervous system disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Director | Mutual Pharmaceutical Company, Inc. | 215-697-1743 | clinicaltrials@urlmutual.com |
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| ID | Term |
|---|---|
| D000077407 | Cilostazol |
| ID | Term |
|---|---|
| D013777 | Tetrazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| Cilostazol (PletalĀ®) 50 mg Tablets | Drug | Cilostazol (PletalĀ® Tablets, 2 x 50mg) administered after an overnight fast of at least 10 hours. |
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| NOT COMPLETED |
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| NOT COMPLETED |
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| Participants |
|
| Age Continuous | Mean | Standard Deviation | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
On the morning of Day 1 subjects received two tablets of either the test formulation, cilostazol 50mg, or the reference formulation, PletalĀ® 50 mg, after an overnight fast of at least 10 hours, followed by a 7 day washout period. On the morning of Day 8 subjects received the alternate regimen following an overnight fast of at least 10 hours. |
|
|
| Primary | Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)] | The area under the plasma concentration versus time curve, from time 0 to the time of the last measurable concentration (t), as calculated by the linear trapezoidal rule. | Posted | Mean | Standard Deviation | ng-hr/mL | serial pharmacokinetic plasma concentrations were drawn prior to dose administration (0 hour) and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 7, 8, 12, 16, 24, 36 and 48 hours after drug administration. |
|
|
|
| Primary | Area Under the Concentration Versus Time Curve From Time 0 Extrapolated to Infinity [AUC(0-ā)] | The area under the plasma concentration versus time curve from time 0 to infinity. AUC(0-ā) was calculated as the sum of AUC(0-t) plus the ratio of the last measurable plasma concentration to the elimination rate constant. | Pharmacokinetic analyses of cilostazol and PletalĀ® are based on 28 and 27 subjects, respectively. Reliable estimates could not be obtained for one subject administered Cilostazol and two subjects administered PletalĀ® because there was not a smooth decline in concentrations in the terminal phase of elimination. | Posted | Mean | Standard Deviation | ng-hr/mL | serial pharmacokinetic plasma concentrations were drawn prior to dose administration (0 hour) and at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 7, 8, 12, 16, 24, 36 and 48 hours after drug administration. |
|
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|
| 0 |
| 31 |
| 10 |
| 31 |
| EG001 | PletalĀ® 50 mg Tablets | All subjects received each of the two study regimens in a randomly assigned sequence of dosing periods. On the mornings of Day 1 and Day 8, each subject received two tablets of either cilostazol 50 mg or PletalĀ® 50 mg following an overnight fast of at least 10 hours. | 0 | 30 | 12 | 30 |
| Bradycardia | Cardiac disorders | Systematic Assessment | decreased pulse-heart rate |
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| Hypertension | Cardiac disorders | Systematic Assessment | elevated systolic |
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| Tachycardia | Cardiac disorders | Systematic Assessment | elevated pulse |
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| Nausea | Gastrointestinal disorders | Systematic Assessment |
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| Anemia | Blood and lymphatic system disorders | Systematic Assessment | decreased hematocrit |
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| Anemia hypochrom | Blood and lymphatic system disorders | Systematic Assessment | decreased hemoglobin |
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| hypotension | Cardiac disorders | Systematic Assessment | low diastolic |
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| Leukocytosis | Blood and lymphatic system disorders | Systematic Assessment | increased absolute neutrophils, increased white blood cell count |
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| Albuminuria | Metabolism and nutrition disorders | Systematic Assessment | protein 1+ urine |
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| Hyperglycemia | Metabolism and nutrition disorders | Systematic Assessment | elevated glucose |
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| Arthralgia | Musculoskeletal and connective tissue disorders | Systematic Assessment | pain in left wrist |
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| paresthesia circumoral | Nervous system disorders | Systematic Assessment | abnormal sensation of lips |
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| Pharyngitis | Respiratory, thoracic and mediastinal disorders | Systematic Assessment | sore throat |
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| Rhinitis | Respiratory, thoracic and mediastinal disorders | Systematic Assessment | congestion, post-nasal drip |
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| Hematuria | Renal and urinary disorders | Systematic Assessment | urine blood 3+ |
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| Urine abnormal | Renal and urinary disorders | Systematic Assessment | leukocyte 2+ |
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| D011804 |
| Quinolines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |