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The primary object of this study was to evaluate the relative bioavailability of the test formulation of metronidazole vaginal gel with the already marketed reference formulation MetroGel-Vaginal Gel® in healthy adult female subjects.
Criteria for Evaluation: FDA Bioequivalence Criteria
Statistical Methods: FDA Bioequivalence Statistical Methods
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Metronidazole Vaginal Gel |
|
| 2 | Active Comparator | MetroGel-Vaginal® |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Metronidazole | Drug | Vaginal Gel, 0.75% |
| |
| Metronidazole |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax (Maximum Observed Concentration of Drug Substance in Plasma) | Bioequivalence based on Cmax. | Blood samples collected over a 60 hour period. |
| AUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) | Bioequivalence based on AUC0-t. | Blood samples collected over a 60 hour period. |
| AUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity) | Bioequivalence based on AUC0-inf. | Blood samples collected over a 60 hour period. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shirley A Kennedy, MD | Novum Pharmaceutical Research Services | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Novum Pharmaceutical Research Services | Pittsburgh | Pennsylvania | 15206 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Test (Metronidazole) First | 0.75% Metronidazole Vaginal Gel test product dosed in first period followed by 0.75% MetroGel-Vaginal® reference product dosed in the second period. |
| FG001 | Reference (MetroGel-Vaginal®) First | 0.75% MetroGel-Vaginal® reference product dosed in first period followed by 0.75% Metronidazole Vaginal Gel test product dosed in the second period. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| First Intervention |
| |||||||||||||
| Washout of 7 Days |
| |||||||||||||
| Second Intervention |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Test (Metronidazole) First | 0.75% Metronidazole Vaginal Gel test product dosed in first period followed by 0.75% MetroGel-Vaginal® reference product dosed in the second period. |
| BG001 | Reference (MetroGel-Vaginal®) First |
| 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 | Cmax (Maximum Observed Concentration of Drug Substance in Plasma) | Bioequivalence based on Cmax. | All participants that completed the study had their samples analyzed. One subject had very low plasma metronidazole levels for Period I samples, therefore the data from this subject was dropped from the statistical analysis. | Posted | Mean | Standard Deviation | ng/mL | Blood samples collected over a 60 hour period. |
|
Adverse event data was collected over the course of the study, which was approximately 2 weeks in duration
Volunteers were monitored throughout the study for any adverse experiences. AEs were collected through both solicited and unsolicited methods. The volunteers were encouraged to report signs, symptoms, and any changes in health to the clinic staff.
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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 | Test (Metronidazole) | 0.75% Metronidazole Vaginal Gel test product dosed in either period. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | General disorders | MedDRA (10.0) | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Associate Director, Biopharmaceutics | TEVA Pharmaceuticals, USA | 1-866-384-5525 | clinicaltrialqueries@tevausa.com |
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| ID | Term |
|---|---|
| D008795 | Metronidazole |
| D019985 | Benchmarking |
| ID | Term |
|---|---|
| D009593 | Nitroimidazoles |
| D009574 | Nitro Compounds |
| D009930 | Organic Chemicals |
| D007093 | Imidazoles |
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| Drug |
Vaginal Gel, 0.75% |
|
|
| NOT COMPLETED |
|
| NOT COMPLETED |
|
|
0.75% MetroGel-Vaginal® reference product dosed in first period followed by 0.75% Metronidazole Vaginal Gel test product dosed in the second period.
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Number | participants |
|
| Region of Enrollment | Number | participants |
|
|
|
|
| Primary | AUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) | Bioequivalence based on AUC0-t. | All participants that completed the study had their samples analyzed. One subject had very low plasma metronidazole levels for Period I samples, therefore the data from this subject was dropped from the statistical analysis. | Posted | Mean | Standard Deviation | ng*h/mL | Blood samples collected over a 60 hour period. |
|
|
|
|
| Primary | AUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity) | Bioequivalence based on AUC0-inf. | All participants that completed the study had their samples analyzed. One subject had very low plasma metronidazole levels for Period I samples, therefore the data from this subject was dropped from the statistical analysis. | Posted | Mean | Standard Deviation | ng*h/mL | Blood samples collected over a 60 hour period. |
|
|
|
|
| 0 |
| 38 |
| 10 |
| 38 |
| EG001 | Reference (MetroGel-Vaginal®) | 0.75% MetroGel-Vaginal® reference product dosed in either period. | 0 | 38 | 16 | 38 |
| Nausea | General disorders | MedDRA (10.0) | Non-systematic Assessment |
|
| Blood in Urine | General disorders | MedDRA (10.0) | Non-systematic Assessment |
|
| Diarrhea | General disorders | MedDRA (10.0) | Non-systematic Assessment |
|
| Abdominal Pain/Cramps | General disorders | MedDRA (10.0) | Non-systematic Assessment |
|
| Protein in Urine | General disorders | MedDRA (10.0) | Non-systematic Assessment |
|
The Principal Investigator is not permitted to discuss or publish trial results.
| D001393 |
| Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D008330 | Management Audit |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |
| D015397 | Program Evaluation |
| D011787 | Quality of Health Care |
| D011785 | Quality Assurance, Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D017531 | Health Care Evaluation Mechanisms |