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The purpose of this study was to compare the pharmacokinetic profiles at steady state of the test product, 300 mg trazodone hydrochloride (HCl) extended-release caplets (containing Contramid®), when administered once daily, and the reference product, 100 mg trazodone HCl immediate-release tablets (Apotex Corp.), when administered three times daily, for one week. For this purpose, the rate and extent of absorption of trazodone and formation of m-chlorophenylpiperazine (mCPP) after administration of multiple doses of up to 300 mg of each of the two formulations was compared.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Trazodone HCl OAD | Experimental | OAD: Once A Day |
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| Trazodone HCl (Apotex Corp.) | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Trazodone HCl | Drug | Dosage form: Extended-release caplets containing 300 mg trazodone HCl and extended-release caplets containing 150 mg trazodone HCl (the 150 mg dosage form was only used for the up and down titration, and was not evaluated in the study). Dose regimen: 75 mg trazodone HCl (½ x 150 mg extended-release caplet) on Days 1 and 11, 150 mg trazodone HCl (one extended-release caplet) on Days 2 and 10, 300 mg trazodone HCl (one extended-release caplet) on Days 3 to 9, each at 23:30 after a fast of at least 4 hours. |
| Measure | Description | Time Frame |
|---|---|---|
| Bioequivalence Based on Cmax,ss | Cmax,ss = Maximum plasma concentration (Cmax) at steady state (ss): (Cmax,ss). Measured in nanograms per milliliter (ng/mL). | 9 days |
| Bioequivalence Based on AUCss | AUCss = Area under the plasma concentration curve (AUC) vs. time data pairs at steady state (ss): AUCss. Measured in nanograms x hours per milliliter (ng*h/mL). | 9 days |
| Measure | Description | Time Frame |
|---|---|---|
| Minimum Plasma Concentration (Cmin,ss) | Minimum plasma concentration at steady state (Cmin,ss). Measured in nanograms per milliliter (ng/mL) | 9 days |
| Plasma Concentration at 24 Hours Post-evening Dose (C24h) |
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Inclusion Criteria:
Healthy male and female subjects 18 to <56 years of age.
Body mass within 10% of ideal mass in relation to height and age, according to Body Mass Index.
Body mass not less than 60 kg.
Findings within the range of clinical acceptability in medical history and physical examination, and laboratory results within the reference ranges for the relevant laboratory tests (unless the investigator considered the deviation to be irrelevant for the purpose of the study).
Normal electrocardiogram (ECG) and vital signs, or abnormalities which the investigator did not consider a disqualification for participation in the study.
Willingness to undergo pre- and post-study physical examinations and laboratory investigations.
Ability to comprehend and willingness to sign both statements of informed consent (for screening and phase-related procedures).
Non-smoker or past smoker who stopped the use of any form of tobacco, including snuff or similar products, at least 3 months before entering the study.
For females, the following conditions had to be met:
had been surgically sterilized or undergone a hysterectomy, or
was of childbearing potential, and all of the following conditions were met:
females not of childbearing potential could also have been included if they had no menstrual period for one year and were considered as post-menopausal.
Exclusion Criteria:
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| Label | URL |
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| Approved labelling | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | Test (Trazodone Contramid® OAD) First | Trazodone Contramid® OAD (Once-A-Day) test product (300 mg tablet administered once daily) dosed in first treatment phase followed by Trazodone IR (Apotex Corp.) reference product (100 mg tablet administered thrice daily) dosed in the second treatment phase. A drug-free period of 7 calendar days separated the last administration of study medication in Phase 1 and the first administration of study medication in Phase 2. IR = Immediate Release. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| First Intervention Period |
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| Trazodone HCl | Drug | Dosage form: Immediate-release tablet containing 100 mg trazodone HCl Dose regimen: 100 mg trazodone HCl (one immediate-release tablet) once (at 23:30) on Days 1 and 11, 100 mg trazodone HCl (one immediate-release tablet) twice (at 23:30 and 11:30) on Days 2 and 10, 100 mg trazodone HCl (one immediate-release tablet) three times daily (at 23:30, 07:30 and 15:30) on Days 3 to 9. Evening doses were administered after a fast of at least 4 hours. |
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Plasma concentration at 24 hours post-evening dose (C24h) in nanograms per milliliter (ng/mL)
| 9 days |
| Time to Peak Exposure (Tmax) | Time to peak exposure (Tmax) at steady state. | 9 days |
| Percentage Swing | Percentage swing is a pharmacokinetic parameter calculated as follows: ((Cmax,ss - Cmin,ss)/Cmin,ss)*100. Where: Cmax,ss = Maximum concentration at steady state; Cmin,ss = Minimum concentration at steady state. It was calculated over 24 hours on day 9. | 9 days |
| Percentage Peak-Trough Fluctuation (%PTF) | Percentage Peak-Trough Fluctuation (%PTF) of trazodone calculated as [100*(Cmax-Cmin)/Cav]. Cmax: Maximum plasma concentration Cmin: Minimum plasma concentration Cav: Average plasma concentration | 9 days |
| FG001 | Reference (Trazodone IR [Apotex Corp.]) First | Trazodone IR (Apotex Corp.) reference product (100 mg tablet administered thrice daily) dosed in first treatment phase followed by Trazodone Contramid® OAD (Once-A-Day) test product (300 mg tablet administered once daily) dosed in the second treatment phase. A drug-free period of 7 calendar days separated the last administration of study medication in Phase 1 and the first administration of study medication in Phase 2. IR = Immediate Release. |
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| Washout Period |
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| Second Intervention Period |
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| ID | Title | Description |
|---|---|---|
| BG000 | Entire Study Population | Includes groups randomized to receive Trazodone Contramid® OAD (Once-A-Day) test product first and Trazodone IR (Apotex Corp.) reference product first. IR = Immediate Release |
| Units | Counts |
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| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||||
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| Age, Categorical | Count of Participants | Participants |
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| Age Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| 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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Bioequivalence Based on Cmax,ss | Cmax,ss = Maximum plasma concentration (Cmax) at steady state (ss): (Cmax,ss). Measured in nanograms per milliliter (ng/mL). | The dataset for pharmacokinetic analysis comprised the 27 subjects who completed the study as per protocol. | Posted | Mean | Standard Deviation | ng/mL | 9 days |
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| Primary | Bioequivalence Based on AUCss | AUCss = Area under the plasma concentration curve (AUC) vs. time data pairs at steady state (ss): AUCss. Measured in nanograms x hours per milliliter (ng*h/mL). | The dataset for pharmacokinetic analysis comprised the 27 subjects who completed the study as per protocol. | Posted | Mean | Standard Deviation | ng*h/mL | 9 days |
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| Secondary | Minimum Plasma Concentration (Cmin,ss) | Minimum plasma concentration at steady state (Cmin,ss). Measured in nanograms per milliliter (ng/mL) | The dataset for pharmacokinetic analysis comprised the 27 subjects who completed the study as per protocol. | Posted | Mean | Standard Deviation | ng/mL | 9 days |
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| Secondary | Plasma Concentration at 24 Hours Post-evening Dose (C24h) | Plasma concentration at 24 hours post-evening dose (C24h) in nanograms per milliliter (ng/mL) | The dataset for pharmacokinetic analysis comprised the 27 subjects who completed the study as per protocol. | Posted | Mean | Standard Deviation | ng/mL | 9 days |
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| Secondary | Time to Peak Exposure (Tmax) | Time to peak exposure (Tmax) at steady state. | The dataset for pharmacokinetic analysis comprised the 27 subjects who completed the study as per protocol. | Posted | Median | Full Range | hours | 9 days |
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| Secondary | Percentage Swing | Percentage swing is a pharmacokinetic parameter calculated as follows: ((Cmax,ss - Cmin,ss)/Cmin,ss)*100. Where: Cmax,ss = Maximum concentration at steady state; Cmin,ss = Minimum concentration at steady state. It was calculated over 24 hours on day 9. | The dataset for pharmacokinetic analysis comprised the 27 subjects who completed the study as per protocol. | Posted | Mean | Standard Deviation | Percentage swing | 9 days |
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| Secondary | Percentage Peak-Trough Fluctuation (%PTF) | Percentage Peak-Trough Fluctuation (%PTF) of trazodone calculated as [100*(Cmax-Cmin)/Cav]. Cmax: Maximum plasma concentration Cmin: Minimum plasma concentration Cav: Average plasma concentration | The dataset for pharmacokinetic analysis comprised the 27 subjects who completed the study as per protocol. | Posted | Mean | Standard Deviation | Percentage Peak-Trough Fluctuation | 9 days |
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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) |
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| EG000 | Trazodone Contramid® OAD | Trazodone Contramid® OAD test product (300 mg tablet administered once daily) dosed in either period. A drug-free period of 7 calendar days separated the last administration of study medication in Phase 1 and the first administration of study medication in Phase 2. | 0 | 28 | 11 | 28 | ||
| EG001 | Trazodone HCl (Apotex Corp.) | Trazodone HCl (Apotex Corp.) reference product (100 mg tablet administered thrice daily) dosed in either period. A drug-free period of 7 calendar days separated the last administration of study medication in Phase 1 and the first administration of study medication in Phase 2. | 0 | 29 | 13 | 29 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
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| Headache | Nervous system disorders | MedDRA | Non-systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA | Non-systematic Assessment |
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| Nasal congestion | Respiratory, thoracic and mediastinal disorders | MedDRA | Non-systematic Assessment |
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| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA | Non-systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA | Non-systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA | Non-systematic Assessment |
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| Dry mouth | Gastrointestinal disorders | MedDRA | Non-systematic Assessment |
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| Insomnia | Psychiatric disorders | MedDRA | Non-systematic Assessment |
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If a publication based on the results of this study is envisaged, approval from the Sponsor will be obtained and a draft manuscript will be submitted to the sponsor for scrutiny and comment. The choice of scientific journal will be mutually agreed on by the principal investigator and the sponsor.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Director of Regulatory Affairs | Labopharm Inc. | 1 450 686 1017 |
| ID | Term |
|---|---|
| D014196 | Trazodone |
| ID | Term |
|---|---|
| D010879 | Piperazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011728 | Pyridones |
| D011725 | Pyridines |
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