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The purpose of this study is to determine if tablets manufactured at different sites have the same bioavailability, that is yield similar blood levels/concentrations of the drugs and are handled by the body similarly
Primary Purpose:
Other: Protocol designed to demonstrate the bioequivalence of the fixed dose combination of 5 mg Saxagliptin and 1000 mg Metformin Extended Release Tablet manufactured in Mt. Vernon, Indiana and Humacao, Puerto Rico relative to the fixed dose combination tablet manufactured in Mt. Vernon, Indiana and the bioequivalence of the fixed dose combination of 5 mg Saxagliptin and 500 mg Metformin Extended Release Tablet manufactured in Mt. Vernon, Indiana and Humacao, Puerto Rico relative to the fixed dose combination tablet manufactured in Mt. Vernon, Indiana in healthy human subjects under fed conditions
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm A: Saxagliptin/Metformin XR FDC (Mt. Vernon/Humacao) | Experimental | Saxagliptin 5 mg /Metformin 1000 mg (Mt. Vernon/Humacao) tablet by mouth once daily on Day 1 of Periods 1 and 2 |
|
| Arm B: Saxagliptin/Metformin XR FDC (Mt. Vernon) | Experimental | Saxagliptin 5 mg/Metformin 1000 mg (Mt. Vernon) tablet by mouth once daily on Day 1 of Periods 1 and 2 |
|
| Arm C: Saxagliptin/Metformin XR FDC (Mt. Vernon/Humacao) | Experimental | Saxagliptin 5 mg/Metformin 500 mg (Mt. Vernon/Humacao) tablet by mouth once daily on Day1 of Periods 1 and 2 |
|
| Arm D: Saxagliptin/Metformin XR FDC (Mt. Vernon) | Experimental | Saxagliptin 5 mg/Metformin 500 mg (Mt. Vernon) tablet by mouth once daily Day 1 of Periods 1 and 2 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Saxagliptin/Metformin | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Point estimates and 90% CIs for the ratio of geometric means for Cmax for Saxagliptin and Metformin in the 5/1000 mg FDC XR (Mt.Vernon/Humacao) and 5/1000 mg FDC XR (Mt. Vernon) | Cmax=Maximum observed plasma concentration CI=Confidence interval FDC=Fixed dosed combination XR=Extended release | 19 time points up to Day 3 of Periods 1 and 2 |
| Point estimates and 90% CIs for the ratio of geometric means for AUC(0-T) for Saxagliptin and Metformin in the 5/1000 mg FDC XR (Mt.Vernon/Humacao) and 5/1000 mg FDC XR (Mt. Vernon) | AUC(0-T)=Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration | 19 time points up to Day 3 of Periods 1 and 2 |
| Point estimates and 90% CIs for the ratio of geometric means for AUC(INF) for Saxagliptin and Metformin in the 5/1000 mg FDC XR (Mt.Vernon/Humacao) and 5/1000 mg FDC XR (Mt. Vernon) | AUC(INF)=Area under the plasma concentration-time curve from time zero extrapolated to infinity | 19 time points up to Day 3 of Periods 1 and 2 |
| Point estimates and 90% CIs for the ratio of geometric means for Cmax for Saxagliptin and Metformin in the 5/500 mg FDC XR (Mt. Vernon/Humacao) and 5/500 mg FDC XR (Mt. Vernon) | 19 time points up to Day 3 of Periods 1 and 2 | |
| Point estimates and 90% CIs for the ratio of geometric means for AUC(0-T) for Saxagliptin and Metformin in the 5/500 mg FDC XR (Mt. Vernon/Humacao) and 5/500 mg FDC XR (Mt. Vernon) | 19 time points up to Day 3 of Periods 1 and 2 | |
| Point estimates and 90% CIs for the ratio of geometric means for AUC(INF) for Saxagliptin and Metformin in the 5/500 mg FDC XR (Mt. Vernon/Humacao) and 5/500 mg FDC XR (Mt. Vernon) |
| Measure | Description | Time Frame |
|---|---|---|
| Time to maximum observed plasma concentration (Tmax) for Saxagliptin and Metformin and for 5-OH Saxagliptin (Treatments A, B, C, and D) | 19 time points up to Day 3 of Periods 1 and 2 | |
| Terminal half life (T-HALF) for Saxagliptin and Metformin and for 5-OH Saxagliptin (Treatments A, B, C, and D) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bristol-Myers Squibb | Bristol-Myers Squibb | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Icon Development Solutions | San Antonio | Texas | 78209 | United States |
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| Label | URL |
|---|---|
| CV181208\_CSR\_Synopsis | View source |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| ID | Term |
|---|---|
| C502994 | saxagliptin |
| D008687 | Metformin |
| ID | Term |
|---|---|
| D001645 | Biguanides |
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |
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|
| 19 time points up to Day 3 of Periods 1 and 2 |
| 19 time points up to Day 3 of Periods 1 and 2 |
| Cmax for 5-OH Saxagliptin (Treatments A, B, C, and D) | 19 time points up to Day 3 of Periods 1 and 2 |
| AUC(0-T) for 5-OH Saxagliptin (Treatments A, B, C, and D) | 19 time points up to Day 3 of Periods 1 and 2 |
| AUC(INF) for 5-OH Saxagliptin (Treatments A, B, C, and D) | 19 time points up to Day 3 of Periods 1 and 2 |
| Safety assessments based on adverse event reports and the results of vital sign measurements, ECGs, physical examinations, and clinical laboratory tests | Parameters will include:
| Up to Day 3 of Periods 1 and 2 and up to 30 days post discontinuation of dosing |