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The purpose of this study was to evaluate the pharmacokinetic and safety profile of the sustained-release formulation of deferiprone under both fasting and fed conditions, and evaluate the relative bioavailability of this sustained-release formulation when compared to immediate-release formulation of deferiprone under fasting conditions.
This was an open-label, single-dose, randomized, three-way crossover study under fed and fasting conditions designed to determine the pharmacokinetics, safety, and tolerability of deferiprone sustained-release tablets in healthy volunteers. Subjects were randomized to receive the following 3 treatments in different orders, with a washout period of 7 days between treatments:
In each period, blood samples for pharmacokinetics (PK) assessment were collected prior to dosing and at specified time points up to 24 hours post-dose. Safety assessments were conducted throughout the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Deferiprone sustained-release (fed) | Experimental | A single 1000 mg dose of deferiprone sustained-release following a high fat high calorie breakfast. |
|
| Deferiprone sustained-release (fasting) | Experimental | A single 1000 mg dose of deferiprone sustained-release under fasting conditions. |
|
| Deferiprone immediate-release (fasting) | Active Comparator | A single 1000 mg dose of Deferiprone immediate-release under fasting conditions. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Deferiprone sustained-release | Drug | Deferiprone sustained-release tablets |
|
| Measure | Description | Time Frame |
|---|---|---|
| AUCt for Serum Deferiprone and Deferiprone 3-O-glucuronide | AUCt (Area Under the Curve to the last measured time) was assessed over a 24-hour interval for analyses of deferiprone and its 3-O-glucuronide metabolite. Blood samples were obtained prior to dosing and at 0.25, 0.5, 0.75, 1, 1.3333, 1.6667, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post-dose. | 24-hour interval |
| AUCinf for Serum Deferiprone and Deferiprone 3-O-glucuronide | AUCinf (Area Under the Curve to infinity) was assessed over a 24-hour interval for analyses of deferiprone and its 3-O-glucuronide metabolite. Blood samples were obtained prior to dosing and at 0.25, 0.5, 0.75, 1, 1.3333, 1.6667, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post-dose. | 24-hour interval |
| Cmax for Serum Deferiprone and Deferiprone 3-O-glucuronide | Cmax (maximum concentration in the serum) was assessed over a 24-hour interval for analyses of deferiprone and its 3-O-glucuronide metabolite. Blood samples were obtained prior to dosing and at 0.25, 0.5, 0.75, 1, 1.3333, 1.6667, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post-dose. | 24-hour interval |
| Tmax for Serum Deferiprone and Deferiprone 3-O-glucuronide | Tmax (the time to Cmax) was assessed over a 24-hour interval for analyses of deferiprone and its 3-O-glucuronide metabolite. Blood samples were obtained prior to dosing and at 0.25, 0.5, 0.75, 1, 1.3333, 1.6667, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post-dose. | 24-hour interval |
| Thalf for Serum Deferiprone and Deferiprone 3-O-glucuronide | Thalf (the apparent terminal elimination half-life of the drug) was assessed over a 24-hour interval for analyses of deferiprone and its 3-O-glucuronide metabolite. Blood samples were obtained prior to dosing and at 0.25, 0.5, 0.75, 1, 1.3333, 1.6667, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post-dose. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability of Deferiprone Sustained Release Tablets | The number of participants who experienced adverse events between the time of dosing up to 24 hours post-dose, including any changes of clinical significance in vital signs, 12-lead ECG, and clinical laboratory tests | From time of dose until 24 hours post dose |
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Main Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gurinder Rai, MD | Apotex Inc. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Apotex Inc. BioClinical Development | Toronto | Ontario | M9L 1P7 | Canada |
Subjects were randomized to receive 3 single-dose treatments in different sequences, with a washout of 7 days between doses. Twenty (20) subjects were screened and 12 were randomized. One subject experienced a medical event prior to the first dosing and was excluded from the study, so only 11 subjects received at least 1 dose of study product.
Subjects were dosed at the clinic between May and June of 2014
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| ID | Title | Description |
|---|---|---|
| FG000 | DFP-SR Fed, Then DFP-SR Fasting, Then Ferriprox Fasting | Subjects received 3 treatments in the following order, with a 7-day washout period between treatments:
|
| FG001 | DFP-SR Fasting, Then Ferriprox Fasting, Then DFP-SR Fed | Subjects received 3 treatments in the following order, with a 7-day washout period between treatments:
|
| FG002 | Ferriprox Fasting, Then DFP-SR Fed, Then DFP-SR Fasting | Subjects received 3 treatments in the following order, with a 7-day washout period between treatments:
|
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Healthy Volunteers | Subjects received one dose of deferiprone sustained-release tablets under fed conditions, one dose of deferiprone sustained-release tablets under fasting conditions, and one dose of deferiprone immediate-release tablets under fasting conditions, 7 days apart |
| 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 | AUCt for Serum Deferiprone and Deferiprone 3-O-glucuronide | AUCt (Area Under the Curve to the last measured time) was assessed over a 24-hour interval for analyses of deferiprone and its 3-O-glucuronide metabolite. Blood samples were obtained prior to dosing and at 0.25, 0.5, 0.75, 1, 1.3333, 1.6667, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post-dose. | All subjects who contributed evaluable pharmacokinetics data | Posted | Mean | Standard Deviation | mcg*h/mL | 24-hour interval |
|
1 day
Safety data were collected from the time of dosing up to 24 hours post-dose
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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 | Deferiprone Sustained-release (Fed) | A single 2000 mg dose of deferiprone sustained-release following a high fat high calorie breakfast. Deferiprone sustained-release: Deferiprone sustained-release tablets |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Heart rate decreased | Investigations | MedDRA (Unspecified) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Fernando Tricta, MD | ApoPharma Inc. | 416-401-7332 | ftricta@apopharma.com |
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| ID | Term |
|---|---|
| D000077543 | Deferiprone |
| ID | Term |
|---|---|
| D011728 | Pyridones |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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|
| Deferiprone immediate-release | Drug | Deferiprone immediate-release tablets |
|
|
| 24-hour interval |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
A single 2000 mg dose of deferiprone sustained-release under fasting conditions. Deferiprone sustained-release: Deferiprone sustained-release tablets |
| OG002 | Deferiprone Immediate-release (Fasting) | A single 2000 mg dose of Deferiprone immediate-release under fasting conditions. Deferiprone immediate-release: Deferiprone immediate-release tablets |
|
|
| Primary | AUCinf for Serum Deferiprone and Deferiprone 3-O-glucuronide | AUCinf (Area Under the Curve to infinity) was assessed over a 24-hour interval for analyses of deferiprone and its 3-O-glucuronide metabolite. Blood samples were obtained prior to dosing and at 0.25, 0.5, 0.75, 1, 1.3333, 1.6667, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post-dose. | All subjects who contributed evaluable pharmacokinetics data | Posted | Mean | Standard Deviation | mcg*h/mL | 24-hour interval |
|
|
|
| Primary | Cmax for Serum Deferiprone and Deferiprone 3-O-glucuronide | Cmax (maximum concentration in the serum) was assessed over a 24-hour interval for analyses of deferiprone and its 3-O-glucuronide metabolite. Blood samples were obtained prior to dosing and at 0.25, 0.5, 0.75, 1, 1.3333, 1.6667, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post-dose. | All subjects who contributed evaluable pharmacokinetics data | Posted | Mean | Standard Deviation | mcg/mL | 24-hour interval |
|
|
|
| Primary | Tmax for Serum Deferiprone and Deferiprone 3-O-glucuronide | Tmax (the time to Cmax) was assessed over a 24-hour interval for analyses of deferiprone and its 3-O-glucuronide metabolite. Blood samples were obtained prior to dosing and at 0.25, 0.5, 0.75, 1, 1.3333, 1.6667, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post-dose. | All subjects who contributed evaluable pharmacokinetics data | Posted | Mean | Standard Deviation | h | 24-hour interval |
|
|
|
| Primary | Thalf for Serum Deferiprone and Deferiprone 3-O-glucuronide | Thalf (the apparent terminal elimination half-life of the drug) was assessed over a 24-hour interval for analyses of deferiprone and its 3-O-glucuronide metabolite. Blood samples were obtained prior to dosing and at 0.25, 0.5, 0.75, 1, 1.3333, 1.6667, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 12, 16 and 24 hours post-dose. | All subjects who contributed evaluable pharmacokinetics data | Posted | Mean | Standard Deviation | h | 24-hour interval |
|
|
|
| Secondary | Safety and Tolerability of Deferiprone Sustained Release Tablets | The number of participants who experienced adverse events between the time of dosing up to 24 hours post-dose, including any changes of clinical significance in vital signs, 12-lead ECG, and clinical laboratory tests | All subjects who received at least one dose of study medication and had at least one safety assessment | Posted | Number | participants | From time of dose until 24 hours post dose |
|
|
|
| 0 |
| 10 |
| 5 |
| 10 |
| EG001 | Deferiprone Sustained-release (Fasting) | A single 2000 mg dose of deferiprone sustained-release under fasting conditions. Deferiprone sustained-release: Deferiprone sustained-release tablets | 0 | 10 | 5 | 10 |
| EG002 | Deferiprone Immediate-release (Fasting) | A single 2000 mg dose of Deferiprone immediate-release under fasting conditions. Deferiprone immediate-release: Deferiprone immediate-release tablets | 0 | 11 | 6 | 11 |
| Blood pressure decreased | Investigations | MedDRA (Unspecified) | Systematic Assessment |
|
| Blood pressure increased | Investigations | MedDRA (Unspecified) | Systematic Assessment |
|
| Blood urine present | Investigations | MedDRA (Unspecified) | Systematic Assessment |
|
| Sinus bradycardia | Cardiac disorders | MedDRA (Unspecified) | Systematic Assessment |
|
| White blood cells urine positive | Investigations | MedDRA (Unspecified) | Systematic Assessment |
|
| Alanine aminotransferase increased | Investigations | MedDRA (Unspecified) | Systematic Assessment |
|
| Body temperature increased | Investigations | MedDRA (Unspecified) | Systematic Assessment |
|
| Amylase increased | Investigations | MedDRA (Unspecified) | Systematic Assessment |
|
| Catheter site bruise | General disorders | MedDRA (Unspecified) | Systematic Assessment |
|
| Serum ferritin decreased | Investigations | MedDRA (Unspecified) | Systematic Assessment |
|
| C-reactive protein increased | Metabolism and nutrition disorders | MedDRA (Unspecified) | Systematic Assessment |
|
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