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The purpose of this study is to look at the pharmacokinetics of a new formulation of deferiprone (deferiprone extended release tablets) under fed and fasting conditions.
This is a single-center, open-label, randomized, 5-period, 5-sequence study of the pharmacokinetics of a new formulation of deferiprone, extended release tablets, in twenty healthy volunteers. In each study period, blood samples for pharmacokinetics assessment will be collected pre-dose and over 24 hours post-dose. Safety will be assessed throughout the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ER, fasting conditions | Experimental | A single 1000 mg dose of deferiprone extended release tablet formulation administered under fasting conditions |
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| ER, fed conditions | Experimental | A single 1000 mg dose of deferiprone extended release tablet formulation administered under fed conditions |
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| ER half-tablets, fed conditions | Experimental | A single 1000 mg dose of deferiprone extended release tablet formulation (one 1000 mg tablet divided in two) administered under fed conditions |
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| IR, fasting conditions | Active Comparator | A single 1000 mg dose of deferiprone immediate release tablet formulation administered under fasting conditions |
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| IR, fed conditions | Active Comparator | A single 1000 mg dose of deferiprone immediate release tablet formulation administered under fed conditions |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Deferiprone extended release | Drug | Deferiprone 1000 mg extended release tablet formulation |
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| Measure | Description | Time Frame |
|---|---|---|
| Cmax for Serum Deferiprone | Maximum measured serum concentration. Blood samples will be collected pre-dose and over a 24-hour interval post-dose | Samples were collected pre-dose and at 0.25, 0.5, 0.75, 1.0, 1.33, 1.66, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 8.0, 12.0, 16.0, and 24.0 hours post-dose. |
| Tmax for Serum Deferiprone | Time of maximum observed serum concentration. Blood samples will be collected pre-dose and over a 24-hour interval post-dose | Samples were collected pre-dose and at 0.25, 0.5, 0.75, 1.0, 1.33, 1.66, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 8.0, 12.0, 16.0, and 24.0 hours post-dose. |
| AUC0-∞for Serum Deferiprone | Area under the serum concentration time curve extrapolated to infinity. Blood samples will be collected pre-dose and over a 24-hour interval post-dose. | Samples were collected pre-dose and at 0.25, 0.5, 0.75, 1.0, 1.33, 1.66, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 8.0, 12.0, 16.0, and 24.0 hours post-dose. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Subjects With Adverse Events (AEs) | Number of subjects with AEs. AEs will include clinically significant changes from baseline in vital signs, 12-lead ECG, physical examinations, and laboratory tests. | Throughout the trial, from the time of the first dose until the last study visit (Day 36 or early termination) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Eric Sicard, MD | Algorithme Pharma Inc | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Algorithme Pharma Inc. | Mount Royal | Quebec | H3P 3P1 | Canada |
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| ID | Title | Description |
|---|---|---|
| FG000 | Healthy Volunteers | Subjects were randomized to receive the following five treatments in different orders, with a 7-day washout period between treatments:: A: Deferiprone ER tablets under fasting conditions B: Deferiprone ER tablets under fed conditions C: Deferiprone ER tablets administered as half-tablets under fed conditions D: Ferriprox IR tablets under fasting conditions E: Ferriprox IR tablets under fed conditions The sequences were as follows;
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| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | Healthy Volunteers | Subjects were randomized to receive five treatments in different orders:
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| Units | Counts |
|---|---|
| Participants |
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| 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 for Serum Deferiprone | Maximum measured serum concentration. Blood samples will be collected pre-dose and over a 24-hour interval post-dose | The pharmacokinetic population included subjects who provided evaluable data for at least two study periods. | Posted | Mean | Standard Deviation | μg/mL | Samples were collected pre-dose and at 0.25, 0.5, 0.75, 1.0, 1.33, 1.66, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 8.0, 12.0, 16.0, and 24.0 hours post-dose. |
|
Adverse events were collected from the administration of the first dose in period 1 until the end-of-study visit
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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 | Extended Release, Fasting Conditions | A single 1000 mg dose of deferiprone extended release tablet formulation administered following a 10-hour fast Deferiprone extended release: Deferiprone 1000 mg extended release tablet formulation |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Amylase Increased | Investigations | MedDRA (18.0) | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Caroline Fradette, PhD | ApoPharma Inc. | 416-401-7543 | cfradett@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 | Ferriprox (deferiprone) 500 mg immediate release tablet formulation |
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| Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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A single 1000 mg dose of deferiprone extended release tablet formulation administered following a high-fat breakfast Deferiprone extended release: Deferiprone 1000 mg extended release tablet formulation |
| OG002 | Extended Release Half-tablets, Fed Conditions | A single 1000 mg dose of deferiprone extended release tablet formulation (one 1000 mg tablet divided in two) administered following a high-fat breakfast Deferiprone extended release: Deferiprone 1000 mg extended release tablet formulation |
| OG003 | Immediate Release, Fasting Conditions | A single 1000 mg dose of Ferriprox immediate release tablet formulation administered following a 10-hour fast Deferiprone immediate release: Ferriprox (deferiprone) 500 mg immediate release tablet formulation |
| OG004 | Immediate Release, Fed Conditions | A single 1000 mg dose of Ferriprox immediate release tablet formulation administered following a high-fat breakfast Deferiprone immediate release: Ferriprox (deferiprone) 500 mg immediate release tablet formulation |
|
|
| Primary | Tmax for Serum Deferiprone | Time of maximum observed serum concentration. Blood samples will be collected pre-dose and over a 24-hour interval post-dose | The pharmacokinetic population included subjects who provided evaluable data for at least two study periods | Posted | Mean | Standard Deviation | Hour | Samples were collected pre-dose and at 0.25, 0.5, 0.75, 1.0, 1.33, 1.66, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 8.0, 12.0, 16.0, and 24.0 hours post-dose. |
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|
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| Primary | AUC0-∞for Serum Deferiprone | Area under the serum concentration time curve extrapolated to infinity. Blood samples will be collected pre-dose and over a 24-hour interval post-dose. | The pharmacokinetic population included subjects who provided evaluable data for at least two study periods | Posted | Mean | Standard Deviation | ug*h/mL | Samples were collected pre-dose and at 0.25, 0.5, 0.75, 1.0, 1.33, 1.66, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 8.0, 12.0, 16.0, and 24.0 hours post-dose. |
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|
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| Secondary | Number of Subjects With Adverse Events (AEs) | Number of subjects with AEs. AEs will include clinically significant changes from baseline in vital signs, 12-lead ECG, physical examinations, and laboratory tests. | The safety population included all subjects who received at least one of the investigational products under study | Posted | Number | participants | Throughout the trial, from the time of the first dose until the last study visit (Day 36 or early termination) |
|
|
|
| 0 |
| 18 |
| 5 |
| 18 |
| EG001 | Extended Release, Fed Conditions | A single 1000 mg dose of deferiprone extended release tablet formulation administered following a high-fat breakfast Deferiprone extended release: Deferiprone 1000 mg extended release tablet formulation | 0 | 16 | 2 | 16 |
| EG002 | Extended Release Half-tablets, Fed Conditions | A single 1000 mg dose of deferiprone extended release tablet formulation (one 1000 mg tablet divided in two) administered following a high-fat breakfast Deferiprone extended release: Deferiprone 1000 mg extended release tablet formulation | 0 | 16 | 3 | 16 |
| EG003 | Immediate Release, Fasting Conditions | A single 1000 mg dose of Ferriprox immediate release tablet formulation administered following a 10-hour fast Deferiprone immediate release: Ferriprox (deferiprone) 500 mg immediate release tablet formulation | 0 | 16 | 1 | 16 |
| EG004 | Immediate Release, Fed Conditions | A single 1000 mg dose of Ferriprox immediate release tablet formulation administered following a high-fat breakfast Deferiprone immediate release: Ferriprox (deferiprone) 500 mg immediate release tablet formulation | 0 | 16 | 3 | 16 |
| Blood Calcium Decreased | Investigations | MedDRA (18.0) | Systematic Assessment |
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| Blood Creatinine Increased | Metabolism and nutrition disorders | MedDRA (18.0) | Systematic Assessment |
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| Blood Urine Present | Investigations | MedDRA (18.0) | Systematic Assessment |
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| C-Reactive Protein Increased | Investigations | MedDRA (18.0) | Systematic Assessment |
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| Hepatic Enzyme Increased | Investigations | MedDRA (18.0) | Systematic Assessment |
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| Neutrophil Count Decreased | Investigations | MedDRA (18.0) | Systematic Assessment |
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| Abdominal Discomfort | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
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| Abdominal Distension | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
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| Abdominal Pain Lower | Gastrointestinal disorders | MedDRA (18.0) | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA (18.0) | Systematic Assessment |
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| Asthenia | General disorders | MedDRA (18.0) | Systematic Assessment |
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| Fatigue | General disorders | MedDRA (18.0) | Systematic Assessment |
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| Pyrexia | General disorders | MedDRA (18.0) | Systematic Assessment |
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| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (18.0) | Systematic Assessment |
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| Back Pain | Musculoskeletal and connective tissue disorders | MedDRA (18.0) | Systematic Assessment |
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| Lymphadenopathy | Blood and lymphatic system disorders | MedDRA (18.0) | Systematic Assessment |
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| Ocular Hyperaemia | Eye disorders | MedDRA (18.0) | Systematic Assessment |
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| Procedural Dizziness | Injury, poisoning and procedural complications | MedDRA (18.0) | Systematic Assessment |
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| Urine Odour Abnormal | Renal and urinary disorders | MedDRA (18.0) | Systematic Assessment |
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| Nasal Congestion | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Systematic Assessment |
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| Oropharyngeal Pain | Respiratory, thoracic and mediastinal disorders | MedDRA (18.0) | Systematic Assessment |
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Sponsor retained title to and the right to publish all documentation, records, raw data, specimens or other work product generated in connection with the trial. Such publications shall not be made without the prior written consent of Sponsor. Neither Party will use the other Party's name in connection with any publication or promotion without the other Party's prior written consent. However, Sponsor has the right to publish appropriate information in order to satisfy regulatory requirements.