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This is a randomized double-blind crossover study of pharmacokinetics, pharmacodynamics and safety of BCD-066 (darbepoetin alfa manufactured by CJSC BIOCAD, Russia) and Aranesp® (Amgen Europe B.V., Netherlands) in healthy volunteers. The purpose of the study is to demonstrate the equivalence of pharmacokinetics, pharmacodynamics and safety parameters after single subcutaneous or intravenous injection. Each drug will be administered to each volunteer at a dose of 1 µg per kilogram as a single subcutaneous or intravenous injection with an interval of at least 25 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BCD-066 → Aranesp - subcutaneous | Experimental | Volunteers in this group initially will receive a single sc injection of the study drug BCD-066 (darbepoetin alfa) at a dose of 1 µg/kg (on Day 1) and then, after at least 25 days, a single sc injection of the reference drug Aranesp® (darbepoetin alfa) at a dose of 1 µg/kg. |
|
| Aranesp → BCD-066 - subcutaneous | Experimental | Volunteers in this group initially will receive a single sc injection of the reference drug Aranesp® (darbepoetin alfa) at a dose of 1 µg/kg (on Day 1) and then, after at least 25 days, a single sc injection of the study drug BCD-066 (darbepoetin alfa) at a dose of 1 µg/kg. |
|
| BCD-066 → Aranesp - intravenous | Experimental | Volunteers in this group initially will receive a single iv injection of the study drug BCD-066 (darbepoetin alfa) at a dose of 1 µg/kg (on Day 1) and then, after at least 25 days, a single iv injection of the reference drug Aranesp® (darbepoetin alfa) at a dose of 1 µg/kg. |
|
| Aranesp → BCD-066 - intravenous | Experimental | Volunteers in this group initially will receive a single iv injection of the reference drug Aranesp® (darbepoetin alfa) at a dose of 1 µg/kg (on Day 1) and then, after at least 25 days, a single iv injection of the study drug BCD-066 (darbepoetin alfa) at a dose of 1 µg/kg. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Darbepoetin alfa | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| AUC | Area Under Concentration-time Curve (AUC) of Darbepoetin Alfa From the Moment of Drug Administration Until 336 (sc administration) or 72 (iv administration) Hours and to Infinity(AUC(0-336)/AUC(0-72) and AUC(0-∞) Respectively Blood samples were taken 30, 20, 10, 0 minutes before injection of study drug and then after 12, 24, 36, 72, 96, 144, 336 and 504 hours post-dose. | 336 hours (sc) / 72 hours (iv) |
| Cmax | Maximal concentration of darbepoetin alfa From the Moment of Drug Administration Until 336 (sc administration) or 72 (iv administration) hours. Blood samples were taken 30, 20, 10, 0 minutes before injection of study drug and then after 12, 24, 36, 72, 96, 144, 336 and 504 hours post-dose. | 336 hours (sc) / 72 hours (iv) |
| AUEC | Area Under Effect Curve (AUEC) of reticulocytes count from the Moment of Drug Administration Until 504 hours. Blood samples were taken 30, 20, 10, 0 minutes before injection of study drug and then after 12, 24, 36, 72, 96, 144, 336 and 504 hours post-dose. | 504 hours |
| AC-Emax | Maximum elevation of absolute reticulocyte count from the baseline from the Moment of Drug Administration Until 504 hours. Blood samples were taken 30, 20, 10, 0 minutes before injection of study drug and then after 12, 24, 36, 72, 96, 144, 336 and 504 hours post-dose. | 504 hours |
| Measure | Description | Time Frame |
|---|---|---|
| T1/2 | Serum half-life of darbepoetin alfa after single sc of iv administration. Blood samples were taken 30, 20, 10, 0 minutes before injection of study drug and then after 12, 24, 36, 72, 96, 144, 336 and 504 hours post-dose. | 336 hours (sc) / 72 hours (iv) |
| Tmax |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ivan Sardaryan, PhD | City Mariin Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City Mariin Hospital | Saint Petersburg | 194104 | Russia |
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| ID | Title | Description |
|---|---|---|
| FG000 | BCD-066 → Aranesp - Subcutaneous | Volunteers in this group initially will receive a single sc injection of the study drug BCD-066 (darbepoetin alfa) at a dose of 1 µg/kg (on Day 1) and then, after at least 25 days, a single sc injection of the reference drug Aranesp® (darbepoetin alfa) at a dose of 1 µg/kg. Darbepoetin alfa |
| FG001 | Aranesp → BCD-066 - Subcutaneous | Volunteers in this group initially will receive a single sc injection of the reference drug Aranesp® (darbepoetin alfa) at a dose of 1 µg/kg (on Day 1) and then, after at least 25 days, a single sc injection of the study drug BCD-066 (darbepoetin alfa) at a dose of 1 µg/kg. Darbepoetin alfa |
| FG002 | BCD-066 → Aranesp - Intravenous | Volunteers in this group initially will receive a single iv injection of the study drug BCD-066 (darbepoetin alfa) at a dose of 1 µg/kg (on Day 1) and then, after at least 25 days, a single iv injection of the reference drug Aranesp® (darbepoetin alfa) at a dose of 1 µg/kg. Darbepoetin alfa |
| FG003 | Aranesp → BCD-066 - Intravenous | Volunteers in this group initially will receive a single iv injection of the reference drug Aranesp® (darbepoetin alfa) at a dose of 1 µg/kg (on Day 1) and then, after at least 25 days, a single iv injection of the study drug BCD-066 (darbepoetin alfa) at a dose of 1 µg/kg. Darbepoetin alfa |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| First Intervention (Day 1) |
|
| ||||||||||||||||||
| Washout (at Least 25 Days) |
| |||||||||||||||||||
| Second Intervention (Day 1) |
|
Population for safety analysis: all patients who received at least one study drug injection
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| ID | Title | Description |
|---|---|---|
| BG000 | BCD-066 → Aranesp - Subcutaneous | Volunteers in this group initially will receive a single sc injection of the study drug BCD-066 (darbepoetin alfa) at a dose of 1 µg/kg (on Day 1) and then, after at least 25 days, a single sc injection of the reference drug Aranesp® (darbepoetin alfa) at a dose of 1 µg/kg. |
| BG001 |
| 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 | AUC | Area Under Concentration-time Curve (AUC) of Darbepoetin Alfa From the Moment of Drug Administration Until 336 (sc administration) or 72 (iv administration) Hours and to Infinity(AUC(0-336)/AUC(0-72) and AUC(0-∞) Respectively Blood samples were taken 30, 20, 10, 0 minutes before injection of study drug and then after 12, 24, 36, 72, 96, 144, 336 and 504 hours post-dose. | Population for pharmacokinetics analysis: patients who received at least one study drug injection. | Posted | Median | Inter-Quartile Range | (pg/ml)*hour | 336 hours (sc) / 72 hours (iv) |
|
0 to 504 hours after injection
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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 | BCD-066 Subcutaneous | Safety parameters of darbepoetin alfa after subcutaneous injection of BCD-066 in a dose of 1 µg/kg are presented. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anemia | Blood and lymphatic system disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Biryulin Andrey | BIOCAD | +7812380 49 33 | 925 | biryulin@biocad.ru |
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| ID | Term |
|---|---|
| D000068256 | Darbepoetin alfa |
| ID | Term |
|---|---|
| D004921 | Erythropoietin |
| D003115 | Colony-Stimulating Factors |
| D006023 | Glycoproteins |
| D006001 | Glycoconjugates |
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Time to achieve maximum serum concentration of darbepoetin alfa after single sc of iv administration |
| 336 hours (sc) / 72 hours (iv) |
| Cl | Serum clearance of of darbepoetin alfa after single sc of iv administration. Blood samples were taken 30, 20, 10, 0 minutes before injection of study drug and then after 12, 24, 36, 72, 96, 144, 336 and 504 hours post-dose. | 336 hours (sc) / 72 hours (iv) |
| Withdrawal by Subject |
|
| Violation of blood storage conditions |
|
| COMPLETED |
|
| NOT COMPLETED |
|
| COMPLETED |
|
| NOT COMPLETED |
|
| Aranesp → BCD-066 - Subcutaneous |
Volunteers in this group initially will receive a single sc injection of the reference drug Aranesp® (darbepoetin alfa) at a dose of 1 µg/kg (on Day 1) and then, after at least 25 days, a single sc injection of the study drug BCD-066 (darbepoetin alfa) at a dose of 1 µg/kg. |
| BG002 | BCD-066 → Aranesp - Intravenous | Volunteers in this group initially will receive a single iv injection of the study drug BCD-066 (darbepoetin alfa) at a dose of 1 µg/kg (on Day 1) and then, after at least 25 days, a single iv injection of the reference drug Aranesp® (darbepoetin alfa) at a dose of 1 µg/kg. |
| BG003 | Aranesp → BCD-066 - Intravenous | Volunteers in this group initially will receive a single iv injection of the reference drug Aranesp® (darbepoetin alfa) at a dose of 1 µg/kg (on Day 1) and then, after at least 25 days, a single iv injection of the study drug BCD-066 (darbepoetin alfa) at a dose of 1 µg/kg. |
| BG004 | Total | Total of all reporting groups |
| Participants |
|
| Age, Continuous | Median | Inter-Quartile Range | years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Aranesp® Subcutaneous |
Pharmacokinetics of darbepoetin alfa after subcutaneous injection of Aranesp® in a dose of 1 µg/kg was analysed. AUC of darbepoetin alfa 0 to 336 hours is reported. |
| OG002 | BCD-066 - Intravenous | Pharmacokinetics of darbepoetin alfa after intravenous injection of BCD-066 in a dose of 1 µg/kg was analysed. AUC of darbepoetin alfa 0 to 72 hours is reported. |
| OG003 | Aranesp® - Intravenous | Pharmacokinetics of darbepoetin alfa after intravenous injection of Aranesp® in a dose of 1 µg/kg was analysed. AUC of darbepoetin alfa 0 to 72 hours is reported. |
|
|
| Primary | Cmax | Maximal concentration of darbepoetin alfa From the Moment of Drug Administration Until 336 (sc administration) or 72 (iv administration) hours. Blood samples were taken 30, 20, 10, 0 minutes before injection of study drug and then after 12, 24, 36, 72, 96, 144, 336 and 504 hours post-dose. | Population for pharmacokinetics analysis included patients who received at least one study drug injection. | Posted | Median | Inter-Quartile Range | pg/ml | 336 hours (sc) / 72 hours (iv) |
|
|
|
| Primary | AUEC | Area Under Effect Curve (AUEC) of reticulocytes count from the Moment of Drug Administration Until 504 hours. Blood samples were taken 30, 20, 10, 0 minutes before injection of study drug and then after 12, 24, 36, 72, 96, 144, 336 and 504 hours post-dose. | Population for pharmacokinetics analysis included patients who received at least one study drug injection. | Posted | Median | Inter-Quartile Range | (reticulocytes * 10^9/l)*hour | 504 hours |
|
|
|
| Primary | AC-Emax | Maximum elevation of absolute reticulocyte count from the baseline from the Moment of Drug Administration Until 504 hours. Blood samples were taken 30, 20, 10, 0 minutes before injection of study drug and then after 12, 24, 36, 72, 96, 144, 336 and 504 hours post-dose. | Population for analysis of pharmacodynamics included patients who received at least one study drug injection. | Posted | Median | Inter-Quartile Range | reticulocytes * 10^9/l | 504 hours |
|
|
|
| Secondary | T1/2 | Serum half-life of darbepoetin alfa after single sc of iv administration. Blood samples were taken 30, 20, 10, 0 minutes before injection of study drug and then after 12, 24, 36, 72, 96, 144, 336 and 504 hours post-dose. | Population for pharmacokinetics analysis: patients who received at least one study drug injection. | Posted | Median | Inter-Quartile Range | hours | 336 hours (sc) / 72 hours (iv) |
|
|
|
| Secondary | Tmax | Time to achieve maximum serum concentration of darbepoetin alfa after single sc of iv administration | Population for pharmacokinetics analysis: patients who received at least one study drug injection. | Posted | Median | Inter-Quartile Range | hours | 336 hours (sc) / 72 hours (iv) |
|
|
|
| Secondary | Cl | Serum clearance of of darbepoetin alfa after single sc of iv administration. Blood samples were taken 30, 20, 10, 0 minutes before injection of study drug and then after 12, 24, 36, 72, 96, 144, 336 and 504 hours post-dose. | Population for pharmacokinetics analysis: patients who received at least one study drug injection. | Posted | Median | Inter-Quartile Range | hours*kg | 336 hours (sc) / 72 hours (iv) |
|
|
|
| 0 |
| 25 |
| 23 |
| 25 |
| EG001 | Aranesp® Subcutaneous | Safety parameters of darbepoetin alfa after subcutaneous injection of Aranesp® in a dose of 1 µg/kg are presented. | 0 | 25 | 22 | 25 |
| EG002 | BCD-066 - Intravenous | Safety parameters of darbepoetin alfa after intravenous injection of BCD-066 in a dose of 1 µg/kg are presented. | 0 | 49 | 44 | 49 |
| EG003 | Aranesp® - Intravenous | Safety parameters of darbepoetin alfa after intravenous injection of Aranesp® in a dose of 1 µg/kg are presented. | 0 | 49 | 42 | 49 |
| Elevated hematocrit | Blood and lymphatic system disorders | Systematic Assessment |
|
| Elevated reticulocyte count | Blood and lymphatic system disorders | Systematic Assessment |
|
| Leucopenia | Blood and lymphatic system disorders | Systematic Assessment |
|
| Leucocytosis | Blood and lymphatic system disorders | Systematic Assessment |
|
| Neutropenia | Blood and lymphatic system disorders | Systematic Assessment |
|
| Decrease in hematocrit | Blood and lymphatic system disorders | Systematic Assessment |
|
| Decrease in reticulocyte count | Blood and lymphatic system disorders | Systematic Assessment |
|
| Trombocytopenia | Blood and lymphatic system disorders | Systematic Assessment |
|
| Monocytosis | Blood and lymphatic system disorders | Systematic Assessment |
|
| Elevated neutrophil count | Blood and lymphatic system disorders | Systematic Assessment |
|
| Elevated basophil count | Blood and lymphatic system disorders | Systematic Assessment |
|
| Decreased eosinophil count | Blood and lymphatic system disorders | Systematic Assessment |
|
| Increased eosinophil count | Blood and lymphatic system disorders | Systematic Assessment |
|
| Elevated creatinine | Renal and urinary disorders | Systematic Assessment |
|
| Erythrocytosis | Blood and lymphatic system disorders | Systematic Assessment |
|
| Trombocytosis | Blood and lymphatic system disorders | Systematic Assessment |
|
| Elevated ALT | Hepatobiliary disorders | Systematic Assessment |
|
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| D002241 |
| Carbohydrates |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |