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| Name | Class |
|---|---|
| Vince & Associates Clinical Research, Inc. | OTHER |
| Algorithme Pharma Inc | INDUSTRY |
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The objective of this study is to determine bioequivalence between two different formulations of lamotrigine extended release tablets (one reference product and one generic product) in a healthy adult population, following a single oral dose under fed conditions.
This is a single center, randomized, open-label, single dose, two treatment, four-period, two-sequence, fully replicated crossover design in the fed state.
The study will include two treatments:
A total of 30 healthy subjects will be dosed to ensure that at least 24 subjects will complete the 4-period replicate design. For each treatment period, subjects will be confined from the day prior to dosing until approximately 48 hours post-dose. Subjects will return to the clinical site for the remaining blood samples. There will be a minimum 14-day washout between doses.
Subject participation from the Screening Visit to the Follow-Up Visit will be approximately 71 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sequence 1 | Active Comparator | The treatments will be administered according to a randomly assigned pre-generated sequence involving the randomized, four-period, two sequence, fully replicate crossover design. Two study drugs involved are: Lamotrigine Extended Release (generic) and Lamictal XR (brand). |
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| Sequence 2 | Active Comparator | The treatments will be administered according to a randomly assigned pre-generated sequence involving the four-period, two sequence, fully replicate crossover design. Two study drugs involved are: Lamotrigine Extended Release (generic) and Lamictal XR (brand). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lamotrigine Extended Release | Drug | Lamotrigine Extended Release (generic) and Lamictal XR (brand). |
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| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Lamotrigine Concentration vs. Time Curve From Sample Time Point 0 Hour to Sample Time Point 144 Hour. | Pre-dose, and post-dose 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 48, 72, 96, 120, 144 hours Lamotrigine and Lamictal have the same active ingredient "Lamotrigine." | 144 hours |
| AUC 0-Inf | Area Under the Lamotrigine Concentrations vs. time curve from sample time point 0 hour to sample time point 144hours plus extrapolation to infinity of the terminal concentration slope. This describes the total exposure to Lamotrigine. Sampling times include: Pre-dose, and post-dose 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 48, 72, 96, 120, 144 hours. Lamotrigine and Lamictal have the same active ingredient. | 144 hours |
| Cmax | The maximum concentration of the Lamotrigine achieved in specified time frame for each treatment. Sampling times include: post-dose 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 48, 72, 96, 120, 144 hours. Lamotrigine and Lamictal have the same active ingredient. | 2 to 144 hours |
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| Measure | Description | Time Frame |
|---|---|---|
| Tmax | Time from 0 concentration sample point to the Cmax sample point. Sampling times include: post-dose 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 48, 72, 96, 120, 144 hours. | 2 to 144 hours |
| λZ |
Inclusion Criteria:
Healthy male or female subjects ≥18 to ≤50 years of age
Subject is willing and able to provide informed consent
Body mass index (BMI) greater than or equal to 18.00 kg/m2 and below 30.00 kg/m2 at screening
Body weight greater than or equal to 50 kg at screening
Subject is a non-smoker and has not used any nicotine containing products within 6 months prior to screening
Subjects who are considered generally healthy upon completion of medical history, physical examination, vital signs, screening laboratory results and screening ECG in the opinion of the Investigator
Subjects who are willing and able to comply with the visit schedule, laboratory tests, pharmacokinetic sampling schedule and other study procedures
Subjects who are willing and able to maintain their eligibility throughout the study.
A female study subject must meet one of the following criteria:
If of childbearing potential - agrees to use one of the accepted contraceptive regimens from at least 30 days prior to the first administration of the study medication, during the study, and for at least 30 days after the last dose of the study medication. An acceptable method of contraception includes one of the following:
If a female of non-childbearing potential - should be surgically sterile (i.e. has undergone complete hysterectomy, bilateral oophorectomy, or tubal ligation) or in a menopausal state (at least 1 year without menses), as confirmed by FSH levels (post menopausal must be confirmed by the subject having a serum follicle stimulating hormone greater than 40mIU/ml at screening). Females of non-childbearing potential must present a proof of partial or total hysterectomy; if such proof is not available, the female will be considered to be of childbearing potential.
A male study subject must agree to use one of the accepted contraceptive regimens during the study and for at least 90 days after the last dose of the study medication;
A male study subject must agree not to donate sperm during the study and for at least 90 days after the last dose of the study medication
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bradley Vince, D.O. | Vince and Associates Clinical Research | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Vince and Associates Clinical Research, Inc | Overland Park | Kansas | 66212 | United States |
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| Label | URL |
|---|---|
| Clinical site | View source |
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| ID | Title | Description |
|---|---|---|
| FG000 | Sequence 1 (Test-Ref-Test-Ref) | Sequence 1 - ABAB. The study was a single center, randomized, open-label, single dose, 2-treatment, 4-period, 2-sequence, fully replicated, crossover design in healthy male and female subjects. All completed subjects received two rounds of Lamictal and Lamotrigine. The following investigational products were administered in the fed state: Treatment A: A single 1-tablet dose of Lamotrigine 200 mg extended-release tablet (Test) Treatment B: A single 1-tablet dose of Lamictal XR 200 mg extended-release tablet (Reference) |
| FG001 | Sequence 2 (Ref-Test-Ref-Test) | Sequence 2 - BABA. The study was a single center, randomized, open-label, single dose, 2-treatment, 4-period, 2-sequence, fully replicated, crossover design in healthy male and female subjects. All completed subjects received two rounds of Lamictal and Lamotrigine. The following investigational products were administered in the fed state: Treatment A: A single 1-tablet dose of Lamotrigine 200 mg extended-release tablet (Test) Treatment B: A single 1-tablet dose of Lamictal XR 200 mg extended-release tablet (Reference) |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
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| ID | Title | Description |
|---|---|---|
| BG000 | All Participants | 30 participants Completed subjects received two rounds of Lamictal and Lamotrigine. |
| 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, Continuous | Median |
| 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 | Area Under the Lamotrigine Concentration vs. Time Curve From Sample Time Point 0 Hour to Sample Time Point 144 Hour. | Pre-dose, and post-dose 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 48, 72, 96, 120, 144 hours Lamotrigine and Lamictal have the same active ingredient "Lamotrigine." | Fully replicated crossover study (all completed subjects received two rounds of Lamictal and Lamotrigine). Completed participants contributed two data points for each treatment, however, some subjects provided one or partial data point. | Posted | Mean | Standard Deviation | h*ng/mL | 144 hours | data points | data points |
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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 | Generic Lamotrigine Extended Release Tablet | Lamotrigine Extended Release (generic) |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Blood Pressure Systolic Increased | Investigations |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Office of Generic Drugs, Center for Drug Evaluation and Research | US Food and Drug Administration | 240-402-7920 | genericdrugs@fda.hhs.gov |
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Apparent elimination rate constant, estimated by linear regression of the terminal linear portion of the log concentration versus time curve. Sampling times include: post-dose 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 48, 72, 96, 120, 144 hours.
| 2 to 144 hours |
| Thalf | It is the terminal elimination half-life, calculated as ln(2)/λZ. Sampling times include: post-dose 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 48, 72, 96, 120, 144 hours. | 2 to 144 hours |
| years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| BMI | Mean | Standard Deviation | kg/m^2 |
|
Lamictal XR (brand) |
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| Primary | AUC 0-Inf | Area Under the Lamotrigine Concentrations vs. time curve from sample time point 0 hour to sample time point 144hours plus extrapolation to infinity of the terminal concentration slope. This describes the total exposure to Lamotrigine. Sampling times include: Pre-dose, and post-dose 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 48, 72, 96, 120, 144 hours. Lamotrigine and Lamictal have the same active ingredient. | Fully replicated crossover design (all completed subjects received two rounds of Lamictal and Lamotrigine). Completed participants contributed two data points for each treatment, however, some subjects provided one or partial data point. | Posted | Mean | Standard Deviation | h*ng/mL | 144 hours | data points | data points |
|
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|
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| Primary | Cmax | The maximum concentration of the Lamotrigine achieved in specified time frame for each treatment. Sampling times include: post-dose 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 48, 72, 96, 120, 144 hours. Lamotrigine and Lamictal have the same active ingredient. | Fully replicated crossover design (all completed subjects received two rounds of Lamictal and Lamotrigine). Completed participants contributed two data points for each treatment, however, some subjects provided one or partial data point. | Posted | Mean | Standard Deviation | ng/mL | 2 to 144 hours | Data points | Data points |
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| Other Pre-specified | Tmax | Time from 0 concentration sample point to the Cmax sample point. Sampling times include: post-dose 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 48, 72, 96, 120, 144 hours. | Fully replicate crossover design (all completed subjects received two rounds of Lamictal and Lamotrigine). Completed participants contributed two data points for each treatment, however, some subjects provided one or partial data point. | Posted | Median | Full Range | hours | 2 to 144 hours | data points | data points |
|
|
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| Other Pre-specified | λZ | Apparent elimination rate constant, estimated by linear regression of the terminal linear portion of the log concentration versus time curve. Sampling times include: post-dose 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 48, 72, 96, 120, 144 hours. | Fully replicated crossover design (all completed subjects received two rounds of Lamictal and Lamotrigine). Completed participants contributed two data points for each treatment, however, some subjects provided one or partial data point. | Posted | Mean | Standard Deviation | per hour | 2 to 144 hours | data points | data points |
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| Other Pre-specified | Thalf | It is the terminal elimination half-life, calculated as ln(2)/λZ. Sampling times include: post-dose 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 27, 30, 33, 36, 48, 72, 96, 120, 144 hours. | Fully replicated crossover design (all completed subjects received two rounds of Lamictal and Lamotrigine). Completed participants contributed two data points for each treatment, however, some subjects provided one or partial data point. | Posted | Mean | Standard Deviation | hours | 2 to 144 hours | data points | data points |
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| 0 |
| 30 |
| 0 |
| 30 |
| 9 |
| 30 |
| EG001 | Brand Lamictal XR Tablet | Lamictal XR (brand) | 0 | 30 | 0 | 30 | 11 | 30 |
| Drug Screen Positive | Investigations |
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| Heart Rate Increased | Investigations |
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| Liver Function Test Increased | Investigations |
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| Headache | Nervous system disorders |
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| Paraesthesia | Nervous system disorders |
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| Tachycardia | Cardiac disorders |
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| Bradycardia | Cardiac disorders |
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| Diarrhoea | Gastrointestinal disorders |
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| Nausea | Gastrointestinal disorders |
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| Acne | Skin and subcutaneous tissue disorders |
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| Ecchymosis | Skin and subcutaneous tissue disorders |
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| Rash | Skin and subcutaneous tissue disorders |
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| Gastroenteritis | Infections and infestations |
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| Upper Respiratory Tract Infection | Infections and infestations |
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| Laceration | Injury, poisoning and procedural complications |
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| Skin Abrasion | Injury, poisoning and procedural complications |
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| Musculoskeletal Pain | Musculoskeletal and connective tissue disorders |
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| Nasal Congestion | Respiratory, thoracic and mediastinal disorders |
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| Vessel Puncture Site Pain | General disorders |
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