Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Ministry of Health, Malaysia | OTHER_GOV |
Not provided
Not provided
Not provided
This study is a phase 1, open label, randomized, three-way crossover, single dose, oral- administration of Andrographis paniculata and Metformin in healthy volunteers under fasting condition. The study will demonstrate the pharmacokinetics profile and pharmacodynamic through metabolic pathway analysis for Andrographis paniculata and Metformin.
This is a phase 1, open label, randomized, three period, crossover, single dose oral administration of Andrographis Paniculata 1000mg, 2000mg and Metformin 1000mg clinical trial in healthy volunteers under fasting condition. Approximately 18 healthy volunteers will be enrolled into this study.
The healthy volunteers will be screened for inclusion and exclusion criteria. Eligible subjects will be enrolled into either Metformin 1000mg tablet, Andrographis Paniculata 1000mg or 2000mg capsule in a ratio of 1:1:1 in period 1 for single dose oral administration. Subjects will then undergo a washout period of at least 7 days. After the washout period, subjects will crossover over to another investigational product according to the randomization sequence.
Subjects will fast overnight prior to dosing. The volunteers will be admitted to Clinical Investigation Center ward at 7 am in the morning and will confine in air-conditioning environment with beds and chairs. The means during the stay at CIC ward will be provided to the subjects. The dosing will be performed at 8am. A series of plasma will be collected at 0, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12 and 24 hours post-dose. Urine samples will be collected at 0, 0-4 hours, 4-8 hours and 8-12 hours.
A safety follow-up call will be made to subjects to record any adverse events that occurred post-dosing within 1 week.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Period 1 | Experimental | Subjects will randomized to either of the intervention drug in a ratio of 1:1:1 following three period, cross-over study design. |
|
| Period 2 | Experimental | Subjects will randomized to either of the intervention drug in a ratio of 1:1:1 following three period, cross-over study design. |
|
| Period 3 | Experimental | Subjects will randomized to either of the intervention drug in a ratio of 1:1:1 following three period, cross-over study design. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Brand name: Andrographis paniculata (Shine Hempedu Bumi) 1000mg capsules | Drug | Andrographis paniculata or hempedu bumi capsule is a traditional medicinal product registered under Ministry of Health Malaysia for general wealth being. It is traditionally used for anti-diabetic, anti-bacterial, anti-pyretic, anti-malarial, anti-inflammatory, antidiarrhoeal and other effects. |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the plasma concentration-time curve (AUC) of Andrographis paniculata | Area under the plasma concentration curve of Andrographis paniculata from administration to 24 hours | 0-24 hours |
| Cmax of Andrographis paniculata | Maximum plasma concentration of Andrographis paniculata after single dose oral administration. | 0-24 hours |
| Tmax of Andrographis paniculata | Time until Cmax of Andrographis paniculata is reached after single dose oral administration. | 0-24 hours |
| Area under the plasma concentration-time curve (AUC) of Metformin | Area under the plasma concentration curve of Metformin from administration to 24 hours | 0-24 hours |
| Cmax of Metformin | Maximum plasma concentration of Metformin after single dose oral administration. | 0-24 hours |
| Tmax of Metformin | Time until Cmax of Metformin is reached after single dose oral administration. | 0-24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Metabolic pathway of Andrographis paniculata | Pre-dose and post-dose samples will be analysed using LCMSMS. Normalization, log-transformation and center scaling will then apply to batches of chromatograms. Global metabolomics analyses will be performed to identify significant endogenous metabolites between post-dose and pre-dose samples using T-Test, Principal Component Analysis, Partial Least Square Discriminant Analysis. Annotations of significant compounds will be perform using METLIN database. The significant compounds will lead to prediction of relevant metabolomic pathway from Human Metabolome Database/ Kyoto Encyclopedia of Gene and Genome pathway for Andrographis paniculata. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Krisna Veni Balakrishnan | Contact | 60379494932 | krisna.veni@ummc.edu.my | |
| Khim Boon Tee | Contact | 60379492886 | mva180021@siswa.um.edu.my |
| Name | Affiliation | Role |
|---|---|---|
| Khim Boon Tee | University of Malaya | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Investigation Centre, University Malaya Medical Centre | Recruiting | Kuala Lumpur | Kuala Lumpur | 59100 | Malaysia |
Not provided
| Label | URL |
|---|---|
| Medical Research Ethics Committee, University Malaya Medical Centre | View source |
Not provided
We will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions by Medical Research Ethics Committee, University Malaya Medical Centre.
The information is available approximately in December 2020 or when the study is published. The data is available for 2 years.
Kindly email to Tee Khim Boon for the above information.
Not provided
Not provided
Open label, block-randomized, three-period, crossover, single dose oral administration of investigational products. Subjects will undergo at least 7 days washout period.
Not provided
Not provided
Not provided
Not provided
|
|
| Brand name: Andrographis paniculata (Shine Hempedu Bumi) 2000mg | Drug | Andrographis paniculata or hempedu bumi capsule is a traditional medicinal product registered under Ministry of Health Malaysia for general wealth being. It is traditionally used for anti-diabetic, anti-bacterial, anti-pyretic, anti-malarial, anti-inflammatory, antidiarrhoeal and other effects. |
|
|
| Metformin (Glucophage) 1000mg | Drug | Metformin is an oral glucose-lowering drug of the biguanides class. Drug: Period 1 Subjects |
|
|
| 24 hours |
| Metabolic pathway of Metformin | Pre-dose and post-dose samples will be analysed using LCMSMS. Normalization, log-transformation and center scaling will then apply to batches of chromatograms. Global metabolomics analyses will be performed to identify significant endogenous metabolites between post-dose and pre-dose samples using T-Test, Principal Component Analysis, Partial Least Square Discriminant Analysis. Annotations of significant compounds will be perform using METLIN database. The significant compounds will lead to prediction of relevant metabolomic pathway from Human Metabolome Database/ Kyoto Encyclopedia of Gene and Genome pathway for Metformin. | 24 hours |
| Adverse drug reaction | Number of subjects with adverse drug reaction | 3 weeks |
| ID | Term |
|---|---|
| D008687 | Metformin |
| ID | Term |
|---|---|
| D001645 | Biguanides |
| D006146 | Guanidines |
| D000578 | Amidines |
| D009930 | Organic Chemicals |
Not provided
Not provided