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The goal of this clinical trial is to compare drug exposure from two different products (AMZ001 and Diclofenac Sodium 1% Gel) in healthy participants on Day 7 after repeated topical administrations for 7 days.
Participants will receive, in a crossover design, three different treatments
Safety and tolerability of AMZ001 will be also investigated.
On their both knees, participants will apply once daily either low dose of AMZ001 or high dose of AMZ001 for 7 consecutive days. Participants will also apply Diclofenac Sodium 1% Gel as per label information on each knee.
Intensive pharmacokinetic assessment (blood samplings) will be performed on the first day of application (Day 1) as well as on the last day of application (Day 7).
Each participant will receive each of the three treatments in a randomized manner. Between each treatment, participant will not receive any of the three tested therapies between 3 weeks before receiving the next therapy. (washout period)
Participants will stay on the clinical unit only during each period of treatment but not during washout period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AMZ001 Low dose | Experimental | AMZ001 applied once daily for 7 consecutive days |
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| AMZ001 High dose | Experimental | AMZ001 applied once daily for 7 consecutive days |
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| Diclofenac Sodium 1% Gel | Active Comparator | Reference product applied four-times daily for 7 consecutive days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Diclofenac Sodium Gel | Drug | Topical application on both knees |
|
| Measure | Description | Time Frame |
|---|---|---|
| Compare Exposure to Diclofenac | Area under the curve (AUC) from time zero to 24 hours | Day 7 |
| Pharmacokinetic Parameter - Cmax | Maximum plasma drug concentration (Cmax) | Day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic Parameter - Cmin | Minimum plasma drug concentration (Cmin) | Day 7 |
| Pharmacokinetic Parameter - Tmax | Time to reach maximum plasma concentration (Tmax) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| TKL Research | Fair Lawn | New Jersey | 07410 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | AMZ001 Low / AMZ001 High / Diclofenac | Participants first received AMZ001 Low dose applied once daily for 7 days (Period 1). After a washout period of at least 21 days, they then received AMZ001 high dose applied once daily for 7 days (Period 2). After another washout period of at least 21 days, they finally received Diclofenac Sodium 1% Gel applied four times daily for 7 days (Period 3). At the end of Period 3, there will be three additional PK blood samples taken respectively at 3 weeks (21 days), 4 weeks (28 days), and 5 weeks (35 days) after the last application to compare elimination phase of AMZ001 vs. Diclofenac Sodium 1% Gel |
| FG001 | Diclofenac/AMZ001 High/AMZ001 Low | Participants first received Diclofenac Sodium 1% Gel applied four times daily for 7 days. After a washout period of at least 21 days, they then received AMZ001 high dose applied once daily for 7 days. After another washout period of at least 21 days, they finally received AMZ001 Low dose applied once daily for 7 days. At the end of Period 3, there will be three additional PK blood samples taken respectively at 3 weeks (21 days), 4 weeks (28 days), and 5 weeks (35 days) after the last application to compare elimination phase of AMZ001 vs. Diclofenac Sodium 1% Gel |
| FG002 | Diclofenac/AMZ001 Low/AMZ001 High | Participants first received Diclofenac Sodium 1% Gel applied four times daily for 7 days. After a washout period of at least 21 days, they then received AMZ001 Low dose applied once daily for 7 days. After another washout period of at least 21 days, they finally received AMZ001 high dose applied once daily for 7 days. At the end of Period 3, there will be three additional PK blood samples taken respectively at 3 weeks (21 days), 4 weeks (28 days), and 5 weeks (35 days) after the last application to compare elimination phase of AMZ001 vs. Diclofenac Sodium 1% Gel |
| FG003 | AMZ001 High/AMZ001 Low/Diclofenac | Participants first received AMZ001 High dose applied once daily for 7 days. After a washout period of at least 21 days, they then received AMZ001 low dose applied once daily for 7 days. After another washout period of at least 21 days, they finally received Diclofenac Sodium 1% Gel applied four times daily for 7 days. At the end of Period 3, there will be three additional PK blood samples taken respectively at 3 weeks (21 days), 4 weeks (28 days), and 5 weeks (35 days) after the last application to compare elimination phase of AMZ001 vs. Diclofenac Sodium 1% Gel |
| FG004 | AMZ001 Low/Diclofenac/AMZ001 High | Participants first received AMZ001 low dose applied once daily for 7 days. After a washout period of at least 21 days, they then received Diclofenac Sodium 1% Gel applied four times daily for 7 days. After another washout period of at least 21 days, they finally received AMZ001 high dose applied once daily for 7 days. At the end of Period 3, there will be three additional PK blood samples taken respectively at 3 weeks (21 days), 4 weeks (28 days), and 5 weeks (35 days) after the last application to compare elimination phase of AMZ001 vs. Diclofenac Sodium 1% Gel |
| FG005 | AMZ001 High/Diclofenac/AMZ001 Low | Participants first received AMZ001 high dose applied once daily for 7 days. After a washout period of at least 21 days, they then received Diclofenac Sodium 1% Gel applied four times daily for 7 days. After another washout period of at least 21 days, they finally received AMZ001 low dose applied once daily for 7 days. At the end of Period 3, there will be three additional PK blood samples taken respectively at 3 weeks (21 days), 4 weeks (28 days), and 5 weeks (35 days) after the last application to compare elimination phase of AMZ001 vs. Diclofenac Sodium 1% Gel |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| First Crossover Period |
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| Second Crossover Period |
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| Third Crossover Period |
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| ID | Title | Description |
|---|---|---|
| BG000 | AMZ001 Low/AMZ001 High/Diclofenac | Low/High/Diclofenac |
| BG001 | Diclofenac/AMZ001 High/AMZ001 Low | Diclofenac/High/Low |
| 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 | Mean |
| 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 | Compare Exposure to Diclofenac | Area under the curve (AUC) from time zero to 24 hours | All subjects for which at least AUC0-τ or Cmax can be determined for the reference treatment (Diclofenac Sodium 1% Gel) along with at least one of Treatments AMZ001 Low dose or AMZ001 High dose are included in the analysis population. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*hr/mL | Day 7 |
|
From initiation of first period (Day 1) to completion of last period (Day 98)
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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 | AMZ001 Low Dose | AMZ001 applied once daily for 7 consecutive days Diclofenac Sodium Gel: Topical application on both knees |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Administration site dermatitis | General disorders | medDRA | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Chief Executive Officer | Amzell BV | +31235560460 | amzell-disclosure@amzell.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Mar 23, 2023 | Dec 9, 2024 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 17, 2023 | Dec 9, 2024 | SAP_001.pdf |
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| Day 7 |
| Pharmacokinetic Parameter - Ke | Terminal disposition rate constant (Ke) | Day 7 |
| Pharmacokinetic Parameter - Cavg | Average plasma concentration (Cavg) | Day 7 |
| Pharmacokinetic Parameter - Tmax | Time to reach maximum plasma concentration | Day 1 |
| Pharmacokinetic Parameter - Cavg | Average plasma concentration (Cavg) | Day 1 |
| Local Tolerability | Incidence of application site reactions according to the terminology of the International Contact Dermatitis Research Group | Day 1 to Day 7 |
| Adverse Event |
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| COMPLETED |
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| NOT COMPLETED |
|
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| COMPLETED |
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| NOT COMPLETED |
|
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| BG002 | Diclofenac/AMZ001 Low/AMZ001 High | Diclofenac/Low/High |
| BG003 | AMZ001 High/AMZ001 Low/Diclofenac | High/Low/Diclofenac |
| BG004 | AMZ001 Low/Diclofenac/AMZ001 High | Low/Diclofenac/High |
| BG005 | AMZ001 High/Diclofenac/AMZ001 Low | High/Diclofenac/Low |
| BG006 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
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| Race (NIH/OMB) | Count of Participants | Participants |
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| OG002 | Diclofenac Sodium 1% Gel | Reference product applied four-times daily for 7 consecutive days received either in Period 1, Period 2 or Period 3 |
|
|
| Primary | Pharmacokinetic Parameter - Cmax | Maximum plasma drug concentration (Cmax) | All subjects for which at least AUC0-τ or Cmax can be determined for the reference treatment (Diclofenac Sodium 1% Gel) along with at least one of Treatments AMZ001 Low dose or AMZ001 High dose are included in the analysis population. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Day 1 |
|
|
|
| Secondary | Pharmacokinetic Parameter - Cmin | Minimum plasma drug concentration (Cmin) | All subjects for which at least AUC0-τ or Cmax can be determined for the reference treatment (Diclofenac Sodium 1% Gel) along with at least one of Treatments AMZ001 Low dose or AMZ001 High dose are included in the analysis population. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Day 7 |
|
|
|
| Secondary | Pharmacokinetic Parameter - Tmax | Time to reach maximum plasma concentration (Tmax) | All subjects for which at least AUC0-τ or Cmax can be determined for the reference treatment (Diclofenac Sodium 1% Gel) along with at least one of Treatments AMZ001 Low dose or AMZ001 High dose are included in the analysis population. | Posted | Median | Full Range | hr | Day 7 |
|
|
|
| Secondary | Pharmacokinetic Parameter - Ke | Terminal disposition rate constant (Ke) | All subjects for which at least AUC0-τ or Cmax can be determined for the reference treatment (Diclofenac Sodium 1% Gel) along with at least one of Treatments AMZ001 Low dose or AMZ001 High dose are included in the analysis population. Analysis specified that Ke would be determined whenever the elimination phase after the Day 7 dose appeared to be adequately sampled based on a visual inspection of the log-linear plots. | Posted | Geometric Least Squares Mean | Geometric Coefficient of Variation | 1/hr | Day 7 |
|
|
|
| Secondary | Pharmacokinetic Parameter - Cavg | Average plasma concentration (Cavg) | All subjects for which at least AUC0-τ or Cmax can be determined for the reference treatment (Diclofenac Sodium 1% Gel) along with at least one of Treatments AMZ001 Low dose or AMZ001 High dose are included in the analysis population. | Posted | Geometric Least Squares Mean | Geometric Coefficient of Variation | ng/mL | Day 7 |
|
|
|
| Secondary | Pharmacokinetic Parameter - Tmax | Time to reach maximum plasma concentration | All subjects for which at least AUC0-τ or Cmax can be determined for the reference treatment (Diclofenac Sodium 1% Gel) along with at least one of Treatments AMZ001 Low dose or AMZ001 High dose are included in the analysis population. | Posted | Median | Full Range | hr | Day 1 |
|
|
|
| Secondary | Pharmacokinetic Parameter - Cavg | Average plasma concentration (Cavg) | All subjects for which at least AUC0-τ or Cmax can be determined for the reference treatment (Diclofenac Sodium 1% Gel) along with at least one of Treatments AMZ001 Low dose or AMZ001 High dose are included in the analysis population. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Day 1 |
|
|
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| Secondary | Local Tolerability | Incidence of application site reactions according to the terminology of the International Contact Dermatitis Research Group | The Safety population includes randomized subjects who received at least one dose of AMZ001 Low dose or High dose or Diclofenac Sodium 1% Gel | Posted | Count of Participants | Participants | Day 1 to Day 7 |
|
|
|
| 0 |
| 71 |
| 0 |
| 71 |
| 7 |
| 71 |
| EG001 | AMZ001 High Dose | AMZ001 applied once daily for 7 consecutive days Diclofenac Sodium Gel: Topical application on both knees | 0 | 72 | 0 | 72 | 8 | 72 |
| EG002 | Diclofenac Sodium 1% Gel | Reference product applied four-times daily for 7 consecutive days Diclofenac Sodium Gel: Topical application on both knees | 0 | 72 | 0 | 72 | 5 | 72 |
| Aphthous ulcer | Gastrointestinal disorders | medDRA | Systematic Assessment |
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| Contusion / abrasion | Injury, poisoning and procedural complications | medDRA | Systematic Assessment |
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| SARS-CoV-2 test positive | Investigations | medDRA | Systematic Assessment |
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| Pain in extremity | Musculoskeletal and connective tissue disorders | medDRA | Systematic Assessment |
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| Dizziness | Nervous system disorders | medDRA | Systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | medDRA | Systematic Assessment |
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| Erythema | Skin and subcutaneous tissue disorders | medDRA | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | medDRA | Systematic Assessment |
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| Administration site dryness | General disorders | medDRA | Systematic Assessment |
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| Administration site pruritus | General disorders | medDRA | Systematic Assessment |
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| Application site dermatitis | General disorders | medDRA | Systematic Assessment |
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| Application site erythema | General disorders | medDRA | Systematic Assessment |
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| Application site hypersensitivity | General disorders | medDRA | Systematic Assessment |
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| Application site pruritus | General disorders | medDRA | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | medDRA | Systematic Assessment |
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| Dry mouth | Gastrointestinal disorders | medDRA | Systematic Assessment |
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| Headache | Nervous system disorders | medDRA | Systematic Assessment |
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| Paraesthesia | Nervous system disorders | medDRA | Systematic Assessment |
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| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | medDRA | Systematic Assessment |
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| Hyperkeratinosis | Skin and subcutaneous tissue disorders | medDRA | Systematic Assessment |
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| Pruritus | Skin and subcutaneous tissue disorders | medDRA | Systematic Assessment |
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| Skin irritation | Skin and subcutaneous tissue disorders | medDRA | Systematic Assessment |
|
Master Service agreement: Work Product shall be and remain the sole and exclusive property of Sponsor.
| mild skin erythema |
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| strong skin erythema |
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