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This is an open-label, randomized, two-treatment, two-period crossover study evaluating the bioequivalence of liquid metformin formulations at 100 mg/mL and 250 mg/mL compared with immediate-release metformin tablets in healthy adult subjects. Each participant will receive both treatments in randomized sequence with an adequate washout interval between periods. Serial blood samples will be collected to assess metformin pharmacokinetics, and safety will be monitored throughout the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single-Arm Crossover | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Liquid Metformin 100 mg/mL | Drug | A single oral dose of a liquid metformin formulation at a concentration of 100 mg/mL will be administered under fasting conditions in one treatment period of the crossover. |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Plasma Concentration-Time Curve from Time Zero to Last Quantifiable Concentration (AUCâ‚€-t) of Metformin | Up to approximately 24 to 36 hours postdose in each treatment period | |
| Maximum Observed Plasma Concentration (Cmax) of Metformin | Up to approximately 24 to 36 hours postdose in each treatment period |
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Inclusion Criteria:
Body mass index (BMI) between 18.0 and 30.0 kg/m², inclusive.
Medically healthy based on medical history, physical examination, vital signs, clinical laboratory tests, and 12-lead ECG, in the opinion of the investigator.
Non-smoker or light smoker (10 or fewer cigarettes per day or equivalent) willing to abstain from smoking during confinement periods.
Able to understand and provide written informed consent prior to participation in the study.
Willing and able to comply with all study requirements, including fasting requirements and pharmacokinetic blood sampling.
Females of childbearing potential must use an acceptable method of contraception as determined by the investigator.
Exclusion Criteria:
History or presence of any clinically significant cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematologic, neurologic, or psychiatric disorder that, in the opinion of the investigator, could interfere with study participation or interpretation of results.
Estimated glomerular filtration rate (eGFR) less than 90 mL/min/1.73 m², or any clinically significant abnormal clinical laboratory findings.
History of lactic acidosis.
Use of prescription or over-the-counter medications, herbal supplements, or dietary supplements within 14 days before the first study dose, unless approved by the investigator.
Positive test for hepatitis B surface antigen, hepatitis C antibody, or HIV.
Positive urine drug screen or positive alcohol breath test at screening or admission.
Participation in another clinical trial or receipt of an investigational product within 30 days or 5 half-lives (whichever is longer) before the first study dose.
Donation of 450 mL or more of blood, or significant blood loss, within 8 weeks before first study dose.
Pregnant or breastfeeding females.
Women of childbearing potential not using acceptable contraception.
Any condition or situation that, in the opinion of the investigator, would make the participant unsuitable for the study.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Avi Guralnik | Contact | 17189381157 | avi.berg@synergy-cro.com |
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| Liquid Metformin 250 mg/mL | Drug | A single oral dose of a liquid metformin formulation at a concentration of 250 mg/mL will be administered under fasting conditions in one treatment period of the crossover. |
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| Metformin Immediate-Release Tablet | Drug | A single oral dose of standard immediate-release metformin tablet(s) will be administered under fasting conditions in one treatment period of the crossover. |
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