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This study aims to evaluate pharmacokinetic profile, safety and establish bioequivalence of the investigational drug Trimedat® 76,95 mg orally disintegrating tablets compared to the reference drug Trimedat® 100 mg tablets in healthy volunteers under fasted conditions.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RT sequence: Trimedat® 100 mg Tablets followed by Trimedat® 76,95 mg Orally Disintegrating Tablets | Experimental | Group 1 (18 volunteers, RT sequence) will take 1 tablet (100 mg) of Trimedat® in Period 1 and 1 Orally Disintegrating Tablet (76,95 mg) of Trimedat® in Period 2 |
|
| TR sequence: Trimedat® 76,95 mg Orally Disintegrating Tablets followed by Trimedat® 100 mg Tablets | Active Comparator | Group 2 (18 volunteers, TR sequence) will take 1 Orally Disintegrating Tablet (76,95 mg) of Trimedat® in Period 1 and 1 tablet (100 mg) of Trimedat® in Period 2 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Trimedat® | Drug | A single dose of R or T drug in each of 2 periods of the study under fasted conditions |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics - Cmax | Maximum plasma concentration (Cmax) of N-desmethyltrimebutine (main metabolite of trimebutine) | From 0 to 48 hours after each drug intake. |
| Pharmacokinetics - tmax | Time to reach Cmax (tmax) | From 0 to 48 hours after each drug intake. |
| Pharmacokinetics - AUC0-t | Area under the plasma concentration-time curve from time 0 to t (AUC0-t) | From 0 to 48 hours after each drug intake. |
| Pharmacokinetics - AUC0-inf | Area under the plasma concentration-time curve from time 0 to infinity (AUC0-inf) | From 0 to 48 hours after each drug intake. |
| Pharmacokinetics - AUCextr | Extrapolated AUC defined as (AUC0-inf - AUC0-t)/AUC0-inf | From 0 to 48 hours after each drug intake. |
| Pharmacokinetics - t1/2 | Elimination half-life (t1/2) | From 0 to 48 hours after each drug intake. |
| Pharmacokinetics - kel | Elimination rate constant (kel) | From 0 to 48 hours after each drug intake. |
| Pharmacokinetics - MRT | Mean residence time (MRT) |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse event type | Adverse events will be assessed by complaints, results of physical examination, results of heart rate and blood pressure assessment, results of respiratory rate assessment, body temperature, laboratory monitoring (clinical blood count, biochemical blood count, urinalysis), electrocardiography; adverse events will be classified in accordance to MedDRA. | From screeninig (days -14 to -1) to the end of study (day 15 ± 1) |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse event number | Number of adverse events registered during the study | From screeninig (days -14 to -1) to the end of study (day 15 ± 1) |
| Adverse event severety | Severity of adverse events registered during the study |
Inclusion Criteria:
Non-Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Federal Budgetary Institution of Science "North-West Public Health Research Center" | Recruiting | Saint Petersburg | 191036 | Russia |
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|
| From 0 to 48 hours after each drug intake. |
| Pharmacokinetics - Vd | Volume of distribution | From 0 to 48 hours after each drug intake. |
| Pharmacokinetics - CL | Clearance (CL) | From 0 to 48 hours after each drug intake. |
| Pharmacokinetics - number of terminal timepoints | Number of points in the terminal logarithmic phase used to estimate the terminal elimination rate constant | From 0 to 24 hours after each drug intake. |
| From screeninig (days -14 to -1) to the end of study (day 15 ± 1) |
| Drop-outs associated with adverse events | The number of cases of early termination of participation in the study due to the development of adverse events and/or serious adverse events associated with the study drug | From screeninig (days -14 to -1) to the end of study (day 15 ± 1) |
| Volunteer complaints | Description of complaints, recieved from volunteer | From screeninig (days -14 to -1) to the end of study (day 15 ± 1) |
| Physical examination results - cardiovascular system | An assessment of the condition of the cardiovascular system on physical examination (normal condition or list of abnormal conditions, if any) | Screeninig (days -14 to -1), day -1 to 3, day 7 to 10 |
| Physical examination results - respiratory system | An assessment of the condition of the respiratory system on physical examination (normal condition or list of abnormal conditions, if any) | Screeninig (days -14 to -1), day -1 to 3, day 7 to 10 |
| Physical examination results - digestive tract | An assessment of the condition of the digestive tract on physical examination (normal condition or list of abnormal conditions, if any) | Screeninig (days -14 to -1), day -1 to 3, day 7 to 10 |
| Physical examination results - endocrine system | An assessment of the condition of the endocrine system on physical examination (normal condition or list of abnormal conditions, if any) | Screeninig (days -14 to -1), day -1 to 3, day 7 to 10 |
| Physical examination results - musculoskeletal system | An assessment of the condition of the musculoskeletal system on physical examination (normal condition or list of abnormal conditions, if any) | Screeninig (days -14 to -1), day -1 to 3, day 7 to 10 |
| Physical examination results - nervous system | An assessment of the condition of the nervous system on physical examination (normal condition or list of abnormal conditions, if any) | Screeninig (days -14 to -1), day -1 to 3, day 7 to 10 |
| Physical examination results - sensory systems | An assessment of the condition of the sensory systems on physical examination (normal condition or list of abnormal conditions, if any) | Screeninig (days -14 to -1), day -1 to 3, day 7 to 10 |
| Physical examination results - skin/visible mucous membranes | An assessment of the condition of the skin/visible mucous membranes on physical examination (normal condition or list of abnormal conditions, if any) | Screeninig (days -14 to -1), day -1 to 3, day 7 to 10 |
| Physical examination results - genitourinary system | An assessment of the condition of the genitourinary system on physical examination (normal condition or list of abnormal conditions, if any) | Screeninig (days -14 to -1), day -1 to 3, day 7 to 10 |
| Safety and Tolerability: vital signs - systolic blood pressure | Systolic blood pressure (SBP, mmHg) | Screeninig (days -14 to -1), day -1 to 3, day 7 to 10 |
| Safety and Tolerability: vital signs - diastolic blood pressure | Diastolic blood pressure (DBP, mmHg) | Screeninig (days -14 to -1), day -1 to 3, day 7 to 10 |
| Safety and Tolerability: vital signs - heart rate | Heart rate (HR, bpm) | Screeninig (days -14 to -1), day -1 to 3, day 7 to 10 |
| Safety and Tolerability: vital signs - respiratory rate | Respiratory rate (breaths per minute) | Screeninig (days -14 to -1), day -1 to 3, day 7 to 10 |
| Safety and Tolerability: vital signs - body temperature (Celsius temperature scale) | Body temperature (Celsius temperature scale) | Screeninig (days -14 to -1), day -1 to 3, day 7 to 10 |
| Safety and Tolerability: 12-lead electrocardiogram (ECG) - heart rate | 12-lead ECG (I, II, III, aVR-enhanced unipolar abduction from the right arm , aVL-enhanced unipolar abduction from the left arm, aVF - enhanced unipolar abduction from the left leg, V1-V6) taken while lying down: heart rate (beats per minute) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: 12-lead electrocardiogram (ECG) - PQ interval | 12-lead ECG (I, II, III, aVR-enhanced unipolar abduction from the right arm , aVL-enhanced unipolar abduction from the left arm, aVF - enhanced unipolar abduction from the left leg, V1-V6) taken while lying down: PQ interval (is the period, measured in milliseconds, that extends from the beginning of the P wave (the onset of atrial depolarization) until the beginning of the QRS complex) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: 12-lead electrocardiogram (ECG) - QRS complex | 12-lead ECG (I, II, III, aVR-enhanced unipolar abduction from the right arm , aVL-enhanced unipolar abduction from the left arm, aVF - enhanced unipolar abduction from the left leg, V1-V6) taken while lying down: QRS complex (the QRS complex is the combination of three of the graphical deflections seen on a typical electrocardiogram) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: 12-lead electrocardiogram (ECG) - QT interval | 12-lead ECG (I, II, III, aVR-enhanced unipolar abduction from the right arm , aVL-enhanced unipolar abduction from the left arm, aVF - enhanced unipolar abduction from the left leg, V1-V6) taken while lying down: QT interval (distance from the beginning of the QRS complex to the end of the T wave) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: clinical blood test - hemoglobin | Hemoglobin (g/L) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: clinical blood test - hematocrit | Hematocrit (%) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: clinical blood test - red blood cell count | Red blood cell count (cells/L) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: clinical blood test - platelet count | Platelet count (cells/L) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: clinical blood test - leukocyte count | Leukocyte count (cells/L) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: clinical blood test - erythrocyte sedimentation rate | Erythrocyte sedimentation rate (mm/h) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: clinical blood test - myelocytes | Leukocyte formula (myelocytes, %) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: clinical blood test - band neutrophils | Leukocyte formula (band neutrophils, %) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: clinical blood test - segmented neutrophils | Leukocyte formula (segmented neutrophils, %) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: clinical blood test - eosinophils | Leukocyte formula (eosinophils, %) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: clinical blood test - basophils | Leukocyte formula (basophils, %) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: clinical blood test - monocytes | Leukocyte formula (monocytes, %) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: clinical blood test - lymphocytes | Leukocyte formula (lymphocytes, %) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: blood chemistry - glucose | Glucose concentration (mmol/L) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: blood chemistry - cholesterol | Total cholesterol concentration (mmol/L) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: blood chemistry - total protein | Total protein in blood serum (g/L) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: blood chemistry - bilirubin | Total bilirubin concentration (micromol/L) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: blood chemistry - creatinine | Creatinine concentration (micromol/L) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: blood chemistry - alkaline phosphatase | Alkaline phosphatase activity (U/L) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: blood chemistry - alanine transaminase | Alanine transaminase activity (U/L) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: blood chemistry - aspartate transaminase | Aspartate transaminase activity (U/L) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: urinalysis - specific gravity | Specific gravity of the urine | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: urinalysis - color | Color of the urine | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: urinalysis - transparency | Transparency of the urine | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: urinalysis - pH | pH of the urine | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: urinalysis - protein | Protein concentration (g/L) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: urinalysis - glucose | Glucose concentration (mmol/L) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: urinalysis - red blood cells | Red blood cell content (number in sight) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: urinalysis - white blood cells | White blood cell content (number in sight) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: urinalysis - casts | Presence of casts (Yes/No) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: urinalysis - mucus | Presence of mucus (Yes/No) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: urinalysis - bacteria | Presence of bacteria (Yes/No) | Screeninig (days -14 to -1), day 3, day 10 |
| Safety and Tolerability: urinalysis (microscopy) | Microscopy of urine sediment is performed if it is present | Screeninig (days -14 to -1), day 3, day 10 |
| ID | Term |
|---|---|
| D043183 | Irritable Bowel Syndrome |
| D002769 | Cholelithiasis |
| D005764 | Gastroesophageal Reflux |
| D001657 | Biliary Dyskinesia |
| D017562 | Postcholecystectomy Syndrome |
| ID | Term |
|---|---|
| D003109 | Colonic Diseases, Functional |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D001660 | Biliary Tract Diseases |
| D015154 | Esophageal Motility Disorders |
| D003680 | Deglutition Disorders |
| D004935 | Esophageal Diseases |
| D003137 | Common Bile Duct Diseases |
| D001649 | Bile Duct Diseases |
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D014287 | Trimebutine |
| ID | Term |
|---|---|
| D062425 | Hydroxybenzoate Ethers |
| D062385 | Hydroxybenzoates |
| D001565 | Benzoates |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D006880 | Hydroxy Acids |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D010647 | Phenyl Ethers |
| D010636 | Phenols |
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