Healthy Clinical Trial
Official title:
A Randomized, Open Label Absolute Bioavailability Study of Folic Acid.
The purpose of the study is to determine the bioavailability of orally administered folic acid compared with the i.v. administered folic acid, and to use the samples collected to validate the analytical methods for estimation of folic acid in plasma and red blood cells (RBCs).
Few formal pharmacokinetic studies have been conducted with folic acid to determine its
absolute bioavailability, pharmacokinetic profile, or intra- and intersubject variability.
Moreover, most analytical work has been completed in academic settings, and no Good
Laboratory Practice (GLP)-validated assay method has been developed. This was a randomized
(study drug assigned by chance), open-label, 3-way crossover, single-center trial,
consisting of a prerandomization phase, an open-label treatment phase (3 single doses
separated by washouts of 7 days each), and a posttreatment phase. Healthy volunteers were
randomly assigned to 1 of 6 treatment sequences (2 healthy volunteers per sequence). All
healthy volunteers received a single dose of folic acid in each treatment period (400-mcg
oral solution, 400-mcg i.v. infusion, and a 1-mg oral tablet). Blood samples for
pharmacokinetic analysis were collected at specified times following each dose. Blood
samples for measurement of red cell folate were collected before dosing on Day 1 of Period
1. For each period, healthy volunteers were confined to the study unit from the evening
before Day 1 through the completion of the Day 2 assessments (24-hour pharmacokinetic blood
sample collection). End-of-study assessments took place on Day 17 or at the time of early
withdrawal. Safety was evaluated based on the monitoring of adverse events, vital sign
measurements, physical examinations, and clinical laboratory tests. Heart rate and blood
pressure were measured at screening, on the first day of each treatment period (Days 1, 8,
and 15), and at study completion (Day 17) or early withdrawal; body temperature was measured
at screening only. A physical examination was performed at screening and at study completion
(Day 17) or early withdrawal. Blood samples for serum chemistry and hematology and a random
urine sample for urinalysis were taken at the start of the study, Days -21 to -2, and at the
end of the study (Day 17 or early termination).
All subjects received a single dose of folic acid in each treatment period (400-mcg oral
solution, 400-mcg i.v. infusion, and a 1-mg oral tablet), separated by washouts of 7 days
each.
;
Allocation: Randomized, Endpoint Classification: Pharmacokinetics Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Prevention
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