Visceral Leishmaniasis Clinical Trial
Official title:
Multi-Center, Open-Label, Randomized, Two Treatment, Parallel, Single Period, Multiple-Dose, Steady State, Global Bioequivalence Study of Amphotericin B Liposome for Injection 50mg /Vial in Patients With Visceral Leishmaniasis
Verified date | August 2018 |
Source | Aurobindo Pharma Ltd |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The primary objective is to determine clinical bioequivalence of Amphotericin B liposome for injection of Auromedics Pharma LLC, USA and AmBisome (Amphotericin B) liposome for injection of Astellas Pharma US, Inc., in patients with Visceral Leishmaniasis under fed condition
Status | Completed |
Enrollment | 140 |
Est. completion date | April 5, 2019 |
Est. primary completion date | April 5, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility |
Inclusion Criteria: - Male and female patients aged between 18 to 65 years (both inclusive) - Clinical signs and symptoms of Visceral Leishmaniasis (fever of over 2 weeks duration, weight loss and splenomegaly) - Presence of amastigotes (Leishmania Donovani bodies) at screening detected by rK39 dipstick test. - Female subjects of childbearing potential must have a negative serum pregnancy test at enrolment and be willing to use a reliable method of birth control, i.e. barrier method, intrauterine device, or tubal ligation. - Ability to comply with all study requirements. - Patients with Hb = 6.0 g/dl - Patients with platelets count = 60,000/mm3 - Patients should be immunocompetent (e.g., white blood cell count = 2500/ mm3) - Patients and/ or LAR must be give written informed consent - Patients with clinically acceptable results from all the screening laboratory parameters and investigations. Exclusion Criteria: - Known allergy or hypersensitivity reactions to any components of conventional or liposomal Amphotericin B formulations. - Any condition which the investigator thinks may prevent the patient from completing the study therapy and subsequent follow-up. - Pregnant or lactating women - Patients requiring dose adjustment during the study. - Serum creatinine concentration greater than twice the upper limit of normal (ULN), AST or ALT value greater than 10 times the ULN - Patients who are required to be on concomitant therapy with IV fat emulsions, such as total parental nutrition (TPN). - Patients with total bilirubin levels > 3 times the upper normal limits (i.e. > 3.0 mg/dl). - Patient with clinically significant Hematopoietic, renal, hepatic and electrolyte disorders (Low level of Magnesium and potassium) will be excluded as per the discretion of Investigator - Patients with Clinically significant screening laboratory parameters in the opinion of the investigator. - Patients with any significant history of non-compliance to medical regimens or with inability to grant a reliable informed consent. - History of uncontrolled diseases, such as thyroidal dysfunction, angina pectoralis, serious cardiac arrhythmias, serious heart failure, neuropsychiatric infection or disease. - Patients with controlled and uncontrolled diabetes mellitus - Patients with Uncontrolled hypertension will be excluded. - Immunocompromised patients will be excluded from participating the study - Patients with known positivity for human immunodeficiency virus (HIV), HBsAg and HCV. - Positive results for drugs of abuse (benzodiazepines, opioids, amphetamines, cannabinoids, cocaine and barbiturates) in urine. - Positive results for alcohol as detected by alcohol breath analyzer. - History of difficulty with donating blood or difficulty in accessibility of veins. - An unusual or abnormal diet, for whatever reason e.g. religious fasting. - History of donation of blood (1 unit or 350 ml) within 90 days prior to receiving the first dose of investigational medicinal product in the study |
Country | Name | City | State |
---|---|---|---|
Bangladesh | International Centre for Diarrhoeal Disease Research b | Dhaka | |
India | Kala-Azar medical Research Centre | Muzaffarpur | Bihar |
India | Rajendra Memorial Research Institute of Medical Sciences | Patna | Bihar |
Lead Sponsor | Collaborator |
---|---|
Aurobindo Pharma Ltd | Axis Clinicals Limited |
Bangladesh, India,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Estimation of Cmax-ss, Maximum concentration over the steady state dosing interval | To establish bioequivalence limits within 80-125 % | 05 days | |
Primary | Estimation of AUC0-tau, Area under the plasma concentration time curve over the steady state dosing interval | To establish bioequivalence limits within 80-125 % | 05 days | |
Secondary | Evaluation of Cmin-ss | Summary statistics, ANOVA, Ratio Analysis, 90% Confidence Interval, Inter subject variability and Power will be calculated | 05 days | |
Secondary | Evaluation of Cavg-ss | Summary statistics, ANOVA, Ratio Analysis, 90% Confidence Interval, Inter subject variability and Power will be calculated | 05 days | |
Secondary | Evaluation of tmax-ss | Summary statistics, ANOVA, Ratio Analysis, 90% Confidence Interval, Inter subject variability and Power will be calculated | 05 days | |
Secondary | Evaluation of Cpd | Summary statistics, ANOVA, Ratio Analysis, 90% Confidence Interval, Inter subject variability and Power will be calculated | 05 days | |
Secondary | Evaluation of Percentage Fluctuation | Summary statistics, ANOVA, Ratio Analysis, 90% Confidence Interval, Inter subject variability and Power will be calculated | 05 days | |
Secondary | Evaluation of Swing | Summary statistics, ANOVA, Ratio Analysis, 90% Confidence Interval, Inter subject variability and Power will be calculated | 05 days |
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