AzTrials
AzTrials

Healthy Subjects in Fasted and Fed StatePhase 1NCT03216278

The Purpose of the Study is to Compare Two Fixed Dose Combination Tablets of Dapagliflozin/Metformin XR in Healthy Subjects Under Fasting and Fed Conditions

A Phase 1 study testing Dapagliflozin/metformin XR 5/500mg, Dapagliflozin/metformin XR 5/500 mg and Dapagliflozin/metformin XR 10/1000mg in people with Healthy Subjects in Fasted and Fed State, run by AstraZeneca at 1 site in Brazil.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This is a bioequivalence study of two doses of the dapagliflozin/metformin XR tablet manufactured at two different plants. Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Subjects in Fasted and Fed State
What is being tested?
Dapagliflozin/metformin XR 5/500mg, Dapagliflozin/metformin XR 5/500 mg and Dapagliflozin/metformin XR 10/1000mg
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
284 participants
Where
1 siteBrazil
Study dates
26 Sep 2017to 22 May 2018
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Provision of signed and dated, written informed consent prior to any study-specific procedures
  • Healthy male and female subjects aged 18 - 50 years with suitable veins for cannulation or repeated venipuncture
  • Females must have a negative serum pregnancy test at screening and negative urine pregnancy test on admission to the unit, must not be lactating and must be of non-childbearing potential, confirmed at screening by fulfilling 1 of the following criteria:
  • Post-menopausal defined as amenorrhea for at least 12 months or more following cessation of all exogenous hormonal treatments and follicle-stimulating hormone (FSH) levels in the post menopausal range
  • Documentation of irreversible surgical sterilization by hysterectomy, bilateral oophorectomy or bilateral salpingectomy, but not tubal ligation
  • Have a body mass index (BMI) between 18.50 and 24.90 kg/m2 inclusive [15% variance on the upper limit is permitted (i.e., up to 28.63 kg/m2)] and weigh between 50 and 100 kg inclusive at screening

Who cannot join

  • History of any clinically significant disease or disorder which, in the opinion of the Investigator, may either put the subject at risk because of participation in the study, or influence the results or the subject's ability to participate in the study
  • History or presence of gastrointestinal, hepatic or renal disease, or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs
  • Any clinically significant illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of IMP
  • Any clinically significant abnormalities in clinical chemistry, hematology, or urinalysis results, as judged by the investigator
  • Any clinically significant abnormal findings in vital signs, as judged by the investigator
  • Any clinically significant abnormalities on 12-lead electrocardiogram (ECG) as judged by the investigator
Show all 22Show fewer
  • Any positive result on screening for serum hepatitis B surface antigen (HBsAg), hepatitis C antibody and human immunodeficiency virus (HIV) antibody
  • Severe hepatic insufficiency and/or significant abnormal liver function defined as aspartate aminotransferase (AST) >3x upper limit of normal (ULN) and/or alanine aminotransferase (ALT) >3x ULN
  • Total bilirubin >2.0 mg/dL (34.2 µmol/L)
  • Known or suspected history of drug abuse, as judged by the investigator
  • Has received another new chemical entity (defined as a compound which has not been approved for marketing) within 3 months of the first administration of IMP in this study. The period of exclusion begins 3 months after the final dose.
  • Note: Subjects consented and screened, but not randomized in this study or a previous phase I study, are not excluded.
  • Plasma donation within 1 month of screening or any blood donation/loss more than 500 mL during the 3 months prior to screening
  • History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity, as judged by the investigator or history of hypersensitivity to drugs with a similar chemical structure or class to dapagliflozin/metformin XR.
  • Current smokers or those who have smoked or used nicotine products within the 3 months prior to screening.
  • Positive screen for drugs of abuse or alcohol at screening or on each admission to the study center
  • Use of drugs with enzyme-inducing properties such as St John's Wort within 3 weeks prior to the first administration of IMP
  • Use of any prescribed or non-prescribed medication including antacids, analgesics (other than paracetamol/acetaminophen), herbal remedies, vitamins and minerals during the 2 weeks prior to the first administration of IMP or longer if the medication has a long half-life Note: Hormonal replacement therapy is allowed for females.
  • Known or suspected history of alcohol abuse or excessive intake of alcohol, as judged by the investigator
  • Inclusion of any AstraZeneca or study site employee or their close relatives
  • Judgment by the investigator that the subject should not participate in the study if they have any ongoing or recent (i.e., during the screening period) minor medical complaints that may interfere with the interpretation of study data or are considered unlikely to comply with study procedures, restrictions, and requirements
  • Vulnerable subjects, e.g., kept in detention, protected adults under guardianship, trusteeship, or committed to an institution by governmental or juridical order

Trial locations and contacts

1 site in 1 country.

Brazil1 site
  • Research Site

    Aparecida de Goiânia, 74935-530

Other trials in Brazil

About this study

Official title: A Two Part Bioequivalence Study to Compare Two Fixed Dose Combination (FDC) Tablets of Dapagliflozin/Metformin XR 5/500 mg (Part 1) and 10/1000 mg (Part 2) Manufactured at Two Different Plants (Humacao, Puerto Rico and Mount Vernon, US) in Healthy Subjects Under Fasting and Fed Conditions

This is a bioequivalence study of two doses of the dapagliflozin/metformin XR tablet manufactured at two different plants.

Read the detailed description

This is a two part, open-label, randomized, 4-period, 4-treatment (per study part) crossover study in healthy subjects (males and females of non-childbearing potential), performed at a single study center, conducted to establish the bioequivalence of 2 strengths of dapagliflozin/metformin XR tablets manufactured at two different plants.

Being tested
Dapagliflozin/metformin XR 5/500mg, Dapagliflozin/metformin XR 5/500 mg, Dapagliflozin/metformin XR 10/1000mg
Keywords
healthy,, fasted,, fed
Medical subject headings
Lecithin Cholesterol Acyltransferase Deficiency

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dapagliflozin/metformin XR 5/500mgDrug

    Also called Mt Vernon plant

    Tablets for oral administration, once daily, once per treatment period

  • Dapagliflozin/metformin XR 5/500 mgDrug

    Also called Humacao plant

    Tablets for oral administration, once daily, once per treatment period

  • Dapagliflozin/metformin XR 5/500mgDrug

    Also called Dapagliflozin/metformin XR 5/500mg Mount Vernon plant

    Tablets for oral administration, once daily, once per treatment period

  • Dapagliflozin/metformin XR 5/500mgDrug

    Also called Humacao plant

    Tablets for oral administration, once daily, once per treatment period

  • Dapagliflozin/metformin XR 10/1000mgDrug

    Also called Mount Vernon plant

    Tablets for oral administration, once daily, once per treatment period

  • Dapagliflozin/metformin XR 10/1000mgDrug

    Also called Humacao plant

    Tablets for oral administration, once daily, once per treatment period

  • Dapagliflozin/metformin XR 10/1000mgDrug

    Also called Dapagliflozin/metformin XR 10/1000mg Mount Vernon plant

    Tablets for oral administration, once daily, once per treatment period

  • Dapagliflozin/metformin XR 10/1000mgDrug

    Also called Dapagliflozin/metformin XR 10/1000mg Humacao plant

    Tablets for oral administration, once daily, once per treatment period

Study groups in NCT03216278
Study groupRoleWhat they receive
Treatment AExperimentalDapagliflozin/metformin XR 5/500 Mount Vernon Test Product Fed
Receives: Drug: Dapagliflozin/metformin XR 5/500mg
Treatment BActive comparatorDapagliflozin/metformin XR 5/500 Humacao Reference Product Fed
Receives: Drug: Dapagliflozin/metformin XR 5/500 mg
Treatment CExperimentalDapagliflozin/metformin XR 5/500 Mount Vernon Test Product Fasted
Receives: Drug: Dapagliflozin/metformin XR 5/500mg
Treatment DActive comparatorDapagliflozin/metformin XR 5/500 Humacao Reference Product Fasted
Receives: Drug: Dapagliflozin/metformin XR 5/500mg
Treatment EExperimentalDapagliflozin/metformin XR 10/1000 Mount Vernon Test Product Fed
Receives: Drug: Dapagliflozin/metformin XR 10/1000mg
Treatment FActive comparatorDapagliflozin/metformin XR 10/1000 Humacao Reference Product Fed
Receives: Drug: Dapagliflozin/metformin XR 10/1000mg
Treatment GExperimentalDapagliflozin/metformin XR 10/1000 Mount Vernon Test Product Fasted
Receives: Drug: Dapagliflozin/metformin XR 10/1000mg
Treatment HActive comparatorDapagliflozin/metformin XR 10/1000 Humacao Reference Product Fasted
Receives: Drug: Dapagliflozin/metformin XR 10/1000mg

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Part 1 - Area under the plasma concentration versus time curve (AUC) for each analyte and each state

    To demonstrate the bioequivalence of dapagliflozin/metformin XR 5/500 mg manufactured at Mount Vernon plant and dapagliflozin/metformin XR 5/500 mg manufactured at Humacao plant in metformin and in dapagliflozin plasma concentrations for the fed state and, separately, the fasted state.

    Measured: Based on pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose sampling times

  2. Part 2 - Area under the plasma concentration versus time curve (AUC) for each analyte and each state

    To demonstrate the bioequivalence of dapagliflozin/metformin XR 10/1000 mg manufactured at Mount Vernon plant and dapagliflozin/metformin XR 10/1000 mg manufactured at Humacao plant in metformin and dapagliflozin plasma concentrations for the fed state and, separately, the fasted state.

    Measured: Based on pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose sampling times

  3. Part 1 - Peak Plasma Concentration (Cmax) for each analyte and each state

    To demonstrate the bioequivalence of dapagliflozin/metformin XR 5/500 mg manufactured at Mount Vernon plant and dapagliflozin/metformin XR 5/500 mg manufactured at Humacao plant in metformin and in dapagliflozin plasma concentrations for the fed state and, separately, the fasted state.

    Measured: Based on pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose sampling times

  4. Part 2 - Peak Plasma Concentration (Cmax) for each analyte and each state

    To demonstrate the bioequivalence of dapagliflozin/metformin XR 10/1000 mg manufactured at Mount Vernon plant and dapagliflozin/metformin XR 10/1000 mg manufactured at Humacao plant in metformin and in dapagliflozin plasma concentrations for the fed state and, separately, the fasted state.

    Measured: Based on pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose sampling times

Secondary outcomes (13)
  1. Area under plasma concentration - time curve from time zero to infinity (AUC)

    Measurements of AUC from time zero to infinity for dapagliflozin and metformin when administered as single doses of dapagliflozin/metformin 5/500 mg or 10/1000 mg formulation from both the Mount Vernon and Humacao plants both fed and fasted states.

    Measured: Based on pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose sampling times

  2. Adverse events

    To evaluate the safety of single doses of dapagliflozin/metformin 5/500 mg or 10/1000 mg formulation from both the Mount Vernon and Humacao plants both fed and fasted states by assessing the number of subjects with adverse events.

    Measured: 10,5 weeks

  3. Blood pressure

    To evaluate the safety of single doses of dapagliflozin/metformin 5/500 mg or 10/1000 mg formulation from both the Mount Vernon and Humacao plants both fed and fasted states by assessing changes from baseline in mmHg of systolic and diastolic blood pressure.

    Measured: 10,5 weeks

  4. Electrocardiogram (ECG)

    To evaluate the safety of single doses of dapagliflozin/metformin 5/500 mg or 10/1000 mg formulation from both the Mount Vernon and Humacao plants both fed and fasted states by assessing changes from baseline in overall ECG evaluation.

    Measured: 10,5 weeks

  5. Time to reach maximum plasma concentration (tmax)

    Measurements of tmax for dapagliflozin and metformin when administered in both fed and fasted states as single doses of dapagliflozin/metformin 5/500 mg or 10/1000 mg formulation from both the Mount Vernon and Humacao plants.

    Measured: Based on pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose sampling times

  6. Half-life associated with terminal slope (λz) of a semi-logarithmic concentration-time curve (t½λz)

    Measurements of half-life associated with terminal slope (t½λz) for dapagliflozin and metformin when administered in both fed and fasted states as single doses of dapagliflozin/metformin 5/500 mg or 10/1000 mg formulation from both the Mount Vernon and Humacao plants.

    Measured: Based on pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose sampling times

  7. Terminal elimination rate constant (λz)

    Measurements of terminal elimination rate constant (λz) for dapagliflozin and metformin when administered in both fed and fasted states as single doses of dapagliflozin/metformin 5/500 mg or 10/1000 mg formulation from both the Mount Vernon and Humacao plants.

    Measured: Based on pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose sampling times

  8. Apparent total body clearance after extravascular administration (CL/F)

    Measurements of apparent total body clearance after extravascular administration (CL/F) for dapagliflozin and metformin when administered in both fed and fasted states as single doses of dapagliflozin/metformin 5/500 mg or 10/1000 mg formulation from both the Mount Vernon and Humacao plants.

    Measured: Based on pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose sampling times

  9. Apparent volume of distribution during the terminal phase after extravascular administration (Vz/F)

    Measurements of apparent volume of distribution during the terminal phase after extravascular administration (Vz/F) for dapagliflozin and metformin when administered in both fed and fasted states as single doses of dapagliflozin/metformin 5/500 mg or 10/1000 mg formulation from both the Mount Vernon and Humacao plants.

    Measured: Based on pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose sampling times

  10. Laboratory assessments - hematology

    To evaluate the safety of single doses of dapagliflozin/metformin 5/500 mg or 10/1000 mg formulation from both the Mount Vernon and Humacao plants both fed and fasted states by assessing changes from baseline in hematology.

    Measured: 10,5 weeks

  11. Heart rate

    To evaluate the safety of single doses of dapagliflozin/metformin 5/500 mg or 10/1000 mg formulation from both the Mount Vernon and Humacao plants both fed and fasted states by assessing changes from baseline in heart rate measured as beats per minute.

    Measured: 10,5 weeks

  12. Laboratory assessments - clinical chemistry

    To evaluate the safety of single doses of dapagliflozin/metformin 5/500 mg or 10/1000 mg formulation from both the Mount Vernon and Humacao plants both fed and fasted states by assessing changes from baseline in clinical chemistry.

    Measured: 10,5 weeks

  13. Laboratory assessments - urinalysis

    To evaluate the safety of single doses of dapagliflozin/metformin 5/500 mg or 10/1000 mg formulation from both the Mount Vernon and Humacao plants both fed and fasted states by assessing changes from baseline in urinalysis.

    Measured: 10,5 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Jul 2017
  2. Study start26 Sep 2017
  3. Primary completion22 May 2018
  4. Study completion22 May 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
284 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03216278
Sponsor's protocol ID
D1691C00016
Status last verified
May 2018
First submitted
7 Apr 2017
Last updated
30 May 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Dapagliflozin/metformin XR 5/500mg, Dapagliflozin/metformin XR 5/500 mg and Dapagliflozin/metformin XR 10/1000mg in people with Healthy Subjects in Fasted and Fed State, run by AstraZeneca at 1 site in Brazil.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 22 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 30 May 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Part 1 - Area under the plasma concentration versus time curve (AUC) for each analyte and each state (time frame: Based on pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hours post-dose sampling times). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 May 2018.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in