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Preterm BirthPhase 1NCT03668860

India Dexamethasone and Betamethasone

A Phase 1 study testing Dexamethasone 4 mg/ml, Betamethasone 4 mg/ml and Celestone Soluspan 6Mg/Ml Suspension for Injection in people with Preterm Birth and Antenatal Corticosteroids, run by Children's Hospital Medical Center, Cincinnati at 1 site in India.

Completed

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

Official record
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Trial summary

An open label, randomized, two-period, crossover, study to compare the pharmacokinetics and pharmacodynamics of single dose Dexamethasone and Betamethasone administered orally and intramuscularly in 48 healthy, adult, female subjects under fasting conditions. This study is being conducted in Bangalore, India. Read more about this study

Who is it for?
Ages 18 to 40 years, women onlyHealthy volunteers can take part
Conditions the study is for
Preterm Birth, Antenatal Corticosteroids
What is being tested?
Dexamethasone 4 mg/ml, Betamethasone 4 mg/ml and Celestone Soluspan 6Mg/Ml Suspension for Injection
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
1 siteIndia
Study dates
20 Sep 2018to 31 Dec 2019
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 40 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • - Healthy, adult, female subjects within the age range of 18 to 40 years [both inclusive].
  • - Weight not less than 45 kg.
  • - BMI [18.00 to 25.00 kg/m2] [both inclusive].
  • - Willingness to provide written informed consent to participate in the study.
  • - Without any medical or surgical condition that might interfere with gastrointestinal absorption of the study drug.
  • - Free of significant diseases or clinically significant abnormal findings during screening, medical history, physical examination, laboratory evaluations, 12-lead ECG, Chest X-ray [PA view].
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  • - Subjects should be non-smoker or moderate smokers (less than 10 cigarettes a day), and should not be consuming tobacco containing products [ defined as someone who has stopped smoking for a year from the date of screening].
  • - Subject must be either a non-drinker or an occasional drinker of alcohol and agreed to abstain from alcoholic consumption during the study duration.
  • - Absence of disease markers of HIV I and 2, Hepatitis Band C and Syphilis.
  • - Female subjects of childbearing potential must be using two acceptable methods of contraception, ( e.g., intra-uterine device (IUD) plus condom, spermicidal gel plus condom, diaphragm plus condom, progestin only implants and long acting injectables (Depo Provera), etc.). These measures are required during the study and for at least two weeks after the last dose and conveyed during the inform consent process (or) postmenopausal women for at least 1 year or surgically sterile (bilateral tubal ligation, bilateral oophorectomy or hysterectomy have been performed).
  • - Subject should be literate.

Who cannot join

  • - History or presence of significant: Cardiovascular, pulmonary, hepatic, renal, hematological, gastro- intestinal, endocrine, immunologic, dermatologic, neurological, HEENT (Head, Eyes, Ears, Nose And Throat), psychiatric disease/ disorder.
  • - History or presence of significant:
  • Asthma, urticaria or other allergic type reactions or hypersensitivity after taking Dexamethasone or Betamethasone or any other drug.
  • Ulceration or history of gastric and / or duodenal ulcer.
  • Stomach or intestinal bleeding.
  • Jaundice in the past 6 months.
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  • - History of drug abuse.
  • - History of renal impairment or severe hepatic impairment.
  • - History or presence of psychiatric disorders
  • - Have donated 500 mL or more blood within 90 days before receiving the first dose of study drug.
  • - Major illness during 3 months before screening.
  • - Subjects who have participated in another clinical study in the past 3 months prior to commencement of this study.
  • - Any difficulty in accessibility of forearm veins for cannulation or blood sampling and or difficulty with donating blood.
  • - Refuse to abstain from food for at least 10 h prior to dosing and for at least 4 h after dosing in each period and for at least 10 h before and at least 4 h after collecting the baseline assessment blood sample in Period 1.
  • - Refuse to abstain from fluid for at least 1 h before and 1 h after dosing.
  • - Refuse to abstain from alcohol for the duration of the study.
  • - Positive during breath alcohol test.
  • - Positive during urine drug screening.
  • - History of difficulty in swallowing study formulations.
  • - Received any medication [including over-the-counter products, vitamins, herbal products] for 14 days preceding the study.
  • - Use of enzyme modifying drugs, MAO inhibitors within 30 days prior to receiving the first dose of study medication.
  • - History of dehydration from diarrhea, vomiting or any other reason within a period of 24 hours prior to study check-in of each period.
  • - Consumption of xanthine containing food and beverages (chocolates, tea, coffee or cola drinks) for at least 48 hours prior to study check-in.
  • - Consumption of grapefruit juice within the 7-days prior to study check-in.
  • - Pregnant females as determined by positive test for pregnancy.
  • - Lactating females.
  • - Investigator/physician feels that it is not in the subject's and/or study's best interest to enroll the subject.

Trial locations and contacts

1 site in 1 country.

India1 site
  • Syngene International Limited, Tower I

    Bangalore, 560 100

Other trials in India

About this study

Official title: A Phase 1, Open-Label, Randomized Study to Compare the Pharmacokinetics and Pharmacodynamics of Single Dose Dexamethasone and Betamethasone Administered Orally and Intramuscularly in Healthy Female Subjects

An open label, randomized, two-period, crossover, study to compare the pharmacokinetics and pharmacodynamics of single dose Dexamethasone and Betamethasone administered orally and intramuscularly in 48 healthy, adult, female subjects under fasting conditions. This study is being conducted in Bangalore, India.

Being tested
Dexamethasone 4 mg/ml, Betamethasone 4 mg/ml, Celestone Soluspan 6Mg/Ml Suspension for Injection, Dexamethasone Oral Tablet, Betamethasone Oral Tablet
Keywords
Antenatal Corticosteroids, Betamethasone, Dexamethasone
Medical subject headings
Premature Birth

What participants receive

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

  • Dexamethasone 4 mg/mlDrug

    Intramuscular. Total dose: 1.5 mL (6 mg)

  • Betamethasone 4 mg/mlDrug

    Intramuscular. Total dose: 1.5 mL (6 mg)

  • Celestone Soluspan 6Mg/Ml Suspension for InjectionDrug

    Intramuscular. Total dose: 1 mL (6 mg)

  • Dexamethasone Oral TabletDrug

    Oral. Total dose: 12 Tablets (6 mg)

  • Betamethasone Oral TabletDrug

    Oral. Total dose: 12 Tablets (6 mg)

Study groups in NCT03668860
Study groupRoleWhat they receive
Treatments A & B (6 subjects)Active comparatorAfter overnight fasting of at least 10 hours, a single dose of investigational product A will be administered intramuscularly at gluteal or thigh region to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product B will be administered intramuscularly at gluteal or thigh region to each subject in this arm. (Treatment A: Dexamethasone sodium phosphate intramuscular injection, 4mg/mL - Total dose: 1.5mL (6mg)) (Treatment B: Betamethasone phosphate solution intramuscular injection, 4mg/mL - Total dose: 1.5mL (6mg))
Receives: Drug: Dexamethasone 4 mg/ml; Drug: Betamethasone 4 mg/ml
Treatments B & A (6 subjects)Active comparatorAfter overnight fasting of at least 10 hours, a single dose of investigational product B will be administered intramuscularly at gluteal or thigh region to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product A will be administered intramuscularly at gluteal or thigh region to each subject in this arm. (Treatment B: Betamethasone phosphate solution intramuscular injection, 4mg/mL - Total dose: 1.5mL (6mg)) (Treatment A: Dexamethasone sodium phosphate intramuscular injection, 4mg/mL - Total dose: 1.5mL (6mg))
Receives: Drug: Dexamethasone 4 mg/ml; Drug: Betamethasone 4 mg/ml
Treatments C & D (6 subjects)Active comparatorAfter overnight fasting of at least 10 hours, a single dose of investigational product C will be administered intramuscularly at gluteal or thigh region to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product D will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. (Treatment C: Celestone Soluspan intramuscular injection, 6mg/mL (3mg phosphate and 3 mg acetate salts) - Total dose: 1mL (6mg)) (Treatment D: Dexamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg))
Receives: Drug: Celestone Soluspan 6Mg/Ml Suspension for Injection; Drug: Dexamethasone Oral Tablet
Treatments D & C (6 subjects)Active comparatorAfter overnight fasting of at least 10 hours, a single dose of investigational product D will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product C will be administered intramuscularly at gluteal or thigh region to each subject in this arm. (Treatment D: Dexamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg)) (Treatment C: Celestone Soluspan intramuscular injection, 6mg/mL (3mg phosphate and 3 mg acetate salts) - Total dose 1mL (6mg))
Receives: Drug: Celestone Soluspan 6Mg/Ml Suspension for Injection; Drug: Dexamethasone Oral Tablet
Treatments E & D (6 subjects)Active comparatorAfter overnight fasting of at least 10 hours, a single dose of investigational product E will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product D will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. (Treatment E: Betamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg)) (Treatment D: Dexamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg))
Receives: Drug: Dexamethasone Oral Tablet; Drug: Betamethasone Oral Tablet
Treatments D & E (6 subjects)Active comparatorAfter overnight fasting of at least 10 hours, a single dose of investigational product D will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product E will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. (Treatment D: Dexamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg)) (Treatment E: Betamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg))
Receives: Drug: Dexamethasone Oral Tablet; Drug: Betamethasone Oral Tablet
Treatments C & E (6 subjects)Active comparatorAfter overnight fasting of at least 10 hours, a single dose of investigational product C will be administered intramuscularly at gluteal or thigh region to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product E will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. C: Celestone Soluspan intramuscular injection, 6mg/mL (3mg phosphate and 3 mg acetate salts) - Total dose 1mL (6mg) E: Betamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg)
Receives: Drug: Celestone Soluspan 6Mg/Ml Suspension for Injection; Drug: Betamethasone Oral Tablet
Treatments E & C (6 subjects)Active comparatorAfter overnight fasting of at least 10 hours, a single dose of investigational product E will be administered orally with 240± 2mL of water in sitting posture at room temperature to each subject in this arm. Following washout period of between 9-12 days and after overnight fasting of at least 10 hours, a single dose of investigational product C will be administered intramuscularly at gluteal or thigh region to each subject in this arm. E: Betamethasone phosphate 0.5mg oral tablets - Total dose: 12 tablets (6mg) C: Celestone Soluspan intramuscular injection, 6mg/mL (3mg phosphate and 3 mg acetate salts) - Total dose 1mL (6mg)
Receives: Drug: Celestone Soluspan 6Mg/Ml Suspension for Injection; Drug: Betamethasone Oral Tablet

What is being measured

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

  1. Measurements of pharmacokinetic parameters of each drug

    Plasma concentration versus time curves of Dexamethasone and Betamethasone given orally and intramuscularly to non-pregnant females.

    Measured: 23 days

  2. Measurements of pharmacodynamic parameters of each drug

    Measurements of glucose, cortisol and lymphocyte population changes versus time resulting from the steroid treatment given orally and intramuscularly to non-pregnant females.

    Measured: 23 days

Secondary outcomes (1)
  1. Adverse Events

    To monitor the adverse events and to ensure the safety of the subjects. Safety assessments will be analyzed descriptively. All continuous variables will be summarized using the following descriptive statistics: n, mean, standard deviation, median, minimum value, and maximum value. Categorical variables will be summarized using frequency counts and percentages. No formal statistical inferences are planned.

    Measured: 23 days

Timeline

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

  1. First posted13 Sep 2018
  2. Study start20 Sep 2018
  3. Primary completion28 Feb 2019
  4. Study completion31 Dec 2019

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
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03668860
Sponsor's protocol ID
CIN001 - India Steroids
Status last verified
Jul 2020
First submitted
10 Aug 2018
Last updated
14 Jul 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Dexamethasone 4 mg/ml, Betamethasone 4 mg/ml and Celestone Soluspan 6Mg/Ml Suspension for Injection in people with Preterm Birth and Antenatal Corticosteroids, run by Children's Hospital Medical Center, Cincinnati at 1 site in India.

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 11 inclusion and 27 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 14 Jul 2020. 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 India. 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?

Measurements of pharmacokinetic parameters of each drug (time frame: 23 days). The study lists 2 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 14 Jul 2020.

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