Trial Outcomes & Findings for Amoxicillin Bioequivalence Study Brazil - Fast (NCT NCT01431989)

NCT ID: NCT01431989

Last Updated: 2018-06-20

Results Overview

The area under the plot of plasma concentration of drug against time (non-compartmental method), after drug administration, is defined as the area under the curve (AUC). AUC0-t is calculated from time 0 (prior to administration of medication) to time t (the time of the last quantifiable concentration). AUC is of particular use in estimating the bioavailability of drugs, by measuring the extent of absorption. ng, nanograms; mL, milliliter.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

28 participants

Primary outcome timeframe

Collection points (hours [hrs]): 0.00; 0.25; 0.50; 0.75; 1.00; 1.25; 1.50; 1.75; 2.00; 2.50; 3.00; 4.00; 5.00; 6.00; 8.00 evaluated in both periods (Day 1 of Period 1 [Day 1 of study]; Day 1 of Period 2 [Day 15 of study])

Results posted on

2018-06-20

Participant Flow

This is a prospective, open-label, randomized, crossover, single-dose study in which two different treatments (Test Product versus Reference Product) were administered in two sequences in two study periods. The objective was to confirm if two formulations of Amoxicillin trihydrate, in the form of powder for oral suspension, are bioequivalent.

Participant milestones

Participant milestones
Measure
Test Product in Period 1: Reference Product in Period 2
Test product, Amoxicillin (Clamoxyl) 500 milligrams (mg)/5 milliliter (mL) powder for oral suspension, in Period 1; followed by a 14-day washout period during which no medication was administered; followed by reference product, Amoxil 500 mg/5 mL powder for oral suspension, in Period 2
Reference Product in Period 1: Test Product in Period 2
Reference product, Amoxil 500 mg/5 mL powder for oral suspension, in Period 1; followed by a 14-day washout period during which no medication was administered; followed by test product, Amoxicillin (Clamoxyl) 500 mg/5 mL powder for oral suspension, in Period 2
Period 1
STARTED
14
14
Period 1
COMPLETED
14
14
Period 1
NOT COMPLETED
0
0
14-Day Washout Period
STARTED
14
14
14-Day Washout Period
COMPLETED
14
14
14-Day Washout Period
NOT COMPLETED
0
0
Period 2
STARTED
14
14
Period 2
COMPLETED
14
14
Period 2
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Amoxicillin Bioequivalence Study Brazil - Fast

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Participants Receiving Both Test and Reference Products
n=28 Participants
Participants receiving either test product, Amoxicillin (Clamoxyl) 500 mg/5 mL powder for oral suspension, in Period 1; followed by a 14-day washout period during which no medication was administered; followed by reference product, Amoxil 500 mg/5 mL powder for oral suspension, in Period 2 or reference product in Period 1 and test product inPeriod 2
Age, Continuous
34.54 Years
STANDARD_DEVIATION 7.38 • n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
Race/Ethnicity, Customized
White
10 participants
n=5 Participants
Race/Ethnicity, Customized
Black
4 participants
n=5 Participants
Race/Ethnicity, Customized
Mulatto
14 participants
n=5 Participants

PRIMARY outcome

Timeframe: Collection points (hours [hrs]): 0.00; 0.25; 0.50; 0.75; 1.00; 1.25; 1.50; 1.75; 2.00; 2.50; 3.00; 4.00; 5.00; 6.00; 8.00 evaluated in both periods (Day 1 of Period 1 [Day 1 of study]; Day 1 of Period 2 [Day 15 of study])

Population: Entire Study Population

The area under the plot of plasma concentration of drug against time (non-compartmental method), after drug administration, is defined as the area under the curve (AUC). AUC0-t is calculated from time 0 (prior to administration of medication) to time t (the time of the last quantifiable concentration). AUC is of particular use in estimating the bioavailability of drugs, by measuring the extent of absorption. ng, nanograms; mL, milliliter.

Outcome measures

Outcome measures
Measure
Test Product
n=28 Participants
Test product, Amoxicillin (Clamoxyl) 500 mg/5 mL powder for oral suspension, received in either Period 1 or Period 2
Reference Product
n=28 Participants
Reference product, Amoxil 500 mg/5 mL powder for oral suspension, received in either Period 1 or Period 2
Area Under the Curve of Plasma Concentration of Drug From Time 0 (Zero) to t (Last Measurable Concentration) (AUC0-t)
36431.460 ng per hour per ml (ng*hr/mL)
Standard Deviation 6806.797
40426.451 ng per hour per ml (ng*hr/mL)
Standard Deviation 7279.259

PRIMARY outcome

Timeframe: Collection points (hrs): 0.00; 0.25; 0.50; 0.75; 1.00; 1.25; 1.50; 1.75; 2.00; 2.50; 3.00; 4.00; 5.00; 6.00; 8.00 evaluated in both periods (Day 1 of Period 1 [Day 1 of study]; Day 1 of Period 2 [Day 15 of study])

Population: Entire Study Population

Cmax is defined as the maximum or "peak" concentration of a drug observed after its administration. Cmax is one of the parameters of particular use in estimating the bioavailability of drugs, by measuring the total amount of drug absorbed. Measurement is obtained directly from the plasma concentration curve of the drug (non-compartmental method).

Outcome measures

Outcome measures
Measure
Test Product
n=28 Participants
Test product, Amoxicillin (Clamoxyl) 500 mg/5 mL powder for oral suspension, received in either Period 1 or Period 2
Reference Product
n=28 Participants
Reference product, Amoxil 500 mg/5 mL powder for oral suspension, received in either Period 1 or Period 2
Maximum Observed Concentration of Drug Through Time (Cmax)
13615.929 ng/mL
Standard Deviation 3886.864
15176.107 ng/mL
Standard Deviation 3144.162

PRIMARY outcome

Timeframe: Collection points (hrs):0.00; 0.25; 0.50; 0.75; 1.00; 1.25; 1.50; 1.75; 2.00; 2.50; 3.00; 4.00; 5.00; 6.00; 8.00 evaluated in both periods (Day 1 of Period 1[Day 1 of study]; Day 1 of Period 2 [Day 15 of study])

Population: Entire Study Population

Measurement of AUC0-inf is obtained directly from the plasma concentration curve of drug against time (non-compartmental method). AUC0-inf is calculated from time 0 (prior to administration of medication) extrapolated to infinity, by using the formula AUC0-inf = AUC0-t + Clast/Kel, where Clast is the last measurable concentration, and Kel is the first-order rate constant associated with the terminal portion of the curve. AUC is of particular use in estimating the bioavailability of drugs, by measuring the extent of absorption.

Outcome measures

Outcome measures
Measure
Test Product
n=28 Participants
Test product, Amoxicillin (Clamoxyl) 500 mg/5 mL powder for oral suspension, received in either Period 1 or Period 2
Reference Product
n=28 Participants
Reference product, Amoxil 500 mg/5 mL powder for oral suspension, received in either Period 1 or Period 2
Area Under the Curve of Plasma Concentration of Drug From Time 0 (Zero) Extrapolated to Infinity (AUC0-inf)
36908.392 ng*hr/mL
Standard Deviation 6875.785
40977.755 ng*hr/mL
Standard Deviation 7372.809

PRIMARY outcome

Timeframe: Collection points (hrs):0.00; 0.25; 0.50; 0.75; 1.00; 1.25; 1.50; 1.75; 2.00; 2.50; 3.00; 4.00; 5.00; 6.00; 8.00 evaluated in both periods: (Day 1 of Period 1 [Day 1 of study]; Day 1 of Period 2 [Day 15 of study])

Population: Entire Study Population

The time of maximum observed concentration (Tmax) is obtained directly from the plasma concentration curve of the drug by non-compartimental method. Tmax is of particular use in measuring bioavailability, by measuring the time at which the maximum concentration is achieved.

Outcome measures

Outcome measures
Measure
Test Product
n=28 Participants
Test product, Amoxicillin (Clamoxyl) 500 mg/5 mL powder for oral suspension, received in either Period 1 or Period 2
Reference Product
n=28 Participants
Reference product, Amoxil 500 mg/5 mL powder for oral suspension, received in either Period 1 or Period 2
Time of Maximum Observed Concentration (Tmax)
1.304 hr
Standard Deviation 0.468
1.482 hr
Standard Deviation 0.535

PRIMARY outcome

Timeframe: Collection points (hrs):0.00; 0.25; 0.50; 0.75; 1.00; 1.25; 1.50; 1.75; 2.00; 2.50; 3.00; 4.00; 5.00; 6.00; 8.00 evaluated in both periods: (Day 1 of Period 1 [Day 1 of study]; Day 1 of Period 2 [Day 15 of study])

Population: Entire Study Population

The percentage of AUC0-inf that is due to extrapolation from Tlast to infinity (AUC%Extrapolation) is calculated by using the formula AUC\_%extrapolation = 100\*(AUC0-inf minus AUC0-t)/AUC0-inf. The function of this parameter is to provide information about what percentage of the theoretical curve (AUC0-inf) was possible to determine experimentally (AUC0-t) Therefore, on average, it is expected that the residual area (AUCextrapolation) is not greater than 20%.

Outcome measures

Outcome measures
Measure
Test Product
n=28 Participants
Test product, Amoxicillin (Clamoxyl) 500 mg/5 mL powder for oral suspension, received in either Period 1 or Period 2
Reference Product
n=28 Participants
Reference product, Amoxil 500 mg/5 mL powder for oral suspension, received in either Period 1 or Period 2
Percentage of AUC0-inf That is Due to Extrapolation From the Time of the Last Measurable Concentration to Infinity (AUC%Extrapolation)
1.303 percentage
Standard Deviation 0.814
1.353 percentage
Standard Deviation 0.743

PRIMARY outcome

Timeframe: Collection points (hrs):0.00; 0.25; 0.50; 0.75; 1.00; 1.25; 1.50; 1.75; 2.00; 2.50; 3.00; 4.00; 5.00; 6.00; 8.00 evaluated in both periods: (Day 1 of Period 1 [Day 1 of study]; Day 1 of Period 2 [Day 15 of study])

Population: Entire Study Population

T1/2\_Kel is calculated by using the formula T1/2\_Kel = Ln(2)/Kel.T1/2 is of particular use in measuring bioavailability, by measuring the elimination of the product.

Outcome measures

Outcome measures
Measure
Test Product
n=28 Participants
Test product, Amoxicillin (Clamoxyl) 500 mg/5 mL powder for oral suspension, received in either Period 1 or Period 2
Reference Product
n=28 Participants
Reference product, Amoxil 500 mg/5 mL powder for oral suspension, received in either Period 1 or Period 2
Terminal Half-life (T1/2_Kel)
1.085 hr
Standard Deviation 0.071
1.137 hr
Standard Deviation 0.155

PRIMARY outcome

Timeframe: Collection points (hrs):0.00; 0.25; 0.50; 0.75; 1.00; 1.25; 1.50; 1.75; 2.00; 2.50; 3.00; 4.00; 5.00; 6.00; 8.00 evaluated in both periods: (Day 1 of Period 1 [Day 1 of study]; Day 1 of Period 2 [Day 15 of study])

Population: Entire Study Population

This parameter is estimated via linear regression of time versus log concentration. It allows for the obtainment of estimates of T1/2 (T1/2=ln(2)/Kel) considering the schedule and the detection limits defined.

Outcome measures

Outcome measures
Measure
Test Product
n=28 Participants
Test product, Amoxicillin (Clamoxyl) 500 mg/5 mL powder for oral suspension, received in either Period 1 or Period 2
Reference Product
n=28 Participants
Reference product, Amoxil 500 mg/5 mL powder for oral suspension, received in either Period 1 or Period 2
First-order Rate Constant Associated With the Terminal Portion of the Curve (Kel)
0.641 1/hr
Standard Deviation 0.043
0.620 1/hr
Standard Deviation 0.079

Adverse Events

Test Product in Period 1 and Reference Product in Period 2

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Reference Product in Period 1 and Test Product in Period 2

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Test Product in Period 1 and Reference Product in Period 2
n=14 participants at risk
Test product: Amoxicillin powder for oral suspension (Clamoxyl) 500 mg/5 mL in Period 1; followed by a 14-day washout period during which no medication was administered; followed by reference product; Amoxil 50 mg/5 mL in Period 2
Reference Product in Period 1 and Test Product in Period 2
n=14 participants at risk
Reference product: Amoxil 500 mg/5 mL in Period 1; followed by a 14-day washout period during which no medication was administered; followed by test product: Clamoxyl 500 mg/5 mL in Period 2
General disorders
Headache
21.4%
3/14
0.00%
0/14
General disorders
Head throbbing
0.00%
0/14
7.1%
1/14
General disorders
Tension headache
7.1%
1/14
0.00%
0/14
Renal and urinary disorders
Urea increased
0.00%
0/14
7.1%
1/14
Blood and lymphatic system disorders
Triglycerides increased
7.1%
1/14
0.00%
0/14
Blood and lymphatic system disorders
Glucose increased
7.1%
1/14
0.00%
0/14
Hepatobiliary disorders
Bilirubin total increased
0.00%
0/14
7.1%
1/14
Renal and urinary disorders
Abnormal urine test results
35.7%
5/14
7.1%
1/14

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER