Trial Outcomes & Findings for A Bioequivalence Study Comparing A Fixed Dose Combination Formulation, Rin 150 And Individual Reference Drugs In Healthy Volunteers (NCT NCT02014272)

NCT ID: NCT02014272

Last Updated: 2014-07-16

Results Overview

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast) was reported for rifampicin and isoniazid.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

28 participants

Primary outcome timeframe

0 hour (pre-dose), 0.25, 0.5, 0.75, 1, 1.33 (1 hour 20 minutes), 1.67 (1 hour 40 minutes), 2, 2.33 (2 hours 20 minutes), 2.67 (2 hours 40 minutes), 3, 3.5, 4, 6, 8, 12, 16, 24 hours post-dose on Day 1

Results posted on

2014-07-16

Participant Flow

Participant milestones

Participant milestones
Measure
RIN 150 First, Then Rifampicin and Isoniazid
Single oral dose of 4 fixed dose combination (FDC) tablets of RIN 150 (each tablet contained 150 milligram \[mg\] rifampicin and 75 mg isoniazid) on Day 1 in first intervention period, followed by single oral dose of 4 rifampicin 150 mg capsules and 3 isoniazid 100 mg tablets on Day 1 in second intervention period. A washout period of at least 7 days was maintained between each intervention period.
Rifampicin and Isoniazid First, Then RIN 150
Single oral dose of 4 rifampicin 150 mg capsules and 3 isoniazid 100 mg tablets on Day 1 in first intervention period followed by single oral dose of 4 fixed dose combination (FDC) tablets of RIN 150 (each tablet contains 150 mg rifampicin and 75 mg isoniazid) on Day 1 in second intervention period. A washout period of at least 7 days was maintained between each intervention period.
Intervention Period 1
STARTED
14
14
Intervention Period 1
COMPLETED
13
13
Intervention Period 1
NOT COMPLETED
1
1
Washout Period 1 (7 Days)
STARTED
13
13
Washout Period 1 (7 Days)
COMPLETED
13
13
Washout Period 1 (7 Days)
NOT COMPLETED
0
0
Intervention Period 2
STARTED
13
13
Intervention Period 2
COMPLETED
13
13
Intervention Period 2
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
RIN 150 First, Then Rifampicin and Isoniazid
Single oral dose of 4 fixed dose combination (FDC) tablets of RIN 150 (each tablet contained 150 milligram \[mg\] rifampicin and 75 mg isoniazid) on Day 1 in first intervention period, followed by single oral dose of 4 rifampicin 150 mg capsules and 3 isoniazid 100 mg tablets on Day 1 in second intervention period. A washout period of at least 7 days was maintained between each intervention period.
Rifampicin and Isoniazid First, Then RIN 150
Single oral dose of 4 rifampicin 150 mg capsules and 3 isoniazid 100 mg tablets on Day 1 in first intervention period followed by single oral dose of 4 fixed dose combination (FDC) tablets of RIN 150 (each tablet contains 150 mg rifampicin and 75 mg isoniazid) on Day 1 in second intervention period. A washout period of at least 7 days was maintained between each intervention period.
Intervention Period 1
Withdrawal by Subject
1
0
Intervention Period 1
Adverse Event
0
1

Baseline Characteristics

A Bioequivalence Study Comparing A Fixed Dose Combination Formulation, Rin 150 And Individual Reference Drugs In Healthy Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Entire Study Population
n=28 Participants
Includes all participants randomized to receive RIN 150 first and rifampicin and isoniazid first.
Age, Continuous
31.5 years
STANDARD_DEVIATION 7.1 • n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
27 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 0 hour (pre-dose), 0.25, 0.5, 0.75, 1, 1.33 (1 hour 20 minutes), 1.67 (1 hour 40 minutes), 2, 2.33 (2 hours 20 minutes), 2.67 (2 hours 40 minutes), 3, 3.5, 4, 6, 8, 12, 16, 24 hours post-dose on Day 1

Population: Pharmacokinetic parameter analysis set included all treated participants who had at least 1 estimated pharmacokinetic parameter of primary interest.

Area under the plasma concentration time-curve from zero to the last measured concentration (AUClast) was reported for rifampicin and isoniazid.

Outcome measures

Outcome measures
Measure
RIN 150
n=27 Participants
Single oral dose of 4 fixed dose combination (FDC) tablets of RIN 150 (each tablet contains 150 mg rifampicin and 75 mg isoniazid) on Day 1 in either of the 2 intervention periods.
Rifampicin and Isoniazid
n=27 Participants
Single oral dose of 4 rifampicin 150 mg capsules and 3 isoniazid 100 mg tablets on Day 1 in either of the 2 intervention periods.
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
AUClast: Rifampicin
85020 (nanogram*hour) per milliliter (ng*h/mL)
Geometric Coefficient of Variation 20
90030 (nanogram*hour) per milliliter (ng*h/mL)
Geometric Coefficient of Variation 24
Area Under the Curve From Time Zero to Last Quantifiable Concentration (AUClast)
AUClast: Isoniazid
16220 (nanogram*hour) per milliliter (ng*h/mL)
Geometric Coefficient of Variation 79
16120 (nanogram*hour) per milliliter (ng*h/mL)
Geometric Coefficient of Variation 77

PRIMARY outcome

Timeframe: 0 hour (pre-dose), 0.25, 0.5, 0.75, 1, 1.33 (1 hour 20 minutes), 1.67 (1 hour 40 minutes), 2, 2.33 (2 hours 20 minutes), 2.67 (2 hours 40 minutes), 3, 3.5, 4, 6, 8, 12, 16, 24 hours post-dose on Day 1

Population: Pharmacokinetic parameter analysis set included all treated participants who had at least 1 estimated pharmacokinetic parameter of primary interest.

Cmax was reported for rifampicin and isoniazid.

Outcome measures

Outcome measures
Measure
RIN 150
n=27 Participants
Single oral dose of 4 fixed dose combination (FDC) tablets of RIN 150 (each tablet contains 150 mg rifampicin and 75 mg isoniazid) on Day 1 in either of the 2 intervention periods.
Rifampicin and Isoniazid
n=27 Participants
Single oral dose of 4 rifampicin 150 mg capsules and 3 isoniazid 100 mg tablets on Day 1 in either of the 2 intervention periods.
Maximum Observed Plasma Concentration (Cmax)
Cmax: Rifampicin
13670 ng/mL
Geometric Coefficient of Variation 21
15000 ng/mL
Geometric Coefficient of Variation 28
Maximum Observed Plasma Concentration (Cmax)
Cmax: Isoniazid
6080 ng/mL
Geometric Coefficient of Variation 45
5577 ng/mL
Geometric Coefficient of Variation 37

SECONDARY outcome

Timeframe: 0 hour (pre-dose), 0.25, 0.5, 0.75, 1, 1.33 (1 hour 20 minutes), 1.67 (1 hour 40 minutes), 2, 2.33 (2 hours 20 minutes), 2.67 (2 hours 40 minutes), 3, 3.5, 4, 6, 8, 12, 16, 24 hours post-dose on Day 1

Population: Pharmacokinetic parameter analysis set included all treated participants who had at least 1 estimated pharmacokinetic parameter of primary interest. Here, n=participants in the treatment group who were evaluable for this measure for specified drug of each group with reportable AUC (0 - ∞) values, respectively.

AUC (0 - ∞)= Area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0 - ∞) was reported for rifampicin and isoniazid. It is obtained from AUC (0 - t) plus AUC (t - ∞).

Outcome measures

Outcome measures
Measure
RIN 150
n=27 Participants
Single oral dose of 4 fixed dose combination (FDC) tablets of RIN 150 (each tablet contains 150 mg rifampicin and 75 mg isoniazid) on Day 1 in either of the 2 intervention periods.
Rifampicin and Isoniazid
n=27 Participants
Single oral dose of 4 rifampicin 150 mg capsules and 3 isoniazid 100 mg tablets on Day 1 in either of the 2 intervention periods.
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)]
AUC (0 - ∞): Rifampicin (n=27, 27)
86670 ng*h/mL
Geometric Coefficient of Variation 21
91340 ng*h/mL
Geometric Coefficient of Variation 24
Area Under the Curve From Time Zero to Extrapolated Infinite Time [AUC (0 - ∞)]
AUC (0 - ∞): Isoniazid (n=27, 26)
16680 ng*h/mL
Geometric Coefficient of Variation 78
17390 ng*h/mL
Geometric Coefficient of Variation 71

SECONDARY outcome

Timeframe: 0 hour (pre-dose), 0.25, 0.5, 0.75, 1, 1.33 (1 hour 20 minutes), 1.67 (1 hour 40 minutes), 2, 2.33 (2 hours 20 minutes), 2.67 (2 hours 40 minutes), 3, 3.5, 4, 6, 8, 12, 16, 24 hours post-dose on Day 1

Population: Pharmacokinetic parameter analysis set included all treated participants who had at least 1 estimated pharmacokinetic parameter of primary interest. Here, n=participants in the treatment group who were evaluable for this measure for specified drug of each group with reportable t½ values, respectively.

Plasma decay half life (t1/2) was reported for rifampicin and isoniazid.

Outcome measures

Outcome measures
Measure
RIN 150
n=27 Participants
Single oral dose of 4 fixed dose combination (FDC) tablets of RIN 150 (each tablet contains 150 mg rifampicin and 75 mg isoniazid) on Day 1 in either of the 2 intervention periods.
Rifampicin and Isoniazid
n=27 Participants
Single oral dose of 4 rifampicin 150 mg capsules and 3 isoniazid 100 mg tablets on Day 1 in either of the 2 intervention periods.
Plasma Decay Half-Life (t1/2)
t1/2: Rifampicin (n=27, 27)
3.608 hour
Standard Deviation 0.89531
3.572 hour
Standard Deviation 0.72948
Plasma Decay Half-Life (t1/2)
t1/2: Isoniazid (n=27, 26)
2.776 hour
Standard Deviation 1.4110
3.000 hour
Standard Deviation 1.4375

SECONDARY outcome

Timeframe: 0 hour (pre-dose), 0.25, 0.5, 0.75, 1, 1.33 (1 hour 20 minutes), 1.67 (1 hour 40 minutes), 2, 2.33 (2 hours 20 minutes), 2.67 (2 hours 40 minutes), 3, 3.5, 4, 6, 8, 12, 16, 24 hours post-dose on Day 1

Population: Pharmacokinetic parameter analysis set included all treated participants who had at least 1 estimated pharmacokinetic parameter of primary interest.

Tmax was reported for rifampicin and isoniazid.

Outcome measures

Outcome measures
Measure
RIN 150
n=27 Participants
Single oral dose of 4 fixed dose combination (FDC) tablets of RIN 150 (each tablet contains 150 mg rifampicin and 75 mg isoniazid) on Day 1 in either of the 2 intervention periods.
Rifampicin and Isoniazid
n=27 Participants
Single oral dose of 4 rifampicin 150 mg capsules and 3 isoniazid 100 mg tablets on Day 1 in either of the 2 intervention periods.
Time to Reach Maximum Observed Plasma Concentration (Tmax)
Tmax: Rifampicin
1.67 hour
Interval 0.75 to 3.52
1.67 hour
Interval 0.75 to 3.52
Time to Reach Maximum Observed Plasma Concentration (Tmax)
Tmax: Isoniazid
0.500 hour
Interval 0.25 to 2.67
0.500 hour
Interval 0.25 to 3.0

OTHER_PRE_SPECIFIED outcome

Timeframe: Screening up to Day 2 of intervention period 2

Population: Safety analysis set consisted of all participants who received at least 1 dose of study medication.

Criteria for clinical significant change in vital signs: systolic blood pressure (BP) less than (\<) 90 millimeters of mercury (mmHg), diastolic BP \<50 mmHg, supine and sitting heart rate \<40 beats per minute (bpm) or greater than (\>) 120 bpm, standing and erect heart rate \<40 bpm or \>140 bpm. Maximum change from baseline in systolic BP \>=30 mmHg, maximum change from baseline in diastolic BP \>=20 mmHg. Participants who met the criteria were reported.

Outcome measures

Outcome measures
Measure
RIN 150
n=27 Participants
Single oral dose of 4 fixed dose combination (FDC) tablets of RIN 150 (each tablet contains 150 mg rifampicin and 75 mg isoniazid) on Day 1 in either of the 2 intervention periods.
Rifampicin and Isoniazid
n=27 Participants
Single oral dose of 4 rifampicin 150 mg capsules and 3 isoniazid 100 mg tablets on Day 1 in either of the 2 intervention periods.
Number of Participants With Clinically Significant Changes in Vital Signs
0 participants
0 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Screening up to Day 2 of intervention period 2

Population: Safety analysis set consisted of all participants who received at least 1 dose of study medication. Here 'N' (number of participants analyzed) signifies those participants who were evaluable for this measure.

Criteria for laboratory tests abnormalities included: hemoglobin, hematocrit and red blood cells (less than \[\<\] 0.8\*lower limit of normal\[LLN\]); leucocytes (\<0.6/ greater than \[\>\] 1.5\*limit of reference range \[LRR\]); platelets (\<0.5/\>1.75\*LRR); neutrophils, lymphocytes (\<0.8/\>1.2\*LRR); eosinophils, basophils, monocytes (\>1.2\*upper LN \[ULN\]); bilirubin (\>1.5\*ULN); aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (\>3\*ULN); creatinine, urea (\>1.3\*ULN); fasting glucose (\<0.6 /\>1.5\*LRR); uric acid (\>1.2\*ULN); sodium (\<0.95/\>1.05\*LRR); potassium, calcium, chloride, bicarbonate (\<0.9/\>1.1\*LRR); albumin, total protein (\<0.8/\>1.2\*LRR); creatine kinase (\>2.0\*ULN); urine red blood cells (RBCs), urine white blood cells (WBCs) (\>=20 high-powered field). Total number of participants with any laboratory abnormalities was reported.

Outcome measures

Outcome measures
Measure
RIN 150
n=26 Participants
Single oral dose of 4 fixed dose combination (FDC) tablets of RIN 150 (each tablet contains 150 mg rifampicin and 75 mg isoniazid) on Day 1 in either of the 2 intervention periods.
Rifampicin and Isoniazid
n=27 Participants
Single oral dose of 4 rifampicin 150 mg capsules and 3 isoniazid 100 mg tablets on Day 1 in either of the 2 intervention periods.
Number of Participants With Laboratory Test Abnormalities
4 participants
2 participants

Adverse Events

RIN 150

Serious events: 0 serious events
Other events: 27 other events
Deaths: 0 deaths

Rifampicin and Isoniazid

Serious events: 0 serious events
Other events: 26 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
RIN 150
n=27 participants at risk
Single oral dose of 4 fixed dose combination (FDC) tablets of RIN 150 (each tablet contains 150 mg rifampicin and 75 mg isoniazid) on Day 1 in either of the 2 intervention periods.
Rifampicin and Isoniazid
n=27 participants at risk
Single oral dose of 4 rifampicin 150 mg capsules and 3 isoniazid 100 mg tablets on Day 1 in either of the 2 intervention periods.
Gastrointestinal disorders
Mouth ulceration
3.7%
1/27
Safety analysis population included all participants who received at least 1 dose of study medication.
0.00%
0/27
Safety analysis population included all participants who received at least 1 dose of study medication.
Gastrointestinal disorders
Nausea
0.00%
0/27
Safety analysis population included all participants who received at least 1 dose of study medication.
3.7%
1/27
Safety analysis population included all participants who received at least 1 dose of study medication.
General disorders
Catheter site haematoma
0.00%
0/27
Safety analysis population included all participants who received at least 1 dose of study medication.
7.4%
2/27
Safety analysis population included all participants who received at least 1 dose of study medication.
General disorders
Catheter site pain
3.7%
1/27
Safety analysis population included all participants who received at least 1 dose of study medication.
3.7%
1/27
Safety analysis population included all participants who received at least 1 dose of study medication.
General disorders
Fatigue
0.00%
0/27
Safety analysis population included all participants who received at least 1 dose of study medication.
3.7%
1/27
Safety analysis population included all participants who received at least 1 dose of study medication.
Infections and infestations
Upper respiratory tract infection
3.7%
1/27
Safety analysis population included all participants who received at least 1 dose of study medication.
3.7%
1/27
Safety analysis population included all participants who received at least 1 dose of study medication.
Injury, poisoning and procedural complications
Contusion
3.7%
1/27
Safety analysis population included all participants who received at least 1 dose of study medication.
3.7%
1/27
Safety analysis population included all participants who received at least 1 dose of study medication.
Injury, poisoning and procedural complications
Lip injury
3.7%
1/27
Safety analysis population included all participants who received at least 1 dose of study medication.
3.7%
1/27
Safety analysis population included all participants who received at least 1 dose of study medication.
Nervous system disorders
Headache
3.7%
1/27
Safety analysis population included all participants who received at least 1 dose of study medication.
3.7%
1/27
Safety analysis population included all participants who received at least 1 dose of study medication.
Renal and urinary disorders
Chromaturia
96.3%
26/27
Safety analysis population included all participants who received at least 1 dose of study medication.
92.6%
25/27
Safety analysis population included all participants who received at least 1 dose of study medication.

Additional Information

Pfizer ClinicalTrials.gov Call Center

Pfizer, Inc.

Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of less than 60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), less than 12 months from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential information other than study results.
  • Publication restrictions are in place

Restriction type: OTHER