Trial Outcomes & Findings for Clinical Study of Generic and Brand Bupropion in Depression (NCT NCT02209597)

NCT ID: NCT02209597

Last Updated: 2020-04-24

Results Overview

Area under the curve (AUC) generic/Area under the curve (AUC) brand bupropion

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

74 participants

Primary outcome timeframe

For 24 hours approximately every 6 weeks

Results posted on

2020-04-24

Participant Flow

Participant milestones

Participant milestones
Measure
Bupropion
Phase 1: (Non-randomized) an approximately 4-week lead-in phase during which participants remain on their existing bupropion product Other Names: Wellbutrin Par Mylan Valeant
Phase 1 Current Tx (Non-randomized)
STARTED
74
Phase 1 Current Tx (Non-randomized)
COMPLETED
71
Phase 1 Current Tx (Non-randomized)
NOT COMPLETED
3
Phase 2 (Randomized: 1 Brand, 3 Generic)
STARTED
71
Phase 2 (Randomized: 1 Brand, 3 Generic)
COMPLETED
67
Phase 2 (Randomized: 1 Brand, 3 Generic)
NOT COMPLETED
4
Phase 3 (Randomized: 1 Brand, 3 Generic)
STARTED
67
Phase 3 (Randomized: 1 Brand, 3 Generic)
COMPLETED
67
Phase 3 (Randomized: 1 Brand, 3 Generic)
NOT COMPLETED
0
Phase 4 (Randomized: 1 Brand, 3 Generic)
STARTED
67
Phase 4 (Randomized: 1 Brand, 3 Generic)
COMPLETED
67
Phase 4 (Randomized: 1 Brand, 3 Generic)
NOT COMPLETED
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Bupropion
Phase 1: (Non-randomized) an approximately 4-week lead-in phase during which participants remain on their existing bupropion product Other Names: Wellbutrin Par Mylan Valeant
Phase 1 Current Tx (Non-randomized)
Withdrawal by Subject
2
Phase 1 Current Tx (Non-randomized)
Adverse Event
1
Phase 2 (Randomized: 1 Brand, 3 Generic)
Withdrawal by Subject
3
Phase 2 (Randomized: 1 Brand, 3 Generic)
Adverse Event
1

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Bupropion
n=70 Participants
Subjects will be studied for 28 weeks in a sequential cross-over study: 1. a 4-week lead-in phase during which all participants remain on their existing bupropion product 2. Four randomized cross-over phases of 6 weeks on each of the four bupropion study drugs (brand Wellbutrin 300mg XL, Valeant, Par and Watson 3 generics)
Age, Continuous
47 years
n=70 Participants
Sex: Female, Male
Female
53 Participants
n=70 Participants
Sex: Female, Male
Male
17 Participants
n=70 Participants

PRIMARY outcome

Timeframe: For 24 hours approximately every 6 weeks

Area under the curve (AUC) generic/Area under the curve (AUC) brand bupropion

Outcome measures

Outcome measures
Measure
Valeant Brand Bupropion XL® 300mg
n=67 Participants
Phase 1: an approximately 4-week lead-in phase during which participants remain on their existing bupropion product Phases 2 - 4: randomized cross-over phases of approximately 6 weeks on each of the four bupropion study drugs (brand and 3 generics).
Par Generic Bupropion XL® 300mg
n=67 Participants
Phase 1: an approximately 4-week lead-in phase during which participants remain on their existing bupropion product Phases 2 - 4: randomized cross-over phases of approximately 6 weeks on each of the four bupropion study drugs (brand and 3 generics).
Watson Generic Bupropion XL® 300mg
n=67 Participants
Phase 1: an approximately 4-week lead-in phase during which participants remain on their existing bupropion product Phases 2 - 4: randomized cross-over phases of approximately 6 weeks on each of the four bupropion study drugs (brand and 3 generics).
Mylan Generic Bupropion XL® 300mg
n=67 Participants
Phase 1: an approximately 4-week lead-in phase during which participants remain on their existing bupropion product Phases 2 - 4: randomized cross-over phases of approximately 6 weeks on each of the four bupropion study drugs (brand and 3 generics).
Area Under the Curve (AUC0-24) Ratio for Racemic Bupropion
Bupropion
.84 percentage of Brand
Interval 0.71 to 1.04
.88 percentage of Brand
Interval 0.72 to 1.08
.83 percentage of Brand
Interval 0.68 to 0.99
.89 percentage of Brand
Interval 0.7 to 1.06
Area Under the Curve (AUC0-24) Ratio for Racemic Bupropion
Hydroxybupropion
20.9 percentage of Brand
Interval 15.5 to 25.5
20.9 percentage of Brand
Interval 15.9 to 28.1
21.8 percentage of Brand
Interval 15.9 to 26.5
21.6 percentage of Brand
Interval 15.9 to 27.7
Area Under the Curve (AUC0-24) Ratio for Racemic Bupropion
Erthrohydrobuprion
2.09 percentage of Brand
Interval 1.52 to 2.59
2.05 percentage of Brand
Interval 1.47 to 2.57
1.98 percentage of Brand
Interval 1.48 to 2.34
2.02 percentage of Brand
Interval 1.61 to 2.5
Area Under the Curve (AUC0-24) Ratio for Racemic Bupropion
Threohydrobupropion
9.38 percentage of Brand
Interval 7.21 to 13.27
9.05 percentage of Brand
Interval 7.21 to 13.27
8.57 percentage of Brand
Interval 6.83 to 11.57
8.78 percentage of Brand
Interval 7.25 to 12.49

Adverse Events

Valeant Brand Bupropion XL® 300mg

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

PAR Generic Bupropion XL® 300mg

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

Watson Generic Bupropion XL® 300mg

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Mylan Generic Bupropion XL® 300mg

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Valeant Brand Bupropion XL® 300mg
n=71 participants at risk
Phase 1: an approximately 4-week lead-in phase during which participants remain on their existing bupropion product Phases 2 - 4: randomized cross-over phases of approximately 6 weeks on each of the four bupropion study drugs (brand and 3 generics).
PAR Generic Bupropion XL® 300mg
n=71 participants at risk
Phase 1: an approximately 4-week lead-in phase during which participants remain on their existing bupropion product Phases 2 - 4: randomized cross-over phases of approximately 6 weeks on each of the four bupropion study drugs (brand and 3 generics).
Watson Generic Bupropion XL® 300mg
n=71 participants at risk
Phase 1: an approximately 4-week lead-in phase during which participants remain on their existing bupropion product Phases 2 - 4: randomized cross-over phases of approximately 6 weeks on each of the four bupropion study drugs (brand and 3 generics).
Mylan Generic Bupropion XL® 300mg
n=71 participants at risk
Phase 1: an approximately 4-week lead-in phase during which participants remain on their existing bupropion product Phases 2 - 4: randomized cross-over phases of approximately 6 weeks on each of the four bupropion study drugs (brand and 3 generics).
Nervous system disorders
depression
0.00%
0/71 • 28 weeks
0.00%
0/71 • 28 weeks
1.4%
1/71 • Number of events 1 • 28 weeks
0.00%
0/71 • 28 weeks

Additional Information

Evan Kharasch MD PhD

Washington University

Phone: 3143628796

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place