Bioequivalence Study of Cefixime Trihydrate Dry Syrup in Indonesia Healthy Volunteers

NCT ID: NCT04982861

Last Updated: 2021-08-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-15

Study Completion Date

2020-08-25

Brief Summary

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This study was conducted to investigate whether 100 mg/5 mL cefixime trihydrate dry syrup manufactured by PT. Bernofarm, Indonesia was bioequivalent to its reference product, 100 mg/5 mL Suprax® dry syrup manufactured by Odan Laboratories Ltd., Canada registered trademark of Astellas Pharma Inc., Japan.

Detailed Description

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Twenty two healty subjects were given a single dose of 100 mg/5 mL cefixime trihydrate dry syrup or or 100 mg/5 mL Suprax® dry syrup with 240 mL of water. Then the blood samples for cefixime trihydrate was drawn and analyzed using HPLC. All subjects sample plasma were analyzed for pharmacokinetic evaluation.

Conditions

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Drug Use

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Randomized, single-blind, two-period, single dose, cross-over design in 22 healthy subjects under fasting condition.
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Cefixime trihydrate 100 mg/5 mL dry syrup

Cefixime trihydrate 100 mg/5 mL dry syrup was dissolved by 20 mL of water split in 2 portions. Then the drug was shaken well for at least 30 seconds at each addition of water.

Group Type EXPERIMENTAL

Cefixime Trihydrate 100 mg/5 mL Dry Syrup

Intervention Type DRUG

Participants received a single dose of 5 mL of cefixime dry syrup with 240 mL of water

Suprax® 100 mg/5 mL dry syrup

Suprax® 100 mg/5 mL dry syrup was dissolved by 33 mL of water split in 2 portions. Then the drug was shaken well for at least 30 seconds at each addition of water.

Group Type ACTIVE_COMPARATOR

Suprax 100 MG in 5 mL Oral Suspension

Intervention Type DRUG

Participants received a single dose of 5 mL of Suprax with 240 mL of water

Interventions

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Cefixime Trihydrate 100 mg/5 mL Dry Syrup

Participants received a single dose of 5 mL of cefixime dry syrup with 240 mL of water

Intervention Type DRUG

Suprax 100 MG in 5 mL Oral Suspension

Participants received a single dose of 5 mL of Suprax with 240 mL of water

Intervention Type DRUG

Other Intervention Names

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Cefixime Trihydrate 100 mg/5 mL Dry Syrup

Eligibility Criteria

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Inclusion Criteria

1. Healthy male or female subjects
2. Had read the subject information and signed informed consent documents
3. Age 18 - 55 years
4. Body mass index between 18-25 kg/m2
5. Had a normal electrocardiogram
6. Blood pressure within normal range (systolic 90-120 mmHg and diastolic 60-80 mmHg)
7. Heart rate within normal range (60-100 bpm)
8. The absence of significant disease or clinically significant abnormal laboratory values on laboratory evaluation, medical history or physical examination during screening

Exclusion Criteria

1. those who were pregnant and/or nursing women.
2. those who had a history of contraindication or hypersensitivity to cefixime, other antibiotics or other ingredients in the drugs or a history of serious allergic reaction to any drug, significant allergic disease or allergic reaction
3. those who had a history or present medical condition which might significantly influence the pharmacokinetics of the study drug, e.g. chronic gastrointestinal disease, diarrhea, gastric surgery, renal insufficiency, hepatic dysfunction, and cardiovascular disease.
4. those who had a history or presence of any coagulation disorder or clinically significant hematology abnormalities.
5. those who were using any medication (prescription or non-prescription drug, food supplement, herbal medicine), particularly the medication known to affect the pharmacokinetics of the study drug, within one week prior to the drug administration day.
6. those who had participated in any clinical study within 3 months prior to the study (\< 90 days).
7. those who had donated or lost 300 ml (or more) of blood within 3 months prior to the study.
8. those who smoked more than 10 cigarettes a day.
9. those who had a history of traveling to another city within the last 14 days
10. those with a history of direct contact with a COVID-19 positive person in the subject neighborhood
11. those with a history or presence of sore throat, fever (with temperature more than 37°C) or short of breath within the last 14 days
12. those who were positive to COVID-19
13. those who were positive to HIV, HBsAg, and HCV tests (to be kept confidential).
14. those with a history of drug or alcohol abuse within 12 months prior to screening for this study.
15. those who were unlikely to comply with the protocol, e.g uncooperative attitude, inability to return for follow-up visits, poor venous access.
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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PT Pharma Metric Labs

INDUSTRY

Sponsor Role collaborator

PT Bernofarm

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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I Gusti Putu Bagus Diana Virgo

Role: STUDY_DIRECTOR

PT Pharma Metric Labs, Indonesia

Arini Setiawati

Role: PRINCIPAL_INVESTIGATOR

PT Pharma Metric Labs, Indonesia

Locations

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PT Pharma Metric Labs

Jakarta, DKI Jakarta, Indonesia

Site Status

Countries

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Indonesia

References

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Asiri YA, Al-Said MS, Al-Khamis KI, Niazy EM, El-Sayed YM, Al-Rashood KA, Al-Yamani MJ, Alsarra IA, Al-Balla SA. Comparative bioavailability study of cefixime (equivalent to 100 mg/5 ml) suspension (Winex vs Suprax) in healthy male volunteers. Int J Clin Pharmacol Ther. 2005 Oct;43(10):499-504. doi: 10.5414/cpp43499.

Reference Type BACKGROUND
PMID: 16240707 (View on PubMed)

Kees F, Naber KG, Sigl G, Ungethum W, Grobecker H. Relative bioavailability of three cefixime formulations. Arzneimittelforschung. 1990 Mar;40(3):293-7.

Reference Type BACKGROUND
PMID: 2346538 (View on PubMed)

Morais JA, Lobato Mdo R. The new European Medicines Agency guideline on the investigation of bioequivalence. Basic Clin Pharmacol Toxicol. 2010 Mar;106(3):221-5. doi: 10.1111/j.1742-7843.2009.00518.x. Epub 2010 Jan 7.

Reference Type BACKGROUND
PMID: 20070293 (View on PubMed)

Related Links

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Other Identifiers

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432/STD/PML/2018

Identifier Type: -

Identifier Source: org_study_id

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