Determination of plasma concentration of 5 mg Apixaban generic product of Zist Arvand Pharmed Company and 5 mg Eliquis Reference Product
Design
This study is a bioequivalence phase of clinical trial with control and cross over groups which is double-blinded and randomized and will be performed on 24 healthy subjects including 12 in control group and 12 in intervention group. For randomization, simple and restricted random allocation law is used.
Settings and conduct
This study is carried out at Shahid Beheshti School of Pharmacy, which has been the site of many similar studies. After receiving the drug orally , blood samples are taken from the volunteers at different times and the plasma concentration of the drug is measured by LC mass. In this double-blind study, volunteers, personnel and responsible physician is unaware for the type of drug and only the person responsible is aware of the type of drug. To ensure blinding, the drugs are removed from the box and both types are similar in appearance.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Healthy volunteers aged 18 to 50 years,
Exclusion criteria: History of liver, kidney and cardiovascular diseases that can affect drug clearance from body, History of taking any medication in the last two weeks, Creatinine above 2
Intervention groups
Intervention group: Oral intake of 5 mg Apixaban generic product of Zist Arvand Pharmed Company with one dose and evaluation of plasma concentration up to 48 hours in the blood of healthy volunteers
Control group: Oral intake of 5 mg ELIQUIS reference product of Pfizer with one dose and evaluation of plasma concentration up to 48 hours in the blood of healthy volunteers
Main outcome variables
Maximum plasma concentration of the drug
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20210201050197N4
Registration date:2021-12-25, 1400/10/04
Registration timing:retrospective
Last update:2021-12-25, 1400/10/04
Update count:0
Registration date
2021-12-25, 1400/10/04
Registrant information
Name
Azadeh Haeri
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 8820 0212
Email address
a_haeri@sbmu.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-11-12, 1400/08/21
Expected recruitment end date
2021-12-19, 1400/09/28
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Study of bioequivalence of 5 mg Apixaban tablets in healthy volunteers after single dose oral administration
Public title
Bioequivalence of Apixaban
Purpose
Basic scienece
Inclusion/Exclusion criteria
Inclusion criteria:
Healthy volunteer
Age: 18-50 year
Exclusion criteria:
History of liver, kidney and cardiovascular diseases that can affect drug clearance from body
History of taking any medication in the last two weeks
Creatinine above 2
Age
From 18 years old to 50 years old
Gender
Both
Phase
Bioequivalence
Groups that have been masked
Participant
Care provider
Investigator
Outcome assessor
Data analyser
Sample size
Target sample size:
24
Randomization (investigator's opinion)
Randomized
Randomization description
In order to randomize in this study, simple and restricted random allocation rule will be used. This method represents a large block for the total sample size, meaning that the balance in the number of people assigned to each group will be achieved at the end. For this purpose, first, 24 candidates who meet the inclusion criteria will be selected. Then, 12 lotteries for the intervention group and 12 lotteries for the control group will be placed inside a lottery container. Then, randomly, each of these 24 individuals will take a lottery out of the container without replacement and deliver the lottery to the project officer and the allocation of the group to the individual will be determined (the person, physician and nurse responsible are not aware of the allocation of the group to the individual). In the second phase of the study, the person in the control group will be transferred to the intervention group and vice versa.
Blinding (investigator's opinion)
Double blinded
Blinding description
Volunteers and study physician are not aware of what products they have received at any time.
Since the drug is removed from its box and blister and give to the volunteers, they will not know the type of medicine. The new drug are similar to the reference drug in terms of color, smell, flavor and consistency and all the apparent properties so that participants do not know the type of drug.
Placebo
Not used
Assignment
Crossover
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
School of Pharmacy Nursing and Midwifery, Shahid Beheshti Medical University
Street address
No:2660, Faculty of Pharmacy, Shahid beheshti university of medical scineces, Nyayesh complex, Valiasr st.
City
Tehran
Province
Tehran
Postal code
1996835113
Approval date
2021-09-21, 1400/06/30
Ethics committee reference number
IR.SBMU.PHARMACY.REC.1400.138
Health conditions studied
1
Description of health condition studied
Determination of plasma concentration of Apixaban 5 mg pharmaceutical product
ICD-10 code
Y44.3
ICD-10 code description
Anticoagulant antagonists, vitamin K and other coagulants
Primary outcomes
1
Description
Maximum plasma concentration of the drug
Timepoint
Before intervention and 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 24, 32, 48 hours after intervention
Method of measurement
liquid chromatography-mass (LC-MS) device
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: In this group, 12 volunteers receive a 5 mg Apixaban tablet made by Bio Arvand Pharmed Company. After 48 hours, blood samples will be taken from the volunteers and plasma concentration of the drug will be measured by liquid chromatography. Each time, 5 cc blood samples are taken from volunteers. Then these 12 volunteers will enter the control group after one week.
Category
Other
2
Description
Control group: In this group, 12 volunteers receive 5 mg Eliquis tablet made by Pfizer company. After 48 hours, blood samples will be taken from the volunteers and plasma concentration of the drug will be measured by liquid chromatography. Each time, 5 cc blood samples are taken from volunteers. Then these 12 volunteers will enter the intervention group after one week.
Category
Other
Recruitment centers
1
Recruitment center
Name of recruitment center
School of Pharmacy, Shahid Beheshti University of Medical Sciences
Full name of responsible person
Azadeh Haeri
Street address
No:2660, Faculty of Pharmacy, Shahid beheshti university of medical scineces, Nyayesh complex, Valiasr st.