assignment
Not Recruiting

Bioequivalence Study of Apixaban 5 mg Capsules Versus Film-Coated Tablets in Healthy Volunteers Under Fasting Conditions

Trial ID
2023-506035-15-00
Protocol
UECHUP-API/23-2

Trial statistics

science
2
test molecules
location_city
1
research site
public
1
country
medical_information
1
disease

Diseases & Conditions

Objectives

The primary objective of this study is to evaluate the **bioequivalence** of Apixaban 5 mg capsules compared to Apixaban 5 mg film-coated tablets. This assessment is conducted following a single oral dose administration to healthy volunteers under fasting conditions. Establishing bioequivalence is clinically relevant as it ensures that the two formulations of Apixaban, a medication used in the prevention and treatment of **thrombosis**, have similar bioavailability and therapeutic effects. This is crucial for maintaining consistent efficacy and safety profiles across different formulations of the drug.

Participants

The clinical trial focuses on participants diagnosed with **thrombosis**. The study population includes both male and female subjects, with an age range category code of 3, which typically corresponds to adults. The trial does not specifically target a vulnerable population. The sponsor has not provided information regarding the total number of participants involved in the study. Selection criteria, including lifestyle considerations such as diet, physical activity, or habits, have not been disclosed. The trial population was selected without any specified emphasis on particular health statuses or lifestyle factors.

Plans and Procedures

The clinical trial is designed as a **randomized**, crossover bioequivalence study to evaluate the pharmacokinetic properties of Apixaban 5 mg capsules compared to Apixaban 5 mg film-coated tablets. The trial involves a single oral dose administration to healthy volunteers under fasting conditions. The study is conducted in a **double-blind** manner to ensure unbiased results. The trial is categorized as a Phase 2 study, focusing on the condition of **thrombosis**. The estimated recruitment start date is August 21, 2023, with an anticipated end date of September 19, 2023, indicating a short overall trial duration.

Participants will undergo a sequence of study visits, beginning with an inclusion (screening) visit to assess eligibility based on predefined criteria. Following successful screening, participants will be randomized to receive either the capsule or tablet formulation in the first period, followed by a crossover to the alternate formulation in the subsequent period. Each treatment period will be separated by an appropriate washout phase to prevent carryover effects. Follow-up visits will be scheduled to monitor safety and collect pharmacokinetic data. The end-of-study visit will conclude the participant's involvement, ensuring all necessary data is collected and any adverse events are addressed.

The expected length of participant involvement is approximately one month, considering the time required for screening, treatment periods, and follow-up assessments. Conditions that may lead to early termination from the study include the occurrence of significant adverse events, non-compliance with study procedures, or withdrawal of consent by the participant. The study is conducted in accordance with ethical guidelines and regulatory requirements to ensure the safety and well-being of all participants.

Treatment

No specific information regarding the experimental medication, including its name, pharmaceutical form, dosage, route, and frequency of administration, is provided in the available data. Consequently, a detailed description of the experimental treatment cannot be formulated based on the current dataset.

Similarly, there is no information available about any non-experimental treatments, such as standard-of-care therapy, placebo, or comparator treatment, used in the study. Therefore, a description of these elements cannot be provided.

Additional relevant information about drug administration, dosing schedules, and participant compliance monitoring is also not included in the provided data. As such, these aspects cannot be detailed in the current context.

Efficacy

The clinical trial is designed to assess efficacy in a Phase 2 study. The trial is scheduled to begin recruitment on August 21, 2023, with an estimated end date of September 19, 2023. The efficacy assessment will be conducted using predefined primary and secondary endpoints, although specific endpoints are not detailed in the available data. The trial will follow a structured methodology to ensure accurate and reliable measurement of efficacy parameters. The collection and analysis of data will adhere to standard clinical trial protocols, ensuring the integrity and validity of the results. The trial's design and execution will be aligned with regulatory requirements and scientific standards to evaluate the therapeutic potential of the investigational product.

Inclusion and Exclusion Criteria

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Inclusion Criteria

  • Male or female subjects who, after receiving information about the design, the objectives of the project, the possible risks that could be derived from it and the fact that they can refuse to collaborate at any time, give their written consent to participate in the study.
  • Aged from 18 to 55.
  • No clinically significant organic or psychic conditions.
  • No clinically significant abnormalities in medical records and physical examination.
  • No clinically significant abnormalities in haematology, coagulation, biochemistry, serology (Ag HBs, HC antibodies, HIV antibodies) and urinalysis
  • No clinically significant abnormalities in vital signs and electrocardiogram.
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Exclusion Criteria

  • Subjects affected by an organic or psychic condition. Before a volunteer is included, all the safety parameters defined in points 7.3 will be considered. Those who present clinically significant analytical alterations and in whom biochemical kidney and/or liver damage markers are outside the normal range applied by the laboratory will be excluded [GOT, GPT and/or GGT >2.5*ULN and total bilirrubin >1.5*ULN (total bilirrubin >1.5*ULN is acceptable if the direct bilirrubin is <35%)].
  • Subjects who have received prescribed pharmacological treatment in the last 15 days or any kind of medication in the 48 hours prior to receiving the study medication, but women are allowed taking contraceptives. Contraceptive methods must be used at least 4 weeks prior to entry visit and not to be changed for the duration of the study.
  • Subjects with body mass index (weight (kg)/height2 (m2)) outside the 18.5-30.0 range.
  • History of sensitivity to any drug.
  • Positive drug screening (for cannabis, opiates, cocaine and amphetamines).
  • Smoker.
  • Daily consumers of alcohol and/or acute alcohol poisoning in the last week.
  • Having donated blood in the last month before start of the study.
  • Pregnant or breastfeeding women. Child-bearing age women participating in the study will compromise to use a high effective contraceptive method or will be abstinent during their participation in the study
  • Participation in another study with administration of investigational drugs in the previous 3 months (if the study was conducted with drug substances marketed in Spain, a period of at least 1 month or 5 half lives, what is longer, will be considered).
  • Inability to follow the instructions or collaborate during the study.
  • History of difficulty in swallowing.
  • Lactose intolerance.

Trial Status by Country

Country Status Start of Recruitment Planned Patients
Spain SpainNot Recruiting21 Aug 202336

Sites & Investigators

Investigational Products

Details about the medicinal products being studied in this clinical trial.

Product Name Role in Trial Formulation Administration Max Daily Dose Treatment Duration EU MP Number
Eliquis 5 mg film-coated tablets
ComparatorFILM-COATED TABLETSORAL51PRD2351314
Apixaban 5 mg Cápsula dura
TestCAPSULE, HARDORAL51PRD10428168

Conditions Studied in This Trial

Interventions Studied in This Trial

vaccines
Apixaban
53 trials