A single dose, randomized, open-label, three-way crossover study to assess bioequivalence of paracetamol orodispersible tablets 500 mg vs Apiretal® 100 mg/ml oral solution in healthy volunteers under fasting conditions

2023-504815-34-00 Protocol BESPA-ODT Human pharmacology (Phase I) - Bioequivalence study Ended

Start 30 Oct 2023 · End 18 Dec 2023 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol BESPA-ODT

Overview

Sponsor-declared trial summary

Phase Human pharmacology (Phase I) - Bioequivalence study
Status Ended
Participants planned 24
Countries 1
Sites 1

Healthy volunteers under fasting conditions

To assess the bioequivalence of a test formulation Paracetamol orodispersible tablets 500 mg administered with or without water compared to reference formulation Apiretal® by oral solution 100 mg/ml (500 mg) means of AUC0-t, and Cmax.

Key facts

Sponsor
Laboratorios Ern S.A.
Participant type
Healthy volunteers
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Not possible to specify
Trial duration
30 Oct 2023 → 18 Dec 2023
Decision date (initial)
2023-10-09
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Laboratorios ERN S.A.

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Bioequivalence

To assess the bioequivalence of a test formulation Paracetamol orodispersible tablets 500 mg administered with or without water compared to reference formulation Apiretal® by oral solution 100 mg/ml (500 mg) means of AUC0-t, and Cmax.

Secondary objectives 1

  1. To evaluate the safety and tolerability of single oral dose of paracetamol 500 mg.

Conditions and MedDRA coding

Healthy volunteers under fasting conditions

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. The subjects must meet all the following criteria at screening in order to be included in the study: 1.- Subjects of either gender (male or female) aged ≥18 and ≤50 years at the time of the enrolment. 2.- Subjects free from organic or psychic conditions. 3.- No clinically significant abnormalities in medical records and physical examination at screening. 4.- No clinically significant abnormalities in haematology, biochemistry, serology (HBsAg, HCV antibodies, HIV antibodies) and urine drug results. 5.- Vital signs (blood pressure, respiratory rate, body temperature and pulse rate) and electrocardiogram record without clinically significant abnormalities. 6.- Body weight within the range (BMI ≥ 18.5 and ≤30.0 kg/m2) expressed as weight (kg) / height (m2). 7.- Subjects must be willing to use a medically acceptable barrier method of contraception throughout the study. Hormonal contraceptives and intrauterine hormone-releasing system (IUS) are not permitted. 8.- Free acceptance to participate in the study by obtaining signed informed consent form approved by the Ethics Committee of the Hospital (CEIm).

Exclusion criteria 1

  1. Subjects who fulfil or develop during the study one or more of the following criteria are NOT eligible to participate in this study: 1.- Background of allergy, idiosyncrasy or hypersensitivity to IMP or any related products (including excipients of the formulations). 2.- Heavy consumer of stimulating drinks (>5 cups of coffee, tea, chocolate or cola drinks per day). 3.- Background History of alcohol dependence or drug abuse in the last 5 years or daily consumption of alcohol > 40 gr/day for men or 24 gr/day for women.4.- Intake of any medication within 14 days prior to taking the study treatment (except for use of ibuprofen short-term symptomatic treatments, according to the investigator criteria), or intake of over-thecounter products (including natural food supplements, vitamins and medicinal plants products) within 7 days prior taking the study treatment. 5.- Positive hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (HCV Ab) or human immunodeficiency virus (HIV) results. 6.- Positive results for abuse drugs in urine test or ethanol in breath test (Day-1). 7.- Background or clinical evidence of cardiovascular, respiratory, renal, hepatic, endocrine, gastrointestinal, haematological, neurological disease or other chronic diseases. 8.- Females with positive results from the pregnancy test or breast-feeding. 9.- Smoking within 6 months prior to the study treatment phase (Period 1, Day -1). Smokers must refrain from any tobacco usage, including smokeless tobacco, nicotine patches, electronic cigarettes, etc. at least for 6 months prior to study treatment. 10.- To have participated in another clinical trial during the 3 months prior to study start (screening visit) in which an investigational drug, medical device or a commercially available drug was tested. 11.- To have donated blood within the 4 weeks period before screening visit. 12.- Having undergone major surgery during the previous 6 months before screening visit, or have an intervention programmed during the study. 13.- Mentally or legally incapacitated at screening. 14.- Unwillingness or inability to follow the procedures outlined in the protocol. 15.- Volunteers who have difficulties in understanding the language in which the volunteer information is given. 16.- Any condition that, in the opinion of the investigator, may jeopardise the patient’s well-being or the trial conduct according to the protocol.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. · AUC0-t: Area under the plasma concentration-time curve from administration (t = 0) to the last observed concentration at time t (where t is the last time point with a measurable concentration) calculated according to the linear trapezoidal rule. · Cmax: Observed maximum plasma concentration (peak exposure).

Secondary endpoints 1

  1. Secondary endpoints of bioavailability evaluated after the administration of a single dose will be: AUC0-∞, tmax, t1/2, lz, CL/F, V/F of paracetamol. Variables obtained in the safety evaluations will be also evaluated: adverse events recordings, vital signs, laboratory tests and ECG recordings.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

apiretal 500 mg comprimidos bucodispersables

PRD471243 · Product

Active substance
Paracetamol
Pharmaceutical form
ORODISPERSIBLE TABLET
Route of administration
BUCCAL USE
Max daily dose
3 g gram(s)
Max total dose
9 g gram(s)
Max treatment duration
3 Day(s)
Authorisation status
Authorised
ATC code
N02BE01 — PARACETAMOL
Marketing authorisation
70.572
MA holder
LABORATORIOS ERN, S.A.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Comparator 1

Apiretal 100 mg/ml solución oral

PRD471240 · Product

Active substance
Paracetamol
Pharmaceutical form
ORAL SOLUTION
Route of administration
ORAL USE
Max daily dose
3.0 g gram(s)
Max total dose
15 g gram(s)
Max treatment duration
5 Day(s)
Authorisation status
Authorised
ATC code
N02BE01 — PARACETAMOL
Marketing authorisation
49.302
MA holder
LABORATORIOS ERN, S.A.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Laboratorios Ern S.A.

Sponsor organisation
Laboratorios Ern S.A.
Address
Calle De Peru 228
City
Barcelona
Postcode
08020
Country
Spain

Scientific contact point

Organisation
Laboratorios Ern S.A.
Contact name
Francisco Jiménez Esteller

Public contact point

Organisation
Laboratorios Ern S.A.
Contact name
Francisco Jiménez Esteller

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ended 24 1
Rest of world 0

Investigational sites

Spain

1 site · Ended
Hospital de la Santa Creu i Sant Pau
Drug Research Centre, Sant Antoni Maria Claret, 167 08025 Barcelona, Barcelona

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2023-10-30 2023-12-18 2023-10-30

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
BESPA_ODT_20240828_Summary of results_Final_V1
SUM-51428
2024-10-14T13:33:34 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
BESPA_ODT_20240828_Lay person summary of results_V1 2024-10-14T13:33:40 Submitted Laypersons Summary of Results

Documents 3 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) BESPA_ODT_20240828_Lay person summary of results_V1_SPA_FP 1
Summary of results (for publication) BESPA_ODT_20240828_Summary of results_Final_V1_ENG_FP 1
Summary of results (for publication) BESPA_ODT_20240828_Summary of results_Final_V1_SPA_FP 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-07-13 Spain Acceptable
2023-10-09
2023-10-09