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Completed

NCT Number: NCT04747392

Bioequivalence Study of SAL001 and FORSTEO in Healthy Chinese Adults

This is a single-center, randomized, open label, single-dose, the original drug controlled, crossover design, two sequence, two periods, Phase Ⅰclinical study.

64 qualified subjects will be randomly assigned to two administration sequences (sequence A and sequence B) at the ratio of 1∶1, with 32 subjects in each sequence. Each period will be given subcutaneous injection once, and the washout period will be 72 hours, and each subject will be given subcutaneous injection twice. Sequence A: the test drug (SAL001) is injected in the first period, and the reference drug (FORSTEO) is injected in the second period. Sequence B: the reference drug (FORSTEO) is injected in the first period, and the test drug (SAL001) is injected in the second period.

If the geometric mean ratio (GMR) 90% confidence interval of the major pharmacokinetic indexes (AUC0-t, Cmax) for SAL001 and FORSTEO is between 80.00% and 125.00%, the two drugs are considered to be bioequivalent.

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Key information

Age range

20 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

The Fifth Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Those who volunteer to participate in the trial and sign the informed consent form.
  • Healthy Chinese male or female adults, the number of single sex volunteers is no less than 1/3, aged 20 to 50 years old (including the boundary value).
  • Males weighted ≥50kg, females weighted ≥45kg, body mass index (BMI) between 19-25 kg/m^2 (including boundary value), BMI= weight (kg)/height^2 (m^2).

Exclusion criteria

  • The existence of clinically significant diseases of heart, liver, lung, kidney, digestive tract, endocrine, metabolic and hematological systems.
  • history of parathyroid disease, or abnormal PTH with clinically significance judged by investigators.
  • Physical examination, laboratory examination, electrocardiogram (ECG), chest radiograph, abdominal ultrasound san(digestive system, urinary system), vital signs, etc., indicate that the subject has clinically significant abnormalities judged by the investigator.
  • Serum total calcium > upper limit of normal according to the normal range of the center, or previous hypercalcemia.
  • Hyperuricemia, or a previous history of gout, or abnormal blood uric acid with clinically significance judged by investigators at the time of screening.
  • Those with active urolithiasis.
  • Those who had received anti-osteoporosis agents (such as bisphosphonates, calcitonin, estrogen, selective estrogen receptor modulator, parathyroid hormone and its analogues, strontium salts, active vitamin D and its analogues, vitamin K2, etc.) within 6 months before the first administration of the trial.
  • Those who had received oral or intravenous administration of glucocorticoids 3 months before the first administration of the trial.
  • Those who had taken any drug within 14 days before the first administration of the trial.
  • Allergies, such as allergic to two or more kinds of drugs or food; or known allergic to this drug components.
  • Alcoholism within 1 year before screening (drinking more than 3 times a day or more than 7 times a week, drinking 1 time =150mL red wine, or 360mL beer, or 50mL white wine), or a positive alcohol breath test.
  • A history of drug abuse within 1 year before screening, or a positive urine test for drugs at screening.
  • Those who were smoking more than 5 cigarettes a day within 3 months before screening.
  • Those who had participated in any other clinical trial within 3 months before the first administration of the trial.
  • Those who had blood donation or blood loss ≥400mL within 3 months before the first administration of the trial.
  • Those who do not agree to avoid the use of tobacco, alcohol or caffeinated beverages within 24 hours before the administration and during the trial, or do not agree to avoid strenuous exercise, or do not agree to avoid other factors affecting the absorption, distribution, metabolism and excretion of the drug.
  • Women who are pregnant or lactating, or who are positive for serum HCG, or who cannot/do not follow the instructions of investigators to take contraceptive measures approved by investigators during the study period.
  • Those who intend to give birth within 1 year.
  • Those with positive results of HBV surface antigen, or hepatitis C virus antibody positive, or Treponema pallidum antibody positive, or human immunodeficiency virus antibody positive.
  • Those with positive results of novel coronavirus nucleic acid test.
  • Those who are considered to be unsuitable for participation in this clinical study by investigators.

Treatment and study plan

SAL001

Biological

administrated once by subcutaneous injection

FORSTEO

Biological

administrated once by subcutaneous injection

Primary outcomes

  1. PK parameters: area under the plasma concentration time curve from-time zero to time t (AUC0-t)

    Time frame: Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the plasma concentration of drugs.

  2. PK parameters: peak plasma concentration (Cmax)

    Time frame: Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the plasma concentration of drugs.

Secondary outcomes

  1. PK parameters: area under the plasma concentration time curve from time zero to time infinity (AUC0-∞)

    Time frame: Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the plasma concentration of drugs.

  2. PK parameters: time to reach peak drug concentration (Tmax)

    Time frame: Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the plasma concentration of drugs.

  3. PK parameters: half-life (t1/2)

    Time frame: Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the plasma concentration of drugs.

  4. PK parameters: AUC extrapolated from Tmax to infinity in percentage of the total AUC (AUC%extrap)

    Time frame: Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the plasma concentration of drugs.

  5. PK parameters: time to last measurable concentration (Tlast)

    Time frame: Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the plasma concentration of drugs.

  6. PK parameters: terminal elimination rate constant (λz)

    Time frame: Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the plasma concentration of drugs.

  7. PK parameters: apparent total clearance (CL/F)

    Time frame: Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the plasma concentration of drugs.

  8. PK parameters: apparent distribution volume (Vz/F)

    Time frame: Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the plasma concentration of drugs.

  9. PK parameters: mean residence time from time zero to t (MRT0-t)

    Time frame: Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the plasma concentration of drugs.

  10. PK parameters: mean residence time from time zero to infinity (MRT0-∞)

    Time frame: Within 60 minutes before administration, and 5, 10, 15, 20, 30, 40, 50, 60, 75, 90, 120, 150, 180, 210, 240, and 300 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the plasma concentration of drugs.

  11. PD parameters: area under the serum concentration time curve from-time zero to time t (AUC0-t)

    Time frame: Within 60 minutes before administration, and 120, 180, 240, 360, 480, 720 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the serum total calcium concentration. Serum-corrected calcium concentration will be use to calculate above PD parameters.

  12. PD parameters: area under the serum concentration time curve from time zero to time infinity (AUC0-∞)

    Time frame: Within 60 minutes before administration, and 120, 180, 240, 360, 480, 720 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the serum total calcium concentration. Serum-corrected calcium concentration will be use to calculate above PD parameters.

  13. PD parameters: peak serum concentration (Cmax)

    Time frame: Within 60 minutes before administration, and 120, 180, 240, 360, 480, 720 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the serum total calcium concentration. Serum-corrected calcium concentration will be use to calculate above PD parameters.

  14. PD parameters: time to reach peak serum concentration (Tmax)

    Time frame: Within 60 minutes before administration, and 120, 180, 240, 360, 480, 720 minutes after administration of Day 1 and Day 4

    Central lab will be used to detect the serum total calcium concentration. Serum-corrected calcium concentration will be use to calculate above PD parameters.

Sponsors and collaborators

Lead sponsor

Shenzhen Salubris Pharmaceuticals Co., Ltd.

Industry

Registry information

Official study title

A Randomized, Open, Self-crossover, Single-dose Clinical Study to Compare Pharmacokinetic of Teriparatide Injection (SAL001) and the Original Drug FORSTEO in Healthy Chinese Adult Volunteers

Important dates

Study start
2020
Primary completion
2020
Study completion
2020
First posted
Feb 10, 2021
Registry last updated
Feb 10, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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