Bioequivalence clinical trial of two formulations of ezetimibe/atorvastatin

2023-506559-10-00 Protocol N-EZEATO-23-280 Human pharmacology (Phase I) - Bioequivalence study Ended

Start 7 Sep 2023 · End 7 Nov 2023 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol N-EZEATO-23-280

Overview

Sponsor-declared trial summary

Phase Human pharmacology (Phase I) - Bioequivalence study
Status Ended
Participants planned 36
Countries 1
Sites 1

Healthy volunteers

To evaluate the relative bioavailability of the test formulation of ezetimibe/atorvastatin compared to the commercial formulations taken as reference and to demonstrate their bioequivalence according to health authorities’ criteria.

Key facts

Sponsor
Laboratorios Normon S.A.
Participant type
Healthy volunteers
Age range
18-64 years
Gender
Male and Female
Therapeutic area
Not possible to specify
Trial duration
7 Sep 2023 → 7 Nov 2023
Decision date (initial)
2023-09-06
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Bioequivalence

To evaluate the relative bioavailability of the test formulation of ezetimibe/atorvastatin compared to the commercial formulations taken as reference and to demonstrate their bioequivalence according to health authorities’ criteria.

Secondary objectives 1

  1. Tolerability of the formulations will be evaluated.

Conditions and MedDRA coding

Healthy volunteers

Regulatory references

EU CT numberTitleSponsor
2023-504987-40-00 Randomised, crossover bioequivalence clinical trial of ezetimibe/atorvastatin 10 mg/80 mg tablets versus ezetimibe/atorvastatin 10 mg/80 mg film-coated tablets, after a single oral dose administration to healthy volunteers under fasting conditions Laboratorios Normon S.A.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. 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.
  2. Aged from 18 to 55.
  3. No clinically significant organic or psychic conditions.
  4. No clinically significant abnormalities in medical records and physical examination.
  5. No clinically significant abnormalities in haematology, coagulation, biochemistry, serology (Ag HBs, HC antibodies, HIV antibodies) and urinalysis (see Appendix B).
  6. No clinically significant abnormalities in vital signs and electrocardiogram.

Exclusion criteria 14

  1. 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%)].
  2. 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).
  3. Inability to follow the instructions or collaborate during the study.
  4. History of difficulty in swallowing.
  5. 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.
  6. Subjects with body mass index (weight (kg)/height2 (m2)) outside the 18.5-30.0 range.
  7. History of sensitivity to any drug.
  8. Positive drug screening (for cannabis, opiates, cocaine and amphetamines).
  9. Smoker.
  10. Daily consumers of alcohol and/or acute alcohol poisoning in the last week.
  11. Having donated blood in the last month before start of the study.
  12. Pregnant or breastfeeding women. Child-bearing age women participating in the study will compromise to use a high effective contraceptive method (see Appendix C) or will be abstinent during their participation in the study.
  13. Lactose intolerance.
  14. Subjects with rare hereditary problems of galactose intolerance, Lapp lactase deficiency (failure observed in certain populations of Lapland), or problems absorbing glucose-galactose.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 4

  1. Atorvastatin AUC0-t
  2. Atorvastatin Cmax
  3. Total ezetimibe AUC0-72
  4. Total ezetimibe Cmax

Secondary endpoints 4

  1. Atorvastatin AUC0-∞
  2. Atorvastatin Tmax
  3. Atorvastatin residual area
  4. Total ezetimibe Tmax

Investigational products

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

Test 1

Ezetimiba/Atorvastatina Normogen 10 mg/80 mg comprimidos

PRD10333489 · Product

Active substance
Atorvastatin
Pharmaceutical form
TABLET
Route of administration
ORAL USE
Max daily dose
1 DF dosage form
Max total dose
2 DF dosage form
Max treatment duration
2 Day(s)
Authorisation status
Not Authorised
MA holder
LABORATORIOS NORMON, S.A.
Paediatric formulation
No
Orphan designation
No

Comparator 1

ATOZET 10 mg/80 mg comprimidos recubiertos con película

PRD8835287 · Product

Active substance
Atorvastatin Calcium
Substance synonyms
Atorvastatin hemicalcium
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
1 DF dosage form
Max total dose
2 DF dosage form
Max treatment duration
2 Day(s)
Authorisation status
Authorised
ATC code
C10BA05 — -
Marketing authorisation
79.227
MA holder
ORGANONSALUD, S.L.
MA country
Spain
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Laboratorios Normon S.A.

Sponsor organisation
Laboratorios Normon S.A.
Address
Ronda De Valdecarrizo 6
City
Tres Cantos
Postcode
28760
Country
Spain

Scientific contact point

Organisation
Laboratorios Normon S.A.
Contact name
Carlos Govantes (R&D Director)

Public contact point

Organisation
Laboratorios Normon S.A.
Contact name
Carlos Govantes (R&D Director)

Third parties 4

OrganisationCity, countryDuties
Hospital Universitario De La Princesa
ORG-100028549
Madrid, Spain Code 10, Code 11, Other, Data management
Sermes Cro
ORG-100030576
Madrid, Spain On site monitoring
Eurofins Megalab S.A.
ORG-100043544
Madrid, Spain Laboratory analysis
Anapharm Europe S.L.
ORG-100037200
Barcelona, Spain Other

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ended 36 1
Rest of world 0

Investigational sites

Spain

1 site · Ended
Hospital Universitario De La Princesa
Clinical Pharmacology Department, Calle De Diego De Leon 62, 28006, Madrid

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 2023-09-07 2023-11-07 2023-09-08 2023-09-20

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
Synopsis_FR_N-EZEATO-23-280
SUM-37957
2024-07-31T10:09:21 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Synopsis Lay person_FR_N-EZEATO-23-280 2024-07-31T10:08:04 Submitted Laypersons Summary of Results
Resumen persona lega_IF_N-EZEATO-23-280 2024-07-31T10:08:27 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) Resumen persona lega_IF_N-EZEATO-23-280 1
Laypersons summary of results (for publication) Synopsis Lay person_FR_N-EZEATO-23-280 1
Summary of results (for publication) Synopsis_FR_N-EZEATO-23-280 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-08-02 Spain Acceptable
2023-09-06
2023-09-06