E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Potent opioid analgesic indicated for the treatment of chronic pain. |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 7 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10049475 |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To Investigate the Bioequivalence of Mylan Fentanyl Transdermal System to Durogesic® DTrans® following Application of a 25 ug/h Patch for 72 hours.
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E.2.2 | Secondary objectives of the trial |
To Compare the Adhesion and Dermal Irritation of Mylan Fentanyl Transdermal System to Durogesic® DTrans® following Application of a 25 ug/h Patch for 72 hours. |
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
1.Female subjects ·Must have a negative serum pregnancy test prior to entry into the study ·Must not be breast feeding ·For male subjects with female partners of child-bearing potential or female subjects of child-bearing potential, an adequate form of contraception must be adhered to prior to entry into the study and for a further 3 months after the post-study medical. Adequate contraception is defined as the usage by the female partner of any form of hormonal contraception or intra-uterine device plus usage by at least one of the partners of an additional spermicide-containing barrier method of contraception. The use of a barrier method alone or abstinence is not considered adequate. ·Females of non-child bearing potential must either be surgically sterilised or post-menopausal for at least 2 years. 2.Subject is aged between 18 and 55 years inclusive. 3. Subjects of any racial origin. 4.Subject has given signed informed consent. 5.Male subjects are at least 60kg and female subjects are at least 51kg. Subject has a BMI range of 19-29 m². 6.Subject’s medical history is considered normal, with no clinically significant abnormalities. 7.Subject is considered to be in good health in the opinion of the investigator, as determined by: - A pre-study physical examination with no clinically significant abnormalities. - Vital signs within normal ranges. - An ECG with no clinically significant abnormalities. 8.Subject’s pre-study clinical laboratory findings are within normal range or if outside of the normal range not deemed clinically significant in the opinion of the investigator.
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E.4 | Principal exclusion criteria |
1.Subject has had a clinically significant illness in the four weeks before screening. 2.Use of prescribed medications or over-the-counter preparations for 14 days prior to dosing, except paracetamol which will be allowed up to 48 hours prior to dosing. 3.Use of any medication known to alter hepatic enzyme activity within 28 days prior to the initial dose of study medication. 4.Ingestion of any vitamins or herbal medications within 7 days prior to and during the transdermal systems application of each period. 5.Consumption of grapefruit, grapefruit-containing products, oranges and orange-containing products within 7 days of drug administration. 6.Subject has a significant history of drug/solvent abuse, or a positive drugs of abuse test at screening not due to a therapeutic medication. 7.Subject with a history of alcohol abuse or currently drinks in excess of 28 units per week (males) or 21 units per week (females). 8.Subject is unable to refrain from alcohol, caffeine or xanthine containing products from 48 hours prior to the initial transdermal systems application, throughout the sample collection periods and throughout the washout period. 9.Subject is unable to refrain from smoking/tobacco products whilst resident in the Clinical Unit. 10.subject is in the opinion of the investigator not suitable to participate in the study. 11.Subject who has participated in any clinical study with an investigational drug/device within one month prior to the first day of dosing. 12.Subject who has a positive result of HIV screen, Hepatitis B screen or Hepatitis C screen. 13.Subject has a known allergy or hypersensitivity to fentanyl or any other component of the therapeutic transdermal system. 14.Subject has a known allergy or hypersensitivity to naltrexone. 15.Subject has had a serious adverse reaction or significant hypersensitivity to any drug. 16.Subject has donated or lost 450mL or more of blood or plasma within the 28 days prior to initial dose of study medication. 17.Any recent, significant change in dietary or exercise habit. 18.Subjects with skin abnormality or hypersensitivity to adhesive tape. 19.Sensitivity to ondansetron.
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary variables are the following pharmacokinetic parameters which will be derived from plasma concentrations of fentanyl following administration of Mylan Fentanyl Transdermal System and Durogesic® DTrans® :
Cmax AUCinf AUClast
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Information not present in EudraCT |
E.6.2 | Prophylaxis | Information not present in EudraCT |
E.6.3 | Therapy | Information not present in EudraCT |
E.6.4 | Safety | Information not present in EudraCT |
E.6.5 | Efficacy | Information not present in EudraCT |
E.6.6 | Pharmacokinetic | Information not present in EudraCT |
E.6.7 | Pharmacodynamic | Information not present in EudraCT |
E.6.8 | Bioequivalence | Yes |
E.6.9 | Dose response | Information not present in EudraCT |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | Information not present in EudraCT |
E.6.12 | Pharmacoeconomic | Information not present in EudraCT |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
To Compare the Adhesion and Dermal Irritation of Mylan Fentanyl Transdermal System to Durogesic DTra |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | Information not present in EudraCT |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | Yes |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Information not present in EudraCT |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Yes |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.1.7.1 | Other trial design description |
Two-Treatment, Four-Way Crossover |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.3.1 | Comparator description |
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E.8.3 |
The trial involves single site in the Member State concerned
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E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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End of the study is defined as the last scheduled protocol activity of the last subject in the study. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 4 |
E.8.9.1 | In the Member State concerned days | |