NCT04988646

Brief Summary

The objective of this present study was to asses the pharmacokinetic properties of acyclovir tablet from new product formulation (PT. Kimia Farma (Persero) Tbk) to its innovator product, Zovirax® tablet (Glaxo Wellcome S.A., Aranda, Spain)

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
56

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Feb 2020

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 21, 2020

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 20, 2020

Completed
8 days until next milestone

Study Completion

Last participant's last visit for all outcomes

April 28, 2020

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

July 6, 2021

Completed
28 days until next milestone

First Posted

Study publicly available on registry

August 3, 2021

Completed
1.5 years until next milestone

Results Posted

Study results publicly available

February 8, 2023

Completed
Last Updated

February 9, 2023

Status Verified

February 1, 2023

Enrollment Period

2 months

First QC Date

July 6, 2021

Results QC Date

October 6, 2021

Last Update Submit

February 8, 2023

Conditions

Keywords

bioequivalencepharmacokineticsIndonesian healthy subjectAcyclovir

Outcome Measures

Primary Outcomes (2)

  • Pharmacokinetics Parameter

    Maximum plasma concentration (Cmax)

    before dosing (0 h) and at 15, 30, 45 minutes, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16 and 24 hours after dosing

  • Pharmacokinetics Parameter

    Area Under Curve from 0 to 24 hours (AUCt)

    Predose at (0 h) and at 15, 30, 45 minutes, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16 and 24 hours post dose

Secondary Outcomes (2)

  • Geometric Mean Ratio

    before dosing (0 h) and at 15, 30, 45 minutes, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16 and 24 hours after dosing

  • Geometric Mean Ratio

    before dosing (0 h) and at 15, 30, 45 minutes, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16 and 24 hours after dosing

Study Arms (2)

Acyclovir Tablet

EXPERIMENTAL

Participants received Acyclovir Tablet 200 mg or 400 mg with 240 mL of water

Drug: Acyclovir 200 MGDrug: Acyclovir 400 MG

Zovirax® Tablet

ACTIVE COMPARATOR

Participants received Zovirax® Tablet 200 mg or 2x200 mg with 240 mL of water

Drug: Zovirax 200 MG TabletDrug: Zovirax 400 MG Tablet

Interventions

Administered with 240 mL of water

Acyclovir Tablet

Administered with 240 mL of water

Acyclovir Tablet

Administered with 240 mL of water

Zovirax® Tablet

Administered with 240 mL of water

Zovirax® Tablet

Eligibility Criteria

Age18 Years - 55 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • body weight within normal range (body mass index between 18 and 25 kg/m2)
  • had normal blood pressure (systolic was ranged between 90 to 120 mmHg and diastolic was ranged between 60 to 80 mmHg)
  • had normal electrocardiogram
  • absence of significant disease or clinically significant abnormal laboratory values on laboratory evaluation, medical history or physical examination during screening

You may not qualify if:

  • pregnant women
  • nursing mothers
  • women of childbearing potential without adequate contraception
  • had a history of contraindication or hypersensitivity to aciclovir, or other antiviral or other ingredients in the study products or a history of serious allergic reaction to any drug,
  • a significant allergic disease, or allergic reaction; presence of medical condition which might significantly influence the pharmacokinetics of the study drug, e.g. chronic gastrointestinal disease, diarrhea, gastric surgery, renal insufficiency, hepatic dysfunction or cardiovascular disease
  • presence of any coagulation disorder or clinically significant hematology abnormalities; using any medication (prescription or non-prescription drug, food supplement, herbal medicine)
  • particularly the medication known to affect the pharmacokinetics of the study drug
  • who had participated in any clinical study within 3 months prior to the study (\< 90 days)
  • subjects who had donated or lost 300 ml (or more) of blood within 3 months prior to the study
  • who were positive to HIV, HBsAg, and HCV tests
  • who were unlikely to comply with the protocol, e.g uncooperative attitude, inability to return for follow up visits
  • poor venous access; and who smoked more than 10 cigarettes a day
  • had a history of drug or alcohol abuse within 12 months prior to screening for this study and who were unlikely to comply with the protocol, e.g uncooperative attitude, inability to return for follow up visits, poor venous access

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

PT Pharma Metric Labs

Jakarta Pusat, DKI Jakarta, 10520, Indonesia

Location

Related Publications (13)

  • Stahl JP, Mailles A. Herpes simplex virus encephalitis update. Curr Opin Infect Dis. 2019 Jun;32(3):239-243. doi: 10.1097/QCO.0000000000000554.

  • Ahronowitz I, Fox LP. Herpes zoster in hospitalized adults: Practice gaps, new evidence, and remaining questions. J Am Acad Dermatol. 2018 Jan;78(1):223-230.e3. doi: 10.1016/j.jaad.2017.07.054. Epub 2017 Nov 14.

  • Kukhanova MK, Korovina AN, Kochetkov SN. Human herpes simplex virus: life cycle and development of inhibitors. Biochemistry (Mosc). 2014 Dec;79(13):1635-52. doi: 10.1134/S0006297914130124.

  • Vaithianathan S, Haidar SH, Zhang X, Jiang W, Avon C, Dowling TC, Shao C, Kane M, Hoag SW, Flasar MH, Ting TY, Polli JE. Effect of Common Excipients on the Oral Drug Absorption of Biopharmaceutics Classification System Class 3 Drugs Cimetidine and Acyclovir. J Pharm Sci. 2016 Feb;105(2):996-1005. doi: 10.1002/jps.24643. Epub 2016 Jan 12.

  • de Miranda P, Blum MR. Pharmacokinetics of acyclovir after intravenous and oral administration. J Antimicrob Chemother. 1983 Sep;12 Suppl B:29-37. doi: 10.1093/jac/12.suppl_b.29.

  • O'Brien JJ, Campoli-Richards DM. Acyclovir. An updated review of its antiviral activity, pharmacokinetic properties and therapeutic efficacy. Drugs. 1989 Mar;37(3):233-309. doi: 10.2165/00003495-198937030-00002.

  • Fletcher C, Bean B. Evaluation of oral acyclovir therapy. Drug Intell Clin Pharm. 1985 Jul-Aug;19(7-8):518-24. doi: 10.1177/106002808501900703.

  • Al-Yamani MJ, Al-Khamis KI, El-Sayed YM, Bawazir SA, Al-Rashood KA, Gouda MW. Comparative bioavailability of two tablet formulations of acyclovir in healthy volunteers. Int J Clin Pharmacol Ther. 1998 Apr;36(4):222-6.

  • Amini H, Javan M, Gazerani P, Ghaffari A, Ahmadiani A. Lack of bioequivalence between two aciclovir tablets in healthy subjects. Clin Drug Investig. 2008;28(1):47-53. doi: 10.2165/00044011-200828010-00006.

  • Weller S, Blum MR, Doucette M, Burnette T, Cederberg DM, de Miranda P, Smiley ML. Pharmacokinetics of the acyclovir pro-drug valaciclovir after escalating single- and multiple-dose administration to normal volunteers. Clin Pharmacol Ther. 1993 Dec;54(6):595-605. doi: 10.1038/clpt.1993.196.

  • Galgatte UC, Jamdade VR, Aute PP, Chaudhari PD. Study on requirements of bioequivalence for registration of pharmaceutical products in USA, Europe and Canada. Saudi Pharm J. 2014 Nov;22(5):391-402. doi: 10.1016/j.jsps.2013.05.001. Epub 2013 May 31.

  • Corrao G, Soranna D, La Vecchia C, Catapano A, Agabiti-Rosei E, Gensini G, Merlino L, Mancia G. Medication persistence and the use of generic and brand-name blood pressure-lowering agents. J Hypertens. 2014 May;32(5):1146-53; discussion 1153. doi: 10.1097/HJH.0000000000000130.

  • Kesselheim AS, Misono AS, Lee JL, Stedman MR, Brookhart MA, Choudhry NK, Shrank WH. Clinical equivalence of generic and brand-name drugs used in cardiovascular disease: a systematic review and meta-analysis. JAMA. 2008 Dec 3;300(21):2514-26. doi: 10.1001/jama.2008.758.

MeSH Terms

Interventions

AcyclovirTablets

Intervention Hierarchy (Ancestors)

GuanineHypoxanthinesPurinonesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsDosage FormsPharmaceutical Preparations

Results Point of Contact

Title
Pharma Metric Labs
Organization
Pharma Metric Labs, Indonesia

Study Officials

  • Metta Sinta Sari Wiria

    PT Pharma Metric Labs

    PRINCIPAL INVESTIGATOR
  • I Gusti Putu Bagus Diana Virgo

    PT Pharma Metric Labs

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
BASIC SCIENCE
Intervention Model
CROSSOVER
Model Details: Randomized, single blind, single dose, 2-periods, cross-over design study with one week washout period between each treatment in 28 healthy subjects under fasting condition
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 6, 2021

First Posted

August 3, 2021

Study Start

February 21, 2020

Primary Completion

April 20, 2020

Study Completion

April 28, 2020

Last Updated

February 9, 2023

Results First Posted

February 8, 2023

Record last verified: 2023-02

Locations