The purpose of the study is to determine the bioavailability of Azacitidine for Injection relative to Vidaza® in MDS patients under fasting conditions. The data will be evaluated statistically to determine if the products meet bioequivalence criteria.
This study is an open label, multi-center randomized, single dose, two-treatment, two-period, two-sequence, two-way cross-over, relative bioavailability study of Azacitidine for Injection for suspension use manufactured for Bioniche Pharma USA LLC compared with Vidaza® manufactured by Celgene Corporation in MDS patients under fasting conditions. Patients who are on a stable 75 mg/m2 dose of Vidaza will be randomized to study drug sequence Azacitidine on C1D1/ Vidaza® on C2D1 or Vidaza® on C1D1 / Azacitidine on C2D1. Randomization will be in a 2:2 ratio. Thirty-six (36) patients will be enrolled to ensure 28 evaluable patients. Patients will not be blinded to their treatment assignment. After randomization, fasted patients will receive 1 dose of assigned study drug (either Azacitidine for Injection or Vidaza®) subcutaneously at a dose of 75 mg/m2 on C1D1. On Days 2-7, they will receive their normal Vidaza® treatment. Following a 21 day rest period, patients will cross over to receive the alternate treatment on C2D1 followed by their normal Vidaza®) treatment on Cycle 2 Days 2-7. The Final Patient Visit will be conducted 7 days following the last dose of Vidaza®. The total duration of the study for each patient will be up to 56 days including the Screening period and Post Study Visit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
NONE
Enrollment
19
75 mg/m2 sc injection on Day 1 of either cycle 1 or cycle 2 per randomization assignment
75 mg/m2 sc injection on Day 1 of either cycle 1 or cycle 2 per randomization assignment
Pacific Cancer Medical Center Inc.
Anaheim, California, United States
Wilshire Oncology Medical Group
Corona, California, United States
California Cancer Associates
Fresno, California, United States
Measurement of Azacitidine in Plasma Samples for Determination of Cmax, AUC0-t, and AUC0-Inf
Pharmacokinetic samples will be collected pre-dose and at 12 timepoints post-dose for determination of the level of azacitidine. The relative bioavailability of test to reference drug will be evaluated. If the Cmax, AUC0-t and AUC0-inf 90% confidence intervals for the geometric mean ratio all lie within 80-125% for Azacitidine then bioequivalence is concluded.
Time frame: 13 timepoints from pre-dose to 8 hours post dose
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Safety will be assessed through monitoring of adverse events and laboratory measures.
Time frame: Throughout study
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Holy Cross Hospital
Fort Lauderdale, Florida, United States
Service d'hématologie clinique Hôpital Avicenne
Bobigny, France
CHU de Brest- Hôpital Morvan
Brest, France
Centre Hospitalier Lyon Sud
Lyon, France
Hôpital Archet 1
Nice, France
Hôpital Haut-Lévêque
Pessac, France
CH Annecy
Pringy, France
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