Bioequivalence study is proposed to be carried out on patients of ovarian cancer, who are already receiving or who in the opinion of their treating physicians are candidates for Doxorubicin liposomal injection therapy .
This study is a randomized, open label, two arm, single dose, crossover bioequivalence study. This study will be conducted in female subjects aged 18 to 65 years diagnosed with ovarian cancer whose disease has progressed or recurred after platinum-based chemotherapy and who are already receiving or scheduled to start therapy with Doxorubicin Hydrochloride Liposome Injection product. Each subject will be randomized to one of the two treatment sequences (RT or TR) according to a randomization scheme prepared prior to start of the trial. Serial blood samples for determination of free and liposomal encapsulated doxorubicin plasma concentration for PK analysis will be obtained in each cycle., This study has an adaptive 2-stage design. A sufficient number of subjects with ovarian cancer shall be recruited to have approximately 42 evaluable subjects completing all follow up procedures (Stage 1). An interim analysis of free and encapsulated doxorubicin will be performed at the end of Stage 1. If the bioequivalence of encapsulated and free doxorubicin has been established, then the study will be stopped. Otherwise, the study may continue into Stage 2 with additional number of ovarian cancer subjects. A final evaluation of bioequivalence based on free and encapsulated doxorubicin will be performed at the end of Stage 2 and will include all enrolled subjects completing the study. Bioequivalence criteria: the 94.12% confidence interval of the ratio of geometric means of TEST to REFERENCE for Cmax, AUC0-t, AUC0-∞, for free and encapsulated doxorubicin should be between 80.00% and 125.00%.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
52
50mg/m2, IV on Day 1 of each cycle, On Day 1 of Cycle 1 patients will receive either reference or test product, On Day 1 of Cycle 2 , patients will crossover to the alternate reference or test formulation
MNJ Institute of Oncology & Regional Cancer Center
Hyderabad, Andhra Pradesh, India
HCG City Cancer Centre
Vijayawada, Andhra Pradesh, India
Assessment of bioequivalence using Cmax of encapsulated and free doxorubicin in plasma
Assessment of bioequivalence of LC-101 (TEST Product) in comparison to the US Reference standard (REFERENCE product). Bioequivalence will be assessed using maximum plasma doxorubicin concentration (Cmax) of encapsulated and free doxorubicin measurements in plasma.
Time frame: Throughout 15 days after both dosing.
Assessment of bioequivalence using AUC (0-t) of encapsulated and free doxorubicin in plasma
Assessment of bioequivalence of LC-101 (TEST Product) in comparison to the US Reference standard (REFERENCE product). Bioequivalence will be assessed using areas under the plasma concentration versus time curve calculated from 0 to the last measurable observation (AUC 0-t) of encapsulated and free doxorubicin measurements in plasma.
Time frame: Throughout 15 days after both dosing.
Assessment of bioequivalence using AUC (0-inf) of encapsulated and free doxorubicin in plasma
Assessment of bioequivalence of LC-101 (TEST Product) in comparison to the US Reference standard (REFERENCE product). Bioequivalence will be assessed using areas under the plasma concentration versus time curve calculated from 0 to infinity (AUC 0-inf) of encapsulated and free doxorubicin measurements in plasma.
Time frame: Throughout 15 days after both dosing.
Assessment of bioequivalence using Cmax of total doxorubicin in plasma
Assessment of bioequivalence of LC-101 (TEST Product) in comparison to the US Reference standard (REFERENCE product). Bioequivalence will be assessed using Cmax of total doxorubicin measurements in plasma.
Time frame: Throughout 15 days after both dosing.
Assessment of bioequivalence using AUC (0-t) of total doxorubicin in plasma
Assessment of bioequivalence of LC-101 (TEST Product) in comparison to the US Reference standard (REFERENCE product). Bioequivalence will be assessed using AUC (0-t) of total doxorubicin measurements in plasma.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Mahatma Gandhi Cancer Hospital & Research Institute
Visakhapatnam, Andhra Pradesh, India
Nirmal Hospital Pvt. Ltd.
Surat, Gujarat, India
Unique Hospital - Multispeciality and Research Institute
Surat, Gujarat, India
Aman Hospital and Research Center
Vadodara, Gujarat, India
Kailash Cancer Hospital And Research Center
Vadodara, Gujarat, India
K R Hospital
Mysore, Karnataka, India
Apex Wellness Rishikesh Hospital
Nashik, Maharashtra, India
HCG Manavata Cancer Centre
Nashik, Maharashtra, India
...and 5 more locations
Time frame: Throughout 15 days after both dosing.
Assessment of bioequivalence using AUC (0-inf) total doxorubicin as secondary analyte
Assessment of bioequivalence of LC-101 (TEST Product) in comparison to the US Reference standard (REFERENCE product). Bioequivalence will be assessed using AUC (0-inf) of total doxorubicin measurements in plasma.
Time frame: Throughout 15 days after both dosing.
Assessment of safety
Assessment of incidence of adverse events
Time frame: Troughout 42 days after first dosing