This will be a single center, open label, exploratory research study to assess the dermal pharmacokinetic (PK) profile of three marketed diclofenac products in 26 healthy volunteers using dermal open flow microperfusion (dOFM). This clinical study aims to assess bioequivalence (BE) of three different diclofenac products.
The clinical study is divided into a pilot and a pivotal study. The pilot study will involve 6 healthy adult volunteers. The pilot study aims to develop the optimal study design for the pivotal study by defining the dose of the reference product (diclofenac sodium gel 1%) and by evaluating the absence of significant systemic cross-talk (systemic redistribution) and lateral diffusion (cross-talk between adjacent treatment sites), which could increase background drug levels in the dermis that might confound the discrimination of dermal PK profiles between different products. Additionally, the suitability of a non-equivalent test product to serve as negative control for BE relative to the reference product will be evaluated. The pivotal study will involve 20 healthy adult volunteers. In each volunteer the dermal PK profile of three different diclofenac products will be assessed in 6 topical treatment sites using dermal open flow microperfusion (dOFM), where the diclofenac penetration will be measured from baseline to 12 h post-dose. BE of the reference product against a generic test product (positive control) and against a non-equivalent test product (negative control) will be evaluated.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
22
Topical application in dermal-sampling visit
Topical application in dermal-sampling visit
Topical application in dermal-sampling visit
CTU - Clinical Trials Unit, Medical University Graz
Graz, Austria
Area under the dermal concentration versus time curve for diclofenac (pilot study: 6 participants, pivotal study: 20 participants)
Dermal concentrations (ng/mL) of diclofenac will be measured to calculate the area under the dermal concentration versus time curve AUC (ng\*h/mL).
Time frame: 25 hours (pilot study), 13 hours (pivotal study)
Maximal dermal concentration of diclofenac (pilot study: 6 participants, pivotal study: 20 participants)
Dermal concentrations (ng/mL) of diclofenac will be measured to calculate the maximal dermal concentration (ng/mL).
Time frame: 25 hours (pilot study), 13 hours (pivotal study)
Blood diclofenac concentrations versus time curve (pilot study: 6 participants, pivotal study: 20 participants)
Diclofenac concentrations (ng/mL) in the blood will be measured to obtain the concentration-time curves in the blood.
Time frame: 25 hours (pilot study), 13 hours (pivotal study)
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Dermal open flow microperfusion will be used to collect interstitial fluid in order to assess diclofenac concentration in the dermis. Interstitial fluid (ISF) sampling: 1 hour pre-dose and 24 hours post-dose.
Dermal open flow microperfusion will be used to collect interstitial fluid in order to assess diclofenac concentration in the dermis. Interstitial fluid (ISF) sampling: 1 hour pre-dose and 12 hours post-dose.
1 sample is taken pre-dose and 24 samples are taken post-dose.
1 sample is taken pre-dose and 12 samples are taken post-dose.