Y-4 is a new fixed-dose combination drug product containing two active ingredients of pregabalin and riluzole. The objective of the trial is to compare pharmacokinetic characteristics of Y-4 tablets with pregabalin capsules (Lyrica®) and riluzole tablets (Rilutek®) in Chinese healthy adult subjects after single oral administration under fasted condition.
This study will be an open-label, single-dose, three-period study in healthy adult subjects. A total of 10 subjects (half men and half women) will be enrolled in this study to be administered with Y-4 tablets, pregabalin capsules and riluzole tablets at three periods with a 7-day washout. Periods and corresponding treatments are planned as following: Period 1: Y-4 tablet, one tablet, 112.5 mg/28.125 mg (pregabalin/riluzole) Period 2: pregabalin capsule, one capsule, 75 mg/capsule Period 3: riluzole tablet, one tablet, 50 mg/tablet
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
10
Subjects will be admitted to research center in the afternoon of Day-1 prior to the dosing day and fasting for the next 10 hours overnight. In the morning of the following day (Day 1), subjects will be administered with one tablet of Y-4 , then subjects will be monitored and blood samples will be collected for the following 72 hours. Subjects will be discharged on Day 4.
Subjects will be admitted to research center in the afternoon of Day 7 prior to the dosing day and fasting for the next 10 hours overnight. In the morning of the following day (Day 8), subjects will be administered with one pregabalin capsule , then subjects will be monitored and blood samples will be collected for the following 72 hours. Subjects will be discharged on Day 11.
Beijing Tiantan Hospital, Capital Medical University Beijing
Beijing, Beijing Municipality, China
RECRUITINGadverse events
An AE is defined as any untoward medical event that occurs after receiving a drug or treatment or any deterioration of a disease or symptom that existed before receiving the investigational product or treatment (excluding the disease studied in this trial) in a subject or a clinical investigation subject, whether or not considered related to the investigational product or treatment. Therefore, an AE can be a discomfort sign (including an abnormal laboratory finding), symptom, or transient disease beyond any indication, whether or not related to the investigational product or treatment. The investigator will name each AE reported during the study by MedDRA PT and evaluate their severity using the criteria of "mild", "moderate" and "severe". The relevance evaluation is divided into 5 grades: 1-certainly related; 2- probably/likely related; 3-possibly related; 4-unlikely related; 5 not related.
Time frame: From the first day to the 25th± 1st day after the start of administration
Incidence of subject getting abnormal results of laboratory tests after treatment
Record changes from baseline to post-treatment, listing deviations from normal ranges post-treatment. Laboratory tests are composed of hematology, urinalysis, serum chemistry, coagulation test. Normal range is provided by the site.
Time frame: From the first day to the 25th± 1st day after the start of administration
Incidence of subject getting abnormal results of 12-lead ECG after treatment
Record changes from baseline to post-treatment, listing deviations from normal ranges post-treatment. 12-lead ECG will be analyzed by single RR Heart Rate, aggregate PR Interval, aggregate QRS Duration, aggregate RR Interval, aggregate QT Interval, aggregate QTC Interval. Normal range is provided by the site.
Time frame: From the first day to the 25th± 1st day after the start of administration
Incidence of subject getting abnormal results of vital signs after treatment.
Record changes from baseline to post-treatment, listing deviations from normal ranges post-treatment. Vital signs(body temperature, respiration, blood pressure, and pulse) will be assessed by according equipment.(electronic sphygmomanometer, thermometer).
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Subjects will be admitted to research center in the afternoon of Day 14 prior to the dosing day and fasting for the next 10 hours overnight. In the morning of the following day (Day 15), subjects will be administered with one riluzole tablet, then subjects will be monitored and blood samples will be collected for the following 72 hours. Subjects will be discharged on Day 18 after safety evaluation.
Time frame: From the first day to the 25th± 1st day after the start of administration
Incidence of subject getting abnormal results of physical examinations after treatment.
Record changes from baseline to post-treatment, listing deviations from normal ranges post-treatment. Physical examinations will be conduct by the investigator through observation.
Time frame: From the first day to the 25th± 1st day after the start of administration
Incidence of subject getting abnormal results of blood oxygen saturation after treatment
Record changes of blood oxygen saturation from baseline to post-treatment, listing deviations from normal ranges post-treatment. Normal range is provided by the site
Time frame: From the first day to the 25th± 1st day after the start of administration
Incidence of subject getting abnormal results of C-SSSRS scale evaluation after treatment after treatment
Record changes of C-SSSRS scale evaluation from baseline to post-treatment
Time frame: From the first day to the 25th± 1st day after the start of administration
Cmax
peak plasma concentration
Time frame: Up to 72 hours post-dose of each drug
AUC0-t
Area under the plasma concentration versus time curve from time 0 to the time of the last quantifiable concentration
Time frame: Up to 72 hours post-dose of each drug
AUC0-∞
Area under the plasma concentration-time curve from time 0 to infinity (extrapolated)
Time frame: Up to 72 hours post-dose of each drug
Tmax
Time to reach maximum observed plasma concentration after single dose
Time frame: Up to 72 hours post-dose of each drug
t1/2
Terminal elimination half-life after single dose
Time frame: Up to 72 hours post-dose of each drug
λz
Terminal-phase elimination rate constant, slope of curves terminal segment at semi-log concentration-time curve calculated by linear regression.
Time frame: Up to 72 hours post-dose of each drug
AUC_%Extrap
The percentage of the AUC0-inf that has been extrapolated. AUC\_%Extrap = \[(AUC0-∞-AUC0-t)/AUC0-∞\] × 100%
Time frame: Up to 72 hours post-dose of each drug
CL/F
Total body clearance after single dose. CL/F = Dose/AUC0-inf
Time frame: Up to 72 hours post-dose of each drug
Vz/F
apparent volume of distribution after single dose. Vz/F = Dose/AUC0-∞/λz
Time frame: Up to 72 hours post-dose of each drug
MRT0-t
Mean residence time within the time from time zero to the lowest testing plasma concentration after single dose. MRT0-t = AUMC0-t/AUC0-t
Time frame: Up to 72 hours post-dose of each drug
MRT0-∞
Mean residence time extrapolated from zero to infinity after single dose. MRT 0-∞ = AUMC 0-∞/AUC 0-∞.
Time frame: Up to 72 hours post-dose of each drug