Erectile Dysfunction
Conditions
Keywords
Sildenafil, Bio-equivalence
Brief summary
The purpose of this study is to perform a relative bioavailability study between two formulations of sildenafil citrate.
Detailed description
Bio-equivalence between two formulations of sildenafil citrate
Interventions
sildenafil citrate 100 mg CT, single dose without water
sildenafil citrate 100 mg film-coated tablet (Viagra®), single dose
Sponsors
Study design
Eligibility
Inclusion criteria
* Body mass index higher or equal to 18,5 and lower or equal than 29,9 kg/m2. * Good health conditions or without significant disease, at medical discretion, according to the rules defined in the Protocol, and evaluations undergone: clinical history, pulse and blood pressure measurements, physical and psychological examination, ECG and complementary laboratory examination. * Able to understand the study nature and objective, including the risks and adverse effects and willing to cooperate with the investigator and act according to all the trial requirements, which is confirmed by signing the Informed Consent Form.
Exclusion criteria
* Hypersensitivity to the study drug or to the chemically related compounds; history of serious adverse reactions or hypersensitivity to any drug. * History or presence of hepatic or gastrointestinal diseases, or other condition that affects the drug absorption, distribution, excretion or metabolism * History of hepatic, renal, lung, gastrointestinal, epileptic, hematological or psychiatric disease; hypo or hypertension of whatever etiology which demands treatment with drugs; history or occurrence of myocardial infarction, angina and/or cardiac failure;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Area Under the Curve (AUC 0-t) | Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose | Area under the blood concentration-time profile from time zero to last experimentally determined concentration measured in nanograms\*hour/milliliter (ng\*hr/mL). |
| Maximum Plasma Concentration (Cmax) | Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose | Maximum plasma concentration measured in nanograms per milliliter (ng/mL). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Area Under the Curve From 0 to Infinity (AUC 0-inf ) | Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose | Area under the blood concentration-time profile from time zero extrapolated to infinite time measured in nanograms \*hour/milliliter (ng\*hr/mL). |
| Time to Maximum Plasma Concentration (Tmax) | Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose | Time at which maximum plasma concentration (Cmax) occurred. |
| Half-life (T 1/2) | Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose | Terminal elimination half-life. |
| Number of Participants With Clinically Significant Findings in Vital Signs | Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.5, 1, 2, 4, 8 and 12 hours post-dose. | Clinically significant abnormalities in blood pressure (BP), pulse, and temperature reported as an adverse event. Clinically significant = values outside the normal range and/or values judged as significant by the investigator (normal range: systolic BP 100-140 mmHg; diastolic BP 60- 90 mmHg; temperature 35-37°Celsius). Pulse rate based on investigator discretion. |
Countries
Brazil
Participant flow
Pre-assignment details
Each participant was to receive each of 3 formulations in 3 treatment periods, after being allocated to 1 of 6 treatment sequences. There was to be a minimum interval of 3 days between treatment periods.
Participants by arm
| Arm | Count |
|---|---|
| Entire Study Population Includes all participants who were randomized to any treatment sequence | 48 |
| Total | 48 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 |
|---|---|---|---|---|---|---|---|
| Overall Study | Adverse Event | 0 | 0 | 0 | 0 | 1 | 0 |
| Overall Study | Withdrawal by Subject | 1 | 1 | 1 | 2 | 0 | 0 |
Baseline characteristics
| Characteristic | Entire Study Population |
|---|---|
| Age, Continuous | 29.3 years |
| Sex: Female, Male Female | 0 Participants |
| Sex: Female, Male Male | 48 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — | — / — |
| other Total, other adverse events | 3 / 47 | 3 / 47 | 3 / 47 | 18 / 47 |
| serious Total, serious adverse events | 0 / 47 | 0 / 47 | 0 / 47 | 0 / 47 |
Outcome results
Area Under the Curve (AUC 0-t)
Area under the blood concentration-time profile from time zero to last experimentally determined concentration measured in nanograms\*hour/milliliter (ng\*hr/mL).
Time frame: Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose
Population: Participants for pharmacokinetic analysis = participants who completed all of the 3 treatment periods.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Test 1: 100 mg Chewable, Without Water | Area Under the Curve (AUC 0-t) | 1467.00 ng*hr/mL | Standard Deviation 560.99 |
| Test 2: 100 mg Chewable, With Water | Area Under the Curve (AUC 0-t) | 1458.45 ng*hr/mL | Standard Deviation 602.73 |
| Reference: 100 mg Coated, With Water | Area Under the Curve (AUC 0-t) | 1493.53 ng*hr/mL | Standard Deviation 615.59 |
Maximum Plasma Concentration (Cmax)
Maximum plasma concentration measured in nanograms per milliliter (ng/mL).
Time frame: Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose
Population: Participants for pharmacokinetic analysis = participants who completed all of the 3 treatment periods.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Test 1: 100 mg Chewable, Without Water | Maximum Plasma Concentration (Cmax) | 439.38 ng/mL | Standard Deviation 198.25 |
| Test 2: 100 mg Chewable, With Water | Maximum Plasma Concentration (Cmax) | 434.38 ng/mL | Standard Deviation 211.53 |
| Reference: 100 mg Coated, With Water | Maximum Plasma Concentration (Cmax) | 532.31 ng/mL | Standard Deviation 217.32 |
Area Under the Curve From 0 to Infinity (AUC 0-inf )
Area under the blood concentration-time profile from time zero extrapolated to infinite time measured in nanograms \*hour/milliliter (ng\*hr/mL).
Time frame: Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose
Population: Participants for pharmacokinetic analysis = participants who completed all of the 3 treatment periods.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Test 1: 100 mg Chewable, Without Water | Area Under the Curve From 0 to Infinity (AUC 0-inf ) | 1547.92 ng*hr/mL | Standard Deviation 588.48 |
| Test 2: 100 mg Chewable, With Water | Area Under the Curve From 0 to Infinity (AUC 0-inf ) | 1534.66 ng*hr/mL | Standard Deviation 618.86 |
| Reference: 100 mg Coated, With Water | Area Under the Curve From 0 to Infinity (AUC 0-inf ) | 1573.81 ng*hr/mL | Standard Deviation 648.32 |
Half-life (T 1/2)
Terminal elimination half-life.
Time frame: Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose
Population: Participants for pharmacokinetic analysis = participants who completed all of the 3 treatment periods.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Test 1: 100 mg Chewable, Without Water | Half-life (T 1/2) | 2.96 hours | Standard Deviation 0.63 |
| Test 2: 100 mg Chewable, With Water | Half-life (T 1/2) | 2.84 hours | Standard Deviation 0.74 |
| Reference: 100 mg Coated, With Water | Half-life (T 1/2) | 2.93 hours | Standard Deviation 0.81 |
Number of Participants With Clinically Significant Findings in Vital Signs
Clinically significant abnormalities in blood pressure (BP), pulse, and temperature reported as an adverse event. Clinically significant = values outside the normal range and/or values judged as significant by the investigator (normal range: systolic BP 100-140 mmHg; diastolic BP 60- 90 mmHg; temperature 35-37°Celsius). Pulse rate based on investigator discretion.
Time frame: Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.5, 1, 2, 4, 8 and 12 hours post-dose.
Population: Safety population: all subjects who received at least 1 dose of study medication. Although individual listing data for vital signs were collected, summary statistics were not generated for this outcome measure.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Test 1: 100 mg Chewable, Without Water | Number of Participants With Clinically Significant Findings in Vital Signs | 0 participants |
| Test 2: 100 mg Chewable, With Water | Number of Participants With Clinically Significant Findings in Vital Signs | 1 participants |
| Reference: 100 mg Coated, With Water | Number of Participants With Clinically Significant Findings in Vital Signs | 0 participants |
Time to Maximum Plasma Concentration (Tmax)
Time at which maximum plasma concentration (Cmax) occurred.
Time frame: Day 1 (Period 1), Day 8 (Period 2), and Day 15 (Period 3): Pre-dose and 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.5, 3, 4, 5, 6, 8, and 12 hours post-dose
Population: Participants for pharmacokinetic analysis = participants who completed all of the 3 treatment periods.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Test 1: 100 mg Chewable, Without Water | Time to Maximum Plasma Concentration (Tmax) | 1.46 hours | Standard Deviation 0.81 |
| Test 2: 100 mg Chewable, With Water | Time to Maximum Plasma Concentration (Tmax) | 1.29 hours | Standard Deviation 0.71 |
| Reference: 100 mg Coated, With Water | Time to Maximum Plasma Concentration (Tmax) | 1.28 hours | Standard Deviation 0.85 |