Type2 Diabetes
Conditions
Brief summary
A randomized, open-label, single oral dose, one-treatment, two-period, two-sequence, crossover bioavailability study under fed and fasting conditions in healthy Thai volunteers with at least 7 days washout period between the administrations of investigational products of two consecutive periods. A: Fixed dose combination Zemimet® SR Tab. 50/1000 mg orally administered once without food (fasting conditions) B: Fixed dose combination Zemimet® SR Tab. 50/1000 mg orally administered once with food (fed conditions)
Detailed description
\[Objectives\] Primary: To investigate the food-effect bioavailability of absorption of gemigliptin/metformin hydrochloride sustained release 50/1000 mg FDC tablet (Zemimet® SR Tab. 50/1000 mg) in healthy subjects under fed and fasting conditions Secondary: To evaluate safety of investigational product under fed and fasting conditions \[Admission and Confinement\] Fed conditions: Subjects will be admitted the night before investigational product administration, supervised for at least 8 hours overnight fasting prior to consume standard HFHC breakfast and in-house stay until 24 hours post-dose. Fasting conditions: Subjects will be admitted a night before investigational product administration, supervised for at least 8 hours overnight fasting prior to dosing and in-house stay until 24 hours post-dose.
Interventions
Fasting conditions: Each subject will receive a single dose of fixed dose combination Zemimet® SR Tab. 50/1000 mg with 240±2 mL of 20% glucose solution in drinking water after an overnight fasting for at least 8 hours.
Fed conditions: Each subject will receive a single dose of fixed dose combination Zemimet® SR Tab. 50/1000 mg with 240±2 mL of 20% glucose solution in drinking water at 30 minutes after the start of standardized HFHC breakfast.
Sponsors
Study design
Eligibility
Inclusion criteria
* Body mass index between 18.0 to 30.0 kg/m2. * Normal laboratory values, including vital signs and physical examination, for all parameters in clinical laboratory tests at screening. * Non-pregnant woman (negative pregnancy test) and not currently breast feeding. * Female subjects abstain from either hormonal methods of contraception * Male subjects who are willing or able to use effective contraceptive * Have voluntarily given written informed consent (signed and dated) by the subject prior to participating in this study
Exclusion criteria
* History serious hypersensitivity reactions * History or evidence of clinically significant diseases or any significant ongoing chronic medical illness * History or evidence of family diabetes * History or evidence of type 1 diabetes mellitus, diabetic ketoacidosis, diabetic pre-coma * History or evidence of shock or severe dehydrate or severe infection such as respiratory tract infection, urinary tract infection within 14 days prior to admission in each period * History or evidence of preceding diarrhea or vomiting within 24 hours prior to admission in each period * History or evidence of drug addict or investigation with urine sample shows a positive test for drug of abuse * History of problems with swallowing tablet or capsule * Difficulty fasting or consuming standardized meals * History of sensitivity to heparin or heparin-induced thrombocytopenia * Any condition possibly affecting drug absorption * Have renal creatinine clearance (Clcr) \< 45 mL/min based on serum creatinine results at the screening laboratory test * 12-lead ECG demonstrating QTc \>450 msec, a QRS interval \>120 msec or with an abnormality considered clinically significant at screening.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Peak Plasma Concentration (Cmax) of gemigliptin, LC 15-0636 and metformin | Blood samples (10 mL each) will be collected at time 0.00 (pre-dose; 2x10 mL in duplicate tubes) and at 0.25, 0.50, 1.00, 1.50, 2.00, 3.00, 4.00, 5.00, 6.00, 7.00, 8.00, 10.00, 12.00, 14.00, 24.00 and 48.00 hours post-dose. | The observed maximum or peak concentration after administration of the drug |
| AUC0-tlast of gemigliptin, LC 15-0636 and metformin | Blood samples (10 mL each) will be collected at time 0.00 (pre-dose; 2x10 mL in duplicate tubes) and at 0.25, 0.50, 1.00, 1.50, 2.00, 3.00, 4.00, 5.00, 6.00, 7.00, 8.00, 10.00, 12.00, 14.00, 24.00 and 48.00 hours post-dose. | Area under the concentration-time curve from time zero to the last time where plasma concentration can be measured |
| AUC0-∞ of gemigliptin, LC 15-0636 and metformin | Blood samples (10 mL each) will be collected at time 0.00 (pre-dose; 2x10 mL in duplicate tubes) and at 0.25, 0.50, 1.00, 1.50, 2.00, 3.00, 4.00, 5.00, 6.00, 7.00, 8.00, 10.00, 12.00, 14.00, 24.00 and 48.00 hours post-dose. | Area under the concentration-time curve from time zero to infinity by the extrapolation of the rest of AUC from last time where plasma concentration can be measured to time infinity |