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CompletedNCT00829426Updated Sep 19, 2024Results posted

Alprazolam Extended-Release 3mg Tablets Bioequivalence Study Under Fasting Conditions

A Phase 1 interventional study of Alprazolam Extended-Release 3 mg Tablets and Alprazolam Extended-Release 3 mg Tablets in Healthy, sponsored by Teva Pharmaceuticals USA. Completed at 2 sites in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-09-19.

Sponsored by Teva Pharmaceuticals USA · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study will compare the relative bioavailability (rate and extent of absorption) of 3 mg Alprazolam Extended Release Tablets manufactured and distributed by TEVA Pharmaceuticals USA with that of 3 mg XANAX XR® Tablets by Pharmacia \& Upjohn Company following a single oral dose (1 x 3 mg extended release tablet) in healthy adult subjects administered under fasting conditions.

Read the detailed description

Detailed Description

Criteria for Evaluation: FDA Bioequivalence Criteria

Statistical Methods: FDA bioequivalence statistical methods

Outcome: Confidence interval fell within 80-125% therefore met the FDA Bioequivalence criteria; no drug related, serious, unexpected adverse events were reported during the study.

02

Conditions studied

  • Healthy

Keywords

  • Bioequivalence
  • Healthy Subjects
03

In context

Lead sponsor

Teva Pharmaceuticals USA is the lead sponsor of 171 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 4 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Screening Demographics: All subjects selected for this study will be healthy non-smoking men and women 18 years of age or older at the time of dosing. The subject's body mass index (BMI) should be less than or equal to 30.
  • Screening procedures: Each subject will complete the screening process within 28 days prior to Period I dosing.
  • Consent documents for both the screening evaluation and HIV antibody determination will be reviewed, discussed, and signed by each potential participant before full implementation of screening procedures.
  • Screening will include general observations, physical examination, demographics, medical and medication history, an electrocardiogram, sitting blood pressure and heart rate, respiratory rate and temperature.
  • The physical examination will include, but may not be limited to an evaluation of the cardiovascular, gastrointestinal, respiratory, and central nervous systems.
  • The screening clinical laboratory procedures will include:

    • Hematology: hematocrit, hemoglobin, WBC count with differential, RBC count, platelet count;
    • Clinical Chemistry: serum creatinine, BUN, glucose, AST(GOT), ALT(GPT), albumin, total bilirubin, total protein, and alkaline phosphatase;
    • HIV antibody, hepatitis B surface antigen, hepatitis C antibody screens;
    • Urinalysis: by dipstick; full microscopic examination if dipstick positive; and
    • Urine Drug Screen: ethyl alcohol, amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine metabolites, opiates, and phencyclidine.
    • Serum Pregnancy Screen (female subjects only)
    • FSH (to verify postmenopausal status; female subjects only)
  • If female and:

    • is postmenopausal for at least 1 year and has a serum FSH level ≥ 20mIU/mL; or
    • is surgically sterile (bilateral tubal ligation, bilateral oophorectomy, or hysterectomy).

Exclusion criteria

Exclusion Criteria:

  • Subjects with a recent history of dug or alcohol addiction or abuse.
  • subjects with the presence of a clinically significant disorder involving the cardiovascular, respiratory, renal, gastrointestinal, immunologic, hematologic, endocrine, or neurologic system(s) or psychiatric disease (as determined by the clinical investigators).
  • Subjects whose clinical laboratory test values are outside the accepted reference range and when confirmed on re-examination are deemed to be clinically significant.
  • Subjects demonstrating a reactive screen for hepatitis B surface antigen, hepatitis C antibody or HIV antibody.
  • Subjects demonstrating positive drug abuse screen when screened for this study.
  • Female subjects demonstrating a positive pregnancy screen.
  • Female subjects who are currently breast-feeding.
  • Subjects with a history of allergic response(s) to alprazolam or related drugs.
  • Subjects with a history of clinically significant allergies including drug allergies.
  • Subjects with a clinically significant illness during the 4 weeks prior to Period I dosing (as determined by the clinical investigators).
  • Subjects who currently use or report using tobacco products within 90 days of Period I dose administration.
  • Subjects who have taken any drug known to induce or inhibit hepatic drug metabolism in the 28 days prior to Period I dosing.
  • Subjects who report donating greater than 150 mL of blood within 30 days prior to Period I dosing. All subjects will be advised not to donate plasma for four weeks after completing the study.
  • Subjects who report receiving any investigational drug within 28 days prior to Period I dosing.
  • Subjects who report taking any systemic prescription medication in the 14 days prior to Period I dosing.
  • Subjects who report an intolerance of direct venipuncture.
  • Subjects who report consuming an abnormal diet during the 28 days prior to Period I dosing.
05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    Alprazolam

    Alprazolam 3mg ER Tablet (test) dosed in first period followed by Xanax XR® 3 mg Tablet (reference) dosed in second period

    Drug: Alprazolam Extended-Release 3 mg Tablets

  • Active comparator
    Xanax XR®

    Xanax XR® 3 mg Tablet (reference) dosed in first period followed by Alprazolam 3 mg ER Tablet (test) dosed in second period

    Drug: Alprazolam Extended-Release 3 mg Tablets

Interventions

  • DrugAlprazolam Extended-Release 3 mg Tablets

    1 x 3 mg, single dose fasting

  • DrugAlprazolam Extended-Release 3 mg Tablets

    1 x 3 mg, single dose fasting

    Also known as: XANAX XR®

06

What researchers measure

Primary outcomes

  1. Cmax - Maximum Observed Concentration

    Bioequivalence based on Cmax

    Time frame: Blood samples collected over 72 hour period

  2. AUC0-inf - Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated)

    Bioequivalence based on AUC0-inf

    Time frame: Blood samples collected over 72 hour period

  3. AUC0-t - Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant)

    Bioequivalence based on AUC0-t

    Time frame: Blood samples collected over 72 hour period

07

Results

Posted Jul 21, 2009

Participant flow

First Intervention
Participant flow — First Intervention
MilestoneAlprazolam (Test) FirstXanax® (Reference) First
Started1616
Completed1616
Not completed00
Washout: 7 Days
Participant flow — Washout: 7 Days
MilestoneAlprazolam (Test) FirstXanax® (Reference) First
Started1616
Completed1516
Not completed10
Withdrew: Withdrawal by subject10
Second Intervention
Participant flow — Second Intervention
MilestoneAlprazolam (Test) FirstXanax® (Reference) First
Started1516
Completed1516
Not completed00

Outcome measures

PrimaryCmax - Maximum Observed Concentration

Bioequivalence based on Cmax

Time frame:
Blood samples collected over 72 hour period
Reported as:
Mean · ng/mL
Cmax - Maximum Observed Concentration
ng/mLAlprazolamXanax®
Cmax - Maximum Observed Concentration24.33 ± 5.3723.62 ± 4.29
Statistical analysis
  • Alprazolam vs Xanax® · Geometric test/ref ratio x 100: 102.56 · 90% CI 98.74 to 106.52Bioequivalence is established when 90% Confidence Interval falls withi 80-125.
PrimaryAUC0-inf - Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated)

Bioequivalence based on AUC0-inf

Time frame:
Blood samples collected over 72 hour period
Reported as:
Mean · ng*h/mL
AUC0-inf - Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated)
ng*h/mLAlprazolamXanax®
AUC0-inf - Area Under the Concentration-time Curve From Time Zero to Infinity (Extrapolated)668.79 ± 250.55725.34 ± 291.34
Statistical analysis
  • Alprazolam vs Xanax® · Geometric test/ref ratio x 100: 92.88 · 90% CI 90.34 to 95.48Bioequivalence is established when 90% Confidence Interval falls within 80 - 125
PrimaryAUC0-t - Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant)

Bioequivalence based on AUC0-t

Time frame:
Blood samples collected over 72 hour period
Reported as:
Mean · ng*h/mL
AUC0-t - Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant)
ng*h/mLAlprazolamXanax®
AUC0-t - Area Under the Concentration-time Curve From Time Zero to Time of Last Non-zero Concentration (Per Participant)620.40 ± 213.87663.08 ± 226.97
Statistical analysis
  • Alprazolam vs Xanax® · Geometric test/ref ratio x 100: 93.92 · 90% CI 91.47 to 96.44Bioequivalence is established when 90% Confidence Interval falls within 80 - 125

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Alprazolam (Test) FirstXanax® (Reference) FirstTotal
<=18 years000
Between 18 and 65 years161632
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)Alprazolam (Test) FirstXanax® (Reference) FirstTotal
Female314
Male131528
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Alprazolam (Test) FirstXanax® (Reference) FirstTotal
White151227
Black011
Asian011
Native American or Alaskan Native123
Region of Enrollment
Region of Enrollment(participants)Alprazolam (Test) FirstXanax® (Reference) FirstTotal
United States161632
08

Study locations

2 sites
  • PRACS Institute, Ltd.
    East Grand Forks, Minnesota 56721, United States
  • PRACS Institute, Ltd.
    Fargo, North Dakota 58104, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00829426
Lead sponsor
Teva Pharmaceuticals USA
First posted
Jan 27, 2009
Start date
Jun 2005
Primary completion
Jun 2005
Completion
Jun 2005
Results posted
Jul 21, 2009
Last update
Sep 19, 2024

Study contacts

James D. Carlson, Pharm. D.
principal investigator · PRACS Institute, Ltd.

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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