CClinicalTrials.gg
CompletedNCT01704898efv600Updated Aug 14, 2013

Efavirenz Comparative Bioavailability

A Phase 4 interventional study of Efavirenz 600 Test-Stocrin 600 Reference and Stocrin 600 Reference-Efavirenz 600 Test in Healthy, sponsored by Center for Clinical Pharmacology Research Bdbeq S.A.. Completed at 1 site in Uruguay. Open to male participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2013-08-14.

Sponsored by Center for Clinical Pharmacology Research Bdbeq S.A. · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
12
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Male
01

Study summary

The primary objective of this study is to determine the average bioequivalence of a generic efavirenz 600 mg tablet (test formulation)compared with Stocrin(R) 600 mg tablets (Reference formulation).The study is designed as an open label, randomized, crossover, 2-treatments, 2-period, 2-sequence, single dose pharmacokinetic study conducted in healthy volunteers. Subjects will be randomized to receive generic efavirenz 600 (Test formulation) or Stocrin(R) 600 tablets (Reference formulation)on study day 1 (period 1). Subjects will undergo a 24 hour intensive pharmacokinetic evaluation after ingesting a single dose of either the Test or Reference formulation. Subjects will provide additional pharmacokinetic samples 36, 48, 72, 120 and 192 hours postdose, respectively. Subjects will complete a wash out period from day 8 to day 28 during wich no study drug will be ingested. On day 29 subjects will ingest either the Test or the Reference formulation (opposite to the formulation received on period 1). All subjects undergo another 24 hour intensive pharmacokinetic evaluation and pharmacokinetics samples on days 36, 48, 72, 120, 192 pos dose, respectively. Adverse events and and concomitant medication will be documented throughout the study.

Read the detailed description

The primary objective of this study is to determine the average bioequivalence of generic efavirenz 600 mg tablet (test formulation)compared with Stocrin(R) 600 mg tablets (Reference formulation).The study is designed as an open label, randomized, crossover, 2-treatments, 2-period, 2-sequence, single dose pharmacokinetic study conducted in healthy volunteers.

Subjects will be randomized to receive generic efavirenz 600 (Test formulation) or Stocrin(R) 600 tablets (Reference formulation)on study day 1 (period 1), then they will undergo a 24 hour intensive pharmacokinetic evaluation after ingesting a single dose of either the Test or Reference formulation. Additional pharmacokinetic samples 36, 48, 72, 120 and 192 hours postdose will be drawn.

Subjects will complete a wash out period form day 8 to day 28 during which no study drug will be ingested. On day 29 (period 2) they will ingest either the Test or the Reference formulation (opposite to the formulation received on period 1). All subjects undergo another 24 hour intensive pharmacokinetic evaluation and pharmacokinetics samples on days 36, 48, 72, 120, 192 pos-dose, respectively, will be drawn. Adverse events and concomitant medication will be documented throughout the study.

The sample size is 28 and is based on a 15% dropout rate (due to lost to follow-up, treatment discontinuation, etc.) Since the investigators are expecting four subjects not to complete the study,24 evaluable subjects are finally expected. If the discontinuation rate is greater than 15%, the investigators will continue to enroll until they get 24 evaluable subjects.

The primary endpoint is to determine average bioequivalence for Test and Reference formulation of efavirenz according to the FDA guidance on bioequivalence testing. The ratio of the Test to Reference formulation mean for efavirenz AUC0-192, AUC0-inf and Cmax and the 90% confidence interval around each mean ratio will be determined. Average bioequivalence will be met if 90% confidence interval around de AUC and Cmax mean ratios for efavirenz falls within the FDA's predefined limits of 0.80 to 1.25.

Safety will be evaluated by administering a questionnaire to the subjects during the study . This questionnaire will list the most frequent adverse effects already described for the innovator (Stocrin(R)). Safety will also be evaluated from vital signs recordings, lab tests out of the limits fixed in the study protocol and Psychiatric Evaluations during screening, in the wash out period and 15 days after the last administration of the study medication.

02

Conditions studied

  • Healthy

Keywords

  • efavirenz
  • bioequivalence
  • fasting
  • healthy volunteers
03

In context

Lead sponsor

Center for Clinical Pharmacology Research Bdbeq S.A. is the lead sponsor of 4 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

  • Male,
  • Caucasians
  • Age >=18 and \<=50,
  • BMI>18 and BMI\<30 kg/m2
  • HIV-1 negative, B Hepatitis negative, C Hepatitis negative.
  • Able to give consent,
  • Non/light-smoking,
  • Lab screening and EKG within the limits stipulated in the protocol.
  • Healthy as determine by medical examination.

Exclusion criteria

Exclusion Criteria:

  • Subjects with any current or past history of psychiatric disorder.
  • Subjects receiving any prescription or over-the-counter product.
  • Subjects using any form of recreational drug.
  • Subjects who has eaten grapefruit or drunk grapefruit juice during the last 15 days before administration of study drug.
  • Subjects who had had xanthine containing beverages (mate, coffee, tea, chocolate, etc.) during 48 ours previous to study drug administration.
  • Subjects with history of hepatic disease, renal disease, GI diseases, chronic infectious disease, heart disease, lung disease, neurologic disease, endocrine disease, etc.
  • Subjects suffering any acute disease at screening or check-in.
  • Alanine S. Transaminase(AST)/Alanine L. Transaminase(ALT) > 3 times upper limit of normal (ULN).
  • Bilirubin > 2.5 times ULN.
  • Amylase > 2 times ULN.
  • Absolute Neutrophil Count \<1000/mL.
  • Hgb \< 9.0 g/dl.
  • Platelets > 50.000 cell/mm3,
  • Serum Creatinine > 2.5 mg/dl
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Investigator)
Enrollment
12 participants (actual)

Study arms

  • Other
    Efavirenz 600 Test-Stocrin 600 Reference

    Efavirenz 600 mg will be randomly assigned.

    Drug: Efavirenz 600 Test-Stocrin 600 Reference

  • Other
    Stocrin 600 Reference-Efavirenz 600 Test

    Stocrin 600 mg will be randomly assigned.

    Drug: Stocrin 600 Reference-Efavirenz 600 Test

Interventions

  • DrugEfavirenz 600 Test-Stocrin 600 Reference
  • DrugStocrin 600 Reference-Efavirenz 600 Test
06

What researchers measure

Primary outcomes

  1. Area Under the Curve for efavirenz (AUC0-192)

    The area under the concentration-time curve (AUC0-192) for efavirenz in a time frame of 8 days.

    Time frame: 0 to 192 h

  2. Maximum Concentration for efavirenz (Cmax)

    The maximum concentration taken form the curve concentration vs. time for efavirenz.

    Time frame: 0 to 192 h

  3. Area Under the Curve 0 to infinity for efavirenz (AUC0-inf)

    Area under the concentration-time curve from time 0 to infinity for efavirenz.

    Time frame: 0 to infinity

Secondary outcomes

  1. Time to the Cmax for efavirenz (tmax)

    It is the time elapsed from 0 time to the Cmax time for efavirenz

    Time frame: 0 to 192 h

Other outcomes

  1. First order elimination rate constant for efavirenz (Ke)

    It is the firs order efavirenz elimination rate constant, calculated from the final elimination phase of the curve concentration vs. time.

    Time frame: 0 to 192 h

  2. Elimination Half Life (T1/2e)

    This outcome measures the rate of drug elimination form the body.

    Time frame: 0-92 h

07

Study locations

1 site
  • Center for Cllinical Pharmacology Research-Bdbeq S.A.
    Montevideo, 11600, Uruguay
08

References and documents

Publications

  • Kaul S, Ji P, Lu M, Nguyen KL, Shangguan T, Grasela D. Bioavailability in healthy adults of efavirenz capsule contents mixed with a small amount of food. Am J Health Syst Pharm. 2010 Feb 1;67(3):217-22. doi: 10.2146/ajhp090327. PubMed 20101064 ↗
  • Mathias AA, Hinkle J, Menning M, Hui J, Kaul S, Kearney BP; Efavirenz/Emtricitabine/Tenofovir Disoproxil Fumarate Single-Tablet Regimen Development Team. Bioequivalence of efavirenz/emtricitabine/tenofovir disoproxil fumarate single-tablet regimen. J Acquir Immune Defic Syndr. 2007 Oct 1;46(2):167-73. doi: 10.1097/QAI.0b013e3181427835. PubMed 17667331 ↗
  • Frampton JE, Croom KF. Efavirenz/emtricitabine/tenofovir disoproxil fumarate: triple combination tablet. Drugs. 2006;66(11):1501-12; discussion 1513-4. doi: 10.2165/00003495-200666110-00012. PubMed 16906786 ↗
  • Marier JF, Morin I, Al-Numani D, Stiles M, Morelli G, Tippabhotla SK, Vijan T, Singla AK, Garg M, Di Marco M, Monif T. Comparative bioavailability of a generic capsule formulation of the reverse transcriptase inhibitor efavirenz and the innovator product. Int J Clin Pharmacol Ther. 2006 Apr;44(4):180-4. doi: 10.5414/cpp44180. PubMed 16625987 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 14, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01704898
Lead sponsor
Center for Clinical Pharmacology Research Bdbeq S.A.
Collaborators
University of the Republic, Uruguay
Responsible party
Francisco E. Estevez-Carrizo, M.D. (Chief Medical Officer, Center for Clinical Pharmacology Research Bdbeq S.A.) — Principal investigator
First posted
Oct 12, 2012
Start date
Apr 2013
Primary completion
Jun 2013
Completion
Aug 2013
Last update
Aug 14, 2013

Study contacts

Francisco E. Estevez, M.D.
principal investigator · Center for Clinical Pharmacology Research Bdbeq S.A.

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2013. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion