A Phase 1 interventional study of Test formulation A and Reference formulation B in Infections, Bacterial, sponsored by GlaxoSmithKline. Completed at 1 site in South Africa. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-02-25.
Sponsored by GlaxoSmithKline · Phase 1, Interventional, and Treatment
This study is open-label, randomized two-way cross-over study to determine if cefixime 200 mg/5 mL powder for suspension (test formulation: SKF101804) is bioequivalent to cefixime 200 mg/5 mL suspension reference formulation. Study will be conducted in 28 healthy adult subjects under fasting conditions. There will be two treatment periods and each subject will participate in both periods. The washout period between both treatment periods will be 7-14 days. Subjects will be randomized to either of treatment sequences of reference followed by test or test followed by reference to receive a single dose of test or reference formulation on Day 1 in each treatment period. The study will last for 5 to 7 weeks.
Exclusion Criteria:
Subjects will be randomized to receive single dose of Test formulation (SKF101804: cefixime 200 mg/ 5 mL) on Day 1 of the treatment period 1 and Reference formulation (cefixime 200 mg/5 mL) on Day 1 of the treatment period 2. There will be wash out period of 7-14 days between the two treatment periods.
Drug: Test formulation A · Drug: Reference formulation B
Subjects will be randomized to receive single dose of Reference formulation (cefixime 200 mg/5 mL) on Day 1 of the treatment period 1 and Test formulation (SKF101804: cefixime 200 mg/ 5 mL) on Day 1 of the treatment period 2. There will be wash out period of 7-14 days between the two treatment periods.
Drug: Test formulation A · Drug: Reference formulation B
Test formulation: SKF101804 will be available as oral suspension supplied as powder for reconstitution (Off-white to cream coloured powder). Subjects will receive single dose of 5 mL of suspension thus receiving 200 mg dose of cefixime. The suspension is a white to off white viscous suspension with a fruit flavor and odor.
Reference formulation will be available as oral suspension supplied as powder for reconstitution (Off-white to cream coloured powder). Subjects will receive single dose of 5 mL of suspension thus receiving 200 mg dose of cefixime. The suspension is a white to off white viscous suspension with a strawberry flavor and odor.
Area Under the Concentration-time Curve From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration Within a Participant Across All Treatments (AUC [0-t]) for Cefixime
Blood samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of cefixime under fasted state. Pharmacokinetic analysis of cefixime was conducted using non-compartmental methods. Pharmacokinetic Population comprised of participants who completed the study and for whom primary pharmacokinetic parameters could be calculated for all treatment periods were included in the statistical pharmacokinetic analysis of the study.
Time frame: Pre-dose, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 7.0 8.0, 10.0, 12.0, 16.0 and 20.0 hours post dose on Day 1, 24.00 hours post dose on Day 2 of each treatment period
Maximum Observed Plasma Concentration (Cmax) Within a Participant Across All Treatments of Cefixime
Blood samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of cefixime under fasted state. Pharmacokinetic analysis of cefixime was conducted using non-compartmental methods.
Time frame: Pre-dose, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 7.0 8.0, 10.0, 12.0, 16.0 and 20.0 hours post dose on Day 1, 24.00 hours post dose on Day 2 of each treatment period
Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to (AUC [0-infinity]) Across All Treatments for Cefixime
Blood samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of cefixime under fasted state. Pharmacokinetic analysis of cefixime was conducted using non-compartmental methods.
Time frame: Pre-dose, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 7.0 8.0, 10.0, 12.0, 16.0 and 20.0 hours post dose on Day 1, 24.00 hours post dose on Day 2 of each treatment period
Time of Occurrence of Cmax (Tmax) for Cefixime
Blood samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of cefixime under fasted state. Pharmacokinetic analysis of ciprofloxacin was conducted using non-compartmental methods. Tmax of cefixime was analyzed using a nonparametric test to compute point estimate of the median and full range.
Time frame: Pre-dose, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 7.0 8.0, 10.0, 12.0, 16.0 and 20.0 hours post dose on Day 1, 24.00 hours post dose on Day 2 of each treatment period
Percentage of AUC(0-infinity) Obtained by Extrapolation (%AUCex) for Cefixime
Blood samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of cefixime under fasted state. Pharmacokinetic analysis of cefixime was conducted using non-compartmental methods.
Time frame: Pre-dose, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 7.0 8.0, 10.0, 12.0, 16.0 and 20.0 hours post dose on Day 1, 24.00 hours post dose on Day 2 of each treatment period
Terminal Phase Half-life (T1/2) for Cefixime
Blood samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of cefixime under fasted state. Pharmacokinetic analysis of cefixime was conducted using non-compartmental methods.
Time frame: Pre-dose, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 7.0 8.0, 10.0, 12.0, 16.0 and 20.0 hours post dose on Day 1, 24.00 hours post dose on Day 2 of each treatment period
Number of Participants With Non-serious Adverse Events (AE) and Serious Adverse Events (SAE)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. SAE is defined as any untoward medical occurrence that, at any dose results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/ incapacity, is a congenital anomaly/ birth defect or other situations. The analysis was performed on Safety Population which comprised of all randomized participants who received at least 1 dose of study treatment. Participants were analyzed according to the treatment they actually received.
Time frame: Up to Day 16 in each treatment period
Alanine Aminotransferase (ALT), Alkaline Phosphatase (ALP), and Aspartate Aminotransferase (AST) at Indicated Time-points
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for the analysis of clinical chemistry parameters including ALT, ALP and AST.
Time frame: Day -1 and Day 2 of each treatment period
Blood Urea Nitrogen (BUN) at Indicated Time-points
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for the analysis of BUN.
Time frame: Day -1 and Day 2 of each treatment period
Calcium, Glucose, Potassium and Sodium at Indicated Time-points
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for the analysis of clinical chemistry parameters including calcium, glucose, potassium and sodium.
Time frame: Day -1 and Day 2 of each treatment period
Total Bilirubin (Total Bil), Direct Bilirubin (Direct Bil) and Creatinine (Creat) at Indicated Time-points
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for the analysis of clinical chemistry parameters including total bil, direct bil and creat.
Time frame: Day -1 and Day 2 of each treatment period
Total Protein at Indicated Time-points
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for the analysis of total Protein.
Time frame: Day -1 and Day 2 of each treatment period
Platelets, Neutrophils, Monocytes, Lymphocytes, Leucocyte, Eosinophils and Basophils at Indicated Time-points
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for evaluation of hematology parameters including platelets, neutrophils, monocytes, lymphocytes, leucocyte, eosinophils and basophils.
Time frame: Day -1 and Day 2 of each treatment period
Mean Corpuscular Volume (MCV) at Indicated Time-points
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for evaluation of MCV.
Time frame: Day -1 and Day 2 of each treatment period
Mean Corpuscular Hemoglobin (MCH) at Indicated Time-points
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for evaluation of MCH.
Time frame: Day -1 and Day 2 of each treatment period
Erythrocyte Count at Indicated Time-points
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for evaluation of erythrocyte count.
Time frame: Day -1 and Day 2 of each treatment period
Hematocrit at Indicated Time-points
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for evaluation of hematocrit.
Time frame: Day -1 and Day 2 of each treatment period
Mean Corpuscular Hemoglobin Concentration (MCHC) and Hemoglobin (Hb) at Indicated Time-points
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for evaluation of hematology parameters including MCHC and Hb.
Time frame: Day -1 and Day 2 of each treatment period
Percent Reticulocytes at Indicated Time-points
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for evaluation of percent reticulocytes.
Time frame: Day -1 and Day 2 of each treatment period
Number of Participants With Potential Clinical Importance (PCI) Abnormal Findings for Urinalysis
Urine samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2. PCI ranges for urinalysis parameters were as follows: specific gravity 1.001 to 1.035 kilogram per liter, blood negative (0 to 9) RBC per microliter, pH 4.6 to 8.0, protein negative (0.0 to 0.14) gram per liter, glucose negative (0 to 5.49) millimoles per liter, ketones negative (0.0 to 0.49) millimoles per liter, urobilinogen (0.0 to 1.0) milligrams per deciliter, urine leucocytes negative (0 to 14) leucocytes per microliter, Urine WBC, RBC and epithelial cells 0 to 5 high power per field.
Time frame: Day -1 and Day 2 of each treatment period
Respiratory Rate at Indicated Time-points
Respiratory rate of participants was measured on Day 1 and Day 2 of each treatment period 1 and 2 in a supine position after 5 minutes rest.
Time frame: Day 1 Pre-dose 1.5 hours, Day 1 post-dose 2, 4, and 6 hours and Day 2 post-dose 24 hours of each treatment period
Pulse Rate at Indicated Time-points
Pulse rate of participants was measured on Day 1 and Day 2 of each treatment period 1 and 2 in a supine position after 5 minutes rest.
Time frame: Day 1 Pre-dose 1.5 hours, Day 1 post-dose 2, 4, and 6 hours and Day 2 post-dose 24 hours of each treatment period
Body Temperature at Indicated Time-points
Body temperature of participants was measured on Day 1 and Day 2 of each treatment period 1 and 2 in a supine position after 5 minutes rest.
Time frame: Day 1 Pre-dose 1.5 hours, Day 1 post-dose 2, 4, and 6 hours and Day 2 post-dose 24 hours of each treatment period
Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) at Indicated Time-points
Blood pressure of participants was measured on Day 1 and Day 2 of each treatment period 1 and 2 in a supine position after 5 minutes rest.
Time frame: Day 1 Pre-dose 1.5 hours, Day 1 post-dose 2, 4, and 6 hours and Day 2 post-dose 24 hours of each treatment period
This was an open-label, randomized, single-dose, two-period cross-over study to evaluate bioequivalence of SKF101804 Cefixime 200 milligram (mg)/5 milliliter (mL) suspension versus Cefixime 200 mg/5 mL suspension reference product in healthy adult participants under fasting conditions. Participants were enrolled at a single center in South Africa.
| Milestone | SKF101804 Cefixime Followed by Cefixime Reference Formulation | Cefixime Reference Formulation Followed by SKF101804 Cefixime |
|---|---|---|
| Started | 14 | 14 |
| Completed | 14 | 14 |
| Not completed | 0 | 0 |
| Milestone | SKF101804 Cefixime Followed by Cefixime Reference Formulation | Cefixime Reference Formulation Followed by SKF101804 Cefixime |
|---|---|---|
| Started | 14 | 14 |
| Completed | 14 | 14 |
| Not completed | 0 | 0 |
| Milestone | SKF101804 Cefixime Followed by Cefixime Reference Formulation | Cefixime Reference Formulation Followed by SKF101804 Cefixime |
|---|---|---|
| Started | 14 | 14 |
| Completed | 14 | 14 |
| Not completed | 0 | 0 |
Blood samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of cefixime under fasted state. Pharmacokinetic analysis of cefixime was conducted using non-compartmental methods. Pharmacokinetic Population comprised of participants who completed the study and for whom primary pharmacokinetic parameters could be calculated for all treatment periods were included in the statistical pharmacokinetic analysis of the study.
| Hour*nanogram per milliliter | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Area Under the Concentration-time Curve From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration Within a Participant Across All Treatments (AUC [0-t]) for Cefixime | 20000 ± 32.9 | 19000 ± 34.3 |
Blood samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of cefixime under fasted state. Pharmacokinetic analysis of cefixime was conducted using non-compartmental methods.
| Nanogram per milliliter | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Maximum Observed Plasma Concentration (Cmax) Within a Participant Across All Treatments of Cefixime | 2670 ± 29.4 | 2640 ± 30.5 |
Blood samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of cefixime under fasted state. Pharmacokinetic analysis of cefixime was conducted using non-compartmental methods.
| Hour*nanogram per milliliter | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to (AUC [0-infinity]) Across All Treatments for Cefixime | 20700 ± 31.8 | 19700 ± 33.3 |
Blood samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of cefixime under fasted state. Pharmacokinetic analysis of ciprofloxacin was conducted using non-compartmental methods. Tmax of cefixime was analyzed using a nonparametric test to compute point estimate of the median and full range.
| Hours | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Time of Occurrence of Cmax (Tmax) for Cefixime | 4.005 (2.50 to 6.02) | 4.005 (2.02 to 4.51) |
Blood samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of cefixime under fasted state. Pharmacokinetic analysis of cefixime was conducted using non-compartmental methods.
| Percentage of AUCex | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Percentage of AUC(0-infinity) Obtained by Extrapolation (%AUCex) for Cefixime | 3.24 ± 51.4 | 3.32 ± 67.8 |
Blood samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of cefixime under fasted state. Pharmacokinetic analysis of cefixime was conducted using non-compartmental methods.
| Hours | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Terminal Phase Half-life (T1/2) for Cefixime | 3.18 ± 15.0 | 3.13 ± 14.7 |
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. SAE is defined as any untoward medical occurrence that, at any dose results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/ incapacity, is a congenital anomaly/ birth defect or other situations. The analysis was performed on Safety Population which comprised of all randomized participants who received at least 1 dose of study treatment. Participants were analyzed according to the treatment they actually received.
| Participants | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Non-serious AEs | 0 | 0 |
| SAEs | 0 | 0 |
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for the analysis of clinical chemistry parameters including ALT, ALP and AST.
| Units per liter | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| ALT; Period 1; Day -1, 24 Hours Pre-dose | 16.6 ± 10.23 | 15.6 ± 5.67 |
| ALT; Period 1; Day 2, 24 Hours Post-dose | 13.6 ± 7.09 | 14.0 ± 5.76 |
| ALT; Period 2; Day -1, 24 Hours Pre-dose | 16.4 ± 8.98 | 16.7 ± 9.15 |
| ALT; Period 2; Day 2, 24 Hours Post-dose | 14.1 ± 7.07 | 14.9 ± 7.68 |
| ALP; Period 1; Day -1, 24 Hours Pre-dose | 80.4 ± 12.85 | 74.8 ± 18.25 |
| ALP; Period 1; Day 2, 24 Hours Post-dose | 75.5 ± 14.27 | 67.1 ± 15.23 |
| ALP; Period 2; Day -1, 24 Hours Pre-dose | 72.4 ± 17.58 | 80.9 ± 15.81 |
| ALP; Period 2; Day 2, 24 Hours Post-dose | 69.7 ± 16.96 | 76.9 ± 15.13 |
| AST; Period 1; Day -1, 24 Hours Pre-dose | 20.9 ± 4.40 | 20.6 ± 4.22 |
| AST; Period 1; Day 2, 24 Hours Post-dose | 16.7 ± 2.64 | 17.1 ± 3.45 |
| AST; Period 2; Day -1, 24 Hours Pre-dose | 20.5 ± 6.00 | 19.9 ± 4.57 |
| AST; Period 2; Day 2, 24 Hours Post-dose | 16.8 ± 3.75 | 17.8 ± 4.08 |
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for the analysis of BUN.
| Milligrams per deciliter | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Period 1; Day -1, 24 Hours Pre-dose | 10.354 ± 1.972 | 10.300 ± 4.120 |
| Period 1; Day 2, 24 Hours Post-dose | 12.945 ± 2.349 | 12.258 ± 2.664 |
| Period 2; Day -1, 24 Hours Pre-dose | 10.841 ± 3.571 | 11.844 ± 2.017 |
| Period 2; Day 2, 24 Hours Post-dose | 12.041 ± 2.166 | 12.796 ± 1.599 |
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for the analysis of clinical chemistry parameters including calcium, glucose, potassium and sodium.
| Millimoles per liter | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Calcium;Period 1;Day -1, 24 Hours Pre-dose | 2.393 ± 0.059 | 2.399 ± 0.134 |
| Calcium;Period 1;Day 2, 24 Hours Post-dose | 2.308 ± 0.068 | 2.304 ± 0.076 |
| Calcium;Period 2;Day -1, 24 Hours Pre-dose | 2.364 ± 0.099 | 2.376 ± 0.060 |
| Calcium;Period 2;Day 2, 24 Hours Post-dose | 2.351 ± 0.087 | 2.378 ± 0.081 |
| Glucose;Period 1;Day -1, 24 Hours Pre-dose | 4.684 ± 0.256 | 4.616 ± 0.267 |
| Glucose;Period 1;Day 2, 24 Hours Post-dose | 4.728 ± 0.229 | 4.676 ± 0.295 |
| Glucose;Period 2;Day -1, 24 Hours Pre-dose | 4.521 ± 0.347 | 4.571 ± 0.404 |
| Glucose;Period 2;Day 2, 24 Hours Post-dose | 4.851 ± 0.375 | 4.812 ± 0.278 |
| Sodium;Period 1;Day -1, 24 Hours Pre-dose | 143.86 ± 1.460 | 145.00 ± 1.414 |
| Sodium;Period 1;Day 2, 24 Hours Post-dose | 141.07 ± 1.439 | 141.43 ± 1.604 |
| Sodium;Period 2;Day -1, 24 Hours Pre-dose | 141.21 ± 1.251 | 141.50 ± 1.912 |
| Sodium;Period 2;Day 2, 24 Hours Post-dose | 139.43 ± 1.089 | 139.64 ± 1.550 |
| Potassium;Period1;Day -1, 24 Hours Pre-dose | 4.634 ± 0.457 | 4.404 ± 0.316 |
| Potassium;Period1;Day 2, 24 Hours Post-dose | 4.522 ± 0.444 | 4.286 ± 0.206 |
| Potassium;Period 2;Day -1, 24 Hours Pre-dose | 4.371 ± 0.220 | 4.521 ± 0.346 |
| Potassium;Period 2;Day 2, 24 Hours Post-dose | 4.269 ± 0.334 | 4.555 ± 0.402 |
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for the analysis of clinical chemistry parameters including total bil, direct bil and creat.
| Micromoles per liter | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Creat; Period 1; Day -1, 24 Hours Pre-dose | 82.4 ± 15.29 | 83.4 ± 15.45 |
| Creat; Period 1; Day 2, 24 Hours Post-dose | 79.9 ± 12.00 | 85.9 ± 15.59 |
| Creat; Period 2; Day -1, 24 Hours Pre-dose | 81.1 ± 14.31 | 78.5 ± 14.21 |
| Creat; Period 2; Day 2, 24 Hours Post-dose | 83.9 ± 15.33 | 78.4 ± 12.71 |
| Total bil; Period1;Day -1, 24 Hours Pre-dose | 10.14 ± 4.633 | 10.99 ± 6.235 |
| Total bil; Period1;Day 2, 24 Hours Post-dose | 6.83 ± 3.004 | 8.10 ± 6.191 |
| Total bil; Period2;Day -1, 24 Hours Pre-dose | 9.90 ± 7.205 | 8.22 ± 3.516 |
| Total bil; Period2;Day 2, 24 Hours Post-dose | 6.47 ± 3.749 | 6.16 ± 2.843 |
| Direct bil; Period1;Day -1, 24 Hours Pre-dose | 3.68 ± 1.294 | 4.01 ± 1.794 |
| Direct bil; Period1;Day 2, 24 Hours Post-dose | 2.65 ± 0.959 | 2.93 ± 1.630 |
| Direct bil; Period2;Day -1, 24 Hours Pre-dose | 3.58 ± 1.945 | 3.12 ± 1.057 |
| Direct bil; Period2;Day 2, 24 Hours Post-dose | 2.55 ± 1.149 | 2.49 ± 0.972 |
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for the analysis of total Protein.
| Grams per liter | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Period 1; Day -1, 24 Hours Pre-dose | 74.34 ± 3.354 | 74.77 ± 4.725 |
| Period 1; Day 2, 24 Hours Post-dose | 67.90 ± 3.295 | 67.97 ± 2.635 |
| Period 2; Day -1, 24 Hours Pre-dose | 73.76 ± 3.995 | 72.57 ± 3.886 |
| Period 2; Day 2, 24 Hours Post-dose | 67.64 ± 3.181 | 67.89 ± 4.211 |
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for evaluation of hematology parameters including platelets, neutrophils, monocytes, lymphocytes, leucocyte, eosinophils and basophils.
| 10^9 cells per liter | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Basophil; Period 1;Day -1, 24 Hours Pre-dose | 0.023 ± 0.017 | 0.022 ± 0.013 |
| Basophil; Period 1;Day 2, 24 Hours Post-dose | 0.024 ± 0.012 | 0.025 ± 0.011 |
| Basophil; Period 2;Day -1, 24 Hours Pre-dose | 0.026 ± 0.012 | 0.029 ± 0.025 |
| Basophil; Period 2;Day 2, 24 Hours Post-dose | 0.024 ± 0.012 | 0.022 ± 0.026 |
| Eosinophil; Period 1;Day-1, 24 Hours Pre-dose | 0.136 ± 0.130 | 0.182 ± 0.157 |
| Eosinophil; Period 1;Day 2, 24 Hours Post-dose | 0.146 ± 0.130 | 0.204 ± 0.199 |
| Eosinophil; Period 2; Day -1, 24 Hours Pre-dose | 0.231 ± 0.230 | 0.139 ± 0.144 |
| Eosinophil; Period 2; Day 2, 24 Hours Post-dose | 0.253 ± 0.245 | 0.156 ± 0.182 |
| Leucocyte; Period 1;Day-1,24 Hours Pre-dose | 5.458 ± 1.643 | 5.752 ± 0.907 |
| Leucocyte; Period 1;Day 2,24 Hours Post-dose | 5.369 ± 1.535 | 5.394 ± 1.019 |
| Leucocyte; Period 2;Day -1,24 Hours Pre-dose | 5.736 ± 1.168 | 5.463 ± 1.388 |
| Leucocyte; Period 2;Day 2,24 Hours Post-dose | 5.887 ± 1.216 | 5.477 ± 1.571 |
| Lymphocyte; Period 1;Day -1,24 Hours Pre-dose | 2.127 ± 0.562 | 2.154 ± 0.493 |
| Lymphocyte; Period 1;Day 2,24 Hours Post-dose | 1.916 ± 0.453 | 2.039 ± 0.459 |
| Lymphocyte; Period 2;Day -1,24 Hours Pre-dose | 2.328 ± 0.573 | 2.141 ± 0.409 |
| Lymphocyte; Period 2;Day 2,24 Hours Post-dose | 2.186 ± 0.431 | 1.956 ± 0.486 |
| Monocytes; Period 1;Day -1,24 Hours Pre-dose | 0.480 ± 0.123 | 0.470 ± 0.127 |
| Monocytes; Period 1;Day 2,24 Hours Post-dose | 0.464 ± 0.142 | 0.459 ± 0.125 |
| Monocytes; Period 2;Day -1,24 Hours Pre-dose | 0.461 ± 0.146 | 0.497 ± 0.126 |
| Monocytes; Period 2;Day 2,24 Hours Post-dose | 0.475 ± 0.160 | 0.457 ± 0.122 |
| Neutrophils;Period 1;Day -1,24 Hours Pre-dose | 2.692 ± 1.293 | 2.924 ± 0.706 |
| Neutrophils;Period 1;Day 2,24 Hours Post-dose | 2.820 ± 1.289 | 2.667 ± 0.667 |
| Neutrophils;Period 2;Day -1,24 Hours Pre-dose | 2.691 ± 0.697 | 2.657 ± 1.162 |
| Neutrophils;Period 2;Day 2,24 Hours Post-dose | 2.949 ± 0.848 | 2.885 ± 1.204 |
| Platelet; Period 1;Day -1,24 Hours Pre-dose | 288.9 ± 61.98 | 264.4 ± 60.63 |
| Platelet; Period 1;Day 2,24 Hours Post-dose | 281.2 ± 65.74 | 244.5 ± 64.60 |
| Platelet; Period 2;Day -1,24 Hours Pre-dose | 264.6 ± 61.65 | 289.6 ± 72.29 |
| Platelet; Period 2;Day 2,24 Hours Post-dose | 245.0 ± 56.04 | 274.2 ± 68.61 |
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for evaluation of MCV.
| Femtoliter | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Period 1; Day -1, 24 Hours Pre-dose | 85.73 ± 2.834 | 84.86 ± 4.946 |
| Period 1; Day 2, 24 Hours Post-dose | 85.30 ± 2.796 | 84.50 ± 4.895 |
| Period 2; Day -1, 24 Hours Pre-dose | 84.83 ± 4.975 | 85.97 ± 2.903 |
| Period 2; Day 2, 24 Hours Post-dose | 84.46 ± 4.878 | 85.41 ± 2.847 |
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for evaluation of MCH.
| Picogram | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Period 1; Day -1, 24 Hours Pre-dose | 29.58 ± 1.212 | 29.44 ± 2.140 |
| Period 1; Day 2, 24 Hours Post-dose | 29.75 ± 1.295 | 29.51 ± 2.190 |
| Period 2; Day -1, 24 Hours Pre-dose | 29.40 ± 2.242 | 29.68 ± 1.207 |
| Period 2; Day 2, 24 Hours Post-dose | 29.54 ± 2.112 | 29.75 ± 1.320 |
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for evaluation of erythrocyte count.
| 10^12 cells per liter | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Period 1; Day -1, 24 Hours Pre-dose | 5.104 ± 0.451 | 5.020 ± 0.480 |
| Period 1; Day 2, 24 Hours Post-dose | 4.952 ± 0.387 | 4.871 ± 0.424 |
| Period 2; Day -1, 24 Hours Pre-dose | 5.006 ± 0.366 | 4.971 ± 0.473 |
| Period 2; Day 2, 24 Hours Post-dose | 4.838 ± 0.433 | 4.906 ± 0.494 |
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for evaluation of hematocrit.
| Proportion of red blood cells in blood | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Period 1; Day -1, 24 Hours Pre-dose | 0.437 ± 0.036 | 0.426 ± 0.043 |
| Period 1; Day 2, 24 Hours Post-dose | 0.422 ± 0.033 | 0.411 ± 0.038 |
| Period 2; Day -1, 24 Hours Pre-dose | 0.424 ± 0.029 | 0.427 ± 0.040 |
| Period 2; Day 2, 24 Hours Post-dose | 0.408 ± 0.036 | 0.419 ± 0.041 |
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for evaluation of hematology parameters including MCHC and Hb.
| Grams per deciliter | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| MCHC; Period 1; Day -1, 24 Hours Pre-dose | 34.52 ± 1.030 | 34.68 ± 0.957 |
| MCHC; Period 1; Day 2, 24 Hours Post-dose | 34.88 ± 1.084 | 34.89 ± 1.100 |
| MCHC; Period 2; Day -1, 24 Hours Pre-dose | 34.64 ± 1.100 | 34.54 ± 0.880 |
| MCHC; Period 2; Day 2, 24 Hours Post-dose | 34.95 ± 1.097 | 34.82 ± 1.062 |
| Hb; Period 1;Day -1, 24 Hours Pre-dose | 15.11 ± 1.554 | 14.79 ± 1.833 |
| Hb; Period 1;Day 2, 24 Hours Post-dose | 14.74 ± 1.391 | 14.38 ± 1.623 |
| Hb; Period 2;Day -1, 24 Hours Pre-dose | 14.70 ± 1.381 | 14.76 ± 1.591 |
| Hb; Period 2;Day 2, 24 Hours Post-dose | 14.29 ± 1.578 | 14.60 ± 1.708 |
Blood samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2 for evaluation of percent reticulocytes.
| Percentage of reticulocytes | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Period 1; Day -1, 24 Hours Pre-dose | 1.786 ± 0.361 | 1.700 ± 0.346 |
| Period 1; Day 2, 24 Hours Post-dose | 1.757 ± 0.384 | 1.571 ± 0.297 |
| Period 2; Day -1, 24 Hours Pre-dose | 1.729 ± 0.397 | 1.886 ± 0.335 |
| Period 2; Day 2, 24 Hours Post-dose | 2.350 ± 2.176 | 1.743 ± 0.361 |
Urine samples were collected from participants on Day -1 and Day 2 of each treatment period 1 and 2. PCI ranges for urinalysis parameters were as follows: specific gravity 1.001 to 1.035 kilogram per liter, blood negative (0 to 9) RBC per microliter, pH 4.6 to 8.0, protein negative (0.0 to 0.14) gram per liter, glucose negative (0 to 5.49) millimoles per liter, ketones negative (0.0 to 0.49) millimoles per liter, urobilinogen (0.0 to 1.0) milligrams per deciliter, urine leucocytes negative (0 to 14) leucocytes per microliter, Urine WBC, RBC and epithelial cells 0 to 5 high power per field.
| Participants | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Number of Participants With Potential Clinical Importance (PCI) Abnormal Findings for Urinalysis | 0 | 0 |
Respiratory rate of participants was measured on Day 1 and Day 2 of each treatment period 1 and 2 in a supine position after 5 minutes rest.
| Breaths per minute | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Period 1; Day 1, 1.5 Hours Pre-dose | 15.0 ± 1.11 | 15.7 ± 0.73 |
| Period 1; Day 1, 2 Hours Post-dose | 17.3 ± 2.02 | 17.0 ± 2.69 |
| Period 1; Day 1, 4 Hours Post-dose | 15.5 ± 2.10 | 14.2 ± 1.25 |
| Period 1; Day 1, 6 Hours Post-dose | 15.0 ± 2.00 | 14.8 ± 0.97 |
| Period 1; Day 2, 24 Hours Post-dose | 15.9 ± 2.14 | 16.1 ± 2.95 |
| Period 2; Day 1, 1.5 Hours Pre-dose | 15.8 ± 1.19 | 15.6 ± 0.74 |
| Period 2; Day 1, 2 Hours Post-dose | 18.4 ± 1.65 | 18.2 ± 1.72 |
| Period 2; Day 1, 4 Hours Post-dose | 16.7 ± 3.10 | 18.4 ± 1.65 |
| Period 2; Day 1, 6 Hours Post-dose | 17.9 ± 1.46 | 19.0 ± 1.04 |
| Period 2; Day 2, 24 Hours Post-dose | 16.2 ± 1.25 | 16.0 ± 2.22 |
Pulse rate of participants was measured on Day 1 and Day 2 of each treatment period 1 and 2 in a supine position after 5 minutes rest.
| Beats per minute | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Period 1; Day 1, 1.5 Hours Pre-dose | 67.0 ± 7.95 | 58.1 ± 8.76 |
| Period 1; Day 1, 2 Hours Post-dose | 61.0 ± 8.17 | 55.1 ± 8.32 |
| Period 1; Day 1, 4 Hours Post-dose | 61.9 ± 7.44 | 55.6 ± 7.49 |
| Period 1; Day 1, 6 Hours Post-dose | 75.0 ± 8.74 | 67.2 ± 12.97 |
| Period 1; Day 2, 24 Hours Post-dose | 66.5 ± 10.26 | 54.3 ± 7.22 |
| Period 2; Day 1, 1.5 Hours Pre-dose | 57.9 ± 9.08 | 65.1 ± 6.85 |
| Period 2; Day 1, 2 Hours Post-dose | 54.1 ± 8.88 | 63.1 ± 8.87 |
| Period 2; Day 1, 4 Hours Post-dose | 56.6 ± 8.67 | 62.8 ± 7.92 |
| Period 2; Day 1, 6 Hours Post-dose | 68.5 ± 14.09 | 75.1 ± 8.82 |
| Period 2; Day 2, 24 Hours Post-dose | 59.2 ± 7.59 | 67.1 ± 8.62 |
Body temperature of participants was measured on Day 1 and Day 2 of each treatment period 1 and 2 in a supine position after 5 minutes rest.
| Degree Celsius | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| Period 1; Day 1, 1.5 Hours Pre-dose | 36.19 ± 0.305 | 36.27 ± 0.336 |
| Period 1; Day 1, 2 Hours Post-dose | 36.38 ± 0.333 | 36.23 ± 0.261 |
| Period 1; Day 1, 4 Hours Post-dose | 36.48 ± 0.336 | 36.59 ± 0.352 |
| Period 1; Day 1, 6 Hours Post-dose | 36.64 ± 0.303 | 36.79 ± 0.202 |
| Period 1; Day 2, 24 Hours Post-dose | 36.29 ± 0.317 | 36.24 ± 0.365 |
| Period 2; Day 1, 1.5 Hours Pre-dose | 36.28 ± 0.372 | 36.29 ± 0.317 |
| Period 2; Day 1, 2 Hours Post-dose | 36.51 ± 0.400 | 36.42 ± 0.404 |
| Period 2; Day 1, 4 Hours Post-dose | 36.58 ± 0.347 | 36.51 ± 0.243 |
| Period 2; Day 1, 6 Hours Post-dose | 36.10 ± 0.421 | 36.63 ± 0.300 |
| Period 2; Day 2, 24 Hours Post-dose | 36.30 ± 0.321 | 36.11 ± 0.434 |
Blood pressure of participants was measured on Day 1 and Day 2 of each treatment period 1 and 2 in a supine position after 5 minutes rest.
| Millimeters of mercury | SKF101804 Cefixime | Cefixime Reference Formulation |
|---|---|---|
| SBP, Period 1; Day 1, 1.5 Hours Pre-dose | 110.6 ± 8.22 | 110.9 ± 6.39 |
| SBP, Period 1; Day 1, 2 Hours Post-dose | 113.4 ± 7.30 | 111.3 ± 8.68 |
| SBP, Period 1; Day 1, 4 Hours Post-dose | 112.3 ± 8.39 | 112.1 ± 4.25 |
| SBP, Period 1; Day 1, 6 Hours Post-dose | 111.6 ± 7.17 | 108.6 ± 6.46 |
| SBP, Period 1; Day 2, 24 Hours Post-dose | 110.9 ± 6.86 | 115.4 ± 7.00 |
| SBP, Period 2; Day 1, 1.5 Hours Pre-dose | 110.4 ± 3.97 | 111.2 ± 10.09 |
| SBP, Period 2; Day 1, 2 Hours Post-dose | 113.1 ± 6.24 | 112.7 ± 10.94 |
| SBP, Period 2; Day 1, 4 Hours Post-dose | 112.6 ± 8.53 | 111.1 ± 9.79 |
| SBP, Period 2; Day 1, 6 Hours Post-dose | 109.6 ± 7.14 | 109.5 ± 8.98 |
| SBP, Period 2; Day 2, 24 Hours Post-dose | 113.1 ± 6.24 | 113.6 ± 9.05 |
| DBP, Period 1; Day 1, 1.5 Hours Pre-dose | 62.9 ± 6.59 | 64.1 ± 7.76 |
| DBP, Period 1; Day 1, 2 Hours Post-dose | 62.9 ± 7.69 | 60.9 ± 6.38 |
| DBP, Period 1; Day 1, 4 Hours Post-dose | 62.5 ± 5.43 | 63.3 ± 6.94 |
| DBP, Period 1; Day 1, 6 Hours Post-dose | 59.3 ± 3.89 | 59.6 ± 5.09 |
| DBP, Period 1; Day 2, 24 Hours Post-dose | 63.0 ± 6.80 | 66.2 ± 7.65 |
| DBP, Period 2; Day 1, 1.5 Hours Pre-dose | 111.2 ± 10.09 | 61.8 ± 7.20 |
| DBP, Period 2; Day 1, 2 Hours Post-dose | 66.2 ± 7.65 | 63.1 ± 9.12 |
| DBP, Period 2; Day 1, 4 Hours Post-dose | 63.5 ± 8.55 | 62.6 ± 8.21 |
| DBP, Period 2; Day 1, 6 Hours Post-dose | 59.4 ± 4.97 | 60.2 ± 7.79 |
| DBP, Period 2; Day 2, 24 Hours Post-dose | 63.9 ± 7.41 | 67.7 ± 7.90 |
Collected over Serious adverse events (SAEs) and Non-serious adverse events (Non-SAEs) were collected from the start of the study treatment up to Day 16 in each treatment period.. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| SKF101804 Cefixime | 0/28 (0%) | 0/28 (0%) | 0/28 (0%) |
| Cefixime Reference Formulation | 0/28 (0%) | 0/28 (0%) | 0/28 (0%) |
| Age, Continuous(Years) | All Participants |
|---|---|
| Mean | 28.9 ± 7.90 |
| Sex: Female, Male(Participants) | All Participants |
|---|---|
| Female | 7 |
| Male | 21 |
| Race/Ethnicity, Customized(Participants) | All Participants |
|---|---|
| Mixed Race | 3 |
| White/Caucasian/European Heritage | 4 |
| Black or African American | 21 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — IPD for this study will be made available via the Clinical Study Data Request site.
Supporting information: Study protocol, Icf, Csr
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