A Phase 1 interventional study of Reference Eutirox® and Test Eutirox® in Healthy, sponsored by Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany. Completed at 1 site in Mexico. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-02-05.
Sponsored by Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany · Phase 1, Interventional, and Other
The study investigated the bioequivalence between the new and the approved formulation for levothyroxine.
Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany is the lead sponsor of 55 studies on the registry; 5 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants received single oral dose of Reference Eutirox® 600 microgram (mcg) (3 tablets of 200 mcg) in Treatment Period 1 followed by single oral dosing of Test Eutirox® 600 mcg (3 tablets of 200 mcg) in Treatment Period 2. A wash-out period of 35 days was maintained between the Treatment Periods 1 and 2.
Drug: Reference Eutirox® · Drug: Test Eutirox®
Participants received single oral dose of Test Eutirox® 600 mcg (3 tablets of 200 mcg) in Treatment Period 1 followed by single oral dosing of Reference Eutirox® 600 mcg (3 tablets of 200 mcg) in Treatment Period 2. A wash-out period of 35 days was maintained between the Treatment Periods 1 and 2.
Drug: Reference Eutirox® · Drug: Test Eutirox®
Participants received single oral dose of Reference Eutirox® 600 microgram (3 tablets of 200 microgram) either in treatment period 1 or 2.
Participants received single oral dose of Test Eutirox® 600 microgram (3 tablets of 200 microgram) either in treatment 1 or 2.
Maximum Serum Concentration in Pre Dose Corrected Data (Cmax[aj]) of Levothyroxine (T4)
Cmax was obtained from the concentration time curve. Cmax\[aj\] was the maximum serum concentration in pre dose corrected data where pre dose corrected data was obtained by subtracting pre dose level of Levothyroxine (T4) from level of Levothyroxine (T4) after administration.
Time frame: Pre-dose, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.25, 3.5, 3.75, 4.0, 4.25, 4.5, 4.75, 5.0, 5.5, 6.0, 6.5, 8.0, 10.0, 12.0, 24.0, 36.0 and 48.0 hours post-dose
Area Under Serum Concentration-Time Curve From Time Zero to The Last Sampling Time in Pre Dose Corrected Data (AUC0-t [aj]) of Levothyroxine (T4)
AUC0-t was defined as area under the curve of the serum concentration as a function of time, from time 0 until the last sampling time by means of the trapezoidal rule. AUC0-t \[aj\] was the area under the serum concentration-time curve from time zero to the last sampling time in pre dose corrected data where pre dose corrected data was obtained by subtracting pre dose level of Levothyroxine (T4) from level of Levothyroxine (T4) after administration.
Time frame: Pre-dose, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.25, 3.5, 3.75, 4.0, 4.25, 4.5, 4.75, 5.0, 5.5, 6.0, 6.5, 8.0, 10.0, 12.0, 24.0, 36.0 and 48.0 hours post-dose
Time to Reach Maximum Serum Concentration (Tmax) of Levothyroxine (T4)
Tmax was obtained directly from serum concentration-time curve.
Time frame: Pre-dose, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.25, 3.5, 3.75, 4.0, 4.25, 4.5, 4.75, 5.0, 5.5, 6.0, 6.5, 8.0, 10.0, 12.0, 24.0, 36.0 and 48.0 hours post-dose
Elimination Half-Life (t1/2) of Levothyroxine (T4)
t1/2 was the time measured for the concentration to decrease by one half. Terminal half-life calculated by natural log 2 divided by elimination constant.
Time frame: Pre-dose, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.25, 3.5, 3.75, 4.0, 4.25, 4.5, 4.75, 5.0, 5.5, 6.0, 6.5, 8.0, 10.0, 12.0, 24.0, 36.0 and 48.0 hours post-dose
Area Under The Curve of the Serum Concentration as a Function of Time, From Time Zero to The Last Sampling Time (AUC0-t) of Levothyroxine (T4)
Area under the serum concentration versus time curve from time zero to the last sampling time t at which the concentration was at or above the lower limit of quantification (LLOQ).
Time frame: Pre-dose, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.25, 3.5, 3.75, 4.0, 4.25, 4.5, 4.75, 5.0, 5.5, 6.0, 6.5, 8.0, 10.0, 12.0, 24.0, 36.0 and 48.0 hours post-dose
Maximum Serum Concentration (Cmax) of Levothyroxine (T4)
Cmax was obtained directly from the concentration versus time curve.
Time frame: Pre-dose, 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.25, 3.5, 3.75, 4.0, 4.25, 4.5, 4.75, 5.0, 5.5, 6.0, 6.5, 8.0, 10.0, 12.0, 24.0, 36.0 and 48.0 hours post-dose
Number of Participants With Clinically Significant Abnormalities in Physical Examination
Physical examination included assessments of the general appearance, skin and mucosa, superficial lymph nodes, head and neck, chest, abdomen, musculoskeletal, and neurological systems. Number of participants with clinically significant abnormalities in physical examination findings were reported. Investigator decided clinical significance.
Time frame: Baseline up to Day 37
Number of Participants With Clinically Significant Abnormalities in Vital Signs
Vital sign assessment included blood pressure, pulse rate, body temperature and respiration. Number of participants with clinically significant abnormalities in vital signs were reported. Investigator decided clinical significance.
Time frame: Baseline up to Day 37
Number of Participants With Clinically Significant Abnormalities in Laboratory Parameters
The laboratory measurements included hematology, blood chemistry and urinalysis. Number of participants with clinically significant abnormalities in laboratory parameters were reported. Investigator decided clinical significance.
Time frame: Baseline up to Day 37
Number of Participants With Clinically Significant Abnormalities in Electrocardiogram (ECG)
The ECG recordings were obtained after 5 minutes of rest in a semi-supine position. ECG recordings included rhythm, ventricular rate, PR interval, QRS duration, QT and QTc intervals. Number of participants with clinically significant abnormalities in ECG were reported. Investigator decided clinical significance.
Time frame: Baseline up to Day 37
Number of Participants With Adverse Events (AEs)
An Adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. Number of participants with adverse events were reported.
Time frame: Baseline up to Day 51
| Milestone | Reference Eutirox®, Then Test Eutirox® | Test Eutirox®, Then Reference Eutirox® |
|---|---|---|
| Started | 22 | 22 |
| Completed | 22 | 22 |
| Not completed | 0 | 0 |
| Milestone | Reference Eutirox®, Then Test Eutirox® | Test Eutirox®, Then Reference Eutirox® |
|---|---|---|
| Started | 22 | 22 |
| Completed | 22 | 21 |
| Not completed | 0 | 1 |
| Withdrew: Withdrawal by subject | 0 | 1 |
Cmax was obtained from the concentration time curve. Cmax\[aj\] was the maximum serum concentration in pre dose corrected data where pre dose corrected data was obtained by subtracting pre dose level of Levothyroxine (T4) from level of Levothyroxine (T4) after administration.
| nanogram per milliliter (ng/mL) | Refernece Eutirox® | Test Eutirox® |
|---|---|---|
| Maximum Serum Concentration in Pre Dose Corrected Data (Cmax[aj]) of Levothyroxine (T4) | 67.24 ± 15.77 | 66.44 ± 15.77 |
AUC0-t was defined as area under the curve of the serum concentration as a function of time, from time 0 until the last sampling time by means of the trapezoidal rule. AUC0-t \[aj\] was the area under the serum concentration-time curve from time zero to the last sampling time in pre dose corrected data where pre dose corrected data was obtained by subtracting pre dose level of Levothyroxine (T4) from level of Levothyroxine (T4) after administration.
| nanogram*hour per milliliter (ng*hr/mL) | Refernece Eutirox® | Test Eutirox® |
|---|---|---|
| Area Under Serum Concentration-Time Curve From Time Zero to The Last Sampling Time in Pre Dose Corrected Data (AUC0-t [aj]) of Levothyroxine (T4) | 1738.65 ± 438.93 | 1693.89 ± 389.50 |
Tmax was obtained directly from serum concentration-time curve.
| hour | Refernece Eutirox® | Test Eutirox® |
|---|---|---|
| Time to Reach Maximum Serum Concentration (Tmax) of Levothyroxine (T4) | 3.52 ± 1.19 | 3.50 ± 1.14 |
t1/2 was the time measured for the concentration to decrease by one half. Terminal half-life calculated by natural log 2 divided by elimination constant.
| hour | Refernece Eutirox® | Test Eutirox® |
|---|---|---|
| Elimination Half-Life (t1/2) of Levothyroxine (T4) | 186.40 ± 96.26 | 189.10 ± 102.07 |
Area under the serum concentration versus time curve from time zero to the last sampling time t at which the concentration was at or above the lower limit of quantification (LLOQ).
| ng*hour/mL | Refernece Eutirox® | Test Eutirox® |
|---|---|---|
| Area Under The Curve of the Serum Concentration as a Function of Time, From Time Zero to The Last Sampling Time (AUC0-t) of Levothyroxine (T4) | 5229.98 ± 562.73 | 5218.87 ± 587.42 |
Cmax was obtained directly from the concentration versus time curve.
| ng/mL | Refernece Eutirox® | Test Eutirox® |
|---|---|---|
| Maximum Serum Concentration (Cmax) of Levothyroxine (T4) | 139.80 ± 16.16 | 139.17 ± 19.24 |
Physical examination included assessments of the general appearance, skin and mucosa, superficial lymph nodes, head and neck, chest, abdomen, musculoskeletal, and neurological systems. Number of participants with clinically significant abnormalities in physical examination findings were reported. Investigator decided clinical significance.
| Participants | Refernece Eutirox® | Test Eutirox® |
|---|---|---|
| Number of Participants With Clinically Significant Abnormalities in Physical Examination | 0 | 0 |
Vital sign assessment included blood pressure, pulse rate, body temperature and respiration. Number of participants with clinically significant abnormalities in vital signs were reported. Investigator decided clinical significance.
| Participants | Refernece Eutirox® | Test Eutirox® |
|---|---|---|
| Number of Participants With Clinically Significant Abnormalities in Vital Signs | 0 | 0 |
The laboratory measurements included hematology, blood chemistry and urinalysis. Number of participants with clinically significant abnormalities in laboratory parameters were reported. Investigator decided clinical significance.
| Participants | Refernece Eutirox® | Test Eutirox® |
|---|---|---|
| Number of Participants With Clinically Significant Abnormalities in Laboratory Parameters | 0 | 2 |
The ECG recordings were obtained after 5 minutes of rest in a semi-supine position. ECG recordings included rhythm, ventricular rate, PR interval, QRS duration, QT and QTc intervals. Number of participants with clinically significant abnormalities in ECG were reported. Investigator decided clinical significance.
| Participants | Refernece Eutirox® | Test Eutirox® |
|---|---|---|
| Number of Participants With Clinically Significant Abnormalities in Electrocardiogram (ECG) | 0 | 0 |
An Adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease associated with the use of study drug, whether or not considered related to the study drug or worsening of pre-existing medical condition, whether or not related to study drug. Number of participants with adverse events were reported.
| Participants | Refernece Eutirox® | Test Eutirox® |
|---|---|---|
| Number of Participants With Adverse Events (AEs) | 0 | 4 |
Collected over Baseline up to Day 51. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Reference Eutirox® | 0/44 (0%) | 0/44 (0%) | 0/44 (0%) |
| Test Eutirox® | 0/44 (0%) | 0/44 (0%) | 4/44 (9.1%) |
| Event | Reference Eutirox® | Test Eutirox® |
|---|---|---|
| Elevated Alanine AminotransferaseInvestigations | 0/44 | 2/44 |
| Elevated Aspartate AminotransferaseInvestigations | 0/44 | 2/44 |
| DizzinessNervous system disorders | 0/44 | 1/44 |
| Nasal congestionRespiratory, thoracic and mediastinal disorders | 0/44 | 1/44 |
Safety analysis set included all randomized participants who received at least one dose of study medication.
| Age, Continuous(years) | All Participants |
|---|---|
| Mean | 25.93 ± 5.93 |
| Sex: Female, Male(Participants) | All Participants |
|---|---|
| Female | 8 |
| Male | 36 |
| Race and Ethnicity Not Collected(Participants) | All Participants |
|---|
Documents are hosted by the registry — open the source record to download them.
Plan to share: No — Per company policy, following approval of a new product or a new indication for an approved product in both the EU and the US, Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany, will share study protocols, anonymized patient level and study level data and redacted clinical study reports from clinical trials in patients with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website https://www.merckgroup.com/en/research/our-approach-to-research-and development/healthcare/clinical-trials/commitment-responsible-data-sharing.html
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Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany