ClinicalTrials.gg
CompletedNCT05027646Updated Jun 14, 2024

Study to Assess Bioequivalence and Adhesion Properties Between Two Granisetron Transdermal Patches.

A Phase 1 interventional study of Sancuso - Part 1 and Sancuso - Part 2 in Healthy Volunteers, sponsored by Kyowa Kirin, Inc.. Completed at 1 site in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-06-14.

Sponsored by Kyowa Kirin, Inc. · Phase 1, Interventional, and Prevention

From the registry’s dates

  • Primary completion was Dec 2021, 4 years 10 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
134
Allocation
Randomized
Ages
18 Years to 55 Years
Sex
All
01

Study summary

The study is designed to evaluate the BE and adhesion properties of granisetron transdermal patches manufactured at 2 different sites. The study has been designed in accordance with the FDA Guidance for Industry. Bioequivalence will be based on the Cmax and AUC to determine the peak and total drug exposure, respectively.

Read the detailed description

This is a single-center, randomized, 2-part, open-label, crossover study in healthy subjects to establish bioequivalence (Part 1) and evaluate adhesion (Part 2) between granisetron transdermal patches manufactured at 2 different sites (Sancuso [test] and Sancuso [reference]).

Each part of the study will consist of a screening period, check-in days, treatment periods, washout period (Part 1 only), and an end-of-study visit. The duration of subject participation, excluding screening, for Part 1 is approximately 39 days and for Part 2 is approximately 17 days.

02

Conditions studied

  • Healthy Volunteers

Browse trials for

Keywords

  • Patch
  • Nausea
  • Anti-emetic
  • Granisetron
03

In context

Nausea

644 studies on the registry are indexed under Nausea; 85 are open to participants now.

This study's enrollment of 134 is above the median of 96 across 544 interventional studies indexed under Nausea.

Browse Nausea studies →

Lead sponsor

Kyowa Kirin, Inc. is the lead sponsor of 36 studies on the registry; 2 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 3 (43%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 55 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female 18 to 55 years, inclusive
  • 18 to 30 kg/m2
  • Healthy volunteers, health as determined by medical history, clinical laboratory test results, vital sign measurements, 12-lead results and physical examination.
  • Agrees to comply with all protocol requirements.
  • Able to provide written and voluntary .
  • Female participants of have a negative pregnancy test and agree to adhere to an acceptable methods of .
  • Male participants with female partners of childbearing potential agree to acceptable methods of birth control.

Exclusion criteria

Exclusion Criteria:

Participant to be excluded if,

  • Presents with baseline systolic blood pressure >140 mm Hg and diastolic blood pressure >90 mm Hg.
  • Any finding or interval >450 msec for males and >470 msec for females.
  • A history of sensitivity to granisetron or other components of the transdermal patch.
  • Pregnant or breastfeeding.
  • Severe acute or chronic medical or laboratory abnormality that may increase the risk associated with study participation or product administration, or may interfere with the interpretation of study results, as determined by the investigator.
  • Participants with following pre-existing liver functioning test elevations will be excluded: or aspartate aminotransferase elevation >2 × , and/or >2 × ULN
  • Acute or chronic renal or hepatic impairment, that may increase the risk associated with study participation or investigational product administration, or may interfere with the interpretation of study results, as determined by the investigator.
  • Acute or chronic psychiatric condition, including, but not limited to compulsive-depressive disorders, anxiety, and/or sleep disorders that may increase the risk associated with study participation or investigational product administration, or may interfere with the interpretation of study results.
  • A history of coronary heart disease, arterial or pulmonary hypertension, supraventricular or ventricular tachycardias, or other arrhythmias or heart rhythm and conduction disorders.
  • A positive test result for surface antigen, virus antibody, or types 1 or 2 antibodies at screening.
  • If used any prescription (excluding hormonal ) or over the counter medications (except paracetamol [up to 2 g per day]), including herbal or nutritional supplements, within 14 days before the first application of the transdermal patch.
  • If used 5-HT3 receptor antagonists and other serotonergic drugs (eg, selective serotonin reuptake inhibitors, serotonin and norepinephrine reuptake inhibitors, monoamine oxidase inhibitors, mirtazapine, fentanyl, lithium, tramadol, and IV methylene blue) within 14 days before the first application of the transdermal patch.
  • If used antihistamines within 72 hours prior to patch application or systemic or topical within 3 weeks before the first application of the transdermal patch.
  • Present with a dermatological disorder at any relevant patch application site that precludes proper placement or may interfere with adhesion, site assessment, or potentially affect drug absorption.
  • Has allergies or other to transdermal systems or patch adhesives or to medical adhesive tape, adhesive dressings, or other skin patches.
  • If not willing to allow hair to be removed or clipped at the proposed patch application sites that may prevent proper placement of the patch.
  • If presents with and has oily skin or any skin problems such as being damaged (cut or scraped) or irritated (redness or a rash) at the application sites.
  • If consumed grapefruit or grapefruit juice, Seville orange or Seville orange-containing products (eg, marmalade), or alcohol-, caffeine-, or xanthine containing products within 48 hours before the first application
  • The subject is a smoker or has used nicotine or nicotine-containing products (eg, snuff, nicotine patch, nicotine chewing gum, mock cigarettes, or inhalers) within 3 months before the first application of the transdermal patch.
  • If has a history of alcohol abuse or drug addiction within a year.
  • If presents with a positive test result for drugs of abuse, alcohol, or cotinine (indicating active current smoking).
  • If involved in strenuous activity or contact sports within 24 hours before the first application and during the study.
  • If donated blood or blood products >450 mL within 30 days before the first application.
  • If has a history of relevant drug and/or food or significant food allergy that could preclude a standard diet in the CRU.
  • If received study drug in another investigational study within 30 days of the first application.
  • In the opinion of the investigator, the subject is not suitable for entry into the study.
Terms in these criteria, in plain language(16)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

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

Study arms

  • Experimental
    Part 1 - Bioequivalence

    Bioequivalence will be measured in approximately 42 healthy male and female subjects at a single center in the US to achieve at least 33 completers.

    Drug: Sancuso - Part 1

  • Experimental
    Part 2 - Adhesion

    Adhesion will be measured in approximately 90 healthy male and female subjects are planned to be enrolled at a single center in the US.

    Drug: Sancuso - Part 2

Interventions

  • Part 1 - A Potent anti-emetic and highly selective antagonist of 5-HT3 receptors.

    Also known as: Granisetron Transdermal Patch

  • Part 2 - A Potent anti-emetic and highly selective antagonist of 5-HT3 receptors.

    Also known as: Granisetron Transdermal Patch

06

What researchers measure

Primary outcomes

  1. Area under the plasma concentration versus time curve AUC (0-t)

    AUC from time 0 to the time of the last measurable plasma concentration, calculated using the linear trapezoidal rule

    Time frame: 6 months

  2. Area under the plasma concentration versus time curve AUC (0-inf)

    AUC from time 0 extrapolated to infinity, calculated as (AUC 0-t + \[Clast/λz\]) where Clast is the last measurable plasma concentration

    Time frame: 6 months

  3. Peak Plasma Concentration (Cmax)

    Maximum concentration after dosing

    Time frame: 6 months

  4. Maximum concentration (Tmax)

    Time to reach the maximum plasma concentration after dosing (Tmax)

    Time frame: 6 months

  5. T1/2

    Terminal phase half-life

    Time frame: 6 months

  6. CL/F

    Total clearance after dosing

    Time frame: 6 months

  7. Vz/F

    Apparent volume of distribution during the terminal phase, calculated as (CL/F)λz

    Time frame: 6 months

  8. Mean adhesion score (FDA scale)

    Adhesion of the patch to the skin is assessed by the FDA 0-4 scoring system. The scoring for adhesion is: 0 = ≥ 90% adhered (essentially no lift off the skin), 1 = ≥ 75% to \< 90% adhered (some edges only lifting off the skin), 2 = ≥ 50% to \< 75% adhered (less than half of the patch lifting off the skin), 3 = \> 0% to \< 50% adhered but not detached (more than half of the patch lifting off the skin without falling off), and 4 = 0% adhered (patched completely off the skin). Adhesion is assessed daily when patches are insitu. The mean adhesion score will be derived from its individual adhesion scores at each assessment time point, averaged across all the equally spaced time points (except baseline timepoint). Difference in mean adhesion score between test and reference transdermal patches will be compared using a mixed-model analysis of variance.

    Time frame: 6 months

Secondary outcomes

  1. Number of subjects with treatment related adverse events will be as assessed as mild, moderate or severe and will be summarized descriptively and presented as frequency and percentage.

    Actual values and changes from baseline for clinical laboratory test results, vital sign measurements and 12-lead ECG results will be summarized by test and reference patches at each time point using descriptive statistics (number of subjects, mean, SD, median, minimum and maximum)

    Time frame: 6 Months

  2. Adhesion performance score (FDA Scale)

    Adhesion of the patch to the skin is assessed by the FDA 0-4 scoring system. The scoring for adhesion is: 0 = ≥ 90% adhered (essentially no lift off the skin), 1 = ≥ 75% to \< 90% adhered (some edges only lifting off the skin), 2 = ≥ 50% to \< 75% adhered (less than half of the patch lifting off the skin), 3 = \> 0% to \< 50% adhered but not detached (more than half of the patch lifting off the skin without falling off), and 4 = 0% adhered (patched completely off the skin). Adhesion is assessed daily when patches are insitu. Proportion of subjects with adhesion performance score of interest will be compared between the test and reference transdermal patches. Time to mean adhesion score more than or equal to 2 will be investigated graphically if data warrant.

    Time frame: 6 Months

07

Study locations

1 site
  • PPD Development
    Austin, Texas 78744, United States
08

References and documents

Publications

  • Bioavailability and Bioequivalence Studies Submitted in NDAs or INDs - General Considerations (DHHS 2014). U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER). March 2014
  • Guidance for Industry: Assessing Adhesion With Transdermal and Topical Delivery Systems for ANDAs (DHHS 2018). U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER) October 2018

Individual participant data

Plan to share: No — There is no plan to make individual participant data (IPD) available to other researchers.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2021 to primary completion in Dec 2021, 5 months.

Of 18 phase 1 interventional studies under Nausea, half reached primary completion within 4 months of starting (the median); a quarter within 2 and three quarters within 8. This study's 5 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 9, 2021
First posted
Aug 30, 2021
StartActual
Jul 6, 2021
Primary completionActual
Dec 22, 2021
CompletionActual
Jan 19, 2022
Last update
Jun 14, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 14, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05027646
Lead sponsor
Kyowa Kirin, Inc.
Collaborators
PPD DEVELOPMENT, LP
Responsible party
Sponsor
First posted
Aug 30, 2021
Start date
Jul 6, 2021
Primary completion
Dec 22, 2021
Completion
Jan 19, 2022
Last update
Jun 14, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Granisetron Transdermal Patch

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