Trial Outcomes & Findings for Bioequivalence and Drug - Drug Interaction Study of Metformin/Gliclazide in Healthy Participants (NCT NCT03467945)

NCT ID: NCT03467945

Last Updated: 2019-07-16

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

40 participants

Primary outcome timeframe

Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Results posted on

2019-07-16

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment Sequence 1
Participants received single oral dose of metformin 1000 milligram (mg) and gliclazide 30 mg fixed combination tablet in treatment period 1 followed by concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 2 followed by single oral dose of metformin 1000 mg in treatment period 3 and then a single oral dose of gliclazide 30 mg in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Treatment Sequence 2
Participants received concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 1 followed by single oral dose of gliclazide 30 mg in treatment period 2 followed by single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet in treatment period 3 and then single oral dose of metformin 1000 mg in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Treatment Sequence 3
Participants received single oral dose of metformin 1000 mg in treatment period 1 followed by single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet in treatment period 2 followed by single oral dose of gliclazide 30 mg in treatment period 3 and then concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Treatment Sequence 4
Participants received single oral dose of gliclazide 30 mg in treatment period 1 followed by single oral dose of metformin 1000 mg in treatment period 2 followed by concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 3 and then single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Treatment Period 1
STARTED
10
10
10
10
Treatment Period 1
COMPLETED
10
10
10
10
Treatment Period 1
NOT COMPLETED
0
0
0
0
Treatment Period 2
STARTED
10
10
10
10
Treatment Period 2
COMPLETED
10
9
10
10
Treatment Period 2
NOT COMPLETED
0
1
0
0
Treatment Period 3
STARTED
10
9
10
10
Treatment Period 3
COMPLETED
9
9
8
9
Treatment Period 3
NOT COMPLETED
1
0
2
1
Treatment Period 4
STARTED
9
9
8
9
Treatment Period 4
COMPLETED
9
9
8
9
Treatment Period 4
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment Sequence 1
Participants received single oral dose of metformin 1000 milligram (mg) and gliclazide 30 mg fixed combination tablet in treatment period 1 followed by concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 2 followed by single oral dose of metformin 1000 mg in treatment period 3 and then a single oral dose of gliclazide 30 mg in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Treatment Sequence 2
Participants received concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 1 followed by single oral dose of gliclazide 30 mg in treatment period 2 followed by single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet in treatment period 3 and then single oral dose of metformin 1000 mg in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Treatment Sequence 3
Participants received single oral dose of metformin 1000 mg in treatment period 1 followed by single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet in treatment period 2 followed by single oral dose of gliclazide 30 mg in treatment period 3 and then concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Treatment Sequence 4
Participants received single oral dose of gliclazide 30 mg in treatment period 1 followed by single oral dose of metformin 1000 mg in treatment period 2 followed by concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 3 and then single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Treatment Period 2
Withdrawal by Subject
0
1
0
0
Treatment Period 3
Withdrawal by Subject
1
0
2
1

Baseline Characteristics

Bioequivalence and Drug - Drug Interaction Study of Metformin/Gliclazide in Healthy Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment Sequence 1
n=10 Participants
Participants received single oral dose of metformin 1000 milligram (mg) and gliclazide 30 mg fixed combination tablet in treatment period 1 followed by concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 2 followed by single oral dose of metformin 1000 mg in treatment period 3 and then a single oral dose of gliclazide 30 mg in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Treatment Sequence 2
n=10 Participants
Participants received concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 1 followed by single oral dose of gliclazide 30 mg in treatment period 2 followed by single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet in treatment period 3 and then single oral dose of metformin 1000 mg in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Treatment Sequence 3
n=10 Participants
Participants received single oral dose of metformin 1000 mg in treatment period 1 followed by single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet in treatment period 2 followed by single oral dose of gliclazide 30 mg in treatment period 3 and then concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Treatment Sequence 4
n=10 Participants
Participants received single oral dose of gliclazide 30 mg in treatment period 1 followed by single oral dose of metformin 1000 mg in treatment period 2 followed by concomitant oral dosing of metformin 1000 mg and gliclazide 30 mg in treatment period 3 and then single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet in treatment period 4. Each treatment period was separated by a 14-day wash-out period.
Total
n=40 Participants
Total of all reporting groups
Age, Continuous
22.8 Years
STANDARD_DEVIATION 9.8 • n=99 Participants
23.9 Years
STANDARD_DEVIATION 3.7 • n=107 Participants
31.5 Years
STANDARD_DEVIATION 8.3 • n=206 Participants
25.7 Years
STANDARD_DEVIATION 5.2 • n=7 Participants
27.3 Years
STANDARD_DEVIATION 7.5 • n=31 Participants
Sex: Female, Male
Female
6 Participants
n=99 Participants
3 Participants
n=107 Participants
3 Participants
n=206 Participants
5 Participants
n=7 Participants
17 Participants
n=31 Participants
Sex: Female, Male
Male
4 Participants
n=99 Participants
7 Participants
n=107 Participants
7 Participants
n=206 Participants
5 Participants
n=7 Participants
23 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
10 Participants
n=99 Participants
10 Participants
n=107 Participants
10 Participants
n=206 Participants
10 Participants
n=7 Participants
40 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
0 Participants
n=31 Participants

PRIMARY outcome

Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Population: The Pharmacokinetic (PK) analysis set included all participants who completed the trial with adequate trial medication compliance, without any relevant protocol violations with respect to factors likely to affect the comparability of PK results.

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Area Under the Plasma Concentration-Time Curve From Time Zero to Last Measurable Concentration (AUC0-t) of Metformin
5033.8718 nanogram*hour per milliliter (ng*h/ml)
Standard Deviation 1475.3418
6142.2821 nanogram*hour per milliliter (ng*h/ml)
Standard Deviation 1848.4857
6090.7932 nanogram*hour per milliliter (ng*h/ml)
Standard Deviation 1543.6463

PRIMARY outcome

Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Population: The PK analysis set included all participants who completed the trial with adequate trial medication compliance, without any relevant protocol violations with respect to factors likely to affect the comparability of PK results.

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Area Under the Plasma Concentration-Time Curve From Time Zero to Last Measurable Concentration (AUC0-t) of Gliclazide
20707.7394 ng.h/ml
Standard Deviation 8267.0653
20280.3103 ng.h/ml
Standard Deviation 8219.1520
21205.2514 ng.h/ml
Standard Deviation 7638.0877

PRIMARY outcome

Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Population: The PK analysis set included all participants who completed the trial with adequate trial medication compliance, without any relevant protocol violations with respect to factors likely to affect the comparability of PK results.

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Maximum Observed Plasma Concentration (Cmax) of Metformin
806.3895 nanogram per milliliter (ng/ml)
Standard Deviation 279.5063
1011.3941 nanogram per milliliter (ng/ml)
Standard Deviation 309.8136
977.2693 nanogram per milliliter (ng/ml)
Standard Deviation 262.4312

PRIMARY outcome

Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Population: The PK analysis set included all participants who completed the trial with adequate trial medication compliance, without any relevant protocol violations with respect to factors likely to affect the comparability of PK results.

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Maximum Observed Plasma Concentration (Cmax) of Gliclazide
972.168 ng/ml
Standard Deviation 312.7305
892.6201 ng/ml
Standard Deviation 259.7459
836.7239 ng/ml
Standard Deviation 251.6451

PRIMARY outcome

Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Population: The PK analysis set included all participants who completed the trial with adequate trial medication compliance, without any relevant protocol violations with respect to factors likely to affect the comparability of PK results.

AUC (0-inf) is defined as the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf).

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of Metformin
5313.3897 ng*h/ml
Standard Deviation 1549.2688
6388.9849 ng*h/ml
Standard Deviation 1857.6205
6341.5658 ng*h/ml
Standard Deviation 1560.7170

PRIMARY outcome

Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Population: The PK analysis set included all participants who completed the trial with adequate trial medication compliance, without any relevant protocol violations with respect to factors likely to affect the comparability of PK results.

AUC (0-inf) is defined as the area under the plasma concentration versus time curve (AUC) from time zero (pre-dose) to extrapolated infinite time (0-inf).

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Area Under the Plasma Concentration-time Curve From Time Zero to Infinity (AUC0-inf) of Gliclazide
21495.2343 ng*h/ml
Standard Deviation 8358.3373
21120.6761 ng*h/ml
Standard Deviation 8270.5092
22136.9988 ng*h/ml
Standard Deviation 7687.4829

SECONDARY outcome

Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Population: The PK analysis set included all participants who completed the trial with adequate trial medication compliance, without any relevant protocol violations with respect to factors likely to affect the comparability of PK results.

Vz/f was defined as apparent volume of distribution during terminal phase after non-intravenous administration.

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Apparent Volume of Distribution (Vz/f) of Metformin
1893618.4672 Milliliter
Standard Deviation 1346880.1198
1414424.1926 Milliliter
Standard Deviation 643556.2088
1489164.0229 Milliliter
Standard Deviation 818767.0681

SECONDARY outcome

Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Population: The PK analysis set included all participants who completed the trial with adequate trial medication compliance, without any relevant protocol violations with respect to factors likely to affect the comparability of PK results.

Vz/f was defined as apparent volume of distribution during terminal phase after non-intravenous administration.

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Apparent Volume of Distribution (Vz/f) of Gliclazide
31636.8920 Milliliter
Standard Deviation 7584.1651
32601.0115 Milliliter
Standard Deviation 7057.8050
31413.9679 Milliliter
Standard Deviation 6422.4920

SECONDARY outcome

Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Population: The PK analysis set included all participants who completed the trial with adequate trial medication compliance, without any relevant protocol violations with respect to factors likely to affect the comparability of PK results.

Elimination Half Life (t1/2) was defined as the time required for the concentration or amount of drug in the body to be reduced by one-half.

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Elimination Half Life (t1/2) of Metformin
6.7151 Hours
Standard Deviation 5.1372
5.9796 Hours
Standard Deviation 2.8442
6.3048 Hours
Standard Deviation 3.7114

SECONDARY outcome

Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Population: The PK analysis set included all participants who completed the trial with adequate trial medication compliance, without any relevant protocol violations with respect to factors likely to affect the comparability of PK results.

Elimination Half Life (t1/2) was defined as the time required for the concentration or amount of drug in the body to be reduced by one-half.

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Elimination Half Life (t1/2) of Gliclazide
15.3086 Hours
Standard Deviation 6.0231
15.4587 Hours
Standard Deviation 5.6007
15.6222 Hours
Standard Deviation 5.2904

SECONDARY outcome

Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Population: The PK analysis set included all participants who completed the trial with adequate trial medication compliance, without any relevant protocol violations with respect to factors likely to affect the comparability of PK results.

CL/f was defined as apparent total clearance of the drug from plasma after oral administration.

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Apparent Total Body Clearance (CL/f) of Metformin
207132.8293 Milliliter per Hour (mL/ h)
Standard Deviation 70959.4296
170273.4024 Milliliter per Hour (mL/ h)
Standard Deviation 51108.0288
167260.5841 Milliliter per Hour (mL/ h)
Standard Deviation 39170.7306

SECONDARY outcome

Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Population: The PK analysis set included all participants who completed the trial with adequate trial medication compliance, without any relevant protocol violations with respect to factors likely to affect the comparability of PK results.

CL/f was defined as apparent total clearance of the drug from plasma after oral administration.

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Apparent Total Body Clearance (CL/f) of Gliclazide
1572.5246 mL/h
Standard Deviation 516.3724
1606.8952 mL/h
Standard Deviation 569.4811
1498.9932 mL/h
Standard Deviation 463.2158

SECONDARY outcome

Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Population: The PK analysis set included all participants who completed the trial with adequate trial medication compliance, without any relevant protocol violations with respect to factors likely to affect the comparability of PK results.

MRT is the average time that the molecules introduced into the body stays in the body.

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Median Residence Time (MRT) for Metformin
8.3952 Hours
Standard Deviation 3.0758
7.5836 Hours
Standard Deviation 1.6807
7.7636 Hours
Standard Deviation 2.0658

SECONDARY outcome

Timeframe: Pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 10, 12, 16, 24, 28, 32, 48, 72, 96, 120, 144 and 168 hours post-dose

Population: The PK analysis set included all participants who completed the trial with adequate trial medication compliance, without any relevant protocol violations with respect to factors likely to affect the comparability of PK results.

MRT is the average time that the molecules introduced into the body stays in the body.

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Median Residence Time (MRT) for Gliclazide
23.0593 Hours
Standard Deviation 7.8010
24.4927 Hours
Standard Deviation 7.7484
25.8590 Hours
Standard Deviation 7.5834

SECONDARY outcome

Timeframe: Baseline up to Day 72

Population: The safety population included all participants who received at least 1 dose of the trial treatment.

An Adverse event (AE) was defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally 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. A serious adverse event (SAE) was an AE that resulted in any of the following outcomes: death; life threatening; persistent/significant disability/incapacity; initial or prolonged inpatient hospitalization; congenital anomaly/birth defect or was otherwise considered medically important. Treatment-emergent are events between first dose of study drug that were absent before treatment or that worsened relative to pre-treatment state. TEAEs included both Serious TEAEs and non-serious TEAEs.

Outcome measures

Outcome measures
Measure
Metformin-Gliclazide Combination
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 Participants
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 Participants
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
n=35 Participants
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
TEAEs
9 Participants
6 Participants
7 Participants
8 Participants
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
SAEs
0 Participants
0 Participants
0 Participants
0 Participants

Adverse Events

Metformin-Gliclazide Combination

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Metformin and Gliclazide Separately

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Metformin

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Gliclazide

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Metformin-Gliclazide Combination
n=35 participants at risk
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg fixed combination tablet either in treatment period 1, 2, 3 or 4.
Metformin and Gliclazide Separately
n=35 participants at risk
Participants received single oral dose of metformin 1000 mg and gliclazide 30 mg separately either in treatment period 1, 2, 3 or 4.
Metformin
n=35 participants at risk
Participants received single oral dose of metformin 1000 mg either in treatment period 1, 2, 3 or 4.
Gliclazide
n=35 participants at risk
Participants received single oral dose of gliclazide 30mg either in treatment period 1, 2, 3 or 4.
Investigations
Elevated triglycerides
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
8.6%
3/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
5.7%
2/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Investigations
High cholesterol
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Investigations
Elevated alanine aminostrasferase
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
11.4%
4/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Investigations
Elevated aspartate aminotrasferase
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
14.3%
5/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Blood and lymphatic system disorders
Anemia
14.3%
5/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
5.7%
2/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
14.3%
5/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
20.0%
7/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Nervous system disorders
Vasovagal reaction
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Nervous system disorders
Headache
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Nervous system disorders
Dizziness
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Gastrointestinal disorders
Odynophagia
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Gastrointestinal disorders
Diarrhea
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Gastrointestinal disorders
Infectious gastroenteritis
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Gastrointestinal disorders
Vomiting
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Gastrointestinal disorders
Nausea
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Gastrointestinal disorders
Abdominal pain
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Injury, poisoning and procedural complications
Wound in the left submaxillary region
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Infections and infestations
Urinary infection
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
Infections and infestations
Urethritis
2.9%
1/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
5.7%
2/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.
0.00%
0/35 • Baseline up to Day 72
The safety population included all participants who received at least 1 dose of the trial treatment.

Additional Information

Communication Center

Merck KGaA, Darmstadt, Germany

Phone: +49-6151-72-5200

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place