A Clinical Study to Compare the Pharmacokinetic Characteristics of CKD-395 0.25/500mg in Healthy Male Volunteers

Study Overview
=================
Brief Summary
-----------------
This study is a randomized, open-label, single dose, 2-way crossover study to compare the pharmacokinetic characteristics of CKD-395 0.25/500 mg in healthy male volunteers.

Detailed Description
-----------------
To healthy male subjects of twenty six(26), following treatments are administered dosing in each period fed condition(high fat meals) and wash-out period is a minimum of 7 days. Treatment A(Reference Drug): DuvieTM Tab. 0.5mg 1T + Glucophage XR Tab. 500mg 2T Treatment B(Test Drug): CKD-395 0.25/750mg Tab. 2T Pharmacokinetic blood samples are collected up to 48hrs. Safety and pharmacokinetic are assessed.

Official Title
-----------------
A Randomized, Open-label, Single Dose, 2-way Crossover Study to Compare the Pharmacokinetic Characteristics of CKD-395 0.25/500 mg in Healthy Male Volunteers

Conditions
-----------------
Diabetes Mellitus, Type II

Intervention / Treatment
-----------------
* Drug: Duvie Tab. 0.5mg, Glucophage XR Tab. 500mg
* Drug: CKD-395 0.25/500mg


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: A healthy male whose age is over 19 years old when visiting for initial screening test Body mass index (BMI) between 17.5   30.5 kg/m^2 and the body weight must be over 55kg Body mass index (BMI) = weight (kg) / height (m)^2 A male with no congenital or chronic disease in three years, no history of symptoms in internal treatment, or no knowledge in the area Due to the special characteristics of drugs, the participators must be qualified to do the clinical screening after examined through hematology test and blood chemistry analysis, urinary test, the electrocardiogram (ECG), and etc. The participants must be volunteered and sign in an informed consent document proven by Chonbuk National University IRB before joining a study to show that he was given informed the purpose of tests and the special characteristics of drugs. The participants must have an ability and willingness to participate throughout the entire trials Exclusion Criteria: A person who had a history or symptoms of clinically aware of blood, kidney, internal secretion, gastrointestinal, urinary system, cardiovascular, liver, mental, nervous, or allergic (except subclinical seasonal allergies that is not treated at injection) disease. Who had a history of gastrointestinal related disease which can be affected the drug absorption (esophageal achalasia, esophagostenosis, esophageal disease, or Crohn's disease) or surgeries (except a simple appendectomy or herniotomy) Who had following results after examination a. ALT or AST > twice higher than normal value Who constantly intake 210 g/week of alcohol within 6 months of the screening. (a cup of beer (5%) (250mL) = 10 g, a shot of soju (20%) (50mL) = 8 g, a glass of wine (12%) (125 mL) = 12 g) Who participated other clinical test or took testing bioequivalence drugs in 3 months before the first clinical drug trial Whose blood pressure > 140 mmHg (systolic blood pressure) or > 90 mmHg (diastolic pressure) Who had a medical history of alcohol and drug abuses. Who had taken a drug that has a control of metabolic rate (activation or inhibition) in 30 days before the first taking of clinical testing drug Who smokes more than 20 cigarettes per day Who took prescribed drugs or over-the-counter drugs in 10 days before taking of very first clinical testing drug Who participated in whole blood donation in 2 months before the first taking of clinical testing drugs or platelet donations in 1 month before the first taking to clinical testing drugs. Who has a potent to increase a danger by participating in the clinical trials or who can interrupt interpreting test results by having serious or chronic medical and mental status or having issues in results of the screening examination. Who has a history of an extreme sensitivity of drugs that contain Rosiglitazone or drugs that have similar effect as Rosiglitazone (Pioglitazone), or drugs that contain the ingredients of Metformin or biguanidine drugs Who has a serious heart failure or a congestive heart failure that must be drug-treated A patient with hepatopathy A patient with severe nephropathy Who has diabetic ketoacidosis or a diabetic coma, or type 1 diabetes, or has history of acute metabolic acidosis or ketoacidosis A patient with serious infectious disease or severe injuries before and after a surgery Who has Galactose intolerance, LAPP lactose intolerance, glucose-galactose malabsorption or genetic disorders A patient who has kidney disease or renal insufficient that are caused by cardiovascular collapse (shock) and acute myocardial infarction (a male with higher serum creatinine of 1.5mg / dL, or less creatinine clearance of 80 mL / min) A patient who is being tested to inject radiological iodine contrast agent into blood vessels (ex: intravenous urography, intravenous cholangiography, angiography, using contrast medium computer tomography, etc.) Who has severe systematic infection or severe trauma Who has nutritional status, starvation, debilitating condition, pituitary dysfunction, or adrenal insufficiency patients Who has respiratory dysfunction, gastrointestinal disease Who is unable to take high fat foods Who cannot limit intake of grapefruit or grapefruit containing foods in 7 days from the first dosing of clinical testing drug to collect pharmacokinetic blood samples Test subjects who is not willing or unable to comply with guidelines described in this protocol A person who is not determined unsuitable to participate in this test by the researchers

Ages Eligible for Study
-----------------
Minimum Age: 19 Years

Sexes Eligible for Study
-----------------
Male

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: RT group<br>R: Reference drug(Duvie Tab. 0.5mg 1T, Glucophage XR Tab. 500mg 2T) T: Test drug(CKD-395 0.25/500mg 2T) | Drug: Duvie Tab. 0.5mg, Glucophage XR Tab. 500mg<br>* Duvie Tab. 0.5mg 1T, Glucophage XR Tab. 500mg 2T oral administration<br>* Other names: Glucophage XR Tab. 500mg;Drug: CKD-395 0.25/500mg<br>* CKD-395 0.25/500mg 2T oral administration<br>|
| Other: TR group<br>T: Test drug(CKD-395 0.25/500mg 2T) R: Reference drug(Duvie Tab. 0.5mg 1T, Glucophage XR Tab. 500mg 2T) | Drug: Duvie Tab. 0.5mg, Glucophage XR Tab. 500mg<br>* Duvie Tab. 0.5mg 1T, Glucophage XR Tab. 500mg 2T oral administration<br>* Other names: Glucophage XR Tab. 500mg;Drug: CKD-395 0.25/500mg<br>* CKD-395 0.25/500mg 2T oral administration<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| AUClast of Lobeglitazone |  | 0(Pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 and 48hrs | 
| Cmax of Lobeglitazone |  | 0(Pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 and 48hrs | 
| AUClast of Metformin |  | 0(Pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 24 and 48hrs | 
| Cmax of Metformin |  | 0(Pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 24 and 48hrs | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| AUCinf of Lobeglitazone |  | 0(Pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 and 48hrs | 
| Tmax of Lobeglitazone |  | 0(Pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 and 48hrs | 
| t1/2 of Lobeglitazone |  | 0(Pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 and 48hrs | 
| CL/F of Lobeglitazone |  | 0(Pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 and 48hrs | 
| Vd/F of Lobeglitazone |  | 0(Pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 and 48hrs | 
| AUCinf of Metformin |  | 0(Pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 24 and 48hrs | 
| Tmax of Metformin |  | 0(Pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 24 and 48hrs | 
| t1/2 of Lobeglitazone |  | 0(Pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 24 and 48hrs | 
| CL/F of Metformin |  | 0(Pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 24 and 48hrs | 
| Vd/F of Metformin |  | 0(Pre-dose), 0.5, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 12, 24 and 48hrs |