Evaluate the Drug-drugs Interaction Between Lobeglitazone 0.5mg and Empagliflozin 25mg

Study Overview
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Brief Summary
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A Clinical Trial to evaluate the Pharmacokinetics and Tolerability of CKD-398

Detailed Description
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A randomized, open-label, single dose, crossover study to evaluate the pharmacokinetic profiles and safety of CKD-398 in healthy volunteers under fasting conditions

Official Title
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A Randomized, Open-label, Single Dose, Crossover Study to Evaluate the Pharmacokinetic Profiles and Safety of CKD-398 in Healthy Volunteers Under Fasting Conditions

Conditions
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Type 2 Diabetes Mellitus

Intervention / Treatment
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* Drug: CKD-398
* Drug: CKD-501, D745


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Healthy adults age≥19 years and age<55 years at the time of screening Individuals who had 17.5 kg/m2 ≤ Body Mass Index(BMI) < 30.5kg/m2 and men's total body weight ≥ 55 kg, women's total body weight ≥ 45 kg * BMI = Weight(kg)/ Height(m)2 Individuals without congenital/chronic diseases and without abnormal symptoms or diagnosis based on a medical examination within the last 3 years Individuals who were deemed to be appropriate as study subjects following laboratory tests (hematology, blood chemistry, urinalysis, viral/ bacterial, etc.) and vital signs, ECG etc. performed at screening Individuals who signed an informed consent form approved by the IRB of Chonbuk National University Hospital and decided to participate in the study after being fully informed of the study prior to participation, including the objective, content and characteristics of the investigational product Individuals who agreed proper contraception during the study and did consent to not donation of sperm 1 month after the last dose of study drug infusion Individuals with the ability and willingness to participate the entire study period Exclusion Criteria: Individuals with a medical evidence or a history (excluding a dental history of periodontal surgery, impacted wisdom teeth removal, etc.) of clinically significant hematological, renal, endocrine, pulmonary, gastrointestinal, urinary, cardiovascular, hepatic, psychiatric, neurologic or immune diseases. Individuals with a medical history of gastrointestinal disease (e.g., gullet disease such as esophageal achalasia and esophagostenosis and Crohn's disease) or operations (excluding simple appendectomy, herniotomy or tooth extraction) that may affect drug absorption. Individuals with the following laboratory test results at screening: • ALT or AST > 2x the upper limit of the normal range History of regular alcohol consumption exceeding 210 g/week within the 6 months prior to screening (1 drink (250 mL) of beer (5%) = 10 g; 1 drink (50 mL) of hard liquor (20%) = 8 g; 1 drink (125 mL) of wine (12%) = 12 g) Individuals who smoked more than 20 cigarettes per day within 6 months prior to screening Individuals who had been administered investigational product(s) from other clinical study or bioequivalence study within the 6 months prior to the first dose of this study Following vital signs results at screening - Sitting systolic blood pressure ≥ 140 mmHg or < 90 mmHg and/or sitting diastolic blood pressure ≥90 mmHg or <60 mmHg Individuals with a medical history of significant alcohol or drug abuse within one year prior to the screening Individuals who had taken any drug(s) known as a strong inducer(s) or inhibitor(s) of drug-metabolizing enzymes within 30 days prior to the first dose of investigational product(s) Individuals who had taken prescription or nonprescription drugs within the 10 days prior to the first dose of investigational product(s) Individuals who donated whole blood within the 2 months, or blood components within 1 month prior to the first dose of the investigational product(s) Individuals with severe acute/chronic medical or psychiatric condition that may increase the risk associated with study participation or investigational product(s) administration, or may interfere with the interpretation of study results Individuals with hypersensitivity to investigational products or the investigational products ingredients or dihydropyridine drugs Subject had severe heart failure(NYHA class 1, 2, 3, 4) Patients with hepatopathy Patients with diabetic ketogenic acidosis, diabetic comas and ex-coma, type 1 diabetes. Before and after surgery, severe infections, severe trauma. Patients with edema Subject had renal impairment(eGFR < 60 mL/min/1.73 m²) Subject who is a pregnant or nursing woman Subject had genetic dysfunctions like galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption Subjects who were deemed inappropriate to participate in the study by the investigator

Ages Eligible for Study
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Minimum Age: 19 Years
Maximum Age: 54 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Sequence 1<br>Period 1: Reference drug(CKD-501, D745) Period 2: Test drug(CKD-398) | Drug: CKD-398<br>* Test Drug<br>Drug: CKD-501, D745<br>* Reference Drug<br>|
| Experimental: Sequence 2<br>Period 1: Test drug(CKD-398) Period 2: Reference drug(CKD-501, D745) | Drug: CKD-398<br>* Test Drug<br>Drug: CKD-501, D745<br>* Reference Drug<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| AUCt of CKD-398 | Area under the plasma concentration time curve of CKD-344, from time zero up to the last measurable concentration. | predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours post-dose | 
| Cmax of CKD-398 | The maximum concentration observed of CKD-344 over blood sampling time. | predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours post-dose | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| AUCinf of CKD-398 | Area under the concentration-time curve from zero up to ∞ | predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours post-dose | 
| Tmax of CKD-398 | Time to maximum plasma concentration | predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours post-dose | 
| T1/2 of CKD-398 | Terminal elimination half-life | predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours post-dose | 
| CL/F of CKD-398 | Apparent Clearance | predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours post-dose | 
| Vd/F of CKD-398 | Apparent volume of distribution | predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 24, 48 hours post-dose |