Trial Outcomes & Findings for Fed Bioequivalence Study of Zolpidem Tartrate Tablets and Ambien® Tablets (NCT NCT00658541)

NCT ID: NCT00658541

Last Updated: 2011-05-03

Results Overview

The maximum or peak concentration that zolpidem tartrate reaches in the plasma.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

38 participants

Primary outcome timeframe

serial pharmacokinetic blood samples drawn prior to dosing (hour 0), and then at 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 4, 5, 6, 8, 10, and 12 hours after dose administration

Results posted on

2011-05-03

Participant Flow

Participant milestones

Participant milestones
Measure
Zolpidem Tartrate 10 mg Tablets Then Ambien® 10 mg Tablets
On the morning of Day 1 following an an overnight fast of at least 10 hours and a standardized, high-fat breakfast, each subject received one tablet of the test formulation, zolpidem tartrate 10 mg, followed by a 7 day washout period. Then, on the morning of Day 8 following an overnight fast of at least 10 hours and a standardized, high-fat breakfast, each subject received a single tablet of the reference formulation, Ambien® 10 mg.
Ambien® 10 mg Tablets Then Zolpidem Tartrate 10 mg Tablets
On the morning of Day 1 following an overnight fast of at least 10 hours and a standardized, high fat breakfast, each subject received one tablet of the reference formulation, Ambien® 10 mg, followed by a 7 day washout period. Then, on the morning of Day 8 following an overnight fast of at least 10 hours and a standardized, high fat breakfast, each subject received a single tablet of the test formulation, zolpidem tartrate 10 mg.
First Intervention
STARTED
19
19
First Intervention
COMPLETED
19
19
First Intervention
NOT COMPLETED
0
0
Washout Period of 7 Days
STARTED
19
19
Washout Period of 7 Days
COMPLETED
18
17
Washout Period of 7 Days
NOT COMPLETED
1
2
Second Intervention
STARTED
18
17
Second Intervention
COMPLETED
18
17
Second Intervention
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Zolpidem Tartrate 10 mg Tablets Then Ambien® 10 mg Tablets
On the morning of Day 1 following an an overnight fast of at least 10 hours and a standardized, high-fat breakfast, each subject received one tablet of the test formulation, zolpidem tartrate 10 mg, followed by a 7 day washout period. Then, on the morning of Day 8 following an overnight fast of at least 10 hours and a standardized, high-fat breakfast, each subject received a single tablet of the reference formulation, Ambien® 10 mg.
Ambien® 10 mg Tablets Then Zolpidem Tartrate 10 mg Tablets
On the morning of Day 1 following an overnight fast of at least 10 hours and a standardized, high fat breakfast, each subject received one tablet of the reference formulation, Ambien® 10 mg, followed by a 7 day washout period. Then, on the morning of Day 8 following an overnight fast of at least 10 hours and a standardized, high fat breakfast, each subject received a single tablet of the test formulation, zolpidem tartrate 10 mg.
Washout Period of 7 Days
Withdrawal by Subject
0
1

Baseline Characteristics

Fed Bioequivalence Study of Zolpidem Tartrate Tablets and Ambien® Tablets

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Zolpidem Tartrate 10 mg Tablets and Ambien® 10 mg Tablets
n=38 Participants
All subjects received each of the two study regimens in a randomly assigned sequence of dosing periods. On the mornings of Day 1 and Day 8, each subject received one tablet of either zolpidem tartrate 10 mg or Ambien® 10 mg following an overnight fast of at least 10 hours and a standardized, high fat breakfast.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
38 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age Continuous
30.21 years
STANDARD_DEVIATION 11.45 • n=5 Participants
Sex: Female, Male
Female
9 Participants
n=5 Participants
Sex: Female, Male
Male
29 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
6 Participants
n=5 Participants
Race (NIH/OMB)
White
31 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
38 participants
n=5 Participants

PRIMARY outcome

Timeframe: serial pharmacokinetic blood samples drawn prior to dosing (hour 0), and then at 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 4, 5, 6, 8, 10, and 12 hours after dose administration

Population: Plasma concentration data for 35 of 38 participants were used in the statistical analysis. One subject dropped from the study during Period I and two subjects dropped from the study after Period I.

The maximum or peak concentration that zolpidem tartrate reaches in the plasma.

Outcome measures

Outcome measures
Measure
Zolpidem Tartrate 10 mg Tablets
n=35 Participants
Each subject received one tablet of zolpidem tartrate 10 mg after an overnight fast of at least 10 hours and a standardized, high fast breakfast.
Ambien® 10 mg Tablets
n=35 Participants
Each subject received one tablet of Ambien® 10 mg after an overnight fast of at least 10 hours and a standardized, high fat breakfast.
Maximum Plasma Concentration (Cmax) for Zolpidem Tartrate
123.61 ng/mL
Standard Deviation 42.45
131.92 ng/mL
Standard Deviation 45.02

PRIMARY outcome

Timeframe: serial pharmacokinetic blood samples drawn prior to dosing (hour 0), and then at 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 4, 5, 6, 8, 10, and 12 hours after dose administration

Population: Plasma concentration data for 35 of 38 participants were used in the statistical analysis. One subject dropped from the study during Period I and two subjects dropped from the study after Period I.

The area under the plasma concentration versus time curve, from time 0 to the time of the last measurable zolpidem tartrate concentration (t), as calculated by the linear trapezoidal rule.

Outcome measures

Outcome measures
Measure
Zolpidem Tartrate 10 mg Tablets
n=35 Participants
Each subject received one tablet of zolpidem tartrate 10 mg after an overnight fast of at least 10 hours and a standardized, high fast breakfast.
Ambien® 10 mg Tablets
n=35 Participants
Each subject received one tablet of Ambien® 10 mg after an overnight fast of at least 10 hours and a standardized, high fat breakfast.
Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)] for Zolpidem Tartrate
518.69 ng-hr/mL
Standard Deviation 194.66
518.68 ng-hr/mL
Standard Deviation 184.35

PRIMARY outcome

Timeframe: serial pharmacokinetic blood samples drawn prior to dosing (hour 0), then 0.25, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 4, 5, 6, 8, 10, and 12 hours after dose administration

Population: Plasma concentration data for 35 of 38 participants were used in the statistical analysis. One subject dropped from the study during Period I and two subjects dropped from the study after Period I.

The area under the zolpidem tartrate plasma concentration versus time curve from time 0 to infinity. AUC(0-∞) was calculated as the sum of AUC(0-t) plus the ratio of the last measurable plasma concentration to the elimination rate constant

Outcome measures

Outcome measures
Measure
Zolpidem Tartrate 10 mg Tablets
n=35 Participants
Each subject received one tablet of zolpidem tartrate 10 mg after an overnight fast of at least 10 hours and a standardized, high fast breakfast.
Ambien® 10 mg Tablets
n=35 Participants
Each subject received one tablet of Ambien® 10 mg after an overnight fast of at least 10 hours and a standardized, high fat breakfast.
Area Under the Concentration Versus Time Curve From Time 0 Extrapolated to Infinity [AUC(0-∞)]for Zolpidem Tartrate
560.88 ng-hr/mL
Standard Deviation 234.32
561.96 ng-hr/mL
Standard Deviation 230.63

Adverse Events

Zolpidem Tartrate 10 mg Tablets

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

Ambien® 10 mg Tablets

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Zolpidem Tartrate 10 mg Tablets
n=36 participants at risk
All subjects received each of the two study regimens in a randomly assigned sequence of dosing periods. On the mornings of Day 1 and Day 8, each subject received one tablet of either zolpidem tartrate 10 mg or Ambien® 10 mg following an overnight fast and a standardized, high fat breakfast.
Ambien® 10 mg Tablets
n=37 participants at risk
All subjects received each of the two study regimens in a randomly assigned sequence of dosing periods. On the mornings of Day 1 and Day 8, each subject received one tablet of either zolpidem tartrate 10 mg or Ambien® 10 mg following an overnight fast and a standardized, high fat breakfast.
Nervous system disorders
Blurred vision
0.00%
0/36 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
2.7%
1/37 • Number of events 1 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
Nervous system disorders
Sedation
0.00%
0/36 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
2.7%
1/37 • Number of events 1 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
Nervous system disorders
Confusion
0.00%
0/36 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
2.7%
1/37 • Number of events 1 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
Nervous system disorders
Dizziness
5.6%
2/36 • Number of events 2 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
2.7%
1/37 • Number of events 1 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
Nervous system disorders
Lightheadedness
13.9%
5/36 • Number of events 6 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
0.00%
0/37 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
Gastrointestinal disorders
Vomiting
0.00%
0/36 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
2.7%
1/37 • Number of events 1 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
Gastrointestinal disorders
Nausea
2.8%
1/36 • Number of events 1 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
2.7%
1/37 • Number of events 1 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
Eye disorders
Diplopia
5.6%
2/36 • Number of events 2 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
2.7%
1/37 • Number of events 1 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
Nervous system disorders
Shakiness
2.8%
1/36 • Number of events 1 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
0.00%
0/37 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
Nervous system disorders
Unsteadiness
2.8%
1/36 • Number of events 1 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.
0.00%
0/37 • 38 subjects were enrolled in this study. Several subjects dropped out of the study prior to receiving both interventions. 36 subjects were administered Zolpidem 10 mg Tablets and 37 subjects were administered Ambien® 10 mg Tablets.

Additional Information

Medical Director

Mutual Pharmaceutical Company, Inc.

Phone: 215-697-1743

Results disclosure agreements

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

Restriction type: GT60