Trial Outcomes & Findings for Bioequivalence Study of Zolpidem Tartrate Tablets and Ambien® Under Fasting Conditions (NCT NCT00684814)

NCT ID: NCT00684814

Last Updated: 2012-04-20

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

2012-04-20

Participant Flow

Participant milestones

Participant milestones
Measure
Zolpidem Tartrate 10 mg Tablets Then Ambien® 10 mg Tablets
On the morning of Day 1 after an overnight fast of at least 10 hours, 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 after an overnight fast of at least 10 hours, 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 after an overnight fast of at least 10 hours, 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 after an overnight fast of at least 10 hours, 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
17
15
Washout Period of 7 Days
NOT COMPLETED
2
4
Second Intervention
STARTED
17
15
Second Intervention
COMPLETED
16
15
Second Intervention
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Zolpidem Tartrate 10 mg Tablets Then Ambien® 10 mg Tablets
On the morning of Day 1 after an overnight fast of at least 10 hours, 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 after an overnight fast of at least 10 hours, 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 after an overnight fast of at least 10 hours, 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 after an overnight fast of at least 10 hours, each subject received a single tablet of the test formulation, zolpidem tartrate 10 mg.
Washout Period of 7 Days
Adverse Event
1
2
Washout Period of 7 Days
Withdrawal by Subject
1
2
Second Intervention
Adverse Event
1
0

Baseline Characteristics

Bioequivalence Study of Zolpidem Tartrate Tablets and Ambien® Under Fasting Conditions

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.
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
38 Participants
n=93 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
Age Continuous
28.92 years
STANDARD_DEVIATION 8.64 • n=93 Participants
Sex: Female, Male
Female
21 Participants
n=93 Participants
Sex: Female, Male
Male
17 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=93 Participants
Race (NIH/OMB)
White
33 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Region of Enrollment
United States
38 participants
n=93 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 31 of 38 participants were used in the statistical analysis. Six subjects dropped from study period I and one subject dropped from study period II.

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

Outcome measures

Outcome measures
Measure
Zolpidem Tartrate 10 mg Tablets
n=31 Participants
Each subject received one tablet of zolpidem tartrate 10 mg after an overnight fast of at least 10 hours.
Ambien® 10 mg Tablets
n=31 Participants
Each subject received one tablet of Ambien® 10 mg after an overnight fast of at least 10 hours.
Maximum Plasma Concentration (Cmax) for Zolpidem Tartrate
191.94 ng/mL
Standard Deviation 74.77
193.43 ng/mL
Standard Deviation 59.95

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 31 of 38 participants were used in the statistical analysis. Six subjects dropped from study period I and one subject dropped from study period II.

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=31 Participants
Each subject received one tablet of zolpidem tartrate 10 mg after an overnight fast of at least 10 hours.
Ambien® 10 mg Tablets
n=31 Participants
Each subject received one tablet of Ambien® 10 mg after an overnight fast of at least 10 hours.
Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)] for Zolpidem Tartrate
682.17 ng-hr/mL
Standard Deviation 285.78
692.47 ng-hr/mL
Standard Deviation 290.89

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 31 of 38 participants were used in the statistical analysis. Six subjects dropped from study period I and one subject dropped from study period II.

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=31 Participants
Each subject received one tablet of zolpidem tartrate 10 mg after an overnight fast of at least 10 hours.
Ambien® 10 mg Tablets
n=31 Participants
Each subject received one tablet of Ambien® 10 mg after an overnight fast of at least 10 hours.
Area Under the Concentration Versus Time Curve From Time 0 Extrapolated to Infinity [AUC(0-∞)]for Zolpidem Tartrate
723.14 ng-hr/mL
Standard Deviation 327.83
739.63 ng-hr/mL
Standard Deviation 351.51

Adverse Events

Zolpidem Tartrate 10 mg Tablets

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Ambien® 10 mg Tablets

Serious events: 0 serious events
Other events: 14 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=34 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.
Ambien® 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.
Musculoskeletal and connective tissue disorders
Achy joints
2.9%
1/34 • Number of events 1
0.00%
0/36
Eye disorders
Diplopia
17.6%
6/34 • Number of events 6
16.7%
6/36 • Number of events 6
Nervous system disorders
Drowsiness
2.9%
1/34 • Number of events 1
0.00%
0/36
Nervous system disorders
Unsteadiness
8.8%
3/34 • Number of events 3
2.8%
1/36 • Number of events 1
Gastrointestinal disorders
Hiccups
8.8%
3/34 • Number of events 3
13.9%
5/36 • Number of events 6
Nervous system disorders
Dizziness
5.9%
2/34 • Number of events 2
0.00%
0/36
Gastrointestinal disorders
Nausea
0.00%
0/34
11.1%
4/36 • Number of events 4
Infections and infestations
Head cold
0.00%
0/34
2.8%
1/36 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Tightness in lungs
0.00%
0/34
2.8%
1/36 • Number of events 1
Gastrointestinal disorders
Diarrhea
0.00%
0/34
2.8%
1/36 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Hoarseness
0.00%
0/34
2.8%
1/36 • Number of events 1
Gastrointestinal disorders
Vomiting
2.9%
1/34 • Number of events 1
5.6%
2/36 • Number of events 2
Nervous system disorders
Confusion
2.9%
1/34 • Number of events 1
2.8%
1/36 • Number of events 1
Nervous system disorders
Slurred speech
0.00%
0/34
2.8%
1/36 • Number of events 1
Eye disorders
Visual disturbances
0.00%
0/34
2.8%
1/36 • Number of events 1

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