A Comparative Bioavailability/Food Effect Study of Immediate-Release and Extended-Release Tramadol HCl/Acetaminophen Combination Products Following Single-Dose and Multiple-Dose Administration in Healthy Adult Volunteers

NCT ID: NCT00973232

Last Updated: 2012-04-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-05-31

Study Completion Date

2008-08-31

Brief Summary

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The objectives of this two-part study were to compare the single-dose and multiple-dose pharmacokinetics of extended release and immediate-release fixed combination formulations containing tramadol-HCl/acetaminophen and to evaluate the effect of food on the extended-release formulation.

Detailed Description

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* To compare the single (Part A) and multiple dose (Part B) pharmacokinetic profiles and bioavailability of DDS-06C tablets with the immediate-release tablet reference products Zaldiar® and Ultracet®.
* To assess the effect of food on the pharmacokinetic profile of DDS-06C tablets following administration of a single oral dose.
* To monitor and record all adverse events.

Conditions

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Healthy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Blinding Strategy

NONE

Study Groups

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Part A, Arm A

Group Type EXPERIMENTAL

DDS-06C (650 mg acetaminophen and 75 mg tramadol HCl)

Intervention Type DRUG

DDS-06C (650 mg acetaminophen and 75 mg tramadol HCl: two tablets, single dose, total administered of 1300 mg acetaminophen/150 mg tramadol HCl under fasting conditions

Part A, Arm B

Group Type EXPERIMENTAL

DDS-06C (650 mg acetaminophen and 75 mg tramadol)

Intervention Type DRUG

DDS-06C (650 mg acetaminophen and 75 mg tramadol HCl: two tablets, single dose, total administered of 1300 mg acetaminophen/150 mg tramadol HCl under fed conditions

Part A, Arm C

Group Type ACTIVE_COMPARATOR

Zaldiar®

Intervention Type DRUG

Zaldiar® (325 mg acetaminophen and 37.5 mg tramadol HCl): two tablets; dose of 650 mg acetaminophen/75 mg tramadol HCl administered at Time = 0 hr (fasting)and second dose at Time = 6 hr (fed) Ultracet® (325 mg acetaminophen and 37.5 mg tramadol HCl)

Part A, Arm D

Group Type ACTIVE_COMPARATOR

Ultracet®

Intervention Type DRUG

Ultracet® (325 mg acetaminophen and 37.5 mg tramadol HCl)two tablets; dose of 650 mg acetaminophen/75 mg tramadol HCl administered at Time = 0 hr (fasting)and second dose at Time = 6 hr (fed) Ultracet® (325 mg acetaminophen and 37.5 mg tramadol HCl)

Part B, Arm E

Group Type EXPERIMENTAL

Two tablets of DDS-06C (650 mg acetaminophen and 75 mg tramadol HCl), multiple doses, under both fed and fasting conditions

Intervention Type DRUG

Two tablets of DDS-06C, twice daily at 12-hour intervals under fed conditions for the first 4 days, then under fasting conditions for the 5th day. The total daily dose administered was 2600 mg Acetaminophen/300 mg tramadol HCl

Part B, Arm F

Group Type ACTIVE_COMPARATOR

Zaldiar®, multiple doses,(fed & fasting):

Intervention Type DRUG

Two tablets of Zaldiar®, 4 times daily at 6-hour intervals under fed conditions for the first 4 days, then under fasting conditions for the 5th day. The total daily dose administered was 2600 mg Acetaminophen/300 mg tramadol HCl

Part B, Arm G

Group Type ACTIVE_COMPARATOR

Ultracet®, multiple doses, (fed & fasting)

Intervention Type DRUG

Two tablets of Ultracet®, 4 times daily at 6-hour intervals under fed conditions for the first 4 days, then under fasting conditions for the 5th day. The total daily dose administered was 2600 mg Acetaminophen/300 mg tramadol HCl

Interventions

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DDS-06C (650 mg acetaminophen and 75 mg tramadol HCl)

DDS-06C (650 mg acetaminophen and 75 mg tramadol HCl: two tablets, single dose, total administered of 1300 mg acetaminophen/150 mg tramadol HCl under fasting conditions

Intervention Type DRUG

DDS-06C (650 mg acetaminophen and 75 mg tramadol)

DDS-06C (650 mg acetaminophen and 75 mg tramadol HCl: two tablets, single dose, total administered of 1300 mg acetaminophen/150 mg tramadol HCl under fed conditions

Intervention Type DRUG

Zaldiar®

Zaldiar® (325 mg acetaminophen and 37.5 mg tramadol HCl): two tablets; dose of 650 mg acetaminophen/75 mg tramadol HCl administered at Time = 0 hr (fasting)and second dose at Time = 6 hr (fed) Ultracet® (325 mg acetaminophen and 37.5 mg tramadol HCl)

Intervention Type DRUG

Ultracet®

Ultracet® (325 mg acetaminophen and 37.5 mg tramadol HCl)two tablets; dose of 650 mg acetaminophen/75 mg tramadol HCl administered at Time = 0 hr (fasting)and second dose at Time = 6 hr (fed) Ultracet® (325 mg acetaminophen and 37.5 mg tramadol HCl)

Intervention Type DRUG

Two tablets of DDS-06C (650 mg acetaminophen and 75 mg tramadol HCl), multiple doses, under both fed and fasting conditions

Two tablets of DDS-06C, twice daily at 12-hour intervals under fed conditions for the first 4 days, then under fasting conditions for the 5th day. The total daily dose administered was 2600 mg Acetaminophen/300 mg tramadol HCl

Intervention Type DRUG

Zaldiar®, multiple doses,(fed & fasting):

Two tablets of Zaldiar®, 4 times daily at 6-hour intervals under fed conditions for the first 4 days, then under fasting conditions for the 5th day. The total daily dose administered was 2600 mg Acetaminophen/300 mg tramadol HCl

Intervention Type DRUG

Ultracet®, multiple doses, (fed & fasting)

Two tablets of Ultracet®, 4 times daily at 6-hour intervals under fed conditions for the first 4 days, then under fasting conditions for the 5th day. The total daily dose administered was 2600 mg Acetaminophen/300 mg tramadol HCl

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult males or females aged 18-55 years inclusive with body mass index (BMI) between 18-30 kg/m2
* Healthy as determined by pre-study medical history, physical examination and 12-lead ECG
* Clinical laboratory tests within the reference ranges or clinically acceptable to the Investigator
* Negative for hepatitis B surface antigen (HBsAg), hepatitis C antibody and human immunodeficiency virus (HIV) I and II tests at screening
* Negative for drugs of abuse and alcohol at screening and admission
* Non-smokers for at least 3 months preceding screening
* If female, were not currently pregnant or breast feeding and were using medically acceptable methods of contraception and if male, were themselves and their female partners using medically acceptable methods of contraception
* Able and willing to give written informed consent.

* Female subjects who were pregnant, trying to become pregnant, lactating or not using acceptable methods of contraception
* Clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases or disorders
* Clinically relevant surgical history
* Clinically relevant family history
* History of relevant atopy
* History of relevant drug hypersensitivity
* History of alcoholism
* History of drug abuse
* Male subjects who consumed more than 21 units of alcohol a week and female subjects who consumed more than 14 units of alcohol a week
* Significant infection or known inflammatory process on screening
* Acute gastrointestinal symptoms at the time of screening and/or admission (e.g. nausea, vomiting, diarrhoea, heartburn)
* Acute infection such as influenza at the time of screening or admission
* Use of prescription drugs within 7 days of first dosing, unless agreed as non clinically relevant by the Principal Investigator and Sponsor
* Use of over-the-counter medication excluding routine vitamins but including mega dose vitamin therapy within 14 days of first dosing, unless agreed as non clinically relevant by the Principal Investigator and Sponsor
* Use of any investigational drug or participation in any clinical trial within 3 months of their first dosing
* Donation or receipt of any blood or blood products within the previous 3 months prior to first dosing
* Vegetarians, vegans or having medical or cultural dietary restrictions.
* Inability to communicate reliably with the Investigator.
* Subjects who were unlikely to co-operate with the requirements of the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Labopharm Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Darren Wilbraham

Role: PRINCIPAL_INVESTIGATOR

Guy's Drug Research Unit, Quintiles Ltd

Locations

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Guy's Drug Research Unit, Quintiles Ltd

London, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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06CCL102

Identifier Type: -

Identifier Source: org_study_id

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