Trial Outcomes & Findings for Drug-Drug Interaction Between Colchicine and Verapamil ER (NCT NCT00983242)

NCT ID: NCT00983242

Last Updated: 2009-10-15

Results Overview

The maximum or peak concentration that colchicine reaches in the plasma.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

24 participants

Primary outcome timeframe

On Days 1 and 19 - serial pharmacokinetic blood samples were collected pre-dose and at 0.5, 1.0, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 hours post-dose.

Results posted on

2009-10-15

Participant Flow

Twenty-four (24) healthy, non-smoking, adult male and female volunteers consisting of the community at large were enrolled.

Forty-four (44) subjects were screened, thirteen (13) were screen failures, five (5) were transferred to a different study, one (1) did not appear at check in at Period 1 and one (1) was not needed for the study.

Participant milestones

Participant milestones
Measure
Colchicine Alone, Colchicine With Verapamil HCl ER
All subjects received each of the study treatments. At 8am on Day 1 after a 10 hour fast all subjects received a single dose of colchicine 0.6 mg followed by a 14 day washout period. At 8am on Days 15-18 all subjects received a dose of verapamil hydrochloride extended-release (verapamil HCl ER) 240 mg without regard to meals. At 8am on Day 19 after a fast of at least 10 hours all subjects received a single dose of colchicine 0.6 mg along with the final dose of verapamil HCl ER 240 mg.
Colchicine Alone
STARTED
24
Colchicine Alone
COMPLETED
24
Colchicine Alone
NOT COMPLETED
0
14 Day Washout Period
STARTED
24
14 Day Washout Period
COMPLETED
24
14 Day Washout Period
NOT COMPLETED
0
Verapamil HCl ER Alone
STARTED
24
Verapamil HCl ER Alone
COMPLETED
24
Verapamil HCl ER Alone
NOT COMPLETED
0
Colchicine With Verapamil HCl ER
STARTED
24
Colchicine With Verapamil HCl ER
COMPLETED
24
Colchicine With Verapamil HCl ER
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Drug-Drug Interaction Between Colchicine and Verapamil ER

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Colchicine Alone, Colchicine With Verapamil HCl ER
n=24 Participants
All subjects received each of the study treatments. At 8am on Day 1 after a 10 hour fast all subjects received a single dose of colchicine 0.6 mg followed by a 14 day washout period. At 8am on Days 15-18 all subjects received a dose of verapamil hydrochloride extended-release (verapamil HCl ER) 240 mg without regard to meals. At 8am on Day 19 after a fast of at least 10 hours all subjects received a single dose of colchicine 0.6 mg along with the final dose of verapamil HCl ER 240 mg.
Age, Customized
<=18 years
2 participants
n=5 Participants
Age, Customized
Between 18 and 65 years
22 participants
n=5 Participants
Age, Customized
>=65 years
0 participants
n=5 Participants
Age Continuous
27.75 years
STANDARD_DEVIATION 9.15 • n=5 Participants
Sex: Female, Male
Female
18 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 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
0 Participants
n=5 Participants
Race (NIH/OMB)
White
23 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
24 participants
n=5 Participants

PRIMARY outcome

Timeframe: On Days 1 and 19 - serial pharmacokinetic blood samples were collected pre-dose and at 0.5, 1.0, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 hours post-dose.

The maximum or peak concentration that colchicine reaches in the plasma.

Outcome measures

Outcome measures
Measure
Colchicine Alone
n=24 Participants
At 8am on Day 1 after a fast of at least 10 hours all subjects received a single dose of colchicine 0.6 mg followed by a 14 day washout period.
Colchicine With Verapamil HCl ER
n=24 Participants
At 8am on Days 15-18 subjects were administered verapamil hydrochloride extended release (verapamil HCl ER) 240mg without regard to meals. At 8am on Day 19 after a fast of at least 10 hours all subjects received a single dose of colchicine 0.6 mg along with the final dose of verapamil HCl ER 240mg.
Maximum Plasma Concentration (Cmax)
2,968.42 pg/mL
Standard Deviation 1,259.63
3,850.63 pg/mL
Standard Deviation 1,458.96

PRIMARY outcome

Timeframe: On Days 1 and 19 - serial pharmacokinetic blood samples were collected pre-dose and at 0.5, 1.0, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 hours post-dose.

The area under the plasma concentration versus time curve beginning from the first dose (time 0) to the last measurable colchicine concentration (time t), as calculated by the linear trapezoidal method.

Outcome measures

Outcome measures
Measure
Colchicine Alone
n=24 Participants
At 8am on Day 1 after a fast of at least 10 hours all subjects received a single dose of colchicine 0.6 mg followed by a 14 day washout period.
Colchicine With Verapamil HCl ER
n=24 Participants
At 8am on Days 15-18 subjects were administered verapamil hydrochloride extended release (verapamil HCl ER) 240mg without regard to meals. At 8am on Day 19 after a fast of at least 10 hours all subjects received a single dose of colchicine 0.6 mg along with the final dose of verapamil HCl ER 240mg.
Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)]
13,085.26 pg-hr/mL
Standard Deviation 5,292.05
24,637.91 pg-hr/mL
Standard Deviation 6,556.67

PRIMARY outcome

Timeframe: On Days 1 and 19 - serial pharmacokinetic blood samples were collected pre-dose and at 0.5, 1.0, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 hours post-dose.

The area under the 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 colchicine plasma concentration to the elimination rate constant.

Outcome measures

Outcome measures
Measure
Colchicine Alone
n=24 Participants
At 8am on Day 1 after a fast of at least 10 hours all subjects received a single dose of colchicine 0.6 mg followed by a 14 day washout period.
Colchicine With Verapamil HCl ER
n=24 Participants
At 8am on Days 15-18 subjects were administered verapamil hydrochloride extended release (verapamil HCl ER) 240mg without regard to meals. At 8am on Day 19 after a fast of at least 10 hours all subjects received a single dose of colchicine 0.6 mg along with the final dose of verapamil HCl ER 240mg.
Area Under the Concentration Versus Time Curve From Time 0 Extrapolated to Infinity [AUC(0-∞)]
15,371.17 pg-hr/mL
Standard Deviation 6,311.09
30,586.33 pg-hr/mL
Standard Deviation 8,283.83

Adverse Events

Colchicine Alone

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Verapamil HCl ER

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

Colchicine With Verapamil HCl ER

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Colchicine Alone
n=24 participants at risk
At 8am on Day 1 after a 10 hour fast all subjects received a single dose of colchicine 0.6 mg followed by a 14 day washout period.
Verapamil HCl ER
n=24 participants at risk
At 8am on Days 15-18 all subjects received a dose of verapamil HCl ER 240 mg without regard to meals.
Colchicine With Verapamil HCl ER
n=24 participants at risk
At 8am on Day 19 following a 10 hour fast all subjects received one dose of verapamil HCl ER 240 mg along with one dose of colchicine 0.6 mg.
Gastrointestinal disorders
Abdominal pain upper
4.2%
1/24 • Number of events 1
0.00%
0/24
0.00%
0/24
Gastrointestinal disorders
Constipation
0.00%
0/24
4.2%
1/24 • Number of events 1
0.00%
0/24
Gastrointestinal disorders
Diarrhea
4.2%
1/24 • Number of events 1
0.00%
0/24
0.00%
0/24
Gastrointestinal disorders
Nausea
0.00%
0/24
4.2%
1/24 • Number of events 1
0.00%
0/24
General disorders
Feeling hot
0.00%
0/24
4.2%
1/24 • Number of events 1
0.00%
0/24
Musculoskeletal and connective tissue disorders
Back pain
4.2%
1/24 • Number of events 1
0.00%
0/24
0.00%
0/24
Nervous system disorders
Dizziness
4.2%
1/24 • Number of events 1
0.00%
0/24
4.2%
1/24 • Number of events 1
Nervous system disorders
Headache
12.5%
3/24 • Number of events 3
33.3%
8/24 • Number of events 13
16.7%
4/24 • Number of events 5
Nervous system disorders
Sinus congestion
0.00%
0/24
4.2%
1/24 • Number of events 1
0.00%
0/24

Additional Information

Medical Affairs 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