Trial Outcomes & Findings for A Drug-Food Interaction Study Between Colchicine and Grapefruit Juice (NCT NCT00984009)

NCT ID: NCT00984009

Last Updated: 2011-11-21

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

serial pharmacokinetic blood samples drawn immediately prior to colchicine dosing on Days 1 and 18, and then 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 hours after colchicine dose administration

Results posted on

2011-11-21

Participant Flow

Twenty-two (22) healthy, non-smoking, non-obese, adult, male and female volunteers, consisting of members of the community at large, were enrolled in the study.

46 subjects screened, 13 were screen failures, 6 had schedule conflicts or were no shows for check-in, 1 was not screened per request of study site, 2 were transferred to a different study

Participant milestones

Participant milestones
Measure
Colchicine Alone / With Grapefruit Juice
\[All subjects received each of the study treatments.\] Each subject received one 0.6 mg colchicine tablet on Day 1 at 7:15 a.m. after an overnight fast, followed by a washout period of 14 days. On Days 15 to 17, each subject received one 240 ml serving of grapefruit juice twice daily, at 7:15 a.m. and 7:15 p.m, without regard to meals. Then, on Day 18, each subject received both one 0.6 mg colchicine tablet and one 240 ml serving of grapefruit juice at 7:15 a.m. after an overnight fast. A final 240 ml serving of grapefruit juice was administered at 7:15 p.m. that evening.
Colchicine Alone
STARTED
22
Colchicine Alone
COMPLETED
22
Colchicine Alone
NOT COMPLETED
0
14 Day Washout Period
STARTED
22
14 Day Washout Period
COMPLETED
22
14 Day Washout Period
NOT COMPLETED
0
Grapefruit Juice Alone
STARTED
22
Grapefruit Juice Alone
COMPLETED
21
Grapefruit Juice Alone
NOT COMPLETED
1
Colchicine With Grapefruit Juice
STARTED
21
Colchicine With Grapefruit Juice
COMPLETED
21
Colchicine With Grapefruit Juice
NOT COMPLETED
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Colchicine Alone / With Grapefruit Juice
\[All subjects received each of the study treatments.\] Each subject received one 0.6 mg colchicine tablet on Day 1 at 7:15 a.m. after an overnight fast, followed by a washout period of 14 days. On Days 15 to 17, each subject received one 240 ml serving of grapefruit juice twice daily, at 7:15 a.m. and 7:15 p.m, without regard to meals. Then, on Day 18, each subject received both one 0.6 mg colchicine tablet and one 240 ml serving of grapefruit juice at 7:15 a.m. after an overnight fast. A final 240 ml serving of grapefruit juice was administered at 7:15 p.m. that evening.
Grapefruit Juice Alone
missed serving of grapefruit juice
1

Baseline Characteristics

A Drug-Food Interaction Study Between Colchicine and Grapefruit Juice

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Colchicine Alone / With Grapefruit Juice
n=22 Participants
\[All subjects received each of the study treatments.\] Each subject received one 0.6 mg colchicine tablet on Day 1 at 7:15 a.m. after an overnight fast, followed by a washout period of 14 days. On Days 15 to 17, each subject received one 240 ml serving of grapefruit juice twice daily, at 7:15 a.m. and 7:15 p.m, without regard to meals. Then, on Day 18, each subject received both one 0.6 mg colchicine tablet and one 240 ml serving of grapefruit juice at 7:15 a.m. after an overnight fast. A final 240 ml serving of grapefruit juice was administered at 7:15 p.m. that evening.
Age, Customized
<=18 years
0 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
26.9 years
STANDARD_DEVIATION 6.9 • n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
Sex: Female, Male
Male
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
22 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
0 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
2 Participants
n=5 Participants
Race (NIH/OMB)
White
20 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
22 participants
n=5 Participants

PRIMARY outcome

Timeframe: serial pharmacokinetic blood samples drawn immediately prior to colchicine dosing on Days 1 and 18, and then 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 hours after colchicine dose administration

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

Outcome measures

Outcome measures
Measure
Colchicine Alone
n=21 Participants
Each subject received one 0.6 mg colchicine tablet on Day 1 at 7:15 a.m. after an overnight fast, followed by a washout period of 14 days.
Colchicine With Grapefruit Juice
n=21 Participants
On Days 15 to 17, each subject received one 240 ml serving of grapefruit juice twice daily, at 7:15 a.m. and 7:15 p.m, without regard to meals. Then, on Day 18, each subject received both one 0.6 mg colchicine tablet and one 240 ml serving of grapefruit juice at 7:15 a.m. after an overnight fast. A final 240 ml serving of grapefruit juice was administered at 7:15 p.m. that evening.
Maximum Plasma Concentration (Cmax)
2,172.96 pg/mL
Standard Deviation 652.99
1,971.10 pg/mL
Standard Deviation 398.80

PRIMARY outcome

Timeframe: serial pharmacokinetic blood samples drawn immediately prior to colchicine dosing on Days 1 and 18, and then 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 hours after colchicine dose administration

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

Outcome measures

Outcome measures
Measure
Colchicine Alone
n=21 Participants
Each subject received one 0.6 mg colchicine tablet on Day 1 at 7:15 a.m. after an overnight fast, followed by a washout period of 14 days.
Colchicine With Grapefruit Juice
n=21 Participants
On Days 15 to 17, each subject received one 240 ml serving of grapefruit juice twice daily, at 7:15 a.m. and 7:15 p.m, without regard to meals. Then, on Day 18, each subject received both one 0.6 mg colchicine tablet and one 240 ml serving of grapefruit juice at 7:15 a.m. after an overnight fast. A final 240 ml serving of grapefruit juice was administered at 7:15 p.m. that evening.
Area Under the Concentration Versus Time Curve From Time 0 to Time t [AUC(0-t)]
9,329.53 pg-hr/mL
Standard Deviation 3,367.85
8,823.40 pg-hr/mL
Standard Deviation 3,003.15

PRIMARY outcome

Timeframe: serial pharmacokinetic blood samples drawn immediately prior to colchicine dosing on Days 1 and 18, and then 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, 72, and 96 hours after colchicine dose administration

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=21 Participants
Each subject received one 0.6 mg colchicine tablet on Day 1 at 7:15 a.m. after an overnight fast, followed by a washout period of 14 days.
Colchicine With Grapefruit Juice
n=21 Participants
On Days 15 to 17, each subject received one 240 ml serving of grapefruit juice twice daily, at 7:15 a.m. and 7:15 p.m, without regard to meals. Then, on Day 18, each subject received both one 0.6 mg colchicine tablet and one 240 ml serving of grapefruit juice at 7:15 a.m. after an overnight fast. A final 240 ml serving of grapefruit juice was administered at 7:15 p.m. that evening.
Area Under the Concentration Versus Time Curve From Time 0 Extrapolated to Infinity [AUC(0-∞)]
11,079.98 pg-hr/mL
Standard Deviation 3,949.27
10,854.22 pg-hr/mL
Standard Deviation 4,140.12

Adverse Events

Colchicine Alone

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Grapefruit Juice Alone

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

Colchicine With Grapefruit Juice

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Colchicine Alone
n=22 participants at risk
Each subject received one 0.6 mg colchicine tablet on Day 1 at 7:15 a.m. after an overnight fast, followed by a washout period of 14 days.
Grapefruit Juice Alone
n=22 participants at risk
On Days 15 to 17, each subject received one 240 ml serving of grapefruit juice twice daily, at 7:15 a.m. and 7:15 p.m, without regard to meals.
Colchicine With Grapefruit Juice
n=21 participants at risk
On Day 18, each subject received both one 0.6 mg colchicine tablet and one 240 ml serving of grapefruit juice at 7:15 a.m. after an overnight fast. A final 240 ml serving of grapefruit juice was administered at 7:15 p.m. that evening.
Gastrointestinal disorders
diarrhea
0.00%
0/22
0.00%
0/22
4.8%
1/21 • Number of events 1
Nervous system disorders
headache
4.5%
1/22 • Number of events 1
0.00%
0/22
0.00%
0/21
Nervous system disorders
cough
0.00%
0/22
0.00%
0/22
4.8%
1/21 • Number of events 1
Respiratory, thoracic and mediastinal disorders
chest congestion
0.00%
0/22
0.00%
0/22
4.8%
1/21 • Number of events 1
Respiratory, thoracic and mediastinal disorders
pharyngolaryngeal pain
0.00%
0/22
0.00%
0/22
4.8%
1/21 • 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