Trial Outcomes & Findings for Ciprofloxacin XR Drug Interaction Study With MMX® Mesalazine/Mesalamine (NCT NCT01402947)

NCT ID: NCT01402947

Last Updated: 2021-06-09

Results Overview

AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

30 participants

Primary outcome timeframe

Assessed over a 24-hour period starting post-dose on day 4

Results posted on

2021-06-09

Participant Flow

Participant milestones

Participant milestones
Measure
MMX Placebo + Ciprofloxacin First
MMX Mesalazine/mesalamine placebo dosed once-a-day (QD) orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose of MMX Mesalazine/mesalamine placebo on day 4 for first intervention; then MMX Mesalazine/mesalamine 4.8 g QD orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose 4.8 g of MMX Mesalazine/mesalamine on day 4 for second intervention
MMX Mesalazine/Mesalamine + Ciprofloxacin First
MMX Mesalazine/mesalamine 4.8 g QD orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose 4.8 g of MMX Mesalazine/mesalamine on day 4 for first intervention; then MMX Mesalazine/mesalamine placebo dosed once-a-day (QD) orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose of MMX Mesalazine/mesalamine placebo on day 4 for second intervention
First Intervention
STARTED
15
15
First Intervention
COMPLETED
15
14
First Intervention
NOT COMPLETED
0
1
Second Intervention
STARTED
15
14
Second Intervention
COMPLETED
15
14
Second Intervention
NOT COMPLETED
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
MMX Placebo + Ciprofloxacin First
MMX Mesalazine/mesalamine placebo dosed once-a-day (QD) orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose of MMX Mesalazine/mesalamine placebo on day 4 for first intervention; then MMX Mesalazine/mesalamine 4.8 g QD orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose 4.8 g of MMX Mesalazine/mesalamine on day 4 for second intervention
MMX Mesalazine/Mesalamine + Ciprofloxacin First
MMX Mesalazine/mesalamine 4.8 g QD orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose 4.8 g of MMX Mesalazine/mesalamine on day 4 for first intervention; then MMX Mesalazine/mesalamine placebo dosed once-a-day (QD) orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose of MMX Mesalazine/mesalamine placebo on day 4 for second intervention
First Intervention
Adverse Event
0
1

Baseline Characteristics

Ciprofloxacin XR Drug Interaction Study With MMX® Mesalazine/Mesalamine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
MMX Placebo + Ciprofloxacin First
n=15 Participants
MMX Mesalazine/mesalamine placebo dosed once-a-day (QD) orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose of MMX Mesalazine/mesalamine placebo on day 4 for first intervention; then MMX Mesalazine/mesalamine 4.8 g QD orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose 4.8 g of MMX Mesalazine/mesalamine on day 4 for second intervention
MMX Mesalazine/Mesalamine + Ciprofloxacin First
n=15 Participants
MMX Mesalazine/mesalamine 4.8 g QD orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose 4.8 g of MMX Mesalazine/mesalamine on day 4 for first intervention; then MMX Mesalazine/mesalamine placebo dosed once-a-day (QD) orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose of MMX Mesalazine/mesalamine placebo on day 4 for second intervention
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
31.9 years
STANDARD_DEVIATION 11.73 • n=5 Participants
31.3 years
STANDARD_DEVIATION 10.95 • n=7 Participants
31.6 years
STANDARD_DEVIATION 11.16 • n=5 Participants
Age, Customized
18 to 55 years
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 Participants
n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
5 Participants
n=7 Participants
10 Participants
n=5 Participants
Sex: Female, Male
Male
10 Participants
n=5 Participants
10 Participants
n=7 Participants
20 Participants
n=5 Participants
Region of Enrollment
United States
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Assessed over a 24-hour period starting post-dose on day 4

Population: Pharmacokinetic Analysis Set defined as all subjects in the Safety Analysis Set for whom the primary pharmacokinetic data were considered sufficient and interpretable. Safety Analysis Set defined as subjects who took at least 1 dose of investigational product and had at least 1 postdose safety assessment.

AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body.

Outcome measures

Outcome measures
Measure
MMX Placebo + Ciprofloxacin
n=29 Participants
MMX Mesalazine/mesalamine placebo dosed once-a-day (QD) orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose of MMX Mesalazine/mesalamine placebo on day 4
MMX Mesalazine/Mesalamine + Ciprofloxacin
n=30 Participants
MMX Mesalazine/mesalamine 4.8 g QD orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose 4.8 g of MMX Mesalazine/mesalamine on day 4
Area Under the Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC 0→∞) of Ciprofloxacin XR
7805 ng*h/ml
Standard Deviation 1949
7934 ng*h/ml
Standard Deviation 2101

PRIMARY outcome

Timeframe: Assessed over a 24-hour period starting post-dose on day 4

Population: Pharmacokinetic Analysis Set defined as all subjects in the Safety Analysis Set for whom the primary pharmacokinetic data were considered sufficient and interpretable. Safety Analysis Set defined as subjects who took at least 1 dose of investigational product and had at least 1 postdose safety assessment.

Cmax is a term that refers to the maximum (or peak) concentration that a drug achieves in the body after the drug has been administrated.

Outcome measures

Outcome measures
Measure
MMX Placebo + Ciprofloxacin
n=29 Participants
MMX Mesalazine/mesalamine placebo dosed once-a-day (QD) orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose of MMX Mesalazine/mesalamine placebo on day 4
MMX Mesalazine/Mesalamine + Ciprofloxacin
n=30 Participants
MMX Mesalazine/mesalamine 4.8 g QD orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose 4.8 g of MMX Mesalazine/mesalamine on day 4
Maximum Plasma Concentration (Cmax) of Ciprofloxacin XR
1455 ng/ml
Standard Deviation 518
1433 ng/ml
Standard Deviation 446

Adverse Events

MMX Placebo + Ciprofloxacin

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

MMX Mesalazine/Mesalamine + Ciprofloxacin

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
MMX Placebo + Ciprofloxacin
n=29 participants at risk
MMX Mesalazine/mesalamine placebo dosed once-a-day (QD) orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose of MMX Mesalazine/mesalamine placebo on day 4
MMX Mesalazine/Mesalamine + Ciprofloxacin
n=30 participants at risk
MMX Mesalazine/mesalamine 4.8 g QD orally for 3 days, and a single oral 500 mg dose of ciprofloxacin XR + a single oral dose 4.8 g of MMX Mesalazine/mesalamine on day 4
Gastrointestinal disorders
Flatulence
0.00%
0/29
3.3%
1/30 • Number of events 1
Gastrointestinal disorders
Gastroesophogeal reflex disease
0.00%
0/29
3.3%
1/30 • Number of events 1
Gastrointestinal disorders
Nausea
3.4%
1/29 • Number of events 2
3.3%
1/30 • Number of events 1
General disorders
Fatigue
0.00%
0/29
3.3%
1/30 • Number of events 1
Infections and infestations
Cellulitis
0.00%
0/29
3.3%
1/30 • Number of events 1
Musculoskeletal and connective tissue disorders
Flank pain
0.00%
0/29
3.3%
1/30 • Number of events 1
Musculoskeletal and connective tissue disorders
Joint stiffness
0.00%
0/29
3.3%
1/30 • Number of events 1
Nervous system disorders
Headache
3.4%
1/29 • Number of events 1
6.7%
2/30 • Number of events 2
Nervous system disorders
Presyncope
0.00%
0/29
3.3%
1/30 • Number of events 1
Vascular disorders
Phlebitis
0.00%
0/29
3.3%
1/30 • Number of events 1

Additional Information

Study Director

Shire

Phone: +1 866 842 5335

Results disclosure agreements

  • Principal investigator is a sponsor employee If a multicenter publication is not submitted within twelve (12) months after conclusion, abandonment or termination of the Study at all sites, or after Sponsor confirms there shall be no multicenter Study publication, the Institution and/or such Principal Investigator may publish the results from the Institution site individually.
  • Publication restrictions are in place

Restriction type: OTHER