Trial Outcomes & Findings for Metronidazole Drug Interaction Study With MMX® Mesalazine/Mesalamine (NCT NCT01418365)

NCT ID: NCT01418365

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
Metronidazole + MMX Placebo First
Metronidazole 750 mg twice daily + MMX placebo once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX placebo single dose on Day 4 orally,first; then Metronidazole 750 mg twice daily + MMX Mesalazine/mesalamine 4.8 g once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX Mesalazine/mesalamine 4.8 g single dose on Day 4 orally, second
Metronidazole + MMX Mesalazine/Mesalamine First
Metronidazole 750 mg twice daily + MMX Mesalazine/mesalamine 4.8 g once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX Mesalazine/mesalamine 4.8 g single dose on Day 4 orally, first; then Metronidazole 750 mg twice daily + MMX placebo once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX placebo single dose on Day 4 orally, second
First Intervention
STARTED
15
15
First Intervention
COMPLETED
14
14
First Intervention
NOT COMPLETED
1
1
Second Intervention
STARTED
14
14
Second Intervention
COMPLETED
14
13
Second Intervention
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Metronidazole + MMX Placebo First
Metronidazole 750 mg twice daily + MMX placebo once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX placebo single dose on Day 4 orally,first; then Metronidazole 750 mg twice daily + MMX Mesalazine/mesalamine 4.8 g once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX Mesalazine/mesalamine 4.8 g single dose on Day 4 orally, second
Metronidazole + MMX Mesalazine/Mesalamine First
Metronidazole 750 mg twice daily + MMX Mesalazine/mesalamine 4.8 g once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX Mesalazine/mesalamine 4.8 g single dose on Day 4 orally, first; then Metronidazole 750 mg twice daily + MMX placebo once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX placebo single dose on Day 4 orally, second
First Intervention
Withdrawal by Subject
0
1
First Intervention
Non-compliance
1
0
Second Intervention
Withdrawal by Subject
0
1

Baseline Characteristics

Metronidazole Drug Interaction Study With MMX® Mesalazine/Mesalamine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Metronidazole + MMX Placebo First
n=15 Participants
Metronidazole 750 mg twice daily + MMX placebo once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX placebo single dose on Day 4 orally,first; then Metronidazole 750 mg twice daily + MMX Mesalazine/mesalamine 4.8 g once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX Mesalazine/mesalamine 4.8 g single dose on Day 4 orally, second
Metronidazole + MMX Mesalazine/Mesalamine First
n=15 Participants
Metronidazole 750 mg twice daily + MMX Mesalazine/mesalamine 4.8 g once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX Mesalazine/mesalamine 4.8 g single dose on Day 4 orally, first; then Metronidazole 750 mg twice daily + MMX placebo once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX placebo single dose on Day 4 orally, second
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
35.9 years
STANDARD_DEVIATION 8.84 • n=5 Participants
31.2 years
STANDARD_DEVIATION 11.0 • n=7 Participants
33.6 years
STANDARD_DEVIATION 10.1 • n=5 Participants
Age, Customized
Between 18 and 55 years
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 Participants
n=5 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
6 Participants
n=7 Participants
12 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
9 Participants
n=7 Participants
18 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. The Safety Analysis Set consists of 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
Metronidazole + MMX Placebo
n=29 Participants
Metronidazole 750 mg twice daily + MMX placebo once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX placebo single dose on Day 4 orally
Metronidazole + MMX Mesalazine/Mesalamine
n=29 Participants
Metronidazole 750 mg twice daily + MMX Mesalazine/mesalamine 4.8 g once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX Mesalazine/mesalamine 4.8 g single dose on Day 4 orally
Area Under the Plasma Concentration Curve (AUC) at Steady State for Metronidazole
217686 ng*h/ml
Standard Deviation 49693
215809 ng*h/ml
Standard Deviation 48681

PRIMARY outcome

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

Population: Pharmacokinetic Analysis Set

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
Metronidazole + MMX Placebo
n=29 Participants
Metronidazole 750 mg twice daily + MMX placebo once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX placebo single dose on Day 4 orally
Metronidazole + MMX Mesalazine/Mesalamine
n=29 Participants
Metronidazole 750 mg twice daily + MMX Mesalazine/mesalamine 4.8 g once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX Mesalazine/mesalamine 4.8 g single dose on Day 4 orally
Maximum Plasma Concentration (Cmax) at Steady State for Metronidazole
28193 ng/ml
Standard Deviation 6249
28057 ng/ml
Standard Deviation 5522

Adverse Events

Metronidazole + MMX Placebo

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

Metronidazole + MMX Mesalazine/Mesalamine

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Metronidazole + MMX Placebo
n=29 participants at risk
Metronidazole 750 mg twice daily + MMX placebo once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX placebo single dose on Day 4 orally
Metronidazole + MMX Mesalazine/Mesalamine
n=29 participants at risk
Metronidazole 750 mg twice daily + MMX Mesalazine/mesalamine 4.8 g once daily for 3 days orally, then Metronidazole 750 mg single dose + MMX Mesalazine/mesalamine 4.8 g single dose on Day 4 orally
Gastrointestinal disorders
Abdominal pain
3.4%
1/29 • Number of events 1
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
6.9%
2/29 • Number of events 2
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
Gastrointestinal disorders
Diarrhea
3.4%
1/29 • Number of events 1
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
10.3%
3/29 • Number of events 3
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
Gastrointestinal disorders
Nausea
6.9%
2/29 • Number of events 2
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
6.9%
2/29 • Number of events 3
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
Gastrointestinal disorders
Vomiting
3.4%
1/29 • Number of events 1
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
3.4%
1/29 • Number of events 1
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/29
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
3.4%
1/29 • Number of events 1
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
Nervous system disorders
Headache
13.8%
4/29 • Number of events 5
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
10.3%
3/29 • Number of events 3
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
Respiratory, thoracic and mediastinal disorders
Rhinorrhea
3.4%
1/29 • Number of events 1
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
0.00%
0/29
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/29
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
3.4%
1/29 • Number of events 1
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
Skin and subcutaneous tissue disorders
Skin lesion
3.4%
1/29 • Number of events 1
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
0.00%
0/29
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
Vascular disorders
Hot flush
3.4%
1/29 • Number of events 1
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.
0.00%
0/29
Safety Analysis Set consists of subjects who take at least 1 dose of investigational product and have at least 1 post-dose safety assessment.

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