Trial Outcomes & Findings for Amoxicillin Drug Interaction Study With MMX® Mesalazine/Mesalamine (NCT NCT01442688)

NCT ID: NCT01442688

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

62 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
Amoxicillin + MMX Placebo First
MMX placebo administered once a day (QD) orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX placebo on Day 4 for first intervention. Then, MMX mesalazine/mesalamine (4.8 g) administered QD orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX mesalazine/mesalamine (4.8 g) on Day 4 for second intervention.
Amoxicillin + MMX Mesalazine/Mesalamine First
MMX mesalazine/mesalamine (4.8 g) administered QD orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX mesalazine/mesalamine (4.8 g) on Day 4 for first intervention. Then, MMX placebo administered once a day (QD) orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX placebo on Day 4 for second intervention.
First Intervention
STARTED
31
31
First Intervention
COMPLETED
29
31
First Intervention
NOT COMPLETED
2
0
Second Intervention
STARTED
29
31
Second Intervention
COMPLETED
28
31
Second Intervention
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Amoxicillin + MMX Placebo First
MMX placebo administered once a day (QD) orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX placebo on Day 4 for first intervention. Then, MMX mesalazine/mesalamine (4.8 g) administered QD orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX mesalazine/mesalamine (4.8 g) on Day 4 for second intervention.
Amoxicillin + MMX Mesalazine/Mesalamine First
MMX mesalazine/mesalamine (4.8 g) administered QD orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX mesalazine/mesalamine (4.8 g) on Day 4 for first intervention. Then, MMX placebo administered once a day (QD) orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX placebo on Day 4 for second intervention.
First Intervention
Withdrawal by Subject
1
0
First Intervention
subject incarcerated
1
0
Second Intervention
Adverse Event
1
0

Baseline Characteristics

Amoxicillin Drug Interaction Study With MMX® Mesalazine/Mesalamine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Amoxicillin + MMX Placebo First
n=31 Participants
MMX placebo administered once a day (QD) orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX placebo on Day 4 for first intervention. Then, MMX mesalazine/mesalamine (4.8 g) administered QD orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX mesalazine/mesalamine (4.8 g) on Day 4 for second intervention.
Amoxicillin + MMX Mesalazine/Mesalamine First
n=31 Participants
MMX mesalazine/mesalamine (4.8 g) administered QD orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX mesalazine/mesalamine (4.8 g) on Day 4 for first intervention. Then, MMX placebo administered once a day (QD) orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX placebo on Day 4 for second intervention.
Total
n=62 Participants
Total of all reporting groups
Age, Continuous
34.3 years
STANDARD_DEVIATION 11.2 • n=5 Participants
30.1 years
STANDARD_DEVIATION 8.91 • n=7 Participants
32.2 years
STANDARD_DEVIATION 10.3 • n=5 Participants
Age, Customized
Between 18 and 55 years
31 Participants
n=5 Participants
31 Participants
n=7 Participants
62 Participants
n=5 Participants
Sex: Female, Male
Female
7 Participants
n=5 Participants
9 Participants
n=7 Participants
16 Participants
n=5 Participants
Sex: Female, Male
Male
24 Participants
n=5 Participants
22 Participants
n=7 Participants
46 Participants
n=5 Participants
Region of Enrollment
United States
31 Participants
n=5 Participants
31 Participants
n=7 Participants
62 Participants
n=5 Participants

PRIMARY outcome

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

Population: The Pharmacokinetic Analysis Set was defined as all subjects in the Safety Analysis Set for whom the primary pharmacokinetic data were considered sufficient and interpretable. The Safety Analysis Set consisted 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
Amoxicillin + MMX Placebo
n=60 Participants
MMX placebo administered once a day (QD) orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX placebo on Day 4.
Amoxicillin + MMX Mesalazine/Mesalamine
n=59 Participants
MMX mesalazine/mesalamine (4.8 g) administered QD orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX mesalazine/mesalamine (4.8 g) on Day 4.
Area Under the Plasma Concentration Versus Time Curve From Time Zero to Infinity (AUC 0→∞) for Amoxicillin
27.8 h*ug/ml
Standard Deviation 5.02
28.3 h*ug/ml
Standard Deviation 6.37

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
Amoxicillin + MMX Placebo
n=60 Participants
MMX placebo administered once a day (QD) orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX placebo on Day 4.
Amoxicillin + MMX Mesalazine/Mesalamine
n=59 Participants
MMX mesalazine/mesalamine (4.8 g) administered QD orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX mesalazine/mesalamine (4.8 g) on Day 4.
Maximum Plasma Concentration (Cmax) for Amoxicillin
10.3 ug/ml
Standard Deviation 2.59
10.2 ug/ml
Standard Deviation 2.89

Adverse Events

Amoxicillin + MMX Placebo

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

Amoxicillin + MMX Mesalazine/Mesalamine

Serious events: 0 serious events
Other events: 13 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Amoxicillin + MMX Placebo
n=62 participants at risk
MMX placebo administered once a day (QD) orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX placebo on Day 4.
Amoxicillin + MMX Mesalazine/Mesalamine
n=59 participants at risk
MMX mesalazine/mesalamine (4.8 g) administered QD orally on Days 1-3, then a single oral dose of Amoxicillin (500 mg) + MMX mesalazine/mesalamine (4.8 g) on Day 4.
Cardiac disorders
Tachycardia
0.00%
0/62
1.7%
1/59 • Number of events 1
Ear and labyrinth disorders
Ear discomfort
1.6%
1/62 • Number of events 1
0.00%
0/59
Eye disorders
Conjunctivitis
0.00%
0/62
1.7%
1/59 • Number of events 1
Gastrointestinal disorders
Abdominal pain
1.6%
1/62 • Number of events 1
0.00%
0/59
Gastrointestinal disorders
Constipation
0.00%
0/62
3.4%
2/59 • Number of events 2
Gastrointestinal disorders
Diarrhea
1.6%
1/62 • Number of events 1
0.00%
0/59
Gastrointestinal disorders
Dyspnea
1.6%
1/62 • Number of events 2
0.00%
0/59
Gastrointestinal disorders
Nausea
3.2%
2/62 • Number of events 2
0.00%
0/59
Gastrointestinal disorders
Vomiting
3.2%
2/62 • Number of events 2
0.00%
0/59
Musculoskeletal and connective tissue disorders
Musculoskeletal disorder
0.00%
0/62
1.7%
1/59 • Number of events 1
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/62
1.7%
1/59 • Number of events 1
Nervous system disorders
Headache
6.5%
4/62 • Number of events 5
5.1%
3/59 • Number of events 3
Nervous system disorders
Presyncope
0.00%
0/62
1.7%
1/59 • Number of events 1
Nervous system disorders
Somnolence
0.00%
0/62
1.7%
1/59 • Number of events 1
Renal and urinary disorders
Hematuria
1.6%
1/62 • Number of events 1
0.00%
0/59
Respiratory, thoracic and mediastinal disorders
Nasal congestion
1.6%
1/62 • Number of events 1
0.00%
0/59
Skin and subcutaneous tissue disorders
Pruritus
0.00%
0/62
1.7%
1/59 • Number of events 1
Skin and subcutaneous tissue disorders
Rash
1.6%
1/62 • Number of events 1
0.00%
0/59
Skin and subcutaneous tissue disorders
Rash maculopapular
0.00%
0/62
3.4%
2/59 • Number of events 2

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