Trial Outcomes & Findings for A Relative Bioavailability Study of SSP-004184AQ (Magnesium Salt) and SSP-004184SS (Disodium Salt) (NCT NCT01905540)

NCT ID: NCT01905540

Last Updated: 2021-07-19

Results Overview

AUC 0-last is the area under the plasma concentration versus time curve from time 0 to the time of last quantifiable concentration. 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

28 participants

Primary outcome timeframe

Periods 1 & 2: Within 30 min pre-dose, and Post-dose 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24, 48, 72, 96, and 120 hrs. Period 3: Within 30 min pre-dose, and Post-dose 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 12.5, 13, 13.5, 14, 14.5, 16, 20, 24, 48, 72, 96, and 120 hrs.

Results posted on

2021-07-19

Participant Flow

Participant milestones

Participant milestones
Measure
AQ-SS-AQ2
SSP-004184AQ 40mg/kg as a single dose, followed by SSP-004184SS 21.8mg/kg as a single dose, followed by SSP-004184AQ 40mg/kg as a morning and evening dose.
AQ-SS-SS2
SSP-004184AQ 40mg/kg as a single dose, followed by SSP-004184SS 21.8mg/kg as a single dose, followed by SSP-004184SS 21.8mg/kg as a morning and evening dose.
SS-AQ-AQ2
SSP-004184SS 21.8mg/kg as a single dose, followed by SSP-004184AQ 40mg/kg as a single dose, followed by SSP-004184AQ 40mg/kg as a morning and evening dose.
SS-AQ-SS2
SSP-004184SS 21.8mg/kg as a single dose, followed by SSP-004184AQ 40mg/kg as a single dose, followed by SSP-004184SS 21.8mg/kg as a morning and evening dose.
Period 1
STARTED
7
7
7
7
Period 1
COMPLETED
7
7
7
7
Period 1
NOT COMPLETED
0
0
0
0
Period 2
STARTED
7
7
7
7
Period 2
COMPLETED
7
7
7
7
Period 2
NOT COMPLETED
0
0
0
0
Period 3
STARTED
7
7
7
7
Period 3
COMPLETED
6
7
6
6
Period 3
NOT COMPLETED
1
0
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
AQ-SS-AQ2
SSP-004184AQ 40mg/kg as a single dose, followed by SSP-004184SS 21.8mg/kg as a single dose, followed by SSP-004184AQ 40mg/kg as a morning and evening dose.
AQ-SS-SS2
SSP-004184AQ 40mg/kg as a single dose, followed by SSP-004184SS 21.8mg/kg as a single dose, followed by SSP-004184SS 21.8mg/kg as a morning and evening dose.
SS-AQ-AQ2
SSP-004184SS 21.8mg/kg as a single dose, followed by SSP-004184AQ 40mg/kg as a single dose, followed by SSP-004184AQ 40mg/kg as a morning and evening dose.
SS-AQ-SS2
SSP-004184SS 21.8mg/kg as a single dose, followed by SSP-004184AQ 40mg/kg as a single dose, followed by SSP-004184SS 21.8mg/kg as a morning and evening dose.
Period 3
Other
1
0
1
1

Baseline Characteristics

A Relative Bioavailability Study of SSP-004184AQ (Magnesium Salt) and SSP-004184SS (Disodium Salt)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
AQ-SS-AQ2
n=7 Participants
SSP-004184AQ 40mg/kg as a single dose, followed by SSP-004184SS 21.8mg/kg as a single dose, followed by SSP-004184AQ 40mg/kg as a morning and evening dose.
AQ-SS-SS2
n=7 Participants
SSP-004184AQ 40mg/kg as a single dose, followed by SSP-004184SS 21.8mg/kg as a single dose, followed by SSP-004184SS 21.8mg/kg as a morning and evening dose.
SS-AQ-AQ2
n=7 Participants
SSP-004184SS 21.8mg/kg as a single dose, followed by SSP-004184AQ 40mg/kg as a single dose, followed by SSP-004184AQ 40mg/kg as a morning and evening dose.
SS-AQ-SS2
n=7 Participants
SSP-004184SS 21.8mg/kg as a single dose, followed by SSP-004184AQ 40mg/kg as a single dose, followed by SSP-004184SS 21.8mg/kg as a morning and evening dose.
Total
n=28 Participants
Total of all reporting groups
Age, Continuous
43.7 Years
STANDARD_DEVIATION 12.58 • n=5 Participants
44.4 Years
STANDARD_DEVIATION 11.53 • n=7 Participants
41.3 Years
STANDARD_DEVIATION 10.27 • n=5 Participants
42.7 Years
STANDARD_DEVIATION 13.46 • n=4 Participants
43 Years
STANDARD_DEVIATION 11.4 • n=21 Participants
Age, Customized
>=65 years
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
1 Participants
n=21 Participants
Age, Customized
Between 18 and 65 years
6 Participants
n=5 Participants
7 Participants
n=7 Participants
7 Participants
n=5 Participants
7 Participants
n=4 Participants
27 Participants
n=21 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
2 Participants
n=7 Participants
1 Participants
n=5 Participants
2 Participants
n=4 Participants
7 Participants
n=21 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
5 Participants
n=4 Participants
21 Participants
n=21 Participants
Region of Enrollment
UNITED STATES
7 Participants
n=5 Participants
7 Participants
n=7 Participants
7 Participants
n=5 Participants
7 Participants
n=4 Participants
28 Participants
n=21 Participants

PRIMARY outcome

Timeframe: Periods 1 & 2: Within 30 min pre-dose, and Post-dose 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24, 48, 72, 96, and 120 hrs. Period 3: Within 30 min pre-dose, and Post-dose 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 12.5, 13, 13.5, 14, 14.5, 16, 20, 24, 48, 72, 96, and 120 hrs.

Population: Pharmacokinetic Set: All subjects who had taken at least 1 dose of investigational product, had at least 1 post-dose safety assessment, and for whom the primary pharmacokinetic data were considered sufficient and interpretable.

AUC 0-last is the area under the plasma concentration versus time curve from time 0 to the time of last quantifiable concentration. 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
SSP-004184AQ (Single Dose)
n=28 Participants
40 mg/kg (oral capsule form) given once on Day 1
SSP-004184SS (Single Dose)
n=28 Participants
21.8 mg/kg (oral capsule form) given once on Day 1
Area Under the Steady-state Plasma Concentration-time Curve (AUClast) of SSP-004184 After One Dose
261901.9 ng*h/mL
Standard Deviation 71252.3
164340 ng*h/mL
Standard Deviation 43914

PRIMARY outcome

Timeframe: Periods 1 & 2: Within 30 min pre-dose, and Post-dose 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24, 48, 72, 96, and 120 hrs. Period 3: Within 30 min pre-dose, and Post-dose 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 12.5, 13, 13.5, 14, 14.5, 16, 20, 24, 48, 72, 96, and 120 hrs.

Population: Pharmacokinetic Set: All subjects who had taken at least 1 dose of investigational product, had at least 1 post-dose safety assessment, and for whom the primary pharmacokinetic data were considered sufficient and interpretable.

AUCinf is the area under the curve extrapolated to infinity, calculated using the observed value of the last nonzero concentration. 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
SSP-004184AQ (Single Dose)
n=26 Participants
40 mg/kg (oral capsule form) given once on Day 1
SSP-004184SS (Single Dose)
n=28 Participants
21.8 mg/kg (oral capsule form) given once on Day 1
Area Under the Plasma Concentration-time Curve (AUC) From Time Zero to Infinity (AUCinf) of SSP-004184 After One Dose
263911.3 ng*h/mL
Standard Deviation 68979.4
164614.8 ng*h/mL
Standard Deviation 43858.8

PRIMARY outcome

Timeframe: Periods 1 & 2: Within 30 min pre-dose, and Post-dose 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24, 48, 72, 96, and 120 hrs. Period 3: Within 30 min pre-dose, and Post-dose 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 12.5, 13, 13.5, 14, 14.5, 16, 20, 24, 48, 72, 96, and 120 hrs.

Population: Pharmacokinetic Set: All subjects who had taken at least 1 dose of investigational product, had at least 1 post-dose safety assessment, and for whom the primary pharmacokinetic data were considered sufficient and interpretable.

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
SSP-004184AQ (Single Dose)
n=28 Participants
40 mg/kg (oral capsule form) given once on Day 1
SSP-004184SS (Single Dose)
n=28 Participants
21.8 mg/kg (oral capsule form) given once on Day 1
Maximum Plasma Concentration (Cmax) of SSP-004184 After One Dose
110114.3 ng/mL
Standard Deviation 26503
77068.6 ng/mL
Standard Deviation 21198.9

SECONDARY outcome

Timeframe: Periods 1 & 2: Within 30 min pre-dose, and Post-dose 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24, 48, 72, 96, and 120 hrs. Period 3: Within 30 min pre-dose, and Post-dose 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 12.5, 13, 13.5, 14, 14.5, 16, 20, 24, 48, 72, 96, and 120 hrs.

Population: Pharmacokinetic Set: All subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment and for whom the primary pharmacokinetic data were considered sufficient and interpretable.

AUClast is the area under the concentration versus time curve from the time of dosing to the last measurable concentration. 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
SSP-004184AQ (Single Dose)
n=12 Participants
40 mg/kg (oral capsule form) given once on Day 1
SSP-004184SS (Single Dose)
n=13 Participants
21.8 mg/kg (oral capsule form) given once on Day 1
Area Under the Steady-state Plasma Concentration-time Curve (AUClast) of SSP-004184 After Two Doses
545957 ng*hr/mL
Standard Deviation 186707.3
294186.8 ng*hr/mL
Standard Deviation 78102.1

SECONDARY outcome

Timeframe: Periods 1 & 2: Within 30 min pre-dose, and Post-dose 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24, 48, 72, 96, and 120 hrs. Period 3: Within 30 min pre-dose, and Post-dose 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 12.5, 13, 13.5, 14, 14.5, 16, 20, 24, 48, 72, 96, and 120 hrs.

Population: Pharmacokinetic Set: All subjects who had taken at least 1 dose of investigational product, had at least 1 post-dose safety assessment, and for whom the primary pharmacokinetic data were considered sufficient and interpretable.

AUCinf is the area under the plasma concentration versus time curve extrapolated to infinity, calculated using the observed value of the last nonzero concentration. 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
SSP-004184AQ (Single Dose)
n=12 Participants
40 mg/kg (oral capsule form) given once on Day 1
SSP-004184SS (Single Dose)
n=10 Participants
21.8 mg/kg (oral capsule form) given once on Day 1
Area Under the Plasma Concentration-time Curve (AUC) From Time Zero to Infinity (AUCinf) of SSP-004184 After Two Doses
546114.1 ng*hr/mL
Standard Deviation 186698.2
294758.5 ng*hr/mL
Standard Deviation 81194.7

SECONDARY outcome

Timeframe: Periods 1 & 2: Within 30 min pre-dose, and Post-dose 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 24, 48, 72, 96, and 120 hrs. Period 3: Within 30 min pre-dose, and Post-dose 0.5, 1, 1.5, 2, 2.5, 4, 8, 12, 12.5, 13, 13.5, 14, 14.5, 16, 20, 24, 48, 72, 96, and 120 hrs.

Population: Pharmacokinetic Set: All subjects who had taken at least 1 dose of investigational product, had at least 1 post-dose safety assessment, and for whom the primary pharmacokinetic data were considered sufficient and interpretable.

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
SSP-004184AQ (Single Dose)
n=12 Participants
40 mg/kg (oral capsule form) given once on Day 1
SSP-004184SS (Single Dose)
n=13 Participants
21.8 mg/kg (oral capsule form) given once on Day 1
Maximum Plasma Concentration (Cmax) of SSP-004184 After Two Doses
Dose 1
112558.3 ng/mL
Standard Deviation 28036.8
77958.3 ng/mL
Standard Deviation 34372.5
Maximum Plasma Concentration (Cmax) of SSP-004184 After Two Doses
Dose 2
73776.9 ng/mL
Standard Deviation 17193.2
43015.4 ng/mL
Standard Deviation 11168.8

Adverse Events

SSP-004184AQ (Single Dose)

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

SSP-004184SS (Single Dose)

Serious events: 0 serious events
Other events: 11 other events
Deaths: 0 deaths

SSP-004184AQ (2 Doses)

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

SSP-004184SS (2 Doses)

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
SSP-004184AQ (Single Dose)
n=28 participants at risk
SSP-004184AQ: 40mg/kg (equivalent to 36.2mg/kg free-acid dose) administered as a single dose in a fasted state in the morning.
SSP-004184SS (Single Dose)
n=28 participants at risk
SSP-004184SS: 21.8mg/kg (equivalent to 18.1mg/kg free-acid dose) administered as a single dose in a fasted state in the morning.
SSP-004184AQ (2 Doses)
n=12 participants at risk
SP-004184AQ: 40mg/kg (equivalent to 36.2mg/kg free-acid dose) administered in the morning and 40mg/kg administered 12 hours later.
SSP-004184SS (2 Doses)
n=13 participants at risk
SSP-004184SS: 21.8mg/kg (equivalent to 18.1mg/kg free-acid dose) administered in the morning and 21.8mg/kg administered 12 hours later.
Gastrointestinal disorders
Diarrhoea
0.00%
0/28
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
0.00%
0/28
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
8.3%
1/12 • Number of events 1
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
0.00%
0/13
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
General disorders
Asthenia
0.00%
0/28
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
0.00%
0/28
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
8.3%
1/12 • Number of events 1
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
7.7%
1/13 • Number of events 1
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
General disorders
Influenza like illness
0.00%
0/28
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
0.00%
0/28
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
16.7%
2/12 • Number of events 2
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
0.00%
0/13
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
Nervous system disorders
Headache
3.6%
1/28 • Number of events 2
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
7.1%
2/28 • Number of events 2
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
0.00%
0/12
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
15.4%
2/13 • Number of events 2
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
Renal and urinary disorders
Chromaturia
42.9%
12/28 • Number of events 12
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
32.1%
9/28 • Number of events 9
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
8.3%
1/12 • Number of events 1
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
0.00%
0/13
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
Respiratory, thoracic and mediastinal disorders
Nasal congestion
0.00%
0/28
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
0.00%
0/28
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
0.00%
0/12
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).
15.4%
2/13 • Number of events 2
The Safety Set was defined as all enrolled subjects who had taken at least 1 dose of investigational product and had at least 1 post-dose safety assessment (defined as treatment emergent adverse events (TEAEs), physical examination findings, clinical laboratory test results, vital sign measurements, and 12-lead ECG readings).

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