Trial Outcomes & Findings for Comparative Bioavailability of Dexketoprofen Trometamol Oral Solution vs Tablet Formulations (NCT NCT02209454)

NCT ID: NCT02209454

Last Updated: 2015-07-09

Results Overview

The absence of any difference in the rate and extent of absorption will be demonstrated if the 90% CI for the geometric mean ratio between Test and Reference formulations is within the range 80.00% - 133.00% for Cmax.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

26 participants

Primary outcome timeframe

Up to 24h post-dose (pre-dose, T+5', T+10', T+15', T+20', T+30', T+40', T+50', T+1h, T+1.25h, T+1.5h, T+2h, T+3h, T+3.5h, T+4h, T+5h, T+6h, T+8h, T+12h and T+24h post-dose).

Results posted on

2015-07-09

Participant Flow

Participant milestones

Participant milestones
Measure
Reference IMP First, Then Test IMP
25mg DKP.TRIS tablet one single administration in first period and 25mg DKP.TRIS oral solution one single administration in second period (after washout period).
Test IMP First, Then Reference IMP
25mg DKP.TRIS oral solution one single administration in first period and 25mg DKP.TRIS tablet one single administration in second period (after washout period).
First Period
STARTED
13
13
First Period
COMPLETED
13
13
First Period
NOT COMPLETED
0
0
Washout Period a Minimum of a 7 Day
STARTED
13
13
Washout Period a Minimum of a 7 Day
COMPLETED
13
13
Washout Period a Minimum of a 7 Day
NOT COMPLETED
0
0
Second Period
STARTED
13
13
Second Period
COMPLETED
12
13
Second Period
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Reference IMP First, Then Test IMP
25mg DKP.TRIS tablet one single administration in first period and 25mg DKP.TRIS oral solution one single administration in second period (after washout period).
Test IMP First, Then Reference IMP
25mg DKP.TRIS oral solution one single administration in first period and 25mg DKP.TRIS tablet one single administration in second period (after washout period).
Second Period
Adverse Event
1
0

Baseline Characteristics

Comparative Bioavailability of Dexketoprofen Trometamol Oral Solution vs Tablet Formulations

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Entire Study Population
n=26 Participants
Includes groups randomized to receive 25mg DKP.TRIS tablet first and 25mg DKP.TRIS oral solution first.
Age, Continuous
28.9 years
STANDARD_DEVIATION 6.39 • n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
Sex: Female, Male
Male
14 Participants
n=5 Participants
Region of Enrollment
United Kingdom
26 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 24h post-dose (pre-dose, T+5', T+10', T+15', T+20', T+30', T+40', T+50', T+1h, T+1.25h, T+1.5h, T+2h, T+3h, T+3.5h, T+4h, T+5h, T+6h, T+8h, T+12h and T+24h post-dose).

Population: Analyses of the primary PK variables were conducted on all randomised subjects who received at least one dose of DKP.TRIS (PK population) and on all subjects in the PK population who did not experience major protocol violations (PP population).

The absence of any difference in the rate and extent of absorption will be demonstrated if the 90% CI for the geometric mean ratio between Test and Reference formulations is within the range 80.00% - 133.00% for Cmax.

Outcome measures

Outcome measures
Measure
Enantyum® Oral Solution
n=25 Participants
25mg DKP.TRIS oral solution Enantyum® oral solution: One dose of 25 mg DKP oral solution
Keral® Tablet
n=26 Participants
25mg DKP.TRIS tablet Keral® tablet: One dose of 25 mg DKP tablet
Cmax
3290.70 ng/mL
Interval 2996.0 to 3614.4
2785.90 ng/mL
Interval 2493.2 to 3113.0

PRIMARY outcome

Timeframe: Up to 24h post-dose (pre-dose, T+5', T+10', T+15', T+20', T+30', T+40', T+50', T+1h, T+1.25h, T+1.5h, T+2h, T+3h, T+3.5h, T+4h, T+5h, T+6h, T+8h, T+12h and T+24h post-dose).

Population: Analyses of the primary PK variables were conducted on all randomised subjects who received at least one dose of DKP.TRIS (PK population) and on all subjects in the PK population who did not experience major protocol violations (PP population).

The absence of any difference in the rate and extent of absorption will be demonstrated if the 90% CI for the geometric mean ratio between Test and Reference formulations is within the range 80.00% - 125.00% for AUC(0-t).

Outcome measures

Outcome measures
Measure
Enantyum® Oral Solution
n=25 Participants
25mg DKP.TRIS oral solution Enantyum® oral solution: One dose of 25 mg DKP oral solution
Keral® Tablet
n=26 Participants
25mg DKP.TRIS tablet Keral® tablet: One dose of 25 mg DKP tablet
AUC(0-t)
3362.20 h*ng/mL
Interval 2986.2 to 3785.6
3372.00 h*ng/mL
Interval 3027.3 to 3755.9

SECONDARY outcome

Timeframe: Up to 24h post-dose (pre-dose, T+5', T+10', T+15', T+20', T+30', T+40', T+50', T+1h, T+1.25h, T+1.5h, T+2h, T+3h, T+3.5h, T+4h, T+5h, T+6h, T+8h, T+12h and T+24h post-dose).

Population: Analyses of the primary PK variables were conducted on all randomised subjects who received at least one dose of DKP.TRIS (PK population) and on all subjects in the PK population who did not experience major protocol violations (PP population).

AUC(0-∞) will be analysed similarly to AUC(0-t) and Cmax. Time to achieve maximum plasma concentration (tmax) and t1/2 will be summarized descriptively.

Outcome measures

Outcome measures
Measure
Enantyum® Oral Solution
n=25 Participants
25mg DKP.TRIS oral solution Enantyum® oral solution: One dose of 25 mg DKP oral solution
Keral® Tablet
n=26 Participants
25mg DKP.TRIS tablet Keral® tablet: One dose of 25 mg DKP tablet
AUC(0-∞)
3473.00 h*ng/mL
Interval 3087.7 to 3906.4
3485.60 h*ng/mL
Interval 3135.3 to 3875.0

SECONDARY outcome

Timeframe: Up to 24h post-dose (pre-dose, T+5', T+10', T+15', T+20', T+30', T+40', T+50', T+1h, T+1.25h, T+1.5h, T+2h, T+3h, T+3.5h, T+4h, T+5h, T+6h, T+8h, T+12h and T+24h post-dose).

Population: Analyses of the primary PK variables were conducted on all randomised subjects who received at least one dose of DKP.TRIS (PK population) and on all subjects in the PK population who did not experience major protocol violations (PP population).

AUC(0-∞) will be analysed similarly to AUC(0-t) and Cmax. Time to achieve maximum plasma concentration (tmax).

Outcome measures

Outcome measures
Measure
Enantyum® Oral Solution
n=25 Participants
25mg DKP.TRIS oral solution Enantyum® oral solution: One dose of 25 mg DKP oral solution
Keral® Tablet
n=26 Participants
25mg DKP.TRIS tablet Keral® tablet: One dose of 25 mg DKP tablet
Tmax
0.25 h
Interval 0.17 to 0.67
0.50 h
Interval 0.25 to 1.25

SECONDARY outcome

Timeframe: Up to 24h post-dose (pre-dose, T+5', T+10', T+15', T+20', T+30', T+40', T+50', T+1h, T+1.25h, T+1.5h, T+2h, T+3h, T+3.5h, T+4h, T+5h, T+6h, T+8h, T+12h and T+24h post-dose).

Population: Analyses of the primary PK variables were conducted on all randomised subjects who received at least one dose of DKP.TRIS (PK population) and on all subjects in the PK population who did not experience major protocol violations (PP population).

AUC(0-∞) will be analysed similarly to AUC(0-t) and Cmax. Time to achieve maximum plasma concentration (tmax) and t1/2 will be summarized descriptively.

Outcome measures

Outcome measures
Measure
Enantyum® Oral Solution
n=25 Participants
25mg DKP.TRIS oral solution Enantyum® oral solution: One dose of 25 mg DKP oral solution
Keral® Tablet
n=26 Participants
25mg DKP.TRIS tablet Keral® tablet: One dose of 25 mg DKP tablet
t1/2
1.34 h
Interval 1.23 to 1.45
1.30 h
Interval 1.2 to 1.41

Adverse Events

Enantyum® Oral Solution

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Keral® Tablet

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Enantyum® Oral Solution
n=25 participants at risk
25mg DKP.TRIS oral solution Enantyum® oral solution: One dose of 25 mg DKP oral solution
Keral® Tablet
n=26 participants at risk
25mg DKP.TRIS tablet Keral® tablet: One dose of 25 mg DKP tablet
Gastrointestinal disorders
Abdominal pain upper
0.00%
0/25 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
3.8%
1/26 • Number of events 2 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
Investigations
Hepatic enzyme increased
4.0%
1/25 • Number of events 1 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
0.00%
0/26 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
Investigations
Serum ferritin decreases
4.0%
1/25 • Number of events 1 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
0.00%
0/26 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
Nervous system disorders
Headache
4.0%
1/25 • Number of events 1 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
3.8%
1/26 • Number of events 1 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
Nervous system disorders
Presyncope
0.00%
0/25 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
3.8%
1/26 • Number of events 1 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
Nervous system disorders
Syncope
4.0%
1/25 • Number of events 1 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
0.00%
0/26 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/25 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
3.8%
1/26 • Number of events 1 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
Respiratory, thoracic and mediastinal disorders
Dysphonia
0.00%
0/25 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
3.8%
1/26 • Number of events 1 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
Respiratory, thoracic and mediastinal disorders
Oropharyngeal pain
0.00%
0/25 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
3.8%
1/26 • Number of events 1 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
Respiratory, thoracic and mediastinal disorders
Sneezing
0.00%
0/25 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)
3.8%
1/26 • Number of events 1 • from Screening Visit to End of Study Visit
Analyzed for the safety population (All subject receiving at least one administration of study treatment)

Additional Information

Corporate Director of Clinical Research

Menarini Ricerche S.p.A.

Phone: 0555680

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place