Trial Outcomes & Findings for Comparing a 182mg Colon-targeted-delivery Peppermint Oil Capsule (Tempocol-ColoPulse®) and a 182mg Enteric-coated Peppermint Oil Capsule (Tempocol®), a Pharmacokinetic Study (NCT NCT02291445)

NCT ID: NCT02291445

Last Updated: 2022-01-24

Results Overview

Time to reach maximum menthol-glucuronide (main constituent of peppermint oil after conversion by the liver) concentration in plasma

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

8 participants

Primary outcome timeframe

24 hours

Results posted on

2022-01-24

Participant Flow

This was a crossover design.

Participant milestones

Participant milestones
Measure
Ileocolonic Release PO First, Then Small-intestinal Release Peppermint Oil
Ileocolonic release PO is a targeted ileocolonic release peppermint oil capsule that releases peppermint oil in the (ileo-) colonic region specifically. Menthae piperitae aetheroleum/peppermint oil (colon-targeted-delivery capsule): Peppermint oil capsule with a coating developed according to the ColoPulse® technology, ensuring a pulsatile and therefore slower release in a lower part of the intestinal tract compared to Tempocol, namely in the (ileo-)colonic region.
Small Intestinal Release PO First, Then Ileocolonic Release Peppermint Oil
Small Intestinal Release PO (Tempocol®) is an enteric-coated peppermint oil capsule that delivers peppermint oil in the upper small intestine. Menthae piperitae aetheroleum/peppermint oil (enteric coated capsule): Peppermint oil capsule available as an over the counter prescription drug on the Dutch market.
Overall Study
STARTED
4
4
Overall Study
COMPLETED
4
4
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Comparing a 182mg Colon-targeted-delivery Peppermint Oil Capsule (Tempocol-ColoPulse®) and a 182mg Enteric-coated Peppermint Oil Capsule (Tempocol®), a Pharmacokinetic Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ileocolonic Release PO on First Test Day
n=4 Participants
Ileocolonic release PO is a targeted ileocolonic release peppermint oil capsule that releases peppermint oil in the (ileo-) colonic region specifically. Menthae piperitae aetheroleum/peppermint oil (colon-targeted-delivery capsule): Peppermint oil capsule with a coating developed according to the ColoPulse® technology, ensuring a pulsatile and therefore slower release in a lower part of the intestinal tract compared to Tempocol, namely in the (ileo-)colonic region.
Small Intestinal Release PO on First Test Day
n=4 Participants
Small Intestinal Release PO (Tempocol®) is an enteric-coated peppermint oil capsule that delivers peppermint oil in the upper small intestine. Menthae piperitae aetheroleum/peppermint oil (enteric coated capsule): Peppermint oil capsule available as an over the counter prescription drug on the Dutch market.
Total
n=8 Participants
Total of all reporting groups
Age, Continuous
21.7 years
n=5 Participants
24.1 years
n=7 Participants
22.2 years
n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Netherlands
4 participants
n=5 Participants
4 participants
n=7 Participants
8 participants
n=5 Participants
BMI
21.5 kg/m^2
n=5 Participants
21.7 kg/m^2
n=7 Participants
21.5 kg/m^2
n=5 Participants

PRIMARY outcome

Timeframe: 24 hours

Time to reach maximum menthol-glucuronide (main constituent of peppermint oil after conversion by the liver) concentration in plasma

Outcome measures

Outcome measures
Measure
Ileocolonic Release PO
n=8 Participants
Ileocolonic release PO is a targeted ileocolonic release peppermint oil capsule that releases peppermint oil in the (ileo-) colonic region specifically. Menthae piperitae aetheroleum/peppermint oil (colon-targeted-delivery capsule): Peppermint oil capsule with a coating developed according to the ColoPulse® technology, ensuring a pulsatile and therefore slower release in a lower part of the intestinal tract compared to Tempocol, namely in the (ileo-)colonic region.
Small Intestinal Release PO
n=8 Participants
Small Intestinal Release PO (Tempocol®) is an enteric-coated peppermint oil capsule that delivers peppermint oil in the upper small intestine. Menthae piperitae aetheroleum/peppermint oil (enteric coated capsule): Peppermint oil capsule available as an over the counter prescription drug on the Dutch market.
T-max
360 minutes
Interval 360.0 to 405.0
180 minutes
Interval 120.0 to 180.0

SECONDARY outcome

Timeframe: 24 hours

Menthol-glucuronide (main constituent of peppermint oil after conversion by the liver) peak plasma concentrations

Outcome measures

Outcome measures
Measure
Ileocolonic Release PO
n=8 Participants
Ileocolonic release PO is a targeted ileocolonic release peppermint oil capsule that releases peppermint oil in the (ileo-) colonic region specifically. Menthae piperitae aetheroleum/peppermint oil (colon-targeted-delivery capsule): Peppermint oil capsule with a coating developed according to the ColoPulse® technology, ensuring a pulsatile and therefore slower release in a lower part of the intestinal tract compared to Tempocol, namely in the (ileo-)colonic region.
Small Intestinal Release PO
n=8 Participants
Small Intestinal Release PO (Tempocol®) is an enteric-coated peppermint oil capsule that delivers peppermint oil in the upper small intestine. Menthae piperitae aetheroleum/peppermint oil (enteric coated capsule): Peppermint oil capsule available as an over the counter prescription drug on the Dutch market.
C-max
563.6 ug/L
Interval 268.0 to 849.0
702 ug/L
Interval 644.0 to 1020.0

SECONDARY outcome

Timeframe: 24 hours

Time until a measurable plasma concentration of menthol-glucuronide occurs after oral administration of peppermint oil (45ug/L)

Outcome measures

Outcome measures
Measure
Ileocolonic Release PO
n=8 Participants
Ileocolonic release PO is a targeted ileocolonic release peppermint oil capsule that releases peppermint oil in the (ileo-) colonic region specifically. Menthae piperitae aetheroleum/peppermint oil (colon-targeted-delivery capsule): Peppermint oil capsule with a coating developed according to the ColoPulse® technology, ensuring a pulsatile and therefore slower release in a lower part of the intestinal tract compared to Tempocol, namely in the (ileo-)colonic region.
Small Intestinal Release PO
n=8 Participants
Small Intestinal Release PO (Tempocol®) is an enteric-coated peppermint oil capsule that delivers peppermint oil in the upper small intestine. Menthae piperitae aetheroleum/peppermint oil (enteric coated capsule): Peppermint oil capsule available as an over the counter prescription drug on the Dutch market.
T-lag
225 minutes
Interval 204.0 to 284.0
37 minutes
Interval 6.0 to 65.0

SECONDARY outcome

Timeframe: 24 hours

Area under the plasma concentration-time curve from t=0 hrs until t=24 hrs.

Outcome measures

Outcome measures
Measure
Ileocolonic Release PO
n=8 Participants
Ileocolonic release PO is a targeted ileocolonic release peppermint oil capsule that releases peppermint oil in the (ileo-) colonic region specifically. Menthae piperitae aetheroleum/peppermint oil (colon-targeted-delivery capsule): Peppermint oil capsule with a coating developed according to the ColoPulse® technology, ensuring a pulsatile and therefore slower release in a lower part of the intestinal tract compared to Tempocol, namely in the (ileo-)colonic region.
Small Intestinal Release PO
n=8 Participants
Small Intestinal Release PO (Tempocol®) is an enteric-coated peppermint oil capsule that delivers peppermint oil in the upper small intestine. Menthae piperitae aetheroleum/peppermint oil (enteric coated capsule): Peppermint oil capsule available as an over the counter prescription drug on the Dutch market.
AUC
2331 ug*h/L
Interval 2006.0 to 2510.0
2623 ug*h/L
Interval 2471.0 to 2920.0

SECONDARY outcome

Timeframe: 24 hours

elimination half-life; time required for the plasma concentration of menthol-glucuronide to reach half of its original value.

Outcome measures

Outcome measures
Measure
Ileocolonic Release PO
n=8 Participants
Ileocolonic release PO is a targeted ileocolonic release peppermint oil capsule that releases peppermint oil in the (ileo-) colonic region specifically. Menthae piperitae aetheroleum/peppermint oil (colon-targeted-delivery capsule): Peppermint oil capsule with a coating developed according to the ColoPulse® technology, ensuring a pulsatile and therefore slower release in a lower part of the intestinal tract compared to Tempocol, namely in the (ileo-)colonic region.
Small Intestinal Release PO
n=8 Participants
Small Intestinal Release PO (Tempocol®) is an enteric-coated peppermint oil capsule that delivers peppermint oil in the upper small intestine. Menthae piperitae aetheroleum/peppermint oil (enteric coated capsule): Peppermint oil capsule available as an over the counter prescription drug on the Dutch market.
T1/2
6.1 hours
Interval 5.1 to 7.4
7.7 hours
Interval 7.0 to 10.8

SECONDARY outcome

Timeframe: 24 hours

Population: No urine analysis was performed due to lack in funding. In addition, it was felt that the systemic concentration of menthol glucuronide concentration provided enough information to answer the research question.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: +/- 24 hours

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 hours

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 24 hours

Assessed by heart rate, blood pressure and reported side effects.

Outcome measures

Outcome data not reported

Adverse Events

Ileocolonic Release PO

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

Small Intestinal Release PO

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Ileocolonic Release PO
n=8 participants at risk
Ileocolonic release PO is a targeted ileocolonic release peppermint oil capsule that releases peppermint oil in the (ileo-) colonic region specifically. Menthae piperitae aetheroleum/peppermint oil (colon-targeted-delivery capsule): Peppermint oil capsule with a coating developed according to the ColoPulse® technology, ensuring a pulsatile and therefore slower release in a lower part of the intestinal tract compared to Tempocol, namely in the (ileo-)colonic region.
Small Intestinal Release PO
n=8 participants at risk
Small Intestinal Release PO (Tempocol®) is an enteric-coated peppermint oil capsule that delivers peppermint oil in the upper small intestine. Menthae piperitae aetheroleum/peppermint oil (enteric coated capsule): Peppermint oil capsule available as an over the counter prescription drug on the Dutch market.
Gastrointestinal disorders
Acid regurgitation
0.00%
0/8
25.0%
2/8
Gastrointestinal disorders
Fecal urgency
0.00%
0/8
25.0%
2/8
General disorders
Headache
25.0%
2/8
0.00%
0/8
Gastrointestinal disorders
Altered Fecal Odor
25.0%
2/8
0.00%
0/8

Additional Information

Z. Weerts

Maastricht University (Medical Center)

Results disclosure agreements

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