Trial Outcomes & Findings for Effect of Antacid on Bioavailability of Febuxostat After Administration of a Febuxostat 80 mg Extended-Release Capsule (NCT NCT02382640)

NCT ID: NCT02382640

Last Updated: 2016-04-29

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

36 participants

Primary outcome timeframe

Days 1 at multiple timepoints (up to 48 hours) post-dose

Results posted on

2016-04-29

Participant Flow

Participants took part in the study at 1 investigative site in United States from 23-Feb-15 to 04-May-15.

Healthy participants were enrolled in this 4 period cross over study to receive 4 regimens which included febuxostat extended release (XR) 80 milligram (mg) and Maalox suspension 20 milliliter (mL) based on different fasting conditions.

Participant milestones

Participant milestones
Measure
Regimen A, Then B, Then D, Then C
Regimen(Reg)A(Febuxostat XR 80mg,capsule, orally, single dose after a 10hour(hr) fast and concurrently with Maalox 20mL(200mg magnesium hydroxide, 200mg aluminum hydroxide, and 20mg simethicone/5mL)or equivalent brand antacid, suspension, orally, single dose) on Day1 of first intervention period(3 Days),followed by 1week washout period, followed by RegB(Maalox 20mL,suspension,orally, single dose after a 9hr fast,followed by Febuxostat XR 80mg,capsule, orally, single dose after a 10hr fast\[or 1hr after antacid dose\]) on Day1 of second intervention period(3Days),followed by 1 week washout period, followed by RegD(Febuxostat XR 80mg,capsule, orally, single dose after a 10hr fast) on Day 1 of third intervention period(3Days),followed by 1week washout period, followed by RegC(Febuxostat XR 80mg,capsule, orally, single dose after a 10hr fast followed by Maalox 20mL, suspension, orally, single dose after 11hr fast\[or 1hr after Febuxostat dose\]) on Day1 of fourth intervention period(3 Days).
Regimen D, Then A, Then C, Then B
Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 of first intervention period (3 Days), followed by Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 of second intervention period (3 Days), followed by 1 week washout period, followed by Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 of third intervention period (3 Days), followed by 1 week washout period, followed by Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]).
Regimen C, Then D, Then B, Then A
Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 of first intervention period (3 Days), followed by 1 week washout period, Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 of second intervention period (3 Days), followed by 1 week washout period, Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 of third intervention period (3 Days), followed by Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 of fourth intervention period (3 Days).
Regimen B, Then C, Then A, Then D
Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 of first intervention period (3 Days), followed by 1 week washout period, followed by Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 of second intervention period (3 Days), followed by Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 of third intervention period (3 Days), Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 of fourth intervention period (3 Days).
Intervention Period 1 (3 Days)
STARTED
9
9
9
9
Intervention Period 1 (3 Days)
COMPLETED
9
9
9
9
Intervention Period 1 (3 Days)
NOT COMPLETED
0
0
0
0
Washout Period 1 (7 Days)
STARTED
9
9
9
9
Washout Period 1 (7 Days)
COMPLETED
9
9
9
9
Washout Period 1 (7 Days)
NOT COMPLETED
0
0
0
0
Intervention Period 2 (3 Days)
STARTED
9
9
9
9
Intervention Period 2 (3 Days)
COMPLETED
9
9
9
9
Intervention Period 2 (3 Days)
NOT COMPLETED
0
0
0
0
Washout Period 2 (7 Days)
STARTED
9
9
9
9
Washout Period 2 (7 Days)
COMPLETED
9
9
9
9
Washout Period 2 (7 Days)
NOT COMPLETED
0
0
0
0
Intervention Period 3 (3 Days)
STARTED
9
9
9
9
Intervention Period 3 (3 Days)
COMPLETED
9
9
9
9
Intervention Period 3 (3 Days)
NOT COMPLETED
0
0
0
0
Washout Period 3 (7 Days)
STARTED
9
9
9
9
Washout Period 3 (7 Days)
COMPLETED
9
9
9
9
Washout Period 3 (7 Days)
NOT COMPLETED
0
0
0
0
Intervention Period 4 (3 Days)
STARTED
9
9
9
9
Intervention Period 4 (3 Days)
COMPLETED
8
9
9
9
Intervention Period 4 (3 Days)
NOT COMPLETED
1
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Regimen A, Then B, Then D, Then C
Regimen(Reg)A(Febuxostat XR 80mg,capsule, orally, single dose after a 10hour(hr) fast and concurrently with Maalox 20mL(200mg magnesium hydroxide, 200mg aluminum hydroxide, and 20mg simethicone/5mL)or equivalent brand antacid, suspension, orally, single dose) on Day1 of first intervention period(3 Days),followed by 1week washout period, followed by RegB(Maalox 20mL,suspension,orally, single dose after a 9hr fast,followed by Febuxostat XR 80mg,capsule, orally, single dose after a 10hr fast\[or 1hr after antacid dose\]) on Day1 of second intervention period(3Days),followed by 1 week washout period, followed by RegD(Febuxostat XR 80mg,capsule, orally, single dose after a 10hr fast) on Day 1 of third intervention period(3Days),followed by 1week washout period, followed by RegC(Febuxostat XR 80mg,capsule, orally, single dose after a 10hr fast followed by Maalox 20mL, suspension, orally, single dose after 11hr fast\[or 1hr after Febuxostat dose\]) on Day1 of fourth intervention period(3 Days).
Regimen D, Then A, Then C, Then B
Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 of first intervention period (3 Days), followed by Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 of second intervention period (3 Days), followed by 1 week washout period, followed by Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 of third intervention period (3 Days), followed by 1 week washout period, followed by Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]).
Regimen C, Then D, Then B, Then A
Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 of first intervention period (3 Days), followed by 1 week washout period, Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 of second intervention period (3 Days), followed by 1 week washout period, Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 of third intervention period (3 Days), followed by Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 of fourth intervention period (3 Days).
Regimen B, Then C, Then A, Then D
Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 of first intervention period (3 Days), followed by 1 week washout period, followed by Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 of second intervention period (3 Days), followed by Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 of third intervention period (3 Days), Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 of fourth intervention period (3 Days).
Intervention Period 4 (3 Days)
Laboratory Abnormality
1
0
0
0

Baseline Characteristics

Effect of Antacid on Bioavailability of Febuxostat After Administration of a Febuxostat 80 mg Extended-Release Capsule

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Regimen A, Then B, Then D, Then C
n=9 Participants
Regimen(Reg)A(Febuxostat XR 80mg,capsule, orally, single dose after a 10hour(hr) fast and concurrently with Maalox 20mL(200mg magnesium hydroxide, 200mg aluminum hydroxide, and 20mg simethicone/5mL)or equivalent brand antacid, suspension, orally, single dose) on Day1 of first intervention period(3 Days),followed by 1week washout period, followed by RegB(Maalox 20mL,suspension,orally, single dose after a 9hr fast,followed by Febuxostat XR 80mg,capsule, orally, single dose after a 10hr fast\[or 1hr after antacid dose\]) on Day1 of second intervention period(3Days),followed by 1 week washout period, followed by RegD(Febuxostat XR 80mg,capsule, orally, single dose after a 10hr fast) on Day 1 of third intervention period(3Days),followed by 1week washout period, followed by RegC(Febuxostat XR 80mg,capsule, orally, single dose after a 10hr fast followed by Maalox 20mL, suspension, orally, single dose after 11hr fast\[or 1hr after Febuxostat dose\]) on Day1 of fourth intervention period(3 Days).
Regimen D, Then A, Then C, Then B
n=9 Participants
Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 of first intervention period (3 Days), followed by Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 of second intervention period (3 Days), followed by 1 week washout period, followed by Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 of third intervention period (3 Days), followed by 1 week washout period, followed by Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]).
Regimen C, Then D, Then B, Then A
n=9 Participants
Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 of first intervention period (3 Days), followed by 1 week washout period, Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 of second intervention period (3 Days), followed by 1 week washout period, Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 of third intervention period (3 Days), followed by Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 of fourth intervention period (3 Days).
Regimen B, Then C, Then A, Then D
n=9 Participants
Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 of first intervention period (3 Days), followed by 1 week washout period, followed by Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 of second intervention period (3 Days), followed by Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 of third intervention period (3 Days), Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 of fourth intervention period (3 Days).
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
37.8 years
STANDARD_DEVIATION 7.36 • n=5 Participants
34.7 years
STANDARD_DEVIATION 13.42 • n=7 Participants
31.7 years
STANDARD_DEVIATION 9.18 • n=5 Participants
35.8 years
STANDARD_DEVIATION 11.38 • n=4 Participants
35.0 years
STANDARD_DEVIATION 10.36 • n=21 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
5 Participants
n=7 Participants
5 Participants
n=5 Participants
6 Participants
n=4 Participants
21 Participants
n=21 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
3 Participants
n=4 Participants
15 Participants
n=21 Participants
Race/Ethnicity, Customized
Hispanic or Latino
5 participants
n=5 Participants
3 participants
n=7 Participants
4 participants
n=5 Participants
5 participants
n=4 Participants
17 participants
n=21 Participants
Race/Ethnicity, Customized
Not Hispanic or Latino
4 participants
n=5 Participants
6 participants
n=7 Participants
5 participants
n=5 Participants
4 participants
n=4 Participants
19 participants
n=21 Participants
Race/Ethnicity, Customized
Black or African American
1 participants
n=5 Participants
2 participants
n=7 Participants
4 participants
n=5 Participants
3 participants
n=4 Participants
10 participants
n=21 Participants
Race/Ethnicity, Customized
White
8 participants
n=5 Participants
6 participants
n=7 Participants
5 participants
n=5 Participants
5 participants
n=4 Participants
24 participants
n=21 Participants
Race/Ethnicity, Customized
Multiracial
0 participants
n=5 Participants
1 participants
n=7 Participants
0 participants
n=5 Participants
1 participants
n=4 Participants
2 participants
n=21 Participants
Smoking classification
Has never smoked
8 participants
n=5 Participants
9 participants
n=7 Participants
8 participants
n=5 Participants
8 participants
n=4 Participants
33 participants
n=21 Participants
Smoking classification
Is an ex-smoker
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
1 participants
n=4 Participants
3 participants
n=21 Participants
Alcohol classification
Has never drunk
2 participants
n=5 Participants
4 participants
n=7 Participants
5 participants
n=5 Participants
4 participants
n=4 Participants
15 participants
n=21 Participants
Alcohol classification
Is a current drinker
4 participants
n=5 Participants
1 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
8 participants
n=21 Participants
Alcohol classification
Is an ex-drinker
3 participants
n=5 Participants
4 participants
n=7 Participants
3 participants
n=5 Participants
3 participants
n=4 Participants
13 participants
n=21 Participants
Xanthine/caffeine consumption
Had xanthine/caffeine consumption
5 participants
n=5 Participants
5 participants
n=7 Participants
3 participants
n=5 Participants
5 participants
n=4 Participants
18 participants
n=21 Participants
Xanthine/caffeine consumption
Had no xanthine/caffeine consumption
4 participants
n=5 Participants
4 participants
n=7 Participants
6 participants
n=5 Participants
4 participants
n=4 Participants
18 participants
n=21 Participants
Female reproductive status
Female of childbearing potential
4 participants
n=5 Participants
5 participants
n=7 Participants
4 participants
n=5 Participants
4 participants
n=4 Participants
17 participants
n=21 Participants
Female reproductive status
Surgically sterile
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
2 participants
n=4 Participants
4 participants
n=21 Participants
Female reproductive status
N/A (participant is male)
4 participants
n=5 Participants
4 participants
n=7 Participants
4 participants
n=5 Participants
3 participants
n=4 Participants
15 participants
n=21 Participants

PRIMARY outcome

Timeframe: Days 1 at multiple timepoints (up to 48 hours) post-dose

Population: The pharmacokinetic set consisted of all participants who received study drug and had at least 1 measurable plasma concentration.

Outcome measures

Outcome measures
Measure
Regimen A
n=36 Participants
Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 in either of the 4 intervention periods
Regimen B
n=36 Participants
Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 in either of the 4 intervention periods.
Regimen C
n=35 Participants
Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 in either of the 4 intervention periods.
Regimen D
n=36 Participants
Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 in either of the 4 intervention periods.
Cmax: Maximum Observed Plasma Concentration for Febuxostat
883.58 nanogram per milliliter (ng/mL)
Standard Deviation 898.49
1075.08 nanogram per milliliter (ng/mL)
Standard Deviation 941.46
765.89 nanogram per milliliter (ng/mL)
Standard Deviation 480.2
1456.42 nanogram per milliliter (ng/mL)
Standard Deviation 875.39

PRIMARY outcome

Timeframe: Days 1 pre-dose and at multiple timepoints (up to 48 hours) post-dose

Population: The pharmacokinetic set consisted of all participants who received study drug and had at least 1 measurable plasma concentration.

Outcome measures

Outcome measures
Measure
Regimen A
n=36 Participants
Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 in either of the 4 intervention periods
Regimen B
n=36 Participants
Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 in either of the 4 intervention periods.
Regimen C
n=35 Participants
Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 in either of the 4 intervention periods.
Regimen D
n=36 Participants
Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 in either of the 4 intervention periods.
AUC(0-tau): Area Under the Plasma Concentration-time Curve During the Dosing Interval for Febuxostat
4680.69 nanogram*hour per milliliter (ng*hr/mL)
Standard Deviation 2427.11
5877.99 nanogram*hour per milliliter (ng*hr/mL)
Standard Deviation 2888.9
4412.22 nanogram*hour per milliliter (ng*hr/mL)
Standard Deviation 1718.42
7316.21 nanogram*hour per milliliter (ng*hr/mL)
Standard Deviation 2811.1

PRIMARY outcome

Timeframe: Days 1 pre-dose and at multiple timepoints (up to 48 hours) post-dose

Population: The pharmacokinetic set consisted of all participants who received study drug and had at least 1 measurable plasma concentration.

Outcome measures

Outcome measures
Measure
Regimen A
n=36 Participants
Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 in either of the 4 intervention periods
Regimen B
n=36 Participants
Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 in either of the 4 intervention periods.
Regimen C
n=35 Participants
Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 in either of the 4 intervention periods.
Regimen D
n=36 Participants
Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 in either of the 4 intervention periods.
AUC(0-inf): Area Under the Plasma Concentration-time Curve From Time 0 to Infinity for Febuxostat
5901 ng*hr/mL
Standard Deviation 2739.92
6999.9 ng*hr/mL
Standard Deviation 2912.71
4844.33 ng*hr/mL
Standard Deviation 1918.73
7697.85 ng*hr/mL
Standard Deviation 2732.63

PRIMARY outcome

Timeframe: Day 1 up to 30 days after last dose of drug (Day 31 for each of the 4 periods)

Population: The safety set was defined as all participants who were enrolled and received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Regimen A
n=36 Participants
Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 in either of the 4 intervention periods
Regimen B
n=36 Participants
Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 in either of the 4 intervention periods.
Regimen C
n=35 Participants
Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 in either of the 4 intervention periods.
Regimen D
n=36 Participants
Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 in either of the 4 intervention periods.
Number of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs)
TEAE
2 participants
1 participants
3 participants
2 participants
Number of Participants With Treatment-Related Adverse Events (AEs) and Serious Adverse Events (SAEs)
SAE
0 participants
0 participants
0 participants
0 participants

PRIMARY outcome

Timeframe: Day 1 up to 30 days after last dose of drug (Day 31 for each of the 4 periods)

Population: The safety set was defined as all participants who were enrolled and received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Regimen A
n=36 Participants
Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 in either of the 4 intervention periods
Regimen B
n=36 Participants
Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 in either of the 4 intervention periods.
Regimen C
n=35 Participants
Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 in either of the 4 intervention periods.
Regimen D
n=36 Participants
Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 in either of the 4 intervention periods.
Number of Participants With Clinically Significant Change From Baseline in Vital Signs
0 participants
0 participants
0 participants
0 participants

PRIMARY outcome

Timeframe: Day 1 up to 30 days after last dose of drug (Day 31 for each of the 4 periods)

Population: The safety set was defined as all participants who were enrolled and received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Regimen A
n=36 Participants
Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 in either of the 4 intervention periods
Regimen B
n=36 Participants
Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 in either of the 4 intervention periods.
Regimen C
n=35 Participants
Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 in either of the 4 intervention periods.
Regimen D
n=36 Participants
Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 in either of the 4 intervention periods.
Number of Participants With Clinically Significant Change From Baseline in Physical Examination Findings
0 participants
0 participants
0 participants
0 participants

PRIMARY outcome

Timeframe: Day 1 up to 30 days after last dose of drug (Day 31 for each of the 4 periods)

Population: The safety set was defined as all participants who were enrolled and received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Regimen A
n=36 Participants
Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 in either of the 4 intervention periods
Regimen B
n=36 Participants
Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 in either of the 4 intervention periods.
Regimen C
n=35 Participants
Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 in either of the 4 intervention periods.
Regimen D
n=36 Participants
Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 in either of the 4 intervention periods.
Number of Participants With Clinically Significant Change From Baseline in Clinical Laboratory Evaluation
0 participants
0 participants
0 participants
0 participants

PRIMARY outcome

Timeframe: Day 1 up to 30 days after last dose of drug (Day 31 for each of the 4 periods)

Population: The safety set was defined as all participants who were enrolled and received at least 1 dose of study drug.

Outcome measures

Outcome measures
Measure
Regimen A
n=36 Participants
Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 in either of the 4 intervention periods
Regimen B
n=36 Participants
Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 in either of the 4 intervention periods.
Regimen C
n=35 Participants
Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 in either of the 4 intervention periods.
Regimen D
n=36 Participants
Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 in either of the 4 intervention periods.
Number of Participants With Clinically Significant Change From Baseline in 12-lead Electrocardiogram (ECG)
0 participants
0 participants
0 participants
0 participants

Adverse Events

Regimen A

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

Regimen B

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Regimen C

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Regimen D

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
Regimen A
n=36 participants at risk
Regimen A (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast and concurrently with Maalox 20 mL, suspension, orally, single dose) on Day 1 in either of the 4 intervention periods
Regimen B
n=36 participants at risk
Regimen B (Maalox 20 mL, suspension, orally, single dose after a 9-hour fast, followed by Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast \[or 1 hour after antacid dose\]) on Day 1 in either of the 4 intervention periods.
Regimen C
n=35 participants at risk
Regimen C (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast followed by Maalox 20 mL, suspension, orally, single dose after 11-hour fast \[or 1 hour after Febuxostat dose\]) on Day 1 in either of the 4 intervention periods.
Regimen D
n=36 participants at risk
Regimen D (Febuxostat XR 80 mg, capsule, orally, single dose after a 10-hour fast) on Day 1 in either of the 4 intervention periods.
Gastrointestinal disorders
Diarrhoea
2.8%
1/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.9%
1/35 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Gastrointestinal disorders
Nausea
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.9%
1/35 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Injury, poisoning and procedural complications
Oral herpes
2.8%
1/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/35 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/35 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.8%
1/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Dizziness
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/35 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.8%
1/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Nervous system disorders
Headache
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.9%
1/35 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
Skin and subcutaneous tissue disorders
Ecchymosis
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
2.8%
1/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/35 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.
0.00%
0/36 • Treatment-emergent adverse events are adverse events that started after the first dose of double-blind study drug and no more than 14 days (or 30 days for a serious adverse event) after the last dose of double-blind study drug.
At each visit the investigator had to document any occurrence of adverse events and abnormal laboratory findings. Any event spontaneously reported by the participant or observed by the investigator was recorded, irrespective of the relation to study treatment.

Additional Information

Medical Director

Takeda

Phone: +1-877-825-3327

Results disclosure agreements

  • Principal investigator is a sponsor employee Research Organization shall not publish any articles or papers nor make any presentations, nor assist any other person in publishing any articles or papers or in making any presentations relating or referring to the Study or any results, data or insights from or any data, information or materials obtained or generated in the performance of its obligations without the prior written consent of Takeda, which consent may be granted or withheld in Takeda's sole discretion.
  • Publication restrictions are in place

Restriction type: OTHER