Trial Outcomes & Findings for A Four-Period, Four-Treatment, Four-Way Relative Bioavailability Study of CL-108 Under Fed and Fasted Conditions (NCT NCT02465866)

NCT ID: NCT02465866

Last Updated: 2017-05-02

Results Overview

Cmax of CL-108 and Vicoprofen + Ultracet + Phenergan were measured in the plasma (the liquid component of the blood in which the blood cells are suspended) in samples collected up to 48 hours post-dose.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

20 participants

Primary outcome timeframe

0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Results posted on

2017-05-02

Participant Flow

Twenty healthy subjects were enrolled in the study.

Participant milestones

Participant milestones
Measure
Sequence 1: ABDC
Treatment A: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition Treatment B: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition Treatment D: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition Treatment C: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition Dosing in 4 study periods was separated by a 14-day washout period
Sequence 2: BCAD
Treatment B: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition Treatment C: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition Treatment A: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition Treatment D: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition Dosing in 4 study periods was separated by a 14-day washout period
Sequence 3: CDBA
Treatment C: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition Treatment D: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition Treatment B: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition Treatment A: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition Dosing in 4 study periods was separated by a 14-day washout period
Sequence 4: DACB
Treatment D: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition Treatment A: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition Treatment C: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition Treatment B: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition Dosing in 4 study periods was separated by a 14-day washout period
Period 1
STARTED
5
5
5
5
Period 1
COMPLETED
5
5
5
5
Period 1
NOT COMPLETED
0
0
0
0
Period 1: Washout (14 Days)
STARTED
5
5
5
5
Period 1: Washout (14 Days)
COMPLETED
5
5
5
5
Period 1: Washout (14 Days)
NOT COMPLETED
0
0
0
0
Period 2
STARTED
5
5
5
5
Period 2
COMPLETED
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5
5
5
Period 2
NOT COMPLETED
0
0
0
0
Period 2: Washout (14 Days)
STARTED
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5
5
5
Period 2: Washout (14 Days)
COMPLETED
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5
5
5
Period 2: Washout (14 Days)
NOT COMPLETED
0
0
0
0
Period 3
STARTED
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5
5
5
Period 3
COMPLETED
5
4
5
5
Period 3
NOT COMPLETED
0
1
0
0
Period 3: Washout (14 Days)
STARTED
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5
5
Period 3: Washout (14 Days)
COMPLETED
5
4
5
5
Period 3: Washout (14 Days)
NOT COMPLETED
0
0
0
0
Period 4
STARTED
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5
Period 4
COMPLETED
5
4
5
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Period 4
NOT COMPLETED
0
0
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Period 4: Washout (14 Days)
STARTED
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4
5
5
Period 4: Washout (14 Days)
COMPLETED
5
4
5
5
Period 4: Washout (14 Days)
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Sequence 1: ABDC
Treatment A: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition Treatment B: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition Treatment D: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition Treatment C: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition Dosing in 4 study periods was separated by a 14-day washout period
Sequence 2: BCAD
Treatment B: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition Treatment C: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition Treatment A: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition Treatment D: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition Dosing in 4 study periods was separated by a 14-day washout period
Sequence 3: CDBA
Treatment C: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition Treatment D: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition Treatment B: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition Treatment A: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition Dosing in 4 study periods was separated by a 14-day washout period
Sequence 4: DACB
Treatment D: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition Treatment A: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition Treatment C: Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition Treatment B: CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition Dosing in 4 study periods was separated by a 14-day washout period
Period 3
Withdrawal by Subject
0
1
0
0

Baseline Characteristics

A Four-Period, Four-Treatment, Four-Way Relative Bioavailability Study of CL-108 Under Fed and Fasted Conditions

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Overall Subjects
n=20 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
52.85 years
STANDARD_DEVIATION 17.71 • n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
Race (NIH/OMB)
White
17 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaska Native
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Black or African American
2 Participants
n=5 Participants
Race/Ethnicity, Customized
White
17 Participants
n=5 Participants
Region of Enrollment
United States
20 participants
n=5 Participants
Height
163.15 cm
STANDARD_DEVIATION 10.49 • n=5 Participants
Weight
67.83 kg
STANDARD_DEVIATION 10.72 • n=5 Participants
Body Mass Index (BMI)
25.43 kg/m²
STANDARD_DEVIATION 2.80 • n=5 Participants

PRIMARY outcome

Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: Intended to treat (ITT) population

Cmax of CL-108 and Vicoprofen + Ultracet + Phenergan were measured in the plasma (the liquid component of the blood in which the blood cells are suspended) in samples collected up to 48 hours post-dose.

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time Data
Hydrocodone
20.0 ng/mL
Standard Deviation 5.48
17.9 ng/mL
Standard Deviation 5.80
18.4 ng/mL
Standard Deviation 5.62
17.5 ng/mL
Standard Deviation 3.63
Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time Data
Acetaminophen
4.71 ng/mL
Standard Deviation 1.49
3.27 ng/mL
Standard Deviation 1.00
5.02 ng/mL
Standard Deviation 1.66
3.03 ng/mL
Standard Deviation 0.919
Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time Data
Promethazine (Number of Participants=19,19,20,19)
4.79 ng/mL
Standard Deviation 3.75
3.66 ng/mL
Standard Deviation 2.16
4.35 ng/mL
Standard Deviation 2.94
4.08 ng/mL
Standard Deviation 1.95

PRIMARY outcome

Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
Time to Reach Maximum Concentration (Tmax)
Hydrocodone
1.55 hours
Standard Deviation 0.71
3.38 hours
Standard Deviation 1.58
1.39 hours
Standard Deviation 1.22
3.09 hours
Standard Deviation 1.89
Time to Reach Maximum Concentration (Tmax)
Acetaminophen
0.91 hours
Standard Deviation 0.44
2.84 hours
Standard Deviation 1.49
0.80 hours
Standard Deviation 0.55
2.64 hours
Standard Deviation 1.44
Time to Reach Maximum Concentration (Tmax)
Promethazine (Number of Participants=19,19,20,19)
4.35 hours
Standard Deviation 1.37
5.24 hours
Standard Deviation 2.37
4.90 hours
Standard Deviation 1.72
6.45 hours
Standard Deviation 4.59

PRIMARY outcome

Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time Data
Hydrocodone
0.556 ng/mL
Standard Deviation 0.354
0.523 ng/mL
Standard Deviation 0.412
0.465 ng/mL
Standard Deviation 0.315
0.527 ng/mL
Standard Deviation 0.424
Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time Data
Acetaminophen
0.0741 ng/mL
Standard Deviation 0.0297
0.0917 ng/mL
Standard Deviation 0.0378
0.0724 ng/mL
Standard Deviation 0.0291
0.0907 ng/mL
Standard Deviation 0.0428
Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time Data
Promethazine (Number of Participants=19,19,20,19)
0.611 ng/mL
Standard Deviation 0.936
0.586 ng/mL
Standard Deviation 1.04
0.574 ng/mL
Standard Deviation 0.829
0.701 ng/mL
Standard Deviation 0.912

PRIMARY outcome

Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
Time of the Last Quantifiable Concentration (Tlast)
Promethazine (Number of Participants=19,19,20,19)
46.76 Hours
Standard Deviation 5.51
46.77 Hours
Standard Deviation 5.52
46.81 Hours
Standard Deviation 5.37
46.74 Hours
Standard Deviation 5.51
Time of the Last Quantifiable Concentration (Tlast)
Hydrocodone
27.80 Hours
Standard Deviation 8.99
31.21 Hours
Standard Deviation 11.28
28.81 Hours
Standard Deviation 9.84
31.58 Hours
Standard Deviation 11.46
Time of the Last Quantifiable Concentration (Tlast)
Acetaminophen
23.38 Hours
Standard Deviation 2.76
24.01 Hours
Standard Deviation 0.04
23.41 Hours
Standard Deviation 2.69
24.01 Hours
Standard Deviation 0.02

PRIMARY outcome

Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

Estimated by linear regression through at least three data points in the terminal phase of the log concentration-time profile

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
Observed Elimination Rate Constant (λz)
Acetaminophen
0.1577 h-1
Standard Deviation 0.0310
0.1359 h-1
Standard Deviation 0.0223
0.1600 h-1
Standard Deviation 0.0355
0.1412 h-1
Standard Deviation 0.0218
Observed Elimination Rate Constant (λz)
Promethazine (Number of Participants=19,18,20,18)
0.0429 h-1
Standard Deviation 0.0129
0.0451 h-1
Standard Deviation 0.0451
0.0422 h-1
Standard Deviation 0.0120
0.0458 h-1
Standard Deviation 0.0145
Observed Elimination Rate Constant (λz)
Hydrocodone
0.1468 h-1
Standard Deviation 0.0293
0.1373 h-1
Standard Deviation 0.0258
0.1415 h-1
Standard Deviation 0.0292
0.1371 h-1
Standard Deviation 0.0271

PRIMARY outcome

Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

Calculated as: T1/2 = ln(2)/λz

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
Observed Terminal Elimination Half-life (T1/2)
Hydrocodone
4.93 hours
Standard Deviation 1.11
5.22 hours
Standard Deviation 0.99
5.13 hours
Standard Deviation 1.18
5.26 hours
Standard Deviation 1.08
Observed Terminal Elimination Half-life (T1/2)
Acetaminophen
4.59 hours
Standard Deviation 1.06
5.22 hours
Standard Deviation 0.79
4.52 hours
Standard Deviation 0.93
5.03 hours
Standard Deviation 0.86
Observed Terminal Elimination Half-life (T1/2)
Promethazine (Number of Participants=19,18,20,18)
17.49 hours
Standard Deviation 5.21
15.95 hours
Standard Deviation 3.04
17.77 hours
Standard Deviation 5.57
16.24 hours
Standard Deviation 4.09

PRIMARY outcome

Timeframe: 0 (pre-dose) to 0.25 hours post-dose

Population: ITT population

AUC0-0.25 measured by Linear Trapezoidal with Linear Interpolation method.

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
Area Under the Plasma Concentration-time Curve (AUC0-0.25) for Hydrocodone and Promethazine
Hydrocodone
0.08870 h*ng/mL
Standard Deviation 0.1318
0.03786 h*ng/mL
Standard Deviation 0.1269
0.1219 h*ng/mL
Standard Deviation 0.2151
0.02250 h*ng/mL
Standard Deviation 0.04577
Area Under the Plasma Concentration-time Curve (AUC0-0.25) for Hydrocodone and Promethazine
Promethazine (Number of Participants=19,19,20,19)
0.01086 h*ng/mL
Standard Deviation 0.03169
0.003941 h*ng/mL
Standard Deviation 0.01413
0.006288 h*ng/mL
Standard Deviation 0.02608
0.002612 h*ng/mL
Standard Deviation 0.01138

PRIMARY outcome

Timeframe: 0 (pre-dose) to 0.5 hours post-dose

Population: ITT population

AUC0-0.50 measured by Linear Trapezoidal with Linear Interpolation method.

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
AUC0-0.50 for Hydrocodone and Promethazine
Hydrocodone
0.9532 h*ng/mL
Standard Deviation 0.9498
0.2566 h*ng/mL
Standard Deviation 0.6382
1.280 h*ng/mL
Standard Deviation 1.271
0.3163 h*ng/mL
Standard Deviation 0.4305
AUC0-0.50 for Hydrocodone and Promethazine
Promethazine (Number of Participants=19,19,20,19)
0.03535 h*ng/mL
Standard Deviation 0.06239
0.01570 h*ng/mL
Standard Deviation 0.03508
0.02692 h*ng/mL
Standard Deviation 0.06096
0.01220 h*ng/mL
Standard Deviation 0.02452

PRIMARY outcome

Timeframe: 0 (Pre-dose) to 0.75 hours post-dose

Population: ITT population

AUC0-0.75 measured by Linear Trapezoidal with Linear Interpolation method.

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
AUC0-0.75 for Hydrocodone and Promethazine
Hydrocodone
3.194 h*ng/mL
Standard Deviation 2.379
0.8759 h*ng/mL
Standard Deviation 1.645
4.027 h*ng/mL
Standard Deviation 3.092
1.276 h*ng/mL
Standard Deviation 1.629
AUC0-0.75 for Hydrocodone and Promethazine
Promethazine (Number of Participants=19,19,20,19)
0.1108 h*ng/mL
Standard Deviation 0.1090
0.05549 h*ng/mL
Standard Deviation 0.08128
0.09690 h*ng/mL
Standard Deviation 0.1478
0.04610 h*ng/mL
Standard Deviation 0.06227

PRIMARY outcome

Timeframe: 0 (pre-dose) to 1.0 hours post-dose

Population: ITT population

AUC0-1.0 measured by Linear Trapezoidal with Linear Interpolation method.

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
AUC0-1.0 for Hydrocodone and Promethazine
Hydrocodone
6.383 h*ng/mL
Standard Deviation 3.637
2.046 h*ng/mL
Standard Deviation 3.244
7.524 h*ng/mL
Standard Deviation 4.678
2.722 h*ng/mL
Standard Deviation 3.329
AUC0-1.0 for Hydrocodone and Promethazine
Promethazine (Number of Participants=19,19,20,19)
0.2578 h*ng/mL
Standard Deviation 0.1999
0.1457 h*ng/mL
Standard Deviation 0.1649
0.2311 h*ng/mL
Standard Deviation 0.3055
0.1109 h*ng/mL
Standard Deviation 0.1471

PRIMARY outcome

Timeframe: 0 (pre-dose) to 1.5 hours post-dose

Population: ITT population

AUC0-1.5 measured by Linear Trapezoidal with Linear Interpolation method.

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
AUC0-1.5 for Hydrocodone and Promethazine
Hydrocodone
14.33 h*ng/mL
Standard Deviation 4.971
5.782 h*ng/mL
Standard Deviation 7.049
14.95 h*ng/mL
Standard Deviation 6.822
6.424 h*ng/mL
Standard Deviation 6.742
AUC0-1.5 for Hydrocodone and Promethazine
Promethazine (Number of Participants=19,19,20,19)
0.8524 h*ng/mL
Standard Deviation 0.5410
0.5573 h*ng/mL
Standard Deviation 0.4798
0.7330 h*ng/mL
Standard Deviation 0.8395
0.3239 h*ng/mL
Standard Deviation 0.3643

PRIMARY outcome

Timeframe: 0 (pre-dose) to 2 hours post-dose

Population: ITT population

AUC0-2.0 measured by Linear Trapezoidal with Linear Interpolation method.

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
AUC0-2.0 for Hydrocodone and Promethazine
Hydrocodone
23.21 h*ng/mL
Standard Deviation 6.240
10.95 h*ng/mL
Standard Deviation 10.34
22.53 h*ng/mL
Standard Deviation 8.183
11.04 h*ng/mL
Standard Deviation 10.12
AUC0-2.0 for Hydrocodone and Promethazine
Promethazine (Number of Participants=19,19,20,19)
1.938 h*ng/mL
Standard Deviation 1.318
1.267 h*ng/mL
Standard Deviation 0.9936
1.583 h*ng/mL
Standard Deviation 1.689
0.6735 h*ng/mL
Standard Deviation 0.6328

PRIMARY outcome

Timeframe: 0 (pre-dose) to 4 hours post-dose

Population: ITT population

AUC0-4.0 measured by Linear Trapezoidal with Linear Interpolation method.

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
AUC0-4.0 for Hydrocodone and Promethazine
Hydrocodone
54.04 h*ng/mL
Standard Deviation 13.77
38.97 h*ng/mL
Standard Deviation 18.47
48.35 h*ng/mL
Standard Deviation 12.87
35.14 h*ng/mL
Standard Deviation 17.97
AUC0-4.0 for Hydrocodone and Promethazine
Promethazine (Number of Participants=19,19,20,19)
9.124 h*ng/mL
Standard Deviation 6.271
5.943 h*ng/mL
Standard Deviation 3.676
7.101 h*ng/mL
Standard Deviation 6.159
4.045 h*ng/mL
Standard Deviation 2.497

PRIMARY outcome

Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

Calculated using the linear trapezoidal rule

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable Concentration
Hydrocodone
146.2 h*ng/mL
Standard Deviation 56.77
151.9 h*ng/mL
Standard Deviation 58.79
130.9 h*ng/mL
Standard Deviation 47.94
148.5 h*ng/mL
Standard Deviation 56.84
Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable Concentration
Acetaminophen
19.19 h*ng/mL
Standard Deviation 5.661
17.85 h*ng/mL
Standard Deviation 4.621
18.69 h*ng/mL
Standard Deviation 5.186
17.85 h*ng/mL
Standard Deviation 4.742
Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable Concentration
Promethazine (Number of Participants=19,19,20,19)
75.69 h*ng/mL
Standard Deviation 78.87
66.63 h*ng/mL
Standard Deviation 67.37
68.54 h*ng/mL
Standard Deviation 63.24
74.76 h*ng/mL
Standard Deviation 57.53

PRIMARY outcome

Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

Calculated as: AUCinf = AUClast + Clast/λz

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
Area Under the Concentration-time (AUCinf) Curve From Time-zero Extrapolated to Infinity
Hydrocodone
150.2 h*ng/mL
Standard Deviation 57.30
155.8 h*ng/mL
Standard Deviation 58.75
134.3 h*ng/mL
Standard Deviation 48.20
152.4 h*ng/mL
Standard Deviation 56.83
Area Under the Concentration-time (AUCinf) Curve From Time-zero Extrapolated to Infinity
Promethazine (Number of Participants=19,18,20,18)
96.92 h*ng/mL
Standard Deviation 119.5
60.72 h*ng/mL
Standard Deviation 29.74
88.53 h*ng/mL
Standard Deviation 100.3
84.13 h*ng/mL
Standard Deviation 76.72

PRIMARY outcome

Timeframe: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

Calculated as: AUCExtrap (%) = (AUC0-inf - AUC0-last)/AUC0-inf \*100

Outcome measures

Outcome measures
Measure
Treatment A: CL-108 (Fasted)
n=19 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 Participants
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 Participants
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
Percentage of AUCinf [AUCExtrap (%)] Based on Extrapolation
Hydrocodone
2.72 Percentage of AUCExtrap
Standard Deviation 1.72
2.68 Percentage of AUCExtrap
Standard Deviation 1.97
2.65 Percentage of AUCExtrap
Standard Deviation 1.78
2.71 Percentage of AUCExtrap
Standard Deviation 2.06
Percentage of AUCinf [AUCExtrap (%)] Based on Extrapolation
Promethazine (Number of Participants=19,18,20,18)
14.35 Percentage of AUCExtrap
Standard Deviation 7.03
13.54 Percentage of AUCExtrap
Standard Deviation 4.64
15.15 Percentage of AUCExtrap
Standard Deviation 7.86
14.56 Percentage of AUCExtrap
Standard Deviation 6.28

Adverse Events

Treatment A: CL-108 (Fasted)

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

Treatment B: CL-108 (Fed)

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

Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)

Serious events: 0 serious events
Other events: 20 other events
Deaths: 0 deaths

Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)

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
Treatment A: CL-108 (Fasted)
n=19 participants at risk
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition
Treatment B: CL-108 (Fed)
n=20 participants at risk
CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)
n=20 participants at risk
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)
n=19 participants at risk
Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition
Gastrointestinal disorders
Diarrhoea
0.00%
0/19 • Up to day 72
5.0%
1/20 • Up to day 72
0.00%
0/20 • Up to day 72
0.00%
0/19 • Up to day 72
Gastrointestinal disorders
Dry mouth
5.3%
1/19 • Up to day 72
0.00%
0/20 • Up to day 72
0.00%
0/20 • Up to day 72
0.00%
0/19 • Up to day 72
Gastrointestinal disorders
Glossodynia
0.00%
0/19 • Up to day 72
0.00%
0/20 • Up to day 72
5.0%
1/20 • Up to day 72
0.00%
0/19 • Up to day 72
Gastrointestinal disorders
Nausea
5.3%
1/19 • Up to day 72
10.0%
2/20 • Up to day 72
20.0%
4/20 • Up to day 72
0.00%
0/19 • Up to day 72
Gastrointestinal disorders
Oral pruritus
0.00%
0/19 • Up to day 72
0.00%
0/20 • Up to day 72
5.0%
1/20 • Up to day 72
0.00%
0/19 • Up to day 72
Gastrointestinal disorders
Vomiting
0.00%
0/19 • Up to day 72
0.00%
0/20 • Up to day 72
5.0%
1/20 • Up to day 72
0.00%
0/19 • Up to day 72
General disorders
Vessel puncture site pain
0.00%
0/19 • Up to day 72
0.00%
0/20 • Up to day 72
5.0%
1/20 • Up to day 72
0.00%
0/19 • Up to day 72
Nervous system disorders
Dizziness
5.3%
1/19 • Up to day 72
5.0%
1/20 • Up to day 72
15.0%
3/20 • Up to day 72
0.00%
0/19 • Up to day 72
Nervous system disorders
Headache
0.00%
0/19 • Up to day 72
10.0%
2/20 • Up to day 72
5.0%
1/20 • Up to day 72
0.00%
0/19 • Up to day 72
Nervous system disorders
Somnolence
0.00%
0/19 • Up to day 72
5.0%
1/20 • Up to day 72
10.0%
2/20 • Up to day 72
10.5%
2/19 • Up to day 72
Psychiatric disorders
Euphoric mood
0.00%
0/19 • Up to day 72
0.00%
0/20 • Up to day 72
5.0%
1/20 • Up to day 72
0.00%
0/19 • Up to day 72
Skin and subcutaneous tissue disorders
Hyperhidrosis
0.00%
0/19 • Up to day 72
5.0%
1/20 • Up to day 72
0.00%
0/20 • Up to day 72
0.00%
0/19 • Up to day 72
Vascular disorders
Hot flush
0.00%
0/19 • Up to day 72
0.00%
0/20 • Up to day 72
10.0%
2/20 • Up to day 72
0.00%
0/19 • Up to day 72
Vascular disorders
Hypotension
0.00%
0/19 • Up to day 72
10.0%
2/20 • Up to day 72
15.0%
3/20 • Up to day 72
0.00%
0/19 • Up to day 72
Vascular disorders
Orthostatic hypotension
0.00%
0/19 • Up to day 72
5.0%
1/20 • Up to day 72
0.00%
0/20 • Up to day 72
0.00%
0/19 • Up to day 72

Additional Information

Chief Commercial Officer

Charleston Laboratories, Inc

Phone: 561-748-2007

Results disclosure agreements

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