Trial Outcomes & Findings for Fentanyl Patch Pharmacokinetics in Healthy Adults (NCT NCT02531971)

NCT ID: NCT02531971

Last Updated: 2020-03-26

Results Overview

drug concentration in serum vs. time; reflects the actual body exposure to drug after administration of a dose of the drug

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

24 participants

Primary outcome timeframe

10 procedure days for Duragesic and Mylan arms each

Results posted on

2020-03-26

Participant Flow

Participant milestones

Participant milestones
Measure
Fentanyl Citrate (36 h), Duragesic® (192 h), Mylan (192 h)
Volunteers received a single-dose of 100 µg fentanyl citrate infusion (Study Session I) and blood samples were obtained for 0-36 h, washout at least one week, then same volunteers wore a Duragesic® fentanyl TDDS (25 µg/h) for 72 h (Study Session II) and blood samples were obtained for 0-192 h, washout at least one week, then same volunteers wore a Mylan fentanyl TDDS (25 µg/h) for 72 h (Study Session IIII) and blood samples obtained for 0-192 h
Fentanyl Citrate (36 h), Mylan (192 h), Duragesic® (192 h)
Volunteers received a single-dose of 100 µg fentanyl citrate infusion (Study Session I) and blood samples obtained for 0-36 h, washout at least one week, then same volunteers wore a Mylan fentanyl TDDS (25 µg/h) for 72 h (Study Session II) and blood samples obtained for 0-192 h, washout at least one week, then same volunteers wore a Duragesic® fentanyl TDDS (25 µg/h) for 72 h (Study Session IIII) and blood samples were obtained for 0-192 h
Overall Study
STARTED
11
13
Overall Study
COMPLETED
11
13
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Fentanyl Patch Pharmacokinetics in Healthy Adults

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Fentanyl Citrate, Then Duragesic®, Then Mylan
n=11 Participants
Volunteers received a single-dose of 100 µg fentanyl citrate infusion (Study Session I), washout at least one week, then wore a Duragesic® fentanyl TDDS (25 µg/h) for 3 days (Study Session II), washout at least one week, then wore a Mylan fentanyl TDDS (25 µg/h) for 3 days (Study Session III)
Fentanyl Citrate, Then Mylan, Then Duragesic®
n=13 Participants
Volunteers received a single-dose of 100 µg fentanyl citrate infusion (Study Session I), washout at least one week, then wore a Mylan fentanyl TDDS (25 µg/h) for 3 days (Study Session II), washout at least one week, then wore a Duragesic® fentanyl TDDS (25 µg/h) for 3 days (Study Session III)
Total
n=24 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
11 Participants
n=5 Participants
13 Participants
n=7 Participants
24 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
Race/Ethnicity, Customized
African-American
6 Participants
n=5 Participants
10 Participants
n=7 Participants
16 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race/Ethnicity, Customized
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 10 procedure days for Duragesic and Mylan arms each

Population: Reported values are for all 24 volunteers.

drug concentration in serum vs. time; reflects the actual body exposure to drug after administration of a dose of the drug

Outcome measures

Outcome measures
Measure
Duragesic
n=24 Participants
Volunteers wore a Duragesic® fentanyl TDDS (25 µg/h) for 3 days (either Study Session II or Study Session III)
Mylan
n=24 Participants
Volunteers wore a Mylan fentanyl TDDS (25 µg/h) for 3 days (Study Session II or Study Session III)
Area Under the Curve (AUC 0-∞ ) ng∙h/mL
60.1 ng∙h/mL
Standard Deviation 31.6
64.2 ng∙h/mL
Standard Deviation 35.1

Adverse Events

Fentanyl Citrate

Serious events: 0 serious events
Other events: 24 other events
Deaths: 0 deaths

Duragesic®

Serious events: 0 serious events
Other events: 24 other events
Deaths: 0 deaths

Mylan Generic Fentanyl

Serious events: 0 serious events
Other events: 24 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Fentanyl Citrate
n=24 participants at risk
Volunteers received a single-dose of 100 µg fentanyl citrate infusion (Study Session I); blood samples obtained from 0-36 h
Duragesic®
n=24 participants at risk
Volunteers wore a Duragesic® fentanyl TDDS (25 µg/h) for 72 h (either Study Session II or Study Session III); blood samples obtained from 0-192 h
Mylan Generic Fentanyl
n=24 participants at risk
Volunteers wore a Mylan fentanyl TDDS (25 µg/h) for 72 h (either Study Session II or Study Session III); blood samples obtained from 0-192 h
Product Issues
Nausea
16.7%
4/24 • Number of events 4 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
8.3%
2/24 • Number of events 2 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
8.3%
2/24 • Number of events 2 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
Product Issues
Decreased heart rate
41.7%
10/24 • Number of events 20 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
54.2%
13/24 • Number of events 53 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
54.2%
13/24 • Number of events 49 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
Product Issues
Increased heart rate
8.3%
2/24 • Number of events 2 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
0.00%
0/24 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
16.7%
4/24 • Number of events 4 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
Product Issues
Increased blood pressure
20.8%
5/24 • Number of events 6 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
25.0%
6/24 • Number of events 22 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
20.8%
5/24 • Number of events 10 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
Product Issues
Decreased blood pressure
4.2%
1/24 • Number of events 2 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
25.0%
6/24 • Number of events 21 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
33.3%
8/24 • Number of events 21 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
Product Issues
Headache
16.7%
4/24 • Number of events 4 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
20.8%
5/24 • Number of events 7 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
8.3%
2/24 • Number of events 3 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
Product Issues
Decreased respiratory rate
25.0%
6/24 • Number of events 6 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
12.5%
3/24 • Number of events 7 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
12.5%
3/24 • Number of events 3 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
Product Issues
Increased respiratory rate
62.5%
15/24 • Number of events 27 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
75.0%
18/24 • Number of events 39 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
45.8%
11/24 • Number of events 31 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
Product Issues
Abdominal cramping
0.00%
0/24 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
0.00%
0/24 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
8.3%
2/24 • Number of events 2 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
Investigations
Pain, swelling, bruising, abrasions, erythema at IV catheter site
0.00%
0/24 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
12.5%
3/24 • Number of events 3 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
12.5%
3/24 • Number of events 3 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
Product Issues
Erythema
4.2%
1/24 • Number of events 1 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
12.5%
3/24 • Number of events 3 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts
16.7%
4/24 • Number of events 4 • 25 days (study duration); any adverse events were followed up until resolved
All adverse events were category 3 (other, not serious); all were expected adverse events according to package inserts

Additional Information

Dr. Audra Stinchcomb

University of Maryland, Baltimore

Phone: 410-706-2646

Results disclosure agreements

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