Trial Outcomes & Findings for Pharmacokinetic Study of Vivitrol in Healthy Participants (NCT NCT04716881)

NCT ID: NCT04716881

Last Updated: 2024-02-23

Results Overview

Single-dose PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after dosing on Day 0

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

9 participants

Primary outcome timeframe

1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Results posted on

2024-02-23

Participant Flow

Participant milestones

Participant milestones
Measure
Vivitrol (Naltrexone)
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Overall Study
STARTED
9
Overall Study
COMPLETED
7
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Vivitrol (Naltrexone)
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Overall Study
Adverse Event
1
Overall Study
Lost to Follow-up
1

Baseline Characteristics

Pharmacokinetic Study of Vivitrol in Healthy Participants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Vivitrol (Naltrexone)
n=9 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Age, Continuous
50.0 years
n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 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
4 Participants
n=5 Participants
Race (NIH/OMB)
White
3 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Region of Enrollment
United States
9 participants
n=5 Participants
Body Mass Index (kg/m^2)
25.90 kg/m^2
n=5 Participants

PRIMARY outcome

Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Single-dose PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after dosing on Day 0

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median Cmax of Naltrexone (After 1st Dose)
14.10 ng/mL
Interval 13.4 to 23.1

PRIMARY outcome

Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Single-dose PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 0

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median Tmax of Naltrexone (After 1st Dose)
2.00 day
Interval 1.96 to 3.02

PRIMARY outcome

Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Single-dose PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median AUC0-inf of Naltrexone (After 1st Dose)
153.00 day*ng/mL
Interval 107.01 to 180.83

PRIMARY outcome

Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Single-dose PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 0

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median Ctrough of Naltrexone (After 1st Dose)
0.81 ng/mL
Interval 0.49 to 1.06

PRIMARY outcome

Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Single-dose PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 0

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median Cmax of 6β-naltrexol (After First Dose)
20.50 ng/mL
Interval 17.3 to 26.1

PRIMARY outcome

Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Single-dose PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 0

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median Tmax of 6β-naltrexol (After 1st Dose)
3.02 day
Interval 2.0 to 3.15

PRIMARY outcome

Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Single-dose PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 0

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median AUC0-inf of 6β-naltrexol (After 1st Dose)
270.16 day*ng/mL
Interval 216.32 to 342.38

PRIMARY outcome

Timeframe: 1st dose: Day 0 (predose), 1, 2, 4, 8, 12 hours, 24 hours (Day 1), Days 1.5, 1.75, 2, 3, 5, 7, 10, 14, 17, 21, 24, and 28.

Single-dose PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 0

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median Ctrough of 6β-naltrexol (After 1st Dose)
1.71 ng/mL
Interval 1.33 to 1.97

PRIMARY outcome

Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

PK measurement of the maximum observed plasma naltrexone concentration (Cmax) after 6th dose on Day 140

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median Cmax of Naltrexone (After 6th Dose)
14.00 ng/mL
Interval 11.8 to 17.6

PRIMARY outcome

Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

PK measurement of the time to maximum plasma naltrexone concentration (Tmax) after dosing on Day 140

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median Tmax of Naltrexone (After 6th Dose)
2.00 day
Interval 1.97 to 2.94

PRIMARY outcome

Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

PK measurement of the area under the plasma concentration-time curve for naltrexone from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median AUC0-inf of Naltrexone (After 6th Dose)
167.14 day*ng/mL
Interval 127.03 to 199.65

PRIMARY outcome

Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

PK measurement of naltrexone concentration at the end of the dosing interval (Ctrough) after dosing on Day 140

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median Ctrough of Naltrexone (After 6th Dose)
1.37 ng/mL
Interval 0.52 to 1.75

PRIMARY outcome

Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

PK measurement of the maximum observed plasma 6β-naltrexol concentration (Cmax) after dosing on Day 140

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median Cmax of 6β-naltrexol (After 6th Dose)
24.70 ng/mL
Interval 19.5 to 31.0

PRIMARY outcome

Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

PK measurement of the time to maximum plasma 6β-naltrexol concentration (Tmax) after dosing on Day 140

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median Tmax of 6β-naltrexol (After th Dose)
2.95 day
Interval 2.0 to 3.02

PRIMARY outcome

Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

PK measurement of the area under the plasma concentration-time curve for 6β-naltrexol from time 0 extrapolated to infinity (AUC0-inf) after dosing on Day 140

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median AUC0-inf of 6β-naltrexol (After 6th Dose)
310.49 day*ng/mL
Interval 217.12 to 367.51

PRIMARY outcome

Timeframe: 6th dose: Day 140 (1, 2, 4, 8 & 12 hours), 141, 141.5, 141.75, 142, 143, 145, 147, 150, 154, 157, 161, 164, 168, 182 and 196

PK measurement of 6β-naltrexol concentration at the end of the dosing interval (Ctrough) after dosing on Day 140

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Median Ctrough of 6β-naltrexol (After 6th Dose)
2.02 ng/mL
Interval 1.45 to 3.5

SECONDARY outcome

Timeframe: Up to Day 196

Proportion of participants reporting AEs

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=8 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Adverse Events (AEs)
4 Participants

SECONDARY outcome

Timeframe: 196 days after the 6th dose

The naltrexone AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Naltrexone Accumulation Ratio (AR) for Cmax
0.96 ratio
Geometric Coefficient of Variation 49.16

SECONDARY outcome

Timeframe: 196 days after the 6th dose

The naltrexone AR was determined for Crough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Naltrexone Accumulation Ratio (AR) for Ctrough
1.58 ratio
Geometric Coefficient of Variation 33.91

SECONDARY outcome

Timeframe: 196 days after the 6th dose

The naltrexone AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
Naltrexone Accumulation Ratio (AR) for AUC0-inf
1.08 ratio
Geometric Coefficient of Variation 12.27

SECONDARY outcome

Timeframe: 196 days after the 6th dose

The 6β-naltrexol AR was determined for Cmax by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
6β-naltrexol Accumulation Ratio (AR) for Cmax
1.08 ratio
Geometric Coefficient of Variation 0.63

SECONDARY outcome

Timeframe: 196 days after the 6th dose

The 6β-naltrexol AR was determined for Ctrough by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
6β-naltrexol Accumulation Ratio (AR) for Ctrough
1.37 ratio
Geometric Coefficient of Variation 34.53

SECONDARY outcome

Timeframe: 196 days after the 6th dose

The 6β-naltrexol AR was determined for AUC0-inf by dividing the PK parameter for Dose 6 by the PK parameter for Dose 1.

Outcome measures

Outcome measures
Measure
Vivitrol (Naltrexone)
n=7 Participants
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
6β-naltrexol Accumulation Ratio (AR) for AUC0-inf
1.14 ratio
Geometric Coefficient of Variation 7.43

Adverse Events

Vivitrol (Naltrexone)

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

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Vivitrol (Naltrexone)
n=8 participants at risk
Intramuscular injection of Vivitrol (naltrexone), 380 mg. Six doses given 28 days apart. Naltrexone 380 MG: Vivitrol (naltrexone) 380 mg delivered intramuscularly every 28 days
General disorders
Injection site inflammation
12.5%
1/8 • Number of events 1 • 196 days
General disorders
Injection site pain
12.5%
1/8 • Number of events 2 • 196 days
Infections and infestations
Corona virus infection
12.5%
1/8 • Number of events 1 • 196 days
Injury, poisoning and procedural complications
Foot fracture
12.5%
1/8 • Number of events 1 • 196 days
Injury, poisoning and procedural complications
Humerus fracture
12.5%
1/8 • Number of events 1 • 196 days
Skin and subcutaneous tissue disorders
Urticaria
12.5%
1/8 • Number of events 1 • 196 days
Social circumstances
Aborted pregnancy
12.5%
1/8 • Number of events 1 • 196 days

Additional Information

Director of Operations

Go Medical Industries, Pty Ltd

Phone: 61(8) 9388 1700

Results disclosure agreements

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

Restriction type: LTE60