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Completed

NCT Number: NCT03184766

Ibuprofen and Pseudoephedrine Comparative Pharmacokinetic Study

This comparative pharmacokinetic study is being conducted to provide supporting evidence for inclusion in dossiers to regulatory authorities for an Article 8(3) of Directive 2001/83/EC abridged application for ibuprofen and pseudoephedrine liquid capsules (200 mg ibuprofen & 30 mg pseudoephedrine).

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Key information

Conditions

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Male or female subjects who have given written informed consent.
  • Age: ≥ 18 years ≤ 50 years.
  • Body Mass Index (BMI) of ≥ 20 and ≤ 30 kg/m2.
  • Healthy as determined by past medical history, physical examination, vital signs, electrocardiogram, and laboratory tests at screening.
  • Female subject of child bearing potential with a negative pregnancy test at the screening visit and willing to use an effective method of contraception unless of non-childbearing potential or where abstaining from sexual intercourse in line with the preferred and usual lifestyle of the subject from first dose until 3 months after the final dose of study medication.
  • Female subject of non-child bearing potential with negative pregnancy test at the screening visit.
  • Male subject willing to use an effective method of contraception unless anatomically sterile or where abstaining from sexual intercourse in line with the preferred and usual lifestyle of the subject from first dose until 3 months after the final dose of study medication.

Exclusion criteria

  • Pregnant or lactating females.
  • A history and/or presence of significant disease of any body system, including psychiatric disorders.
  • Any condition that may currently interfere with the absorption, distribution, metabolism or excretion of drugs.
  • A history of allergy or intolerance related to treatment with ibuprofen, aspirin, other NSAIDs, pseudoephedrine, other sympathomimetic or catecholamine derivative decongestant drugs or the excipients of the formulations.
  • A history of or active peptic or duodenal ulcers or gastro-intestinal bleed or upper gastro-intestinal bleed, or other significant gastro-intestinal disorders.
  • A history of hypertension or hypertension that is currently treated with antihypertensive medication.
  • A history of frequent dyspepsia, e.g. heartburn or indigestion.
  • A history of migraine.
  • Current smokers and ex-smokers who have smoked or used nicotine replacement products during the previous 6 months prior to first dosing.
  • A history of substance abuse (including alcohol).
  • High consumption of stimulating drinks (coffee, tea, cola, energy drinks etc.; total caffeine intake per day above 300 mg).
  • Those with positive screen/test for drugs of abuse and alcohol.
  • Those with a positive screen for ibuprofen.
  • Ingestion of a prescribed drug at any time in the 14 days before the first dose of study medication (excluding hormonal contraceptives and hormone replacement therapy), or consumption of enzyme inhibitors or inducers 30 days prior to the first dose of study medication.
  • Ingestion of an over-the-counter preparation within 7 days before the first dose of study medication, including herbal medications, vitamin/fish oil supplements, ibuprofen, other NSAIDs or decongestants.
  • Donation of blood in quantity > 400 ml e.g. to the blood transfusion service in the 12 weeks prior to the first dose of study medication
  • Known human immune deficiency virus (HIV) positive status, or a positive viral serology screen.
  • Topical use of ibuprofen within 7 days before the first dose of study medication.
  • Those previously randomised into this study.
  • Those who are an employee at the study site.
  • Those who are a partner or first degree relative of the Investigator.
  • Those who have participated in a clinical trial in the 12 weeks prior to the first dose of study medication.
  • Those unable in the opinion of the Investigator to comply fully with the study requirements.
  • Those who have consumed grapefruit or grapefruit juice, pummelo or Seville oranges in the 7 days prior to randomisation.
  • Those who are unwilling to consume gelatine of animal origin.

Treatment and study plan

Test Nurofen Cold and Flu®, Ibuprofen and pseudoephedrine liquid capsules

Drug

2 x 200 mg ibuprofen & 30 mg pseudoephedrine

Comparator 1 Nurofen Cold and Flu®, ibuprofen and pseudoephedrine tablets

Drug

2 x 200 mg ibuprofen & 30 mg pseudoephedrine

Comparator 2 Nurofen Immedia 200 mg Weichkapseln, ibuprofen liquid capsules

Drug

2 x 200 mg solubilised ibuprofen

Primary outcomes

  1. Pseudoephedrine AUC0-t for Test vs. Comparator 1.

    Time frame: PK Analysis: 0-48hrs

    The Test and Comparator 1 will be considered similar if for pseudoephedrine, for each corresponding PK parameter, the 90% confidence interval for the Test to Comparator 1 ratio (rounded to two decimal places) of LS geometric means is fully contained within the interval 80.00 to 125.00%:

  2. Pseudoephedrine Cmax for Test vs. Comparator 1.

    Time frame: PK Analysis: 0-48hrs

    The Test and Comparator 2 will be considered similar if for ibuprofen, for each corresponding PK parameter, the 90% confidence interval for the Test to Comparator 2 ratio (rounded to two decimal places) of LS geometric means is fully contained within the interval 80.00 to 125.00%:

  3. Ibuprofen AUC0-t for Test vs. Comparator 2.

    Time frame: PK Analysis: 0-48hrs

    The Test and Comparator 2 will be considered similar if for ibuprofen, for each corresponding PK parameter, the 90% confidence interval for the Test to Comparator 2 ratio (rounded to two decimal places) of LS geometric means is fully contained within the interval 80.00 to 125.00%:

  4. Ibuprofen Cmax for Test vs. Comparator 2.

    Time frame: PK Analysis: 0-48hrs

    The Test and Comparator 2 will be considered similar if for ibuprofen, for each corresponding PK parameter, the 90% confidence interval for the Test to Comparator 2 ratio (rounded to two decimal places) of LS geometric means is fully contained within the interval 80.00 to 125.00%:

Secondary outcomes

  1. Ibuprofen AUC0-t for Test vs. Comparator 1.

    Time frame: PK Analysis: 0-48hrs

    The Test and Comparator 1 will be considered similar if for ibuprofen, for each corresponding PK parameter, the 90% confidence interval for the Test to Comparator 1 ratio (rounded to two decimal places) of LS geometric means is fully contained within the interval 80.00 to 125.00%:

    • Cmax for ibuprofen (in the context of the Test vs. Comparator 1 comparison)
  2. Ibuprofen Cmax for Test vs. Comparator 1.

    Time frame: PK Analysis: 0-48hrs

    The Test and Comparator 1 will be considered similar if for ibuprofen, for each corresponding PK parameter, the 90% confidence interval for the Test to Comparator 1 ratio (rounded to two decimal places) of LS geometric means is fully contained within the interval 80.00 to 125.00%:

  3. Assessment of how fast the ibuprofen from the Test product starts to be absorbed and how quickly it reaches the therapeutic level.

    Time frame: PK Analysis: 0-48hrs

    T8.4 - time to reach the therapeutic level (8.4 µg/ml) for ibuprofen.

  4. Pharmacokinetic parameters will be assessed as secondary endpoints.

    Time frame: PK Analysis: 0-48hrs

    Cn - the plasma concentration of an active at each planned nominal time-point.

  5. Pharmacokinetic parameters will be assessed as secondary endpoints.

    Time frame: PK Analysis: 0-48hrs

    AUC0-inf - Area under the plasma concentration-time curve from administration to infinity.

  6. Pharmacokinetic parameters will be assessed as secondary endpoints.

    Time frame: PK Analysis: 0-48hrs

    administration to infinity. AUCR - ratio AUC0-t / AUC0-inf.

  7. Pharmacokinetic parameters will be assessed as secondary endpoints.

    Time frame: PK Analysis: 0-48hrs

    Tmax -Time until Cmax is first achieved.

  8. Pharmacokinetic parameters will be assessed as secondary endpoints.

    Time frame: PK Analysis: 0-48hrs

    Kel - elimination rate constant.

  9. Pharmacokinetic parameters will be assessed as secondary endpoints.

    Time frame: PK Analysis: 0-48hrs

    T1/2 - plasma concentration half-life.

  10. Pharmacokinetic parameters will be assessed as secondary endpoints.

    Time frame: PK Analysis: 0-48hrs

    Tlag - time between administration and the beginning of absorption of ibuprofen. This will be calculated only for the Test.

Other outcomes

  1. The occurrence of Adverse Events.

    Time frame: Through study completion - Screening to study follow-up (Approx 8 weeks)

  2. Change from baseline in oral temperature.

    Time frame: Through study completion - Screening to study follow-up (Approx 8 weeks)

    Measured in degrees Celcius

  3. Change from baseline in resting heart rate.

    Time frame: Through study completion - Screening to study follow-up (Approx 8 weeks)

    Measured in beats per minute

  4. Change from baseline in resting blood pressure.

    Time frame: Through study completion - Screening to study follow-up (Approx 8 weeks)

    Measured in mmHg

  5. Change from baseline in haematology testing.

    Time frame: Through study completion - Screening to study follow-up (Approx 8 weeks)

  6. Change from baseline in biochemistry testing.

    Time frame: Through study completion - Screening to study follow-up (Approx 8 weeks)

  7. Change from baseline in urinary testing.

    Time frame: Through study completion - Screening to study follow-up (Approx 8 weeks)

Sponsors and collaborators

Lead sponsor

Reckitt Benckiser Healthcare (UK) Limited

Industry

Collaborators

  • Simbec Research

Registry information

Official study title

An Open-label, Randomised, Three-way Cross-over, Single Dose, Single Centre, Comparative Pharmacokinetic Study Between Ibuprofen and Pseudoephedrine Liquid Capsules (2x 200 mg Ibuprofen & 30 mg Pseudoephedrine) (Test), Ibuprofen and Pseudoephedrine Tablets (2x 200 mg Ibuprofen & 30 mg Pseudoephedrine) (Comparator 1), and Ibuprofen Liquid Capsules (2x 200 mg Solubilised Ibuprofen) (Comparator 2)

Important dates

Study start
2016
Primary completion
2017
Study completion
2017
First posted
Jun 14, 2017
Registry last updated
Jun 14, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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