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Completed

NCT Number: NCT03642873

Study to Evaluate Drug-drug Interactions of Guaifenesin and Hydrocodone Bitartrate

Determine and compare the plasma concentrations and safety and tolerability of Guaifenesin and hydrocodone bitartrate when they are administered alone or in combination to normal healthy male and/or female subjects.

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Key information

Conditions

Age range

19 year–55 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

  • Males and/or females between the ages of 19 and 55 years, inclusive.
  • Females of childbearing potential were using one of the following acceptable birth control methods:
  • Intrauterine device (IUD) in place for at least 3 months prior to study;
  • Barrier method (condom or diaphragm) with spermicide for at least 14 days prior to screening through 30 days beyond study completion;
  • Stable hormonal contraceptive for at least 3 months prior to study through 30 days beyond completion of study;

Abstinence was not an acceptable form of contraception.

Females of non-childbearing potential were surgically sterile (bilateral tubal ligation with surgery at least 6 months prior to study, hysterectomy, or bilateral oophorectomy at least 3 months prior to study) or postmenopausal <2 years. An FSH >40 mIU/mL was obtained and in the record.

  • Good general health was determined by medical history, physical examination, electrocardiogram (ECG), and clinical laboratory measures.
  • Within 15% of Ideal Body Weight as defined by the 1983 Metropolitan Life chart.
  • Non-tobacco users, who had not used nicotine or nicotine-containing products for at least 1 year.
  • Able to read, understand, and sign the informed consent after the nature of the study had been explained.
  • Negative finding on tests for Hepatitis B and C antigen as well as HIV and pregnancy test (if female).
  • Negative urine screen for drugs of abuse and alcohol at screening and the first check in.
  • Non-alcohol or drug abuser - for alcohol, defined as history of less then 4 drinks daily.

Exclusion criteria

  • Clinically significant abnormalities detected by medical history, physical, ECG, or clinical laboratory findings (as determined by the Principal Investigator). Any disease or condition which impacted absorption, distribution, metabolism, or elimination of the study drugs.
  • Females who were pregnant or nursing.
  • History of hypersensitivity reaction to the study drugs or related compounds, such as other opioids.
  • Receipt of an investigational drug within 1 month prior to study enrollment.
  • Donation of blood or significant loss of blood within 56 days or plasma within 14 days prior study enrollment.
  • Known or suspected use of illicit drugs (including codeine or hydrocodone, etc.).
  • The use of any medication on a chronic basis with the exception of oral contraceptives for women of childbearing potential. An appropriate drug-free period for prescription or over-the-counter (OTC) drugs provided to washout any especially long half-life drugs.
  • Consumption of alcohol within 48 hours prior to each dosing period.
  • Consumption of grapefruit 14 days prior to dosing and throughout the study.
  • Hemoglobin value < 12 g/dL. If a subject's hemoglobin dropped below 11.0 g/dL the subject was dropped from the study at the Principal Investigator's discretion.

Treatment and study plan

Humibid®

Drug

Humibid® 1200 mg (single extended release) tablet

Other names: Guaifenesin

Hydrocodone Bitartrate

Drug

Hydrocodone Bitartrate (3.33 mg q4h X 3)

Humibid® and Hydrocodone Bitartrate tablet

Drug

Humibid® 1200 mg (single extended release) tablet and Hydrocodone bitartrate (3.33 mg q4h X 3)

Primary outcomes

  1. Maximum Observed Plasma Concentration (Cmax) of Guaifenesin

    Time frame: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose

    Pharmacokinetic Parameter Cmax (Maximum measured plasma concentration)

  2. Area Under Plasma Concentration-time Curve From Time 0 to the Last Measurable Concentration (AUC(0-t)) of Guaifenesin

    Time frame: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose

    Pharmacokinetic Parameter AUC(0-t) The area under the plasma concentration versus time curve from time 0 to time of the last measurable concentration.

  3. Area Under Plasma Concentration-time Curve From Time 0 to Infinity (AUC(0-inf)) of Guaifenesin

    Time frame: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose

    The area under the plasma concentration versus time curve from time 0 to infinity, calculated as AUC(0-t) + Ct/ Kel, where Ct is the last measurable concentration.

  4. Apparent Terminal Elimination Rate Constant (Kel) of Guaifenesin

    Time frame: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose

    Apparent first-order terminal elimination rate constant calculated from a semi-log plot of the plasma concentration versus time curve. The parameter was calculated by linear least-squares regression analysis using the maximum number of points in the terminal log-linear phase.

  5. Time to Maximum Observed Concentration (Tmax) of Guaifenesin

    Time frame: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose

    Pharmacokinetic Parameter (Tmax) Time of the maximum measured plasma concentration.

  6. Apparent Terminal Elimination Half-life (T1/2) of Guaifenesin

    Time frame: 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose

    Apparent first-order terminal elimination half-life was calculated as 0.693/Kel.

Secondary outcomes

  1. Number of Adverse Events(AEs) Experienced by Participants

    Time frame: Upto Day 17

    Intensity was determined by the Investigator. For symptomatic AEs the following definitions were applied.

    Mild = AE did not limit usual activities; subject may have experienced slight discomfort.

    Moderate = AE resulted in some limitation of usual activities; subject may have experienced significant discomfort.

    Severe = AE resulted in an inability to carry out usual activities; subject may have experienced intolerable discomfort/ pain.

    Relationship to Investigational Medicinal Products (IMP) Unlikely = Slight, but remote, chance that AE was caused by IMP. Possible = Reasonable suspicion that the AE was caused by IMP. Probable = Most likely that AE was caused by IMP.

Sponsors and collaborators

Lead sponsor

Reckitt Benckiser LLC

Industry

Registry information

Official study title

A Study Designed to Examine the Potential for a Drug-drug Interaction Between Guaifenesin and Hydrocodone Bitartrate in Normal Healthy Volunteers

Important dates

Study start
2007
Primary completion
2007
Study completion
2007
First posted
Aug 22, 2018
Registry last updated
Jun 20, 2019

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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