Phase 1
Completed N=56
Bioequivalence of a Fixed Dose Combination Tablet Containing 400 mg Ibuprofen and 60 mg Pseudoephedrine-HCl Compared to Two Film Coated Fixed Dose Combination Tablets RhinAdvil(R)(200 mg Ibuprofen and 30 mg Pseudoephedrine-HCl) Administered in Healthy Subjects
Healthy Volunteers
Source: ClinicalTrials.gov NCT02963701 ↗
Enrolled (actual)
56
Serious AEs
0.0%
Results posted
Sep 2018
Primary outcomePrimary: Area Under the Plasma Concentration-time Curve From 0 to Time of Last Quantifiable Time Point (tz) of Ibuprofen. (AUC0-tz) — 140500; 139300 Hour nano gram per milliliter (h*ng/mL)
Summary
Primary objective To demonstrate the bioequivalence of a fixed dose combination tablet containing 400 mg Ibuprofen and 60 mg Pseudoephedrine-HCl vs. RhinAdvil® (2 tablets containing 200 mg Ibuprofen and 30 mg Pseudoephedrine-HCl) as a fixed dose combination tablet with respect to the analytes, ibuprofen and pseudoephedrine.
Secondary objective To assess the bioequivalence of a fixed dose combination tablet containing 400 mg Ibuprofen and 60 mg Pseudoephedrine-HCl vs. RhinAdvil® (2 tablets containing 200 mg Ibuprofen and 30 mg Pseudoephedrine-HCl) as a fixed dose combination tablet with respect to R- and S-ibuprofen (enantiomers of ibuprofen).
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Area Under the Plasma Concentration-time Curve From 0 to Time of Last Quantifiable Time Point (tz) of Ibuprofen. (AUC0-tz) |
140500; 139300 | — |
| PRIMARY Maximum Concentration of Ibuprofen in Plasma (Cmax). |
33580; 29940 | — |
| PRIMARY Area Under the Plasma Concentration-time Curve From 0 to Time of Last Quantifiable Time Point (tz) of Pseudoephedrine (AUC0-tz). |
2547; 2540 | — |
| PRIMARY Maximum Concentration of Pseudoephedrine in Plasma (Cmax). |
320.4; 327.4 | — |
| SECONDARY Area Under the Concentration-time Curve of Ibuprofen in Plasma Over the Time Interval From 0 Extrapolated to Infinity (AUC0-∞). |
143000; 141600 | — |
| SECONDARY Area Under the Concentration-time Curve of Pseudoephedrine in Plasma Over the Time Interval From 0 Extrapolated to Infinity (AUC0-∞). |
2622; 2614 | — |
| SECONDARY AUC0-tz of R-Ibuprofen |
68520; 65760 | — |
| SECONDARY AUC0-∞ of R-Ibuprofen |
69420; 66740 | — |
| SECONDARY Cmax of R-Ibuprofen |
18630; 16910 | — |
| SECONDARY AUC0-tz of S-Ibuprofen |
70290; 71610 | — |
| SECONDARY AUC0-∞ of S-Ibuprofen |
72270; 73460 | — |
| SECONDARY Cmax of S-Ibuprofen |
15050; 13020 | — |
| SECONDARY S/R-ibuprofen Ratio for AUC0-tz |
1.026; 1.089 | — |
Eligibility Criteria
Inclusion criteria
- Healthy males and females according to the following criteria:
- Based upon a complete medical history, including physical examination, vital signs (Blood Pressure (BP), Pulse Rate (PR)), 12-lead Electrocardiogram (ECG), clinical laboratory tests
- Age ≥21 to ≤50 years
- Minimum weight 50kg - both males and females
- Body Mass Index ≥18.5 to ≤29.9 kg/m2
- Signed and dated written informed consent in accordance with Good Clinical Practice (GCP) and local legislation prior to admission to the trial
- Male or female patients. Women of childbearing potential1 must be ready and able to use highly effective methods of birth control per International Committee on Harmonisation (ICH) M3 (R2) that result in a low failure rate of less than 1% per year when used consistently and correctly e.g. implants, injectables, combined hormonal contraceptives, intrauterine device, or surgical sterilisation (including hysterectomy). In addition to this, also a barrier method (e.g. male condom) will be required, if the female is not surgically sterilised. A list of contraception methods meeting these criteria is provided in the patient information. Abstaining from sexual activity (if this is the usual lifestyle of the subject) is considered an acceptable method of birth control.
Exclusion criteria
- Any finding of the medical examination (including Blood Pressure, Pulse Rate and Electrocardiogram) deviating from normal and of clinical relevance at the discretion of the investigator
- Any evidence of a clinically relevant concomitant disease
- Any relevant Gastrointestinal (e.g. ulcera, hernia, bleedings and spasm), hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
- Any relevant surgery of the gastrointestinal tract (except appendectomy)
- Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or relevant neurological disorders at the discretion of the investigator
- History of relevant orthostatic hypotension, fainting spells or blackouts
- Chronic or relevant acute infections
- History of relevant allergy or hypersensitivity (including allergy to drug or its excipients) as judged clinically relevant by the investigator
- Intake of drugs with a long half-life (>24 hours) within at least 1 month or less than 10 half-lives of the respective drug prior to first drug administration
- Use of drugs which might reasonably influence the results of the trial based on the knowledge at the time of protocol preparation within 14 days prior to randomisation
- Participation in another trial with an investigational drug within 2 months prior to administration or during the trial
- Smoker (>10 cigarettes or >3 cigars or >3 pipes/day)
- Inability to refrain from smoking on trial days as judged by the investigator
- Alcohol abuse (average consumption of more than 2 units per day for females and more than 3 units per day for males)
- Drug abuse
- Blood donation (more than 100 mL within four weeks prior to administration of the trial drug in this study)
- Excessive physical activities within 1 week prior to randomisation or during the trial
- Any laboratory value outside the reference range that is of clinical relevance at the discretion of the investigator
- Inability to comply with dietary regimen of the study centre
- Unwilling to avoid excessive sunlight exposure
- Use of drugs which might reasonably influence the results of the trial or that prolong the QT/corrected QT interval (QTc) within 14 days prior to administration or during the trial, and CYP2C8m substrates such as amiodarone, amodiaquine, paclitaxel, rosiglitazone, pioglitazone and repaglinide or CYP2C9 such as warfarin, tolbutamide, phenytoin, losartan, acenocoumarol within 1 month or six half-lives (whichever is greater)
- A marked baseline prolongation of the QTc B interval (e.g., repeated demonstration of a QTc B interval >450 ms)
- A history of additional risk factors for torsade de pointes (e.g., heart fa
Data sourced from ClinicalTrials.gov (NCT02963701). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.