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Phase 1 N=64 Randomized Other

Drug Interaction With Proton Pump Inhibitors for Nifedipine ER Tablets

Healthy Volunteers

Enrolled (actual)
64
Serious AEs
0.0%
Results posted
Jul 2019
Primary outcome: Primary: Maximum Plasma Concentration (Cmax) — 94.37; 43.84; 106.35; 51.65 ng/mL

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
Nifedipine 60 MG Extended Release Oral Tablet (Drug); omeprazole/sodium bicarbonate (Drug); SmartPill (TM) (Device)
Age
Adult · 18+ yrs
Sex
All
Sponsor
Food and Drug Administration (FDA)
Primary completion
Dec 2017

Outcome Measures

OutcomeResultp-value
PRIMARY
Maximum Plasma Concentration (Cmax)
94.37; 43.84; 106.35; 51.65
PRIMARY
Time at Maximum Plasma Concentration (Tmax)
4; 16; 6; 16
PRIMARY
Area Under the Concentration (AUC 0-t)
1166.21; 1061.49; 1514.83; 1239.26
PRIMARY
Half-life
8.59; 11.29; 8.10; 12.71
SECONDARY
Adverse Events
37; 19; 51; 38

Summary

The purpose of this study is to measure the amount of study drug present in blood after being administered a generic version of nifedipine extended-release tablets, 60 mg (Valeant Pharmaceuticals, LLC) and brand-name version PROCARDIA XL extended-release tablets, 60 mg (Pfizer Inc.) individually and in presence of stomach acid reducing drug (antacid), omeprazole/sodium bicarbonate capsules, 40 mg/1100 mg (generic) on separate occasions, on an empty stomach. This study also involves administrations of an FDA-cleared capsule, SmartPill™, which will measure stomach acid, prior to each study arm.

Eligibility Criteria

Inclusion Criteria

  • Healthy, males and non-pregnant female volunteers, 18 to 55 years of age, inclusive.
  • Smoking status: Only non-tobacco/nicotine users (for at least 6 months prior to the clinical study) will be eligible to participate in this study.
  • BMI that is within 18.5-35.0 kg/m², inclusive.
  • Healthy, according to the medical history, ECG, vital signs, laboratory results and physical examination as determined by the PI/Sub-Investigator.
  • Ability to comprehend and be informed of the nature of the study, as assessed by BPSI staff. Capable of giving written informed consent prior to receiving any study procedure. Must be able to communicate effectively with clinic staff.
  • Ability to fast for at least 14 hours.
  • Availability to volunteer for the entire study duration and willing to adhere to all protocol requirements.
  • Female subjects must fulfill at least one of the following:
  • Be surgically sterile for a minimum of 6 months;
  • Post-menopausal for a minimum of 1 year;
  • Agree to avoid pregnancy and use medically acceptable method of contraception from at least 30 days prior to the study until 30 days after the study has ended (last study procedure).

Medically acceptable methods of contraception include non-hormonal contraceptives, intrauterine device, or double barrier method (condom with foam or vaginal spermicidal suppository, diaphragm with spermicide). Complete abstinence alone can be used as a method of contraception.

Exclusion Criteria

  • Known history or presence of any clinically significant hepatic, renal/genitourinary, gastrointestinal (e.g., gastrointestinal obstruction, gastrointestinal ulcers), cardiovascular (e.g., severe obstructive coronary artery disease, myocardial infarction, angina, heart failure), cerebrovascular, pulmonary, endocrine, immunological, musculoskeletal, neurological, psychiatric, dermatological or hematological disease or condition unless determined as not clinically significant by the PI/Sub-Investigator.
  • Clinically significant history or presence of any clinically significant gastrointestinal pathology (e.g. chronic diarrhea, inflammatory bowel disease), unresolved gastrointestinal symptoms (e.g. diarrhea, vomiting, swallowing disorder), or other conditions known to interfere with the absorption, distribution, metabolism or excretion of the drug experienced within 7 days prior to first dosing, as determined by the PI/Sub-Investigator.
  • QTc interval > 430 milliseconds for males and > 450 milliseconds for females, unless deemed otherwise by the PI/Sub-Investigator.
  • Abnormal clinical laboratory values, unless values are deemed by the PI/Sub-Investigator as "Not Clinically Significant".
  • Hemoglobin values less than 11.5 g/dl.
  • Abnormal vital signs (blood pressure [BP], heart rate [HR], respiratory rate [RR] and temperature) measurements, unless deemed otherwise by the PI/Sub-Investigator.
  • Presence of any clinically significant illness within 30 days prior to first dosing, as determined by the PI/Sub-Investigator.
  • Presence of any significant physical or organ abnormality as determined by the PI/Sub-Investigator.
  • Individuals who have implanted or portable electro-mechanical medical device such as a cardiac pacemaker, defibrillator or infusion pump.
  • A positive test result for any of the following: HIV, Hepatitis B surface antigen, Hepatitis C, drugs of abuse (marijuana, amphetamines, barbiturates, cocaine, opiates, phencyclidine and benzodiazepines), alcohol test and cotinine. Positive pregnancy test for female subjects.
  • Known history or presence of:
  • Alcohol abuse or dependence within one year prior to first study period;
  • Drug abuse or dependence;
  • Hypersensitivity or idiosyncratic reaction to nifedipine, omeprazole/sodium bicarbonate, its excipients, and/or related substances;
  • Hypotension;
  • Bartter's syndrome;
  • Gastric bezoar;
  • Crohn's disease or diverticulitis;
  • severe dysphagia to food or pills;
  • Food allergies and/or presen
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03100838). 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.

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