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The objective of this single-dose, open-label, randomized, two-period crossover study was to compare the rate of absorption and oral bioavailability of a test formulation of morphine sulfate 200 mg sustained-release capsules manufactured by Alpharma Branded Products Division Inc. to an equivalent oral dose of the commercially available reference product, KADIAN 2 x 100 mg capsules manufactured by Alpharma Branded Products Division Inc. when administered as a sprinkle on applesauce after a 10-hour overnight fast.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Other | Treatment A (test product) followed by Treatment B (reference product) |
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| 2 | Other | Treatment B (reference product) followed by Treatment A (test product) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| morphine sulfate sustained-release capsules | Drug | 1 x 200 mg, single-dose capsule |
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| Measure | Description | Time Frame |
|---|---|---|
| Maximum Plasma Morphine Concentration | calculated from drug concentration over time | 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose |
| Measure | Description | Time Frame |
|---|---|---|
| Time of Maximum Plasma Morphine Concentration | calculated from drug concentration over time | 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose |
| Area Under the Curve to the Last Measurable Time Point for Plasma Morphine |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniel V. Freeland, DO | CEDRA Clinical Research, LLC | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CEDRA Clinical Research, LLC | Austin | Texas | 78759 | United States |
Wash out period was 7 days. No enrolled participants were excluded from the trial before assignment to groups
Participants were recruited from general public. The signed consent forms were obtained during the period of September 7 - 13, 2004.
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| ID | Title | Description |
|---|---|---|
| FG000 | Period 1: Treatment A or B | Treatment A (test product) followed by Treatment B (reference product) |
| FG001 | Period 2: Treatment Aor B | Treatment B (reference product)followed by Treatment A (test product) |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| KADIAN (morphine sulfate sustained-release) capsules | Drug | 2 x 100 mg, single-dose capsule |
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calculated from drug concentration over time
| 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose |
| Area Under the Curve to Infinity for Plasma Morphine | 0, 2, 4, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 12, 18, 24, 30, 36, and 48 hrs post dose |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Period 1: Treatment A or B | Treatment A (test product) followed by Treatment B (reference product) |
| BG001 | Period 2: Treatment Aor B | Treatment B (reference product)followed by Treatment A (test product) |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
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| Age Continuous | Mean | Standard Deviation | years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Number | participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Primary | Maximum Plasma Morphine Concentration | calculated from drug concentration over time | Posted | Mean | Standard Deviation | ng/mL | 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose |
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| Secondary | Time of Maximum Plasma Morphine Concentration | calculated from drug concentration over time | Subjects completed the study without protocol violations. | Posted | Median | Full Range | hour | 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose |
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| Secondary | Area Under the Curve to the Last Measurable Time Point for Plasma Morphine | calculated from drug concentration over time | Posted | Mean | Standard Deviation | ng*hr/mL | 2,4,6,6.5,7,7.5,8,8.5,9,9.5,10,12,18,24,30,36,48 hrs post dose |
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| Secondary | Area Under the Curve to Infinity for Plasma Morphine | Posted | Mean | Standard Deviation | ng*hr/mL | 0, 2, 4, 6, 6.5, 7, 7.5, 8, 8.5, 9, 9.5, 10, 12, 18, 24, 30, 36, and 48 hrs post dose |
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Arm 1: Treatment A Followed by Treatment B | 0 | 0 | 7 | ||||
| EG001 | Arm 2: Treatment B Followed by Treatment A | 0 | 0 | 10 |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal pain | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Solmnolence | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
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| Dyspepsia | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
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| Vomiting | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Diarrhea | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Micturition Urgency | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
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| Alopecia | Skin and subcutaneous tissue disorders | MedDRA 10.0 | Systematic Assessment |
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| Chest pain | General disorders | MedDRA 10.0 | Systematic Assessment |
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| Chest discomfort | General disorders | MedDRA 10.0 | Systematic Assessment |
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| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Pharyngitis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
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| Rhinitis | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA 10.0 | Systematic Assessment |
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| Asthenia | General disorders | MedDRA 10.0 | Systematic Assessment |
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| Nervousness | Nervous system disorders | MedDRA 10.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Meena Venugopal, Director, Clinical R&D | Actavis Inc. | 908-659-2885 | MVenugopal@actavis.com |
| ID | Term |
|---|---|
| D009020 | Morphine |
| D002214 | Capsules |
| ID | Term |
|---|---|
| D009022 | Morphine Derivatives |
| D009019 | Morphinans |
| D053610 | Opiate Alkaloids |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
| D006576 | Heterocyclic Compounds, 4 or More Rings |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D010616 | Phenanthrenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D011083 | Polycyclic Compounds |
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |
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| >=65 years |
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| Male |
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