| Primary | Area Under Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC0-infinity). | Area under plasma concentration-time curve from time zero extrapolated to infinity (AUC) is presented below. Blood was collected pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose to determine naloxegol plasma concentrations. | The Pharmacokinetic (PK) analysis set was a subset of those participants in the safety analysis set and included participants who had received at least 1 dose of study medication and had at least 1 post-dose plasma concentration measurement at a scheduled time point. | Posted | | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | | Pre-dose (0 hours [within 30 minutes prior to administration of the investigational medicinal product (IMP)]) and post-dose at 0.25 (15 minutes), 0.5 (30 minutes), 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours in each treatment period. | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | | OG002 | Treatment C | Participants received Naloxegol 25 mg of 10 mL oral solution. | | OG003 | Treatment D | Participants received Naloxegol 25 mg whole tablet orally. |
| | Units | Counts |
|---|
| Participants | - OG00042
- OG00141
- OG00240
- OG003
|
| | Title | Denominators | Categories |
|---|
| | | Title | Measurements |
|---|
| - OG000191± 54.2
- OG001192± 48.0
- OG002179± 54.0
- OG003
|
|
| | Group IDs | Group Description | Statistical Method | Statistical Comment | P-Value | P-Value Comment | Parameter Type | Parameter Value | Dispersion Type | Dispersion Value | Confidence Interval Sides | Confidence Interval % | CI Lower Limit | CI Upper Limit | CI Lower Limit Comment | CI Upper Limit Comment | Estimate Comment | Tested Non-Inferiority | Non-Inferiority Type | Non-Inferiority Comment | Other Analysis Description |
|---|
| | ANOVA | The results are based on ANOVA of log transformed PK parameters with sequence, period, treatment, and subject nested within sequence as fixed effects. | | | Ratio# | 98.89 | | | 2-Sided | 90 | 92.40 | 105.84 | | | | | Superiority or Other | | | | | ANOVA |
|
| Primary | Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUC 0-t). | Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration is presented below. Blood was collected pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose to determine naloxegol plasma concentrations. | The PK analysis set was a subset of those participants in the safety analysis set and included participants who had received at least 1 dose of study medication and had at least 1 post-dose plasma concentration measurement at a scheduled time point. | Posted | | Geometric Mean | Geometric Coefficient of Variation | h*ng/mL | | Pre-dose (0 hours [within 30 minutes prior to IMP administration]) and post-dose at 0.25 (15 minutes), 0.5 (30 minutes), 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours in each treatment period. | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | | OG002 | Treatment C | Participants received Naloxegol 25 mg of 10 mL oral solution. |
|
| Primary | Observed Maximum Plasma Concentration (Cmax). | Observed maximum plasma concentration (Cmax) is presented below. Blood was collected pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose to determine naloxegol plasma concentrations. | The PK analysis set was a subset of those participants in the safety analysis set and included participants who had received at least 1 dose of study medication and had at least 1 post-dose plasma concentration measurement at a scheduled time point. | Posted | | Geometric Mean | Geometric Coefficient of Variation | ng/mL | | Pre-dose (0 hours [within 30 minutes prior to IMP administration]) and post-dose at 0.25 (15 minutes), 0.5 (30 minutes), 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours in each treatment period. | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | | OG002 | Treatment C | Participants received Naloxegol 25 mg of 10 mL oral solution. | |
|
| Secondary | Time to Reach Maximum Plasma Concentration (Tmax). | This was one of the PK parameters to determine the time to reach maximum plasma concentration (tmax). Blood was collected pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose to determine naloxegol plasma concentrations. | The PK analysis set was a subset of those participants in the safety analysis set and included participants who had received at least 1 dose of study medication and had at least 1 post-dose plasma concentration measurement at a scheduled time point. | Posted | | Median | Full Range | h | | Pre-dose (0 hours [within 30 minutes prior to IMP administration]) and post-dose at 0.25 (15 minutes), 0.5 (30 minutes), 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours in each treatment period. | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | | OG002 | Treatment C | Participants received Naloxegol 25 mg of 10 mL oral solution. | |
|
| Secondary | Half-life Associated With Terminal Slope (λz) of a Semi-logarithmic Concentration-time Curve (t½λz). | This was one of the PK parameters to determine λz of a t½λz. Blood was collected pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose to determine naloxegol plasma concentrations. | The PK analysis set was a subset of those participants in the safety analysis set and included participants who had received at least 1 dose of study medication and had at least 1 post-dose plasma concentration measurement at a scheduled time point. | Posted | | Mean | Standard Deviation | h | | Pre-dose (0 hours [within 30 minutes prior to IMP administration]) and post-dose at 0.25 (15 minutes), 0.5 (30 minutes), 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours in each treatment period. | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | | OG002 | Treatment C | Participants received Naloxegol 25 mg of 10 mL oral solution. |
|
| Secondary | Mean Dissolution Time (MDT). | This was one of the PK parameters to determine MDT (whole tablet only) (calculated as MRT Treatment D [Reference] - MRT Treatment C [Test]). Blood was collected pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose to determine naloxegol plasma concentrations. | The PK analysis set was a subset of those participants in the safety analysis set and included participants who had received at least 1 dose of study medication and had at least 1 post-dose plasma concentration measurement at a scheduled time point. There were zero participants analyzed in Treatment A, B and C, hence data was not determined. | Posted | | Mean | Standard Deviation | h | | Pre-dose (0 hours [within 30 minutes prior to IMP administration]) and post-dose at 0.25 (15 minutes), 0.5 (30 minutes), 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours in each treatment period. | | | | ID | Title | Description |
|---|
| OG000 | Treatment D | Participants received Naloxegol 25 mg whole tablet orally. |
| |
| Secondary | Mean Residence Time (MRT). | This was one of the PK parameters to determine MRT. Blood was collected pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose to determine naloxegol plasma concentrations. | The PK analysis set was a subset of those participants in the safety analysis set and included participants who had received at least 1 dose of study medication and had at least 1 post-dose plasma concentration measurement at a scheduled time point. | Posted | | Mean | Standard Deviation | h | | Pre-dose (0 hours [within 30 minutes prior to IMP administration]) and post-dose at 0.25 (15 minutes), 0.5 (30 minutes), 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours in each treatment period. | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | | OG002 | Treatment C | Participants received Naloxegol 25 mg of 10 mL oral solution. | | OG003 |
|
| Secondary | Apparent Total Body Clearance After Extravascular Administration Estimated as Dose Divided by AUC (CL/F). | This was one of the PK parameters to determine the apparent total body clearance after extravascular administration estimated as dose divided by AUC. Blood was collected pre-dose and 0.25, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours post-dose to determine naloxegol plasma concentrations. | The PK analysis set was a subset of those participants in the safety analysis set and included participants who had received at least 1 dose of study medication and had at least 1 post-dose plasma concentration measurement at a scheduled time point. | Posted | | Geometric Mean | Geometric Coefficient of Variation | L/h | | Pre-dose (0 hours [within 30 minutes prior to IMP administration]) and post-dose at 0.25 (15 minutes), 0.5 (30 minutes), 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours in each treatment period. | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | | OG002 | Treatment C | |
|
| Secondary | Apparent Volume of Distribution During the Terminal Phase After Extravascular Administration (Vz/F). | This was one of the PK parameters to determine the apparent volume of distribution during the terminal phase after extravascular administration. | The PK analysis set was a subset of those participants in the safety analysis set and included participants who had received at least 1 dose of study medication and had at least 1 post-dose plasma concentration measurement at a scheduled time point. | Posted | | Geometric Mean | Geometric Coefficient of Variation | L | | Pre-dose (0 hours [within 30 minutes prior to IMP administration]) and post-dose at 0.25 (15 minutes), 0.5 (30 minutes), 1, 1.5, 2, 3, 4, 5, 6, 8, 10, 12, 16, 24, 36, 48 and 72 hours in each treatment period. | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | | OG002 | Treatment C | Participants received Naloxegol 25 mg of 10 mL oral solution. | | OG003 |
|
| Secondary | Percentage of Participants With Adverse Events (AE). | An AE is the development of an undesirable medical condition or the deterioration of a pre-existing medical condition following or during exposure to a pharmaceutical product, whether or not considered causally related to the product.The term AE is used generally to include any AE whether serious or non-serious. An serious AE (SAE) is an AE that fulfills one or more of the following criteria: results in death, is immediately life-threatening; requires in-patient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability or incapacity or substantial disruption of the ability to conduct normal life functions; is a congenital abnormality or birth defect; is an important medical event that may jeopardize the participant or may require medical intervention to prevent one of the outcomes listed above. | The safety analysis set included all participants who had received at least one dose of Naloxegol and for whom any safety post-dose data were available. | Posted | | Number | | percentage of participants | | For up to 9 weeks (starting with screening). | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | |
|
| Secondary | Mean Change From Baseline for Vital Signs of Supine Systolic and Diastolic Blood Pressure. | The following variables were collected after the participants had rested in the supine position for at least 5 minutes: Systolic Blood Pressure (SBP) and Diastolic BP. The measurement of vital signs for SBP and DBP are presented in the below outcome table. | The safety analysis set included all participants who had received at least one dose of Naloxegol and for whom any safety post-dose data were available. | Posted | | Mean | Standard Deviation | mmHg | | Day 2 (24h post-dose), Day 3 (48h post-dose) and Day 4 (72h post-dose). | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | | OG002 | Treatment C | Participants received Naloxegol 25 mg of 10 mL oral solution. | | OG003 | Treatment D | |
|
| Secondary | Mean Change From Baseline for Vital Signs in Supine Pulse Rate. | Pulse rate: the measurement of vital signs for pulse rate is presented in the below outcome table. | The safety analysis set included all participants who had received at least one dose of Naloxegol and for whom any safety post-dose data were available. | Posted | | Mean | Standard Deviation | beats per minute (bpm) | | Day 2 (24h post-dose), Day 3 (48h post-dose) and Day 4 (72h post-dose). | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | | OG002 | Treatment C | Participants received Naloxegol 25 mg of 10 mL oral solution. | | OG003 | Treatment D | Participants received Naloxegol 25 mg whole tablet orally. |
| |
| Secondary | Participants With Significant Findings in Physical Examination. | A complete physical examination included an assessment of the general appearance, respiratory, cardiovascular, abdomen, skin, head, and neck (including ears, eyes, nose, mouth and throat), lymph nodes, thyroid, musculoskeletal and neurological systems. Physical examination was performed to check for any significant abnormality in participants. | The safety analysis set included all participants who had received at least one dose of Naloxegol and for whom any safety post-dose data were available. | Posted | | Number | | participants | | A full physical examination at screening and the final follow-up visit (maximum 9 weeks apart). Abbreviated physical examination on admission (on Day -1 of each treatment period) and at 48-hours post-dose to each treatment period (for up to 4 weeks). | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | | OG002 | Treatment C | Participants received Naloxegol 25 mg of 10 mL oral solution. |
|
| Secondary | Participants With Significant Findings in Columbia-Suicide Severity Rating Scale (C-SSRS). | The C-SSRS is a unique, simple and short method of assessing both behavior and ideation that tracks all suicidal events, and provided a summary of suicidality. It assesses the lethality of attempts and other features of ideation (frequency, duration, controllability, reasons for ideation and deterrents), all of which are significantly predictive of completed suicide. The C-SSRS was performed to determine the presence of suicidality. | The safety analysis set included all participants who had received at least one dose of Naloxegol and for whom any safety post-dose data were available. | Posted | | Number | | participants | | At Baseline and Days 1-4 of each treatment period. | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | | OG002 | Treatment C | Participants received Naloxegol 25 mg of 10 mL oral solution. | | OG003 |
|
| Secondary | Participants With Significant Findings in 12-Lead Electrocardiography (ECG). | A 12-lead ECG was obtained after the participant rested in supine position for at least 10 minutes. The study physician was to judge the overall interpretation as normal or abnormal. If abnormal, it was decided as to whether or not the abnormality was clinically significant and the reason for the abnormality was recorded. | The safety analysis set included all participants who had received at least one dose of Naloxegol and for whom any safety post-dose data were available. | Posted | | Number | | participants | | At screening, first admission to the clinical unit (Visit 2, Day -1), 1.25 hours after each dose (Visits 2-5, Day 1), as well as at the final follow-up visit (up to 9 weeks). | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | | OG002 | Treatment C | Participants received Naloxegol 25 mg of 10 mL oral solution. | | OG003 |
|
| Secondary | Participants With Significant Findings in Hematology, Clinical Chemistry and Urinalysis. | Participants were assessed through each laboratory variables for any significant abnormalities. Hematology assessments included white blood cell count, red blood cell count, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin and others. Clinical chemistry assessment included testing levels of sodium, potassium, urea, creatinine, albumin, calcium, glucose (fasting) and others. Urinalysis assessment included glucose, protein, blood and microscopy (if positive for blood or protein). | The safety analysis set included all participants who had received at least one dose of Naloxegol and for whom any safety post-dose data were available. | Posted | | Number | | participants | | At screening and at the final follow-up visit (maximum 9 weeks apart); in addition, for the first and third treatment period at pre-dose. | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment B | Participants received Naloxegol 25 mg crushed, suspended in water, given via nasogastric tube. | | OG002 | Treatment C | Participants received Naloxegol 25 mg of 10 mL oral solution. |
|
| Secondary | Taste Test Assessment. | A standardized questionnaire was provided to participants and were asked to complete the questionnaire for the liquid formulations tested, i.e., Naloxegol crushed tablet, oral (Treatment A) and Naloxegol oral solution (Treatment C), without assistance or influence from site personnel. For each formulation, the questionnaire was identical and required the participant's opinion. Sweet, salty, sour, bitter, metallic, hot/spicy were rated on a scale of 0 to 10, where 0 means not at all and 10 means extreme. The overall rating of the taste was rated on a scale of 0 to 10, where 0 means "I dislike it extremely much" and 10 means "I like it extremely much". The smell of the medicine was based on a scale of 0 to 10, where 0 means extremely bad and 10 means extremely nice. The question on whether the participants would consider ever taking the medicine again was based on a scale of 0 to 10, where 0 means "Never - under no circumstances" and 10 means "Yes, definitely". | The safety analysis set included all participants who had received at least one dose of Naloxegol and for whom any safety post-dose data were available. | Posted | | Median | Full Range | units on a scale | | Within 1 hour after dosing (Treatments A and C only). | | | | ID | Title | Description |
|---|
| OG000 | Treatment A | Participants received Naloxegol 25 mg oral tablet, crushed, suspended in water. | | OG001 | Treatment C | Participants received Naloxegol 25 mg of 10 mL oral solution. |
|