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Demonstrate bioequivalence of guaifenesin in Mucinex® extended release (ER) 600 mg tablet in normal healthy volunteers compared to the immediate release guaifenesin 200 mg tablet reference product marketed
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment A: Mucinex® ER 600 mg | Experimental | Mucinex® ER 600 mg bi-layer single dose tablet by mouth under fasting condition. |
|
| Treatment B: Guaifenesin 200 mg | Active Comparator | Guaifenesin 200 mg immediate release (IR) tablet thrice (at 0, 4, and 8 hours) by mouth under fasting condition. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mucinex® | Drug | Mucinex® 600 mg single dose ER bi-layer tablet |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Observed Plasma Concentration (Cmax) of Guaifenesin | Maximum measured analyte concentration over the sampling period. | 0 (pre-dose) ,0.25,0.5, 0.75, 1,1.25, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 4.75, 5, 5.5, 6, 7, 8, 8.5, 8.75, 9, 9.5, 10, 11, 12, 14, 16, 20 and 24 hours |
| Area Under the Plasma Concentration-time Curve From Time 0 to the Last Measurable Concentration (AUCt) of Guaifenesin | The area under the analyte concentration versus time curve, from time zero (0) to the time of the last measurable analyte concentration (t), as calculated by the linear trapezoidal method. | 0 (pre-dose) ,0.25,0.5, 0.75, 1,1.25, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 4.75, 5, 5.5, 6, 7, 8, 8.5, 8.75, 9, 9.5, 10, 11, 12, 14, 16, 20 and 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Maximum Observed Plasma Concentration (Tmax) of Guaifenesin | Time of the maximum measured analyte concentration over the sampling period. | 0 (pre-dose) ,0.25,0.5, 0.75, 1,1.25, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 4.75, 5, 5.5, 6, 7, 8, 8.5, 8.75, 9, 9.5, 10, 11, 12, 14, 16, 20 and 24 hours |
| Area Under Plasma Concentration-time Curve From Time 0 to Infinity (AUCinf) of Guaifenesin |
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Inclusion Criteria:
Informed consent has been obtained (i.e. be informed of the nature of the study and give written consent prior to any study procedure). Able to read, understand, and sign the informed consent, after the nature of the study has been explained.
Age: 18 to 55 years of age, inclusive.
Sex: Male or female.
Status: Healthy subjects.
BMI: ≥18.0 and ≤28.0 kg/m2.
No clinically significant findings in vital signs measurements at screening.
No clinically significant abnormal laboratory values at screening.
No clinically significant findings from a 12-lead electrocardiogram (ECG) at screening.
Have no significant diseases or clinically relevant medical condition in the opinion of the investigator.
Males who participate in this study are willing to:
Females who participate in this study are:
Have no clinically significant findings from a physical examination.
Exclusion Criteria:
Subjects to whom any of the following conditions apply must be excluded:
Employee of Pharma Medica Research Inc. (PMRI) or Reckitt Benckiser.
Partner or first-degree relative of any Investigator at PMRI.
Known history or presence of any clinically significant medical condition.
Known or suspected carcinoma.
Presence of hepatic or renal dysfunction.
Presence of clinically significant gastrointestinal disease or history of malabsorption within the last year.
Known history or presence of galactose or fructose intolerance, sucrase-isomaltase insufficiency, Lapp lactase insufficiency, galactosemia, or glucose-galactose malabsorption syndrome.
Presence of a medical condition requiring regular medication (prescription and/or over-the-counter) with systemic absorption.
History of drug or alcohol or medicinal product addiction requiring treatment within the past two years or excessive alcohol consumption (more than 10 units per week) Note: one unit is defined as 5 ounces of wine, 12 ounces of beer, or 1.5 ounces of spirits
Positive test result for serum Human Chorionic Gonadotropin (hCG) consistent with pregnancy (females only), HIV, Hepatitis B surface antigen or Hepatitis C antibody.
Positive test result for urine drugs of abuse (cannabinoids, opiates, amphetamines, cocaine, phencyclidine, tricyclic antidepressants, barbiturates, methadone and benzodiazepines) or urine cotinine.
Difficulty fasting or consuming standard meals.
Females who are lactating.
Does not tolerate venipuncture.
Use of tobacco or nicotine-containing products within 12 months prior to drug administration.
On a special diet within 30 days prior to drug administration (e.g., liquid, protein, raw, food diet).
Donation or loss of whole blood (including clinical trials):
Females who have started taking hormonal contraceptives or have changed their method or brand of hormonal birth control within 3 months prior to drug administration.
Have had a tattoo or body piercing within 30 days prior to drug administration.
Use of drugs of the monoamine oxidase inhibitor (MAOI) class within 30 days prior to drug administration.
Known history or presence of hypersensitivity, intolerance or idiosyncratic reaction to guaifenesin or any other drug substances with similar activity.
Previously enrolled in this study.
Participated in another clinical trial or received an investigational product within 30 days prior to drug administration.
Unable in the opinion of the Investigator to comply fully with the study requirements.
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Total Thirty (30) subjects were enrolled in the study among them 27 subjects completed the study.
This was a single-centre study conducted in Canada.
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| ID | Title | Description |
|---|---|---|
| FG000 | Cohort 1 (Mucinex First Then Guaifenesin) | Treatment A : Mucinex® ER 600 mg bi-layer single dose tablet by mouth under fasting condition. Treatment B : Guaifenesin 200 mg immediate release (IR) tablet q4h (total of 3 doses) by mouth under fasting condition. Cohort 1 Period 1 - Treatment A or Treatment B at Sequence AB. Period 2 - Treatment B or Treatment A at Sequence BA. Scheduled Washout of 7 days between drug administrations. |
| FG001 | Cohort 2 (Guaifenesin Then Mucinex) | Treatment A : Mucinex® ER 600 mg bi-layer single dose tablet by mouth under fasting condition. Treatment B : Guaifenesin 200 mg immediate release (IR) tablet q4h (total of 3 doses) by mouth under fasting condition. Cohort 2 Period 1 - Treatment A or Treatment B at Sequence AB. Period 2 - Treatment B or Treatment A at Sequence BA. Scheduled Washout of 7 days between drug administrations. |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period 1 |
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| Washout: 7 Days |
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| Period 2 |
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| ID | Title | Description |
|---|---|---|
| BG000 | Overall Study | Treatment A : Mucinex® ER 600 mg bi-layer single dose tablet by mouth under fasting condition. Treatment B : Guaifenesin 200 mg immediate release (IR) tablet q4h (total of 3 doses) by mouth under fasting condition. Cohort 1 Period 1 - Treatment A or Treatment B at Sequence AB. Period 2 - Treatment B or Treatment A at Sequence BA. Scheduled Washout of 7 days between drug administrations. Cohort 2 Period 1 - Treatment A or Treatment B at Sequence AB. Period 2 - Treatment B or Treatment A at Sequence BA. Scheduled Washout of 7 days between drug administrations. |
| 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, Continuous | Mean |
| 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 | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Maximum Observed Plasma Concentration (Cmax) of Guaifenesin | Maximum measured analyte concentration over the sampling period. | Pharmacokinetic (PK) Parameter Set Population includes all subjects from the PK dataset with evaluable PK parameters for each treatment period. | Posted | Mean | Standard Deviation | ng/ml | 0 (pre-dose) ,0.25,0.5, 0.75, 1,1.25, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 4.75, 5, 5.5, 6, 7, 8, 8.5, 8.75, 9, 9.5, 10, 11, 12, 14, 16, 20 and 24 hours |
|
Up to 8.3 days (200 hours)
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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 | Treatment A: Mucinex® ER 600 mg | Mucinex® ER 600 mg bi-layer single dose tablet by mouth under fasting condition. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Nausea | Gastrointestinal disorders | MedDRA 16.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Research Director, Clinical Research | Reckitt Benckiser Inc. | clinicalrequests@rb.com |
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| ID | Term |
|---|---|
| D000111 | Acetylcysteine |
| D006140 | Guaifenesin |
| ID | Term |
|---|---|
| D003545 | Cysteine |
| D000603 | Amino Acids, Sulfur |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
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2-Way Crossover
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AUCinf = AUCt + Cp/Kel, where Cp is the predicted analyte concentration at the time of the last measurable analyte concentration. |
| 0 (pre-dose) ,0.25,0.5, 0.75, 1,1.25, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 4.75, 5, 5.5, 6, 7, 8, 8.5, 8.75, 9, 9.5, 10, 11, 12, 14, 16, 20 and 24 hours |
| Terminal Elimination Rate Constant (Kel) of Guaifenesin | Elimination rate constant calculated from the slope of the terminal portion of the plasma profile calculated by least squares regression of log (concentration) versus time | 0 (pre-dose) ,0.25,0.5, 0.75, 1,1.25, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 4.75, 5, 5.5, 6, 7, 8, 8.5, 8.75, 9, 9.5, 10, 11, 12, 14, 16, 20 and 24 hours |
| Terminal Elimination Half-life (T½) of Guaifenesin | Terminal elimination half-life, calculated from the equation: T½ = In(2)/Kel. | 0 (pre-dose) ,0.25,0.5, 0.75, 1,1.25, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 4.75, 5, 5.5, 6, 7, 8, 8.5, 8.75, 9, 9.5, 10, 11, 12, 14, 16, 20 and 24 hours |
| Relative Bioavailability (RF) of Guaifenesin | RF is measured by (AUCinf ER / AUCinf IR) x (ER dose / IR dose) | 0 (pre-dose) ,0.25,0.5, 0.75, 1,1.25, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 4.75, 5, 5.5, 6, 7, 8, 8.5, 8.75, 9, 9.5, 10, 11, 12, 14, 16, 20 and 24 hours |
| Number of Adverse Events(AEs) Experienced by Participants | Intensity determination Mild=AE does not limit usual activities; subject may experience slight discomfort Moderate=AE results in some limitation of usual activities;subject may experience significant discomfort Severe=AE results in an inability to carry out usual activities; subject may experience intolerable discomfort or pain Unassessable/Unclassifiable=Insufficient information to be able to make an assessment Conditional/Unclassified=Insufficient information to make an assessment at present (causality is conditional on additional information) Unrelated=No possibility that the AE was caused by study drug Unlikely=Slight, but remote, chance that the AE was caused by study drug, but the balance of judgment is that it was most likely not due to the study drug Possible=Reasonable suspicion that the AE was caused by the study drug Probable=Most likely that the AE was caused by study drug Certain=The AE was definitely caused by study drug Investigational Medicinal Product (IMP) | Up to period 2 (8.3 days/200 hours) |
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| NOT COMPLETED |
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| years |
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| Sex: Female, Male | Count of Participants | Participants |
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| Age Group | Count of Participants | Participants | No |
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| Height | Mean | Standard Deviation | cm |
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| Weight | Mean | Standard Deviation | kg |
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| Body Mass Index | Mean | Standard Deviation | kg/m² |
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| Race | Number | participants |
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| Primary | Area Under the Plasma Concentration-time Curve From Time 0 to the Last Measurable Concentration (AUCt) of Guaifenesin | The area under the analyte concentration versus time curve, from time zero (0) to the time of the last measurable analyte concentration (t), as calculated by the linear trapezoidal method. | PK Dataset | Posted | Mean | Standard Deviation | ng·h/ml | 0 (pre-dose) ,0.25,0.5, 0.75, 1,1.25, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 4.75, 5, 5.5, 6, 7, 8, 8.5, 8.75, 9, 9.5, 10, 11, 12, 14, 16, 20 and 24 hours |
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| Secondary | Time to Maximum Observed Plasma Concentration (Tmax) of Guaifenesin | Time of the maximum measured analyte concentration over the sampling period. | PK Dataset | Posted | Mean | Standard Deviation | hr | 0 (pre-dose) ,0.25,0.5, 0.75, 1,1.25, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 4.75, 5, 5.5, 6, 7, 8, 8.5, 8.75, 9, 9.5, 10, 11, 12, 14, 16, 20 and 24 hours |
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| Secondary | Area Under Plasma Concentration-time Curve From Time 0 to Infinity (AUCinf) of Guaifenesin | AUCinf = AUCt + Cp/Kel, where Cp is the predicted analyte concentration at the time of the last measurable analyte concentration. | PK Dataset | Posted | Mean | Standard Deviation | ng·h/ml | 0 (pre-dose) ,0.25,0.5, 0.75, 1,1.25, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 4.75, 5, 5.5, 6, 7, 8, 8.5, 8.75, 9, 9.5, 10, 11, 12, 14, 16, 20 and 24 hours |
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| Secondary | Terminal Elimination Rate Constant (Kel) of Guaifenesin | Elimination rate constant calculated from the slope of the terminal portion of the plasma profile calculated by least squares regression of log (concentration) versus time | PK Dataset | Posted | Mean | Standard Deviation | 1/h | 0 (pre-dose) ,0.25,0.5, 0.75, 1,1.25, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 4.75, 5, 5.5, 6, 7, 8, 8.5, 8.75, 9, 9.5, 10, 11, 12, 14, 16, 20 and 24 hours |
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| Secondary | Terminal Elimination Half-life (T½) of Guaifenesin | Terminal elimination half-life, calculated from the equation: T½ = In(2)/Kel. | PK Dataset | Posted | Mean | Standard Deviation | h | 0 (pre-dose) ,0.25,0.5, 0.75, 1,1.25, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 4.75, 5, 5.5, 6, 7, 8, 8.5, 8.75, 9, 9.5, 10, 11, 12, 14, 16, 20 and 24 hours |
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| Secondary | Relative Bioavailability (RF) of Guaifenesin | RF is measured by (AUCinf ER / AUCinf IR) x (ER dose / IR dose) | Outcome involved analyzing data from both intervention groups (ER and IR) in combination as per the provided formula, therefore, separate analysis for each intervention cannot be reported | Posted | Mean | Standard Deviation | ng·h/ml | 0 (pre-dose) ,0.25,0.5, 0.75, 1,1.25, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 4.75, 5, 5.5, 6, 7, 8, 8.5, 8.75, 9, 9.5, 10, 11, 12, 14, 16, 20 and 24 hours |
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| Secondary | Number of Adverse Events(AEs) Experienced by Participants | Intensity determination Mild=AE does not limit usual activities; subject may experience slight discomfort Moderate=AE results in some limitation of usual activities;subject may experience significant discomfort Severe=AE results in an inability to carry out usual activities; subject may experience intolerable discomfort or pain Unassessable/Unclassifiable=Insufficient information to be able to make an assessment Conditional/Unclassified=Insufficient information to make an assessment at present (causality is conditional on additional information) Unrelated=No possibility that the AE was caused by study drug Unlikely=Slight, but remote, chance that the AE was caused by study drug, but the balance of judgment is that it was most likely not due to the study drug Possible=Reasonable suspicion that the AE was caused by the study drug Probable=Most likely that the AE was caused by study drug Certain=The AE was definitely caused by study drug Investigational Medicinal Product (IMP) | Safety population | Posted | Number | Events | Up to period 2 (8.3 days/200 hours) |
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| 0 |
| 28 |
| 0 |
| 28 |
| 1 |
| 28 |
| EG001 | Treatment B: Guaifenesin 200 mg | Guaifenesin 200 mg immediate release (IR) tablet q4h (total of 3 doses) by mouth under fasting condition. | 0 | 29 | 0 | 29 | 4 | 29 |
| Vomiting | Gastrointestinal disorders | MedDRA 16.1 | Systematic Assessment |
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| Asthenia | General disorders | MedDRA 16.1 | Systematic Assessment |
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| Catheter site bruise | General disorders | MedDRA 16.1 | Systematic Assessment |
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| Catheter site swelling | General disorders | MedDRA 16.1 | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA 16.1 | Systematic Assessment |
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| Somnolence | Nervous system disorders | MedDRA 16.1 | Systematic Assessment |
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| Skin swelling | Skin and subcutaneous tissue disorders | MedDRA 16.1 | Systematic Assessment |
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| Hypertension | Vascular disorders | MedDRA 16.1 | Systematic Assessment |
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| D000596 |
| Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D006139 | Guaiacol |
| D008738 | Methyl Ethers |
| D004987 | Ethers |
| D010647 | Phenyl Ethers |
| D002396 | Catechols |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| TEAE by severity: Severe |
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| Relationship to IMP: Unassessable/Unclassifiable |
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| Relationship to IMP: Conditional /Unclassified |
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| Relationship to IMP: Unrelated |
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| Relationship to IMP: Unlikely |
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| Relationship to IMP: Possible |
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| Relationship to IMP: Probable |
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| Relationship to IMP: Certain |
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