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Determine and compare the plasma concentrations and safety and tolerability of Guaifenesin and hydrocodone bitartrate when they are administered alone or in combination to normal healthy male and/or female subjects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment A | Experimental | Guaifenesin (Humibid®) single extended release 1200 mg tablet administered with 240 mL of room temperature water under fasted conditions. |
|
| Treatment B | Experimental | Hydrocodone Bitartrate of 10 mg in 3 oral doses of a single 3.33 mg tablet in three intervals administered with 240 mL of room temperature water in the fasted state. |
|
| Treatment C | Experimental | Hydrocodone Bitartrate 10 mg in 3 oral doses of a single 3.33 mg tablet in three intervals and guaifenesin (Humibid®) 1200 mg ER administered with 240 mL of room temperature water in the fasted state. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Humibid® | Drug | Humibid® 1200 mg (single extended release) tablet |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Observed Plasma Concentration (Cmax) of Guaifenesin | Pharmacokinetic Parameter Cmax (Maximum measured plasma concentration) | 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose |
| Area Under Plasma Concentration-time Curve From Time 0 to the Last Measurable Concentration (AUC(0-t)) of Guaifenesin | Pharmacokinetic Parameter AUC(0-t) The area under the plasma concentration versus time curve from time 0 to time of the last measurable concentration. | 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose |
| Area Under Plasma Concentration-time Curve From Time 0 to Infinity (AUC(0-inf)) of Guaifenesin | The area under the plasma concentration versus time curve from time 0 to infinity, calculated as AUC(0-t) + Ct/ Kel, where Ct is the last measurable concentration. | 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose |
| Apparent Terminal Elimination Rate Constant (Kel) of Guaifenesin | Apparent first-order terminal elimination rate constant calculated from a semi-log plot of the plasma concentration versus time curve. The parameter was calculated by linear least-squares regression analysis using the maximum number of points in the terminal log-linear phase. | 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose |
| Time to Maximum Observed Concentration (Tmax) of Guaifenesin | Pharmacokinetic Parameter (Tmax) Time of the maximum measured plasma concentration. | 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Adverse Events(AEs) Experienced by Participants | Intensity was determined by the Investigator. For symptomatic AEs the following definitions were applied. Mild = AE did not limit usual activities; subject may have experienced slight discomfort. Moderate = AE resulted in some limitation of usual activities; subject may have experienced significant discomfort. Severe = AE resulted in an inability to carry out usual activities; subject may have experienced intolerable discomfort/ pain. Relationship to Investigational Medicinal Products (IMP) Unlikely = Slight, but remote, chance that AE was caused by IMP. Possible = Reasonable suspicion that the AE was caused by IMP. Probable = Most likely that AE was caused by IMP. |
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Inclusion Criteria:
Males and/or females between the ages of 19 and 55 years, inclusive.
Females of childbearing potential were using one of the following acceptable birth control methods:
Abstinence was not an acceptable form of contraception.
Females of non-childbearing potential were surgically sterile (bilateral tubal ligation with surgery at least 6 months prior to study, hysterectomy, or bilateral oophorectomy at least 3 months prior to study) or postmenopausal <2 years. An FSH >40 mIU/mL was obtained and in the record.
Good general health was determined by medical history, physical examination, electrocardiogram (ECG), and clinical laboratory measures.
Within 15% of Ideal Body Weight as defined by the 1983 Metropolitan Life chart.
Non-tobacco users, who had not used nicotine or nicotine-containing products for at least 1 year.
Able to read, understand, and sign the informed consent after the nature of the study had been explained.
Negative finding on tests for Hepatitis B and C antigen as well as HIV and pregnancy test (if female).
Negative urine screen for drugs of abuse and alcohol at screening and the first check in.
Non-alcohol or drug abuser - for alcohol, defined as history of less then 4 drinks daily.
Exclusion Criteria:
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A total of 24 subjects entered the study, among them 23 subjects completed the study.
This was a single-centre study.
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| ID | Title | Description |
|---|---|---|
| FG000 | Sequence ABC | First Intervention Treatment A: Single Humibid® 1200 mg guaifenesin Extended Release (ER) bi-layer tablet by mouth under fasted state Second Intervention Treatment B: Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state Third Intervention Treatment C: Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet and Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state Scheduled Washout of 7 days between each doses. |
| FG001 | Sequence ACB | First Intervention Treatment A: Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet by mouth under fasted state Second Intervention Treatment C: Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet and Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state Third Intervention Treatment B: Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state Scheduled Washout of 7 days between each doses. |
| FG002 | Sequence BAC | First Intervention Treatment B: Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state Second Intervention Treatment A: Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet by mouth under fasted state Third Intervention Treatment C: Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet and Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state Scheduled Washout of 7 days between each doses. |
| FG003 | Sequence BCA | First Intervention Treatment B: Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state Second Intervention Treatment C: Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet and Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state Third Intervention Treatment A: Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet by mouth under fasted state Scheduled Washout of 7 days between each doses. |
| FG004 | Sequence CAB | First Intervention Treatment C: Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet and Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state Second Intervention Treatment A: Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet by mouth under fasted state Third Intervention Treatment B: Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state Scheduled Washout of 7 days between each doses. |
| FG005 | Sequence CBA | First Intervention Treatment C: Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet and Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state Second Intervention Treatment B: Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state Third Intervention Treatment A: Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet by mouth under fasted state Scheduled Washout of 7 days between each doses. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| First Intervention (1 Day) |
| |||||||||||||
| Washout (7 Days) |
| |||||||||||||
| Second Intervention (1 Day) |
| |||||||||||||
| Washout (7 Days) |
| |||||||||||||
| Third Intervention (1 Day) |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | All Study Participants | Participants were randomized at each visit to receive either Treatment A (Reference): Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet by mouth under fasted state Treatment B (Reference): Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state Treatment C (Test): Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet and Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state Scheduled Washout of 7 days between each doses. All study participants received all three treatments |
| Units | Counts |
|---|---|
| Participants |
|
| 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 | Pharmacokinetic Parameter Cmax (Maximum measured plasma concentration) | Pharmacokinetic (PK) Data Sets included all the 24 subjects for analysis. | Posted | Mean | Standard Deviation | ng/mL | 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose |
|
Up to Day 17
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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 | Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet by mouth under fasted state |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Palpitations | Cardiac disorders | MedDRA 9.1 | 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 |
|---|---|
| D006140 | Guaifenesin |
| D006853 | Hydrocodone |
| ID | Term |
|---|---|
| D006139 | Guaiacol |
| D008738 | Methyl Ethers |
| D004987 | Ethers |
| D009930 | Organic Chemicals |
| D010647 |
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| Hydrocodone Bitartrate | Drug | Hydrocodone Bitartrate (3.33 mg q4h X 3) |
|
| Humibid® and Hydrocodone Bitartrate tablet | Drug | Humibid® 1200 mg (single extended release) tablet and Hydrocodone bitartrate (3.33 mg q4h X 3) |
|
| Apparent Terminal Elimination Half-life (T1/2) of Guaifenesin | Apparent first-order terminal elimination half-life was calculated as 0.693/Kel. | 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose |
| Upto Day 17 |
| COMPLETED |
|
| NOT COMPLETED |
|
| COMPLETED |
|
| NOT COMPLETED |
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| COMPLETED |
|
| NOT COMPLETED |
|
| COMPLETED |
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| NOT COMPLETED |
|
|
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Weight | Mean | Standard Deviation | lb |
|
| Height | Mean | Standard Deviation | Inches |
|
| Elbow Breadth | Mean | Standard Deviation | Inches |
|
| Frame Size | Number | participants |
|
| OG002 | Treatments B (Reference) - Plasma Hydrocodone Bitartrate | Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state. |
| OG003 | Treatment C (Test) - Plasma Hydrocodone Bitartrate | Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet and Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state. |
|
|
| Primary | Area Under Plasma Concentration-time Curve From Time 0 to the Last Measurable Concentration (AUC(0-t)) of Guaifenesin | Pharmacokinetic Parameter AUC(0-t) The area under the plasma concentration versus time curve from time 0 to time of the last measurable concentration. | Pharmacokinetic (PK) Data Sets | Posted | Mean | Standard Deviation | ng*hr/mL | 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose |
|
|
|
| Primary | Area Under Plasma Concentration-time Curve From Time 0 to Infinity (AUC(0-inf)) of Guaifenesin | The area under the plasma concentration versus time curve from time 0 to infinity, calculated as AUC(0-t) + Ct/ Kel, where Ct is the last measurable concentration. | Pharmacokinetic (PK) Data Sets | Posted | Mean | Standard Deviation | ng*hr/mL | 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose |
|
|
|
| Primary | Apparent Terminal Elimination Rate Constant (Kel) of Guaifenesin | Apparent first-order terminal elimination rate constant calculated from a semi-log plot of the plasma concentration versus time curve. The parameter was calculated by linear least-squares regression analysis using the maximum number of points in the terminal log-linear phase. | Pharmacokinetic (PK) Data Sets | Posted | Mean | Standard Deviation | 1/hr | 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose |
|
|
|
| Primary | Time to Maximum Observed Concentration (Tmax) of Guaifenesin | Pharmacokinetic Parameter (Tmax) Time of the maximum measured plasma concentration. | Pharmacokinetic (PK) Data Sets | Posted | Mean | Standard Deviation | hr | 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose |
|
|
|
| Primary | Apparent Terminal Elimination Half-life (T1/2) of Guaifenesin | Apparent first-order terminal elimination half-life was calculated as 0.693/Kel. | Pharmacokinetic (PK) Data Sets | Posted | Mean | Standard Deviation | hr | 0 (pre-dose), 0.5, 1, 1.5, 2, 3, 4, 4.5, 5, 5.5, 6, 7, 8, 8.5, 9, 9.5, 10, 11, 13, 16, 20, 24, and 26 hours Post dose |
|
|
|
| Secondary | Number of Adverse Events(AEs) Experienced by Participants | Intensity was determined by the Investigator. For symptomatic AEs the following definitions were applied. Mild = AE did not limit usual activities; subject may have experienced slight discomfort. Moderate = AE resulted in some limitation of usual activities; subject may have experienced significant discomfort. Severe = AE resulted in an inability to carry out usual activities; subject may have experienced intolerable discomfort/ pain. Relationship to Investigational Medicinal Products (IMP) Unlikely = Slight, but remote, chance that AE was caused by IMP. Possible = Reasonable suspicion that the AE was caused by IMP. Probable = Most likely that AE was caused by IMP. | Pharmacokinetic (PK) Data Sets | Posted | Number | Events | Upto Day 17 |
|
|
|
| 0 |
| 24 |
| 0 |
| 24 |
| 5 |
| 24 |
| EG001 | Treatment B | Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state | 0 | 23 | 0 | 23 | 10 | 23 |
| EG002 | Treatment C | Single Humibid® 1200 mg guaifenesin Extended-Release (ER) bi-layer tablet and Hydrocodone Bitartrate 10 mg (3.33 mg q4h X 3) tablet by mouth under fasted state | 0 | 24 | 0 | 24 | 10 | 24 |
| Lacrimation increased | Eye disorders | MedDRA 9.1 | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA 9.1 | Systematic Assessment |
|
| Stomach discomfort | Gastrointestinal disorders | MedDRA 9.1 | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA 9.1 | Systematic Assessment |
|
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA 9.1 | Systematic Assessment |
|
| Clumsiness | Nervous system disorders | MedDRA 9.1 | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA 9.1 | Systematic Assessment |
|
| Head discomfort | Nervous system disorders | MedDRA 9.1 | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA 9.1 | Systematic Assessment |
|
| Paraesthesia | Nervous system disorders | MedDRA 9.1 | Systematic Assessment |
|
| Tremor | Nervous system disorders | MedDRA 9.1 | Systematic Assessment |
|
| Euphoric mood | Psychiatric disorders | MedDRA 9.1 | Systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA 9.1 | Systematic Assessment |
|
| Sneezing | Respiratory, thoracic and mediastinal disorders | MedDRA 9.1 | Systematic Assessment |
|
| Pallor | Vascular disorders | MedDRA 9.1 | Systematic Assessment |
|
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| Phenyl Ethers |
| D002396 | Catechols |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D003061 | Codeine |
| 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 |
|
| TEAE by severity: Severe |
|
| Relationship to IMP - Unlikely |
|
| Relationship to IMP - Possible |
|
| Relationship to IMP - Probable |
|