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The purpose of the study was to investigate the pharmacokinetics (i.e. the uptake, distribution and elimination from the body) of dermally applied buprenorphine during and after different application periods, i.e., a 96-hour and a 72-hour application of the Transtec (Registered Trademark) patch (release rate 35 micrograms per hour [µg/hour]). In the Transtec summary of product characteristics (prescribing information for the physician), the wearing time per patch is restricted to three days (72 hours) after which the patch has to be replaced. However, market experience has shown that the Transtec patches are sometimes worn for a period longer than three days, i.e. they sometimes happen to be only replaced every four days. There was currently no data available as how to evaluate this longer wearing period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment A: Transtec patch application for 96 hours | Experimental | Transtec 35 µg/hour transdermal patch wearing period of 96 hours, with application of patch on Study Day 1 and removal on Study Day 5. |
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| Treatment B: Transtec patch application for 72 hours | Experimental | Transtec 35 µg/hour transdermal patch wearing period of 72 hours, with application of patch on Study Day 1 and removal on Study Day 4. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transtec 35 µg/hour transdermal patch | Drug | Transdermal patch containing 20 mg buprenorphine in an active surface area of 25 squared centimeters. Buprenorphine release rate 35 µg/hour. |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic parameter: AUC48-72 for buprenorphine | Partial area under the plasma concentration-time curve (from 48 hours after application until 72 hours after application). | From 48 hours to 72 hours |
| Pharmacokinetic parameter: AUC72-96 for buprenorphine | Partial area under the plasma concentration-time curve (from 72 hours after application until 96 hours after application). | From 72 hours to 96 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic parameter: Cmax for buprenorphine | Maximum observed plasma concentration of the measured concentration-time profile. Blood samples will be taken for the determination of buprenorphine plasma concentrations at distinct time points: Before application to 144 hours after patch application. If the patch was applied for 96 hours, additional samples were taken at 156 and 168 hours after application. For the analysis of buprenorphine in human plasma, a validated liquid chromatography mass spectrometry (LC/MS/MS)-method will be used. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Grünenthal Study Director | Grünenthal GmbH | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institut für Klinische Pharmakologie Bobenheim | Grünstadt | 67269 | Germany |
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Each participant will apply Transtec 35 µg/hour transdermal patch, once for 96 hours (Treatment A) and once for 72 hours (Treatment B) in randomized order. Between removal of the first patch and application of the second patch, there will be a washout period of at least 10 days.
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| Before application and after 4, 8, 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, 104,112,120,132,144,156, and 168 hours |
| Pharmacokinetic parameter: tmax for buprenorphine | Time of maximum concentration, time after transdermal patch application at which Cmax occurs. | Before application and after 4, 8, 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, 104,112,120,132,144,156, and 168 hours |
| Pharmacokinetic parameter: AUC0-t for buprenorphine | Area under plasma concentration-time curve from application until the last sampling point (t) with a quantifiable concentration, calculated by the linear/log trapezoidal method, i.e., the linear trapezoidal rule is applied up to Cmax and then the log trapezoidal rule is applied for the remainder of the curve. | Before application and after 4, 8, 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, 104,112,120,132,144,156, and 168 hours |
| Pharmacokinetic parameter: t1/2z for buprenorphine | Apparent terminal elimination half-life. | Before application and after 4, 8, 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, 104,112,120,132,144,156, and 168 hours |
| Pharmacokinetic parameter: AUC0-inf for buprenorphine | Area under the plasma concentration-time curve extrapolated to infinity. | Before application and after 4, 8, 16, 24, 32, 40, 48, 56, 64, 72, 80, 88, 96, 104,112,120,132,144,156, and 168 hours |
| Incidence of treatment emergent adverse events | Number of adverse events and number of participants with adverse events. | From patch application (Day 1) until Final check (Day 12) |
| Characteristics of treatment emergent adverse events | Adverse events with information on intensity, seriousness, relationship to the investigational product, outcome and action taken will be determined. | From patch application (Day 1) until Final check (Day 12) |
| Onset and duration of treatment emergent adverse events | Adverse events with information on onset and duration to the investigational product will be determined. | From patch application (Day 1) until Final check (Day 12) |
| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D057968 | Transdermal Patch |
| ID | Term |
|---|---|
| D004864 | Equipment and Supplies |
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