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| Name | Class |
|---|---|
| PRA Health Sciences | INDUSTRY |
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This is a single-center study incorporating 2 parts: A Multiple Ascending Dose Study (Part A) and a comparative Bioavailability/Bioequivalence and Food Effect study (Part B). Both parts of the study will be conducted in healthy adult subjects.
This study is intended to evaluate the pharmacokinetics of OxyContin (oxycodone ER) and PF614, as well as PF614 fragments, following administration of multiple ascending doses of PF614, and to compare to steady-state pharmacokinetics to those of OxyContin. (Part A)
In addition, oral bioavailability of oxycodone derived from single doses of PF614 of the to-be-marketed capsule formulation will be compared to that of the reference drug, OxyContin, in the fasted and fed condition. A pivotal food effect assessment will be incorporated into the study to determine the impact of a high fat meal on the bioavailability of oxycodone, following oral single-dose administration of PF614 (Part B).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PF614 | Experimental | Part A will utilize a randomized, open-label, multiple-ascending dose design with up to 3 separate dose groups of 8 subjects. Within each dose group, subjects will be randomized to receive repeated BID doses, planned to be 12 hours apart over a 5 day period, for a total of 9 doses. Dose escalation to Dose Groups 2 and 3 will follow a review of pharmacokinetic, safety and tolerability data up to Day 10 of the preceding group. The doses or dosing regimen for Dose groups 2 and 3 may be modified based on a review of the data. |
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| Part B Compare Bioavailability and Bioequivalence | Active Comparator | Part B will utilize an open-label, single-dose, randomized, 4-way crossover design. Following confirmation of eligibility, subjects will be randomized to receive each of the single oral doses of study drugs (one at each treatment period). PF614 100 mg administered under fasted conditions; PF614 100 mg administered under fed conditions; OxyContin 40 mg administered under fasted conditions; OxyContin 40 mg administered under fed conditions |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| PF614 | Drug | PF614 is an oxycodone prodrug |
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| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] | Adverse Events, Significant Adverse Events, Adverse Events leading to discontinuation | 30 days |
| Pharmacokinetics AUC [Area Under the Curve] | Area under the concentration-time curve from the time of dosing to the start of the next dosing interval using PF614 concentrations and oxycodone concentrations in plasma. | Full PK sampling time points will be 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Cmax [Maximum Plasma Concentration] | Maximum (peak) plasma concentration first dose | PK sampling time points will be 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Tlag [Time to first measurable plasma concentration] | Time prior to the time corresponding to the first measurable (non-zero) concentration | PK sampling time points will be 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Tmax [Time to maximum plasma concentration] | Time to maximum plasma concentration on Day 1 (first dose) | PK sampling time points 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics AUC, Steady State | Steady-state (Day 5) area under the concentration-time curve from the time of dosing extrapolated to time infinity | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics CL/F [Clearance] |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics Part B CL/F | Apparent total systemic clearance | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Part B pAUC | Partial area under the concentration-time curve from the time of dosing to 12 hours post dose |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| William K Schmidt, PhD | Chief Medical Officer, Ensysce Biosciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PRA Health Sciences-Early Development Services | Salt Lake City | Utah | 84124 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28345745 | Background | Kirkpatrick DL, Schmidt WK, Morales R, Cremin J, Seroogy J, Husfeld C, Jenkins T. In vitro and in vivo assessment of the abuse potential of PF614, a novel BIO-MD prodrug of oxycodone. J Opioid Manag. 2017 Jan/Feb;13(1):39-49. doi: 10.5055/jom.2017.0366. | |
| 38511523 | Result | Kirkpatrick DL, Evans C, Pestano LA, Millard J, Johnston M, Mick E, Schmidt WK. Clinical evaluation of PF614, a novel TAAP prodrug of oxycodone, versus OxyContin in a multi-ascending dose study with a bioequivalence arm in healthy volunteers. Clin Transl Sci. 2024 Mar;17(3):e13765. doi: 10.1111/cts.13765. |
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| ID | Term |
|---|---|
| D009271 | Naltrexone |
| D010098 | Oxycodone |
| ID | Term |
|---|---|
| D009270 | Naloxone |
| D009019 | Morphinans |
| D053610 | Opiate Alkaloids |
| D000470 | Alkaloids |
| D006571 |
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Part A will utilize a randomized, open label, multiple-ascending dose design with up to 3 separate dose groups of 8 subjects per group.
Part B will utilize an open-label, single-dose, randomized, 4-way crossover design with 13 subjects in each treatment sequence.
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| Naltrexone Hydrochloride | Drug | Naltrexone HCl tablets, 50 mg, will be used to block the opioid effects in healthy volunteers |
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| OxyContin | Drug | Bioequivalence single-dose comparison to OxyContin |
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Apparent total systemic clearance |
| PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Cmax, Steady State | Maximum (peak) plasma concentration at steady-state on Day 5 | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Tmax, Steady State | Time to maximum plasma concentration on Day 5 | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics t1/2 [Half-life] | Terminal elimination half-life | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Vz/F [Volume of Distribution] | Apparent volume of distribution during the terminal-elimination phase | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics elimination rate | Terminal elimination rate/constant | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Ctrough [Minimum Plasma Concentration before next dose] | Concentrations prior to dosing | Prior to dosing on Days 2, 3, and 4 |
| Pharmacokinetics Part B AUC | Area under the concentration-time curve from the time of dosing extrapolated to time infinity in fed vs fasted state | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Part B AUC 0-t | Area under the concentration-time curve from the time of dosing to the last measurable concentration in fed vs fasted state | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Part B Cmax | Maximum (peak) plasma concentration in fed vs fasted state | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Bioavailability and Bioequivalence | Bioavailability and Bioequivalence of single oral doses of PF614 prodrug and oxycodone derived from from PF614 vs. oxycodone derived from OxyContin in healthy adult subjects (Part B) | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Part B Tlag | Time prior to the time corresponding to the first measurable dose (non-zero) concentration | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Part B Tmax | Time to maximum plasma concentration on Day 1 (first dose) | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Part B t1/2 | Terminal elimination half life | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Part B Vz/F | Apparent volume of distribution during the terminal elimination phase | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Pharmacokinetics Part B Terminal elimination rate | Terminal elimination rate constant | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Plasma Concentration of inactive metabolic fragment #1 | Evaluate plasma concentrations of PFR06082 (Part A only) | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| Plasma Concentration of inactive metabolic fragment #2 | Evaluate plasma concentrations of PFR06110 (Part A only) | PK sampling time points 0, 30 minutes; 1, 2, 3, 4, 6, 8, and 12 hours |
| 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 |
| D003061 | Codeine |
| D009022 | Morphine Derivatives |