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An open-label, randomized, 3-way crossover study to evaluate the pharmacokinetics of investigational product "Ibuprofen Modified-Release Tablets 800 mg" in comparison to the reference standard "Ibuprofen Regular-Release Tablets 600 mg/800 mg" in normal healthy volunteers
Primary objective:
To evaluate the food effect of IBUMR and its bioavailability of single and multiple doses compared with reference drugs in normal healthy volunteers.
Secondary objectives:
This study consists of 3 treatment periods as below. For Treatment A and Treatment B, single- and multiple-dose stages are included.
Treatment A:
One tablet of IBUMR will be administered to the subjects under fasted condition, followed by a minimum of 72-hour washout interval. After the washout period, subjects will receive 1 × IBUMR every 12 hours for a total of 8 doses.
Treatment B:
One tablet of IBURed-800mg will be administered to the subjects under fasted condition, followed by a minimum of 72-hour washout interval. After the washout period, subjects will receive 1 × IBURed-600mg every 8 hours for a total of 12 doses.
Treatment C:
Single dose of IBUMR will be given to the subjects under fed condition (a standard high-fat, high calorie breakfast should be consumed within 30 minutes prior to dosing).
A minimum of 3-day washout interval will be introduced across the 3 treatment periods. Subjects will be required to be fasted for at least 10 hours prior to the administration of morning doses.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment ABC | Experimental | Receive the investigational product and active comparator in a sequence of treatment A, treatment B and treatment C. |
|
| Treatment ACB | Experimental | Receive the investigational product and active comparator in a sequence of treatment A, treatment C and treatment B. |
|
| Treatment BAC | Experimental | Receive the investigational product and active comparator in a sequence of treatment B, treatment A and treatment C. |
|
| Treatment BCA | Experimental | Receive the investigational product and active comparator in a sequence of treatment B, treatment C and treatment A. |
|
| Treatment CAB | Experimental | Receive the investigational product and active comparator in a sequence of treatment C, treatment A and treatment B. |
|
| Treatment CBA |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ibuprofen Tablets | Drug | Treatment A: One tablet of IBUMR will be administered to the subjects under fasted condition, followed by a minimum of 72-hour washout interval. After the washout period, subjects will receive 1 × IBUMR every 12 hours for a total of 7 doses. Treatment B: One tablet of IBURed will be administered to the subjects under fasted condition, followed by a minimum of 72-hour washout interval. After the washout period, subjects will receive 1 × IBURed every 8 hours for a total of 10 doses. Treatment C: Single dose of IBUMR will be given to the subjects under fed condition (a standard high-fat, high calorie breakfast should be consumed within 30 minutes prior to dosing). |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of single-dose and multiple-dose bioavailability between IBUMR and IBURed | Comparison of single-dose and multiple-dose bioavailability between IBUMR and IBURed in log-transformed values of area under the curve from time 0 to the last measurable concentration (AUCL) | After collecting blood samples from the last participant, up to 30 days |
| Comparison of single-dose and multi-dose bioavailability of IBUMR and IBURed | Comparison of single-dose and multiple-dose bioavailability between IBUMR and IBURed in log-transformed values of the peak concentration (Cmax) | After collecting blood samples from the last participant, up to 30 days |
| Comparison of single - and multi-dose bioavailability of IBUMR and IBURed | Comparison of single-dose and multiple-dose bioavailability between IBUMR and IBURed in log-transformed values of area under the curve from time 0 to infinity (AUCinf). | After collecting blood samples from the last participant, up to 30 days |
| To assess the food effect of IBUMR in the PK parameters | To assess the food effect of IBUMR in the PK parameters including Cmax | After collecting blood samples from the last participant, up to 30 days |
| To evaluate the food effect of IBUMR on PK parameters | To assess the food effect of IBUMR in the PK parameters including time to reach peak concentration (Tmax) | After collecting blood samples from the last participant, up to 30 days |
| To evaluate the food effects of IBUMR on PK parameters | To assess the food effect of IBUMR in the PK parameters including AUCL |
| Measure | Description | Time Frame |
|---|---|---|
| Single-dose PK measures | -- Time to reach peak concentration (Tmax) | After collecting blood samples from the last participant, up to 30 days |
| Single dose PK method | -- Area under the concentration-time curve within time span t1 to t2 (AUCt1→t2) |
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Inclusion Criteria:
BMI = Body Weight (kg) / [Height (m)]2 And body weight is not less than 50 kg and 45 kg for males and females, respectively.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ming-Che Liu, M.D | Taipei Medical University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Taipei Medical University Hospital | Taiwan | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 6465162 | Background | Albert KS, Gernaat CM. Pharmacokinetics of ibuprofen. Am J Med. 1984 Jul 13;77(1A):40-6. doi: 10.1016/s0002-9343(84)80017-0. | |
| 6380280 | Background | Albert KS, Gillespie WR, Wagner JG, Pau A, Lockwood GF. Effects of age on the clinical pharmacokinetics of ibuprofen. Am J Med. 1984 Jul 13;77(1A):47-50. doi: 10.1016/s0002-9343(84)80018-2. |
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| ID | Term |
|---|---|
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D007052 | Ibuprofen |
| ID | Term |
|---|---|
| D010666 | Phenylpropionates |
| D000146 | Acids, Carbocyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
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An open label, randomized, single and multiple-dose, test-versus-reference drug, fed-versus-fasted, 3-way crossover study.
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| Experimental |
Receive the investigational product and active comparator in a sequence of treatment C, treatment B and treatment A. |
|
|
| After collecting blood samples from the last participant, up to 30 days |
| Evaluate the food effect of IBUMR in PK parameters | To assess the food effect of IBUMR in the PK parameters including AUCinf | After collecting blood samples from the last participant, up to 30 days |
| Determine the food effect of IBUMR in PK parameters | To assess the food effect of IBUMR in the PK parameters including elimination half-life (t1/2) | After collecting blood samples from the last participant, up to 30 days |
| After collecting blood samples from the last participant, up to 30 days |
| Single dose PK | -- Area under the concentration-time curve extrapolated from the last detectable sampling time point to infinity as a percentage of total AUC (AUCextrap) | After collecting blood samples from the last participant, up to 30 days |
| Single dose PK step | -- Elimination half-life (t1/2) | After collecting blood samples from the last participant, up to 30 days |
| Single dose PK design | -- Apparent oral clearance (CL/F) | After collecting blood samples from the last participant, up to 30 days |
| Single dose PK moves | -- Apparent volume of distribution after oral administration (Vd/F) | After collecting blood samples from the last participant, up to 30 days |
| Multiple-dose PK measures | -- Peak concentration at steady state (Cmax,ss) | After collecting blood samples from the last participant, up to 30 days |
| Multiple - dosed PK | -- Plasma drug concentration at a specified time t steady state (Ct,ss) | After collecting blood samples from the last participant, up to 30 days |
| Multiple - dosed PK method | -- Average concentration at steady state (Cavg) | After collecting blood samples from the last participant, up to 30 days |
| Multiple - dosed PK steps | -- Trough plasma concentration at steady state (Ctrough) | After collecting blood samples from the last participant, up to 30 days |
| Multiple - dosed PK design | -- Time to reach peak concentration at steady state (Tmax,ss) | After collecting blood samples from the last participant, up to 30 days |
| Multiple - dosed PK plan | -- Area under the concentration-time curve within time span t1 to t2 at steady state (AUCt1→t2,ss) | After collecting blood samples from the last participant, up to 30 days |
| Multiple - dosed PK program | -- AUC in 1 dosing interval (AUCτ) at steady state | After collecting blood samples from the last participant, up to 30 days |
| Multiple - dosed PK process | -- Terminal half-life at steady state (t1/2,ss) | After collecting blood samples from the last participant, up to 30 days |
| Multiple - dosed PK arrangement | -- Apparent oral clearance at steady state (CL/Fss) | After collecting blood samples from the last participant, up to 30 days |
| Multiple - dosed PK planning | -- Apparent volume of distribution after oral administration at steady state (Vd/Fss) | After collecting blood samples from the last participant, up to 30 days |
| Assessment of effect duration for IBUMR | -- For the plasma ibuprofen concentration of IBUMR at steady state, the time to drop to the Ctrough of IBURed-600mg will be calculated. | After collecting blood samples from the last participant, up to 30 days |
| Evaluation of duration of IBUMR effect | -- Percentage of the test drug-treated subjects with higher or equal plasma ibuprofen concentrations at 12-hour at steady state (C12,ss) compared to the Ctrough of IBURed-600mg will be calculated. | After collecting blood samples from the last participant, up to 30 days |
| Incidence of treatment-emergent adverse events (safety and tolerability) | Incidence of AEs and SAEs | After collecting blood samples from the last participant, up to 60 days |
| safety and tolerability | incidence of abnormal Physical examination | After collecting blood samples from the last participant, up to 60 days |
| Incidence of treatment-emergent adverse events | abnormal Vital signs | After collecting blood samples from the last participant, up to 60 days |
| Incidence of sudden adverse events (safety and tolerability) | abnormal laboratory tests results | After collecting blood samples from the last participant, up to 60 days |
| Incidence of treatment-induced adverse events (safety and tolerability) | abnormal 12-lead ECG exams | After collecting blood samples from the last participant, up to 60 days |
| 14999364 | Background | Barkin RL, Buvanendran A. Focus on the COX-1 and COX-2 agents: renal events of nonsteroidal and anti-inflammatory drugs-NSAIDs. Am J Ther. 2004 Mar-Apr;11(2):124-9. doi: 10.1097/00045391-200403000-00007. |
| 9515184 | Background | Davies NM. Clinical pharmacokinetics of ibuprofen. The first 30 years. Clin Pharmacokinet. 1998 Feb;34(2):101-54. doi: 10.2165/00003088-199834020-00002. |
| 21978149 | Background | Goldberg DS, McGee SJ. Pain as a global public health priority. BMC Public Health. 2011 Oct 6;11:770. doi: 10.1186/1471-2458-11-770. |
| 27364900 | Background | Legg T, Paluch E, Jayawardena S. Single- and Multiple-Dose Pharmacokinetics of Immediate-Release/Extended-Release Ibuprofen Tablets. Clin Pharmacol Drug Dev. 2017 Jan;6(1):36-43. doi: 10.1002/cpdd.288. Epub 2016 Sep 22. |
| 26508885 | Background | Devarakonda K, Kostenbader K, Giuliani MJ, Young JL. Single- and multiple-dose pharmacokinetics of biphasic immediate-release/extended-release hydrocodone bitartrate/acetaminophen (MNK-155) compared with immediate-release hydrocodone bitartrate/ibuprofen and immediate-release tramadol HCl/acetaminophen. J Pain Res. 2015 Sep 30;8:647-56. doi: 10.2147/JPR.S83416. eCollection 2015. |
| 8461240 | Background | O'Connor TP, Anderson AM, Lennox B, Muldoon C. A novel sustained-release formulation of ibuprofen provides effective once-daily therapy in the treatment of rheumatoid arthritis and osteoarthritis. Br J Clin Pract. 1993 Jan-Feb;47(1):10-3. |
| 31705437 | Background | Varrassi G, Pergolizzi JV, Dowling P, Paladini A. Ibuprofen Safety at the Golden Anniversary: Are all NSAIDs the Same? A Narrative Review. Adv Ther. 2020 Jan;37(1):61-82. doi: 10.1007/s12325-019-01144-9. Epub 2019 Nov 8. |
| 12737366 | Background | Volans G, Hartley V, McCrea S, Monaghan J. Non-opioid analgesic poisoning. Clin Med (Lond). 2003 Mar-Apr;3(2):119-23. doi: 10.7861/clinmedicine.3-2-119. No abstract available. |