- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01235338
Co-Administration of LDX (SPD489) and Venlafaxine XR (EFFEXOR XR) in Healthy Volunteers
June 8, 2021 updated by: Shire
A Phase 1, Open-label, Drug Interaction Study Evaluating the Pharmacokinetic Profiles of SPD489 and EFFEXOR XR, Administered Alone and in Combination in Healthy Adult Subjects
This study will examine the effects of co-administration of SPD489 and the antidepressant EFFEXOR XR on the pharmacokinetics of lisdexamfetamine, d-amphetamine, and EFFEXOR XR.
In addition, serial blood pressure and pulse measures will be obtained and examined to ensure that there are no unexpected changes in vital signs following co administration of SPD489 and EFFEXOR XR that would impact the further study of this drug combination.
The hypothesis is that a drug drug interaction could possibly exist.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
80
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Florida
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Miami, Florida, United States, 33014
- Clinical Pharmacology of Miami
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 45 years (ADULT)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age 18-45 years
Subject is willing to comply with any applicable contraceptive requirements of the protocol and is:
- Male, or
- Non-pregnant, non-lactating female
- Females must be at least 90 days post partum or nulliparous.
- Female subjects must have a negative serum beta Human Chorionic Gonadotropin (HCG) pregnancy test
- Satisfactory medical assessment
- Ability to provide information on family history of hypertension.
- Body Mass Index (BMI) between 18.5 and 30.0kg/m² inclusive.
- Ability to swallow all investigational products.
Exclusion Criteria:
- Current or recurrent disease (e.g., cardiovascular, renal, liver, gastrointestinal, malignancy or other conditions)
- Current or relevant previous history of physical or psychiatric illness.
- Significant illness.
- History of significant anxiety, tension, or agitation as assessed by the Investigator.
- History of or current diagnosis of glaucoma.
- History of a seizure disorder (other than infantile febrile seizures), any tic disorder or a current diagnosis and/or known family history of Tourette's Disorder.
- History of symptomatic cardiovascular disease, advanced arteriosclerosis, structural cardiac abnormality, cardiomyopathy, serious heart rhythm abnormalities, coronary artery disease, transient ischemic attack or stroke, or other serious cardiac problems.
- History of controlled or uncontrolled hypertension or a resting sitting systolic BP >139mmHg or diastolic BP >89mmHg.
- Known family history of sudden cardiac death or ventricular arrhythmia.
- Suicidal ideation or any lifetime history of suicidal behavior.
- Consumption of alcohol, Seville oranges, grapefruit, or any grapefruit containing products within 7 days of first dose of investigational product.
- Current use of any medication (including prescription, over the counter [OTC], herbal or homeopathic preparations or supplements) with the exception of the occasional dose of acetaminophen, or hormonal contraceptives.
- History of alcohol or other substance abuse within the last year.
- A positive screen for alcohol or drugs of abuse.
- Male subjects who consume more than 21 units of alcohol per week or 3 units per day. Female subjects who consume more than 14 units of alcohol per week or 2 units per day. [1 alcohol unit =1 beer = 1 wine (5oz) = 1 liquor (1.5oz) = 0.75oz alcohol]
- A positive human immunodeficiency virus (HIV) antibody screen, Hepatitis B surface antigen (HBsAg), or Hepatitis C virus (HCV) antibody screen.
- Use of tobacco in any form (e.g., smoking or chewing) or other nicotine-containing products in any form (e.g. gum, patch). Ex-users must report that they have stopped using tobacco for at least 30 days prior to receiving the first dose of investigational product.
- Routine consumption of more than 2 units of caffeine per day or subjects who experience caffeine withdrawal headaches. (One caffeine unit is contained in the following items: one 6oz. cup of coffee, two 12oz. cans of cola, one 12oz. cup of tea, three 1oz. chocolate bars, or one 8oz. serving of an energy drink. Decaffeinated coffee, tea, or cola are not considered to contain caffeine).
- Donation of blood or blood products (e.g., plasma or platelets) within 60 days prior to receiving the first dose of investigational product.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: LDX (SPD489) + Venlafaxine XR (Effexor XR)
|
Other Names:
|
EXPERIMENTAL: Venlafaxine XR + LDX
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Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Maximum Plasma Concentration (Cmax) of Lisdexamfetamine Dimesylate
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
Lisdexamfetamine dimesylate (SPD489) itself is inactive, but following oral administration is converted to the active isomer, d-amphetamine, that is responsible for the drug's therapeutic activity.
|
Day 15 and Day 30 (24 hour sampling)
|
Cmax of d-Amphetamine
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
d-Amphetamine is the active isomer of Lisdexamfetamine dimesylate (SPD489) and is responsible for the drug's therapeutic activity.
|
Day 15 and Day 30 (24 hour sampling)
|
Cmax of Venlafaxine Hydrochloride
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
Venlafaxine Hydrochloride is the active ingredient of Effexor XR
|
Day 15 and Day 30 (24 hour sampling)
|
Cmax of o-Desmethylvenlafaxine
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
Venlafaxine, after oral administration, is metabolized in the liver to an active metabolite, o-Desmethylvenlafaxine.
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Day 15 and Day 30 (24 hour sampling)
|
Cmax of Composite (Venlafaxine + o-Desmethylvenlafaxine)
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
Day 15 and Day 30 (24 hour sampling)
|
|
Area Under the Steady-state Plasma Concentration-time Curve (AUC) of Lisdexamfetamine Dimesylate
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
Day 15 and Day 30 (24 hour sampling)
|
|
AUC of d-Amphetamine
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
Day 15 and Day 30 (24 hour sampling)
|
|
AUC of Venlafaxine Hydrochloride
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
Day 15 and Day 30 (24 hour sampling)
|
|
AUC of o-Desmethylvenlafaxine
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
Day 15 and Day 30 (24 hour sampling)
|
|
AUC of Composite (Venlafaxine + o-Desmethylvenlafaxine)
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
Day 15 and Day 30 (24 hour sampling)
|
|
Time of Maximum Plasma Concentration (Tmax) of Lisdexamfetamine Dimesylate
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
Day 15 and Day 30 (24 hour sampling)
|
|
Tmax of d-Amphetamine
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
Day 15 and Day 30 (24 hour sampling)
|
|
Tmax of Venlafaxine Hydrochloride
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
Day 15 and Day 30 (24 hour sampling)
|
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Tmax of o-Desmethylvenlafaxine
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
Day 15 and Day 30 (24 hour sampling)
|
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Tmax of Composite (Venlafaxine + o-Desmethylvenlafaxine)
Time Frame: Day 15 and Day 30 (24 hour sampling)
|
Day 15 and Day 30 (24 hour sampling)
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Systolic Blood Pressure
Time Frame: Baseline and up to 39 days
|
Baseline and up to 39 days
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Diastolic Blood Pressure
Time Frame: Baseline and up to 39 days
|
Baseline and up to 39 days
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Pulse Rate
Time Frame: Baseline and up to 39 days
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Baseline and up to 39 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
October 28, 2010
Primary Completion (ACTUAL)
December 30, 2010
Study Completion (ACTUAL)
January 17, 2011
Study Registration Dates
First Submitted
November 2, 2010
First Submitted That Met QC Criteria
November 3, 2010
First Posted (ESTIMATE)
November 5, 2010
Study Record Updates
Last Update Posted (ACTUAL)
June 14, 2021
Last Update Submitted That Met QC Criteria
June 8, 2021
Last Verified
June 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Psychotropic Drugs
- Neurotransmitter Uptake Inhibitors
- Membrane Transport Modulators
- Antidepressive Agents
- Dopamine Agents
- Antidepressive Agents, Second-Generation
- Serotonin and Noradrenaline Reuptake Inhibitors
- Dopamine Uptake Inhibitors
- Central Nervous System Stimulants
- Lisdexamfetamine Dimesylate
- Venlafaxine Hydrochloride
Other Study ID Numbers
- SPD489-117
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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