Bioavailability Study of SPD489 Administered With Two Different Means of Administration in Healthy Adult Volunteers

A Phase 1, Open-label, Randomized, 3-period Crossover Study Evaluating the Relative Bioavailability of SPD489 When the Contents Are Emptied Into a Soft Food and Orange Juice in Healthy Adult Subjects

Compare the pharmacokinetic profiles when the contents are emptied into a soft food and orange juice compared to the SPD489 when swallowed as an intact capsule.

Study Overview

• Status: Completed
• Conditions: Healthy Volunteers
• Intervention / Treatment: Drug: Lisdexamfetamine Dimesylate

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Phase 1

Contacts and Locations

Study Locations

• United States
  • Florida
    • Miami, Florida, United States
      • Clinical Pharmacology of Miami, Inc

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 55 years (ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. Age 18-55 years inclusive at the time of consent. The date of signing informed consent is defined as the beginning of the Screening Period. This inclusion criterion will only be assessed at the first screening visit.

2. Willingness to comply with any applicable contraceptive requirements fo the protocol and is:

   • Male, or
   • Non pregnant, non lactating female
   • Females must be at least 90 days post partum or nulliparous
3. Must be considered "healthy". Healthy status is defined by absence of evidence of any active or chronic disease following a detailed medical and surgical history, a complete physical examination including vital signs, 12-lead electrocardiogram, hematology, blood chemistry, and urinalysis.
4. An understanding, ability, and willingness to fully comply with study procedures and restrictions
5. Ability to provide written, personally signed, and dated informed consent to participate in the study, in accordance with International Conference on harmonisation Good Clinical Practice Guideline E6 (1996) and applicable regulations, before completing any study related procedures
6. A body mass index between 18.5-30.0kg/m² inclusive. This inclusion criterion will only be assessed at the first screening visit.
7. A hemoglobin value of >=12.0g/dL at the Screening Visit and on Day -1 of Treatment Period 1.
8. Ability to swallow a dose of investigational product according to the study conditions.

Exclusion Criteria:

Subjects are excluded from the study if any of the following criteria are met at the Screening Visit or at Day 1 of Treatment Period 1 (if reassessed):

1. Current or recurrent disease (eg, cardiovascular, renal, liver, gastrointestinal, malignancy, or other conditions) that could affect the action, absorption, or disposition of the investigational products, or could affect clinical or laboratory assessments.
2. Current or relevant history of physical or psychiatric illness, any medical disorder that may require treatment or make the subject unlikely to fully comply with the requirements of the study or complete the study, or any condition that presents undue risk from the investigational product or study procedures.
3. Significant illness, as judged by the investigator, within 2 weeks of the first dose of investigational product.
4. History of significant anxiety, tension, or agitation as assessed by the investigator.
5. History of or current diagnosis of glaucoma.
6. 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.
7. History or presence of known structural cardiac abnormalities, syncope, cardiac conduction problems, exercise-related cardiac events, or clinically significant bradycardia.
8. 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 that may place them at increased vulnerability to the sympathomimetic effects of a stimulant drug.
9. History of controlled or uncontrolled hypertension or a resting supine systolic blood pressure >139mmHg or diastolic blood pressure >89mmHg.
10. Known family history of sudden cardiac death or ventricular arrhythmia.
11. Currently considered a suicide risk, has previously made a suicide attempt, or has a history of, or is currently demonstrating suicidal ideation.
12. Current use of any medication (including prescription, over-the-counter, herbal or homeopathic preparations) with the exception of hormonal replacement therapy or hormonal contraceptives (current use is defined as use within 14 days of first dose of investigational product).
13. Use of any medication known to inhibit or induce the cytochrome P450 (CYP450) enzymes responsible for the metabolism of the investigational product within 14 days of first dose of investigational product.
14. Known or suspected intolerance or hypersensitivity to the investigational product, closely related compounds, or any of the stated ingredients.
15. Known or suspected intolerance or hypersensitivity to orange juice or vanilla yogurt.
16. History of alcohol or other substance abuse within the last year.
17. A positive screen for alcohol or drugs of abuse at the Screening Visit or on Day 1 of Treatment Period 1.
18. Male subjects who consume more than 3 units of alcohol per day. Female subjects who consume more than 2 units of alcohol per day. (1 alcohol unit=1 beer=1 wine [5oz]=one liquor [1.5 oz]=0.75oz alcohol.).
19. A positive human immunodeficiency virus antibody screen, Hepatitis B surface antigen, or Hepatitis C virus antibody screen.
20. Use of tobacco in any form (eg, smoking or chewing) or other nicotine-containing products in any form (eg, gum, patch) within 30 days prior to the first dose of investigational product.
21. Routine consumption of more than 2 units of caffeine per day or subjects who experience caffeine withdrawal headaches or have a history of 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. Decaffeinated coffee, tea, or cola are not considered to contain caffeine).
22. Donation of blood or blood products (eg, plasma or platelets) within 60 days prior to the first dose of investigational product.
23. Use of another investigational product within 30 days prior to receiving the first dose of investigational product or active enrollment in another drug or vaccine clinical study.
24. Substantial changes in eating habits within 30 days prior to receiving the first dose of investigational product, as assessed by the investigator.
25. An inability to follow a standardized diet and meal schedule or inability to fast, as required during the study.
26. Prior screen failure, randomization, participation, or enrollment in this study

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: CROSSOVER
• Masking: NONE

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Lisdexamfetamine Dimesylate Fasting; lisdexamfetamine dimesylate 70 mg capsule administered under fasted conditions	Drug: Lisdexamfetamine Dimesylate; Single dose of a 70 mg capsule on Day 1; Other Names: SPD489
EXPERIMENTAL: Lisdexamfetamine Dimesylate Vanilla Yogurt; Lisdexamfetamine Dimesylate 70mg capsule mixed into vanilla yogurt	Drug: Lisdexamfetamine Dimesylate; Single dose of a 70 mg capsule on Day 1; Other Names: SPD489
EXPERIMENTAL: Lisdexamfetamine Dimesylate Orange Juice; Lisdexamfetamine Dimesylate 70mg capsule mixed into orange juice	Drug: Lisdexamfetamine Dimesylate; Single dose of a 70 mg capsule on Day 1; Other Names: SPD489

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Area Under the Plasma Concentration-time Curve (AUC) for Lisdexamfetamine Dimesylate	AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body.	Up to 96 hours post-dose
Maximum Plasma Concentration (Cmax) for Lisdexamfetamine Dimesylate	Cmax is a term that refers to the maximum (or peak) concentration that a drug achieves in the body after the drug has been administrated.	Up to 96 hours post-dose
AUC for D-amphetamine	d-Amphetamine is a metabolite of Lisdexamfetamine Dimesylate and is an active form that is responsible for the drug's therapeutic activity.	Up to 96 hours post-dose
Cmax for D-amphetamine	d-Amphetamine is a metabolite of Lisdexamfetamine Dimesylate and is an active form that is responsible for the drug's therapeutic activity.	Up to 96 hours-post-dose

Collaborators and Investigators

• Sponsor: Shire

Publications and helpful links

General Publications

• Ermer J, Corcoran M, Lasseter K, Martin PT. Relative Bioavailabilities of Lisdexamfetamine Dimesylate and D-Amphetamine in Healthy Adults in an Open-Label, Randomized, Crossover Study After Mixing Lisdexamfetamine Dimesylate With Food or Drink. Ther Drug Monit. 2016 Dec;38(6):769-776. doi: 10.1097/FTD.0000000000000343.

Study record dates

Study Major Dates

• Study Start (ACTUAL): July 15, 2013
• Primary Completion (ACTUAL): August 22, 2013
• Study Completion (ACTUAL): August 22, 2013

Study Registration Dates

• First Submitted: June 27, 2013
• First Submitted That Met QC Criteria: June 27, 2013
• First Posted (ESTIMATE): July 2, 2013

Study Record Updates

• Last Update Posted (ACTUAL): June 3, 2021
• Last Update Submitted That Met QC Criteria: May 13, 2021
• Last Verified: May 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Physiological Effects of Drugs; Neurotransmitter Agents; Molecular Mechanisms of Pharmacological Action; Neurotransmitter Uptake Inhibitors; Membrane Transport Modulators; Dopamine Agents; Dopamine Uptake Inhibitors; Central Nervous System Stimulants; Lisdexamfetamine Dimesylate
• Other Study ID Numbers: SPD489-123