- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03979989
Drug-drug Interaction Study to Evaluate the Effect of Omeprazole on CG5503 (Tapentadol)
June 6, 2019 updated by: Grünenthal GmbH
An Open-Label, Two-Way Crossover, Drug-Interaction Study to Determine the Effect of Omeprazole on the Pharmacokinetics of an Immediate-Release Capsule of CG5503 in Healthy Subjects
This was a single center, open-label, two-way crossover, drug-drug-interaction study to determine the effect of multiple dosing of omeprazole on 4 consecutive days on the pharmacokinetics of a single dose of an immediate-release capsule of CG5503 (tapentadol) in healthy participants.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
32
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
-
-
-
Merksem, Belgium, 2170
- J&JPRD Clinical Pharmacology Unit
-
-
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
25 years to 55 years (ADULT)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Man or woman, between 25 and 55 years of age, inclusive.
- Body mass index between 20 and 28 kg/square meter, inclusive, with a minimum body weight of 50 kg.
- Signed the informed consent document indicating that they understand the purpose of and procedures required for the study and are willing to participate in the study.
- Women must be postmenopausal (no spontaneous menses for at least 2 years), surgically sterile, abstinent, or practicing or agree to practice an effective method of birth control if they are sexually active before entry and throughout the study (effective methods of birth control include prescription hormonal contraceptives, intrauterine devices, double-barrier method, and male partner sterilization). Women must have a negative serum beta-human chorionic gonadotropin pregnancy test at screening and a negative urine pregnancy test on Day -1 of Treatment Period 1.
- Healthy on the basis of pre-study physical examination, medical history, 12-lead electrocardiogram, vital signs, and clinical laboratory parameters (serum chemistry, serology, hematology, and urinalysis) performed within 21 days before administration of the first dose of study drug. NOTE: If the results of the chemistry, hematology, or urinalysis testing are not within the normal limits of the laboratory reference ranges, the participant may be included in the study only on the condition that the investigator judges the deviations not clinically relevant.
- Signed informed consent for pharmacogenomic testing indicating whether they do or do not wish to participate in the genetic part of the study. NOTE: Participation in the genetic testing component is not mandatory for participation in the study.
- Blood pressure (after the subject is supine for 5 minutes) between 100 and 140 mmHg systolic, inclusive, and 50 and 90 mmHg diastolic, inclusive.
- Are willing to follow the prohibitions and restrictions as specified in the protocol.
Exclusion Criteria:
History of
- seizure disorder or epilepsy, or
- mild or moderate traumatic brain injury, stroke, transient ischemic attack, or brain neoplasm within 1 year of screening, or
- severe traumatic brain injury (consisting of one or more of the following: brain contusion; intracranial hematoma; or episode(s) of more than 24 hours duration of unconsciousness or post-traumatic amnesia) within 15 years of screening, or
- severe traumatic brain injury resulting in ongoing sequelae consisting of transient changes in consciousness or symptoms suggestive thereof at any time.
- History of clinically significant pulmonary, gastrointestinal, immunologic, endocrine, neurologic, psychiatric, thromboembolic disease or metabolic disturbances, or any current physical conditions that could interfere with the interpretation of the study results.
- History of clinically significant allergies, especially known hypersensitivity or intolerance to opioids, opioid antagonists (e.g., naloxone), benzodiazepines (e.g., diazepam, clonazepam, lorazepam), or any study drug formulation component or any of the excipients, or heparin (should the use of a heparin lock be necessary).
- Positive test for human immunodeficiency virus (HIV 1 and 2), hepatitis B, or hepatitis C.
- History of substance abuse or a positive test for drugs of abuse or alcohol at screening (including on the day before the initial administration of study drug in the first treatment period).
- Blood donation or acute loss of blood (more than 500 mL) during the 3 months before study drug administration or intention to donate blood or blood products during the study or within 1 month after the completion of the study.
- Women who are pregnant, or plan to become pregnant during the study, or who are breast-feeding.
- Participants for whom omeprazole treatment is contraindicated.
Participants who have used or plan to use the following during the study:
- prescription medication (except for birth control medications and hormone replacement therapy) within 14 days before the first study drug administration
- monoamine-oxidase inhibitors (MAOIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) within 21 days before the first study drug administration
- over-the-counter (OTC) medication, especially nonsteroidal anti-inflammatory drugs (NSAIDS) (e.g., ibuprofen) or herbal medication, within 14 days before the first study drug administration
- alcohol, grapefruit, grapefruit juice, or Seville orange products within 48 hours before the first study drug administration.
- Have taken an investigational drug within the 30 days before study administration (Day 1) or within a period of less than 5 times the drug's half-life, whichever is longer.
- Plan to undergo surgery or other procedures during the course of the study.
- Consume alcohol in quantities greater than 3 drinks every day (1 drink is defined as 12 ounces [approximately 360 mL] of beer, 4 ounces [approximately 120 mL] of wine, or 1 ounce [approximately 30 mL] of hard liquor).
- Regularly smoke more than 10 cigarettes/day or the equivalent.
- Unable to refrain from smoking or limit intake of caffeine or methylxanthine-containing foods or beverages (including chocolate) for 2 hours before and for 24 hours after study drug administration in both treatment periods.
- Unable to swallow solid, oral dosage forms whole with the aid of water (participants may not chew, divide, dissolve, or crush the study drug).
- Employees of the investigator or study center, with direct involvement in the proposed study or other studies under the direction of the investigator or study center, and family members of the employees or the investigator.
- In the opinion of the investigator, are subjects who are not likely to complete the study for whatever reason or who have an inability to communicate meaningfully with the investigator and staff.
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: CROSSOVER
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Tapentadol IR
A single oral dose of tapentadol IR was administered in a fasted state (Treatment A).
|
Tapentadol IR capsule containing 93 mg tapentadol hydrochloride.
|
EXPERIMENTAL: Omeprazole, Tapentadol IR
Oral doses of omeprazole were administered once daily in a fasted state on 4 consecutive days (Days -3 to 1), plus 1 capsule of CG5503 IR administered 2 hours after the administration of omeprazole on Day 1 (Treatment B).
|
Tapentadol IR capsule containing 93 mg tapentadol hydrochloride.
Omeprazole capsule containing 40 mg omeprazole.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pharmacokinetic parameter: Cmax of CG5503 base
Time Frame: Pre-dose up to 48 hours post-dose
|
14 blood samples for the determination of serum concentrations were taken at pre-dose and up to 48 hours after administration of the CG5503 IR capsule.
The evaluation of the maximum observed serum concentration (Cmax) was based on the CG5503 base concentrations measured in serum samples using a validated liquid chromatography/tandem mass spectrometry (LC-MS/MS) method.
|
Pre-dose up to 48 hours post-dose
|
Pharmacokinetic parameter: AUC0-t of CG5503 base
Time Frame: Pre-dose up to 48 hours post-dose
|
14 blood samples for the determination of serum concentrations were taken at pre-dose and up to 48 hours after administration of the CG5503 IR capsule.
The evaluation of the area under the concentration time curve (AUC) from 0 hours to time t (=48 hours) (AUC0-t) was based on the CG5503 base concentrations measured in serum samples.
|
Pre-dose up to 48 hours post-dose
|
Pharmacokinetic parameter: AUC0-inf of CG5503 base
Time Frame: Pre-dose up to 48 hours post-dose
|
14 blood samples for the determination of serum concentrations were taken at pre-dose and up to 48 hours after administration of the CG5503 IR capsule.
The AUC from 0 hours to infinity (AUC0-inf) was extrapolated from the AUC from administration to the last measured concentration.
|
Pre-dose up to 48 hours post-dose
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pharmacokinetic parameter: Cmax of CG5503-O-glucuronide
Time Frame: Pre-dose up to 48 hours post-dose
|
14 blood samples for the determination of serum concentrations were taken at pre-dose and up to 48 hours after administration of the CG5503 IR capsule.
The evaluation of the maximum observed serum concentration (Cmax) was based on the CG5503-O-glucuronide concentrations measured in serum samples using a validated liquid chromatography/tandem mass spectrometry (LC-MS/MS) method.
|
Pre-dose up to 48 hours post-dose
|
Pharmacokinetic parameter: AUC0-t of CG5503-O-glucuronide
Time Frame: Pre-dose up to 48 hours post-dose
|
14 blood samples for the determination of serum concentrations were taken at pre-dose and up to 48 hours after administration of the CG5503 IR capsule.
The evaluation of the area under the concentration time curve (AUC) from 0 hours to time t (=48 hours) (AUC0-t) was based on the CG5503-O-glucuronide concentrations measured in serum samples.
|
Pre-dose up to 48 hours post-dose
|
Pharmacokinetic parameter: AUC0-inf of CG5503-O-glucuronide
Time Frame: Pre-dose up to 48 hours post-dose
|
14 blood samples for the determination of serum concentrations were taken at pre-dose and up to 48 hours after administration of the CG5503 IR capsule.
The AUC from 0 hours to infinity (AUC0-inf) was extrapolated from the AUC from administration to the last measured concentration.
|
Pre-dose up to 48 hours post-dose
|
Incidence of treatment emergent adverse events
Time Frame: Day 1 to Day 4
|
Number of adverse events and number of participants with adverse events.
|
Day 1 to Day 4
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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)
September 28, 2005
Primary Completion (ACTUAL)
November 16, 2005
Study Completion (ACTUAL)
November 16, 2005
Study Registration Dates
First Submitted
June 6, 2019
First Submitted That Met QC Criteria
June 6, 2019
First Posted (ACTUAL)
June 10, 2019
Study Record Updates
Last Update Posted (ACTUAL)
June 10, 2019
Last Update Submitted That Met QC Criteria
June 6, 2019
Last Verified
June 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Physiological Effects of Drugs
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Enzyme Inhibitors
- Analgesics
- Sensory System Agents
- Gastrointestinal Agents
- Analgesics, Opioid
- Narcotics
- Neurotransmitter Uptake Inhibitors
- Membrane Transport Modulators
- Anti-Ulcer Agents
- Proton Pump Inhibitors
- Adrenergic Uptake Inhibitors
- Omeprazole
- Tapentadol
Other Study ID Numbers
- HP5503/20
- R331333-PAI-1009 (OTHER: Collaborator code)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
Clinical Trials on Pharmacokinetic
-
University Children's Hospital, ZurichTerminatedPharmacokineticSwitzerland
-
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.Unknown
-
Chia Tai Tianqing Pharmaceutical Group Co., Ltd.Completed
-
Gesynta Pharma ABCTC Clinical Trial Consultants AB; RISE Research Institutes of Sweden ABCompleted
-
Jiangsu HengRui Medicine Co., Ltd.Unknown
-
Beijing Continent Pharmaceutical Co, Ltd.Completed
-
AstraZenecaCompleted
-
University of OxfordMahidol Oxford Tropical Medicine Research Unit; Faculty of Tropical Medicine...Not yet recruitingHealthy | PharmacokineticThailand
Clinical Trials on Tapentadol IR capsule
-
Janssen Research & Development, LLCCompletedHallux ValgusKorea, Republic of
-
Johnson & Johnson Pharmaceutical Research & Development...Grünenthal GmbHCompleted
-
GlaxoSmithKlineCompleted
-
Janssen-Cilag International NVGrünenthal GmbHCompleted
-
Bristol-Myers SquibbCompleted
-
Johnson & Johnson Pharmaceutical Research & Development...Grünenthal GmbHCompleted
-
Ortho-McNeil Janssen Scientific Affairs, LLCGrünenthal GmbHCompleted
-
Grünenthal GmbHCompletedPain | Chronic Pain | Neuropathic Pain | Visceral PainGermany
-
Ortho-McNeil Janssen Scientific Affairs, LLCGrünenthal GmbHCompleted
-
Johnson & Johnson Pharmaceutical Research & Development...Completed