Comparison of KADIAN 100 mg When Dosed With Alcohol Under Fasting and Fed Conditions Compared to Water
This study has been completed.
Sponsor:
Alpharma Pharmaceuticals LLC, a subsidiary of Pfizer Inc.
Information provided by:
Alpharma Pharmaceuticals LLC, a subsidiary of Pfizer Inc.
ClinicalTrials.gov Identifier:
NCT00768183
First received: October 3, 2008
Last updated: NA
Last verified: October 2008
History: No changes posted
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Purpose
The objective of this study was to compare the single-dose relative bioavailability of Alpharma Branded Products Division Inc. (KADIAN) 100 mg morphine sulfate extended-release capsules when dosed with alcohol under fasting and fed conditions compared to water.
In addition, the pharmacokinetics of an immediate release solution following a 20 mg dose was assessed for informational purposes and for possible modeling.
| Condition | Intervention | Phase |
|---|---|---|
|
Healthy |
Other: KADIAN + Ethanol Other: KADIAN + Water Other: morphine sulfate IR oral solution + water |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Pharmacokinetics Study Intervention Model: Crossover Assignment Masking: Open Label Primary Purpose: Basic Science |
| Official Title: | A Phase 1, Single-Center, Open-Label, Drug Interaction Study to Evaluate the Effect of Alcohol Ingestion on the Pharmacokinetics of Alpharma Branded Products Division Inc. (KADIAN) Morphine Sulfate Extended-Release Capsules in Healthy Adult Volunteers Under Fasting and Fed Conditions and Relative Bioavailability Assessment of an Immediate Release Morphine Solution |
Resource links provided by NLM:
Further study details as provided by Alpharma Pharmaceuticals LLC, a subsidiary of Pfizer Inc.:
Primary Outcome Measures:
- To evaluate the effect of alcohol ingestion on the pharmacokinetics of KADIAN [ Time Frame: up to 48 hours post dosing ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- To evaluate the pharmacokinetics assessment of an immediate release morphine solution following a 20 mg dose [ Time Frame: up to 24 hours post dosing ] [ Designated as safety issue: No ]
| Enrollment: | 32 |
| Study Start Date: | May 2006 |
| Study Completion Date: | July 2006 |
| Primary Completion Date: | July 2006 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
KADIAN Capsule + alcohol (under fasting conditions)
|
Other: KADIAN + Ethanol
Capsules 100 mg + 240 mL 40% ethanol in 4 shots of 60 mL
|
|
Experimental: 2
KADIAN Capsule + alcohol (under fed conditions)
|
Other: KADIAN + Ethanol
Capsules 100 mg + 240 mL 40% ethanol in 4 shots of 60 mL
|
|
Experimental: 3
KADIAN Capsule + water (under fasting conditions)
|
Other: KADIAN + Water
Capsules 100mg + 240 mL in 4 shots of 60 mL
|
|
Experimental: 4.
Morphine sulfate IR oral solution + water (under fasting conditions)
|
Other: morphine sulfate IR oral solution + water
Solution 20mg/5mL, 235 mL of water in 1 shot of 55 mL (+ 5mL IR morphine) + 3 shots of 60 mL of water
|
Eligibility| Ages Eligible for Study: | 21 Years to 40 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | Yes |
Criteria
Inclusion Criteria:
- Healthy adult male volunteers, 21 to 40 years of age.
- Subjects were non-smokers for at least 3 months or light smokers (less than 10 pack-years).
- Subjects with a history of moderate consumption of at least 7-21 units of alcohol per week or the alcohol equivalent (12 oz beer = 5 oz of 80-proof distilled spirits = 1 unit).
- Weighing at least 70 kg and within 20% of their ideal weights (table of "Desirable Weights of Adults", Metropolitan Life Insurance Company, 1983).
- Medically healthy subjects with no clinically significant abnormalities in their laboratory profile and ECGs, as deemed by the Principal Investigator.
- Voluntarily consented to participate in the study.
Exclusion Criteria:
- History or presence of significant cardiovascular, pulmonary, hepatic, renal, hematologic, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, or psychiatric disease.
- In addition, history or presence of: alcoholism or drug abuse; asthma or other chronic respiratory illness; diabetes; gastrointestinal dysmotility, irritable bowel syndrome, chronic constipation or recent enteritis; hypersensitivity or idiosyncratic reaction to morphine or other opioids; hypersensitivity or idiosyncratic reaction to naltrexone, naloxone, or other opioids antagonists.
- History of no alcohol intake (alcohol-naive) or less than moderate alcohol intake.
- Subject with a history of alcohol intake exceeding the equivalence of 21 units/week or exceeding the average of 3 drinks per day.
- Subjects who had a surgery of the gastrointestinal tract (except appendectomy) which would interfere with absorption of the study drug.
- Subjects who received hepatic enzyme inducing drugs (e.g. Nizoral, Tagamet) within the previous three months.
- Subjects whose QTc interval was >450 msec at screening and prior to dosing.
- Subjects whose sitting blood pressure was less than 110/45 mm Hg at screening or 100/45 mm Hg before dosing.
- Subjects who had been on a special diet (for whatever reason) during the 28 days prior to the first dose and throughout the study.
- Subjects who had made any significant donation or loss of blood within 56 days.
- Subjects who had made a plasma donation within 7 days prior to the study.
- Subjects with hemoglobin less than 12.0 g/dL.
- Subjects who had participated in another clinical trial within 28 days prior to the first dose.
- Subjects who had a positive urine test for drugs of abuse or alcohol.
- Subjects who had a positive test for, or had been treated for hepatitis B, hepatitis C or HIV.
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00768183
Locations
| United States, Nebraska | |
| MDS Pharma Services | |
| Lincoln, Nebraska, United States, 68502 | |
Sponsors and Collaborators
Alpharma Pharmaceuticals LLC, a subsidiary of Pfizer Inc.
Investigators
| Principal Investigator: | James C Kisicki, MD | MDS Pharma Services |
More Information
Publications:
| Responsible Party: | Franklin Johnson/Director, Biopharmaceutics, Alpharma |
| ClinicalTrials.gov Identifier: | NCT00768183 History of Changes |
| Other Study ID Numbers: | AA33687 |
| Study First Received: | October 3, 2008 |
| Last Updated: | October 3, 2008 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Alpharma Pharmaceuticals LLC, a subsidiary of Pfizer Inc.:
|
KADIAN morphine alcohol water |
Ethanol solution fed fasting |
Additional relevant MeSH terms:
|
Ethanol Morphine Anti-Infective Agents, Local Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Central Nervous System Depressants |
Physiological Effects of Drugs Central Nervous System Agents Analgesics, Opioid Analgesics Sensory System Agents Peripheral Nervous System Agents Narcotics |
ClinicalTrials.gov processed this record on June 17, 2013