Pharmacokinetics, Bioavailability and Safety of PENNSAID® Gel

This study has been completed.
Sponsor:
Information provided by:
Mallinckrodt
ClinicalTrials.gov Identifier:
NCT01202799
First received: September 7, 2010
Last updated: April 13, 2011
Last verified: April 2011
  Purpose

It is anticipated that PENNSAID Gel will minimize systemic exposure versus oral diclofenac administered twice a day (BID). In addition, PENNSAID Gel should result in greater subject convenience and compliance with a comparable bioavailability, safety and tolerability profile to that of the approved PENNSAID solution administered four times a day (QID).


Condition Intervention Phase
Pain
Drug: 2% w/w diclofenac sodium topical gel
Drug: 1.5% w/w diclofenac sodium topical solution
Drug: 75 mg diclofenac sodium delayed release tablet
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, Randomized, Single Center, Open-Label, Multiple-Dose, Three-Way Crossover Study to Evaluate the Pharmacokinetics, Bioavailability and Safety of PENNSAID Gel in Comparison With Sandoz 75 mg Diclofenac Sodium Delayed Release Tablet and PENNSAID (Diclofenac Sodium Topical Solution) in Healthy Volunteers

Resource links provided by NLM:


Further study details as provided by Mallinckrodt:

Primary Outcome Measures:
  • The rate and extent of exposure of diclofenac will be assessed. [ Time Frame: During each of the 3 periods, blood samples will be obtained on Day 1 and Day 8 at pre-dose and 1, 2, 3, 4, 6, 8 and 12 hours post-dose; on Days 2-7 at pre-dose; and on Days 9, 13 and 15 at approximately 8 AM. ] [ Designated as safety issue: No ]
    Summary statistics including the mean, standard deviation, coefficient of variation, geometric mean and geometric %CV will be calculated for all PK parameters by treatment.


Secondary Outcome Measures:
  • Skin irritation [ Time Frame: The assessment will be performed at Day 1, before dosing, at the beginning of each period, and at Day 8 before the subjects are checked out at the time of last PK blood sampling (6 PM) or at early termination if applicable. ] [ Designated as safety issue: Yes ]
    Will be assessed (for Treatments A and B) on an ordinal scale of 0, 0.5, 1, 2, 3 and 4.

  • Physical examinations and vital signs [ Time Frame: Will be obtained for all subjects at Screening, prior to starting the next treatment period (Period 1 to Period 2 and Period 2 to Period 3), and at the conclusion of Period 3, or at early termination. ] [ Designated as safety issue: Yes ]
  • Clinical laboratory tests (hematology, chemistry and urinalysis) [ Time Frame: Will be conducted at Screening, prior to starting the next treatment period (Period 1 to Period 2 and Period 2 to Period 3), the Conclusion of Period 3, or at Early Termination of the study under fasted conditions. ] [ Designated as safety issue: Yes ]
  • Adverse events [ Time Frame: 8 weeks ] [ Designated as safety issue: Yes ]

Enrollment: 30
Study Start Date: September 2010
Study Completion Date: November 2010
Primary Completion Date: November 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Treatment A
2% w/w diclofenac sodium topical gel
Drug: 2% w/w diclofenac sodium topical gel
2% w/w diclofenac sodium topical gel
Other Name: 2% w/w diclofenac sodium topical gel
Active Comparator: Treatment B Drug: 1.5% w/w diclofenac sodium topical solution
1.5% w/w diclofenac sodium topical solution
Other Name: 1.5% w/w diclofenac sodium topical solution
Active Comparator: Treatment C Drug: 75 mg diclofenac sodium delayed release tablet
75 mg diclofenac sodium delayed release tablet
Other Name: 75 mg diclofenac sodium delayed release tablet

Detailed Description:

PENNSAID Gel is a new topical gel formulation of diclofenac sodium that is similar in composition to PENNSAID solution.

No clinical studies have been conducted using PENNSAID Gel. The current study will compare the pharmacokinetics, bioavailability, safety and tolerability of diclofenac after the topical application of PENNSAID Gel with the approved formulations of topical PENNSAID Solution and oral Sandoz 75 mg diclofenac sodium delayed release tablets in healthy subjects.

The efficacy profile of PENNSAID Gel is based on the known efficacy profile of PENNSAID solution. Support for the BID dosing regimen includes the higher concentration of diclofenac sodium in PENNSAID Gel (2.0%) compared to PENNSAID solution (1.5%). In addition, compared to PENNSAID solution, PENNSAID Gel is designed to have better penetration of diclofenac to allow for a reduction in the number of applications per day from four to two while maintaining effectiveness.

  Eligibility

Ages Eligible for Study:   18 Years to 55 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • The eligibility of subjects to enter the study is based on meeting the inclusion criteria listed below:

    1. Signed and dated IRB approved consent before any protocol procedures are performed.
    2. Males or non-pregnant, non-lactating females, minimum 18 years of age and maximum of 55 years of age.
    3. Female subjects must be negative on a serum pregnancy test, be postmenopausal for at least 1 year, surgically sterile, or using an acceptable form of contraception for 30 days prior to dosing and for the duration of study participation.
    4. Subjects with a body mass index (BMI) ≥19 and ≤29 kg/m².
    5. The findings from the ECG interpretation must be within the normal range.
    6. Subjects whose health status is assessed by the investigator as "normal healthy" by required screening and check-in assessments.
    7. Subjects must be able to provide written consent and agree to comply with study requirements.

Exclusion Criteria:

  • Subjects will be ineligible for the study if they meet any of the following criteria:

    1. Known hypersensitivity to diclofenac, aspirin [acetylsalicylic acid (ASA)] or any other NSAID, dimethyl sulfoxide (DMSO) or ethanol. This includes subjects exhibiting aspirin or other NSAID-induced symptoms, including bronchospasm, rhinitis, and urticaria or other NSAID-induced allergic symptoms.
    2. Pregnant or lactating women. Women of reproductive potential (and women <12 months after menopause) may not participate unless they have agreed to use an effective contraceptive method while on study.
    3. Evidence of any serious active infections, severe uncontrolled cardiac, renal, hepatic, pulmonary or other systemic disease, significant medical or psychiatric illness, known seropositivity to HIV, known unexplained vision changes, history of unexplained syncope, lightheadedness, high blood pressure, chronic hepatic conditions like hepatic porphyria or clinically significant laboratory findings that would, in the investigators judgment, make the subject inappropriate for the study.
    4. Documented (upper GI series or endoscopy) gastroduodenal ulcer or any GI bleeding (except hemorrhoidal) within the last 6 months prior to screening.
    5. Abnormal hepatic and renal functions; hematologic changes:

      • Aspartate aminotransferase (AST) or alanine aminotransferase (ALT)≥2.5 X ULN
      • Gamma-glutamyl transpeptidase (GGT) ≥3X ULN
      • Total bilirubin ≥1.5X ULN
      • Serum creatinine ≥1.5X ULN
      • Hemoglobin ≤LLN.
    6. Major surgery or previous damage to the study knee(s) at any time (eg. total knee replacement, damage/reconstruction of the anterior or posterior cruciate ligaments), or minor knee surgery (eg, cartilage repair, collateral ligament repair, arthroscopic debridement) to the study knee(s) within 1 year prior to screening.
    7. Administration of a sedative hypnotic medication for insomnia within 14 days prior to screening.
    8. Administration of anti-depressants, within 60 days prior to screening.
    9. Administration of another investigational drug within the previous 30 days prior to screening.
    10. Skin disorder that affects palms of the hands or the application site of the knee(s).
    11. History of chronic headaches.
    12. Documented history of alcohol or drug abuse within 1 year prior to the screening visit
    13. Subjects who have smoked or used nicotine-containing products within 6 months prior to Period 1 dosing.
    14. Subjects treated with systemic or local diclofenac within one month of study Day 1.
    15. Using artificial exposure, tanning beds, or self-tanning cream on knee area within 90 days of study start.
    16. Donation or significant loss of blood (480 mL or more) within 30 days of dosing.
    17. Previous participation in this study or participation in another clinical trial within 30 days prior screening.
    18. Noncompliance with the study protocol.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01202799

Locations
United States, Florida
Comprehensive Phase One
Miramar, Florida, United States, 33025
Sponsors and Collaborators
Mallinckrodt
Investigators
Principal Investigator: Maria J Gutierrez, MD Comprehensive Phase One ®
  More Information

No publications provided

Responsible Party: Joseph Pierro, MD, VP Medical Sciences, Covidien
ClinicalTrials.gov Identifier: NCT01202799     History of Changes
Other Study ID Numbers: COV05100070
Study First Received: September 7, 2010
Last Updated: April 13, 2011
Health Authority: United States: Food and Drug Administration

Keywords provided by Mallinckrodt:
Pharmacokinetics
Healthy volunteers
PENNSAID
Topical NSAID
Diclofenac

Additional relevant MeSH terms:
Diclofenac
Pharmaceutical Solutions
Anti-Inflammatory Agents, Non-Steroidal
Analgesics, Non-Narcotic
Analgesics
Sensory System Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Pharmacologic Actions
Anti-Inflammatory Agents
Therapeutic Uses
Antirheumatic Agents
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Central Nervous System Agents

ClinicalTrials.gov processed this record on August 25, 2014