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Impact of Formulation on Ciprofloxacin Oral Absorption
This study is not yet open for participant recruitment.
Verified by University of Maryland, October 2009
First Received: October 2, 2009   Last Updated: October 8, 2009   History of Changes
Sponsor: University of Maryland
Collaborator: Food and Drug Administration (FDA)
Information provided by: University of Maryland
ClinicalTrials.gov Identifier: NCT00992329
  Purpose

Dogs and humans exhibit differences in gastrointestinal physiology. The development of pharmaceuticals for both humans and dogs typically depends upon pharmacokinetic studies in the other species. Product design and quality attributes for dogs (and for humans)generally conduct such extrapolations in a simplistic fashion, without a systematic account of the differential intestinal physiology between dog and human. This project aims to elucidate product quality differences between human and dog oral solid dosage forms as a result of the differential physiology between the two specifies. This insight will facilitate the regulation of canine medicines by highlighting how product standards for human medicines are either too liberal or too restrictive for canine medicines.

Ciprofloxacin hydrochloride will be used as a model poorly soluble drug. A range of immediate-release (IR) tablets will be formulated to map the design space. Formulations will be fast, medium, and slow, with respect to dissolution rate of drug. Ciprofloxacin is expected to exhibit formulation-dependent pharmacokinetics, which is additionally impacted by the differential physiology between dog and humans. In particular, the investigators anticipate a greater sensitivity to formulation for dogs than for humans. Consequently, the investigators anticipate dogs to be more sensitive to formulations, where such critical formulation factors must be considered in canine product design and regulation.

Objectives: 1) The primary objective of this human study is to assess whether specific formulation factors impact the rate and extent of ciprofloxacin oral absorption, as well as the absolute absorption profile of ciprofloxacin. 2) The secondary objective is to assess if dogs exhibit a greater sensitivity to formulation than do humans.

Hypotheses: The investigators anticipate that humans exhibit a modest sensitivity to specific tablet formulation factors. 1) Hence, the hypothesis of this human study is that humans do not exhibit a sensitivity to specific formulation factors and show no in vitro - in vivo correlation to dissolution rate. 2) Alternative hypothesis is that humans do exhibit a sensitivity to specific formulation factors and show an in vitro - in vivo correlation to dissolution rate.


Condition Intervention Phase
Healthy
Drug: ciprofloxacin
Phase I

Study Type: Interventional
Study Design: Basic Science, Randomized, Open Label, Crossover Assignment, Bio-equivalence Study
Official Title: Impact of Formulation on Ciprofloxacin Oral Absorption

Resource links provided by NLM:


Further study details as provided by University of Maryland:

Primary Outcome Measures:
  • The primary objective of this human study is to assess whether specific formulation factors impact the rate and extent of ciprofloxacin oral absorption, as well as the absolute absorption profile of ciprofloxacin. [ Time Frame: 0 hr, 0.5 hr, 1.0 hr, 1.5 hrs, 2.0 hrs, hrs, 2.5 hrs, 3.0 hrs, 3.5 hrs, 4.0 hrs, 5.0 hrs, 6.0 hrs, 8.0 hrs and 10.0 hrs ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • The secondary objective is to assess if dogs exhibit a greater sensitivity to formulation than do humans [ Time Frame: 0 hr, 0.5 hr, 1.0 hr, 1.5 hrs, 2.0 hrs, 2.5 hrs, 3.0 hrs, 3.5 hrs, 4.0 hrs, 5.0 hrs, 6.0 hrs, 8.0 hrs and 10.0 hrs ] [ Designated as safety issue: No ]

Estimated Enrollment: 16
Study Start Date: December 2009
Estimated Study Completion Date: February 2010
Estimated Primary Completion Date: February 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
ciprofloxacin tab1: Experimental
formulation 1
Drug: ciprofloxacin
ciprofloxacin 200mg tablet (single dose)
ciprofloxacin tab2: Experimental
formulation 2
Drug: ciprofloxacin
ciprofloxacin 200mg tablet (single dose)
ciprofloxacin tab 3: Experimental
formulation 3
Drug: ciprofloxacin
ciprofloxacin 200mg tablet (single dose)
ciprofloxacin reference: Active Comparator
reference product
Drug: ciprofloxacin
ciprofloxacin 200mg tablet (single dose)

  Eligibility

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

Inclusion Criteria:

  • Male or female
  • Age 18-55
  • Healthy volunteers: Subjects in good health, as determined by screening evaluation that is not greater than 30 days before the first drug study visit
  • Willing to avoid caffeine containing products 24 hours prior to and day of study visits
  • Willing to stop all OTC medications for 24 hours prior to and during study visits
  • Able to provide informed consent

Exclusion Criteria:

  • Presence of significant medical disease (including cardiovascular, pulmonary, hematologic, endocrine, immunologic, neurologic, gastrointestinal or psychiatric)
  • Presence of hepatic, renal disease
  • Pregnant women, breast feeding or trying to become pregnant
  • Excessive alcohol use (i.e. current physical, behavioral, or personal manifestations related to the abuse or dependency on alcohol)
  • Routine use (i.e. daily or weekly) prescription medication except birth control pills
  • Routine use (i.e. daily or weekly) use of acid blockers, antacids, anti-diarrhea, stimulants, appetite suppressants, or anti nausea medication or other drugs that modulate GI function
  • Currently taking ciprofloxacin or tizanidine
  • Allergic to ciprofloxacin or any quinolone-type antibiotic (e.g. levofloxacin)
  • Currently taking a corticosteroid drug (e.g. prednisone)
  • Had a kidney, heart, or lung transplant
  • Any condition in which in the opinion of the PI or medical physician would increase risk to the subject or interfere with the integrity of the study
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00992329

Contacts
Contact: James Polli 410-706-8292 jpolli@rx.umaryland.edu

Locations
United States, Maryland
University of Maryland
Baltimore, Maryland, United States, 21201
Sponsors and Collaborators
University of Maryland
Food and Drug Administration (FDA)
  More Information

Publications:
Responsible Party: University of Maryland ( James E Polli )
Study ID Numbers: HP-00043432, HHSF223200810030C
Study First Received: October 2, 2009
Last Updated: October 8, 2009
ClinicalTrials.gov Identifier: NCT00992329     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by University of Maryland:
ciprofloxacin
pharmacokinetics
formulation

Additional relevant MeSH terms:
Anti-Infective Agents
Ciprofloxacin
Molecular Mechanisms of Pharmacological Action
Therapeutic Uses
Enzyme Inhibitors
Pharmacologic Actions
Nucleic Acid Synthesis Inhibitors

ClinicalTrials.gov processed this record on February 08, 2010