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Trial record 9 of 463 for:    guaifenesin | Completed Studies

A Bioequivalence Study Between Two Brands of Medications to Treat Cough & Cold Symptoms

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ClinicalTrials.gov Identifier: NCT03213353
Recruitment Status : Completed
First Posted : July 11, 2017
Last Update Posted : July 6, 2018
Sponsor:
Information provided by (Responsible Party):
Johnson & Johnson Consumer and Personal Products Worldwide

Brief Summary:
This is a single-dose, randomized, two-period cross-over study with 72 healthy male and female volunteers. The investigational products will be given (after fasting overnight) at separate visits separated by 7 ± 3 days. Blood for pharmacokinetic analyses will be drawn pre-dose and at 5, 10, 15, 20, 25, 30, 40, 60, 75, 90, 105 minutes, as well as 2, 2.25, 3, 4, 5, 6, 8, and 12 hours after drug administration. Subjects will also be monitored to capture any adverse events that may occur. Bioequivalence will be assessed based on the single-dose pharmacokinetics of paracetamol, guaifenesin and phenylephrine, respectively

Condition or disease Intervention/treatment Phase
Bioequivalence Healthy Volunteers Drug: Tablet paracetamol, guaifenesin and phenylephrine HCL Drug: Vicks Active SymptoMax Plus powder for oral solution Phase 1

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 72 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Other
Official Title: A SingleDose Rand, TwoPeriod, Crossover Bioequivalence Study Between a Combination Tablet With Paracetamol, Guaifenesin and Penylephrine HCL (Wrafton Lab Ltd, UK) and Vicks Active SymptoMax Plus, Powder for Oral Solution (Wrafton Lab Ltd, UK) in Healthy Adult Volunteers
Actual Study Start Date : July 3, 2017
Actual Primary Completion Date : July 17, 2017
Actual Study Completion Date : July 17, 2017


Arm Intervention/treatment
Experimental: Treatment sequence AB

Treatment A (experimental): Two tablets of Combination tablet with paracetamol, guaifenesin and phenylephrine hydrochloride each containing 250 mg paracetamol, 100 mg guaifenesin, and 5 mg phenylephrine hydrochloride

Treatment B (active comparator): One sachet Vicks Active SymptoMax Plus, powder for oral solution, containing 500 mg paracetamol, 200 mg guaifenesin, and 10 mg phenylephrine hydrochloride

Drug: Tablet paracetamol, guaifenesin and phenylephrine HCL
Each subject will receive two tablets, each containing 250 mg paracetamol, 100 mg guaifenesin, and 5 mg phenylephrine hydrochloride
Other Name: Benylin Cough & Cold All in One Relief Tablets

Drug: Vicks Active SymptoMax Plus powder for oral solution
Each subject will receive one sachet, containing 500 mg paracetamol, 200 mg guaifenesin, and 10 mg phenylephrine hydrochloride

Experimental: Treatment sequence BA

Treatment A (experimental): Two tablets of Combination tablet with paracetamol, guaifenesin and phenylephrine hydrochloride each containing 250 mg paracetamol, 100 mg guaifenesin, and 5 mg phenylephrine hydrochloride

Treatment B (active comparator): One sachet Vicks Active SymptoMax Plus, powder for oral solution, containing 500 mg paracetamol, 200 mg guaifenesin, and 10 mg phenylephrine hydrochloride

Drug: Tablet paracetamol, guaifenesin and phenylephrine HCL
Each subject will receive two tablets, each containing 250 mg paracetamol, 100 mg guaifenesin, and 5 mg phenylephrine hydrochloride
Other Name: Benylin Cough & Cold All in One Relief Tablets

Drug: Vicks Active SymptoMax Plus powder for oral solution
Each subject will receive one sachet, containing 500 mg paracetamol, 200 mg guaifenesin, and 10 mg phenylephrine hydrochloride




Primary Outcome Measures :
  1. Peak Plasma Concentration (Cmax) of paracetamol, guaifenesin and phenylephrine (total) [ Time Frame: At baseline and during 12 hours after product administration ]
    The maximum observed plasma concentration (Cmax)

  2. The area under the plasma concentration-vs.-time curves from start of drug administration until the time of the last measurable concentration (AUCt) for paracetamol, guaifenesin and phenylephrine (total) [ Time Frame: At baseline and during 12 hours after product administration ]
    AUCt is defined as area under the plasma concentration versus time curves from start of drug administration until the last measureable concentration.

  3. The area under the concentration-vs.-time curve extrapolated to infinity (AUC∞) for paracetamol, guaifenesin and phenylephrine (total) [ Time Frame: At baseline and during 12 hours after product administration ]
    AUC∞ is defined as area under the plasma concentration versus time curves from start of drug administration until the plasma concentration is negligible (infinity).

  4. The extrapolated part of AUC∞, AUCExtrap of paracetamol, guaifenesin and phenylephrine (total) [ Time Frame: From 12 hours after start of drug administration until up to 96 hours ]
    AUCextrap is defined as area under the plasma concentration versus time curves from 12 hours until infinity

  5. The time at which the maximum plasma concentration is observed (tmax) for paracetamol, guaifenesin and phenylephrine (total) [ Time Frame: At baseline and during 12 hours after product administration ]
    Tmax is defined as the time point at which the maximum plasma concentration (Cmax) occurs

  6. The half-life (t1/2) for paracetamol, guaifenesin and phenylephrine (total) in plasma [ Time Frame: At baseline and during 12 hours after product administration ]
    The half-life i defined as the time taken for the plasma concentration to fall to half its original value

  7. The terminal elimination rate constant (λz) for paracetamol, guaifenesin and phenylephrine (total) in plasma [ Time Frame: At baseline and during 12 hours after product administration ]
    The terminal elimination rate constant is the rate at which the drug is removed from the body system

  8. The mean residence time (MRT) for paracetamol, guaifenesin and phenylephrine (total) [ Time Frame: At baseline and during 12 hours after product administration ]
    Mean residence time (MRT) is the average amount of time that a single molecule of drug stays in the body


Secondary Outcome Measures :
  1. Peak Plasma Concentration (Cmax) of unconjugated phenylephrine [ Time Frame: At baseline and during 12 hours after product administration ]
    The maximum observed plasma concentration (Cmax)

  2. The area under the plasma concentration-vs.-time curves from start of drug administration until the time of the last measurable concentration (AUCt) for unconjugated phenylephrine [ Time Frame: At baseline and during 12 hours after product administration ]
    AUCt is defined as area under the plasma concentration versus time curves from start of drug administration until the last measureable concentration.

  3. The area under the concentration-vs.-time curve extrapolated to infinity (AUC∞) for unconjugated phenylephrine [ Time Frame: At baseline and during 12 hours after product administration ]
    AUC∞ is defined as area under the plasma concentration versus time curves from start of drug administration until the plasma concentration is negligible (infinity).

  4. The extrapolated part of AUC∞, AUCExtrap of unconjugated phenylephrine [ Time Frame: From 12 hours after start of drug administration until up to 96 hours ]
    AUCextrap is defined as area under the plasma concentration versus time curves from 12 hours until the plasma concentration is negligible (infinity).

  5. The time at which the maximum plasma concentration is observed (tmax) for unconjugated phenylephrine [ Time Frame: At baseline and during 12 hours after product administration ]
    Tmax is defined as the time point at which the maximum plasma concentration (Cmax) occurs

  6. The half-life (t1/2) for unconjugated phenylephrine in plasma [ Time Frame: At baseline and during 12 hours after product administration ]
    The half-life i defined as the time taken for the plasma concentration to fall to half its original value

  7. The terminal elimination rate constant (λz) for unconjugated phenylephrine in plasma [ Time Frame: At baseline and during 12 hours after product administration ]
    The terminal elimination rate constant is the rate at which the drug is removed from the body system

  8. The mean residence time (MRT) for unconjugated phenylephrine [ Time Frame: At baseline and during 12 hours after product administration ]
    Mean residence time (MRT) is the average amount of time that a single molecule of drug stays in the body



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 45 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. Subjects being verified as "Healthy": "Healthy" is defined as absence of any diseases or abnormalities on the basis of physical examination, standard clinical laboratory, and instrumental examinations performed at the screening visit.
  2. Females of childbearing potential must have a negative urine pregnancy test at the baseline visit.
  3. Male or non-pregnant, non-lactating female agree to the contraceptive requirements (including female partner's use of a highly effective method of birth control for at least 3 months before the study, during the study, and for 30 days after the last dose of study drug) as outlined in Section 11.6 (Note: Female subjects are not permitted to use hormonal contraceptives as per exclusion criterion 7).
  4. Body Mass Index (BMI) between 18.5 and 30.0 kg/m2, inclusive, and a total body weight of at least 50.0 kg.
  5. Volunteers who agree to abstain from alcohol consumption for at least 48 hours prior to dosing and until the last blood sample collection of each study period.

Exclusion Criteria:

  1. Use of medications, including prescription medication, over-the-counter medication including vitamins, herbal supplements, medicinal plants (e.g., supplements containing garlic extract), and topical preparations of drugs that are systemically absorbed (e.g., steroids and non-steroid anti-inflammatory drugs) within two weeks prior to dosing.
  2. Use of St. John's wort (Hypericum perforatum) within 30 days prior to dosing.
  3. Depot injection or an implant of any drug within 3 months prior to dosing.
  4. Abnormal results of laboratory and instrumental methods of examinations, including electrocardiogram (ECG).
  5. Is hypersensitive, intolerant, or has experienced an allergic reaction to the active ingredients or excipients of drug products that will be used for the study, or has had severe allergy (e.g., anaphylaxis, angioedema) in the past.
  6. Females with a positive pregnancy test and/or are breast-feeding.
  7. Females, currently using hormonal contraceptives (including use less than 2 months prior to enrollment).
  8. Males with a pregnant spouse or partner or males who are not willing to prevent conception in a spouse or partner.
  9. History of regular alcohol consumption in the 6 months before screening, exceeding weekly limits of 10 alcohol units (2 L of wine or 5 L of beer or 0.5 L of spirits) or presence of information on alcoholism, substance, or drug abuse in medical history.
  10. Alcohol consumption within 48 hours prior to dosing, positive respiratory alcohol test at screening, or inability to abstain from alcohol consumption until the last blood sample collection of each study period.
  11. Volunteers who smoke more than 10 cigarettes per day or have an uncontrollable habit of chewing or inhaling nicotine products.
  12. Drug addiction in history, or a positive urine test for psychoactive or narcotic substances.
  13. Use of caffeine products exceeding 500 mg caffeine daily (5 cups of coffee) and the inability to abstain from caffeine products within 48 hours before dosing and prior to the last blood sample collection of each study period.
  14. Use of xanthine containing products (e.g., coffee, tea, chocolate, or cola drink) within 48 hours before dosing and prior to the last blood sample collection of each study period.
  15. Ingestion of food or beverages containing grapefruit, Chinese grapefruit (pomelo), or Seville oranges (including marmalade) within 10 days prior to the first dose of the investigational product and inability to stop taking these products during the study.
  16. Positive test for human immunodeficiency virus (HIV) 1 or 2 antibodies, hepatitis B surface antigen (HBsAg), or hepatitis C antibodies (anti-HCV) or syphilis (RW).
  17. Heart rate <60 or >90 per minute at rest, or systolic blood pressure <100 or >130 mm Hg, or diastolic blood pressure <70 or >90 mm Hg.
  18. Clinically significant signs and symptoms or history of respiratory, cardiovascular, gastrointestinal, dermatological, neurological, psychiatric, genitourinary, endocrinological, musculoskeletal, eye, ear, nose and throat disease, liver disorders, severe chronic kidney disease, active gastric or duodenal ulcer, benign prostate hyperplasia, phenylketonuria, hypertension, hyperthyroidism, diabetes, heart disease, aortic stenosis, tachyarrhythmia, glaucoma or phaeochromocytoma.
  19. Hereditary problems of glucose-galactose malabsorption, fructose intolerance, or sucrose/isomaltase deficiency.
  20. History of gastrointestinal surgery other than appendectomy.
  21. Medical or surgical conditions, which might significantly interfere with the functioning of gastrointestinal tract, blood-forming organs etc.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03213353


Locations
Russian Federation
Scientific Research center Eco-Safety LLC
Saint Petersburg, Russian Federation, 196143
Sponsors and Collaborators
Johnson & Johnson Consumer and Personal Products Worldwide
Investigators
Study Director: Elisabeth Kruse, PhD McNeil AB

Additional Information:
Responsible Party: Johnson & Johnson Consumer and Personal Products Worldwide
ClinicalTrials.gov Identifier: NCT03213353     History of Changes
Other Study ID Numbers: CO-160408130708-URCT
First Posted: July 11, 2017    Key Record Dates
Last Update Posted: July 6, 2018
Last Verified: July 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:
Guaifenesin
Pharmaceutical Solutions
Acetaminophen
Phenylephrine
Oxymetazoline
Phenylpropanolamine
Chlorpheniramine, phenylpropanolamine drug combination
Analgesics, Non-Narcotic
Analgesics
Sensory System Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Antipyretics
Cardiotonic Agents
Mydriatics
Autonomic Agents
Sympathomimetics
Vasoconstrictor Agents
Nasal Decongestants
Respiratory System Agents
Adrenergic alpha-1 Receptor Agonists
Adrenergic alpha-Agonists
Adrenergic Agonists
Adrenergic Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Protective Agents
Expectorants
Appetite Depressants
Anti-Obesity Agents