HealthyPhase 1NCT02465866
A Four-Period, Four-Treatment, Four-Way Relative Bioavailability Study of CL-108 Under Fed and Fasted Conditions
A Phase 1 study testing CL-108, Vicoprofen and Ultracet in people with Healthy, run by Charleston Laboratories, Inc.
Trial summary
This study will compare the relative bioavailability of hydrocodone, acetaminophen, and promethazine in CL-108 (hydrocodone 7.5mg/ acetaminophen 325 mg/ promethazine 12.5 mg) manufactured by Charleston Laboratories, Inc. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Healthy
- What is being tested?
- CL-108, Vicoprofen and Ultracet
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- No sites listed yet
- Study dates
- Nov 2014to Apr 2015
- Phase
- Phase 1
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Written informed consent
- Subject's body mass index (BMI) must be between 18 and 30kg/m2 (inclusive), and subject must weigh a minimum of 50 kg (110lb)
- Abide by study restrictions
- Acceptable birth control measures
- Ability to attend all study visits
- Vital signs as per protocol
- Willing to consume high calorie meals within designated time frame
Who cannot join
- Clinically significant medical history
- Clinically significant abnormal findings
- History or presence of allergic or adverse response to hydrocodone, ibuprofen,acetaminophen, any non-steroidal anti-inflammatory drugs (NSAIDs), promethazine, or related drugs.
- Has smoked or used tobacco products within 60 days prior to the first dose of study medication
- Has donated blood or plasma within 30 days prior to the first dose of study medication
- Has participated in another clinical trial (randomized subjects only) within 30 days prior to the first dose of study medication.
About this study
Official title: A Single-Dose, Four-Period, Four-Treatment, Four-Way Crossover Relative Bioavailability Study of CL-108 Under Fed and Fasted Conditions
This study will compare the relative bioavailability of hydrocodone, acetaminophen, and promethazine in CL-108 (hydrocodone 7.5mg/ acetaminophen 325 mg/ promethazine 12.5 mg) manufactured by Charleston Laboratories, Inc. to hydrocodone in Vicoprofen (hydrocodone 7.5 mg /ibuprofen 200 mg), promethazine 12.5 mg, and acetaminophen in Ultracet (tramadol HCl 37.5 mg/acetaminophen 325 mg) under fasted and fed conditions.
- Conditions
- Healthy
- Being tested
- CL-108, Vicoprofen, Ultracet, Phenergan
- Keywords
- Plasma concentration, Time to plasma concentration, Elimination rate constant, Elimination half life, Area under the curve
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CL-108Drug
Hydrocodone bitartrate/acetaminophen/promethazine 7.5 mg/325 mg/12.5 mg single dose by mouth
VicoprofenDrug
Hydrocodone Bitartrate and Ibuprofen 7.5 mg/200 mg single dose tablet by mouth
UltracetDrug
Tramadol HCl/acetaminophen 37.5 mg/325 mg single dose tablet by mouth
PhenerganDrug
Also called Promethazine HCl
Phenergan (Promethazine HCl, USP) 12.5 mg single dose tablet by mouth
| Study group | Role | What they receive |
|---|---|---|
| Treatment A: CL-108 (Fasted) | Experimental | CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition Receives: Drug: CL-108 |
| Treatment B: CL-108 (Fed) | Experimental | CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition Receives: Drug: CL-108 |
| Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted) | Active comparator | Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition Receives: Drug: Vicoprofen; Drug: Ultracet; Drug: Phenergan |
| Treatment D: Vicoprofen, Ultracet and Phenergan (Fed) | Active comparator | Vicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition Receives: Drug: Vicoprofen; Drug: Ultracet; Drug: Phenergan |
What is being measured
The primary outcome is the main question the study is designed to answer.
Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time Data
Cmax of CL-108 and Vicoprofen + Ultracet + Phenergan were measured in the plasma (the liquid component of the blood in which the blood cells are suspended) in samples collected up to 48 hours post-dose.
Measured: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Time to Reach Maximum Concentration (Tmax)
Measured: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time Data
Measured: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Time of the Last Quantifiable Concentration (Tlast)
Measured: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Observed Elimination Rate Constant (λz)
Estimated by linear regression through at least three data points in the terminal phase of the log concentration-time profile
Measured: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Observed Terminal Elimination Half-life (T1/2)
Calculated as: T1/2 = ln(2)/λz
Measured: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Area Under the Plasma Concentration-time Curve (AUC0-0.25) for Hydrocodone and Promethazine
AUC0-0.25 measured by Linear Trapezoidal with Linear Interpolation method.
Measured: 0 (pre-dose) to 0.25 hours post-dose
AUC0-0.50 for Hydrocodone and Promethazine
AUC0-0.50 measured by Linear Trapezoidal with Linear Interpolation method.
Measured: 0 (pre-dose) to 0.5 hours post-dose
AUC0-0.75 for Hydrocodone and Promethazine
AUC0-0.75 measured by Linear Trapezoidal with Linear Interpolation method.
Measured: 0 (Pre-dose) to 0.75 hours post-dose
AUC0-1.0 for Hydrocodone and Promethazine
AUC0-1.0 measured by Linear Trapezoidal with Linear Interpolation method.
Measured: 0 (pre-dose) to 1.0 hours post-dose
AUC0-1.5 for Hydrocodone and Promethazine
AUC0-1.5 measured by Linear Trapezoidal with Linear Interpolation method.
Measured: 0 (pre-dose) to 1.5 hours post-dose
AUC0-2.0 for Hydrocodone and Promethazine
AUC0-2.0 measured by Linear Trapezoidal with Linear Interpolation method.
Measured: 0 (pre-dose) to 2 hours post-dose
AUC0-4.0 for Hydrocodone and Promethazine
AUC0-4.0 measured by Linear Trapezoidal with Linear Interpolation method.
Measured: 0 (pre-dose) to 4 hours post-dose
Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable Concentration
Calculated using the linear trapezoidal rule
Measured: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Area Under the Concentration-time (AUCinf) Curve From Time-zero Extrapolated to Infinity
Calculated as:
AUCinf = AUClast + Clast/λz
Measured: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Percentage of AUCinf [AUCExtrap (%)] Based on Extrapolation
Calculated as:
AUCExtrap (%) = (AUC0-inf - AUC0-last)/AUC0-inf *100
Measured: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Jun 2015 (estimated)
- Study startNov 2014
- Primary completionApr 2015
- Study completionApr 2015
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for HealthyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Enrolment
- 20 participants (actual)
Sponsor and investigators
- Lead sponsor
- Charleston Laboratories, Inc
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Principal investigator, Joseph Hazelton, Charleston Laboratories, Inc
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02465866
- Sponsor's protocol ID
- CLCT-004
- Status last verified
- Mar 2017
- First submitted
- 4 Jun 2015
- Last updated
- 2 May 2017
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 2 May 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Single-Dose, Four-Period, Four-Treatment, Four-Way Crossover Relative Bioavailability Study of CL-108 Under Fed and Fasted Conditions
- ClinicalTrials.gov ID
- NCT02465866
- Acronym / sponsor ID
- CLCT-004
- Conditions
- Healthy
- Keywords
- Plasma concentration, Time to plasma concentration, Elimination rate constant, Elimination half life, Area under the curve
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 20 participants (actual)
- Lead sponsor
- Charleston Laboratories, IncIndustry (pharma, biotech, devices)
- Study start
- Nov 2014
- Primary completion
- Apr 2015 (actual)
- Study completion
- Apr 2015 (actual)
- First posted
- 9 Jun 2015 (estimated)
- Results
- Posted 20 Mar 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will compare the relative bioavailability of hydrocodone, acetaminophen, and promethazine in CL-108 (hydrocodone 7.5mg/ acetaminophen 325 mg/ promethazine 12.5 mg) manufactured by Charleston Laboratories, Inc. to hydrocodone in Vicoprofen (hydrocodone 7.5 mg /ibuprofen 200 mg), promethazine 12.5 mg, and acetaminophen in Ultracet (tramadol HCl 37.5 mg/acetaminophen 325 mg) under fasted and fed conditions.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Treatment A: CL-108 (Fasted) | Experimental | Drug: CL-108CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fasted condition |
| Treatment B: CL-108 (Fed) | Experimental | Drug: CL-108CL-108 single dose tablet (7.5 mg/325 mg/12.5 mg) by mouth under fed condition |
| Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted) | Active comparator | Drug: Vicoprofen, Drug: Ultracet, Drug: PhenerganVicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fasted condition |
| Treatment D: Vicoprofen, Ultracet and Phenergan (Fed) | Active comparator | Drug: Vicoprofen, Drug: Ultracet, Drug: PhenerganVicoprofen 7.5 mg/200 mg + Ultracet 37.5 mg/325 mg + Phenergan 12.5 mg single dose tablets by mouth under fed condition |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Written informed consent
- Subject's body mass index (BMI) must be between 18 and 30kg/m2 (inclusive), and subject must weigh a minimum of 50 kg (110lb)
- Abide by study restrictions
- Acceptable birth control measures
- Ability to attend all study visits
Key exclusion criteria (6 listed)
- Clinically significant medical history
- Clinically significant abnormal findings
- History or presence of allergic or adverse response to hydrocodone, ibuprofen,acetaminophen, any non-steroidal anti-inflammatory drugs (NSAIDs), promethazine, or related drugs.
- Has smoked or used tobacco products within 60 days prior to the first dose of study medication
- Has donated blood or plasma within 30 days prior to the first dose of study medication
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CL-108Hydrocodone bitartrate/acetaminophen/promethazine 7.5 mg/325 mg/12.5 mg single dose by mouth | Drug | Treatment A: CL-108 (Fasted), Treatment B: CL-108 (Fed) |
| VicoprofenHydrocodone Bitartrate and Ibuprofen 7.5 mg/200 mg single dose tablet by mouth | Drug | Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted), Treatment D: Vicoprofen, Ultracet and Phenergan (Fed) |
| UltracetTramadol HCl/acetaminophen 37.5 mg/325 mg single dose tablet by mouth | Drug | Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted), Treatment D: Vicoprofen, Ultracet and Phenergan (Fed) |
| PhenerganAlso: Promethazine HClPhenergan (Promethazine HCl, USP) 12.5 mg single dose tablet by mouth | Drug | Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted), Treatment D: Vicoprofen, Ultracet and Phenergan (Fed) |
Primary outcome
Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time Data
Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Cmax of CL-108 and Vicoprofen + Ultracet + Phenergan were measured in the plasma (the liquid component of the blood in which the blood cells are suspended) in samples collected up to 48 hours post-dose.
Time to Reach Maximum Concentration (Tmax)
Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time Data
Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Time of the Last Quantifiable Concentration (Tlast)
Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Observed Elimination Rate Constant (λz)
Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Estimated by linear regression through at least three data points in the terminal phase of the log concentration-time profile
Observed Terminal Elimination Half-life (T1/2)
Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Calculated as: T1/2 = ln(2)/λz
Area Under the Plasma Concentration-time Curve (AUC0-0.25) for Hydrocodone and Promethazine
Time frame: 0 (pre-dose) to 0.25 hours post-dose
AUC0-0.25 measured by Linear Trapezoidal with Linear Interpolation method.
AUC0-0.50 for Hydrocodone and Promethazine
Time frame: 0 (pre-dose) to 0.5 hours post-dose
AUC0-0.50 measured by Linear Trapezoidal with Linear Interpolation method.
AUC0-0.75 for Hydrocodone and Promethazine
Time frame: 0 (Pre-dose) to 0.75 hours post-dose
AUC0-0.75 measured by Linear Trapezoidal with Linear Interpolation method.
AUC0-1.0 for Hydrocodone and Promethazine
Time frame: 0 (pre-dose) to 1.0 hours post-dose
AUC0-1.0 measured by Linear Trapezoidal with Linear Interpolation method.
AUC0-1.5 for Hydrocodone and Promethazine
Time frame: 0 (pre-dose) to 1.5 hours post-dose
AUC0-1.5 measured by Linear Trapezoidal with Linear Interpolation method.
AUC0-2.0 for Hydrocodone and Promethazine
Time frame: 0 (pre-dose) to 2 hours post-dose
AUC0-2.0 measured by Linear Trapezoidal with Linear Interpolation method.
AUC0-4.0 for Hydrocodone and Promethazine
Time frame: 0 (pre-dose) to 4 hours post-dose
AUC0-4.0 measured by Linear Trapezoidal with Linear Interpolation method.
Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable Concentration
Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Calculated using the linear trapezoidal rule
Area Under the Concentration-time (AUCinf) Curve From Time-zero Extrapolated to Infinity
Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Calculated as: AUCinf = AUClast + Clast/λz
Percentage of AUCinf [AUCExtrap (%)] Based on Extrapolation
Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Calculated as: AUCExtrap (%) = (AUC0-inf - AUC0-last)/AUC0-inf *100
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 May 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
Related trials for Healthy
RecruitingObservational study
Studies of Blood Flow to the Brain During Thought
Healthy Volunteer
Enrolling by invitationObservational study
Screening for Hematology Branch Protocols
Hematologic Disease and Disorders, Donors
Enrolling by invitationObservational study
Collection of Tissue Specimens From Patients With Solid Tumors or Blood Disorders and Their HLA-Compatible Family Members
Neoplasms, Hematologic Neoplasms
Enrolling by invitationObservational study
Collection and Distribution of Samples From Healthy Donors for In Vitro Research at the NCI-Frederick
Healthy Donors
RecruitingObservational study
Collection and Analysis of Blood, Bone Marrow, and Buccal Mucosa Samples From Healthy Volunteers
Healthy Volunteers
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing CL-108, Vicoprofen and Ultracet in people with Healthy, run by Charleston Laboratories, Inc.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 May 2017. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 20 Mar 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time Data (time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose). The study lists 16 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 May 2017; AzTrials last refreshed its copy on 6 Nov 2026.