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Chronic PainPhase 1NCT05329454

To Evaluate the Food Effect and the Absorption Profile of Ibuprofen Modified-Release Tablets 800 mg

A Phase 1 study testing Ibuprofen Tablets in people with Chronic Pain, run by Overseas Pharmaceuticals, Ltd. at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

An open-label, randomized, 3-way crossover study to evaluate the pharmacokinetics of investigational product "Ibuprofen Modified-Release Tablets 800 mg" in comparison to the reference standard "Ibuprofen Regular-Release Tablets 600 mg/800 mg" in normal healthy volunteers Primary objective: To evaluate the food effect… Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Chronic Pain
What is being tested?
Ibuprofen Tablets
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteChina
Study dates
24 Dec 2020to 18 Jul 2021
Phase
Phase 1
Are there results?
None posted in the registry

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

  • Subjects whose body mass index (BMI) at screening is within a range of ≥18.5 kg/m2 and <25.0 kg/m2.
  • BMI = Body Weight (kg) / [Height (m)]2 And body weight is not less than 50 kg and 45 kg for males and females, respectively.
  • Subject's medical history shows no contraindication to the test medications (hypersensitivity to ibuprofen or any component of test and reference products) and non-steroidal anti-inflammatory drugs (NSAIDs).
  • Subjects who are judged to be in good health by the investigator based upon the results of physical examination (PE), vital signs, and routine laboratory tests.
  • The female subject shows negative pregnancy test results within 30 days prior to the first dose of the study.
  • The subject did not take any of the following medications in the specified durations:
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  • Any systemically absorbed medication within 14 days (excluding vitamins, food supplements and hormone contraceptives not ibuprofen drug interactions) prior to the first dose of the study
  • Any enzyme inducer/inhibitor and/or known hepatic or renal clearance-altering agents (e.g., erythromycin, cimetidine, barbiturates, phenothiazine, clarithromycin, troleandomycin, ketoconazole, miconazolem fluconazole, itraconazole) within 30 days prior to the first dose of the study.
  • Subjects are willing to comply with protocol-stated requirements, instructions and restrictions, followed by understanding and signing the written informed consent form by the subject or legal representative if he/she is under the statutory age of consent as per the local authority.

Who cannot join

  • Subjects with any properly diagnosed disease within 30 days prior to the first dose of the study.
  • Subjects with a clinically significant hematological, endocrine, cardiovascular, hepatic, renal, gastrointestinal, and/or pulmonary disorder; subjects with any predisposing condition that might interfere with the absorption, distribution, metabolism and excretion of drugs; subjects who has had any previous gastrointestinal surgery or coronary artery bypass graft.
  • Subjects who require treatment with any medications, either prescription or non-prescription (excluding vitamins and food supplements), within 30 days prior to the first dose of the study
  • Subjects have participated in investigational drug trials and took any investigational drug within 60 days prior to the first does of the study.
  • Subjects had blood donation more than 250 and 500 mL within 60 and 90 days, respectively prior to the first dose of the study.
  • Subjects had a history of drug abuse or alcohol abuse according to the Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV) criteria.
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  • Subjects cannot stop smoking and caffeine-intakes for 48 hours prior to the first dose of the study and during the entire study period.
  • Subjects who are pregnant or lactating.
  • Subjects who have been tested positive for the following tests:
  • Human immunodeficiency virus (HIV)
  • Hepatitis B virus (HBV)
  • Hepatitis C virus (HCV)
  • Treponema pallidum (STS test)
  • For enrollment of female subjects with child-bearing potential, the subject must be practicing sexual abstinence or be using and willing to continue to use a medically acceptable form of birth control for at least 30 days prior to screening (that period will extend to 3 months for oral contraceptive use) and for at least 30 days after the last dose of study drug. For a subject to be considered not to be of child-bearing potential, she must have been amenorrheic for at least 2 years, or must have had a hysterectomy, a bilateral tubal ligation, and/or a bilateral oophorectomy (as determined by the medical history). The male partner of a female study subject with childbearing potential must use a condom and ensure that his partner uses a suitable method of contraception as outlined above.
  • Subjects with underlying medical, mental, psychological, or other inappropriate conditions that would impair treatment compliance, or in the opinion of the investigator would not permit to participate in the study.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Taipei Medical University Hospital

    Taiwan

Other trials in China

About this study

Official title: An Open-label, Randomized, 3-way Crossover Study to Evaluate the Pharmacokinetics of Investigational Product Ibuprofen Modified-Release Tablets 800 mg Compared to Ibuprofen Tablets 800 mg in Healthy Volunteers

An open-label, randomized, 3-way crossover study to evaluate the pharmacokinetics of investigational product "Ibuprofen Modified-Release Tablets 800 mg" in comparison to the reference standard "Ibuprofen Regular-Release Tablets 600 mg/800 mg" in normal healthy volunteers

Primary objective:

Read more

To evaluate the food effect of IBUMR and its bioavailability of single and multiple doses compared with reference drugs in normal healthy volunteers.

Secondary objectives:

  1. To determine and compare the single and multiple dose PK profiles of IBUMR and reference drugs.
  2. To identify the effect duration for IBUMR after dose administration by detecting ibuprofen concentrations in plasma.
  3. To evaluate the safety profile of single and multiple doses of IBUMR.
Read the detailed description

This study consists of 3 treatment periods as below. For Treatment A and Treatment B, single- and multiple-dose stages are included.

Treatment A:

One tablet of IBUMR will be administered to the subjects under fasted condition, followed by a minimum of 72-hour washout interval. After the washout period, subjects will receive 1 × IBUMR every 12 hours for a total of 8 doses.

Treatment B:

One tablet of IBURed-800mg will be administered to the subjects under fasted condition, followed by a minimum of 72-hour washout interval. After the washout period, subjects will receive 1 × IBURed-600mg every 8 hours for a total of 12 doses.

Treatment C:

Single dose of IBUMR will be given to the subjects under fed condition (a standard high-fat, high calorie breakfast should be consumed within 30 minutes prior to dosing).

A minimum of 3-day washout interval will be introduced across the 3 treatment periods. Subjects will be required to be fasted for at least 10 hours prior to the administration of morning doses.

Conditions
Chronic Pain
Being tested
Ibuprofen Tablets
Keywords
Ibuprofen Modified-Release Tablets, Overseas Pharmaceuticals, pain relief
Medical subject headings
Chronic Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ibuprofen TabletsDrug

    Treatment A:

    One tablet of IBUMR will be administered to the subjects under fasted condition, followed by a minimum of 72-hour washout interval. After the washout period, subjects will receive 1 × IBUMR every 12 hours for a total of 7 doses.

    Treatment B:

    One tablet of IBURed will be administered to the subjects under fasted condition, followed by a minimum of 72-hour washout interval. After the washout period, subjects will receive 1 × IBURed every 8 hours for a total of 10 doses.

    Treatment C:

    Single dose of IBUMR will be given to the subjects under fed condition (a standard high-fat, high calorie breakfast should be consumed within 30 minutes prior to dosing).

Study groups in NCT05329454
Study groupRoleWhat they receive
Treatment ABCExperimentalReceive the investigational product and active comparator in a sequence of treatment A, treatment B and treatment C.
Receives: Drug: Ibuprofen Tablets
Treatment ACBExperimentalReceive the investigational product and active comparator in a sequence of treatment A, treatment C and treatment B.
Receives: Drug: Ibuprofen Tablets
Treatment BACExperimentalReceive the investigational product and active comparator in a sequence of treatment B, treatment A and treatment C.
Receives: Drug: Ibuprofen Tablets
Treatment BCAExperimentalReceive the investigational product and active comparator in a sequence of treatment B, treatment C and treatment A.
Receives: Drug: Ibuprofen Tablets
Treatment CABExperimentalReceive the investigational product and active comparator in a sequence of treatment C, treatment A and treatment B.
Receives: Drug: Ibuprofen Tablets
Treatment CBAExperimentalReceive the investigational product and active comparator in a sequence of treatment C, treatment B and treatment A.
Receives: Drug: Ibuprofen Tablets

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Comparison of single-dose and multiple-dose bioavailability between IBUMR and IBURed

    Comparison of single-dose and multiple-dose bioavailability between IBUMR and IBURed in log-transformed values of area under the curve from time 0 to the last measurable concentration (AUCL)

    Measured: After collecting blood samples from the last participant, up to 30 days

  2. Comparison of single-dose and multi-dose bioavailability of IBUMR and IBURed

    Comparison of single-dose and multiple-dose bioavailability between IBUMR and IBURed in log-transformed values of the peak concentration (Cmax)

    Measured: After collecting blood samples from the last participant, up to 30 days

  3. Comparison of single - and multi-dose bioavailability of IBUMR and IBURed

    Comparison of single-dose and multiple-dose bioavailability between IBUMR and IBURed in log-transformed values of area under the curve from time 0 to infinity (AUCinf).

    Measured: After collecting blood samples from the last participant, up to 30 days

  4. To assess the food effect of IBUMR in the PK parameters

    To assess the food effect of IBUMR in the PK parameters including Cmax

    Measured: After collecting blood samples from the last participant, up to 30 days

  5. To evaluate the food effect of IBUMR on PK parameters

    To assess the food effect of IBUMR in the PK parameters including time to reach peak concentration (Tmax)

    Measured: After collecting blood samples from the last participant, up to 30 days

  6. To evaluate the food effects of IBUMR on PK parameters

    To assess the food effect of IBUMR in the PK parameters including AUCL

    Measured: After collecting blood samples from the last participant, up to 30 days

  7. Evaluate the food effect of IBUMR in PK parameters

    To assess the food effect of IBUMR in the PK parameters including AUCinf

    Measured: After collecting blood samples from the last participant, up to 30 days

  8. Determine the food effect of IBUMR in PK parameters

    To assess the food effect of IBUMR in the PK parameters including elimination half-life (t1/2)

    Measured: After collecting blood samples from the last participant, up to 30 days

Secondary outcomes (23)
  1. Single-dose PK measures

    -- Time to reach peak concentration (Tmax)

    Measured: After collecting blood samples from the last participant, up to 30 days

  2. Single dose PK method

    -- Area under the concentration-time curve within time span t1 to t2 (AUCt1→t2)

    Measured: After collecting blood samples from the last participant, up to 30 days

  3. Single dose PK

    -- Area under the concentration-time curve extrapolated from the last detectable sampling time point to infinity as a percentage of total AUC (AUCextrap)

    Measured: After collecting blood samples from the last participant, up to 30 days

  4. Single dose PK step

    -- Elimination half-life (t1/2)

    Measured: After collecting blood samples from the last participant, up to 30 days

  5. Single dose PK design

    -- Apparent oral clearance (CL/F)

    Measured: After collecting blood samples from the last participant, up to 30 days

  6. Single dose PK moves

    -- Apparent volume of distribution after oral administration (Vd/F)

    Measured: After collecting blood samples from the last participant, up to 30 days

  7. Multiple-dose PK measures

    -- Peak concentration at steady state (Cmax,ss)

    Measured: After collecting blood samples from the last participant, up to 30 days

  8. Multiple - dosed PK

    -- Plasma drug concentration at a specified time t steady state (Ct,ss)

    Measured: After collecting blood samples from the last participant, up to 30 days

  9. Multiple - dosed PK method

    -- Average concentration at steady state (Cavg)

    Measured: After collecting blood samples from the last participant, up to 30 days

  10. Multiple - dosed PK steps

    -- Trough plasma concentration at steady state (Ctrough)

    Measured: After collecting blood samples from the last participant, up to 30 days

  11. Multiple - dosed PK design

    -- Time to reach peak concentration at steady state (Tmax,ss)

    Measured: After collecting blood samples from the last participant, up to 30 days

  12. Multiple - dosed PK plan

    -- Area under the concentration-time curve within time span t1 to t2 at steady state (AUCt1→t2,ss)

    Measured: After collecting blood samples from the last participant, up to 30 days

  13. Multiple - dosed PK program

    -- AUC in 1 dosing interval (AUCτ) at steady state

    Measured: After collecting blood samples from the last participant, up to 30 days

  14. Multiple - dosed PK process

    -- Terminal half-life at steady state (t1/2,ss)

    Measured: After collecting blood samples from the last participant, up to 30 days

  15. Multiple - dosed PK arrangement

    -- Apparent oral clearance at steady state (CL/Fss)

    Measured: After collecting blood samples from the last participant, up to 30 days

  16. Multiple - dosed PK planning

    -- Apparent volume of distribution after oral administration at steady state (Vd/Fss)

    Measured: After collecting blood samples from the last participant, up to 30 days

  17. Assessment of effect duration for IBUMR

    -- For the plasma ibuprofen concentration of IBUMR at steady state, the time to drop to the Ctrough of IBURed-600mg will be calculated.

    Measured: After collecting blood samples from the last participant, up to 30 days

  18. Evaluation of duration of IBUMR effect

    -- Percentage of the test drug-treated subjects with higher or equal plasma ibuprofen concentrations at 12-hour at steady state (C12,ss) compared to the Ctrough of IBURed-600mg will be calculated.

    Measured: After collecting blood samples from the last participant, up to 30 days

  19. Incidence of treatment-emergent adverse events (safety and tolerability)

    Incidence of AEs and SAEs

    Measured: After collecting blood samples from the last participant, up to 60 days

  20. safety and tolerability

    incidence of abnormal Physical examination

    Measured: After collecting blood samples from the last participant, up to 60 days

  21. Incidence of treatment-emergent adverse events

    abnormal Vital signs

    Measured: After collecting blood samples from the last participant, up to 60 days

  22. Incidence of sudden adverse events (safety and tolerability)

    abnormal laboratory tests results

    Measured: After collecting blood samples from the last participant, up to 60 days

  23. Incidence of treatment-induced adverse events (safety and tolerability)

    abnormal 12-lead ECG exams

    Measured: After collecting blood samples from the last participant, up to 60 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Apr 2022
  2. Study start24 Dec 2020
  3. Primary completion6 Feb 2021
  4. Study completion18 Jul 2021

Resources

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
Treatment
Allocation
Randomised
Intervention model
Crossover
Model description
An open label, randomized, single and multiple-dose, test-versus-reference drug, fed-versus-fasted, 3-way crossover study.
Masking
None (open label)
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05329454
Sponsor's protocol ID
OVEIBUA20181121
Status last verified
Dec 2021
First submitted
4 Feb 2021
Last updated
15 Apr 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Albert KS, Gernaat CM. Pharmacokinetics of ibuprofen. Am J Med. 1984 Jul 13;77(1A):40-6. doi: 10.1016/s0002-9343(84)80017-0.

    PubMed 6465162
  • Albert KS, Gillespie WR, Wagner JG, Pau A, Lockwood GF. Effects of age on the clinical pharmacokinetics of ibuprofen. Am J Med. 1984 Jul 13;77(1A):47-50. doi: 10.1016/s0002-9343(84)80018-2.

    PubMed 6380280
  • Barkin RL, Buvanendran A. Focus on the COX-1 and COX-2 agents: renal events of nonsteroidal and anti-inflammatory drugs-NSAIDs. Am J Ther. 2004 Mar-Apr;11(2):124-9. doi: 10.1097/00045391-200403000-00007.

    PubMed 14999364
  • Davies NM. Clinical pharmacokinetics of ibuprofen. The first 30 years. Clin Pharmacokinet. 1998 Feb;34(2):101-54. doi: 10.2165/00003088-199834020-00002.

    PubMed 9515184
  • Goldberg DS, McGee SJ. Pain as a global public health priority. BMC Public Health. 2011 Oct 6;11:770. doi: 10.1186/1471-2458-11-770.

    PubMed 21978149
  • Legg T, Paluch E, Jayawardena S. Single- and Multiple-Dose Pharmacokinetics of Immediate-Release/Extended-Release Ibuprofen Tablets. Clin Pharmacol Drug Dev. 2017 Jan;6(1):36-43. doi: 10.1002/cpdd.288. Epub 2016 Sep 22.

    PubMed 27364900
  • Devarakonda K, Kostenbader K, Giuliani MJ, Young JL. Single- and multiple-dose pharmacokinetics of biphasic immediate-release/extended-release hydrocodone bitartrate/acetaminophen (MNK-155) compared with immediate-release hydrocodone bitartrate/ibuprofen and immediate-release tramadol HCl/acetaminophen. J Pain Res. 2015 Sep 30;8:647-56. doi: 10.2147/JPR.S83416. eCollection 2015.

    PubMed 26508885
  • O'Connor TP, Anderson AM, Lennox B, Muldoon C. A novel sustained-release formulation of ibuprofen provides effective once-daily therapy in the treatment of rheumatoid arthritis and osteoarthritis. Br J Clin Pract. 1993 Jan-Feb;47(1):10-3.

    PubMed 8461240
  • Varrassi G, Pergolizzi JV, Dowling P, Paladini A. Ibuprofen Safety at the Golden Anniversary: Are all NSAIDs the Same? A Narrative Review. Adv Ther. 2020 Jan;37(1):61-82. doi: 10.1007/s12325-019-01144-9. Epub 2019 Nov 8.

    PubMed 31705437
  • Volans G, Hartley V, McCrea S, Monaghan J. Non-opioid analgesic poisoning. Clin Med (Lond). 2003 Mar-Apr;3(2):119-23. doi: 10.7861/clinmedicine.3-2-119. No abstract available.

    PubMed 12737366

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Ibuprofen Tablets in people with Chronic Pain, run by Overseas Pharmaceuticals, Ltd. at 1 site in China.

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 9 inclusion and 15 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 15 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Comparison of single-dose and multiple-dose bioavailability between IBUMR and IBURed (time frame: After collecting blood samples from the last participant, up to 30 days). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05329454, which also lists 10 linked publications.

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 15 Apr 2022.

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