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KF2022#3-trial: Effect of Tea and Cola Beverage on Absorption of Risperidone Oral Solution

Phase 1
Completed
Conditions
Psychosis
Food-drug Interaction
Interventions
Registration Number
NCT06218979
Lead Sponsor
Helsinki University Central Hospital
Brief Summary

Risperidone is widely used in the treatment of schizophrenia, bipolar disorder, and aggression associated with moderate or severe Alzheimer's dementia. In vitro studies have shown that constituents of tea and cola beverages can result in insoluble complex formation with risperidone, potentially reducing risperidone oral absorption. The purpose of this study is to investigate the effect of tea and cola beverage on the pharmacokinetics of risperidone oral solution.

In an open three-phase, randomized, crossover study with 12 healthy volunteers, the subjects will receive a 1 mg dose of risperidone oral solution with either water, tea or cola beverage. Blood samples will be collected and risperidone's pharmacokinetics will be monitored up to 48 hours postdose. Primary endpoint is area under the plasma concentration-time curve of risperidone.

Recruitment starting date is December 4, 2023.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
12
Inclusion Criteria
  • Written informed consent
  • Age 18-45
  • Healthy
  • Systolic blood pressure ≥110 mmHg
  • Heart rate ≥ 50/min
  • Normal ECG
  • Accepted results from laboratory tests (blood haemoglobin, basic blood count and blood platelets, alanine aminotransferase, alkaline phosphatase, glutamyl transferase, creatinine, plasma potassium and sodium). Negative pregnancy test result (serum human chorionic gonadotropin) for women.
Exclusion Criteria
  • Significant disease
  • Mood disorder or suicidality
  • Smoking
  • Using oral contraception pills or other regular medication
  • Pregnancy (current or planned) or nursing
  • Participation in any other studies involving investigational or marketed drug products within three months prior to the entry into this study
  • Donation of blood within three months prior to the entry into this study
  • Significant overweight / small or hard-to-find veins
  • BMI < 18.5 kg/m2
  • Insufficient Finnish language skills

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Cola beverage phaseRisperidone oral solutionStudy drug dose (1 mg risperidone) and 250 ml cola drink at 8:00 a.m., and 250 ml cola beverage at 8:30 a.m.
Control phaseRisperidone oral solutionStudy drug dose (1 mg risperidone) and 250 ml of water at 8:00 a.m., and 250 ml of water at 8:30 a.m.
Tea phaseRisperidone oral solutionStudy drug dose (1 mg risperidone) and 250 ml of tea at 8:00 a.m., and 250 ml of tea at 8:30 a.m.
Primary Outcome Measures
NameTimeMethod
Area under the plasma concentration - time curve of risperidonePrior to and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 11, 24, and 48 hours after administration of risperidone
Secondary Outcome Measures
NameTimeMethod
Time to peak plasma concentration for both risperidone and its metabolitesPrior to and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 11, 24, and 48 hours after administration of risperidone
CYP2D6 activity biomarkers (solanidine and its metabolites)Prior to and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 11, 24, and 48 hours after administration of risperidone
Half-life for both risperidone and its metabolitesPrior to and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 11, 24, and 48 hours after administration of risperidone
Peak plasma concentration for both risperidone and its metabolitesPrior to and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 11, 24, and 48 hours after administration of risperidone
Fractional areas under concentration-time curve (AUC) for both risperidone and its metabolitesPrior to and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 11, 24, and 48 hours after administration of risperidone
Areas under concentration-time curve (AUC) for risperidone metabolitesPrior to and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 11, 24, and 48 hours after administration of risperidone

Trial Locations

Locations (1)

Department of Clinical Pharmacology

🇫🇮

Helsinki, Finland

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