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Study to Assess Pharmacokinetic (PK), Bioavailability & Food Effect of MR902 Compared With Immediate Release (IR) Morphine Sulphate Oral Solution

Phase 1
Completed
Conditions
Opioid Substitution Treatment
Interventions
Registration Number
NCT02773316
Lead Sponsor
Mundipharma Research Limited
Brief Summary

A study to assess bioavailability of a single dose of MR902 and to assess the effect of food on absorption

Detailed Description

Volunteers will receive a single dose of the investigational drug on 2 occasions and a reference drug on 1 occasion. Volunteers will be randomised to one of two groups, each group receiving a different dose strength of MR902 in fed and fasted state.

The study involves a screening visit 21 days before first dosing and 3 overnight stays in 3 study periods, and a post-study medical visit.

Volunteers will receive naltrexone to reduce anticipated opioid side effects.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
84
Inclusion Criteria
  • Healthy and free of significant abnormal findings as determined by medical history, physical examination, vital signs, laboratory tests and ECG.
  • Body weight ranging from 55 to 100 kg and a BMI ≥ 18.5 and ≤ 30.0.
  • Willing to eat all the food supplied throughout the study.
  • The subject's primary care physician has confirmed within the last 12 months of first dosing that there is nothing in their medical history that would preclude their enrolment into a clinical study.
Exclusion Criteria
  • Female subjects who are pregnant or lactating.
  • Any history of drug or alcohol abuse, misuse, physical or psychological dependence.
  • Any history of conditions that might interfere with drug absorption, distribution, metabolism or excretion.
  • Use of opioid or opioid antagonist-containing medication in the past 30 days.
  • Any history of frequent nausea or vomiting regardless of etiology.
  • Any history of seizures or symptomatic head trauma.
  • History of respiratory depression, hypoxia or elevated carbon dioxide levels in the blood.
  • History of paralytic ileus, gastrointestinal disease or other clinically significant gastrointestinal problems.
  • Participation in a clinical drug study during the 90 days preceding the initial dose in this study.
  • Any significant illness during the 4 weeks preceding entry into this study.
  • Use of any medication including vitamins, herbal and/or mineral supplements during the 7 days preceding the initial dose or during the course of this study (with the exception of the continued use of HRT and contraceptives).
  • History of smoking within 60 days of IMP administration and refusal to abstain from smoking during the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
IR morphine sulphate 10 mg/5mL solutionIR morphine sulphateIR morphine sulphate 10 mg/5mL solution, single dose oral
MR902 200/2 mgMR902MR902 200/2 mg PR tablets, single dose oral
MR902 50/0.5 mgMR902MR902 50/0.5 mg PR tablets, single dose oral
Primary Outcome Measures
NameTimeMethod
Measure the observed maximum plasma or serum concentration after administration (Cmax)Pre-dose to 24 hours post-dose

PK plasma parameters

Measure the area under the concentration-time curve from zero up to a definite time t after administration (AUCt)Pre-dose to 24 hours post-dose

PK Plasma Parameters

Secondary Outcome Measures
NameTimeMethod
measurement of Pharmacokinetic parameter Area under the curve to infinity after administration (AUCINF)Pre-dose to 24 hours post-dose

PK plasma parameters

Measurement of blood pressurepre-dose to 24 hours post-dose

vital signs measurement

Measurement of respiration ratepre-dose to 24 hours post-dose

vital signs measurement

measurement of Pharmacokinetic parameter time to maximum concentration after administration (tmax)Pre-dose to 24 hours post-dose

PK plasma parameters

measurement of Pharmacokinetic parameter of elimination rate after administration (LambdaZ,)Pre-dose to 24 hours post-dose

PK plasma parameters

Measurement of heart ratePre-dose to 24 hours post-dose

Vital signs measurements

Measurement of temperaturepre-dose to 24 hours post-dose

vital signs measurement

Measurement of Saturation Pulse Oxygen (SP02)pre-dose to 24 hours post-dose

vital signs measurement

Measurement of Pharmacokinetic parameter elimination of half life after administration ( t1/2Z)Pre-dose to 24 hours post-dose

PK plasma parameters

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