Correlation of Mesalamine Pharmacokinetics With Local Availability
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- The AUC of Mesalamine in Plasma
研究概览
简要总结
This study is designed to provide data to the FDA correlating pharmacokinetics with local availability of medications within the gastrointestinal tract. This study will support the establishment of scientifically based standards for evaluating drugs which act locally within the gastrointestinal tract. Specific objectives of this study are to: (1) quantify how the plasma concentrations of mesalamine, an agent used to treat inflammatory bowel disease, are correlated with the concentrations in gastrointestinal fluids; and (2) improve the physiologically based models for drug absorption from the intestine. Information from this study in concert with in vitro dissolution data will be used to evaluate in vivo-in vitro correlation (IVIVC) for concentrations in plasma and intestinal lumen and dissolution of mesalamine products.
详细描述
This study evaluated the pharmacokinetics of mesalamine and its major metabolite of mesalamine known as N-acetyl-mesalamine in plasma. Mesalamine is available in different formulations that control the rate at which they are released in the gastrointestinal tract. Three formulations of mesalamine, Pentasa, Apriso, and Lialda, were studied in the crossover phase, while an oral solution formulation of mesalamine was studied in the single-arm phase. Each subject participated in a crossover phase study with one of the three formulations assigned at random using block randomization. Then the subject entered the single-arm phase study. After participation in one crossover phase study and one single-arm phase study, the subject could opt to participate in crossover phase studies using the other formulations also chosen at random until all three formulations were studied. The single-arm phase study was not repeated on returning subjects who participated in more than one crossover phase study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 55 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
研究组 & 干预措施
Arm 1: Pentasa then Delzicol then Apriso then Lialda
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
干预措施: Pentasa 500 mg capsule x 2 with 240 mL water; single dose (Drug)
Arm 1: Pentasa then Delzicol then Apriso then Lialda
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
干预措施: Apriso 375 mg capsule x 3 with 240 mL water; single dose (Drug)
Arm 1: Pentasa then Delzicol then Apriso then Lialda
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
干预措施: Lialda 1200 mg tablet x 1 with 240 mL water; single dose (Drug)
Arm 1: Pentasa then Delzicol then Apriso then Lialda
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
干预措施: Delzicol 100 mg mesalamine x 1 with 245 mL water; single dose (Drug)
Arm 2: Pentasa then Delzicol then Lialda then Apriso
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
干预措施: Pentasa 500 mg capsule x 2 with 240 mL water; single dose (Drug)
Arm 2: Pentasa then Delzicol then Lialda then Apriso
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
干预措施: Apriso 375 mg capsule x 3 with 240 mL water; single dose (Drug)
Arm 2: Pentasa then Delzicol then Lialda then Apriso
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
干预措施: Lialda 1200 mg tablet x 1 with 240 mL water; single dose (Drug)
Arm 2: Pentasa then Delzicol then Lialda then Apriso
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
干预措施: Delzicol 100 mg mesalamine x 1 with 245 mL water; single dose (Drug)
Arm 3: Apriso then Delzicol then Pentasa then Lialda
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
干预措施: Pentasa 500 mg capsule x 2 with 240 mL water; single dose (Drug)
Arm 3: Apriso then Delzicol then Pentasa then Lialda
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
干预措施: Apriso 375 mg capsule x 3 with 240 mL water; single dose (Drug)
Arm 3: Apriso then Delzicol then Pentasa then Lialda
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
干预措施: Lialda 1200 mg tablet x 1 with 240 mL water; single dose (Drug)
Arm 3: Apriso then Delzicol then Pentasa then Lialda
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
干预措施: Delzicol 100 mg mesalamine x 1 with 245 mL water; single dose (Drug)
Arm 4: Apriso then Delzicol then Lialda then Pentasa
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
干预措施: Pentasa 500 mg capsule x 2 with 240 mL water; single dose (Drug)
Arm 4: Apriso then Delzicol then Lialda then Pentasa
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
干预措施: Apriso 375 mg capsule x 3 with 240 mL water; single dose (Drug)
Arm 4: Apriso then Delzicol then Lialda then Pentasa
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
干预措施: Lialda 1200 mg tablet x 1 with 240 mL water; single dose (Drug)
Arm 4: Apriso then Delzicol then Lialda then Pentasa
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
干预措施: Delzicol 100 mg mesalamine x 1 with 245 mL water; single dose (Drug)
Arm 5: Lialda then Delzicol then Pentasa then Apriso
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
干预措施: Pentasa 500 mg capsule x 2 with 240 mL water; single dose (Drug)
Arm 5: Lialda then Delzicol then Pentasa then Apriso
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
干预措施: Apriso 375 mg capsule x 3 with 240 mL water; single dose (Drug)
Arm 5: Lialda then Delzicol then Pentasa then Apriso
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
干预措施: Lialda 1200 mg tablet x 1 with 240 mL water; single dose (Drug)
Arm 5: Lialda then Delzicol then Pentasa then Apriso
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
干预措施: Delzicol 100 mg mesalamine x 1 with 245 mL water; single dose (Drug)
Arm 6: Lialda then Delzicol then Apriso then Pentasa
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
干预措施: Pentasa 500 mg capsule x 2 with 240 mL water; single dose (Drug)
Arm 6: Lialda then Delzicol then Apriso then Pentasa
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
干预措施: Apriso 375 mg capsule x 3 with 240 mL water; single dose (Drug)
Arm 6: Lialda then Delzicol then Apriso then Pentasa
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
干预措施: Lialda 1200 mg tablet x 1 with 240 mL water; single dose (Drug)
Arm 6: Lialda then Delzicol then Apriso then Pentasa
- Lialda 1200 mg tablet x 1 with 240 mL water, single dose.
- Washout period of 10 days.
- Delzicol 100 mg mesalamine x 1 with 245 mL water, single dose.
- Washout period of 10 days.
- Apriso 375 mg capsule x 3 with 240 mL water, single dose.
- Washout period of 10 days.
- Pentasa 500 mg capsule x 2 with 240 mL water, single dose.
干预措施: Delzicol 100 mg mesalamine x 1 with 245 mL water; single dose (Drug)
结局指标
主要结局
The AUC of Mesalamine in Plasma
时间窗: 0 hours pre-dose and up to 96 hours post-dose
The AUC is the area under the concentration-time curve from time 0 to last time point. The data are organized by the different drug formulations of mesalamine, which include Pentasa (0 to 72 hours), Apriso (0 to 72 hours), Lialda (0 to 96 hours), and Delzicol (0 to 24 hours). The AUC is measured in units of nanomoles of mesalamine per liter of plasma (nM) multiplied by time in hours (nM\*h). The AUC results are reported over the time-period because this provides a more meaningful comparison of potential differences in the bioequivalence of formulations.
The AUC of Metabolite (N-acetyl-mesalamine) in Plasma
时间窗: 0 hours pre-dose and up to 96 hours post-dose
The AUC is the area under the concentration-time curve from time 0 to last time point. The data are organized by the different drug formulations of mesalamine, which include Pentasa (0 to 72 hours), Apriso (0 to 72 hours), Lialda (0 to 96 hours), and Delzicol (0 to 24 hours). The AUC is measured in units of nanomoles of N-acetyl-mesalamine per liter of plasma (nM) multiplied by time in hours (nM\*h). The AUC results are reported over the time-period because this provides a more meaningful comparison of potential differences in the bioequivalence of formulations.
次要结局
- The AUC of Mesalamine in Distal Jejunum(0 hours pre-dose and up to 7 hours post-dose)
- The AUC of Metabolite (N-acetyl-mesalamine) in Distal Jejunum(0 hours pre-dose and up to 7 hours post-dose)
研究者
Duxin Sun
Professor
University of Michigan
