Study Evaluating the Potential of DVS SR to Inhibit the CYP2D6 Pathway

Wyeth

Status and phase

Completed

Phase 1

Conditions

Fibromyalgia

Depressive Disorder, Major

Vasomotor Symptoms

Diabetic Neuropathies

Treatments

Drug: Codeine

Drug: Paroxetine

Drug: desvenlafaxine sustained release (DVS SR)

Study type

Interventional

Funder types

Industry

Identifiers

NCT00456898

3151A1-1203

Details and patient eligibility

About

To evaluate the effects of multiple oral doses of desvenlafaxine sustained release (DVS SR) and paroxetine on the biotransformation of codeine to morphine in healthy subjects. To assess the safety and tolerability of DVS SR and paroxetine when coadministered with codeine to healthy subjects.

Full description

This is a randomized, open-label, inpatient/outpatient, 3-period crossover study in healthy subjects.The study will consist of 3 treatment periods. In treatment period 1, subjects will be randomly assigned on study day 1. A single 60-mg dose of codeine will be administered to all subjects. In periods 2 and 3, subjects will receive either DVS SR 100 mg/day or paroxetine 20 mg/day until the steady state is reached. At steady state, subjects will receive codeine 60 mg concomitantly with either DVS SR 100 mg or paroxetine 20 mg, depending on the treatment sequence to which they are assigned. DVS SR 100 mg or paroxetine 20 mg administration will continue for an additional 2 days. In treatment period 3, subjects will receive the alternative treatment sequence.

Sex

Male

Ages

18 to 45 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Healthy men and nonlactating and nonpregnant women of nonchildbearing potential aged from 18 to 45 years.
Body mass index in the range of 18 to 30 kg/m2 and body weight ≥50 kg.
Nonsmoker or smoker of fewer than 10 cigarettes per day as determined by history.

Exclusion criteria

History of bronchial asthma, of seizure disorder (other than a single childhood febrile seizure)and of any clinically important drug allergy and any known allergy to desvenlafaxine, venlafaxine, paroxetine, codeine, or any of the non-active excipients in the dosage forms.
Use of any CYP2D6 inhibitors or inducers within 30 days before test article administration.
Demonstration of a positive orthostatic test at screening.