Study to Evaluate Drug-drug Interactions of Guaifenesin and Hydrocodone Bitartrate

Reckitt Benckiser

Status and phase: Completed; Phase 1

Conditions: Healthy Subjects

Treatments: Drug: Humibid® and Hydrocodone Bitartrate tablet; Drug: Humibid®; Drug: Hydrocodone Bitartrate

Study type: Interventional

Funder types: Industry

Identifiers

NCT03642873

2006-HYDRO-04

Details and patient eligibility

About

Determine and compare the plasma concentrations and safety and tolerability of Guaifenesin and hydrocodone bitartrate when they are administered alone or in combination to normal healthy male and/or female subjects.

Enrollment: 24 patients

Sex: All

Ages: 19 to 55 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Males and/or females between the ages of 19 and 55 years, inclusive.

2. Females of childbearing potential were using one of the following acceptable birth control methods:

   • Intrauterine device (IUD) in place for at least 3 months prior to study;
   • Barrier method (condom or diaphragm) with spermicide for at least 14 days prior to screening through 30 days beyond study completion;
   • Stable hormonal contraceptive for at least 3 months prior to study through 30 days beyond completion of study;

   Abstinence was not an acceptable form of contraception.

   Females of non-childbearing potential were surgically sterile (bilateral tubal ligation with surgery at least 6 months prior to study, hysterectomy, or bilateral oophorectomy at least 3 months prior to study) or postmenopausal <2 years. An FSH >40 mIU/mL was obtained and in the record.

3. Good general health was determined by medical history, physical examination, electrocardiogram (ECG), and clinical laboratory measures.

4. Within 15% of Ideal Body Weight as defined by the 1983 Metropolitan Life chart.

5. Non-tobacco users, who had not used nicotine or nicotine-containing products for at least 1 year.

6. Able to read, understand, and sign the informed consent after the nature of the study had been explained.

7. Negative finding on tests for Hepatitis B and C antigen as well as HIV and pregnancy test (if female).

8. Negative urine screen for drugs of abuse and alcohol at screening and the first check in.

9. Non-alcohol or drug abuser - for alcohol, defined as history of less then 4 drinks daily.

Exclusion criteria

1. Clinically significant abnormalities detected by medical history, physical, ECG, or clinical laboratory findings (as determined by the Principal Investigator). Any disease or condition which impacted absorption, distribution, metabolism, or elimination of the study drugs.
2. Females who were pregnant or nursing.
3. History of hypersensitivity reaction to the study drugs or related compounds, such as other opioids.
4. Receipt of an investigational drug within 1 month prior to study enrollment.
5. Donation of blood or significant loss of blood within 56 days or plasma within 14 days prior study enrollment.
6. Known or suspected use of illicit drugs (including codeine or hydrocodone, etc.).
7. The use of any medication on a chronic basis with the exception of oral contraceptives for women of childbearing potential. An appropriate drug-free period for prescription or over-the-counter (OTC) drugs provided to washout any especially long half-life drugs.
8. Consumption of alcohol within 48 hours prior to each dosing period.
9. Consumption of grapefruit 14 days prior to dosing and throughout the study.
10. Hemoglobin value < 12 g/dL. If a subject's hemoglobin dropped below 11.0 g/dL the subject was dropped from the study at the Principal Investigator's discretion.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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24 participants in 3 patient groups

Treatment A

Experimental group

Description:

Guaifenesin (Humibid®) single extended release 1200 mg tablet administered with 240 mL of room temperature water under fasted conditions.

Treatment:

Drug: Humibid®

Treatment B

Experimental group

Description:

Hydrocodone Bitartrate of 10 mg in 3 oral doses of a single 3.33 mg tablet in three intervals administered with 240 mL of room temperature water in the fasted state.

Treatment:

Drug: Hydrocodone Bitartrate

Treatment C

Experimental group

Description:

Hydrocodone Bitartrate 10 mg in 3 oral doses of a single 3.33 mg tablet in three intervals and guaifenesin (Humibid®) 1200 mg ER administered with 240 mL of room temperature water in the fasted state.

Treatment:

Drug: Humibid® and Hydrocodone Bitartrate tablet