Analgesia Clinical Trial
Official title:
An Open-Label Evaluation of the Independent Effect of Coadministration of a High Fat Meal and Naltrexone Blockade on the Pharmacokinetic Profile of Dilaudid OROS (Hydromorphone HCL) 16 mg
The purpose of this study was to compare the pharmacokinetic (the way a drug enters and leaves the blood and tissues over time) profile of Dilaudid OROS 16mg (Dilaudid Slow Release; hydromorphone HCL) administered under fasting conditions, following a high-fat breakfast meal. The study also examined the effect of naltrexone blockade on the pharmacokinetic profile of Dilaudid SR.
This was a randomized (patients are assigned different treatments based on chance),
open-label, three-way crossover study, performed in normal, healthy adults. Each patient
received orally administered treatments (a different treatment during each dosing phase):
Treatment A: single dose of Dilaudid SR 16 mg administered under fasting conditions without
the naltrexone block;Treatment B: single dose of Dilaudid SR 16 mg administered under fed
conditions without the naltrexone block, Treatment C: single dose of Dilaudid SR 16 mg
administered under fasting conditions with naltrexone HCL 50mg block (3 oral doses of 50mg
each administered 12 hours prior to , at the time of, and 12 hours after Dilaudid SR 16mg
administration). There was a 7-day washout period between dosing phases.
Venous blood sampling times were 0 (prior to dosing),2,4,6,8,10,12,16,20,24,30,36,42,and 48
hours after each Dilaudid SR administration. LC/MS/MS (Liquid Chromatography/Mass
Spectroscopy/Mass Spectroscopy)techniques were employed for the analysis of plasma for
hydromorphone concentration. Each patient randomly received orally-administered treatments
of single dose of Dilaudid SR 16mg; under fasting conditions without the naltrexone block;
under fed conditions without naltrexone block; under fasting conditions with naltrexone 50mg
block (3 oral doses of 50mg naltrexone HCL each administered 12 hours prior to, at the time
of, and 12 hours after hydromorphone administration); 7-day washout period between dosing
phases.
;
Allocation: Randomized, Endpoint Classification: Bio-availability Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Treatment
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