Healthy Subjects Clinical Trial
Official title:
A Randomised, Single Dose, 5 Way Crossover, Open-label Adaptive Design, Gamma Scintigraphy Study Comparing the Disintegration Profile of Oral Ibuprofen Lysine 2 x 342 mg, Ibuprofen Sodium 2 x 256 mg, Ibuprofen Liquid Capsules 2 x 200 mg and Two Reference Formulations of Ibuprofen Acid 2 x 200 mg in Healthy Volunteers
The study will be an adaptive, 2 part, single dose, 5-way crossover gamma scintigraphy study in healthy subjects, to investigate the rate and site of tablet disintegration of various forms of Ibuprofen.
Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID) with anti-inflammatory, analgesic
and anti-pyretic properties. There are now a wide variety of formulations of ibuprofen
available on market in which the active ingredient, ibuprofen, is either as the free acid,
salt or salt in situ. As a result of differences between these formulations, differences in
absorption and time to effectiveness are achieved. Rates of absorption are commonly assessed
using pharmacokinetic (PK) studies, where the time taken for therapeutic plasma concentration
levels to be reached can be determined, with associated absorption profiles being generated.
Before absorption can occur the product must disintegrate in the stomach and empty into the
small intestine. Gamma scintigraphy may be used to assess the disintegration rate (of
tablets/capsules/caplets) by acquiring images of the investigational medicinal product (IMP)
in vivo. Through the use of radiolabelled dosage forms, it enables the visualisation of key
stages preceding absorption, including tablet disintegration and the rate of gastric
emptying. The assessment of these stages, which are required prior to absorption in the small
intestine, may be useful in gaining an understanding of the differences between the dosage
forms. The main purpose of this study is to visualise and determine the rate of
disintegration and subsequent availability for absorption of different ibuprofen
formulations, by gamma scintigraphy.
The study will be conducted in two parts. Part 1 will be conducted as a pilot phase where
each subject will receive all 5 IMPs over 5 treatment visits (one IMP/visit).
The data generated in Part 1 will be assessed and used to determine whether to continue to
Part 2 as planned, continue to Part 2 with adaptations or stop the study. Adaptations may
involve altering the radiolabelling procedure and/or the gamma scintigraphy procedure and/or
associated time-points and/or redefining primary/secondary endpoints and statistical
analyses.
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