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A Comparative Bioavailability/Food Effect Study of Immediate-Release and Extended-Release Tramadol HCl/Acetaminophen Combination Products Following Single-Dose and Multiple-Dose Administration in Healthy Adult Volunteers

A Single-Centre, Open-Label, Randomised Study to Compare the Single Dose (Including the Effect of Food) and Multiple Dose Pharmacokinetic Profiles of Acetram Contramid® BID Tablets vs the Immediate-Release Tablet Reference Products Zaldiar® and Ultracet®

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00973232
Enrollment
58
Registered
2009-09-09
Start date
2008-05-31
Completion date
2008-08-31
Last updated
2012-04-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Keywords

Tramadol, Acetaminophen, combination, pharmacokinetics, bioavailability, Zaldiar, Ultracet, fed, fasted, single-dose, multiple-dose, healthy, volunteers, Healthy volunteers

Brief summary

The objectives of this two-part study were to compare the single-dose and multiple-dose pharmacokinetics of extended release and immediate-release fixed combination formulations containing tramadol-HCl/acetaminophen and to evaluate the effect of food on the extended-release formulation.

Detailed description

* To compare the single (Part A) and multiple dose (Part B) pharmacokinetic profiles and bioavailability of DDS-06C tablets with the immediate-release tablet reference products Zaldiar® and Ultracet®. * To assess the effect of food on the pharmacokinetic profile of DDS-06C tablets following administration of a single oral dose. * To monitor and record all adverse events.

Interventions

DRUGDDS-06C (650 mg acetaminophen and 75 mg tramadol HCl)

DDS-06C (650 mg acetaminophen and 75 mg tramadol HCl: two tablets, single dose, total administered of 1300 mg acetaminophen/150 mg tramadol HCl under fasting conditions

DRUGDDS-06C (650 mg acetaminophen and 75 mg tramadol)

DDS-06C (650 mg acetaminophen and 75 mg tramadol HCl: two tablets, single dose, total administered of 1300 mg acetaminophen/150 mg tramadol HCl under fed conditions

DRUGZaldiar®

Zaldiar® (325 mg acetaminophen and 37.5 mg tramadol HCl): two tablets; dose of 650 mg acetaminophen/75 mg tramadol HCl administered at Time = 0 hr (fasting)and second dose at Time = 6 hr (fed) Ultracet® (325 mg acetaminophen and 37.5 mg tramadol HCl)

DRUGUltracet®

Ultracet® (325 mg acetaminophen and 37.5 mg tramadol HCl)two tablets; dose of 650 mg acetaminophen/75 mg tramadol HCl administered at Time = 0 hr (fasting)and second dose at Time = 6 hr (fed) Ultracet® (325 mg acetaminophen and 37.5 mg tramadol HCl)

DRUGTwo tablets of DDS-06C (650 mg acetaminophen and 75 mg tramadol HCl), multiple doses, under both fed and fasting conditions

Two tablets of DDS-06C, twice daily at 12-hour intervals under fed conditions for the first 4 days, then under fasting conditions for the 5th day. The total daily dose administered was 2600 mg Acetaminophen/300 mg tramadol HCl

DRUGZaldiar®, multiple doses,(fed & fasting):

Two tablets of Zaldiar®, 4 times daily at 6-hour intervals under fed conditions for the first 4 days, then under fasting conditions for the 5th day. The total daily dose administered was 2600 mg Acetaminophen/300 mg tramadol HCl

DRUGUltracet®, multiple doses, (fed & fasting)

Two tablets of Ultracet®, 4 times daily at 6-hour intervals under fed conditions for the first 4 days, then under fasting conditions for the 5th day. The total daily dose administered was 2600 mg Acetaminophen/300 mg tramadol HCl

Sponsors

Labopharm Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Adult males or females aged 18-55 years inclusive with body mass index (BMI) between 18-30 kg/m2 * Healthy as determined by pre-study medical history, physical examination and 12-lead ECG * Clinical laboratory tests within the reference ranges or clinically acceptable to the Investigator * Negative for hepatitis B surface antigen (HBsAg), hepatitis C antibody and human immunodeficiency virus (HIV) I and II tests at screening * Negative for drugs of abuse and alcohol at screening and admission * Non-smokers for at least 3 months preceding screening * If female, were not currently pregnant or breast feeding and were using medically acceptable methods of contraception and if male, were themselves and their female partners using medically acceptable methods of contraception * Able and willing to give written informed consent.

Exclusion criteria

* Subjects who did not conform to the above inclusion criteria * Female subjects who were pregnant, trying to become pregnant, lactating or not using acceptable methods of contraception * Clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, connective tissue diseases or disorders * Clinically relevant surgical history * Clinically relevant family history * History of relevant atopy * History of relevant drug hypersensitivity * History of alcoholism * History of drug abuse * Male subjects who consumed more than 21 units of alcohol a week and female subjects who consumed more than 14 units of alcohol a week * Significant infection or known inflammatory process on screening * Acute gastrointestinal symptoms at the time of screening and/or admission (e.g. nausea, vomiting, diarrhoea, heartburn) * Acute infection such as influenza at the time of screening or admission * Use of prescription drugs within 7 days of first dosing, unless agreed as non clinically relevant by the Principal Investigator and Sponsor * Use of over-the-counter medication excluding routine vitamins but including mega dose vitamin therapy within 14 days of first dosing, unless agreed as non clinically relevant by the Principal Investigator and Sponsor * Use of any investigational drug or participation in any clinical trial within 3 months of their first dosing * Donation or receipt of any blood or blood products within the previous 3 months prior to first dosing * Vegetarians, vegans or having medical or cultural dietary restrictions. * Inability to communicate reliably with the Investigator. * Subjects who were unlikely to co-operate with the requirements of the study

Design outcomes

Primary

MeasureTime frame
Rate and extent of exposure0 to 36 hours post dose

Countries

United Kingdom

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026