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Study in Healthy Volunteers to Prove That Two Different Formulations of Rotigotine Patches Deliver Equivalent Drug Amount to the Body

Single-site, Open-label, Randomized, Cross-over Trial to Evaluate the Bioequivalence of Single Dose Rotigotine Transdermal Patch (4.5mg/10cm2) Comparing Two Different Formulations

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01059903
Enrollment
50
Registered
2010-02-01
Start date
2010-01-31
Completion date
2010-03-31
Last updated
2012-05-22

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

Conditions

Healthy Volunteers

Keywords

Rotigotine, Neupro®, Transdermal Patch

Brief summary

The major aim of this study is to investigate and compare the drug amount delivered to the body after sequential application of two Rotigotine patches of two different formulations

Interventions

Rotigotine 4.5 mg/10 cm\^2 patch applied for 24 hours

Sponsors

UCB Pharma
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

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

Inclusion criteria

* Healthy White, male volunteers between 18 and 55 years of age (inclusive). * BMI between 19 and 28 kg/m\^2 (inclusive)

Exclusion criteria

* Previous participation in a clinical study with Rotigotine * History or current condition of epilepsy and/or seizures * Known clinically relevant allergy or known/suspected clinically relevant drug hypersensitivity * History of significant skin hypersensitivity to adhesives or other transdermal products or recently unresolved contact dermatitis * History or present condition of an atopic or eczematous dermatitis, psoriasis, and/or an active skin disease * Clinically relevant abnormality in physical examination, ECG, vital signs or safety laboratory examinations * Positive HIV, hepatitis B or C test or positive alcohol or drug test * Relevant hepatic or renal dysfunction * Intake of medication that might interfere with the test drug within 2 weeks prior to dosing

Design outcomes

Primary

MeasureTime frameDescription
AUC(0-tz) of Unconjugated Rotigotine0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 hThe AUC(0-tz) is the area under the concentration-time curve from zero up to the last analytically quantifiable concentration.
Cmax of Unconjugated Rotigotine0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 hThe Cmax is the maximum plasma concentration.
AUC(0- ∞) of Unconjugated Rotigotine0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 hThe AUC(0- ∞) is the area under the plasma concentration-time curve from zero up to infinity

Secondary

MeasureTime frameDescription
AUC(0- ∞) Norm (Body Weight)0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 hThe AUC(0-inf) norm (BW) is the area under the plasma concentration-time curve from zero up to infinity normalized by body weight (kg).
Cmax, Norm (Apparent Dose) of Unconjugated Rotigotine0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 hThe Cmax, norm (apparent dose) is the maximum plasma concentration normalized by apparent dose (mg).
Cmax, Norm (Body Weight) of Unconjugated Rotigotine0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 hThe Cmax, norm (BW) is the maximum plasma concentration normalized by body weight (kg).
Tmax of Unconjugated Rotigotine0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 hThe tmax is the time to reach maximum plasma concentration after patch application.
AUC(0-tz) Norm (Apparent Dose) of Unconjugated Rotigotine0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 hThe AUC(0-tz) norm (apparent dose) is the area under the plasma concentration-time curve from zero up to the last analytically quantifiable concentration normalized by apparent dose (mg).
Rate Constant of Elimination (λz) of Unconjugated Rotigotine0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 hThe λz of unconjugated rotigotine is the rate constant of elimination.
Terminal Half-Life (t1/2) of Unconjugated Rotigotine0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 hthe t1/2 of unconjugated rotigotine is the terminal half-life, calculated as t1/2=ln2/ λz.
Apparent Total Body Clearance (CL/f) of Unconjugated Rotigotine0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 hThe CL/f of unconjugated rotigotine is the apparent total body clearance.
Apparent Dose24 hoursApparent dose of unconjugated rotigotine in mg. The apparent dose was calculated by subtraction of the determined residual content of each rotigotine patch from the nominal content of rotigotine in the patch.
Mean Residence Time (MRT) of Unconjugated Rotigotine0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 hThe MRT is the mean residence time.
AUC(0-tz) Norm (Body Weight) of Unconjugated Rotigotine0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 hThe AUC(0-tz) norm (BW) is the area under the plasma concentration-time curve from zero up to the last analytically quantifiable concentration normalized by body weight (kg).
AUC(0- ∞) Norm (Apparent Dose)0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 hThe AUC(0-inf) norm (apparent dose) is the area under the plasma concentration-time curve from zero up to infinity normalized by apparent dose (mg).

Countries

Germany

Participant flow

Recruitment details

A total of 50 healthy, male subjects have been randomized in order to complete the trial with at least 38 subjects qualified for the Pharmacokinetic Set (PKS). Baseline characteristics refer to the PKS which is the primary analysis set.

Pre-assignment details

Eight subjects that fulfilled predefined criteria for patch adhesiveness were excluded from the statistical analysis on the PKS. The predefined criteria were patch adhesiveness smaller than 75% at any timepoint or an adhesiveness lower than 90% for 12 hours or more.

Participants by arm

ArmCount
Rotigotine PR2.2.1 First
Rotigotine transdermal patch 4.5 mg/10cm\^2, test drug product PR2.2.1 followed by Rotigotine transdermal patch 4.5 mg/10cm\^2, reference drug product PR2.1.1 separated by a washout phase of at least 5 days
18
Rotigotine PR2.1.1 First
Rotigotine transdermal patch 4.5 mg/10cm\^2, reference drug product PR2.1.1 followed by Rotigotine transdermal patch 4.5 mg/10cm\^2, test drug product PR2.2.1 separated by a washout phase of at least 5 days
22
Total40

Withdrawals & dropouts

PeriodReasonFG000FG001
Period 1: First Intervention- 24 HoursAdverse Event11

Baseline characteristics

CharacteristicRotigotine PR2.2.1 FirstRotigotine PR2.1.1 FirstTotal
Age Continuous37.1 years
STANDARD_DEVIATION 12.6
35.6 years
STANDARD_DEVIATION 9.6
36.3 years
STANDARD_DEVIATION 11
Body Mass Index (BMI)24.42 kg/m^2
STANDARD_DEVIATION 2.71
24.16 kg/m^2
STANDARD_DEVIATION 2.75
24.28 kg/m^2
STANDARD_DEVIATION 2.7
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
18 Participants22 Participants40 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Height1.807 meter (m)
STANDARD_DEVIATION 0.083
1.807 meter (m)
STANDARD_DEVIATION 0.058
1.807 meter (m)
STANDARD_DEVIATION 0.069
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
18 Participants22 Participants40 Participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
18 Participants22 Participants40 Participants
Weight79.94 kilogramm (kg)
STANDARD_DEVIATION 11.74
78.88 kilogramm (kg)
STANDARD_DEVIATION 9.14
79.36 kilogramm (kg)
STANDARD_DEVIATION 10.26

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
23 / 4926 / 49
serious
Total, serious adverse events
0 / 490 / 49

Outcome results

Primary

AUC(0- ∞) of Unconjugated Rotigotine

The AUC(0- ∞) is the area under the plasma concentration-time curve from zero up to infinity

Time frame: 0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 h

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1AUC(0- ∞) of Unconjugated Rotigotine5.36933 ng/ mL*hStandard Deviation 3.17013
Rotigotine PR2.1.1AUC(0- ∞) of Unconjugated Rotigotine5.56925 ng/ mL*hStandard Deviation 2.4937
Comparison: Bioequivalence testing by using the 90% Confidence Interval (CI).90% CI: [0.8437, 0.9699]ANOVA
Primary

AUC(0-tz) of Unconjugated Rotigotine

The AUC(0-tz) is the area under the concentration-time curve from zero up to the last analytically quantifiable concentration.

Time frame: 0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 h

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1AUC(0-tz) of Unconjugated Rotigotine5.2704 ng/ mL*hStandard Deviation 3.1435
Rotigotine PR2.1.1AUC(0-tz) of Unconjugated Rotigotine5.4724 ng/ mL*hStandard Deviation 2.4755
Comparison: Bioequivalence testing by using the 90% Confidence Interval (CI).90% CI: [0.8411, 0.969]ANOVA
Primary

Cmax of Unconjugated Rotigotine

The Cmax is the maximum plasma concentration.

Time frame: 0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 h

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1Cmax of Unconjugated Rotigotine0.26156 ng/ mLStandard Deviation 0.15594
Rotigotine PR2.1.1Cmax of Unconjugated Rotigotine0.25774 ng/ mLStandard Deviation 0.11184
Comparison: Bioequivalence testing by using the 90% Confidence Interval (CI).90% CI: [0.8833, 1.0231]ANOVA
Secondary

Apparent Dose

Apparent dose of unconjugated rotigotine in mg. The apparent dose was calculated by subtraction of the determined residual content of each rotigotine patch from the nominal content of rotigotine in the patch.

Time frame: 24 hours

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1Apparent Dose1.970 mgStandard Deviation 0.637
Rotigotine PR2.1.1Apparent Dose2.036 mgStandard Deviation 0.597
Secondary

Apparent Total Body Clearance (CL/f) of Unconjugated Rotigotine

The CL/f of unconjugated rotigotine is the apparent total body clearance.

Time frame: 0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 h

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1Apparent Total Body Clearance (CL/f) of Unconjugated Rotigotine1125.11 L/ hStandard Deviation 621.56
Rotigotine PR2.1.1Apparent Total Body Clearance (CL/f) of Unconjugated Rotigotine1041.47 L/ hStandard Deviation 640.57
Secondary

AUC(0- ∞) Norm (Apparent Dose)

The AUC(0-inf) norm (apparent dose) is the area under the plasma concentration-time curve from zero up to infinity normalized by apparent dose (mg).

Time frame: 0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 h

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1AUC(0- ∞) Norm (Apparent Dose)2.62042 ng/ mL*h/ mgStandard Deviation 0.88891
Rotigotine PR2.1.1AUC(0- ∞) Norm (Apparent Dose)2.71397 ng/ mL*h/ mgStandard Deviation 1.03223
Secondary

AUC(0- ∞) Norm (Body Weight)

The AUC(0-inf) norm (BW) is the area under the plasma concentration-time curve from zero up to infinity normalized by body weight (kg).

Time frame: 0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 h

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1AUC(0- ∞) Norm (Body Weight)420.811 ng*h*kg/ mLStandard Deviation 242.327
Rotigotine PR2.1.1AUC(0- ∞) Norm (Body Weight)441.761 ng*h*kg/ mLStandard Deviation 207.793
Secondary

AUC(0-tz) Norm (Apparent Dose) of Unconjugated Rotigotine

The AUC(0-tz) norm (apparent dose) is the area under the plasma concentration-time curve from zero up to the last analytically quantifiable concentration normalized by apparent dose (mg).

Time frame: 0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 h

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1AUC(0-tz) Norm (Apparent Dose) of Unconjugated Rotigotine2.56504 ng/ mL*h/ mgStandard Deviation 0.88171
Rotigotine PR2.1.1AUC(0-tz) Norm (Apparent Dose) of Unconjugated Rotigotine2.66067 ng/ mL*h/ mgStandard Deviation 1.02321
Secondary

AUC(0-tz) Norm (Body Weight) of Unconjugated Rotigotine

The AUC(0-tz) norm (BW) is the area under the plasma concentration-time curve from zero up to the last analytically quantifiable concentration normalized by body weight (kg).

Time frame: 0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 h

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1AUC(0-tz) Norm (Body Weight) of Unconjugated Rotigotine412.942 ng*h*kg/ mLStandard Deviation 239.918
Rotigotine PR2.1.1AUC(0-tz) Norm (Body Weight) of Unconjugated Rotigotine434.101 ng*h*kg/ mLStandard Deviation 206.274
Secondary

Cmax, Norm (Apparent Dose) of Unconjugated Rotigotine

The Cmax, norm (apparent dose) is the maximum plasma concentration normalized by apparent dose (mg).

Time frame: 0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 h

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1Cmax, Norm (Apparent Dose) of Unconjugated Rotigotine0.128863 ng/ mL/ mgStandard Deviation 0.045903
Rotigotine PR2.1.1Cmax, Norm (Apparent Dose) of Unconjugated Rotigotine0.126144 ng/ mL/ mgStandard Deviation 0.046104
Secondary

Cmax, Norm (Body Weight) of Unconjugated Rotigotine

The Cmax, norm (BW) is the maximum plasma concentration normalized by body weight (kg).

Time frame: 0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 h

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1Cmax, Norm (Body Weight) of Unconjugated Rotigotine20.4935 ng/ mL*kgStandard Deviation 11.938
Rotigotine PR2.1.1Cmax, Norm (Body Weight) of Unconjugated Rotigotine20.4489 ng/ mL*kgStandard Deviation 9.3456
Secondary

Mean Residence Time (MRT) of Unconjugated Rotigotine

The MRT is the mean residence time.

Time frame: 0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 h

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1Mean Residence Time (MRT) of Unconjugated Rotigotine18.473 hours (h)Standard Deviation 1.936
Rotigotine PR2.1.1Mean Residence Time (MRT) of Unconjugated Rotigotine18.186 hours (h)Standard Deviation 2.056
Secondary

Rate Constant of Elimination (λz) of Unconjugated Rotigotine

The λz of unconjugated rotigotine is the rate constant of elimination.

Time frame: 0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 h

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1Rate Constant of Elimination (λz) of Unconjugated Rotigotine0.162587 1/ hStandard Deviation 0.033663
Rotigotine PR2.1.1Rate Constant of Elimination (λz) of Unconjugated Rotigotine0.165400 1/ hStandard Deviation 0.033405
Secondary

Terminal Half-Life (t1/2) of Unconjugated Rotigotine

the t1/2 of unconjugated rotigotine is the terminal half-life, calculated as t1/2=ln2/ λz.

Time frame: 0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 h

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1Terminal Half-Life (t1/2) of Unconjugated Rotigotine4.4523 hours (h)Standard Deviation 0.9701
Rotigotine PR2.1.1Terminal Half-Life (t1/2) of Unconjugated Rotigotine4.3752 hours (h)Standard Deviation 0.9677
Secondary

Tmax of Unconjugated Rotigotine

The tmax is the time to reach maximum plasma concentration after patch application.

Time frame: 0 h (predose), 1 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h, 16 h, 24 h (before patch removal in the morning of Day 2), 25 h, 26 h, 28 h, 30 h, 32 h, 36 h, 40 h, and 48 h

Population: Pharmacokinetic Set (PKS)

ArmMeasureValue (MEAN)Dispersion
Rotigotine PR2.2.1Tmax of Unconjugated Rotigotine16.78 hours (h)Standard Deviation 5.23
Rotigotine PR2.1.1Tmax of Unconjugated Rotigotine15.75 hours (h)Standard Deviation 5.24

Source: ClinicalTrials.gov · Data processed: Mar 22, 2026