Analgesia, Chronic Pain, Narcotic Abuse, Opioid-related Disorders
Conditions
Keywords
abuse liability, abuse potential, morphine, intranasal administration, snorting, opioid abuse, pharmacodynamic, recreational drug use
Brief summary
This was a single-dose, randomized, double-blind, placebo-controlled, 3 way crossover study designed to evaluate the relative abuse potential of crushed EMBEDA® compared to morphine sulfate CR tablets and placebo in healthy male and female, non-dependent, recreational opioid users. An appropriate dose of morphine sulfate CR (i.e., 30 mg, 60 or 90 mg) was to be selected during Part A of the study (Dose Selection Phase). Each subject participated in the study for up to (approximately) 16 weeks and was confined in the clinic for a total of up to 12 nights.
Interventions
Lactose (100 mg) placebo tablets crushed; single dose
EMBEDA (morphine sulfate/naltrexone hydrochloride) 30 mg/ 1.2 mg extended release; capsule contents crushed; single dose
Morphine sulfate controlled release 30 mg tablet crushed
Sponsors
Study design
Eligibility
Inclusion criteria
* Healthy male or female subjects 18 to 55 years of age, inclusive. * Subject is a recreational opioid user who is NOT dependent on opioids based on Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition-Text Revision (DSM-IV-TR) criteria and the Naloxone Challenge. A recreational opioid user is defined as use of opioids for non-therapeutic purposes (i.e., for psychoactive effects) on at least 10 occasions within the last year and at least once in the 12 weeks before the Screening Visit (Visit 1). * Subjects must have experience with intranasal drug administration, defined as intranasal use on at least 3 occasions within the last year prior to the Screening Visit.
Exclusion criteria
* Diagnosis of substance and/or alcohol dependence (excluding caffeine and nicotine), as assessed by the Investigator using the DSM IV-TR criteria. * Has participated in, is currently participating in, or is seeking treatment for substance- and or alcohol-related disorders (excluding nicotine and caffeine). * Has any condition in which an opioid is contraindicated; e.g., significant respiratory depression, acute or severe bronchial asthma or hypercarbia, or is suspected of having paralytic ileus. * Allergy or history of hypersensitivity to morphine sulfate, other opioids, naltrexone hydrochloride, naloxone, and/or lactose. * History or current clinically significant neurological, cardiovascular, renal, hepatic, endocrine, gastrointestinal, hematologic, or metabolic disease as evaluated by the Investigator. * History or current pulmonary disease including asthma, chronic obstructive pulmonary disease, exercise-induced asthma, bronchitis, and obstructive sleep apnea.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Drug Liking Visual Analog Scale maximum peak effect (Emax) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Drug Liking Visual Analog Scale Area under the effect curve to 2 hours (AUE0-2h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| High Visual Analog Scale maximum peak effect (Emax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| High Visual Analog Scale Area under the effect curve to 2 hours (AUE0-2h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
Secondary
| Measure | Time frame |
|---|---|
| Bad Drug Effects Visual Analog Scale Area time to maximum effect (TEmax) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Feel Sick Visual Analog Scale maximum peak effect (Emax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Drug Liking Visual Analog Scale Area under the effect curve to 1 hour (AUE0-1h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Drug Liking Visual Analog Scale Area under the effect curve to 4 hours (AUE0-4h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Drug Liking Visual Analog Scale Area under the effect curve to 8 hours (AUE0-8h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Drug Liking Visual Analog Scale Area under the effect curve to 12 hours (AUE0-12h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Drug Liking Visual Analog Scale Area under the effect curve to 24 hours (AUE0-24h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Drug Liking Visual Analog Scale Area time to maximum effect (TEmax) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| High VVisual Analog Scale Area under the effect curve to 1 hour (AUE0-1h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| High Visual Analog Scale Area under the effect curve to 4 hours (AUE0-4h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| High Visual Analog Scale Area under the effect curve to 8 hours (AUE0-8h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| High Visual Analog Scale Area under the effect curve to 12 hours (AUE0-12h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| High Visual Analog Scale Area under the effect curve to 24 hours (AUE0-24h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| High Visual Analog Scale Area time to maximum effect (TEmax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Any Drug Effects Visual Analog Scale maximum peak effect (Emax) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Any Drug Effects Visual Analog Scale Area under the effect curve to 2 hours (AUE0-2h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Any Drug Effects Visual Analog Scale Area under the effect curve to 1 hour (AUE0-1h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Any Drug Effects Visual Analog Scale Area under the effect curve to 4 hours (AUE0-4h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Any Drug Effects Visual Analog Scale Area under the effect curve to 8 hours (AUE0-8h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Any Drug Effects Visual Analog Scale Area under the effect curve to 12 hours (AUE0-12h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Any Drug Effects Visual Analog Scale Area under the effect curve to 24 hours (AUE0-24h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Any Drug Effects Visual Analog Scale Area time to maximum effect (TEmax) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Good Drug Effects Visual Analog Scale maximum peak effect (Emax) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Good Drug Effects Visual Analog Scale Area under the effect curve to 1 hour (AUE0-1h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Good Drug Effects Visual Analog Scale Area under the effect curve to 2 hours (AUE0-2h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Good Drug Effects Visual Analog Scale Area under the effect curve to 4 hours (AUE0-4h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Good Drug Effects Visual Analog Scale Area under the effect curve to 8 hours (AUE0-8h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Good Drug Effects Visual Analog Scale Area under the effect curve to 12 hours (AUE0-12h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Good Drug Effects Visual Analog Scale Area under the effect curve to 24 hours (AUE0-24h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Good Drug Effects Visual Analog Scale Area time to maximum effect (TEmax) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Bad Drug Effects Visual Analog Scale maximum peak effect (Emax) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Bad Drug Effects Visual Analog Scale Area under the effect curve to 1 hour (AUE0-1h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Bad Drug Effects Visual Analog Scale Area under the effect curve to 2 hours (AUE0-2h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Bad Drug Effects Visual Analog Scale Area under the effect curve to 4 hours (AUE0-4h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Bad Drug Effects Visual Analog Scale Area under the effect curve to 8 hours (AUE0-8h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Bad Drug Effects Visual Analog Scale Area under the effect curve to 12 hours (AUE0-12h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Bad Drug Effects Visual Analog Scale Area under the effect curve to 24 hours (AUE0-24h) | 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Feel Sick Visual Analog Scale Area under the effect curve to 1 hour (AUE0-1h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Feel Sick Visual Analog Scale Area under the effect curve to 2 hours (AUE0-2h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Feel Sick Visual Analog Scale Area under the effect curve to 4 hours (AUE0-4h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Feel Sick Visual Analog Scale Area under the effect curve to 8 hours (AUE0-8h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Feel Sick Visual Analog Scale Area under the effect curve to 12 hours (AUE0-12h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Feel Sick Visual Analog Scale Area under the effect curve to 24 hours (AUE0-24h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Feel Sick Visual Analog Scale Area time to maximum effect (TEmax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Nausea Visual Analog Scale maximum peak effect (Emax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Nausea Visual Analog Scale Area under the effect curve to 1 hour (AUE0-1h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Nausea Visual Analog Scale Area under the effect curve to 2 hours (AUE0-2h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Nausea Visual Analog Scale Area under the effect curve to 4 hours (AUE0-4h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Nausea Visual Analog Scale Area under the effect curve to 8 hours (AUE0-8h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Nausea Visual Analog Scale Area under the effect curve to 12 hours (AUE0-12h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Nausea Visual Analog Scale Area under the effect curve to 24 hours (AUE0-24h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Nausea Visual Analog Scale Area time to maximum effect (TEmax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Sleepy Visual Analog Scale maximum peak effect (Emax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Sleepy Visual Analog Scale Area under the effect curve to 1 hour (AUE0-1h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Sleepy Visual Analog Scale Area under the effect curve to 2 hours (AUE0-2h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Sleepy Visual Analog Scale Area under the effect curve to 4 hours (AUE0-4h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Sleepy Visual Analog Scale Area under the effect curve to 8 hours (AUE0-8h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Sleepy Visual Analog Scale Area under the effect curve to 12 hours (AUE0-12h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Sleepy Visual Analog Scale Area under the effect curve to 24 hours (AUE0-24h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Sleepy Visual Analog Scale Area time to maximum effect (TEmax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Dizzy Visual Analog Scale maximum peak effect (Emax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Dizzy Visual Analog Scale Area under the effect curve to 1 hour (AUE0-1h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Dizzy Visual Analog Scale Area under the effect curve to 2 hours (AUE0-2h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Dizzy Visual Analog Scale Area under the effect curve to 4 hours (AUE0-4h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Dizzy Visual Analog Scale Area under the effect curve to 8 hours (AUE0-8h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Dizzy Visual Analog Scale Area under the effect curve to 12 hours (AUE0-12h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Dizzy Visual Analog Scale Area under the effect curve to 24 hours (AUE0-24h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Dizzy Visual Analog Scale Area time to maximum effect (TEmax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Pupil Diameter minimum peak effect (Emin) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Pupil Diameter time to minimum peak effect (TEmin) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Pupil Diameter Area under the effect curve to 1 hour (AUE0-1h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Pupil Diameter Area under the effect curve to 2 hours (AUE0-2h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Pupil Diameter Area under the effect curve to 4 hours (AUE0-4h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Pupil Diameter Area under the effect curve to 8 hours (AUE0-8h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Pupil Diameter Area under the effect curve to 12 hours (AUE0-12h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Pupil Diameter Area under the effect curve to 24 hours (AUE0-24h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8,12, and 24 hours post-dose |
| Take Drug Again Visual Analog Scale maximum peak effect (Emax) | 12 and 24 hours post dose |
| Take Drug Again Visual Analog Scale mean (Emean) | 12 and 24 hours post dose |
| Overall Drug Liking Visual Analog Scale maximum peak effect (Emax) | 12 and 24 hours post dose |
| Subject Rating Scale - Runny Nose/Nasal Discharge maximum peak effect (Emax) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |
| Subject Rating Scale - Runny Nose/Nasal Discharge Area under the effect curve to 1 hour (AUE0-1h) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |
| Subject Rating Scale - Runny Nose/Nasal Discharge Area under the effect curve to 2 hours (AUE0-2h) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |
| Subject Rating Scale - Burning maximum peak effect (Emax) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |
| Subject Rating Scale - Burning Area under the effect curve to 1 hour (AUE0-1h) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |
| Subject Rating Scale - Burning Area under the effect curve to 2 hours (AUE0-2h) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |
| Subject Rating Scale - Facial Pain/Pressure maximum peak effect (Emax) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |
| Subject Rating Scale - Facial Pain/Pressure Area under the effect curve to 1 hour (AUE0-1h) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |
| Subject Rating Scale - Facial Pain/Pressure Area under the effect curve to 2 hours (AUE0-2h) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |
| Subject Rating Scale - Nasal Congestion maximum peak effect (Emax) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |
| Subject Rating Scale - Nasal Congestion Area under the effect curve to 1 hour (AUE0-1h) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |
| Subject Rating Scale - Nasal Congestion Area under the effect curve to 2 hours (AUE0-2h) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |
| Plasma morphine - Maximum observed plasma concentration (Cmax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma morphine - Time to maximum observed plasma concentration (Tmax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma morphine - Area under the plasma concentration time curve from time zero to 1 hour (AUC0-1h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma morphine - Area under the plasma concentration time curve from time zero to 2 hours (AUC0-2h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma morphine - Area under the plasma concentration time curve from time zero to 4 hours (AUC0-4h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma 6-ß-naltrexol - Maximum observed plasma concentration (Cmax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma 6-ß-naltrexol - Area under the plasma concentration time curve from time zero to 1 hour (AUC0-1h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma 6-ß-naltrexol - Area under the plasma concentration time curve from time zero to 12 hours (AUC0-12h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma 6-ß-naltrexol - Area under the plasma concentration time curve from time zero to 24 hours (AUC0-24h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma 6-ß-naltrexol - Area under the plasma concentration time curve from time zero to 4 hours (AUC0-4h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma 6-ß-naltrexol - Area under the plasma concentration time curve from time zero to 8 hours (AUC0-8h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma 6-ß-naltrexol - Time to maximum observed plasma concentration (Tmax | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma 6-ß-naltrexol- Area under the plasma concentration time curve from time zero to 2 hours (AUC0-2h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma 6-ß-naltrexol- Area under the plasma concentration time curve from time zero to infinity (AUC0-8), as applicable | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma morphine - Area under the plasma concentration time curve from time zero to 12 hours (AUC0-12h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Overall Drug Liking Visual Analog Scale mean (Emean) | 12 and 24 hours post dose |
| Plasma morphine - Area under the plasma concentration time curve from time zero to 8 hours (AUC0-8h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma morphine - Area under the plasma concentration time curve from time zero to infinity (AUC0-8), as applicable | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma naltrexone - Area under the plasma concentration time curve from time zero to 1 hour (AUC0-1h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma naltrexone - Area under the plasma concentration time curve from time zero to 12 hours (AUC0-12h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma naltrexone - Area under the plasma concentration time curve from time zero to 24 hours (AUC0-24h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma naltrexone - Area under the plasma concentration time curve from time zero to 4 hours (AUC0-4h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma naltrexone - Area under the plasma concentration time curve from time zero to 8 hours (AUC0-8h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma naltrexone - Area under the plasma concentration time curve from time zero to infinity (AUC0-8), as applicable | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma naltrexone - Maximum observed plasma concentration (Cmax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma naltrexone - Time to maximum observed plasma concentration (Tmax) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma naltrexone- Area under the plasma concentration time curve from time zero to 2 hours (AUC0-2h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Plasma morphine - Area under the plasma concentration time curve from time zero to 24 hours (AUC0-24h) | pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24 hours post-dose |
| Subject Rating Scale - Need to Blow Nose maximum peak effect (Emax) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |
| Subject Rating Scale - Need to Blow Nose Area under the effect curve to 1 hour (AUE0-1h) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |
| Subject Rating Scale - Need to Blow Nose Area under the effect curve to 2 hours (AUE0-2h) | pre dose and 0.5, 1, 1.5, and 2 hours post dose |