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A Four-Period, Four-Treatment, Four-Way Relative Bioavailability Study of CL-108 Under Fed and Fasted Conditions

A Single-Dose, Four-Period, Four-Treatment, Four-Way Crossover Relative Bioavailability Study of CL-108 Under Fed and Fasted Conditions

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02465866
Enrollment
20
Registered
2015-06-09
Start date
2014-11-30
Completion date
2015-04-30
Last updated
2017-05-02

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

Conditions

Healthy

Keywords

Plasma concentration, Time to plasma concentration, Elimination rate constant, Elimination half life, Area under the curve

Brief summary

This study will compare the relative bioavailability of hydrocodone, acetaminophen, and promethazine in CL-108 (hydrocodone 7.5mg/ acetaminophen 325 mg/ promethazine 12.5 mg) manufactured by Charleston Laboratories, Inc. to hydrocodone in Vicoprofen (hydrocodone 7.5 mg /ibuprofen 200 mg), promethazine 12.5 mg, and acetaminophen in Ultracet (tramadol HCl 37.5 mg/acetaminophen 325 mg) under fasted and fed conditions.

Interventions

DRUGCL-108

Hydrocodone bitartrate/acetaminophen/promethazine 7.5 mg/325 mg/12.5 mg single dose by mouth

DRUGVicoprofen

Hydrocodone Bitartrate and Ibuprofen 7.5 mg/200 mg single dose tablet by mouth

Tramadol HCl/acetaminophen 37.5 mg/325 mg single dose tablet by mouth

Phenergan (Promethazine HCl, USP) 12.5 mg single dose tablet by mouth

Sponsors

Charleston Laboratories, Inc
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
BASIC_SCIENCE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Written informed consent * Subject's body mass index (BMI) must be between 18 and 30kg/m2 (inclusive), and subject must weigh a minimum of 50 kg (110lb) * Abide by study restrictions * Acceptable birth control measures * Ability to attend all study visits * Vital signs as per protocol * Willing to consume high calorie meals within designated time frame

Exclusion criteria

* Clinically significant medical history * Clinically significant abnormal findings * History or presence of allergic or adverse response to hydrocodone, ibuprofen,acetaminophen, any non-steroidal anti-inflammatory drugs (NSAIDs), promethazine, or related drugs. * Has smoked or used tobacco products within 60 days prior to the first dose of study medication * Has donated blood or plasma within 30 days prior to the first dose of study medication * Has participated in another clinical trial (randomized subjects only) within 30 days prior to the first dose of study medication.

Design outcomes

Primary

MeasureTime frameDescription
Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time Data0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-doseCmax of CL-108 and Vicoprofen + Ultracet + Phenergan were measured in the plasma (the liquid component of the blood in which the blood cells are suspended) in samples collected up to 48 hours post-dose.
Time to Reach Maximum Concentration (Tmax)0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time Data0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Time of the Last Quantifiable Concentration (Tlast)0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose
Observed Elimination Rate Constant (λz)0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-doseEstimated by linear regression through at least three data points in the terminal phase of the log concentration-time profile
Observed Terminal Elimination Half-life (T1/2)0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-doseCalculated as: T1/2 = ln(2)/λz
Area Under the Plasma Concentration-time Curve (AUC0-0.25) for Hydrocodone and Promethazine0 (pre-dose) to 0.25 hours post-doseAUC0-0.25 measured by Linear Trapezoidal with Linear Interpolation method.
AUC0-0.50 for Hydrocodone and Promethazine0 (pre-dose) to 0.5 hours post-doseAUC0-0.50 measured by Linear Trapezoidal with Linear Interpolation method.
AUC0-0.75 for Hydrocodone and Promethazine0 (Pre-dose) to 0.75 hours post-doseAUC0-0.75 measured by Linear Trapezoidal with Linear Interpolation method.
AUC0-1.0 for Hydrocodone and Promethazine0 (pre-dose) to 1.0 hours post-doseAUC0-1.0 measured by Linear Trapezoidal with Linear Interpolation method.
AUC0-1.5 for Hydrocodone and Promethazine0 (pre-dose) to 1.5 hours post-doseAUC0-1.5 measured by Linear Trapezoidal with Linear Interpolation method.
AUC0-2.0 for Hydrocodone and Promethazine0 (pre-dose) to 2 hours post-doseAUC0-2.0 measured by Linear Trapezoidal with Linear Interpolation method.
AUC0-4.0 for Hydrocodone and Promethazine0 (pre-dose) to 4 hours post-doseAUC0-4.0 measured by Linear Trapezoidal with Linear Interpolation method.
Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable Concentration0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-doseCalculated using the linear trapezoidal rule
Area Under the Concentration-time (AUCinf) Curve From Time-zero Extrapolated to Infinity0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-doseCalculated as: AUCinf = AUClast + Clast/λz
Percentage of AUCinf [AUCExtrap (%)] Based on Extrapolation0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-doseCalculated as: AUCExtrap (%) = (AUC0-inf - AUC0-last)/AUC0-inf \*100

Participant flow

Recruitment details

Twenty healthy subjects were enrolled in the study.

Participants by arm

ArmCount
Overall Subjects20
Total20

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Period 3Withdrawal by Subject0100

Baseline characteristics

CharacteristicOverall Subjects
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
0 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
Age, Continuous52.85 years
STANDARD_DEVIATION 17.71
Body Mass Index (BMI)25.43 kg/m²
STANDARD_DEVIATION 2.8
Ethnicity (NIH/OMB)
Hispanic or Latino
11 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
Height163.15 cm
STANDARD_DEVIATION 10.49
Race/Ethnicity, Customized
American Indian or Alaska Native
1 Participants
Race/Ethnicity, Customized
Black or African American
2 Participants
Race/Ethnicity, Customized
White
17 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
2 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
Race (NIH/OMB)
White
17 Participants
Region of Enrollment
United States
20 participants
Sex: Female, Male
Female
14 Participants
Sex: Female, Male
Male
6 Participants
Weight67.83 kg
STANDARD_DEVIATION 10.72

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —
other
Total, other adverse events
3 / 1911 / 2020 / 202 / 19
serious
Total, serious adverse events
0 / 190 / 200 / 200 / 19

Outcome results

Primary

Area Under the Concentration-time (AUCinf) Curve From Time-zero Extrapolated to Infinity

Calculated as: AUCinf = AUClast + Clast/λz

Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)Area Under the Concentration-time (AUCinf) Curve From Time-zero Extrapolated to InfinityHydrocodone150.2 h*ng/mLStandard Deviation 57.3
Treatment A: CL-108 (Fasted)Area Under the Concentration-time (AUCinf) Curve From Time-zero Extrapolated to InfinityPromethazine (Number of Participants=19,18,20,18)96.92 h*ng/mLStandard Deviation 119.5
Treatment B: CL-108 (Fed)Area Under the Concentration-time (AUCinf) Curve From Time-zero Extrapolated to InfinityPromethazine (Number of Participants=19,18,20,18)60.72 h*ng/mLStandard Deviation 29.74
Treatment B: CL-108 (Fed)Area Under the Concentration-time (AUCinf) Curve From Time-zero Extrapolated to InfinityHydrocodone155.8 h*ng/mLStandard Deviation 58.75
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Area Under the Concentration-time (AUCinf) Curve From Time-zero Extrapolated to InfinityHydrocodone134.3 h*ng/mLStandard Deviation 48.2
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Area Under the Concentration-time (AUCinf) Curve From Time-zero Extrapolated to InfinityPromethazine (Number of Participants=19,18,20,18)88.53 h*ng/mLStandard Deviation 100.3
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Area Under the Concentration-time (AUCinf) Curve From Time-zero Extrapolated to InfinityHydrocodone152.4 h*ng/mLStandard Deviation 56.83
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Area Under the Concentration-time (AUCinf) Curve From Time-zero Extrapolated to InfinityPromethazine (Number of Participants=19,18,20,18)84.13 h*ng/mLStandard Deviation 76.72
Primary

Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable Concentration

Calculated using the linear trapezoidal rule

Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable ConcentrationAcetaminophen19.19 h*ng/mLStandard Deviation 5.661
Treatment A: CL-108 (Fasted)Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable ConcentrationPromethazine (Number of Participants=19,19,20,19)75.69 h*ng/mLStandard Deviation 78.87
Treatment A: CL-108 (Fasted)Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable ConcentrationHydrocodone146.2 h*ng/mLStandard Deviation 56.77
Treatment B: CL-108 (Fed)Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable ConcentrationAcetaminophen17.85 h*ng/mLStandard Deviation 4.621
Treatment B: CL-108 (Fed)Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable ConcentrationPromethazine (Number of Participants=19,19,20,19)66.63 h*ng/mLStandard Deviation 67.37
Treatment B: CL-108 (Fed)Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable ConcentrationHydrocodone151.9 h*ng/mLStandard Deviation 58.79
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable ConcentrationHydrocodone130.9 h*ng/mLStandard Deviation 47.94
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable ConcentrationAcetaminophen18.69 h*ng/mLStandard Deviation 5.186
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable ConcentrationPromethazine (Number of Participants=19,19,20,19)68.54 h*ng/mLStandard Deviation 63.24
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable ConcentrationAcetaminophen17.85 h*ng/mLStandard Deviation 4.742
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable ConcentrationPromethazine (Number of Participants=19,19,20,19)74.76 h*ng/mLStandard Deviation 57.53
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Area Under the Plasma Concentration-time (AUClast) Curve From Time-zero to the Time of the Last Quantifiable ConcentrationHydrocodone148.5 h*ng/mLStandard Deviation 56.84
Primary

Area Under the Plasma Concentration-time Curve (AUC0-0.25) for Hydrocodone and Promethazine

AUC0-0.25 measured by Linear Trapezoidal with Linear Interpolation method.

Time frame: 0 (pre-dose) to 0.25 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)Area Under the Plasma Concentration-time Curve (AUC0-0.25) for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.01086 h*ng/mLStandard Deviation 0.03169
Treatment A: CL-108 (Fasted)Area Under the Plasma Concentration-time Curve (AUC0-0.25) for Hydrocodone and PromethazineHydrocodone0.08870 h*ng/mLStandard Deviation 0.1318
Treatment B: CL-108 (Fed)Area Under the Plasma Concentration-time Curve (AUC0-0.25) for Hydrocodone and PromethazineHydrocodone0.03786 h*ng/mLStandard Deviation 0.1269
Treatment B: CL-108 (Fed)Area Under the Plasma Concentration-time Curve (AUC0-0.25) for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.003941 h*ng/mLStandard Deviation 0.01413
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Area Under the Plasma Concentration-time Curve (AUC0-0.25) for Hydrocodone and PromethazineHydrocodone0.1219 h*ng/mLStandard Deviation 0.2151
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Area Under the Plasma Concentration-time Curve (AUC0-0.25) for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.006288 h*ng/mLStandard Deviation 0.02608
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Area Under the Plasma Concentration-time Curve (AUC0-0.25) for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.002612 h*ng/mLStandard Deviation 0.01138
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Area Under the Plasma Concentration-time Curve (AUC0-0.25) for Hydrocodone and PromethazineHydrocodone0.02250 h*ng/mLStandard Deviation 0.04577
Primary

AUC0-0.50 for Hydrocodone and Promethazine

AUC0-0.50 measured by Linear Trapezoidal with Linear Interpolation method.

Time frame: 0 (pre-dose) to 0.5 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)AUC0-0.50 for Hydrocodone and PromethazineHydrocodone0.9532 h*ng/mLStandard Deviation 0.9498
Treatment A: CL-108 (Fasted)AUC0-0.50 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.03535 h*ng/mLStandard Deviation 0.06239
Treatment B: CL-108 (Fed)AUC0-0.50 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.01570 h*ng/mLStandard Deviation 0.03508
Treatment B: CL-108 (Fed)AUC0-0.50 for Hydrocodone and PromethazineHydrocodone0.2566 h*ng/mLStandard Deviation 0.6382
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)AUC0-0.50 for Hydrocodone and PromethazineHydrocodone1.280 h*ng/mLStandard Deviation 1.271
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)AUC0-0.50 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.02692 h*ng/mLStandard Deviation 0.06096
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)AUC0-0.50 for Hydrocodone and PromethazineHydrocodone0.3163 h*ng/mLStandard Deviation 0.4305
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)AUC0-0.50 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.01220 h*ng/mLStandard Deviation 0.02452
Primary

AUC0-0.75 for Hydrocodone and Promethazine

AUC0-0.75 measured by Linear Trapezoidal with Linear Interpolation method.

Time frame: 0 (Pre-dose) to 0.75 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)AUC0-0.75 for Hydrocodone and PromethazineHydrocodone3.194 h*ng/mLStandard Deviation 2.379
Treatment A: CL-108 (Fasted)AUC0-0.75 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.1108 h*ng/mLStandard Deviation 0.109
Treatment B: CL-108 (Fed)AUC0-0.75 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.05549 h*ng/mLStandard Deviation 0.08128
Treatment B: CL-108 (Fed)AUC0-0.75 for Hydrocodone and PromethazineHydrocodone0.8759 h*ng/mLStandard Deviation 1.645
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)AUC0-0.75 for Hydrocodone and PromethazineHydrocodone4.027 h*ng/mLStandard Deviation 3.092
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)AUC0-0.75 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.09690 h*ng/mLStandard Deviation 0.1478
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)AUC0-0.75 for Hydrocodone and PromethazineHydrocodone1.276 h*ng/mLStandard Deviation 1.629
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)AUC0-0.75 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.04610 h*ng/mLStandard Deviation 0.06227
Primary

AUC0-1.0 for Hydrocodone and Promethazine

AUC0-1.0 measured by Linear Trapezoidal with Linear Interpolation method.

Time frame: 0 (pre-dose) to 1.0 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)AUC0-1.0 for Hydrocodone and PromethazineHydrocodone6.383 h*ng/mLStandard Deviation 3.637
Treatment A: CL-108 (Fasted)AUC0-1.0 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.2578 h*ng/mLStandard Deviation 0.1999
Treatment B: CL-108 (Fed)AUC0-1.0 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.1457 h*ng/mLStandard Deviation 0.1649
Treatment B: CL-108 (Fed)AUC0-1.0 for Hydrocodone and PromethazineHydrocodone2.046 h*ng/mLStandard Deviation 3.244
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)AUC0-1.0 for Hydrocodone and PromethazineHydrocodone7.524 h*ng/mLStandard Deviation 4.678
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)AUC0-1.0 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.2311 h*ng/mLStandard Deviation 0.3055
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)AUC0-1.0 for Hydrocodone and PromethazineHydrocodone2.722 h*ng/mLStandard Deviation 3.329
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)AUC0-1.0 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.1109 h*ng/mLStandard Deviation 0.1471
Primary

AUC0-1.5 for Hydrocodone and Promethazine

AUC0-1.5 measured by Linear Trapezoidal with Linear Interpolation method.

Time frame: 0 (pre-dose) to 1.5 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)AUC0-1.5 for Hydrocodone and PromethazineHydrocodone14.33 h*ng/mLStandard Deviation 4.971
Treatment A: CL-108 (Fasted)AUC0-1.5 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.8524 h*ng/mLStandard Deviation 0.541
Treatment B: CL-108 (Fed)AUC0-1.5 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.5573 h*ng/mLStandard Deviation 0.4798
Treatment B: CL-108 (Fed)AUC0-1.5 for Hydrocodone and PromethazineHydrocodone5.782 h*ng/mLStandard Deviation 7.049
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)AUC0-1.5 for Hydrocodone and PromethazineHydrocodone14.95 h*ng/mLStandard Deviation 6.822
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)AUC0-1.5 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.7330 h*ng/mLStandard Deviation 0.8395
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)AUC0-1.5 for Hydrocodone and PromethazineHydrocodone6.424 h*ng/mLStandard Deviation 6.742
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)AUC0-1.5 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.3239 h*ng/mLStandard Deviation 0.3643
Primary

AUC0-2.0 for Hydrocodone and Promethazine

AUC0-2.0 measured by Linear Trapezoidal with Linear Interpolation method.

Time frame: 0 (pre-dose) to 2 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)AUC0-2.0 for Hydrocodone and PromethazineHydrocodone23.21 h*ng/mLStandard Deviation 6.24
Treatment A: CL-108 (Fasted)AUC0-2.0 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)1.938 h*ng/mLStandard Deviation 1.318
Treatment B: CL-108 (Fed)AUC0-2.0 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)1.267 h*ng/mLStandard Deviation 0.9936
Treatment B: CL-108 (Fed)AUC0-2.0 for Hydrocodone and PromethazineHydrocodone10.95 h*ng/mLStandard Deviation 10.34
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)AUC0-2.0 for Hydrocodone and PromethazineHydrocodone22.53 h*ng/mLStandard Deviation 8.183
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)AUC0-2.0 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)1.583 h*ng/mLStandard Deviation 1.689
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)AUC0-2.0 for Hydrocodone and PromethazineHydrocodone11.04 h*ng/mLStandard Deviation 10.12
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)AUC0-2.0 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)0.6735 h*ng/mLStandard Deviation 0.6328
Primary

AUC0-4.0 for Hydrocodone and Promethazine

AUC0-4.0 measured by Linear Trapezoidal with Linear Interpolation method.

Time frame: 0 (pre-dose) to 4 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)AUC0-4.0 for Hydrocodone and PromethazineHydrocodone54.04 h*ng/mLStandard Deviation 13.77
Treatment A: CL-108 (Fasted)AUC0-4.0 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)9.124 h*ng/mLStandard Deviation 6.271
Treatment B: CL-108 (Fed)AUC0-4.0 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)5.943 h*ng/mLStandard Deviation 3.676
Treatment B: CL-108 (Fed)AUC0-4.0 for Hydrocodone and PromethazineHydrocodone38.97 h*ng/mLStandard Deviation 18.47
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)AUC0-4.0 for Hydrocodone and PromethazineHydrocodone48.35 h*ng/mLStandard Deviation 12.87
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)AUC0-4.0 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)7.101 h*ng/mLStandard Deviation 6.159
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)AUC0-4.0 for Hydrocodone and PromethazineHydrocodone35.14 h*ng/mLStandard Deviation 17.97
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)AUC0-4.0 for Hydrocodone and PromethazinePromethazine (Number of Participants=19,19,20,19)4.045 h*ng/mLStandard Deviation 2.497
Primary

Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time Data

Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time DataHydrocodone0.556 ng/mLStandard Deviation 0.354
Treatment A: CL-108 (Fasted)Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time DataPromethazine (Number of Participants=19,19,20,19)0.611 ng/mLStandard Deviation 0.936
Treatment A: CL-108 (Fasted)Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time DataAcetaminophen0.0741 ng/mLStandard Deviation 0.0297
Treatment B: CL-108 (Fed)Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time DataHydrocodone0.523 ng/mLStandard Deviation 0.412
Treatment B: CL-108 (Fed)Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time DataPromethazine (Number of Participants=19,19,20,19)0.586 ng/mLStandard Deviation 1.04
Treatment B: CL-108 (Fed)Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time DataAcetaminophen0.0917 ng/mLStandard Deviation 0.0378
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time DataAcetaminophen0.0724 ng/mLStandard Deviation 0.0291
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time DataHydrocodone0.465 ng/mLStandard Deviation 0.315
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time DataPromethazine (Number of Participants=19,19,20,19)0.574 ng/mLStandard Deviation 0.829
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time DataHydrocodone0.527 ng/mLStandard Deviation 0.424
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time DataPromethazine (Number of Participants=19,19,20,19)0.701 ng/mLStandard Deviation 0.912
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Last Quantifiable Drug Concentration (Clast) Determined Directly From Individual Concentration-time DataAcetaminophen0.0907 ng/mLStandard Deviation 0.0428
Primary

Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time Data

Cmax of CL-108 and Vicoprofen + Ultracet + Phenergan were measured in the plasma (the liquid component of the blood in which the blood cells are suspended) in samples collected up to 48 hours post-dose.

Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: Intended to treat (ITT) population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time DataPromethazine (Number of Participants=19,19,20,19)4.79 ng/mLStandard Deviation 3.75
Treatment A: CL-108 (Fasted)Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time DataHydrocodone20.0 ng/mLStandard Deviation 5.48
Treatment A: CL-108 (Fasted)Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time DataAcetaminophen4.71 ng/mLStandard Deviation 1.49
Treatment B: CL-108 (Fed)Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time DataAcetaminophen3.27 ng/mLStandard Deviation 1
Treatment B: CL-108 (Fed)Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time DataHydrocodone17.9 ng/mLStandard Deviation 5.8
Treatment B: CL-108 (Fed)Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time DataPromethazine (Number of Participants=19,19,20,19)3.66 ng/mLStandard Deviation 2.16
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time DataPromethazine (Number of Participants=19,19,20,19)4.35 ng/mLStandard Deviation 2.94
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time DataHydrocodone18.4 ng/mLStandard Deviation 5.62
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time DataAcetaminophen5.02 ng/mLStandard Deviation 1.66
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time DataAcetaminophen3.03 ng/mLStandard Deviation 0.919
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time DataHydrocodone17.5 ng/mLStandard Deviation 3.63
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Maximum Drug Concentration (Cmax) in Plasma Determined Directly From Individual Concentration-time DataPromethazine (Number of Participants=19,19,20,19)4.08 ng/mLStandard Deviation 1.95
Primary

Observed Elimination Rate Constant (λz)

Estimated by linear regression through at least three data points in the terminal phase of the log concentration-time profile

Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)Observed Elimination Rate Constant (λz)Hydrocodone0.1468 h-1Standard Deviation 0.0293
Treatment A: CL-108 (Fasted)Observed Elimination Rate Constant (λz)Promethazine (Number of Participants=19,18,20,18)0.0429 h-1Standard Deviation 0.0129
Treatment A: CL-108 (Fasted)Observed Elimination Rate Constant (λz)Acetaminophen0.1577 h-1Standard Deviation 0.031
Treatment B: CL-108 (Fed)Observed Elimination Rate Constant (λz)Hydrocodone0.1373 h-1Standard Deviation 0.0258
Treatment B: CL-108 (Fed)Observed Elimination Rate Constant (λz)Promethazine (Number of Participants=19,18,20,18)0.0451 h-1Standard Deviation 0.0451
Treatment B: CL-108 (Fed)Observed Elimination Rate Constant (λz)Acetaminophen0.1359 h-1Standard Deviation 0.0223
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Observed Elimination Rate Constant (λz)Acetaminophen0.1600 h-1Standard Deviation 0.0355
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Observed Elimination Rate Constant (λz)Hydrocodone0.1415 h-1Standard Deviation 0.0292
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Observed Elimination Rate Constant (λz)Promethazine (Number of Participants=19,18,20,18)0.0422 h-1Standard Deviation 0.012
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Observed Elimination Rate Constant (λz)Hydrocodone0.1371 h-1Standard Deviation 0.0271
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Observed Elimination Rate Constant (λz)Promethazine (Number of Participants=19,18,20,18)0.0458 h-1Standard Deviation 0.0145
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Observed Elimination Rate Constant (λz)Acetaminophen0.1412 h-1Standard Deviation 0.0218
Primary

Observed Terminal Elimination Half-life (T1/2)

Calculated as: T1/2 = ln(2)/λz

Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)Observed Terminal Elimination Half-life (T1/2)Hydrocodone4.93 hoursStandard Deviation 1.11
Treatment A: CL-108 (Fasted)Observed Terminal Elimination Half-life (T1/2)Promethazine (Number of Participants=19,18,20,18)17.49 hoursStandard Deviation 5.21
Treatment A: CL-108 (Fasted)Observed Terminal Elimination Half-life (T1/2)Acetaminophen4.59 hoursStandard Deviation 1.06
Treatment B: CL-108 (Fed)Observed Terminal Elimination Half-life (T1/2)Hydrocodone5.22 hoursStandard Deviation 0.99
Treatment B: CL-108 (Fed)Observed Terminal Elimination Half-life (T1/2)Promethazine (Number of Participants=19,18,20,18)15.95 hoursStandard Deviation 3.04
Treatment B: CL-108 (Fed)Observed Terminal Elimination Half-life (T1/2)Acetaminophen5.22 hoursStandard Deviation 0.79
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Observed Terminal Elimination Half-life (T1/2)Acetaminophen4.52 hoursStandard Deviation 0.93
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Observed Terminal Elimination Half-life (T1/2)Hydrocodone5.13 hoursStandard Deviation 1.18
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Observed Terminal Elimination Half-life (T1/2)Promethazine (Number of Participants=19,18,20,18)17.77 hoursStandard Deviation 5.57
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Observed Terminal Elimination Half-life (T1/2)Hydrocodone5.26 hoursStandard Deviation 1.08
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Observed Terminal Elimination Half-life (T1/2)Promethazine (Number of Participants=19,18,20,18)16.24 hoursStandard Deviation 4.09
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Observed Terminal Elimination Half-life (T1/2)Acetaminophen5.03 hoursStandard Deviation 0.86
Primary

Percentage of AUCinf [AUCExtrap (%)] Based on Extrapolation

Calculated as: AUCExtrap (%) = (AUC0-inf - AUC0-last)/AUC0-inf \*100

Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)Percentage of AUCinf [AUCExtrap (%)] Based on ExtrapolationHydrocodone2.72 Percentage of AUCExtrapStandard Deviation 1.72
Treatment A: CL-108 (Fasted)Percentage of AUCinf [AUCExtrap (%)] Based on ExtrapolationPromethazine (Number of Participants=19,18,20,18)14.35 Percentage of AUCExtrapStandard Deviation 7.03
Treatment B: CL-108 (Fed)Percentage of AUCinf [AUCExtrap (%)] Based on ExtrapolationPromethazine (Number of Participants=19,18,20,18)13.54 Percentage of AUCExtrapStandard Deviation 4.64
Treatment B: CL-108 (Fed)Percentage of AUCinf [AUCExtrap (%)] Based on ExtrapolationHydrocodone2.68 Percentage of AUCExtrapStandard Deviation 1.97
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Percentage of AUCinf [AUCExtrap (%)] Based on ExtrapolationHydrocodone2.65 Percentage of AUCExtrapStandard Deviation 1.78
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Percentage of AUCinf [AUCExtrap (%)] Based on ExtrapolationPromethazine (Number of Participants=19,18,20,18)15.15 Percentage of AUCExtrapStandard Deviation 7.86
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Percentage of AUCinf [AUCExtrap (%)] Based on ExtrapolationHydrocodone2.71 Percentage of AUCExtrapStandard Deviation 2.06
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Percentage of AUCinf [AUCExtrap (%)] Based on ExtrapolationPromethazine (Number of Participants=19,18,20,18)14.56 Percentage of AUCExtrapStandard Deviation 6.28
Primary

Time of the Last Quantifiable Concentration (Tlast)

Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)Time of the Last Quantifiable Concentration (Tlast)Hydrocodone27.80 HoursStandard Deviation 8.99
Treatment A: CL-108 (Fasted)Time of the Last Quantifiable Concentration (Tlast)Promethazine (Number of Participants=19,19,20,19)46.76 HoursStandard Deviation 5.51
Treatment A: CL-108 (Fasted)Time of the Last Quantifiable Concentration (Tlast)Acetaminophen23.38 HoursStandard Deviation 2.76
Treatment B: CL-108 (Fed)Time of the Last Quantifiable Concentration (Tlast)Promethazine (Number of Participants=19,19,20,19)46.77 HoursStandard Deviation 5.52
Treatment B: CL-108 (Fed)Time of the Last Quantifiable Concentration (Tlast)Hydrocodone31.21 HoursStandard Deviation 11.28
Treatment B: CL-108 (Fed)Time of the Last Quantifiable Concentration (Tlast)Acetaminophen24.01 HoursStandard Deviation 0.04
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Time of the Last Quantifiable Concentration (Tlast)Promethazine (Number of Participants=19,19,20,19)46.81 HoursStandard Deviation 5.37
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Time of the Last Quantifiable Concentration (Tlast)Acetaminophen23.41 HoursStandard Deviation 2.69
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Time of the Last Quantifiable Concentration (Tlast)Hydrocodone28.81 HoursStandard Deviation 9.84
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Time of the Last Quantifiable Concentration (Tlast)Hydrocodone31.58 HoursStandard Deviation 11.46
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Time of the Last Quantifiable Concentration (Tlast)Promethazine (Number of Participants=19,19,20,19)46.74 HoursStandard Deviation 5.51
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Time of the Last Quantifiable Concentration (Tlast)Acetaminophen24.01 HoursStandard Deviation 0.02
Primary

Time to Reach Maximum Concentration (Tmax)

Time frame: 0 (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, and 48 hours post-dose

Population: ITT population

ArmMeasureGroupValue (MEAN)Dispersion
Treatment A: CL-108 (Fasted)Time to Reach Maximum Concentration (Tmax)Hydrocodone1.55 hoursStandard Deviation 0.71
Treatment A: CL-108 (Fasted)Time to Reach Maximum Concentration (Tmax)Promethazine (Number of Participants=19,19,20,19)4.35 hoursStandard Deviation 1.37
Treatment A: CL-108 (Fasted)Time to Reach Maximum Concentration (Tmax)Acetaminophen0.91 hoursStandard Deviation 0.44
Treatment B: CL-108 (Fed)Time to Reach Maximum Concentration (Tmax)Hydrocodone3.38 hoursStandard Deviation 1.58
Treatment B: CL-108 (Fed)Time to Reach Maximum Concentration (Tmax)Promethazine (Number of Participants=19,19,20,19)5.24 hoursStandard Deviation 2.37
Treatment B: CL-108 (Fed)Time to Reach Maximum Concentration (Tmax)Acetaminophen2.84 hoursStandard Deviation 1.49
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Time to Reach Maximum Concentration (Tmax)Acetaminophen0.80 hoursStandard Deviation 0.55
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Time to Reach Maximum Concentration (Tmax)Hydrocodone1.39 hoursStandard Deviation 1.22
Treatment C: Vicoprofen, Ultracet and Phenergan (Fasted)Time to Reach Maximum Concentration (Tmax)Promethazine (Number of Participants=19,19,20,19)4.90 hoursStandard Deviation 1.72
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Time to Reach Maximum Concentration (Tmax)Hydrocodone3.09 hoursStandard Deviation 1.89
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Time to Reach Maximum Concentration (Tmax)Promethazine (Number of Participants=19,19,20,19)6.45 hoursStandard Deviation 4.59
Treatment D: Vicoprofen, Ultracet and Phenergan (Fed)Time to Reach Maximum Concentration (Tmax)Acetaminophen2.64 hoursStandard Deviation 1.44

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