The purpose of this study is to assess the effect of varying degrees of renal impairment (mild, moderate, severe and end stage renal disease) compared with subjects with normal renal function on the pharmacokinetics of the hydrocodone bitartrate extended-release tablet.
This is a multicenter, open-label, parallel-group pharmacokinetic and safety study to assess the effect of varying degrees of renal impairment (mild, moderate, severe and end stage renal disease \[ESRD\])on the pharmacokinetics of the hydrocodone bitartrate extended-release tablet at a single dose of 45 mg as compared with subjects with normal renal function. The study consists of a screening visit within 28 days before study drug administration (visit 1), followed by a single-dose administration period including a 144-hour pharmacokinetic sampling period (visit 2) with a final assessment after the final pharmacokinetic sample is collected or upon early withdrawal, and a follow-up visit 48 to 72 hours after the last discharge from the study center (visit 3). Subjects will be categorized into either the control group with normal renal function or one of the four groups of subjects with varying degrees of renal impairment. Up to 12 subjects in each of the 4 renal impairment groups and up to 16 subjects with normal renal function will be enrolled to achieve the targeted minimum of 8 subjects in each renal impairment group and 10 subjects with normal renal function completing the study. Eligible subjects will check in to the study center on day -1. Subjects who continue to meet the criteria for enrollment will receive a single dose of the hydrocodone bitartrate extended-release tablet on day 1. Subjects will receive one 50-mg tablet of naltrexone hydrochloride to block opioid receptors and minimize opioid related adverse events approximately 15 and 3 hours before and approximately 9 and 21 hours after study drug administration. Blood and urine samples will be collected just before study drug administration and over a 144-hour period after study drug administration. Safety will be assessed throughout the study by monitoring the occurrence of adverse events, clinical laboratory test results, vital signs measurements,12-lead ECG findings, physical examination findings, SpO2 findings, and use of concomitant medications. Subjects who complete all scheduled visits will have final procedures and assessments performed prior to discharge from the study center after pharmacokinetic sampling is complete. All subjects will be asked to return for a follow-up visit.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
55
Hydrocodone bitartrate extended-release oral tablet will be administered at a dose of 45 mg and dosed one time on Day 1. Subjects will also be dosed with naltrexone hydrochloride to block opioid effects.
Clinical Pharmacology of Miami
Miami, Florida, United States
Orlando Clinical Research
Orlando, Florida, United States
DaVita
Minneapolis, Minnesota, United States
New Orleans Center
Knoxville, Tennessee, United States
Maximum observed plasma drug concentration (Cmax)
Time frame: Between baseline and 144 hours following drug administration
Area under the plasma drug concentration-by-time curve (AUC) from time 0 to infinity (AUC0-∞)
Time frame: Between baseline and 144 hours following drug administration
Assess the safety of a single 45-mg dose of the hydrocodone bitartrate extended release tablet
by evaluating the following: * occurrence of adverse events throughout the study * clinical laboratory (serum chemistry, hematology, and urinalysis) test results at final assessment or early withdrawal * vital signs measurements (blood pressure, pulse, and respiratory rate) throughout the study * 12-lead electrocardiogram (ECG) findings at final assessment or early withdrawal * physical examination findings at final assessment or early withdrawal * oxyhemoglobin saturation (SpO2) monitoring throughout the study * concomitant medication usage throughout the study
Time frame: Safety will be assessed from the start of study drug administration through the follow-up visit 48 to 72 hours after discharge from the study center.
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