The primary objective of the current study is to investigate the safety with special emphasis on ECG effects, and tolerability of dextromethorphan hydrobromide monohydrate (2mg/mL syrup) in healthy male and female subjects following oral administration of 30 mg q.i.d. and 90 mg q.i.d. for 2 days followed by a single morning dose (extensive metabolisers of CYP 2D6) and for 10 days followed by a single morning dose (poor metabolisers of CYP 2D6). Additionally pharmacokinetic properties of dextromethorphan and its main metabolites dextrorphan, 3-hydroxymorphinan, and 3-methoxymorphinan will be investigated
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
48
Number of patients with abnormal findings in physical examination
Time frame: up to day 20
Number of patients with clinically significant changes in vital signs (blood pressure and pulse rate)
Time frame: up to day 20
Number of patients with clinically significant changes in 12-lead ECG (electrocardiogram) including QT interval and heart rate corrected QTcN, QTcF (Fridericia) and QTcB (Bazett)
Time frame: up to day 20
Number of patients with abnormal changes in laboratory parameters
Time frame: up to day 20
Assessment of tolerability by investigator on a 4-point scale
Time frame: day 20 (end of trial examination)
Number of patients with adverse events
Time frame: up to 48 days
Cmax (maximum measured concentration of the analyte in plasma) after the first dose
Time frame: within 5 hours after first drug administration
tmax (time from dosing to the maximum concentration of the analyte in plasma) after the first dose
Time frame: within 5 hours after first drug administration
AUCt1-t2 (area under the concentration-time curve of the analyte in plasma from the time interval t1 to t2) after the first dose
Time frame: within 5 hours after first drug administration
AUC0-5 (area under the concentration-time curve of the analyte in plasma over the time interval from 0 to 5 hours after administration) after the first dose
Time frame: within 5 hours after first drug administration
Cmax,N (maximum measured concentration of the analyte in plasma following the Nth dose) after the last dose
Time frame: up to day 13
tmax,N (time from last dosing to the maximum concentration of the analyte in plasma following the Nth dose) after the last dose
Time frame: up to day 13
AUCt1-t2,N (area under the concentration-time curve of the analyte in plasma from the time interval t1 to t2 following the Nth dose) after the last dose
Time frame: up to day 13
AUC0-5,N (area under the concentration-time curve of the analyte in plasma over the time interval 0 to 5 hours following the Nth dose) after last dose
Time frame: up to day 13
λz,N (terminal rate constant in plasma following the Nth dose) after the last dose
Time frame: up to day 13
t1/2,N (terminal half-life of the analyte in plasma following the Nth dose) after the last dose
Time frame: up to day 13
MRTpo,N (mean residence time of the analyte in the body after oral administration of the Nth dose) after the last dose
Time frame: up to day 13
Cmax (maximum observed concentration of the analyte in plasma) after the second dose
Time frame: Day 1
tmax (Time to Cmax of the analyte in plasma) after the second dose
Time frame: Day 1
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