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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
20
Hydrocodone bitartrate/acetaminophen/promethazine 7.5 mg/325 mg/12.5 mg single dose by mouth
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
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
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
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
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
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
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
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
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Phenergan (Promethazine HCl, USP) 12.5 mg single dose tablet by mouth
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
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
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
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
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
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
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
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
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