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Study Evaluating Chlorpheniramine Maleate Liquid in Children and Adolescents

Primary Purpose

Allergic Reactions

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Chlorpheniramine
Sponsored by
Wyeth is now a wholly owned subsidiary of Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Allergic Reactions focused on measuring pharmacokinetics, children, adolescents, antihistamine

Eligibility Criteria

2 Years - 17 Years (Child)All SexesAccepts Healthy Volunteers

INCLUSION CRITERIA:

Individuals may be enrolled in the study if they meet all of the following criteria:

  1. Males or females between 2 to <18 yrs of age with a minimum weight of 24 pounds and within the 5th and 95th percentiles in physical growth characteristics (i.e., height and weight) and BMI based on age and gender,
  2. Symptomatic or asymptomatic children/adolescents as follows:

i.A prior diagnosis of allergic rhinitis and either symptomatic or asymptomatic at the time of entry in the study; or ii.Symptoms of an acute Upper Respiratory Infection (URI); or iii.No symptoms of an acute URI, but at risk for developing an acute URI as evidenced by the following frequency, crowding, and exposure criteria:

  • Frequency: a history of frequent URIs defined as >6 infections/yr for children aged 2 to <6 yrs and as >4 infections per year for adolescents aged 6 to <18 yrs;
  • Crowding: living in a home with ≥4 persons, or sleeping in the same bedroom with ≥3 persons;
  • Exposure: the presence of another family member in the household who is ill with a URI, or a child in the family that is attending preschool, or attending school with ≥6 children in the class; c.Except for allergic rhinitis or a URI, children/adolescents are in normal physical health (i.e., no clinically significant systemic disease) as judged by the Investigator upon physical examination of the subject; d.Subjects do not require concomitant medication except for low-dose inhaled glucocorticoids for allergic rhinitis or mild concomitant asthma, if dose is stabilized before entry in the study (i.e., dose is not changed for one month prior to or during the study), and inhaled short-acting beta-2 adrenergic agonists for concomitant asthma, as needed; e.Post menarchal females must be using a reliable method of contraception (i.e., oral, transdermal, injectable or implanted contraceptives, IUD, cervical cap, diaphragm, condom, abstinence, or surgical sterility); f.Parent/guardian/adolescent provides written informed consent and child provides assent, if age appropriate.

EXCLUSION CRITERIA:

Individuals are not eligible for entry in the study if any of the following are noted:

  1. The child/adolescent weighs <24 pounds or is below the 5th or above the 95th percentiles in physical growth characteristics (i.e., height and weight) and BMI based on age and gender;
  2. Inability to swallow the medication;
  3. Eaten within 2 hours prior to dosing;
  4. A known hypersensitivity to CHLOR, any other antihistamine, or EMLA® cream;
  5. Systolic and/or diastolic blood pressure at or above the 95th percentile based on gender, and age and height percentiles. (Note: If a subject with no history of hypertension has a blood pressure reading at or above the 95th percentile, the subject will be allowed to rest for 15 minutes and the blood pressure measurement repeated. Up to 3 consecutive measurements at approximately 5 min intervals will be allowed. Subjects who continue to have systolic and/or diastolic blood pressure readings at or above the 95th percentile will be excluded from the study);
  6. History of melena or any hepatic, renal, endocrine (e.g., diabetes, thyroid disorder), cardiac, neurological, psychiatric, gastrointestinal, hematological or metabolic disorder deemed to be clinically significant by the Investigator;
  7. Any serious medical condition or medical history felt by the Investigator to place them at increased risk;
  8. The child is diagnosed with anemia or has a red blood cell count or hemoglobin level outside of normal range as evidenced by baseline hematology assessment;
  9. Asthma symptoms at the time of entry in the study or requires medication other than allowed under Inclusion Criterion d;
  10. Failure to comply with appropriate washout periods for any H-1 receptor antagonist treatment before and during the study, i.e., no use within 7 days of entering the study or at any time during the study, and no use of astemizole within the preceding 3 calendar months;
  11. Other than described in Exclusion Criterion i, use of any medication 72 hours prior to dosing;
  12. A history of drug, alcohol, or tobacco abuse (older children and adolescents), a history of Hepatitis B, a previous positive test for Hepatitis B surface antigen, or a previous positive Hepatitis C antibody;
  13. A history of HIV infection or previous demonstration of HIV antibodies;
  14. Female subjects who have experienced menarche and have a positive urine pregnancy test;
  15. Parent/guardian/subject judged by the Investigator to be unable or unwilling to comply with the requirements of the protocol;
  16. Have taken an investigational drug within 30 days prior to entering the study or have already participated in the trial;
  17. Relative of the Sponsor, Investigator, or any personnel of the study site who are directly involved with the study.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Chlorpheniramine

    Arm Description

    Chlorpheniramine dose by body weight.

    Outcomes

    Primary Outcome Measures

    AUC and Cmax

    Secondary Outcome Measures

    Oral clearance (CL) and volume of distribution (Vd); time to reach Cmax (tmax), and apparent elimination constant (Kel) and half-life (t1/2).

    Full Information

    First Posted
    February 4, 2009
    Last Updated
    October 21, 2020
    Sponsor
    Wyeth is now a wholly owned subsidiary of Pfizer
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00837837
    Brief Title
    Study Evaluating Chlorpheniramine Maleate Liquid in Children and Adolescents
    Official Title
    A Single-Dose, Open-Label, Pharmacokinetic Study of Chlorpheniramine Maleate Liquid in Children and Adolescents
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2020
    Overall Recruitment Status
    Completed
    Study Start Date
    December 21, 2008 (Actual)
    Primary Completion Date
    February 2, 2009 (Actual)
    Study Completion Date
    February 2, 2009 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Wyeth is now a wholly owned subsidiary of Pfizer

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to examine the pharmacokinetic parameters of chlorpheniramine in children and adolescents.
    Detailed Description
    This is a single-group, single-center, open-label, one period, bioavailability study. This study will evaluate the pharmacokinetic (PK) profile of chlorpheniramine in a population of children aged 2 to <12 yrs and adolescents aged 12 to <18 yrs. Twelve blood samples (3.0 mL) for chlorpheniramine analysis will be drawn at time 0 (pre-dose), and at 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours after dosing. Plasma levels of chlorpheniramine will be determined. The following primary, single-dose PK parameters for chlorpheniramine will be determined using noncompartmental methods: AUCL, AUCI, and Cmax. The following PK parameters will also be determined to provide a complete profile of the drug, as appropriate: oral clearance (CL) and volume of distribution (Vd) and adjusted for body weight (per kg); time to reach Cmax (tmax), and apparent elimination constant (Kel) and half-life (t1/2). The PK parameters will be summarized using descriptive statistics.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Allergic Reactions
    Keywords
    pharmacokinetics, children, adolescents, antihistamine

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    36 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Chlorpheniramine
    Arm Type
    Experimental
    Arm Description
    Chlorpheniramine dose by body weight.
    Intervention Type
    Drug
    Intervention Name(s)
    Chlorpheniramine
    Primary Outcome Measure Information:
    Title
    AUC and Cmax
    Time Frame
    72 hours
    Secondary Outcome Measure Information:
    Title
    Oral clearance (CL) and volume of distribution (Vd); time to reach Cmax (tmax), and apparent elimination constant (Kel) and half-life (t1/2).
    Time Frame
    72 hours

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    2 Years
    Maximum Age & Unit of Time
    17 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    INCLUSION CRITERIA: Individuals may be enrolled in the study if they meet all of the following criteria: Males or females between 2 to <18 yrs of age with a minimum weight of 24 pounds and within the 5th and 95th percentiles in physical growth characteristics (i.e., height and weight) and BMI based on age and gender, Symptomatic or asymptomatic children/adolescents as follows: i.A prior diagnosis of allergic rhinitis and either symptomatic or asymptomatic at the time of entry in the study; or ii.Symptoms of an acute Upper Respiratory Infection (URI); or iii.No symptoms of an acute URI, but at risk for developing an acute URI as evidenced by the following frequency, crowding, and exposure criteria: Frequency: a history of frequent URIs defined as >6 infections/yr for children aged 2 to <6 yrs and as >4 infections per year for adolescents aged 6 to <18 yrs; Crowding: living in a home with ≥4 persons, or sleeping in the same bedroom with ≥3 persons; Exposure: the presence of another family member in the household who is ill with a URI, or a child in the family that is attending preschool, or attending school with ≥6 children in the class; c.Except for allergic rhinitis or a URI, children/adolescents are in normal physical health (i.e., no clinically significant systemic disease) as judged by the Investigator upon physical examination of the subject; d.Subjects do not require concomitant medication except for low-dose inhaled glucocorticoids for allergic rhinitis or mild concomitant asthma, if dose is stabilized before entry in the study (i.e., dose is not changed for one month prior to or during the study), and inhaled short-acting beta-2 adrenergic agonists for concomitant asthma, as needed; e.Post menarchal females must be using a reliable method of contraception (i.e., oral, transdermal, injectable or implanted contraceptives, IUD, cervical cap, diaphragm, condom, abstinence, or surgical sterility); f.Parent/guardian/adolescent provides written informed consent and child provides assent, if age appropriate. EXCLUSION CRITERIA: Individuals are not eligible for entry in the study if any of the following are noted: The child/adolescent weighs <24 pounds or is below the 5th or above the 95th percentiles in physical growth characteristics (i.e., height and weight) and BMI based on age and gender; Inability to swallow the medication; Eaten within 2 hours prior to dosing; A known hypersensitivity to CHLOR, any other antihistamine, or EMLA® cream; Systolic and/or diastolic blood pressure at or above the 95th percentile based on gender, and age and height percentiles. (Note: If a subject with no history of hypertension has a blood pressure reading at or above the 95th percentile, the subject will be allowed to rest for 15 minutes and the blood pressure measurement repeated. Up to 3 consecutive measurements at approximately 5 min intervals will be allowed. Subjects who continue to have systolic and/or diastolic blood pressure readings at or above the 95th percentile will be excluded from the study); History of melena or any hepatic, renal, endocrine (e.g., diabetes, thyroid disorder), cardiac, neurological, psychiatric, gastrointestinal, hematological or metabolic disorder deemed to be clinically significant by the Investigator; Any serious medical condition or medical history felt by the Investigator to place them at increased risk; The child is diagnosed with anemia or has a red blood cell count or hemoglobin level outside of normal range as evidenced by baseline hematology assessment; Asthma symptoms at the time of entry in the study or requires medication other than allowed under Inclusion Criterion d; Failure to comply with appropriate washout periods for any H-1 receptor antagonist treatment before and during the study, i.e., no use within 7 days of entering the study or at any time during the study, and no use of astemizole within the preceding 3 calendar months; Other than described in Exclusion Criterion i, use of any medication 72 hours prior to dosing; A history of drug, alcohol, or tobacco abuse (older children and adolescents), a history of Hepatitis B, a previous positive test for Hepatitis B surface antigen, or a previous positive Hepatitis C antibody; A history of HIV infection or previous demonstration of HIV antibodies; Female subjects who have experienced menarche and have a positive urine pregnancy test; Parent/guardian/subject judged by the Investigator to be unable or unwilling to comply with the requirements of the protocol; Have taken an investigational drug within 30 days prior to entering the study or have already participated in the trial; Relative of the Sponsor, Investigator, or any personnel of the study site who are directly involved with the study.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Monitor
    Organizational Affiliation
    Wyeth is now a wholly owned subsidiary of Pfizer
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    29136286
    Citation
    Pathirana S, Jayawardena S, Meeves S, Thompson GA. Brompheniramine and Chlorpheniramine Pharmacokinetics Following Single-Dose Oral Administration in Children Aged 2 to 17 Years. J Clin Pharmacol. 2018 Apr;58(4):494-503. doi: 10.1002/jcph.1037. Epub 2017 Nov 14.
    Results Reference
    derived

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    Study Evaluating Chlorpheniramine Maleate Liquid in Children and Adolescents

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