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A Three-Period Study to Investigate the Relative Bioavailability and Pharmacodynamic Profiles of a Zegerid 20mg Capsule, Zegerid 20mg Powder for Oral Suspension and Losec 20mg Capsule in Healthy Adult Volunteers Under Fasting Conditions

Primary Purpose

Acid Reflux, Gastro Oesophageal Reflux Disease

Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
Zegerid
Losec
Sponsored by
Norgine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acid Reflux

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy adult male or female volunteers aged 18 - 45 years.
  • Non-smokers from three months before receiving the first dose and for the duration of the study, confirmed by negative urinary cotinine test at screening and check-in.
  • Body mass index (BMI) ≥ 18.0 and ≤ 27.9 kg/m2.
  • Able to voluntarily provide written informed consent to participate in the study.
  • Must understand the purposes and risks of the study and agree to follow the restrictions and schedule of procedures as defined in the protocol.
  • Able and willing to have a nasogastric tube/probe inserted.
  • Females must be post-menopausal (for at least one year and confirmed by serum FSH at screening), surgically sterile, practicing true sexual abstinence or using an acceptable form of effective contraception throughout the study from the following list: contraceptive implants, injectables, oral contraceptives, intrauterine system (IUS), some intrauterine devices (IUDs), vasectomised partner or barrier method (condom or occlusive cap) with spermicidal foam/gel/film/cream/suppository.
  • Hormonal and IUD methods of contraception must be established for a period of three months prior to dosing and cannot be changed or altered during the study.
  • Females of childbearing potential must have a negative pregnancy test at screening and check-in.
  • Must be willing to consent to have data entered into The Over Volunteering Prevention System (TOPS).
  • The volunteer's primary care physician must confirm that there is nothing in their medical history that would preclude their enrolment into this clinical study.

Exclusion Criteria:

  • Positive for HIV, hepatitis B or hepatitis C.
  • History or presence of significant cardiovascular, pulmonary, hepatic, renal, haematological, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, or psychiatric disease as determined by the Investigator.
  • History of gastric or duodenal ulcer.
  • History of hiatus hernia.
  • Significant history of reflux symptoms on clinical judgement.
  • Diagnosis of conditions likely to result in a hypersecretory gastric acid state e.g. Zollinger-Ellison Syndrome.
  • Positive serology test result for H. pylori at screening.
  • Clinically significant deviated nasal septum or other nasopharyngeal obstruction, or inability to tolerate or site a nasogastric tube at screening.
  • Hypersensitivity or any other contraindication to Zegerid® or Losec®.
  • History or presence of any clinically significant drug allergy.
  • Female subjects who are pregnant or lactating.
  • Laboratory values at screening which are deemed to be clinically significant as determined by the Investigator.
  • Any clinically relevant history of drug or alcohol abuse.
  • Volunteers who, in the opinion of the Investigator, are unsuitable for participation in the study.
  • Participation in a clinical drug study during the 90 days preceding the initial dose of study medication.
  • Any significant illness during the screening period preceding the initial dose of study medication.
  • Donation of blood or blood products within 90 days prior to study drug administration, or at any time during the study, except as required by this protocol.
  • Consumption of alcoholic beverages or xanthine-containing products within 24 hours before confinement or during study confinement.
  • Consumption of cruciferous vegetables or chargrilled foods within 48 hours before confinement or during study confinement.
  • Consumption of grapefruit or grapefruit juice from seven days before confinement and until the end of the study.
  • Use of any prescription or over-the-counter medication (including vitamins, herbal and mineral supplements) within 30 days before study drug administration, or any general anaesthetic during the three months before study drug administration, and until the end of the study, with the exception of Investigator-approved hormonal contraceptives, HRT and occasional paracetamol.

Sites / Locations

  • Bio-Kinetic Europe Limited, 14 Great Victoria Street, Belfast BT2 7BA

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Active Comparator

Arm Label

Zegerid 20mg capsule

Zegerid 20mg powder for oral suspension

Losec 20mg capsule

Arm Description

Zegerid 20mg capsule (20mg omeprazole and 1100mg sodium carbonate

Zegerid 20mg powder for oral suspension (20mg omeprazole and 1680mg sodium bicarbonate)

Losec 20mg capsule (20mg omeprazole)

Outcomes

Primary Outcome Measures

Bioavailability - Area under Curve of pH at 2 hours
To assess the relative bioavailability of two immediate release formulations of omeprazole/sodium carbonate (Zegerid 20mg capsule and Zegerid 20mg powder for oral suspension)
Pharmacodynamics - Area under Curve of pH at 2 hours
To assess the relative pharmacodynamic profiles of two immediate release formulations of omeprazole/sodium bicarbonate (Zegerid® 20mg capsule and Zegerid® 20mg powder for oral suspension).

Secondary Outcome Measures

Safety and tolerability of study formulations using measurements of Cmax, tmax and t1/2
To assess the safety and tolerability of these three formulations after single dose oral administration. To include measurements of Cmax, tmax and t1/2
Bioavailability - measurement of pH over time
To assess the relative bioavailability of an immediate release formulation of omeprazole/sodium bicarbonate (Zegerid 20mg capsule) and a delayed-release omeprazole capsule (Losec 20mg) after single dose oral administration in a fasted state. AUC of pH and % of time for pH to raise above 4 (0.5, 1, 1.5, 3, 4, 8, 12, 16 and 24 hours)
Bioavailability - measurement of pH over time
To assess the relative bioavailability of an immediate release formulation of omeprazole/sodium bicarbonate (Zegerid 20mg powder for oral suspension) and a delayed-release omeprazole capsule (Losec 20mg) after single dose oral administration in a fasted state. AUC of pH and % of time for pH to raise above 4 (0.5, 1, 1.5, 3, 4, 8, 12, 16 and 24 hours)
Pharmacodynamic Measurements of Cmax, Tmax and t1/2
To assess the relative pharmacodynamic profiles of an immediate release formulation of omeprazole/sodium bicarbonate (Zegerid 20mg capsule) and a delayed-release omeprazole capsule (Losec 20mg) after single dose oral administration in a fasted state.
Pharmacodynamic measurements of Cmax, Tmax and t1/2
To assess the relative pharmacodynamic profiles of an immediate release formulation of omeprazole/sodium bicarbonate (Zegerid 20mg powder for oral suspension) and a delayed-release omeprazole capsule (Losec 20mg) after single dose oral administration in a fasted state

Full Information

First Posted
August 3, 2012
Last Updated
October 17, 2012
Sponsor
Norgine
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1. Study Identification

Unique Protocol Identification Number
NCT01710995
Brief Title
A Three-Period Study to Investigate the Relative Bioavailability and Pharmacodynamic Profiles of a Zegerid 20mg Capsule, Zegerid 20mg Powder for Oral Suspension and Losec 20mg Capsule in Healthy Adult Volunteers Under Fasting Conditions
Official Title
A Randomised, Three-Period, Single Dose, Open-Label, Crossover Study to Investigate the Relative Bioavailability and Pharmacodynamic Profiles of a Zegerid 20mg Capsule, Zegerid 20mg Powder for Oral Suspension and Losec 20mg Capsule in Healthy Adult Volunteers Under Fasting Conditions
Study Type
Interventional

2. Study Status

Record Verification Date
October 2012
Overall Recruitment Status
Completed
Study Start Date
October 2010 (undefined)
Primary Completion Date
November 2010 (Actual)
Study Completion Date
February 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Norgine

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to assess the effectiveness of Zegerid 20mg capsules and powder and Losec 20mg capsules in healthy volunteers under fasting conditions.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acid Reflux, Gastro Oesophageal Reflux Disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Zegerid 20mg capsule
Arm Type
Active Comparator
Arm Description
Zegerid 20mg capsule (20mg omeprazole and 1100mg sodium carbonate
Arm Title
Zegerid 20mg powder for oral suspension
Arm Type
Active Comparator
Arm Description
Zegerid 20mg powder for oral suspension (20mg omeprazole and 1680mg sodium bicarbonate)
Arm Title
Losec 20mg capsule
Arm Type
Active Comparator
Arm Description
Losec 20mg capsule (20mg omeprazole)
Intervention Type
Drug
Intervention Name(s)
Zegerid
Intervention Type
Drug
Intervention Name(s)
Losec
Primary Outcome Measure Information:
Title
Bioavailability - Area under Curve of pH at 2 hours
Description
To assess the relative bioavailability of two immediate release formulations of omeprazole/sodium carbonate (Zegerid 20mg capsule and Zegerid 20mg powder for oral suspension)
Time Frame
2 hours
Title
Pharmacodynamics - Area under Curve of pH at 2 hours
Description
To assess the relative pharmacodynamic profiles of two immediate release formulations of omeprazole/sodium bicarbonate (Zegerid® 20mg capsule and Zegerid® 20mg powder for oral suspension).
Time Frame
2 hours
Secondary Outcome Measure Information:
Title
Safety and tolerability of study formulations using measurements of Cmax, tmax and t1/2
Description
To assess the safety and tolerability of these three formulations after single dose oral administration. To include measurements of Cmax, tmax and t1/2
Time Frame
pre-dose on day 1, and at 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 16 and 24 hours post-dose
Title
Bioavailability - measurement of pH over time
Description
To assess the relative bioavailability of an immediate release formulation of omeprazole/sodium bicarbonate (Zegerid 20mg capsule) and a delayed-release omeprazole capsule (Losec 20mg) after single dose oral administration in a fasted state. AUC of pH and % of time for pH to raise above 4 (0.5, 1, 1.5, 3, 4, 8, 12, 16 and 24 hours)
Time Frame
0.5, 1, 1.5, 3, 4, 8, 12, 16 and 24 hours
Title
Bioavailability - measurement of pH over time
Description
To assess the relative bioavailability of an immediate release formulation of omeprazole/sodium bicarbonate (Zegerid 20mg powder for oral suspension) and a delayed-release omeprazole capsule (Losec 20mg) after single dose oral administration in a fasted state. AUC of pH and % of time for pH to raise above 4 (0.5, 1, 1.5, 3, 4, 8, 12, 16 and 24 hours)
Time Frame
0.5, 1, 1.5, 3, 4, 8, 12, 16 and 24 hours
Title
Pharmacodynamic Measurements of Cmax, Tmax and t1/2
Description
To assess the relative pharmacodynamic profiles of an immediate release formulation of omeprazole/sodium bicarbonate (Zegerid 20mg capsule) and a delayed-release omeprazole capsule (Losec 20mg) after single dose oral administration in a fasted state.
Time Frame
Pre-dose on day 1, and at 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 16 and 24 hours post-dose
Title
Pharmacodynamic measurements of Cmax, Tmax and t1/2
Description
To assess the relative pharmacodynamic profiles of an immediate release formulation of omeprazole/sodium bicarbonate (Zegerid 20mg powder for oral suspension) and a delayed-release omeprazole capsule (Losec 20mg) after single dose oral administration in a fasted state
Time Frame
Pre-dose on day 1, and at 0.25, 0.5, 0.75, 1, 1.25, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 12, 16 and 24 hours post-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adult male or female volunteers aged 18 - 45 years. Non-smokers from three months before receiving the first dose and for the duration of the study, confirmed by negative urinary cotinine test at screening and check-in. Body mass index (BMI) ≥ 18.0 and ≤ 27.9 kg/m2. Able to voluntarily provide written informed consent to participate in the study. Must understand the purposes and risks of the study and agree to follow the restrictions and schedule of procedures as defined in the protocol. Able and willing to have a nasogastric tube/probe inserted. Females must be post-menopausal (for at least one year and confirmed by serum FSH at screening), surgically sterile, practicing true sexual abstinence or using an acceptable form of effective contraception throughout the study from the following list: contraceptive implants, injectables, oral contraceptives, intrauterine system (IUS), some intrauterine devices (IUDs), vasectomised partner or barrier method (condom or occlusive cap) with spermicidal foam/gel/film/cream/suppository. Hormonal and IUD methods of contraception must be established for a period of three months prior to dosing and cannot be changed or altered during the study. Females of childbearing potential must have a negative pregnancy test at screening and check-in. Must be willing to consent to have data entered into The Over Volunteering Prevention System (TOPS). The volunteer's primary care physician must confirm that there is nothing in their medical history that would preclude their enrolment into this clinical study. Exclusion Criteria: Positive for HIV, hepatitis B or hepatitis C. History or presence of significant cardiovascular, pulmonary, hepatic, renal, haematological, gastrointestinal, endocrine, immunologic, dermatologic, neurologic, or psychiatric disease as determined by the Investigator. History of gastric or duodenal ulcer. History of hiatus hernia. Significant history of reflux symptoms on clinical judgement. Diagnosis of conditions likely to result in a hypersecretory gastric acid state e.g. Zollinger-Ellison Syndrome. Positive serology test result for H. pylori at screening. Clinically significant deviated nasal septum or other nasopharyngeal obstruction, or inability to tolerate or site a nasogastric tube at screening. Hypersensitivity or any other contraindication to Zegerid® or Losec®. History or presence of any clinically significant drug allergy. Female subjects who are pregnant or lactating. Laboratory values at screening which are deemed to be clinically significant as determined by the Investigator. Any clinically relevant history of drug or alcohol abuse. Volunteers who, in the opinion of the Investigator, are unsuitable for participation in the study. Participation in a clinical drug study during the 90 days preceding the initial dose of study medication. Any significant illness during the screening period preceding the initial dose of study medication. Donation of blood or blood products within 90 days prior to study drug administration, or at any time during the study, except as required by this protocol. Consumption of alcoholic beverages or xanthine-containing products within 24 hours before confinement or during study confinement. Consumption of cruciferous vegetables or chargrilled foods within 48 hours before confinement or during study confinement. Consumption of grapefruit or grapefruit juice from seven days before confinement and until the end of the study. Use of any prescription or over-the-counter medication (including vitamins, herbal and mineral supplements) within 30 days before study drug administration, or any general anaesthetic during the three months before study drug administration, and until the end of the study, with the exception of Investigator-approved hormonal contraceptives, HRT and occasional paracetamol.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jerome Hanna, MB BCH MRCS
Organizational Affiliation
Bio-Kinetic Europe, Ltd.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Bio-Kinetic Europe Limited, 14 Great Victoria Street, Belfast BT2 7BA
City
Belfast
ZIP/Postal Code
BT2 7BA
Country
United Kingdom

12. IPD Sharing Statement

Learn more about this trial

A Three-Period Study to Investigate the Relative Bioavailability and Pharmacodynamic Profiles of a Zegerid 20mg Capsule, Zegerid 20mg Powder for Oral Suspension and Losec 20mg Capsule in Healthy Adult Volunteers Under Fasting Conditions

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