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An Open-label, Randomized, 3-period Crossover Study to Evaluate Sumatriptan Pharmacokinetics for a TREXIMA™ (Sumatriptan Succinate / Naproxen Sodium) Tablet Followed by IMITREX® (Sumatriptan Succinate)

Primary Purpose

Migraine Disorders

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
TREXIMA™
IMITREX® (4mg)
IMITREX® (6mg)
IMITREX Tablet 100mg
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Migraine Disorders focused on measuring Sumatriptan exposure

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy adult males and females between 18 and 55 years of age, inclusive. Healthy subjects are defined as individuals who are free from clinically significant illness or disease as determined by their medical history, physical examination, laboratory studies and other tests.
  • Female subjects of non-childbearing potential
  • Any subject taking oral contraceptives has been on a stable regimen for at least 2 months prior to screening.
  • BMI: 20-30 kg/m2, inclusive.
  • Subject is willing and able to provide written informed consent.

Exclusion Criteria:

  • Subjects who suffer from migraine attacks.
  • Subject has confirmed or suspected ischemic heart disease; angina pectoris, history of myocardial infarction, documented silent ischemia, Prinzmetal's angina-coronary vasospasm, signs, or symptoms consistent with any of the above.
  • Subject has evidence or history of ischemic abdominal syndromes, peripheral vascular disease or Raynaud's syndrome.
  • Subject has cardiac arrhythmias requiring medication or a history of a clinically significant electrocardiogram abnormality that, in the investigator's opinion, contraindicates participation in this study.
  • Subject has a history of cerebrovascular pathology including stroke and/or transient ischemic attacks.
  • Subject has a history of congenital heart disease.
  • Subject has hypertension at screening.
  • Subject, in the investigator's opinion, is likely to have unrecognized cardiovascular or cerebrovascular disease.
  • Subject has a history of epilepsy or structural brain lesions which lower the convulsive threshold or treated with an antiepileptic drug for seizure control within 5 years prior to screening.
  • History of impaired hepatic or renal function.
  • Subject is currently taking or has taken in the previous 4 weeks, herbal preparations containing St. John's Wort.
  • Use of other prescription or non-prescription drugs, vitamins, herbal and dietary supplements, within 7 days prior to the first dose of study medication.

Note: Excluded from this list are: acetaminophen at doses of less than or equal to 2 grams per day and contraceptives.

  • Subject has a hypersensitivity, intolerance, or contraindication to the use of sumatriptan or naproxen sodium or any of their components or any other 5-HT1 receptor agonist.
  • Subject has a history of any gastrointestinal surgery that specifically indicates a past history of bleeding, ulceration or perforation.
  • Subject has a history of gastric bypass or stapling surgery.
  • Subject has a history of GI ulceration in the past six months or gastrointestinal bleeding in the past year.
  • Subject has a history of inflammatory bowel disease.
  • Treatment with an investigational drug within 30 preceding the first dose of study medication.
  • Positive serum beta-human chorionic gonadotropin test -females.
  • Pregnant, actively trying to become pregnant or breast-feeding.
  • Subjects with a history of drug or alcohol abuse.
  • History of regular alcohol consumption exceeding 7 drinks per week for females or 14 drinks per week for men within 6 months of screening.
  • Positive urine drug screen including alcohol at screening.
  • Donation of blood in excess of 500 mL within 56 days prior to first dose of study medication.
  • Subjects who smoke more than 10 cigarettes per day.
  • History of sensitivity to heparin, heparin-induced thrombocytopenia or sensitivity to any of the study medications or components thereof.

Sites / Locations

  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

TREXIMA tablet followed by IMITREX injection (4mg)

TREXIMA tablet followed by IMITREX injection (6mg)

IMITREX tablet (100mg)

Arm Description

TREXIMA™ (sumatriptan succinate / naproxen sodium) Tablet followed by IMITREX® (sumatriptan succinate) Injection 4mg administered using the IMITREX STATdose System®

TREXIMA tablet followed by IMITREX® (sumatriptan succinate) Injection 6mg administered using the IMITREX STATdose System®

IMITREX 100mg tablet followed 2 hours later by a second IMITREX 100mg tablet

Outcomes

Primary Outcome Measures

The maximum plasma concentration (Cmax) after the second dose and total exposure (measured by AUC(0-∞) calculated as pooled exposure from both the initial and second dose).

Secondary Outcome Measures

Incidence and severity of adverse events, blood pressure, pulse, ECGs and clinical laboratory tests.

Full Information

First Posted
March 26, 2009
Last Updated
August 3, 2017
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT00875784
Brief Title
An Open-label, Randomized, 3-period Crossover Study to Evaluate Sumatriptan Pharmacokinetics for a TREXIMA™ (Sumatriptan Succinate / Naproxen Sodium) Tablet Followed by IMITREX® (Sumatriptan Succinate)
Official Title
An Open-label, Randomized, 3-period Crossover Study to Evaluate Sumatriptan Pharmacokinetics for a TREXIMA™ (Sumatriptan Succinate / Naproxen Sodium) Tablet Followed by IMITREX® (Sumatriptan Succinate) Injection 4mg Administered Using the IMITREX STATdose System® and a TREXIMA Tablet Followed by IMI
Study Type
Interventional

2. Study Status

Record Verification Date
August 2017
Overall Recruitment Status
Completed
Study Start Date
May 6, 2008 (Actual)
Primary Completion Date
June 14, 2008 (Actual)
Study Completion Date
June 14, 2008 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will evaluate the exposure of sumatriptan after administration of TREXIMA (sumatriptan 85mg/naproxen sodium 500mg) followed by a subcutaneous IMITREX injection (4mg or 6mg) 2 hours later compared to administration of a IMITREX 100mg tablet followed by a IMITREX 100mg tablet 2 hours later.
Detailed Description
An open-label, randomized, 3-period crossover study to evaluate sumatriptan pharmacokinetics for a TREXIMA™ (sumatriptan succinate / naproxen sodium) Tablet followed by IMITREX® (sumatriptan succinate) Injection 4mg administered using the IMITREX STATdose System® and a TREXIMA tablet followed by IMITREX® (sumatriptan succinate) Injection 6mg administered using the IMITREX STATdose System® compared with an IMITREX Tablet 100mg followed by an IMITREX Tablet 100mg.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Migraine Disorders
Keywords
Sumatriptan exposure

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
TREXIMA tablet followed by IMITREX injection (4mg)
Arm Type
Experimental
Arm Description
TREXIMA™ (sumatriptan succinate / naproxen sodium) Tablet followed by IMITREX® (sumatriptan succinate) Injection 4mg administered using the IMITREX STATdose System®
Arm Title
TREXIMA tablet followed by IMITREX injection (6mg)
Arm Type
Experimental
Arm Description
TREXIMA tablet followed by IMITREX® (sumatriptan succinate) Injection 6mg administered using the IMITREX STATdose System®
Arm Title
IMITREX tablet (100mg)
Arm Type
Active Comparator
Arm Description
IMITREX 100mg tablet followed 2 hours later by a second IMITREX 100mg tablet
Intervention Type
Drug
Intervention Name(s)
TREXIMA™
Intervention Description
sumatriptan succinate / naproxen sodium tablet
Intervention Type
Drug
Intervention Name(s)
IMITREX® (4mg)
Intervention Description
sumatriptan succinate injection (4mg) administered using the IMITREX STATdose System®
Intervention Type
Drug
Intervention Name(s)
IMITREX® (6mg)
Intervention Description
sumatriptan succinate injection (6mg) administered using the IMITREX STATdose System®
Intervention Type
Drug
Intervention Name(s)
IMITREX Tablet 100mg
Intervention Description
IMITREX 100mg tablet followed 2 hours later by a second IMITREX 100mg tablet
Primary Outcome Measure Information:
Title
The maximum plasma concentration (Cmax) after the second dose and total exposure (measured by AUC(0-∞) calculated as pooled exposure from both the initial and second dose).
Time Frame
ten weeks
Secondary Outcome Measure Information:
Title
Incidence and severity of adverse events, blood pressure, pulse, ECGs and clinical laboratory tests.
Time Frame
ten weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adult males and females between 18 and 55 years of age, inclusive. Healthy subjects are defined as individuals who are free from clinically significant illness or disease as determined by their medical history, physical examination, laboratory studies and other tests. Female subjects of non-childbearing potential Any subject taking oral contraceptives has been on a stable regimen for at least 2 months prior to screening. BMI: 20-30 kg/m2, inclusive. Subject is willing and able to provide written informed consent. Exclusion Criteria: Subjects who suffer from migraine attacks. Subject has confirmed or suspected ischemic heart disease; angina pectoris, history of myocardial infarction, documented silent ischemia, Prinzmetal's angina-coronary vasospasm, signs, or symptoms consistent with any of the above. Subject has evidence or history of ischemic abdominal syndromes, peripheral vascular disease or Raynaud's syndrome. Subject has cardiac arrhythmias requiring medication or a history of a clinically significant electrocardiogram abnormality that, in the investigator's opinion, contraindicates participation in this study. Subject has a history of cerebrovascular pathology including stroke and/or transient ischemic attacks. Subject has a history of congenital heart disease. Subject has hypertension at screening. Subject, in the investigator's opinion, is likely to have unrecognized cardiovascular or cerebrovascular disease. Subject has a history of epilepsy or structural brain lesions which lower the convulsive threshold or treated with an antiepileptic drug for seizure control within 5 years prior to screening. History of impaired hepatic or renal function. Subject is currently taking or has taken in the previous 4 weeks, herbal preparations containing St. John's Wort. Use of other prescription or non-prescription drugs, vitamins, herbal and dietary supplements, within 7 days prior to the first dose of study medication. Note: Excluded from this list are: acetaminophen at doses of less than or equal to 2 grams per day and contraceptives. Subject has a hypersensitivity, intolerance, or contraindication to the use of sumatriptan or naproxen sodium or any of their components or any other 5-HT1 receptor agonist. Subject has a history of any gastrointestinal surgery that specifically indicates a past history of bleeding, ulceration or perforation. Subject has a history of gastric bypass or stapling surgery. Subject has a history of GI ulceration in the past six months or gastrointestinal bleeding in the past year. Subject has a history of inflammatory bowel disease. Treatment with an investigational drug within 30 preceding the first dose of study medication. Positive serum beta-human chorionic gonadotropin test -females. Pregnant, actively trying to become pregnant or breast-feeding. Subjects with a history of drug or alcohol abuse. History of regular alcohol consumption exceeding 7 drinks per week for females or 14 drinks per week for men within 6 months of screening. Positive urine drug screen including alcohol at screening. Donation of blood in excess of 500 mL within 56 days prior to first dose of study medication. Subjects who smoke more than 10 cigarettes per day. History of sensitivity to heparin, heparin-induced thrombocytopenia or sensitivity to any of the study medications or components thereof.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98418
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Citations:
PubMed Identifier
20637969
Citation
Berges A, Walls C, Lener SE, McDonald SA. Pharmacokinetics and tolerability of sumatriptan after single-dose administration of a fixed-dose combination tablet of sumatriptan/naproxen sodium 85/500 mg followed two hours later by subcutaneous sumatriptan 4- or 6-mg injection: a randomized, open-label, three-period crossover study in healthy volunteers. Clin Ther. 2010 Jun;32(6):1165-77. doi: 10.1016/j.clinthera.2010.06.014.
Results Reference
derived
Links:
URL
https://www.clinicalstudydatarequest.com
Description
Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.
Available IPD and Supporting Information:
Available IPD/Information Type
Dataset Specification
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
103629
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Study Protocol
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
103629
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Annotated Case Report Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
103629
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Individual Participant Data Set
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
103629
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Clinical Study Report
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
103629
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Informed Consent Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
103629
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Statistical Analysis Plan
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
103629
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register

Learn more about this trial

An Open-label, Randomized, 3-period Crossover Study to Evaluate Sumatriptan Pharmacokinetics for a TREXIMA™ (Sumatriptan Succinate / Naproxen Sodium) Tablet Followed by IMITREX® (Sumatriptan Succinate)

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