Pharmacokinetics and Bioavailability of Hydrocortisone Acetate Suppositories

NCT02671058 | Completed Phase 1

• 1 other identifier: CINC-2015-BA
• Study Type: interventional
• Target: 16
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study will be an open label, single dose, randomized, 2 way (2 period) crossover study in healthy adult subjects at a single study center.

Conditions

Healthy

Keywords

bioavailability

Outcome Measures

Primary Outcomes (2)

• primary PK endpoints

  Maximum plasma concentration

  at time 0,1, 2 and 24 hours

• primary PK endpoints

  Area under the concentration-time curve

  at time 0,1, 2 and 24 hours

Study Arms (2)

Cortenema

ACTIVE COMPARATOR

Hydrocortisone retention enema (Cortenema) administered rectally as a single dose; each dose unit delivers 100 mg of hydrocortisone per 60 mL.

Drug: Cortenema

Hydrocortisone acetate

EXPERIMENTAL

Hydrocortisone acetate suppository 90 mg administered rectally as a single dose with the Sephure Rectal Suppository Applicator

Drug: Hydrocortisone Acetate

Interventions

Cortenema DRUG

Hydrocortisone Administered as a Liquid Enema

Cortenema

Hydrocortisone Acetate DRUG

Hydrocortisone Acetate Administered as a Suppository with the Sephure® Rectal Suppository Applicator

Hydrocortisone acetate

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Healthy male and female subjects between 18 to 45 years of age, inclusive, at the time of Screening.
• Female subjects must be:
• Of non childbearing potential (surgically sterile \[hysterectomy, oophorectomy or bilateral tubal ligation\] or post-menopausal \>1 year with follicle stimulating hormone \[FSH\] \> 40 U/L), or Non pregnant, non lactating females of childbearing potential who are able and willing to undertake adequate measures to prevent a pregnancy including the use of any medically acceptable forms of birth control by the subject or partner (hormonal birth control, abstinence, diaphragm with spermicide, condom with spermicide, intrauterine device, vasectomy or surgical sterilization) from Screening until the End of Study.
• Male subjects must be able and willing to undertake adequate measures to prevent a pregnancy throughout the study including the use of any medically acceptable forms of birth control by the subject or partner (hormonal birth control, abstinence, diaphragm with spermicide, condom with spermicide, intrauterine device, vasectomy, surgical sterilization or post menopausal partner) from Screening until the End of Study.
• Body mass index (BMI) of ≥ 18.0 and ≤ 30.0 kg/m2 at the time of Screening.
• Subject is willing and able to provide informed consent.
• Subject is willing and able to be confined to the CRU and adhere to the study and lifestyle restrictions.

You may not qualify if:

• History of clinically significant illness or surgery as determined by the Principal Investigator or designee, within 5 years prior to the first IMP administration.
• History or evidence of any clinically significant pathology including neurological, cardiovascular, endocrine, pulmonary, gastrointestinal, renal, hepatic, hematological, immunological, psychiatric or metabolic disorder(s) as determined by the Principal Investigator or designee.
• Any significant rectal pathology that, in the opinion of the Principal Investigator or designee, would be a contraindication (or warning) with a hydrocortisone acetate suppository or hydrocortisone retention enema including rectal obstruction, abscess, perforation, active fungal infection(s) and/or bacterial infection(s).
• Subject has had anal sex, cosmetic anal bleaching or perianal waxing within 30 days prior to the first IMP administration.
• History of constipation, diarrhea or frequent bowel movements per day within 30 days prior to the first IMP administration.
• Any clinically significant abnormality (including clinically significant laboratory test result\[s\]) found at Screening or febrile illness or infection within 7 days prior to Screening through Admission (Day 1 of Treatment Period 1) to the CRU.
• Positive test for hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (anti HCV), or human immunodeficiency virus (HIV) antibody at Screening.
• Clinically significant electrocardiogram (ECG) abnormality at Screening, as determined by the Principal Investigator or designee.
• Positive pregnancy test (females only) at Screening or Admission (Day 1 of Treatment Periods 1 or 2) to the CRU.
• Subject has history of alcohol abuse or of significant regular alcohol use within 1 year prior to Screening, defined as exceeding 14 units of alcohol per week, where, 1 unit = 12 ounces of beer, 5 ounces of wine or 1.5 ounces of hard liquor.
• Positive serum alcohol test at Screening or Admission (Day 1 of Treatment Periods 1 or 2) to the CRU.
• History of regular tobacco use or use of nicotine containing products to control tobacco use within the past 6 months prior to Screening.
• Positive urine drug test (including amphetamines, barbiturates, benzodiazepines, cannabinoids, cocaine, opiates and phencyclidine) at Screening or Admission (Day 1 of Treatment Periods 1 or 2) to the CRU.
• Use of over the counter (OTC) medications (including oral natural health products, vitamin and herbal supplements) within 7 days prior to the first IMP administration until the End of Study or use of prescription medication within 14 days prior to the first IMP administration until the End of Study. By exception, acetaminophen \<1000 mg per day, hormonal contraception and hormonal replacement therapy are permitted.
• Known allergy or history of hypersensitivity to hydrocortisone or any of the inert components of either of the formulations being tested.

Sponsors & Collaborators

• Cristcot LLC: lead
• Parexel: collaborator

MeSH Terms

Interventions

Hydrocortisone; hydrocortisone acetate

Intervention Hierarchy (Ancestors)

Pregnenediones; Pregnenes; Pregnanes; Steroids; Fused-Ring Compounds; Polycyclic Compounds; 11-Hydroxycorticosteroids; Hydroxycorticosteroids; Adrenal Cortex Hormones; Hormones; Hormones, Hormone Substitutes, and Hormone Antagonists; 17-Hydroxycorticosteroids

Study Officials

• Marck C Ensign

  Executive VP Product Development

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 21, 2016
• First Posted: February 2, 2016
• Study Start: March 1, 2016
• Primary Completion: May 24, 2016
• Study Completion: May 24, 2016
• Last Updated: July 28, 2017

Record last verified: 2017-07

Data Sharing

• IPD Sharing: Will not share