Trial Outcomes & Findings for Relative Bioavailability of Ibuprofen From a Single Fixed Dose Combination Tablet of Ibuprofen and Caffeine Compared to Single Tablets of Ibuprofen and Ibuprofen Lysinate (NCT NCT01879371)

NCT ID: NCT01879371

Last Updated: 2016-11-16

Results Overview

AUC(0-tz): area under the concentration-time curve of Ibuprofen in plasma over the time interval from 0 to the last quantifiable data point

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

36 participants

Primary outcome timeframe

2 hours (h) before drug administration and 5minutes (min), 10min, 15min, 30min, 45min, 1h, 1h 15min, 1h 30min, 1h 45min, 2h, 2h 30min, 3h, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h after drug administration

Results posted on

2016-11-16

Participant Flow

36 healthy male and female subjects (at least a third of each sex) were recruited from the volunteers' pool of the Human Pharmacology centre of BI Pharma GmbH \& Co. KG, Ingelheim, Germany.

Participant milestones

Participant milestones
Measure
Ibu + Caf / Ibu Acid / Ibu Lysinate
Participants first received Treatment T (400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet). After a washout phase of at least 6 days, they then received Treatment R1 (400mg Ibuprofen acid (Brufen®) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment R2 (400mg Ibuprofen lysinate (Nurofen® immedia) film-coated tablet). Every treatment is given oral as single dose of one tablet with 240 mL of water after an overnight fast of at least 10 h.
Ibu + Caf / Ibu Lysinate / Ibu Acid
Participants first received Treatment T (400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet). After a washout phase of at least 6 days, they then received Treatment R2 (400mg Ibuprofen lysinate (Nurofen® immedia) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment R1 (400mg Ibuprofen acid (Brufen®) film-coated tablet). Every treatment is given oral as single dose of one tablet with 240 mL of water after an overnight fast of at least 10 h.
Ibu Acid / Ibu Lysinate/ Ibu + Caf
Participants first received Treatment R1 (400mg Ibuprofen acid (Brufen®) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment R2 (400mg Ibuprofen lysinate (Nurofen® immedia) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment T (400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet). Every treatment is given oral as single dose of one tablet with 240 mL of water after an overnight fast of at least 10 h.
Ibu Acid/ Ibu + Caf / Ibu Lysinate
Participants first received Treatment R1 (400mg Ibuprofen acid (Brufen®) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment T (400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet). After a washout phase of at least 6 days, they then received Treatment R2 (400mg Ibuprofen lysinate (Nurofen® immedia) film-coated tablet). Every treatment is given oral as single dose of one tablet with 240 mL of water after an overnight fast of at least 10 h.
Ibu Lysinate/ Ibu + Caf / Ibu Acid
Participants first received Treatment R2 (400mg Ibuprofen lysinate (Nurofen® immedia) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment T (400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet). After a washout phase of at least 6 days, they then received Treatment R1 (400mg Ibuprofen acid (Brufen®) film-coated tablet). Every treatment is given oral as single dose of one tablet with 240 mL of water after an overnight fast of at least 10 h.
Ibu Lysinate / Ibu Acid / Ibu + Caf
Participants first received Treatment R2 (400mg Ibuprofen lysinate (Nurofen® immedia) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment R1 (400mg Ibuprofen acid (Brufen®) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment T (400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet). Every treatment is given oral as single dose of one tablet with 240 mL of water after an overnight fast of at least 10 h.
Overall Study
STARTED
6
6
6
6
6
6
Overall Study
COMPLETED
6
6
6
6
6
6
Overall Study
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Relative Bioavailability of Ibuprofen From a Single Fixed Dose Combination Tablet of Ibuprofen and Caffeine Compared to Single Tablets of Ibuprofen and Ibuprofen Lysinate

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ibu + Caf / Ibu Acid / Ibu Lysinate
n=6 Participants
Participants first received Treatment T (400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet). After a washout phase of at least 6 days, they then received Treatment R1 (400mg Ibuprofen acid (Brufen®) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment R2 (400mg Ibuprofen lysinate (Nurofen® immedia) film-coated tablet). Every treatment is given oral as single dose of one tablet with 240 mL of water after an overnight fast of at least 10 h.
Ibu + Caf / Ibu Lysinate / Ibu Acid
n=6 Participants
Participants first received Treatment T (400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet). After a washout phase of at least 6 days, they then received Treatment R2 (400mg Ibuprofen lysinate (Nurofen® immedia) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment R1 (400mg Ibuprofen acid (Brufen®) film-coated tablet). Every treatment is given oral as single dose of one tablet with 240 mL of water after an overnight fast of at least 10 h.
Ibu Acid / Ibu Lysinate/ Ibu + Caf
n=6 Participants
Participants first received Treatment R1 (400mg Ibuprofen acid (Brufen®) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment R2 (400mg Ibuprofen lysinate (Nurofen® immedia) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment T (400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet). Every treatment is given oral as single dose of one tablet with 240 mL of water after an overnight fast of at least 10 h.
Ibu Acid/ Ibu + Caf / Ibu Lysinate
n=6 Participants
Participants first received Treatment R1 (400mg Ibuprofen acid (Brufen®) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment T (400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet). After a washout phase of at least 6 days, they then received Treatment R2 (400mg Ibuprofen lysinate (Nurofen® immedia) film-coated tablet). Every treatment is given oral as single dose of one tablet with 240 mL of water after an overnight fast of at least 10 h.
Ibu Lysinate/ Ibu + Caf / Ibu Acid
n=6 Participants
Participants first received Treatment R2 (400mg Ibuprofen lysinate (Nurofen® immedia) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment T (400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet). After a washout phase of at least 6 days, they then received Treatment R1 (400mg Ibuprofen acid (Brufen®) film-coated tablet). Every treatment is given oral as single dose of one tablet with 240 mL of water after an overnight fast of at least 10 h.
Ibu Lysinate / Ibu Acid / Ibu + Caf
n=6 Participants
Participants first received Treatment R2 (400mg Ibuprofen lysinate (Nurofen® immedia) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment R1 (400mg Ibuprofen acid (Brufen®) film-coated tablet). After a washout phase of at least 6 days, they then received Treatment T (400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet). Every treatment is given oral as single dose of one tablet with 240 mL of water after an overnight fast of at least 10 h.
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
38.7 years
STANDARD_DEVIATION 7.6 • n=99 Participants
36.3 years
STANDARD_DEVIATION 3.3 • n=107 Participants
42.8 years
STANDARD_DEVIATION 4.5 • n=206 Participants
40.2 years
STANDARD_DEVIATION 3.8 • n=7 Participants
37.5 years
STANDARD_DEVIATION 9.2 • n=31 Participants
38.3 years
STANDARD_DEVIATION 7.1 • n=30 Participants
39.0 years
STANDARD_DEVIATION 6.2 • n=3 Participants
Sex: Female, Male
Female
4 Participants
n=99 Participants
4 Participants
n=107 Participants
3 Participants
n=206 Participants
2 Participants
n=7 Participants
2 Participants
n=31 Participants
0 Participants
n=30 Participants
15 Participants
n=3 Participants
Sex: Female, Male
Male
2 Participants
n=99 Participants
2 Participants
n=107 Participants
3 Participants
n=206 Participants
4 Participants
n=7 Participants
4 Participants
n=31 Participants
6 Participants
n=30 Participants
21 Participants
n=3 Participants

PRIMARY outcome

Timeframe: 2 hours (h) before drug administration and 5minutes (min), 10min, 15min, 30min, 45min, 1h, 1h 15min, 1h 30min, 1h 45min, 2h, 2h 30min, 3h, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h after drug administration

Population: Pharmacokinetic set (PKS): included all treated subjects who provided at least one observation for at least one primary Pharmacokinetic endpoint without important protocol violations.

AUC(0-tz): area under the concentration-time curve of Ibuprofen in plasma over the time interval from 0 to the last quantifiable data point

Outcome measures

Outcome measures
Measure
Ibuprofen + Caffeine (FDC) Tablet
n=36 Participants
400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet; Single dose oral administration of one tablet with 240 mL of water after an overnight fast of at least 10h
Ibuprofen Acid Film-coated Tablet
n=36 Participants
400 mg Ibuprofen acid (Brufen®) film-coated tablet; Single dose oral administration of one tablet with 240 mL of water after an overnight fast of at least 10h
Ibuprofen Lysinate Film-coated Tablet
n=36 Participants
Ibuprofen lysinate (Nurofen® immedia) film-coated tablet; 400 mg Ibuprofen; Single dose oral administration of one tablet with 240 mL of water after an overnight fast of at least 10h
AUC(0-tz)
133 μg*h/mL
Geometric Coefficient of Variation 22.2
124 μg*h/mL
Geometric Coefficient of Variation 19.4
122 μg*h/mL
Geometric Coefficient of Variation 19.3

PRIMARY outcome

Timeframe: 2 hours (h) before drug administration and 5minutes (min), 10min, 15min, 30min, 45min, 1h, 1h 15min, 1h 30min, 1h 45min, 2h, 2h 30min, 3h, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h after drug administration

Population: PKS

Cmax: maximum measured concentration of Ibuprofen in plasma

Outcome measures

Outcome measures
Measure
Ibuprofen + Caffeine (FDC) Tablet
n=36 Participants
400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet; Single dose oral administration of one tablet with 240 mL of water after an overnight fast of at least 10h
Ibuprofen Acid Film-coated Tablet
n=36 Participants
400 mg Ibuprofen acid (Brufen®) film-coated tablet; Single dose oral administration of one tablet with 240 mL of water after an overnight fast of at least 10h
Ibuprofen Lysinate Film-coated Tablet
n=36 Participants
Ibuprofen lysinate (Nurofen® immedia) film-coated tablet; 400 mg Ibuprofen; Single dose oral administration of one tablet with 240 mL of water after an overnight fast of at least 10h
Cmax
31.0 μg/mL
Geometric Coefficient of Variation 17.2
31.1 μg/mL
Geometric Coefficient of Variation 22.5
44.0 μg/mL
Geometric Coefficient of Variation 20.6

SECONDARY outcome

Timeframe: 2 hours (h) before drug administration and 5minutes (min), 10min, 15min, 30min, 45min, 1h, 1h 15min, 1h 30min, 1h 45min, 2h, 2h 30min, 3h, 4h, 5h, 6h, 8h, 10h, 12h, 24h, 34h after drug administration

Population: PKS

AUC(0-inf): area under the concentration-time curve of Ibuprofen in plasma over the time interval from 0 extrapolated to infinity

Outcome measures

Outcome measures
Measure
Ibuprofen + Caffeine (FDC) Tablet
n=35 Participants
400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet; Single dose oral administration of one tablet with 240 mL of water after an overnight fast of at least 10h
Ibuprofen Acid Film-coated Tablet
n=36 Participants
400 mg Ibuprofen acid (Brufen®) film-coated tablet; Single dose oral administration of one tablet with 240 mL of water after an overnight fast of at least 10h
Ibuprofen Lysinate Film-coated Tablet
n=36 Participants
Ibuprofen lysinate (Nurofen® immedia) film-coated tablet; 400 mg Ibuprofen; Single dose oral administration of one tablet with 240 mL of water after an overnight fast of at least 10h
AUC(0-inf)
135 μg*h/mL
Geometric Coefficient of Variation 21.7
127 μg*h/mL
Geometric Coefficient of Variation 20.1
125 μg*h/mL
Geometric Coefficient of Variation 20.2

Adverse Events

Ibuprofen + Caffeine (FDC) Tablet

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Ibuprofen Acid Film-coated Tablet

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Ibuprofen Lysinate Film-coated Tablet

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Ibuprofen + Caffeine (FDC) Tablet
n=36 participants at risk
400 mg Ibuprofen + 100 mg Caffeine fixed dose combination (FDC) tablet; Single dose oral administration of one tablet with 240 mL of water after an overnight fast of at least 10h
Ibuprofen Acid Film-coated Tablet
n=36 participants at risk
400 mg Ibuprofen acid (Brufen®) film-coated tablet; Single dose oral administration of one tablet with 240 mL of water after an overnight fast of at least 10h
Ibuprofen Lysinate Film-coated Tablet
n=36 participants at risk
Ibuprofen lysinate (Nurofen® immedia) film-coated tablet; 400 mg Ibuprofen; Single dose oral administration of one tablet with 240 mL of water after an overnight fast of at least 10h
Nervous system disorders
Headache
5.6%
2/36 • from up to 21 days prior to first drug administration until 30 days after end of trial, 64 days
11.1%
4/36 • from up to 21 days prior to first drug administration until 30 days after end of trial, 64 days
2.8%
1/36 • from up to 21 days prior to first drug administration until 30 days after end of trial, 64 days

Additional Information

Boehringer Ingelheim Call Center

Boehringer Ingelheim Pharmaceuticals

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place