OTR Tablet 40 mg Fed-state Bioequivalence Study
Condition: Chronic Pain
MeSH terms: Chronic Pain
Intervention: Oxycodone Tamper Resistant; OxyContin®
Intervention description: Orally taking Oxycodone Tamper Resistant 40mg in fed state; Orally taking OXYCONTIN® 40mg in fed state
Intervention MeSH terms: Oxycodone
Phase: Phase 1
Study type: Interventional
Primary purpose: Other
Allocation: Randomized
Intervention model: Crossover Assignment
Masking: None (Open Label)
Enrollment: 42.0
Sex: All
Minimum age: 18 Years
Maximum age: 55 Years
Healthy volunteers: No

Summary:

      An open-label, single dose, randomized, cross-over study to confirm the bioequivalence (BE)
      of OTR tablet 40 mg and OXYCONTIN tablet 40 mg in a fed state in Chinese subjects with
      chronic pain.
    

Eligibility criteria:

        Inclusion Criteria:

          1. Chinese male or female subjects with histories of chronic pain regardless of the
             aetiology, aged 18-55 years both inclusive

          2. The average pain over the last 24 hours should be scored < 4 assessed with Numeric
             Rating Scales (NRS), when not receiving analgesics. The pain condition has been kept
             stable at least in the past 7 days prior to entering into the screening and is
             expected to be stable during the study duration

          3. Body weight ≥45 kg and a body mass index (BMI) ≥18 and ≤28 kg/m2

          4. Karnofsky score of Performance Status ≥70

          5. Willing to take all the food supplied while the subject is in the study unit

          6. Be able to read, understand, and sign written Informed Consent Form (ICF) prior to
             study participation and be willing to follow the protocol requirements

          7. Willing to use adequate and highly effective methods of contraception throughout the
             study. A highly effective method of birth control is defined as one which results in a
             low failure rate (i.e. less than 1% per year) when used consistently and correctly
             such as sterilisation, implants, injectables, some Intrauterine Device (IUD), sexual
             abstinence, or vasectomised partner

          8. Female subjects, including those up to less than one year post-menopausal, must have a
             negative serum pregnancy test and be non-lactating

        Exclusion Criteria:

          1. Subjects who are currently taking opioids or have used opioids in the past 14 days
             prior to receiving the study drug

          2. Have hypersensitivity history to any opioids, naltrexone, naloxone, or related
             compounds or any contraindications as detailed in the OTR and OXYCONTIN tablet Summary
             of Product Characteristics

          3. Histories of or any current conditions that might interfere with drug absorption,
             distribution, metabolism, or excretion

          4. Subjects who are likely to have paralytic ileus or acute abdomen or to require an
             operation on abdominal regions

          5. Subjects with biliary tract diseases, pancreatitis, prostatic hypertrophy, or
             corticoadrenal insufficiency

          6. Subjects with respiratory depression, corpulmonale, or chronic bronchial asthma

          7. Any history of seizures or symptomatic head trauma

          8. Subjects with abnormal liver function (values exceeding the upper limit of normal
             (ULN) for alanine aminotransferase (ALT), aspartate aminotransferase (AST), or total
             bilirubin during the Screening Phase) or abnormal renal function (values exceeding the
             ULN for serum creatinine during the Screening Phase). Note: if the values of ALT, AST
             or total bilirubin are between 1 to 1.2 times of ULN and confirmed not clinically
             significant by the Investigators, the subject may be recruited after getting the
             approval from Sponsor.

          9. Any other significant illness other than the primary disease of chronic pain during
             the 4 weeks preceding the entry into this study

         10. Subjects who are unable to stop taking monoamine oxidase inhibitors during this trial
             period or time lapses less than 2 weeks since drug withdrawal prior to the study drug
             administration

         11. Subjects who are currently taking tricyclic antidepressants or have used tricyclic
             antidepressants within 4 weeks prior to the study drug administration

         12. Subjects who have used any medicinal product which inhibits Cytochrome P450 3A4
             (CYP3A4) (e.g. troleandomycin, ketoconazole, gestodene, etc.) or induces CYP3A4 (e.g.
             glucocorticoids, barbiturates, rifampicin, etc.) within 4 weeks prior to the study
             drug administration

         13. Subjects who have used any medicinal product which inhibits Cytochrome P450 2D6
             (CYP2D6) (e.g. fluoxetine, quinidine, ritonavir, etc.) or induces CYP2D6 (e.g.
             dexamethasone, rifampicin, glutethimide, etc.) within 4 weeks prior to the study drug
             administration

         14. Histories of smoking (being a smoker or an occasional smoker) within 45 days prior to
             the study drug administration and refusal to abstain from smoking during the study.
             According to World Health Organization (WHO), a smoker is defined as having smoked at
             least 1 cigarette per day continuously for more than 6 months and an occasional smoker
             is defined as having smoked for more than 4 times per week and less than 1 cigarette
             per day continuously for more than 6 months.

         15. Subjects with histories of alcoholism or drug abuse. Alcoholism is defined as regular
             alcohol consumption exceeding 14 drinks/week (1 drink = 150 mL of wine or 360 mL of
             beer or 45 mL of hard liquor)

         16. Consumption of alcoholic beverages within 48 hours before study drug administration,
             and refusal to abstain from alcohol for at least 48 hours after study drug
             administration

         17. Refusal to abstain from food for 10 hours preceding and 4 hours following
             administration of the study drug and to abstain from caffeine or xanthine entirely
             during each confinement

         18. Positive Hepatitis B Surface Antigen (HBsAg), anti-Hepatitis C Virus (HCV), anti-Human
             Immunodeficiency Virus (HIV), or syphilis antibody test result

         19. Urine screening before study is positive for opioids, barbiturates, amphetamines,
             cocaine metabolites, methadone, benzodiazepines, phencyclidine, methamphetamine, or
             cannabinoids. Or alcohol breath test is positive

         20. Any history of frequent nausea or emesis regardless of aetiology

         21. Blood or blood products donated within 30 days prior to administration of the study
             drugs or anytime during the study, except as required by this protocol

         22. Subjects who participated in a clinical research study within 30 days of study entry