Hostname: page-component-848d4c4894-ttngx Total loading time: 0 Render date: 2024-06-12T16:08:18.309Z Has data issue: false hasContentIssue false

A single-dose, comparative bioavailability study comparing amphetamine extended-release oral suspension with extended-release mixed amphetamine salts capsules

Published online by Cambridge University Press:  03 December 2020

Antonio Pardo
Affiliation:
Tris Pharma, Inc., Clinical and Medical Affairs, Monmouth Junction, NJ, USA
Mohammed Bouhajib
Affiliation:
Pharma Medica Research Institute, Toronto, ON, Canada
Thomas R. King*
Affiliation:
Tris Pharma, Inc., Clinical and Medical Affairs, Monmouth Junction, NJ, USA
Eman Rafla
Affiliation:
Tris Pharma, Inc., Clinical and Medical Affairs, Monmouth Junction, NJ, USA
Judith C. Kando
Affiliation:
Tris Pharma, Inc., Clinical and Medical Affairs, Monmouth Junction, NJ, USA
*
*Author for correspondence: Thomas R. King Email: tking@trispharma.com

Abstract

Background

To evaluate the relative bioavailability of a single dose of amphetamine extended-release oral suspension (AMPH EROS) compared with a single dose of extended-release mixed amphetamine salts (ER MAS) in healthy, fasted adult subjects.

Methods

The study population consisted of healthy adult volunteers. The study drug used in this study was 7.5 mL of 2.5 mg/mL AMPH EROS equivalent to 18.8 mg of amphetamine base administered after an overnight fast of at least 10 hours. AMPH EROS comprises a 3.2:1 enantiomeric ratio of d-amphetamine to l-amphetamine. The reference product was one 30 mg ER MAS capsule (equivalent to 18.8 mg of amphetamine base). Relative bioavailability between the products was determined by a statistical comparison of the area under the curve and maximum concentration (Cmax) for d-amphetamine and l-amphetamine. PK (PK) blood samples were collected prior to dosing (0-hour) and at 1, 2, 3, 3.5, 4, 4.5, 5, 6, 7, 8, 9, 10, 12, 14, 16, 24, 36, 48, and 60 hours after drug administration, totaling 20 samples in each period.

Results

The mean subject age was 35.0 (standard deviation ±8) years, and the overall study population comprised 19 (63.3%) males and 11 (36.7%) females. The contrasts for geometric mean ratios for all assessed PK parameters (for both l- and d-amphetamine) between the test article AMPH EROS and reference product ER MAS fell within the prescribed 80% to 125% limits.

Conclusions

The overall PK profile of single-dose AMPH EROS 7.5 mL was found to be comparable with a single dose of oral ER MAS 30 mg.

Type
Original Research
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Kessler, RC, Adler, L, Barkley, R, et al. The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. Am J Psychiatry. 2006;163(4):716723. doi:10.1176/ajp.2006.163.4.716.CrossRefGoogle ScholarPubMed
Fayyad, J, Sampson, NA, Hwang, I, et al. The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys. Atten Defic Hyperact Disord. 2017;9(1):4765. doi:10.1007/s12402-016-0208-3.CrossRefGoogle ScholarPubMed
Surman, CBH, Goodman, DW. Is ADHD a valid diagnosis in older adults? ADHD Atten Def Hyp Disord. 2017;9:161168. doi:10.1007/s12402-017-0217.CrossRefGoogle ScholarPubMed
Faraone, SV, Asherson, P, Banaschewski, T, et al. Attention-deficit/hyperactivity disorder. Nat Rev Dis Primers. 2015;1:15020. doi:10.1038/nrdp.2015.20.CrossRefGoogle ScholarPubMed
DYANAVEL® XR. Prescribing Information. Monmouth Junction, NJ: Tris Pharma, Inc.; 2019.Google Scholar
Herman, BK, King, TR, Kando, JK, Pardo, A. A Novel, Modified-Release Drug Delivery Technology Containing Amphetamine Ion-Exchange Complexes. Poster presented at: 2018 Neuroscience Education Institute Congress, November 11–12, 2018, Orlando, Florida.Google Scholar
Herman, BK, Bouhajib, M, King, TR, Kando, JC, Pardo, A. Single-dose PK of amphetamine extended-release oral suspension in healthy adults. J Atten Disord. 2019;26:1087054719841131. doi:10.1177/1087054719841131.Google Scholar
International Committee for Harmonization. ICH harmonized tripartite guideline: guideline for good clinical practice. J Postgrad Med. 2001;47:4550.Google Scholar
US Food and Drug Administration. Guidance for Industry. Bioavailability and Bioequivalence Studies for Orally Administered Drug Products—General Considerations; 2002.Google Scholar
ADDERALL XR®. Prescribing Information. Wayne, PA: Shire US, Inc.; 2013.Google Scholar
ADDERALL®. Prescribing Information. Horsham, PA: Teva Select Brands, A Division of Teva Pharmaceuticals USA; 2017.Google Scholar