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Hydrocodone bitartrate

Phase 1FDA approved

Hepatic Impairment | Small molecule | Gastrointestinal |Teva Pharmaceutical Industries Limited|Trials Updated: Apr 24, 2012

Hydrocodone bitartrate development status

FDA approval on record Jan 17, 2017 as Vantrela Er
Approval holderTeva Branded Pharm
ApplicationNDA207975
Highest phase Phase 1

Hydrocodone bitartrate target and mechanism

Molecular targetOPRK1, OPRD1, OPRM1
Target classAgonist
ModalitySmall molecule

Also known as Hydrocodone bitartrate extended-release tablet

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials2
Total Enrollment71

FDA Designations

No designations recorded

Hydrocodone bitartrate clinical trials

Hydrocodone bitartrate · 2 trials · 2 indications

Phase 1 2
NCT01319266A Study to Assess the Pharmacokinetics of the Hydrocodone Extended-Release Tablet (CEP-33237) in Subjects With Normal Renal Function and Subjects With Varying Degrees of Renal ImpairmentRenal Impairment
COMPLETED55 Analytics
NCT01319279A Study to Evaluate the Pharmacokinetics of the Hydrocodone Extended-Release Tablet (CEP-33237) in Subjects With Normal Hepatic Function and Subjects With Moderate Hepatic ImpairmentHepatic Impairment
COMPLETED16 Analytics
PHASE1COMPLETED
A Study to Assess the Pharmacokinetics of the Hydrocodone Extended-Release Tablet (CEP-33237) in Subjects With Normal Renal Function and Subjects With Varying Degrees of Renal Impairment
Renal ImpairmentUnlock trial analytics
PHASE1COMPLETED
A Study to Evaluate the Pharmacokinetics of the Hydrocodone Extended-Release Tablet (CEP-33237) in Subjects With Normal Hepatic Function and Subjects With Moderate Hepatic Impairment
Hepatic ImpairmentUnlock trial analytics

Study Endpoints

Primary Endpoints

Maximum observed plasma drug concentration (Cmax)
Between baseline and 144 hours following drug administration
Area under the plasma drug concentration-by-time curve (AUC) from time 0 to infinity (AUC0-∞)
Between baseline and 144 hours following drug administration
Pharmacokinetics (AUC and Cmax) after a single dose
7 days

Secondary Endpoints

Assess the safety of a single 45-mg dose of the hydrocodone bitartrate extended release tablet
Safety will be assessed from the start of study drug administration through the follow-up visit 48 to 72 hours after discharge from the study center.
Safety (occurrence of adverse events, labs, ECG, physical exam, vital signs, oxygen saturation)
throughout the 37 day study period (includes screening, drug administration and pharmacokinetics sampling period, and follow-up)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Normal Renal FunctionEXPERIMENTALSubjects with normal renal function
Mild Renal ImpairmentEXPERIMENTALSubjects with mild renal impairment (defined by an estimated creatinine clearance of \> 50 and up to 80 mL/min)
Moderate Renal ImpairmentEXPERIMENTALSubjects with moderate renal impairment (defined by an estimated creatinine clearance of 30-50 mL/min)
Severe Renal ImpairmentEXPERIMENTALSubjects with severe renal impairment (defined by an estimated creatinine clearance of less than 30 mL/min)
End Stage Renal Disease (ESRD)EXPERIMENTALSubjects with ESRD (defined as being on hemodialysis for at least 6 months prior to enrollment and be receiving standard in-center dialysis treatments three times a week)
Normal Hepatic FunctionEXPERIMENTALIntervention Drug: Hydrocodone bitartrate extended-release tablet
Moderate Hepatic ImpairmentEXPERIMENTALIntervention Drug: Hydrocodone bitartrate extended-release tablet

Interventions

NameTypeDescription
Hydrocodone Bitartrate extended-release tabletDRUGHydrocodone bitartrate extended-release oral tablet will be administered at a dose of 45 mg and dosed one time on Day 1. Subjects will also be dosed with naltrexone hydrochloride to block opioid effects.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersYes
Study Sites4

Key Inclusion Criteria: All subjects: * Written informed consent is obtained. * The subject is a man or woman at least 18 years of age, with a body mass index (BMI) of 20 kg/m2 or more. * Women must be surgically sterile, 2 years postmenopausal, or, if of child-bearing potential, be using a medica...

Countries:United States
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Frequently asked questions about Hydrocodone bitartrate

What is hydrocodone bitartrate?

Hydrocodone bitartrate is a small molecule opioid agonist developed by Teva Pharmaceutical Industries Limited as an extended-release tablet. It is being studied in Phase 1 clinical development for use in patients with hepatic impairment or renal impairment, with the goal of characterizing how the drug behaves in these populations.

What does hydrocodone bitartrate target?

Hydrocodone bitartrate targets the opioid receptors OPRK1 (kappa), OPRD1 (delta), and OPRM1 (mu) as an agonist. By binding and activating these receptors, it modulates pain signaling pathways. This mechanism underlies its development as an extended-release opioid formulation.

Who is developing hydrocodone bitartrate?

Hydrocodone bitartrate is being developed by Teva Pharmaceutical Industries Limited, which trades under the ticker TEVA. Teva is responsible for the extended-release tablet formulation and the clinical studies evaluating its pharmacokinetics in patients with hepatic or renal impairment.

What phase is hydrocodone bitartrate in?

Hydrocodone bitartrate is in Phase 1 clinical development. It is investigational and has not been approved by the FDA. The Phase 1 program consists of completed pharmacokinetic studies in subjects with normal and impaired hepatic or renal function.

What clinical trials is hydrocodone bitartrate in?

Hydrocodone bitartrate has been evaluated in two completed Phase 1 trials: NCT01319279, which studied pharmacokinetics in subjects with normal hepatic function and moderate hepatic impairment, and NCT01319266, which assessed pharmacokinetics in subjects with normal renal function and varying degrees of renal impairment. Both trials were conducted in the United States.

Is hydrocodone bitartrate the same as hydrocodone bitartrate extended-release tablet?

Yes, hydrocodone bitartrate extended-release tablet is another name for hydrocodone bitartrate. The extended-release tablet is the specific formulation developed by Teva Pharmaceutical Industries Limited. Both names refer to the same investigational product studied in the Phase 1 trials.