American Pain Society's 27th Annual Scientific Meeting (May 8 – 10, 2008): Pharmacokinetics of a novel liquid-gel formulation of diclofenac potassium

8010 Pharmacokinetics of a novel liquid-gel formulation of diclofenac potassium

May 9, 2008: May 9, 2008
East Hall (Tampa Convention Center)
Keith Moore, PharmD , Clinical Development and Scientific Affairs, Xanodyne Pharmaceuticals, Inc., Newport, KY
Stephen Boesing, MS , Clinical Development and Scientific Affairs, Xanodyne Pharmaceuticals, Inc., Newport, KY
James Young, PhD , Clinical Development and Scientific Affairs, Xanodyne Pharmaceuticals, Inc., Newport, KY
DPSGC is a novel liquid formulation of diclofenac potassium encapsulated in a soft gelatin capsule using patented ProSorb® technology designed to facilitate rapid and consistent gastrointestinal tract absorption. Here we present the pharmacokinetics of DPSGC and Cataflam® (diclofenac potassium) as assessed in two studies. Study 1 was an open-label, randomized 3-way crossover study design in which 54 healthy fasting subjects received one dose of DPSGC 25 mg (1 x 25 mg), DPSGC 50 mg (2 x 25 mg) or Cataflam 50 mg with a 7-day washout period between doses. Study 2 was an open-label, randomized study in which 53 patients undergoing bunionectomy surgery received Prosorb-D® 12.5 mg liquid, DPSGC 25 mg, DPSGC 50 mg, or Cataflam 50 mg administered every 8 hours for 7 days. A steady-state pharmacokinetic analysis was performed on Day 4. The Study 1 results for DPSGC 25 mg, DPSGC 50 mg, and Cataflam 50 mg revealed a maximum plasma concentration (Cmax) of 1025 ng/mL, 1882 ng/mL, and 1060 ng/mL, respectively; an area under the plasma concentration-time curve (AUC0-inf) of 582 ng-hr/mL, 1197 ng-hr/mL, and 1111 ng-hr/mL, respectively; and time to maximum plasma concentration (Tmax) of 0.45h, 0.48h, and 0.93h, respectively, with coefficients of variation of 28%, 42%, and 92%, respectively. The Study 2 results for Prosorb-D® 12.5 mg liquid, DPSGC 25 mg, DPSGC 50 mg, and Cataflam 50 mg revealed a steady-state Cmax of 302 ng/mL, 749 ng/mL, 1006 ng/mL, and 902 ng/mL, respectively; while the AUC0-8h were 316 ng-hr/mL, 595 ng-hr/mL, 1029 ng-hr/mL, and 1126 ng-hr/mL, respectively. Diclofenac potassium, using a novel formulation technology, was more rapidly and consistently absorbed versus the reference product, Cataflam, and achieved a similar Cmax as Cataflam 50 mg with half the dose. These characteristics are expected to be advantageous in the treatment of mild to moderate pain. —Xanodyne Pharmaceuticals
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