jag009
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NJ,
2012-04-12 20:11
(5190 d 21:29 ago)

Posting: # 8416
Views: 5,766
 

 Metadate CD sampling [Design Issues]

Hi everyone,

Is 36 hour sampling sufficient for a single dose Metadate CD? I checked literature and the t1/2 was about 6.4 ± 1.4.

Pentikis HS, Simmons RD, Benedict MF, and SJ Hatch
Methylphenidate Bioavailability in Adults When an Extended-Release Multiparticulate Formulation Is Administered Sprinkled on Food or as an Intact Capsule
J. AM. ACAD. CHILD ADOLESC. PSYCHIATRY, 41:4, APRIL 2002, 443–9


Thanks

John


Edit: Authors added to reference. [Helmut]
Helmut
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Vienna, Austria,
2012-04-12 20:45
(5190 d 20:55 ago)

@ jag009
Posting: # 8417
Views: 5,112
 

 Metadate CD sampling: 24 hours

Hi John!

❝ Is 36 hour sampling sufficient for a single dose Metadate CD? I checked literature and the t1/2 was about 6.4 +/- 1.4.


24 hours are long enough to cover >80% of AUC. Rochdi et al. (2004)* investigated Metadate CD 10, 20, 30 mg and found (n=23):

                          10 mg         20 mg         30 mg
AUCt (ng×h/mL)  Mean±SD   23.91 ±9.54   46.56 ±19.71   70.65 ±28.48
                Median    20.66         40.37          63.13
                Min, Max  14.71, 51.54  28.00, 105.78  42.86, 157.72

AUC∞ (ng×h/mL)  Mean±SD   25.77 ±10.77  50.66 ±21.98   76.03 ±31.62
                Median    22.13         43.87          65.20
                Min, Max  15.70, 56.51  31.68, 113.50  46.06, 170.00

t½ (h)          Mean±SD   5.61 ±0.85    6.06 ±1.42     5.75 ±0.79
                Median    5.73          5.65           5.68
                Min, Max  4.31, 7.46    3.84, 9.78     4.21, 7.98


CVs were 11.8% for Cmax, 7.7% for AUCt, and 7.6 for AUC. I wouldn’t recommend a sample size of >16 subjects. If you want to be on the safe side opt for a Two-Stage Design (accepted by FDA, HPB, and EMA).


  • Rochdi M, González MA, SJ Hirshey Dirksen
    Dose-proportional pharmacokinetics of a methylphenidate extended-release capsule
    Int J Clin Pharmacol Ther 42(5), 285–92 (2004)

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jag009
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NJ,
2012-04-13 01:44
(5190 d 15:55 ago)

@ Helmut
Posting: # 8418
Views: 5,026
 

 Metadate CD sampling: 24 hours

Thanks Helmut :)
Helmut
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2012-04-13 02:43
(5190 d 14:56 ago)

@ jag009
Posting: # 8419
Views: 5,046
 

 Metadate CD sampling: 24 hours

Hi John,

I forgot: Pentikis et al. (2002) sampled also for 24 hours; the mean AUCt/AUC-ratio was 91.4%. I guess that their LLOQ of 250 pg/mL was insufficient to measure concentrations at 24 hours in many subjects. For a 20 mg dose you should aim at an LLOQ of ~50–100 pg/mL. CVs were 9.92% (Cmax), 6.48% (AUCt), and 5.79% (AUC). All studies on MR MPH I know of sampled for 24 hours – some studies on IR MPH only 16 hours.

I don’t have the slightest idea why some people* performed studies of a drug with so little intra-subject variability in 36 subjects (even CV of AUC0-4 was only 13.5%). :confused:
Power for CV 15% and T/R 95% is 83% in just 12 subjects.


  • González MA, Pentikis HS, Anderl N, Benedict MF, DeCory HH, Hirshey Dirksen SJ and SJ Hatch
    Methylphenidate bioavailability from two extended-release formulations
    Int J Clin Pharmacol Ther 40(4), 175–84 (2002)

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jag009
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NJ,
2012-04-13 17:59
(5189 d 23:41 ago)

@ Helmut
Posting: # 8420
Views: 4,967
 

 Metadate CD sampling: 24 hours

Hi Helmut,

It's Friday! :-D :smoke:

❝ I don’t have the slightest idea why some people* performed studies of a drug with so little intra-subject variability in 36 subjects (even CV of AUC0-4 was only 13.5%). :confused:

❝ Power for CV 15% and T/R 95% is 83% in just 12 subjects.


I guess it's a comfort factor for them in case something does happen during the study and more than half the subjects went wazoo (food poisoning or others..). We need at least n=12 to submit... I ran a study in my previous company with 36 subjects and 18 subjects were removed from the study due to food poisoning in the clinic (post dose, not sure if it was really food poisoning since the other subjects were fine). :lookaround: We ended up submitting the study results with 17 subjects (1 quit)...
Helmut
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2012-04-13 18:17
(5189 d 23:22 ago)

@ jag009
Posting: # 8421
Views: 5,169
 

 power…

Hi John!

❝ It's Friday! :-D :smoke:


Still smoking in the US?!

❝ […] in case something does happen during the study and more than half the subjects went wazoo (food poisoning or others..). We need at least n=12 to submit... I ran a study in my previous company with 36 subjects and 18 subjects were removed from the study due to food poisoning in the clinic (post dose, not sure if it was really food poisoning since the other subjects were fine).


Wow, that’s a weird story.
According to ICH-E9 we have to justify the sample size (not to speak about ICH-E6 and ICH-E8). FDA wants us to plan a BE study with a power of 80–90%. It’s the job of the IEC to protect the safety of subjects. If they are compos mentis they should reject a study planned with a power of 99.92% (CV 15%, T/R 95%, n=36) with a justification like “there might be ⅔ dropouts resulting in 83% power with n=12”.

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ElMaestro
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Denmark,
2012-04-13 18:35
(5189 d 23:04 ago)

@ jag009
Posting: # 8422
Views: 6,159
 

 Sounds fine

Hi jag009,

In contrast to HS I think everything is fine here. I mean if you are going to give a buncha volunteers food poisoning then, heck, including 36 and sending half of them home (with a buncha free toilet rolls having the CROs logo on each leaf?) due to food poisoning then it means you're having a little buffer of 6 subjects for eventualities. That all in all sounds just about right to me.

I wish you all a good weekend.

Pass or fail!
ElMaestro
jag009
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NJ,
2012-04-18 17:57
(5184 d 23:43 ago)

@ Helmut
Posting: # 8442
Views: 4,867
 

 Metadate CD sampling: 24 hours

Hi Helmut,

Is Methylphenidate light sensitive and that the bioanalytical lab needs to be UV light filtered (similar to Nifedipine?).

Thanks

John
ElMaestro
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Denmark,
2012-04-18 18:35
(5184 d 23:04 ago)

@ jag009
Posting: # 8443
Views: 4,815
 

 Metadate CD sampling: 24 hours

Hi Jag009,

❝ Is Methylphenidate light sensitive and that the bioanalytical lab needs to be UV light filtered (similar to Nifedipine?).


As far as I know there's no real light sensitivity with this API. But it not entirely uncommon that patients on methylphenidate become a bit photophobic. So if your lab technicians are on Ritalin it wouldn't hurt to turn down the lights a bit or to hand out sunglasses :cool:

Pass or fail!
ElMaestro
jag009
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NJ,
2012-04-18 19:09
(5184 d 22:31 ago)

@ ElMaestro
Posting: # 8444
Views: 4,799
 

 Metadate CD sampling: 24 hours

Thanks Elmaestro,

I confirmed with my lab people on the API as well. :-)
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