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This study is titled, "A Phase II
Single-Center, Randomized, Double-Blind, Multiple-Dose Study in Healthy
Volunteers to Evaluate the Safety and Tolerability of Niacin in
Combination with 5 mg of an Opioid vs. 5 mg of an Opioid Alone." To
assess the safety and tolerability of
Acurox™
(oxycodone/niacin) Tablets in comparison to
oxycodone HCl tablets without niacin, the Company conducted this Phase II single-center, randomized,
double-blind, multiple dose study in 66 healthy adult male and female
volunteers. Subjects were randomly assigned to one of three treatment
groups (22 subjects per treatment group). A run-in phase was conducted
on an outpatient basis for five days and included at-home dosing four
times daily and adverse event and tolerability assessments. The
treatment phase followed the run-in phase and was conducted on an
inpatient basis for five days. The treatment phase included dosing with
Acurox™ Tablets
(with or without
niacin) and post-treatment safety and tolerability assessments.
Efficacy (the tolerability of
Acurox™ was evaluated with a Side Effects
and Symptoms Questionnaire (SESQ) and an
Acurox™ Tolerability Rating
Scale. Safety was evaluated by adverse events and clinical laboratory
and vital signs assessments were conducted periodically during the
study. During the run-in phase, comparable tolerability was
demonstrated in subjects who took
Acurox™ Tablets with and without
niacin. The mean post-dose SESQ total score during the run-in phase was
very low in all groups (highest possible score = 33; Group results =
0.84 - 1.6) indicating that
Acurox™ was generally well-tolerated when
taken at recommended doses. During the treatment phase, 64% of subjects
in Groups 2 and 3 (oxycodone HCl + niacin) reported side effects and
symptoms and 50% of subjects in Group 1 (oxycodone alone) reported side
effects and symptoms. Most of the side effects and symptoms observed
during the treatment phase were mild or moderate in severity.
Irrespective of treatment group, approximately three quarters of
subjects reported either “no effect” or “easy to tolerate” on the
Acurox™ Tolerability Rating Scale. Oxycodone HCl administered four times a day,
with or without niacin, was determined to be well tolerated. Adverse
events were reported by 77% of subjects throughout both phases of the
study. The majority of subjects (55%) reported adverse events during
the treatment phase that were considered mild in severity. No severe
adverse events were reported in any treatment group and no clinically
important trends over time were observed in any treatment group for
vital signs measurements (blood pressure, heart rate, and respiratory
rate). The Company intends to include the data and results from Study
AP-ADF-103 in its 505(b)(2) NDA submission to the FDA for
Acurox™ Tablets.
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