Evidence map›Paper›PMID 26369654›Full record

Trial reportClinical drug investigation2015

Assessment of Alcohol-Induced Dose Dumping with a Hydrocodone Bitartrate Extended-Release Tablet Formulated with CIMA(®) Abuse Deterrence Technology.

Mona Darwish, Mary Bond, Ronghua Yang, William Tracewell, Philmore Robertson

Open access · hybridAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Clinical drug investigation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Mona DarwishTeva Pharmaceuticals, 41 Moores Road, PO Box 4011, Frazer, PA, 19355, USA.
Mary BondTeva Pharmaceuticals, 41 Moores Road, PO Box 4011, Frazer, PA, 19355, USA. mary.bond@tevapharm.com.
Ronghua YangTeva Pharmaceuticals, 41 Moores Road, PO Box 4011, Frazer, PA, 19355, USA.
William TracewellTeva Pharmaceuticals, 145 Brandywine Parkway, West Chester, PA, 19380, USA.
Philmore RobertsonTeva Pharmaceuticals, 145 Brandywine Parkway, West Chester, PA, 19380, USA.
Teva Pharmaceuticals (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGreater drug content requirements for extended-release (ER) opioids necessitate greater protection against dose dumping. Hydrocodone ER employs the CIMA(®) Abuse-Deterrence Technology platform, which provides resistance against rapid release of the active moiety when the tablet is manipulated or taken with alcohol.

objectiveAssess effects of alcohol on hydrocodone ER pharmacokinetics. STUDY

designOpen-label, crossover (January 25-April 30, 2010).

settingSingle center.

participantsForty healthy adults.

interventionSubjects received all four treatments in a randomized manner (separated by a minimum 5-day washout): hydrocodone ER 15 mg with 240 mL water and 240 mL orange juice containing 4, 20, and 40% alcohol in a fasted state. Naltrexone was administered to minimize opioid-related adverse events.

main outcome measureEffect of alcohol on pharmacokinetics of hydrocodone ER assessed by comparing systemic exposure [maximum plasma drug concentration (Cmax) and area under the plasma drug concentration-versus-time curve from time 0 to infinity (AUC0-∞)] after administration with alcohol or with water.

resultsGeometric means ratios of hydrocodone ER with 4, 20, and 40% alcohol relative to water were 1.05, 1.09, and 1.14, respectively, for Cmax and 1.07, 1.13, and 1.17, respectively, for AUC0-∞. All 90% confidence intervals for these geometric means ratios fell within the limits of 0.8 and 1.25. Increasing alcohol concentrations did not notably affect systemic exposure but were associated with increased adverse events.

conclusionsHydrocodone ER tablets were resistant to dose dumping when administered with alcohol in healthy subjects based on similar systemic exposures observed across all treatments.

Indexed as

AdultAnalgesics, OpioidChemistry, PharmaceuticalCross-Over StudiesDelayed-Action PreparationsDose-Response Relationship, DrugEthanolFemaleHealthy VolunteersHumansHydrocodoneMaleMiddle AgedTabletsYoung AdultAnalgesics, OpioidDelayed-Action PreparationsEthanolHydrocodoneTablets

Identifiers

PMID26369654
PMCPMC4579248
OpenAlexW2177986683

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.