PMID- 26638161 OWN - NLM STAT- MEDLINE DCOM- 20170116 LR - 20181202 IS - 1434-9949 (Electronic) IS - 0770-3198 (Linking) VI - 35 IP - 4 DP - 2016 Apr TI - Pharmacokinetic properties of low-dose SoluMatrix meloxicam in healthy adults. PG - 1099-104 LID - 10.1007/s10067-015-3121-9 [doi] AB - SoluMatrix(R) meloxicam has been developed using SoluMatrix Fine Particle Technology to produce a meloxicam drug product with enhanced absorption properties to enable treatment at lower doses than available oral meloxicam drug products. This follows recognition of serious dose-dependent adverse events (AEs) associated with nonsteroidal anti-inflammatory drugs, including meloxicam. This study investigated the pharmacokinetic (PK) properties of SoluMatrix meloxicam 5-mg (fasting conditions) and 10-mg capsules (fasting and fed conditions) and compared SoluMatrix meloxicam 10-mg capsules with meloxicam 15-mg tablets under fasting conditions. This four-period crossover study randomized 28 healthy adult participants to receive single doses of SoluMatrix meloxicam 5-mg capsules (fasting) and 10-mg capsules (fasting or fed) and meloxicam tablets 15 mg (fasting). Meloxicam plasma concentrations were assessed through 96 h postdose. Safety was assessed. Twenty-five participants (89.3 %) completed the study. Under fasting conditions, SoluMatrix meloxicam 10 mg [1252.8 (254.22) ng/mL] produced similar meloxicam mean (standard deviation (SD)) maximum plasma concentrations vs meloxicam 15-mg tablets [1288.8 (424.40) ng/mL]. The overall mean (SD) systemic meloxicam exposure was 33 % lower for SoluMatrix meloxicam 10 mg [29,173.01 (11,042.09) ng*h/mL] vs meloxicam 15-mg tablets [40,875.6 (11,733.47) ng*h/mL]. The median time to maximum plasma meloxicam levels occurred earlier following SoluMatrix meloxicam 5 mg (2.0 h) and 10 mg (2.0 h) administration vs meloxicam 15-mg tablets (4.0 h). Few study-medication-related AEs were reported. SoluMatrix meloxicam 10 mg was more rapidly absorbed and associated with a lower overall exposure compared with meloxicam 15-mg tablets in this study in healthy adults under fasting conditions. FAU - Hussaini, Azra AU - Hussaini A AD - PAREXEL International, Baltimore, MD, USA. FAU - Solorio, Daniel AU - Solorio D AD - Iroko Pharmaceuticals LLC, One Kew Place, 150 Rouse Boulevard, Philadelphia, PA, 19112, USA. FAU - Young, Clarence AU - Young C AD - Iroko Pharmaceuticals LLC, One Kew Place, 150 Rouse Boulevard, Philadelphia, PA, 19112, USA. cyoung@iroko.com. LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20151205 PL - Germany TA - Clin Rheumatol JT - Clinical rheumatology JID - 8211469 RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Tablets) RN - 0 (Thiazines) RN - 0 (Thiazoles) RN - VG2QF83CGL (Meloxicam) SB - IM MH - Adult MH - Anti-Inflammatory Agents, Non-Steroidal/*pharmacokinetics MH - Area Under Curve MH - Cross-Over Studies MH - Drug Compounding MH - Fasting MH - Female MH - Healthy Volunteers MH - Humans MH - Male MH - Meloxicam MH - Middle Aged MH - Patient Safety MH - Solubility MH - Tablets MH - Thiazines/*pharmacokinetics MH - Thiazoles/*pharmacokinetics MH - Young Adult OTO - NOTNLM OT - Healthy volunteers OT - Meloxicam OT - Pharmacokinetics OT - SoluMatrix EDAT- 2015/12/08 06:00 MHDA- 2017/01/17 06:00 CRDT- 2015/12/07 06:00 PHST- 2015/10/12 00:00 [received] PHST- 2015/11/13 00:00 [accepted] PHST- 2015/11/12 00:00 [revised] PHST- 2015/12/07 06:00 [entrez] PHST- 2015/12/08 06:00 [pubmed] PHST- 2017/01/17 06:00 [medline] AID - 10.1007/s10067-015-3121-9 [pii] AID - 10.1007/s10067-015-3121-9 [doi] PST - ppublish SO - Clin Rheumatol. 2016 Apr;35(4):1099-104. doi: 10.1007/s10067-015-3121-9. Epub 2015 Dec 5.