PMID- 33009228 OWN - NLM STAT- MEDLINE DCOM- 20210726 LR - 20221005 IS - 1533-712X (Electronic) IS - 0271-0749 (Print) IS - 0271-0749 (Linking) VI - 40 IP - 6 DP - 2020 Nov/Dec TI - Randomized Controlled Crossover Trials of the Pharmacokinetics of PRC-063, a Novel Multilayer Extended-Release Formulation of Methylphenidate, in Healthy Adults. PG - 579-587 LID - 10.1097/JCP.0000000000001277 [doi] AB - PURPOSE/BACKGROUND: PRC-063 is a once-daily, extended-release oral formulation of methylphenidate hydrochloride developed to provide early and prolonged symptom improvement in patients with attention-deficit/hyperactivity disorder. METHODS/PROCEDURES: We conducted 3 randomized, open-label crossover studies of the pharmacokinetics of PRC-063 in healthy, nonobese men and women aged 18 to 45 years. PRC-063 (100 mg/d) was compared with immediate-release methylphenidate (20 mg, 3 times daily) when administered on a single day under fasted and fed conditions and at steady state (day 5 of repeat dosing under fasted conditions). The pharmacokinetics of PRC-063 administered as capsule contents sprinkled on apple sauce, yoghurt, or ice cream were also investigated. FINDINGS/RESULTS: PRC-063 demonstrated biphasic absorption, with 2 distinct peak plasma concentrations. Intake of a high-fat, high-calorie meal did not increase the peak plasma methylphenidate concentration (Cmax) or extent of absorption (area under the curve), however; it resulted in slower uptake versus a fasted state. During repeated dosing, steady state was reached with no further accumulation of methylphenidate from day 3. At steady state, PRC-063 gave higher evening and trough plasma methylphenidate levels than immediate-release methylphenidate (3 times daily). The pharmacokinetics of PRC-063 sprinkled on food were comparable to that of intact capsules. Reported adverse events (AEs) were consistent with the established safety profile of methylphenidate. There were no serious AEs, but 3 subjects discontinued the repeat-dosing study because of AEs assessed as possibly related to study treatment. IMPLICATIONS/CONCLUSIONS: Our data indicate that PRC-063 can be taken with or without food or by sprinkling capsule contents on food. FAU - Katzman, Martin A AU - Katzman MA FAU - Mattingly, Greg AU - Mattingly G FAU - Klassen, Larry J AU - Klassen LJ AD - Eden Mental Health Centre, Winkler, Manitoba, Canada. FAU - Cataldo, Marc J AU - Cataldo MJ AD - Purdue Pharma L.P., Stamford, CT. FAU - Donnelly, Graeme A E AU - Donnelly GAE AD - Purdue Pharma Canada, Pickering, Ontario, Canada. LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - J Clin Psychopharmacol JT - Journal of clinical psychopharmacology JID - 8109496 RN - 0 (Capsules) RN - 0 (Central Nervous System Stimulants) RN - 0 (Delayed-Action Preparations) RN - 207ZZ9QZ49 (Methylphenidate) SB - IM MH - Administration, Oral MH - Adolescent MH - Adult MH - Biological Availability MH - Capsules MH - Central Nervous System Stimulants/administration & dosage/adverse effects/*pharmacokinetics MH - Cross-Over Studies MH - Delayed-Action Preparations MH - Drug Administration Schedule MH - Drug Compounding MH - Female MH - Gastrointestinal Absorption MH - Healthy Volunteers MH - Humans MH - Male MH - Methylphenidate/administration & dosage/adverse effects/*pharmacokinetics MH - Middle Aged MH - Quebec MH - Young Adult PMC - PMC7643797 EDAT- 2020/10/04 06:00 MHDA- 2021/07/27 06:00 PMCR- 2020/11/05 CRDT- 2020/10/03 05:28 PHST- 2020/10/04 06:00 [pubmed] PHST- 2021/07/27 06:00 [medline] PHST- 2020/10/03 05:28 [entrez] PHST- 2020/11/05 00:00 [pmc-release] AID - 00004714-202011000-00010 [pii] AID - JCP50947 [pii] AID - 10.1097/JCP.0000000000001277 [doi] PST - ppublish SO - J Clin Psychopharmacol. 2020 Nov/Dec;40(6):579-587. doi: 10.1097/JCP.0000000000001277.