The comparative pharmacokinetics of physical manipulation by crushing of Xtampza ER compared with OxyContin.

Pain Manag

Collegium Pharmaceutical, Inc., 780 Dedham Street, Suite 800, Canton, MA 02021, USA.

Published: November 2017

Aim: To further characterize the pharmacokinetics of Xtampza ER.

Subjects & Methods: This was an open-label, randomized, active-controlled, five-treatment, five-period, naltrexone-blocked, cross-over study. Healthy subjects received five equivalent oxycodone doses: Xtampza ER (intact or crushed), OxyContin (intact or crushed) or immediate-release (IR) oxycodone (crushed). Blood samples were collected to assess oxycodone concentrations.

Results: Crushed and intact Xtampza ER resulted in lower peak plasma concentrations compared with crushed oxycodone IR; crushed and intact Xtampza ER were bioequivalent. Crushed OxyContin exhibited a rapid increase in plasma oxycodone and was bioequivalent to crushed oxycodone IR.

Conclusion: This second pharmacokinetic study demonstrated that Xtampza ER maintains its ER properties after crushing, unlike OxyContin, which failed to retain its ER properties after crushing. ANZCTR registration number: ACTRN12614000613606.

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Source
http://dx.doi.org/10.2217/pmt-2017-0030DOI Listing

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