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CompletedNCT04081376HMUpdated Dec 23, 2019

Generation of Biological Samples Positive to Hydromorphone for Anti-doping Control

A Phase 1 interventional study of Hydromorphone Hydrochloride in Healthy Volunteers, sponsored by Parc de Salut Mar. Completed at 1 site in Spain. Open to male participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-12-23.

Sponsored by Parc de Salut Mar · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
2
Allocation
Not applicable
Ages
18 Years to 45 Years
Sex
Male
01

Study summary

Background:

Hydromorphone (HM) is a semi-synthetic derivative of morphine used for pain control. Like other opiates, due to its high potential of abuse HM is included on the World Anti-Doping Agency (WADA) list of prohibited substances.

Hypothesis:

The oral administration of hydromorphone hydrochloride in healthy subjects allows generating detectable concentrations of the drug in urine. Positive urine samples will enable to identify analytical strategies for doping control.

Objectives:

Primary objective: To measure the concentrations of hydromorphone in urine for anti-doping control samples.

Secondary objective: To identify metabolites and precursors of hydromorphone in urine. To assess safety and tolerability of the drug used.

Methods:

Phase I, open, non-randomized clinical trial, with a treatment condition (hydromorphone) administered orally to 2 subjects.

Read the detailed description

This study aims to characterize the patterns of urinary excretion of HM following the oral administration of 4 mg of hydromorphone hydrochloride (equivalent to 3.56 mg of hydromorphone). The detection of HM consumption can be done by urine immunoassay but several immunoassay tests are required to thoroughly detect synthetic, semi-synthetic and natural opioids due to the limited cross-reactivity of each assay. Therefore, superior test strategies are required to specifically identify low concentrations of opioids.

02

Conditions studied

  • Healthy Volunteers

Keywords

  • Hydromorphone
  • Opiates
  • Anti-doping control
03

In context

Lead sponsor

Parc de Salut Mar is the lead sponsor of 180 studies on the registry; 27 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

  • Male volunteers aged between 18 and 45 years.
  • Able to understand and accept the trial procedures and able to sign an informed consent.
  • History and physical examination that demonstrate not presenting organic or psychiatric disorders.
  • ECG, blood and urine tests performed before the test within normal limits. Minor or occasional variations of these limits will be allowed if, in the opinion of the Principal Investigator and taking into account the state of science, they have no clinical significance, do not pose a risk to the subject and do not interfere in the product evaluation. These variations and their non-relevance will be specifically justified sin writing.
  • Body mass index (weight/height\^2) between 19 and 25 kg/m2. BMI between 25 and 27 kg/m2 may be included according to Principal Investigator's criteria.

Exclusion criteria

Exclusion Criteria:

  • History of allergy, idiosyncrasy, hypersensitivity or adverse reactions to the active substance or similar nonapeptides, or to any of the excipients.
  • Patients who have undergone surgical interventions and/or have had underlying diseases that could lead to a stricture of the gastrointestinal tract, that have "blind handles" of the gastrointestinal tract or gastrointestinal obstruction.
  • Patients with severe decrease in liver function.
  • Patients with respiratory failure or history of asthma crisis.
  • Patients with acute abdominal pain of unknown origin.
  • Background or clinical evidence of gastrointestinal, hepatic, renal disorder or others that may involve an alteration of the absorption, distribution, metabolism or excretion of the drug, or that are suggestive of gastrointestinal irritation by drugs.
  • Background or clinical evidence of psychiatric disorders, alcoholism, drug abuse or habitual consumption of psychoactive drugs.
  • Having participated in another clinical trial with medication in the three months prior to the start of the study.
  • Having suffered some organic disease or major surgery in the six months prior to the start of the study.
  • Antecedents or clinical evidence of cardiovascular, respiratory, renal, hepatic, endocrine, gastrointestinal, hematological, neurological or other acute or chronic diseases that, in the opinion of the Principal Investigator or the collaborators designated by him/her, may pose a risk to the subjects or may interfere with the objectives of the study. Especially epileptic seizures or a history of epilepsy.
  • Having taken medication regularly in the month prior to the study sessions. Treatment with monoamine oxidase inhibitors (MAOIs), buprenorphine, nalbuphine or pentazocine during the two months prior to the study. Treatment with single doses of another type of symptomatic medication in the week prior to the study sessions will not be a reason for exclusion if it is assumed that the drug has been completely eliminated on the day of the experimental session.
  • Smokers of more than 20 cigarettes a day in the 3 months before the study.
  • Consumption of more than 20 g of alcohol daily in women and more than 40 g in men.
  • Consumers of more than 5 coffees, teas, cola drinks, or other stimulant drinks or with xanthines daily in the 3 months prior to the study start.
  • Being unable to understand the nature, consequences of the trial and the procedures that are asked to follow.
  • Positive serology for hepatitis B, C or HIV.
05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
2 participants (actual)

Study arms

  • Experimental
    Treatment group

    Subjects receive a single-dose treatment.Urine samples will be collected after administration (8 fractions: 0-4h, 4-8h, 8-12h, 12-24h, 24-36h, 36-48h, 48-60h, 60-72h post-administration).

    Drug: Hydromorphone Hydrochloride

Interventions

  • DrugHydromorphone Hydrochloride

    4 mg of hydromorphone hydrochloride (equivalent to 3.56 mg of hydromorphone) administered orally in a single dose.

06

What researchers measure

Primary outcomes

  1. Urine concentration of hydromorphone

    Concentration of hydromorphone in fraction-1 urine samples

    Time frame: 0-4 hours post-administration

  2. Urine concentration of hydromorphone

    Concentration of hydromorphone in fraction-2 urine samples

    Time frame: 4-8 hours post-administration

  3. Urine concentration of hydromorphone

    Concentration of hydromorphone in fraction-3 urine samples

    Time frame: 8-12 hours post-administration

  4. Urine concentration of hydromorphone

    Concentration of hydromorphone in fraction-4 urine samples

    Time frame: 12-24 hours post-administration

  5. Urine concentration of hydromorphone

    Concentration of hydromorphone in fraction-5 urine samples

    Time frame: 24-36 hours post-administration

  6. Urine concentration of hydromorphone

    Concentration of hydromorphone in fraction-6 urine samples

    Time frame: 36-48 hours post-administration

  7. Urine concentration of hydromorphone

    Concentration of hydromorphone in fraction-7 urine samples

    Time frame: 48-60 hours post-administration

  8. Urine concentration of hydromorphone

    Concentration of hydromorphone in fraction-8 urine samples

    Time frame: 60-72 hours post-administration

Secondary outcomes

  1. Urine concentration of hydromorphone metabolites

    Concentration of different hydromorphone metabolites in fraction-1 urine samples

    Time frame: 0-4 hours post-administration

  2. Urine concentration of hydromorphone metabolites

    Concentration of different hydromorphone metabolites in fraction-2 urine samples

    Time frame: 4-8 hours post-administration

  3. Urine concentration of hydromorphone metabolites

    Concentration of different hydromorphone metabolites in fraction-3 urine samples

    Time frame: 8-12 hours post-administration

  4. Urine concentration of hydromorphone metabolites

    Concentration of different hydromorphone metabolites in fraction-4 urine samples

    Time frame: 12-24 hours post-administration

  5. Urine concentration of hydromorphone metabolites

    Concentration of different hydromorphone metabolites in fraction-5 urine samples

    Time frame: 24-36 hours post-administration

  6. Urine concentration of hydromorphone metabolites

    Concentration of different hydromorphone metabolites in fraction-6 urine samples

    Time frame: 36-48 hours post-administration

  7. Urine concentration of hydromorphone metabolites

    Concentration of different hydromorphone metabolites in fraction-7 urine samples

    Time frame: 48-60 hours post-administration

  8. Urine concentration of hydromorphone metabolites

    Concentration of different hydromorphone metabolites in fraction-8 urine samples

    Time frame: 60-72 hours post-administration

07

Study locations

1 site
  • IMIM (Hospital del Mar Medical Research Institute)
    Barcelona, 08003, Spain
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 23, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04081376
Lead sponsor
Parc de Salut Mar
Responsible party
Sponsor
First posted
Sep 9, 2019
Start date
Nov 20, 2019
Primary completion
Dec 18, 2019
Completion
Dec 18, 2019
Last update
Dec 23, 2019

Study contacts

Ana M Aldea Perona, Dr
principal investigator · IMIM (Hospital del Mar Medical Research Institute)

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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