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Phase 1 Completed N=12 Treatment

Study to Investigate the Pharmacokinetics (PK) and Pharmacodynamics (PD) of Idarucizumab in Chinese Healthy Male and Female Volunteers Who Had Taken Dabigatran Etexilate and Whose Plasma Concentrations of Dabigatran Were at or Close to Steady State

Healthy Volunteers
Source: ClinicalTrials.gov NCT03086356 ↗
Enrolled (actual)
12
Serious AEs
0.0%
Results posted
Mar 2019
Primary outcomePrimary: Maximum Measured Concentration of Idarucizumab in Plasma (Cmax) — 30900 nanomoles (nmol) per litre (L)

Summary

The primary objective of the trial is to investigate the pharmacokinetics and pharmacodynamics of idarucizumab in Chinese healthy male and female subjects following intravenous administration of idarucizumab followed by idarucizumab with 15 minutes interval when administered at or close to the steady state of dabigatran. Another objective of this trial is to explore the effect idarucizumab on the PK (pharmacokinetic(s)) and PD (pharmacodynamic) parameters of dabigatran.

Outcome Measures

OutcomeResultp-value
PRIMARY
Maximum Measured Concentration of Idarucizumab in Plasma (Cmax)
30900
PRIMARY
For Diluted Thrombin Time: Area After Subtraction of Baseline Area From Area Under the Effect Curve Over the Time Interval From 2 - 12 Hours (AUEC Above,2-12) on Day 4 and Day 11
8.23; 0.118
PRIMARY
Area Under the Concentration-time Curve of Idarucizumab in Plasma Over the Time Interval From 0 Extrapolated to Infinity (AUC0-∞)
44200
PRIMARY
Amount of Idarucizumab Eliminated in Urine Over the Time Interval From 0 to 72 Hours (h) (Ae0-72)
35.3
SECONDARY
For Sum Dabigatran: Amount of the Analyte Excreted in Urine at Steady State Over the Time Interval 0-74 Hours (Ae0-74,ss ) on Day 4 and Day 11
11700; 11000
SECONDARY
For Unbound Sum Dabigatran: Area Under the Concentration-time Curve of the Dabigatran in Plasma at Steady State Over the Time Interval 2 Hours-12 Hours
1270; 11.6

Eligibility Criteria

Inclusion criteria

  • Age >= 18 and Age =50 kg with body mass index range >=19.0 and 24 hours) within at least 30 days or less than 10 half-lives of the respective drug prior to first trial drug administration
  • Within 10 days prior to administration of trial medication, use of drugs that might reasonably influence the results of the trial or that might prolong the QT/corrected QT (QTc) interval.
  • Participation in another trial with investigational drug administration within 60 days prior to first trial drug administration
  • Smoker (> 10 cigarettes or > 3 cigars or > 3 pipes/day)
  • Inability to refrain from smoking during hospitalization
  • Alcohol abuse (consumption of more than 20 g per day: e.g., 1 middle-sized bottles of beer, 1 gou [equivalent to 180 mL] of sake))
  • Drug abuse or positive drug screening
  • Blood donation (400 mL whole blood donation within 12 weeks, 200 mL whole blood donation or blood component donation within 4 weeks) prior to first trial drug administration
  • Intention to perform excessive physical activities within one week prior to first trial drug administration or during the trial
  • Any laboratory values outside the reference range that are of clinical relevance according to investigator's clinical judgement
  • Inability to comply with dietary regimen of trial site
  • A marked baseline prolongation of QT/QTc interval (e.g., repeated demonstration of a QTcF interval >450 ms)
  • A history of additional risk factors for torsades de points (TdP) (e.g., heart failure, hypokalemia, family history of Long QT Syndrome)
  • Positive HIV (human immunodeficiency virus) test result at screening examination
  • Positive testing for Hepatitis B Antigen and/or a positive Hepatitis C antibody test result at screening examination
  • Subjects considered unsuitable for inclusion by the investigator, e.g. are unable to understand and comply with trial requirements, or have any condition which in the opinion of the investigator would not allow safe participation in the trial.
  • Subjects who do not agree to minimize the risk of female partners becoming pregnant from the first dosing day until 12 weeks after the trial completion. Acceptable methods of contraception comprises barrier contraception and a medically accepted contraceptive method for the female (intra-uterine device with spermicide. hormonal contraceptive since at least 8 weeks)
  • History or evidence of blood dyscrasia, haemorrhagic diathesis, severe thrombocytopenia, cerebrovascular haemorrhage, bleeding tendencies associated with active ulceration or overt bleeding of gastrointestinal, respiratory or genitourinary tract or any disease or condition with haemorrhagic tendencies (e.g. cerebral aneurysm, dissecting aorta, central nervous system (CNS) trauma, retinopathy, nephrolithiasis)
  • Abnormal values for prothrombin time (PT), activated partial thromboplastin time (aPTT) and thrombocytes considered by the investigator or one of the co-investigators to be clinically relevant
  • Creatinine and estimated glomerular filtration rate (GFR) outside the normal range
  • Evidence of proteinuria
  • Women who are pregnant, nursing, or who plan to become pregnant while in the trial
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03086356). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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