Study of Platelet Function After Administration of Aspirin Versus Lysine Acetylsalicylate (ECCLIPSE)

Effects of Combinated Administration of Lysine Acetylsalicylate Versus Prasugrel and Aspirin on Platelet Aggregation in Healthy Volunteers

This is a phase I clinical trial in healthy volunteers comparing the effect of lysine acetylsalicylate or aspirin on platelet function.

Study Overview

• Status: Completed
• Conditions: Adverse Effect of Antithrombotic Drugs
• Intervention / Treatment: Drug: acetylsalicylic acid; Drug: prasugrel; Drug: lysine acetylsalicylate

Detailed Description

1. SUMMARY 1.1. Type of trial Phase I clinical trial in healthy volunteers and marketed drugs 1.2. Identification of the promoter (correspondence to) Dr. David Vivas Balcones Cardiology Department Hospital Clínico San Carlos C/Prof Martín Lagos SN 28040 Madrid Phone: +34 91 330 31 49 Fax: +34 913303142 Email: dvivas@secardiologia.es 1.3. Clinical trial title Effect of combined administration of prasugrel and lysine acetylsalicylate intravenously versus prasugrel and aspirin on platelet aggregation in healthy volunteers (ECCLIPSE trial).

1.4. Protocol code Nº EudraCT: 2012-001702-20 Code: 2012-ECCLIPSE-01 Version: V3 Date: 13/04/2012

1.5. Project principal investigator Dr. David Vivas Balcones Cardiology Department Hospital Clínico San Carlos C/Prof Martín Lagos SN 28040 Madrid Phone: +34 91 330 31 49 Fax: +34 913303142 Email: dvivas@secardiologia.es 1.6. Centers Investigators

San Carlos University Hospital (Madrid). Within the following services and researchers are involved:

Cardiology Department Hospital Clínico San Carlos C/Prof Martín Lagos SN 28040 Madrid Teléfono: +34 91 330 31 49 Fax: +34 913303142 Project principal investigator and Promoter: Dr. David Vivas Balcones Co-Investigators: Dr. Agustín Martín, Dr. Isidre Vilacosta, Dr. Iván Núñez-Gil y Dr. Carlos Macaya

Platelet function laboratory Cardiology Department Hospital Clínico San Carlos C/Prof Martín Lagos SN 28040 Madrid Phone: +34 913307260 Fax: +34 913303142 Co-Investigators: Dr. Antonio Fernández-Ortiz, Esther Bernardo y María Aranzazu Ortega Pozzi

Clinical Trials Unit (CEIC) Biomedical Research Foundation Hospital Clínico San Carlos C/ Prof. Martín Lagos S/N 28040 Madrid Phone: + 34 913303793 Fax: +34 913303515 Co-Investigator: Dra. Saioa Alonso

Clinical Research Ethics Committee The Clinical Research Ethics Committee (CEIC) charged with assessing the project will be the CEIC of the San Carlos University Hospital.

1.7. Responsible for Monitoring: MEDITRIALS 1.8. Experimental and control drug • Experimental group: Loading dose (LD) of intravenous lysine acetylsalicylate 450 mg and prasugrel 60 mg orally.

• Control group: Loading dose (LD) of aspirin 300 mg orally and prasugrel 60 mg orally. Being a crossover study, subjects will receive both treatment arms in the two treatment periods with a gap of 15 days (washout period) between the two administrations.

1.9. Study endpoints Primary endpoint To compare the inhibition of platelet aggregation (IPA) at 30 minutes after administration of prasugrel loading dose in association with intravenous lysine acetylsalicylate versus prasugrel plus aspirin.

Secundary endpoints To compare the inhibition of platelet aggregation (IPA) at 0 (baseline), 1, 4 and 24 hours after the administration of both treatment groups.

To compare the inhibition of platelet reactivity (IPR) throughout the time period in both treatment groups.

To evaluate the safety of the treatment administered.

1.10. Study design The ECCLIPSE study is a phase I, randomized, single center, open, two-period crossover trial in each of which subjects receive a single dose of certain drugs in each treatment group.

1.11. Pathology study None. 1.12. Population and sample size The study population will be healthy volunteers (total 30 subjects). This is a pharmacodynamic study, with subsequent extrapolation of findings to patients with acute coronary syndrome 1.13. Duration of treatment In each period of treatment, subjects will received a single dose of drugs determined in each treatment arm and the analysis of the parameters under study will be processed over the next 24 hours. After the two weeks washout period, subjects will receive the other study drug regimen in a single dose and it will take place the analysis within 24 hours of the parameters studied.

1.14. Primary variable Inhibition of platelet aggregation measured by light transmission aggregometry at 30 minutes.

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Phase 1

Contacts and Locations

Study Locations

• Spain
  • Madrid, Spain, 28040
    • Hospital Clinico San Carlos

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 14 years to 56 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Age 18-60 years.
• BMI> 19kg/m2 and <29kg/m2.
• Women of childbearing potential who are committed to use a medically effective contraception during their participation in the study, except hormonal contraceptives.
• Percentage of inhibition of platelet aggregation after stimulation with high basal 20 mM ADP and arachidonic acid 1.5 mM> 70%.
• No clinically significant deviation on physical examination, ECG or laboratory values in laboratory tests.
• Signed informed consent

Exclusion Criteria:

• Smoking
• Drug abuse
• Pregnant or lactating
• Infection with Hepatitis B or C, or HIV
• Known drug allergies
• Family history of blood disorders or coagulation.
• History of disease that alters the absorption, metabolism or excretion of drugs, including jaundice.
• Personal history of bleeding and / or blood dyscrasias (especially hemophilia, hypoprothrombinemia), including vascular malformations reasonable suspicion.
• History of any medically relevant condition
• Background of major surgery in the last 3 months
• Prescription of chronic medication in the 14 days prior to study participation.
• Participation in another study involving the administration of an investigational product in the last 4 months or a product already on the market in the last three months.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Crossover Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: prasugrel and acetylsalicylic; single dose of prasugrel 60 mg orally and 300 mg acetylsalicylic acid orally	Drug: acetylsalicylic acid; Administration: one dose of Acetylsalicylic Acid (300mg); Other Names: Adiro; Drug: prasugrel; Administration: one loading dose (60mg); Other Names: Effient
Experimental: lysine acetylsalicylate and prasugrel; single dose of prasugrel 60 mg oral and lysine acetylsalicylate 450 mg intravenous	Drug: prasugrel; Administration: one loading dose (60mg); Other Names: Effient; Drug: lysine acetylsalicylate; Administration: one dose (450mg iv); Other Names: Inyesprin

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Inhibition of platelet aggregation	measured by light transmission aggregometry	at 30 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Inhibition of platelet aggregation	measured by light transmission aggregometry	baseline, 1 h, 4 h and 34 h
Inhibition of platelet reactivity	by the platelet reactivity index (PRI)	baseline, 1 h, 4 h and 34 h
Incidence of adverse events		baseline, 30 min, 1 h, 4 h, and 24 h

Collaborators and Investigators

• Sponsor: David Vivas
• Collaborators: St Carlos Hospital, Madrid, Spain
• Investigators: Principal Investigator: David Vivas, MD, PhD, San Carlos University Hospital, Madrid Spain

Publications and helpful links

General Publications

• Vivas D, Martin A, Bernardo E, Ortega-Pozzi MA, Tirado G, Fernandez C, Vilacosta I, Nunez-Gil I, Macaya C, Fernandez-Ortiz A. Impact of Intravenous Lysine Acetylsalicylate Versus Oral Aspirin on Prasugrel-Inhibited Platelets: Results of a Prospective, Randomized, Crossover Study (the ECCLIPSE Trial). Circ Cardiovasc Interv. 2015 May;8(5):e002281. doi: 10.1161/CIRCINTERVENTIONS.114.002281.

Study record dates

Study Major Dates

• Study Start: May 1, 2013
• Primary Completion (Actual): June 1, 2014
• Study Completion (Actual): June 1, 2014

Study Registration Dates

• First Submitted: June 24, 2013
• First Submitted That Met QC Criteria: September 15, 2014
• First Posted (Estimate): September 17, 2014

Study Record Updates

• Last Update Posted (Estimate): September 17, 2014
• Last Update Submitted That Met QC Criteria: September 15, 2014
• Last Verified: September 1, 2014

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Physiological Effects of Drugs; Molecular Mechanisms of Pharmacological Action; Peripheral Nervous System Agents; Enzyme Inhibitors; Analgesics; Sensory System Agents; Anti-Inflammatory Agents, Non-Steroidal; Analgesics, Non-Narcotic; Anti-Inflammatory Agents; Antirheumatic Agents; Fibrinolytic Agents; Fibrin Modulating Agents; Platelet Aggregation Inhibitors; Cyclooxygenase Inhibitors; Antipyretics; Aspirin; Prasugrel Hydrochloride; Acetylsalicylic acid lysinate
• Other Study ID Numbers: 2012-ECCLIPSE-01; 2012-001702-20 (EudraCT Number)