- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05819736
Pharmacokinetics Study Of Rivaroxaban and Apixaban in Cancer Patients (EPRAPAC)
Direct oral anticoagulants (DOACs) are now recommended as a first-line option in cancer patients with venous thromboembolism or atrial fibrillation. However, current international clinical practice guidelines and product inserts suggest caution and/or avoidance in using DOACs in case of potential potential drug-drug interactions (DDI), including DDI with anticancer therapies. Indeed, potential important DDIs can affect the efficacy and safety of DOACs and/or anticancer therapies and/or other interfering medications in these patients. Data about the pharmacokinetics (PK) of DOACs in cancer patients are scarce. By using a PK approach, this study aims :
- to describe the PK profile of rivaroxaban and apixaban in adult cancer patients with venous thromboembolism or atrial fibrillation from a real-world setting
- to identify factors (age, weight, renal function, co-morbidities, etc) influencing the PK profile of rivaroxaban and apixaban in adult cancer with venous thromboembolism or atrial fibrillation from a real-world setting.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Direct oral anticoagulants (DOACs) are now recommended as a first-line option in cancer patients with venous thromboembolism or atrial fibrillation. However, current international clinical practice guidelines and product inserts suggest caution and/or avoidance in using DOACs in case of potential potential drug-drug interactions (DDI), including DDI with anticancer therapies. Indeed, potential important DDIs can affect the efficacy and safety of DOACs and/or anticancer therapies and/or other interfering medications in these patients. Data about the pharmacokinetics (PK) of DOACs in cancer patients are scarce. By using a PK approach, this study aims :
- to describe the PK profile of rivaroxaban and apixaban in adult cancer patients with venous thromboembolism or atrial fibrillation from a real-world setting
- to identify factors (age, weight, renal function, co-morbidities, etc) influencing the PK profile of rivaroxaban and apixaban in adult cancer with venous thromboembolism or atrial fibrillation from a real-world setting
Study Type
Enrollment (Anticipated)
Contacts and Locations
Study Contact
- Name: Benoit Blanchet, PharmD, PhD
- Phone Number: +33 158412889
- Email: benoit.blanchet@aphp.fr
Study Contact Backup
- Name: Corinne Frere, MD, PhD
- Phone Number: +33 142162458
- Email: corinne.frere@aphp.fr
Study Locations
-
-
-
Paris, France, 75013
- Recruiting
- Centre d'Investigation Clinique Hôpital Pitié-Salpêtrière
-
Contact:
- Joe-Elie SALEM, MD PhD
- Phone Number: +33 142178531
- Email: joe-elie.salem@aphp.fr
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Male or female subjects with age ≥ 18 years
- Cancer (other than basal-cell or squamous-cell carcinoma of the skin), either active or diagnosed within 6 months prior to inclusion
- Confirmed symptomatic or venous thromboembolism or confirmed atrial fibrillation
- Patients affiliated with a health insurance system
- Able to provide written informed consent.
Exclusion Criteria:
- Age <18 years
- Pregnancy or breastfeeding
- Patients not affiliated with a health insurance system
- Patient subject to a measure of protection
- Legally protected adults
- Life expectancy < 3 months
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Rivaroxaban
Cancer patients treated with rivaroxaban
|
Monitoring
|
Apixaban
Cancer patients treated with apixaban
|
Monitoring
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Population pharmacokinetic evaluation
Time Frame: 3 years
|
Estimated area under the curve (AUC) of each of the 2 drugs studied
|
3 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Safety evaluation
Time Frame: 3 years
|
Any thromboembolic event or major bleeding
|
3 years
|
Collaborators and Investigators
Investigators
- Study Director: Benoit Blanchet, PharmD, PhD, Assistance Publique - Hôpitaux de Paris
- Study Director: Corinne Frere, MD, PhD, Assistance Publique - Hôpitaux de Paris
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2022-10-15
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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