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Etude (Study) Phase I Enox - UnFractionated Heparin (UFH)
14 maart 2011 bijgewerkt door: Sanofi
A Phase I, Pharmacokinetic and Tolerability Study of Intravenous Unfractionated Heparin After Subcutaneous Enoxaparin 1mg/kg Bid Repeated Administration in Healthy Subjects
Primary objective:
- to characterize the pharmacokinetic and the pharmacodynamic profile after intravenous bolus injection of unfractionated heparin (UFH) after repeated sc 100 IU anti-Xa/kg (corresponding to 1 mg/kg) twice a day during 2.5 days (every 12±2hrs) administrations of enoxaparin in Caucasian healthy subjects.
Secondary objective(s):
- to compare the pharmacokinetic and the pharmacodynamic profile between 3 different timing of administration of the UFH
- to assess the tolerability of the different anticoagulation protocols
Studie Overzicht
Studietype
Ingrijpend
Inschrijving (Werkelijk)
72
Fase
- Fase 1
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
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Paris, Frankrijk
- Sanofi-Aventis Administrative Office
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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
40 jaar tot 60 jaar (Volwassen)
Accepteert gezonde vrijwilligers
Ja
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
Inclusion Criteria:
- Caucasian
- Male and female subjects, between 40 and 60 years of age
- Body weight between 50 kg and 90 kg if male and between 40 and 80 kg if female with Body Mass Index (BMI) between 18 and 29 kg/m2
Health Status:
- Certified as healthy by a comprehensive clinical assessment (detailed medical history and complete physical examination)
- Subject with hypertension, hypo- or hyperthyroidism or dyslipidemia will be included if their concomitant pathology is well-controlled by treatment for at least one year
Normal vital signs after 10 minutes resting in supine position:
- 95 mmHg < systolic blood pressure (SBP) < 140 mmHg;
- 45 mmHg < diastolic blood pressure (DBP) < 90 mmHg;
- 40 bpm < heart rate < 100 bpm.
- Normal 12-lead electrocardiogram (ECG); 120 ms < PR < 220 ms, QRS < 120 ms, QTc ≤ 430 ms for male, 450 ms for female or not considered as clinically significant by the investigator
- Laboratory parameters within the normal range unless the Investigator considers an abnormality to be clinically irrelevant for healthy subjects; hepatic enzymes (aspartate amino-transferase or AST, alanine amino-transferase or ALT) should be strictly below the upper laboratory norm.
- Platelets ≥ 150 000 / mm3
- Mean corpuscular volume (MCV) and gamma glutamyl-transferase (GGT) should be strictly in the normal range of the laboratory
- Activated partial thromboplastin time (aPTT) ratio should be comprised between 0.95 and 1.15
- Estimated Creatinine clearance by Cockroft formula should be higher than 50 mL/min
- Non smoker or smoking the equivalent or less than 5 cigarettes a day and able not to smoke during the study hospitalization
- Normal gynecological examination no longer than 12 months before inclusion.
- For female with childbearing potential using an effective contraception method (e.g. intra-uterine device, hormonal contraception, diaphragm and condom) except if postmenopausal for more than 12 months or sterilized for more than three months
- Subject with coagulation test and blood count (including platelets) within the physiological ranges)
Regulations:
- Having given written informed consent prior to any procedure related to the study
- Covered by Health Insurance System and/or in compliance with the recommendations of National Law in force relating to biomedical research
- Not under any administrative or legal supervision
Exclusion Criteria:
Medical history and clinical status:
- Contra-indication to anticoagulant therapy
- Subject with known increased bleeding time, hemophilia, thrombocytopenia, and/or history of any vascular purpura
- Subject with detectable antibody against heparin in the blood
- Any history or presence of clinically relevant cardiovascular, gynecologic (for women), pulmonary, gastro-intestinal, hepatic, renal, metabolic, hematological, neurologic, psychiatric, systemic, ocular or infectious disease that is capable of altering the absorption, metabolism, or elimination of drugs, or of constituting a risk factor when taking the study medication; any acute infectious disease or signs of acute illness; except subject with hypertension, hypo- or hyperthyroidism or dyslipidemia if well-controlled by treatment for at least one year.
- Subject with diabetes or other cardiovascular or metabolic disease
- Subject with INR > 1.5
- Frequent headaches and/or migraine, recurrent nausea and/or vomiting (more than twice a month)
- Blood donation or blood loss within one month before administration
- Symptomatic hypotension whatever the decrease in blood pressure or asymptomatic postural hypotension defined by a decrease in SBP equal to or greater than 20 mmHg within three minutes when changing from the supine to the standing position
- Presence or history of drug allergy, or allergic disease diagnosed and treated by a physician
- History or presence of drug or alcohol abuse (alcohol consumption > 40 grams/day)
- Smoking more than 5 cigarettes or equivalent/day, or unable to stop smoking during the study
- Excessive consumption of beverages with xanthine bases (> 4 cups or glasses/day)
- Pregnancy (defined as positive beta-HCG plasma test that can not be explicated by menopauses), breast-feeding for female, any history or presence of clinically relevant gynecologic disease
Interfering substance:
- Any medication (including St John's Wort) within 14 days before administration, or within 5 times the elimination half-life of that drug, except for hormonal contraception or replacement therapy, and allowed therapy for stable pathology
- Anti-inflammatory treatments and anti-aggregant treatments are strictly forbidden during the whole study period
General conditions:
- Subject who, in the judgment of the Investigator, is likely to be non-compliant during the study, or unable to cooperate because of a language problem or poor mental development
- Subject in exclusion period of a previous study according to applicable regulations
- Subject who cannot be contacted in case of emergency
- Subject is the investigator or any sub-investigator, research assistant, pharmacist, study coordinator, other staff thereof, directly involved in the conduct of the protocol or any other protocol of the Investigating Center
- Subject is an employee of the Investigating Center
Biological status:
- Positive reaction to any of the following tests: HBs antigen, anti-HCV antibodies, anti-HIV1 antibodies, anti-HIV2 antibodies, anti-LMWH antibodies
- Positive results on urine drug screen (amphetamines/metamphetamines, barbiturates, benzodiazepines, cannabinoids)
- Positive alcohol breath or plasma test
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: A
70 U/kg of UnFractionated Heparin (UFH) administered intravenously at 4 hours following the last injection of enoxaparin
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Experimenteel: B
70 U/kg of UnFractionated Heparin (UFH) administered intravenously at 6 hours following the last injection of enoxaparin
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Experimenteel: C
70 U/kg of UnFractionated Heparin (UFH) administered intravenously at 10 hours following the last injection of enoxaparin
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
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Concentration-time profiles of anti-Xa and anti-IIa levels
Tijdsspanne: At baseline (Day 2) after the morning enoxaparin injection and at day 3 from pre-dose of enoxaparin and lasting until 14 hours after the enoxaparin injection.
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At baseline (Day 2) after the morning enoxaparin injection and at day 3 from pre-dose of enoxaparin and lasting until 14 hours after the enoxaparin injection.
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Secundaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
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Effect-time profiles of ACT, TGTppp and TGTprp
Tijdsspanne: At baseline (Day 2) after the morning enoxaparin sc injection and at day 3 from pre-dose of enoxaparin and lasting until 14 hours after the enoxaparin injection.
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At baseline (Day 2) after the morning enoxaparin sc injection and at day 3 from pre-dose of enoxaparin and lasting until 14 hours after the enoxaparin injection.
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PFA100 levels measured
Tijdsspanne: At pre-dose, 4h and 14h post dose of enoxaparin
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At pre-dose, 4h and 14h post dose of enoxaparin
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Documentation of adverse event, physical examination, clinical laboratory safety, vital signs and ECG recording at prespecified time-points.
Tijdsspanne: during the entire study
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during the entire study
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Onderzoekers
- Studie directeur: Kazuki Otani, Sanofi
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start
1 juli 2007
Primaire voltooiing (Werkelijk)
1 november 2007
Studie voltooiing (Werkelijk)
1 november 2007
Studieregistratiedata
Eerst ingediend
13 februari 2008
Eerst ingediend dat voldeed aan de QC-criteria
21 februari 2008
Eerst geplaatst (Schatting)
22 februari 2008
Updates van studierecords
Laatste update geplaatst (Schatting)
15 maart 2011
Laatste update ingediend die voldeed aan QC-criteria
14 maart 2011
Laatst geverifieerd
1 maart 2011
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- ENOXA_C_02537
- 2007-000884-99
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .