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Pharmacodynamic and Pharmacokinetic Study of 2 Different Dose Regimen of Clopidogrel in CYP2C19 Genotyped Healthy Subjects
A Randomized, Double-blind, Double-dummy, Two Period, Two Treatment Cross-over Pharmacodynamic and Pharmacokinetic Study of Clopidogrel Given as 5-day Repeated Oral Doses (300 mg Loading Dose Followed by 75 mg/Day and 600 mg Loading Dose Followed by 150 mg/Day) in 4 Different Groups of CYP2C19 Genotyped Healthy Male and Female Subjects
Primary Objective:
- Investigate the possible role of the CYP2C19 genotype in Adenosine diphosphate (ADP)-induced platelet aggregation after administration of a standard dose regimen of clopidogrel (300 mg loading dose followed by 75 mg/day for 4 days) in healthy male and female subjects
Secondary Objectives:
- Assess the pharmacodynamic activity of a higher dose regimen of clopidogrel (600 mg loading dose followed by 150 mg/day for 4 days)
- Compare the pharmacokinetic profiles of clopidogrel active metabolite between the selected groups of genotyped subjects and the 2 dose regimen
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
The total study duration per subject is 10-12 weeks broken down as follows:
- Screening: 2 to 40 days before the first dosing
- Period 1: 7 days including 5 days treatment
- Washout: At least 14 days after the last dosing
- Period 2: 7 days including 5 days treatment
- End of study: 7 to 10 days after the last dosing
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 1
Contacten en locaties
Studie Locaties
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Berlin, Duitsland
- Sanofi-Aventis Administrative Office
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion criteria:
Healthy subject in good health, as determined by a medical history, physical examination including vital signs and clinical laboratory tests:
- with a body weight between 45 kg and 95 kg if male, between 40 kg and 85 kg if female, and with a Body Mass Index (BMI) between 18 and 30 kg/m²
classified into one of the 4 groups of metabolizers according to his/her CYP2C19 genotype:
- Ultrarapid Metabolizers (UMs, CYP2C19*1/*17 and CYP2C19*17/*17)
- homozygous Extensive Metabolizers (homoEMs, CYP2C19*1/*1)
- heterozygous Extensive Metabolizers (heteroEMs, CYP2C19*1/*2 and CYP2C19*1/*3)
- Poor Metabolizers (PMs, CYP2C19*2/*2 and CYP2C19*2/*3)
Exclusion criteria:
- Evidence of inherited disorder of coagulation/hemostasis functions
- Subject smoking more than 10 cigarettes or equivalent per day
- Unability to abstain from intake of any drug affecting hemostasis throughout the whole study duration
The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Fundamentele wetenschap
- Toewijzing: Gerandomiseerd
- Interventioneel model: Crossover-opdracht
- Masker: Dubbele
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: Sequence clopidogrel 300/75 mg - 600/150 mg
Period 1:
Period 2:
Each intake is at around 8:00 AM fasted for at least 10 hours |
Pharmaceutical form: tablets Route of administration: oral
Andere namen:
Pharmaceutical form: matching tablets Route of administration: oral |
|
Experimenteel: Sequence clopidogrel 600/150 mg - 300/75 mg
Period 1:
Period 2:
Each intake is at around 8:00 AM fasted for at least 10 hours |
Pharmaceutical form: tablets Route of administration: oral
Andere namen:
Pharmaceutical form: matching tablets Route of administration: oral |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
|
Maximum platelet aggregation intensity (MAI) induced by Adenosine diphosphate (ADP) 5 µM after 5 days treatment
Tijdsspanne: Day 5 of each period
|
Day 5 of each period
|
Secundaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
|
Maximum platelet aggregation intensity (MAI) induced by ADP 20 µM after 5 days treatment
Tijdsspanne: Day 5 of each period
|
Day 5 of each period
|
|
Platelet reactivity index -Vasodilator-stimulated phosphoprotein test (PRI-VASP) after 5 days treatment
Tijdsspanne: Day 5 of each period
|
Day 5 of each period
|
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Clopidogrel active metabolite pharmacokinetic parameters (Cmax, tmax, AUC0-24, AUClast) after 5 days treatment
Tijdsspanne: Up to 24 hours postdose on Day 5 for each period
|
Up to 24 hours postdose on Day 5 for each period
|
Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Studie stoel: International Clinical Development Study Director, Sanofi
Publicaties en nuttige links
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- PKD11147
- 2009-010105-37 (EudraCT-nummer)
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