A Study to Investigate Biomarkers After Single Doses of Anticoagulants in Healthy Young Male and Healthy Elderly Participants (MK-0000-216 AM1)
Primary Purpose
Thrombosis
Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
dabigatran etexilate
rivaroxaban
Sponsored by
About this trial
This is an interventional treatment trial for Thrombosis focused on measuring Hemophilia B
Eligibility Criteria
Inclusion criteria for non-hemophilia participants:
Panel A
- Male or female between 65 to 85 years of age
Panel B
- Male between 18 to 45 years of age
Both Panels
- Weight of ≥50 kg and ≤110 kg
- In good health
- No clinically significant abnormality on electrocardiogram (ECG)
- Nonsmoker and/or has not used nicotine or nicotine-containing products for at least approximately 6 months
Exclusion criteria for non-hemophilia participants:
- History of stroke, chronic seizures, or major neurological disorder
- History of clinically significant endocrine, gastrointestinal (including peptic ulcer disease), cardiovascular, hematological, hepatic, immunological, renal, respiratory, or genitourinary abnormalities or diseases
- History of malignant neoplastic disease, with the exception of adequately treated non-melanomatous skin carcinoma or other malignancies that have been successfully treated ≥10 years prior to the study
- History of a thrombotic or platelet-related disorder including prior deep venous thrombosis or pulmonary embolus
- Use of warfarin, coumadin, heparin, aspirin, dabigatran etexilate, rivaroxaban or dipyridamole within 2 weeks
- History of poor wound healing
- Unable to refrain from or anticipates the use of any medication, including aspirin and aspirin-containing products, all non-steroidal anti-inflammatory drug (NSAID)-containing products (including pain, cold and allergy products, etc.) and including prescription and non-prescription drugs or herbal remedies (such as St. John's Wort [Hypericum perforatum]) beginning approximately 2 weeks (or 5 half-lives) prior to initiation of the treatment periods, throughout the study until the post-study visit
- Consumption of excessive amounts of alcohol, defined as greater than 3 glasses of alcoholic beverages (1 glass is approximately equivalent to: beer [284 mL/10 ounces], wine [125 mL/4 ounces], or distilled spirits [25 mL/1 ounce]) per day
- Consumption of excessive amounts, defined as greater than 6 servings (1 serving is approximately equivalent to 120 mg of caffeine) of coffee, tea, cola, or other caffeinated beverages per day
- Major surgery, donation or loss of 1 unit of blood (approximately 500 mL) or participation in another investigational study within 4 weeks
- History of significant multiple and/or severe allergies (including latex allergy), or an anaphylactic reaction or significant intolerability to prescription or non-prescription drugs or food, including dabigatran etexilate and rivaroxaban
- Current regular user (including illicit drugs or has a history of drug [including alcohol] abuse within approximately 6 months
- History (including family history if hereditary) or symptoms of clinically relevant bleeding disorder
- Organic lesion at risk of bleeding (e.g., aneurysm, cavernous hemangioma, arterio-venous malformation)
- History of frequent epistaxis or has recurrent or active gingivitis or hemorrhoids
Inclusion criteria for hemophilia participants:
- Male with diagnosis of hemophilia B between 18 to 64 years of age
- Weight of ≥110 lbs and ≤300 lbs
- Has not received clotting factor in the 7 days prior to blood sampling
- No active bleeding event
- No procedure or surgery in the past 8 weeks
- Judged to be in good health based on medical history
- Has not smoked more than 2 cigarettes per day for at least approximately 1 week prior; has not smoked a pipe or cigar or chewed tobacco for at least 3 days prior
- Can refrain from the use of all NSAIDs (e.g., Advil, Aleve, aspirin), all NSAID-containing products (including pain, cold, and allergy products, etc.), herbal meds or drugs for 7 days prior to the date of study procedure
Exclusion criteria for hemophilia participants:
- Clinically significant endocrine, gastrointestinal (including peptic ulcer disease), cardiovascular, hematological (except factor IX deficiency), immunological, renal, respiratory, neurological or genitourinary abnormalities or diseases
- History of malignant neoplastic disease, with the exception of adequately treated non-melanomatous skin carcinoma or other malignancies that have been successfully treated ≥10 years prior to the study
- Consumption of excessive amounts of alcohol, defined as greater than 3 glasses of alcoholic beverages (1 glass is approximately equivalent to: beer [284 mL/10 ounces], wine [125 mL/4 ounces], or distilled spirits [25 mL/1 ounce]) within 24 hours prior to study procedures
- Major surgery, donation or loss of 1 unit of blood (approximately 500 mL) or participation in another investigational study within 7 days prior to the date of study procedures
- Current regular user (including illicit drugs or has a history of drug [including alcohol] abuse within approximately 6 months
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
No Intervention
Arm Label
Dabigatran
Rivaroxaban
No intervention
Arm Description
Single 150-mg dose of dabigatran etexilate
Single 20-mg dose of rivaroxaban
No study drug will be administered
Outcomes
Primary Outcome Measures
Endogenous thrombin potential by Thrombin Generation Assay (TGA)-2a assay
Level of fibrin degradation product (D-dimer)
Level of fibrinopeptide A (FPA)
Level of prothrombin split products (F1+2)
Level of thrombin-antithrombin complex (TAT)
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01379300
Brief Title
A Study to Investigate Biomarkers After Single Doses of Anticoagulants in Healthy Young Male and Healthy Elderly Participants (MK-0000-216 AM1)
Official Title
A Randomized Clinical Trial to Validate Novel Biomarker Approaches After Single Doses of Anticoagulants in Healthy Young Male Subjects and in Healthy Elderly Subjects
Study Type
Interventional
2. Study Status
Record Verification Date
October 2015
Overall Recruitment Status
Completed
Study Start Date
May 2011 (undefined)
Primary Completion Date
December 2011 (Actual)
Study Completion Date
December 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Merck Sharp & Dohme LLC
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This is a study to investigate biomarkers after single oral doses of the anticoagulant agents dabigatran etexilate and rivaroxaban in healthy young male subjects and in healthy elderly subjects.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Thrombosis
Keywords
Hemophilia B
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
42 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Dabigatran
Arm Type
Experimental
Arm Description
Single 150-mg dose of dabigatran etexilate
Arm Title
Rivaroxaban
Arm Type
Experimental
Arm Description
Single 20-mg dose of rivaroxaban
Arm Title
No intervention
Arm Type
No Intervention
Arm Description
No study drug will be administered
Intervention Type
Drug
Intervention Name(s)
dabigatran etexilate
Intervention Description
dabigatran etexilate, orally, as 2 x 75-mg capsules (150 mg), single administration
Intervention Type
Drug
Intervention Name(s)
rivaroxaban
Intervention Description
rivaroxaban, orally, as 2 x 10-mg tablets (20 mg), single administration
Primary Outcome Measure Information:
Title
Endogenous thrombin potential by Thrombin Generation Assay (TGA)-2a assay
Time Frame
From up to 2 hours pre-dose to up to 24 hours post-dose
Title
Level of fibrin degradation product (D-dimer)
Time Frame
From up to 2 hours pre-dose to up to 24 hours post-dose
Title
Level of fibrinopeptide A (FPA)
Time Frame
From up to 2 hours pre-dose to up to 24 hours post-dose
Title
Level of prothrombin split products (F1+2)
Time Frame
From up to 2 hours pre-dose to up to 24 hours post-dose
Title
Level of thrombin-antithrombin complex (TAT)
Time Frame
From up to 2 hours pre-dose to up to 24 hours post-dose
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion criteria for non-hemophilia participants:
Panel A
- Male or female between 65 to 85 years of age
Panel B
- Male between 18 to 45 years of age
Both Panels
Weight of ≥50 kg and ≤110 kg
In good health
No clinically significant abnormality on electrocardiogram (ECG)
Nonsmoker and/or has not used nicotine or nicotine-containing products for at least approximately 6 months
Exclusion criteria for non-hemophilia participants:
History of stroke, chronic seizures, or major neurological disorder
History of clinically significant endocrine, gastrointestinal (including peptic ulcer disease), cardiovascular, hematological, hepatic, immunological, renal, respiratory, or genitourinary abnormalities or diseases
History of malignant neoplastic disease, with the exception of adequately treated non-melanomatous skin carcinoma or other malignancies that have been successfully treated ≥10 years prior to the study
History of a thrombotic or platelet-related disorder including prior deep venous thrombosis or pulmonary embolus
Use of warfarin, coumadin, heparin, aspirin, dabigatran etexilate, rivaroxaban or dipyridamole within 2 weeks
History of poor wound healing
Unable to refrain from or anticipates the use of any medication, including aspirin and aspirin-containing products, all non-steroidal anti-inflammatory drug (NSAID)-containing products (including pain, cold and allergy products, etc.) and including prescription and non-prescription drugs or herbal remedies (such as St. John's Wort [Hypericum perforatum]) beginning approximately 2 weeks (or 5 half-lives) prior to initiation of the treatment periods, throughout the study until the post-study visit
Consumption of excessive amounts of alcohol, defined as greater than 3 glasses of alcoholic beverages (1 glass is approximately equivalent to: beer [284 mL/10 ounces], wine [125 mL/4 ounces], or distilled spirits [25 mL/1 ounce]) per day
Consumption of excessive amounts, defined as greater than 6 servings (1 serving is approximately equivalent to 120 mg of caffeine) of coffee, tea, cola, or other caffeinated beverages per day
Major surgery, donation or loss of 1 unit of blood (approximately 500 mL) or participation in another investigational study within 4 weeks
History of significant multiple and/or severe allergies (including latex allergy), or an anaphylactic reaction or significant intolerability to prescription or non-prescription drugs or food, including dabigatran etexilate and rivaroxaban
Current regular user (including illicit drugs or has a history of drug [including alcohol] abuse within approximately 6 months
History (including family history if hereditary) or symptoms of clinically relevant bleeding disorder
Organic lesion at risk of bleeding (e.g., aneurysm, cavernous hemangioma, arterio-venous malformation)
History of frequent epistaxis or has recurrent or active gingivitis or hemorrhoids
Inclusion criteria for hemophilia participants:
Male with diagnosis of hemophilia B between 18 to 64 years of age
Weight of ≥110 lbs and ≤300 lbs
Has not received clotting factor in the 7 days prior to blood sampling
No active bleeding event
No procedure or surgery in the past 8 weeks
Judged to be in good health based on medical history
Has not smoked more than 2 cigarettes per day for at least approximately 1 week prior; has not smoked a pipe or cigar or chewed tobacco for at least 3 days prior
Can refrain from the use of all NSAIDs (e.g., Advil, Aleve, aspirin), all NSAID-containing products (including pain, cold, and allergy products, etc.), herbal meds or drugs for 7 days prior to the date of study procedure
Exclusion criteria for hemophilia participants:
Clinically significant endocrine, gastrointestinal (including peptic ulcer disease), cardiovascular, hematological (except factor IX deficiency), immunological, renal, respiratory, neurological or genitourinary abnormalities or diseases
History of malignant neoplastic disease, with the exception of adequately treated non-melanomatous skin carcinoma or other malignancies that have been successfully treated ≥10 years prior to the study
Consumption of excessive amounts of alcohol, defined as greater than 3 glasses of alcoholic beverages (1 glass is approximately equivalent to: beer [284 mL/10 ounces], wine [125 mL/4 ounces], or distilled spirits [25 mL/1 ounce]) within 24 hours prior to study procedures
Major surgery, donation or loss of 1 unit of blood (approximately 500 mL) or participation in another investigational study within 7 days prior to the date of study procedures
Current regular user (including illicit drugs or has a history of drug [including alcohol] abuse within approximately 6 months
12. IPD Sharing Statement
Learn more about this trial
A Study to Investigate Biomarkers After Single Doses of Anticoagulants in Healthy Young Male and Healthy Elderly Participants (MK-0000-216 AM1)
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