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Effect of Opicapone at Steady State on Warfarin Pharmacokinetics

Primary Purpose

Parkinson's Disease

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
BIA 9-1067
Warfarin
Sponsored by
Bial - Portela C S.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson's Disease

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • A signed and dated informed consent form before any study-specific screening procedure was performed,
  • Male or female subjects aged 18 to 45 years, inclusive,
  • Body mass index (BMI) between 18 and 30 kg/m2,
  • Healthy as determined by pre-study medical history, physical examination, vital signs, complete neurological examination and 12-lead electrocardiogram (ECG),
  • Negative tests for hepatitis B surface antigen (HBsAg), anti-hepatitis C virus (HCV) antibodies and anti-human immunodeficiency virus (HIV) antibodies at screening,
  • Clinical laboratory test results clinically acceptable at screening and at admission to each inpatient period,
  • Negative screen for alcohol and drugs of abuse at screening and at admission to each inpatient period,
  • Non-smokers or ex-smokers for at least 3 months,
  • Able to participate, and willing to give written informed consent and comply with the study restrictions,
  • Able to swallow a high number of capsules within a short time frame,

If female:

  • Was not of childbearing potential by reason of surgery or, if of childbearing potential, used an effective non-hormonal method of contraception (intrauterine device or intrauterine system; condom or occlusive cap [diaphragm or cervical or vault caps] with spermicidal foam or gel or film or cream or suppository; true abstinence; or vasectomized male partner, provided that he was the sole partner of that subject) for the entire duration of the study,
  • Negative serum pregnancy test at screening and a negative urine pregnancy test at admission to each inpatient period.

Exclusion Criteria:

  • Any clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, connective tissue diseases or disorders, or had a clinically relevant surgical history,
  • Any personal or family history of haemostatic disorder,
  • Any personal or family history of bleeding complications after surgery or tooth extraction, nose or gingival bleeding, or haemorrhagic diathesis,
  • Any clinically relevant findings in the laboratory tests, particularly any abnormality in the coagulation tests or the liver function tests,
  • History of relevant atopy or drug hypersensitivity,
  • History of alcoholism and/or drug abuse,
  • Current consumption of more than 14 units of alcohol per week [1 unit of alcohol = 280 mL beer (3-4°) = 100 mL wine (10-12°) = 30 mL spirits (40°)],
  • Any significant infection or known inflammatory process on screening or admission to each treatment period; any acute gastrointestinal symptoms (e.g., nausea, vomiting, diarrhoea, heartburn) at the time of screening or admission to each treatment period,
  • Use of medicines within 2 weeks of admission to first period that could affect the subject's safety or other study assessments, in the investigator's opinion, or intake of any of the prohibited medications (i.e., CYP2C9 inhibitor taken within 1 week prior to start of administration of study drug, and CYP2C9 inducer taken within 4 weeks prior to dosing),
  • Previous use of opicapone,
  • Use of any investigational drug or participation in any clinical trial within 3 months prior to screening; participation in more than 2 clinical trials within the 12 months prior to screening,
  • Blood donation or receipt of any blood transfusion or any blood products within the 3 months prior to screening,
  • Vegetarian, vegan or had medical dietary restrictions,
  • Not able to communicate reliably with the investigator,
  • Unlikely to co-operate with the requirements of the study,
  • Unwilling or unable to give written informed consent,
  • CYP2C9 poor metaboliser, as assessed by genotyping,

If female:

  • Pregnant or breast-feeding.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    BIA 9-1067 / Warfarin

    Arm Description

    BIA 9-1067 capsules of 25 mg or 50 mg Warfarin capsules of 5 mg

    Outcomes

    Primary Outcome Measures

    R- and S-warfarin plasma concentration

    Secondary Outcome Measures

    Opicapone plasma concentration
    BIA 9-1103 (sulphate metabolite) plasma concentration

    Full Information

    First Posted
    November 28, 2014
    Last Updated
    November 28, 2014
    Sponsor
    Bial - Portela C S.A.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02305030
    Brief Title
    Effect of Opicapone at Steady State on Warfarin Pharmacokinetics
    Official Title
    Effect of Opicapone at Steady State on Warfarin Pharmacokinetics in Healthy Volunteers
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2014
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2014 (undefined)
    Primary Completion Date
    May 2014 (Actual)
    Study Completion Date
    May 2014 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Bial - Portela C S.A.

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Single-centre, open-label, fixed-sequence design consisting of 2 periods separated by a washout period of at least 14 days.
    Detailed Description
    Single-centre, open-label, fixed-sequence design consisting of 2 periods separated by a washout period of at least 14 days. In Period 1, a single dose of 25 mg warfarin was administered alone. In Period 2, subjects received 475 mg OPC, on Day 1 and D2 followed by 50 mg OPC once daily for 5 days (D3 to D7). On D8, 50 mg OPC was administered with a single dose of 25 mg warfarin.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Parkinson's Disease

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    20 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    BIA 9-1067 / Warfarin
    Arm Type
    Experimental
    Arm Description
    BIA 9-1067 capsules of 25 mg or 50 mg Warfarin capsules of 5 mg
    Intervention Type
    Drug
    Intervention Name(s)
    BIA 9-1067
    Other Intervention Name(s)
    OPC, Opicapone
    Intervention Type
    Drug
    Intervention Name(s)
    Warfarin
    Other Intervention Name(s)
    Uniwarfin
    Primary Outcome Measure Information:
    Title
    R- and S-warfarin plasma concentration
    Time Frame
    pre-dose and 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post-warfarin
    Secondary Outcome Measure Information:
    Title
    Opicapone plasma concentration
    Time Frame
    D1 pre-dose, and on D8 at the following time points: pre-dose, 0.5, 2, 4, 6, and 8 h post-opicapone dose
    Title
    BIA 9-1103 (sulphate metabolite) plasma concentration
    Time Frame
    D1 pre-dose and from D5 to D7 pre-dose, and on D8 at the following time points: pre-dose, 0.5, 2, 4, 6, 8, 24, 48, 72 and 144 h post-opicapone dose.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    45 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: A signed and dated informed consent form before any study-specific screening procedure was performed, Male or female subjects aged 18 to 45 years, inclusive, Body mass index (BMI) between 18 and 30 kg/m2, Healthy as determined by pre-study medical history, physical examination, vital signs, complete neurological examination and 12-lead electrocardiogram (ECG), Negative tests for hepatitis B surface antigen (HBsAg), anti-hepatitis C virus (HCV) antibodies and anti-human immunodeficiency virus (HIV) antibodies at screening, Clinical laboratory test results clinically acceptable at screening and at admission to each inpatient period, Negative screen for alcohol and drugs of abuse at screening and at admission to each inpatient period, Non-smokers or ex-smokers for at least 3 months, Able to participate, and willing to give written informed consent and comply with the study restrictions, Able to swallow a high number of capsules within a short time frame, If female: Was not of childbearing potential by reason of surgery or, if of childbearing potential, used an effective non-hormonal method of contraception (intrauterine device or intrauterine system; condom or occlusive cap [diaphragm or cervical or vault caps] with spermicidal foam or gel or film or cream or suppository; true abstinence; or vasectomized male partner, provided that he was the sole partner of that subject) for the entire duration of the study, Negative serum pregnancy test at screening and a negative urine pregnancy test at admission to each inpatient period. Exclusion Criteria: Any clinically relevant history or presence of respiratory, gastrointestinal, renal, hepatic, haematological, lymphatic, neurological, cardiovascular, psychiatric, musculoskeletal, genitourinary, immunological, dermatological, endocrine, connective tissue diseases or disorders, or had a clinically relevant surgical history, Any personal or family history of haemostatic disorder, Any personal or family history of bleeding complications after surgery or tooth extraction, nose or gingival bleeding, or haemorrhagic diathesis, Any clinically relevant findings in the laboratory tests, particularly any abnormality in the coagulation tests or the liver function tests, History of relevant atopy or drug hypersensitivity, History of alcoholism and/or drug abuse, Current consumption of more than 14 units of alcohol per week [1 unit of alcohol = 280 mL beer (3-4°) = 100 mL wine (10-12°) = 30 mL spirits (40°)], Any significant infection or known inflammatory process on screening or admission to each treatment period; any acute gastrointestinal symptoms (e.g., nausea, vomiting, diarrhoea, heartburn) at the time of screening or admission to each treatment period, Use of medicines within 2 weeks of admission to first period that could affect the subject's safety or other study assessments, in the investigator's opinion, or intake of any of the prohibited medications (i.e., CYP2C9 inhibitor taken within 1 week prior to start of administration of study drug, and CYP2C9 inducer taken within 4 weeks prior to dosing), Previous use of opicapone, Use of any investigational drug or participation in any clinical trial within 3 months prior to screening; participation in more than 2 clinical trials within the 12 months prior to screening, Blood donation or receipt of any blood transfusion or any blood products within the 3 months prior to screening, Vegetarian, vegan or had medical dietary restrictions, Not able to communicate reliably with the investigator, Unlikely to co-operate with the requirements of the study, Unwilling or unable to give written informed consent, CYP2C9 poor metaboliser, as assessed by genotyping, If female: Pregnant or breast-feeding.

    12. IPD Sharing Statement

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    Effect of Opicapone at Steady State on Warfarin Pharmacokinetics

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