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Phase I Study of Direct Coagulation Factor Xa Inhibitor SYHA136 Tablets in Chinese Healthy Volunteers

Primary Purpose

Venous Thrombosis

Status
Unknown status
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
SYHA136 0.5 mg
SYHA136 1 mg
SYHA136 2.5 mg
SYHA136 5 mg
SYHA136 10 mg
SYHA136 20 mg
SYHA136 35 mg
SYHA136 50 mg
Placebo matching SYHA136 0.5 mg
Placebo matching SYHA136 1 mg
Placebo matching SYHA136 2.5 mg
Placebo matching SYHA136 5 mg
Placebo matching SYHA136 10 mg
Placebo matching SYHA136 20 mg
Placebo matching SYHA136 35 mg
Placebo matching SYHA136 50 mg
Sponsored by
CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Venous Thrombosis

Eligibility Criteria

18 Years - 40 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. When subject signs the informed contest, 18≤ age ≤ 40, Male or female;
  2. Body weight: male ≥50 kg, female ≥45 kg. Body mass index (BMI) of 19.0 to 26.0 kg/m², inclusive;
  3. Subject's with normal or or abnormity without clinical significance judged by the investigator by physical examination, vital signs, electrocardiogram, blood routine, blood biochemistry, coagulation tests, fecal occult blood, urine routine, serological tests and other important indicators;
  4. All subjects who adopt effective non-hormonal contraceptive measures (such as condoms, intrauterine devices without drugs, etc.) from the signing of informed consent to three months after the end of the study;
  5. Subjects who voluntarily signed the informed consent and are able to cooperate to complete the test according to the protocal.

Exclusion Criteria:

  1. Allergic history to more than one drug or other serious allergic rhistory;
  2. Serious diseases of the central nervous system, cardiovascular system, digestive system, respiratory system, urinary system, blood system, metabolic disorders or other diseases (such as history of psychosis, malignant tumors, etc.)In the past or now, which were not suitable for clinical trials.
  3. History of abnormal bleeding or coagulation disorders (e.g. prone to bruising, gum bleeding, prolonged bleeding after tooth extraction, joint hemorrhage, menorrhagia, postpartum hemorrhage, vitamin K deficiency, haemorrhagic diseases caused by acquired coagulation factor antibodies, trauma, wound or post-operative bleeding, etc.);
  4. History of severe head trauma in 2 years;
  5. Severe gastrointestinal diseases occurred within three months before signing informed consent, which affected drug absorption;
  6. Have a disease which Haemorrhage could cause serious consequences, such as peptic ulcer;
  7. Had undergone surgery within six months before signing the informed consent; planned to undergo surgery (including cosmetic surgery, dental surgery and oral surgery) within two weeks after the end of the trial; or planned to take part in vigorous exercise (including physical contact exercise or collision exercise) during the trial;
  8. Bleed or donated more than 400 mL within three months before signing informed consent, or planned to donate blood during the study or within one month after the end of the trial;
  9. Have taken any prescription drugs, nonpreserip drugs, biological products, traditional Chinese medicines, herbal medicines, vitamin dietary supplements and health products within four weeks before signing the informed consent or use oral long-acting contraceptives or implanted long-acting contraceptives;
  10. Subjects participating in other clinical trials and taking trial products, or participated in any other clinical trials of drugs within three months before signing the informed consent;
  11. History of drugs or drug abuse or alcoholics or drug abuse screening shows positive response;
  12. current or past alcoholics (drinking more than 14 standard units per week, 1 Standard unit containing 14g alcohol, such as 360 mL beer or 40% spirits or 150 mL wines with 45 mL alcohol), or alcohol breath test positive;
  13. Smokers: The average daily smoking volume was more than 5 cigarettes within six months before signing the informed consent;
  14. Habitually consume excessive caffeine-containing beverages or foods, or foods that may affect drug metabolism within four weeks before signing informed consent. Such as: coffee (no more than 1100 mL per day), tea (no more than 2200 mL per day), cola (no more than 2200 mL per day), functional drinks (no more than 1100 mL per day), chocolate (no more than 510 g per day);
  15. Positive with serum immunological test for HBsAg, Anti-HCV, Anti-HIV or Anti-TP;
  16. QTc interval≥450 ms, electrocardiogram abnormality with clinical significance, or prolonged history of QTc interval;
  17. Abnormal results of chest X-ray (posterior and anterior) with clinical significance;
  18. Female subjects: positive pregnancy tests or pregnant or breast-feeding or planning to conceive, who plan to conceive within three months from the signing of informed consent to the end of the study; male subjects: whose partners plan to conceive or plan to donate sperm within three months from the signing of informed consent to the end of the study;
  19. Not suitable for this trial according to the investigator.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm 7

    Arm 8

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    Cohort 1:SYHA136 0.5 mg or Placebo matching SYHA136 0.5 mg

    Cohort 2:SYHA136 1 mg or Placebo matching SYHA136 1 mg

    Cohort 3:SYHA136 2.5 mg or Placebo matching SYHA136 2.5 mg

    Cohort 4:SYHA136 5 mg or Placebo matching SYHA136 5 mg

    Cohort 5:SYHA136 10 mg or Placebo matching SYHA136 10 mg

    Cohort 6:SYHA136 20 mg or Placebo matching SYHA136 20 mg

    Cohort 7:SYHA136 35 mg or Placebo matching SYHA136 35 mg

    Cohort 1:SYHA136 50 mg or Placebo matching SYHA136 50 mg

    Arm Description

    Participants will receive a single oral dose of SYHA136 0.5 mg or Placebo matching SYHA136 0.5 mg under fasted conditions.

    Participants will receive a single oral dose of SYHA136 1 mg or Placebo matching SYHA136 1 mg under fasted conditions.

    Participants will receive a single oral dose of SYHA136 2.5 mg or Placebo matching SYHA136 2.5 mg under fasted conditions.

    Participants will receive a single oral dose of SYHA136 5 mg or Placebo matching SYHA136 5 mg under fasted conditions.

    Participants will receive a single oral dose of SYHA136 10 mg or Placebo matching SYHA136 10 mg under fasted conditions.

    Participants will receive a single oral dose of SYHA136 20 mg or Placebo matching SYHA136 20 mg under fasted conditions.

    Participants will receive a single oral dose of SYHA136 35 mg or Placebo matching SYHA136 35 mg under fasted conditions.

    Participants will receive a single oral dose of SYHA136 50 mg or Placebo matching SYHA136 50 mg under fasted conditions.

    Outcomes

    Primary Outcome Measures

    Adverse Events (AEs)
    Number of participants that experience Adverse Events (AEs)
    Serious Adverse Events (SAEs)
    Number of participants that experience Serious Adverse Events (SAEs)
    clinically significant laboratory assessment abnormalities
    Number of participants with clinically significant laboratory assessment abnormalities
    clinically significant 12-lead electrocardiograms (ECGs) abnormalities
    Number of participants with clinically significant 12-lead electrocardiograms (ECGs) abnormalities
    clinically significant physical examination abnormalities
    Number of participants with clinically significant physical examination abnormalities

    Secondary Outcome Measures

    Area Under the concentration-time curve from time zero to time of the Last Measurable Concentration (AUC0-tlast)
    PK Assessment - Area Under the concentration-time curve from time zero to time of the Last Measurable Concentration (AUC0-tlast)
    Area under the concentration-time curve from time 0 to infinity (AUCinf)
    PK Assessment - Area under the concentration-time curve from time 0 to infinity (AUCinf)
    Maximum observed concentration (Cmax)
    PK Assessment - Maximum observed concentration (Cmax)
    Time to reach maximum observed concentration (Tmax)
    PK Assessment - Time to reach maximum observed concentration (Tmax)
    Terminal elimination half-life (t1/2)
    PK Assessment - Terminal elimination half-life (t1/2)
    Apparent total body clearance (CL/F)
    PK Assessment - Apparent total body clearance (CL/F)
    Apparent volume of distribution (Vz/F)
    PK Assessment - Apparent volume of distribution (Vz/F)
    Amount of SYHA136 excreted in urine (Aeu)
    PK Assessment - Amount of SYHA136 excreted in urine (Aeu)
    Renal clearance (CLr)
    PK Assessment - Renal clearance (CLr)
    Activated Partial Thromboplastin Time(aPTT)
    PD Assessment-Activated Partial Thromboplastin Time(aPTT)
    Fibrinogen(Fbg)
    PD Assessment-Fibrinogen(Fbg)
    Thrombin Time(TT)
    PD Assessment-Thrombin Time(TT)
    International Normalized Ratio(INR)
    PD Assessment-International Normalized Ratio(INR)
    Anti-coagulation Factor Xa assays(AXA)
    PD Assessment-Anti-coagulation Factor Xa assays(AXA)

    Full Information

    First Posted
    July 23, 2019
    Last Updated
    July 25, 2019
    Sponsor
    CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04036656
    Brief Title
    Phase I Study of Direct Coagulation Factor Xa Inhibitor SYHA136 Tablets in Chinese Healthy Volunteers
    Official Title
    Single-center, Randomized, Double-blind, Placebo-controlled, Single Dose Ascending Trial of SYHA 136 Tablets in Healthy Subjects
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2019
    Overall Recruitment Status
    Unknown status
    Study Start Date
    August 2019 (Anticipated)
    Primary Completion Date
    January 2020 (Anticipated)
    Study Completion Date
    May 2020 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    CSPC ZhongQi Pharmaceutical Technology Co., Ltd.

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The trial used single-center, randomized, double-blind, placebo-controlled, single-dose ascending study. The trial planned to enroll fifty-six healthy volunteers. The subjects were allocated to eight dose groups, including 0.5 mg (3+1), 1 mg (3+1), 2.5 mg (6+2), 5 mg (6+2), 10 mg (6+2), 20 mg (6+2), 35 mg(6+2) and 50 mg (6+2). Each dose group was allocated test drugs and placebos according to the proportion of subjects in the brackets mentioned above.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Venous Thrombosis

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    56 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Cohort 1:SYHA136 0.5 mg or Placebo matching SYHA136 0.5 mg
    Arm Type
    Experimental
    Arm Description
    Participants will receive a single oral dose of SYHA136 0.5 mg or Placebo matching SYHA136 0.5 mg under fasted conditions.
    Arm Title
    Cohort 2:SYHA136 1 mg or Placebo matching SYHA136 1 mg
    Arm Type
    Experimental
    Arm Description
    Participants will receive a single oral dose of SYHA136 1 mg or Placebo matching SYHA136 1 mg under fasted conditions.
    Arm Title
    Cohort 3:SYHA136 2.5 mg or Placebo matching SYHA136 2.5 mg
    Arm Type
    Experimental
    Arm Description
    Participants will receive a single oral dose of SYHA136 2.5 mg or Placebo matching SYHA136 2.5 mg under fasted conditions.
    Arm Title
    Cohort 4:SYHA136 5 mg or Placebo matching SYHA136 5 mg
    Arm Type
    Experimental
    Arm Description
    Participants will receive a single oral dose of SYHA136 5 mg or Placebo matching SYHA136 5 mg under fasted conditions.
    Arm Title
    Cohort 5:SYHA136 10 mg or Placebo matching SYHA136 10 mg
    Arm Type
    Experimental
    Arm Description
    Participants will receive a single oral dose of SYHA136 10 mg or Placebo matching SYHA136 10 mg under fasted conditions.
    Arm Title
    Cohort 6:SYHA136 20 mg or Placebo matching SYHA136 20 mg
    Arm Type
    Experimental
    Arm Description
    Participants will receive a single oral dose of SYHA136 20 mg or Placebo matching SYHA136 20 mg under fasted conditions.
    Arm Title
    Cohort 7:SYHA136 35 mg or Placebo matching SYHA136 35 mg
    Arm Type
    Experimental
    Arm Description
    Participants will receive a single oral dose of SYHA136 35 mg or Placebo matching SYHA136 35 mg under fasted conditions.
    Arm Title
    Cohort 1:SYHA136 50 mg or Placebo matching SYHA136 50 mg
    Arm Type
    Experimental
    Arm Description
    Participants will receive a single oral dose of SYHA136 50 mg or Placebo matching SYHA136 50 mg under fasted conditions.
    Intervention Type
    Drug
    Intervention Name(s)
    SYHA136 0.5 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    SYHA136 1 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    SYHA136 2.5 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    SYHA136 5 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    SYHA136 10 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    SYHA136 20 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    SYHA136 35 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    SYHA136 50 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo matching SYHA136 0.5 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo matching SYHA136 1 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo matching SYHA136 2.5 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo matching SYHA136 5 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo matching SYHA136 10 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo matching SYHA136 20 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo matching SYHA136 35 mg
    Intervention Description
    oral tablet
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo matching SYHA136 50 mg
    Intervention Description
    oral tablet
    Primary Outcome Measure Information:
    Title
    Adverse Events (AEs)
    Description
    Number of participants that experience Adverse Events (AEs)
    Time Frame
    From Screening period to 12 Days Post dose
    Title
    Serious Adverse Events (SAEs)
    Description
    Number of participants that experience Serious Adverse Events (SAEs)
    Time Frame
    From Screening period to 12 Days Post dose
    Title
    clinically significant laboratory assessment abnormalities
    Description
    Number of participants with clinically significant laboratory assessment abnormalities
    Time Frame
    Up to 72 hours Post dose
    Title
    clinically significant 12-lead electrocardiograms (ECGs) abnormalities
    Description
    Number of participants with clinically significant 12-lead electrocardiograms (ECGs) abnormalities
    Time Frame
    Up to 72 hours Post dose
    Title
    clinically significant physical examination abnormalities
    Description
    Number of participants with clinically significant physical examination abnormalities
    Time Frame
    Up to 72 hours Post dose
    Secondary Outcome Measure Information:
    Title
    Area Under the concentration-time curve from time zero to time of the Last Measurable Concentration (AUC0-tlast)
    Description
    PK Assessment - Area Under the concentration-time curve from time zero to time of the Last Measurable Concentration (AUC0-tlast)
    Time Frame
    Up to 72 hours Post dose
    Title
    Area under the concentration-time curve from time 0 to infinity (AUCinf)
    Description
    PK Assessment - Area under the concentration-time curve from time 0 to infinity (AUCinf)
    Time Frame
    Up to 72 hours Post dose
    Title
    Maximum observed concentration (Cmax)
    Description
    PK Assessment - Maximum observed concentration (Cmax)
    Time Frame
    Up to 72 hours Post dose
    Title
    Time to reach maximum observed concentration (Tmax)
    Description
    PK Assessment - Time to reach maximum observed concentration (Tmax)
    Time Frame
    Up to 72 hours Post dose
    Title
    Terminal elimination half-life (t1/2)
    Description
    PK Assessment - Terminal elimination half-life (t1/2)
    Time Frame
    Up to 72 hours Post dose
    Title
    Apparent total body clearance (CL/F)
    Description
    PK Assessment - Apparent total body clearance (CL/F)
    Time Frame
    Up to 72 hours Post dose
    Title
    Apparent volume of distribution (Vz/F)
    Description
    PK Assessment - Apparent volume of distribution (Vz/F)
    Time Frame
    Up to 72 hours Post dose
    Title
    Amount of SYHA136 excreted in urine (Aeu)
    Description
    PK Assessment - Amount of SYHA136 excreted in urine (Aeu)
    Time Frame
    Up to 72 hours Post dose
    Title
    Renal clearance (CLr)
    Description
    PK Assessment - Renal clearance (CLr)
    Time Frame
    Up to 72 hours Post dose
    Title
    Activated Partial Thromboplastin Time(aPTT)
    Description
    PD Assessment-Activated Partial Thromboplastin Time(aPTT)
    Time Frame
    Up to 48 hours Post dose
    Title
    Fibrinogen(Fbg)
    Description
    PD Assessment-Fibrinogen(Fbg)
    Time Frame
    Up to 48 hours Post dose
    Title
    Thrombin Time(TT)
    Description
    PD Assessment-Thrombin Time(TT)
    Time Frame
    Up to 48 hours Post dose
    Title
    International Normalized Ratio(INR)
    Description
    PD Assessment-International Normalized Ratio(INR)
    Time Frame
    Up to 48 hours Post dose
    Title
    Anti-coagulation Factor Xa assays(AXA)
    Description
    PD Assessment-Anti-coagulation Factor Xa assays(AXA)
    Time Frame
    Up to 48 hours Post dose

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    40 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: When subject signs the informed contest, 18≤ age ≤ 40, Male or female; Body weight: male ≥50 kg, female ≥45 kg. Body mass index (BMI) of 19.0 to 26.0 kg/m², inclusive; Subject's with normal or or abnormity without clinical significance judged by the investigator by physical examination, vital signs, electrocardiogram, blood routine, blood biochemistry, coagulation tests, fecal occult blood, urine routine, serological tests and other important indicators; All subjects who adopt effective non-hormonal contraceptive measures (such as condoms, intrauterine devices without drugs, etc.) from the signing of informed consent to three months after the end of the study; Subjects who voluntarily signed the informed consent and are able to cooperate to complete the test according to the protocal. Exclusion Criteria: Allergic history to more than one drug or other serious allergic rhistory; Serious diseases of the central nervous system, cardiovascular system, digestive system, respiratory system, urinary system, blood system, metabolic disorders or other diseases (such as history of psychosis, malignant tumors, etc.)In the past or now, which were not suitable for clinical trials. History of abnormal bleeding or coagulation disorders (e.g. prone to bruising, gum bleeding, prolonged bleeding after tooth extraction, joint hemorrhage, menorrhagia, postpartum hemorrhage, vitamin K deficiency, haemorrhagic diseases caused by acquired coagulation factor antibodies, trauma, wound or post-operative bleeding, etc.); History of severe head trauma in 2 years; Severe gastrointestinal diseases occurred within three months before signing informed consent, which affected drug absorption; Have a disease which Haemorrhage could cause serious consequences, such as peptic ulcer; Had undergone surgery within six months before signing the informed consent; planned to undergo surgery (including cosmetic surgery, dental surgery and oral surgery) within two weeks after the end of the trial; or planned to take part in vigorous exercise (including physical contact exercise or collision exercise) during the trial; Bleed or donated more than 400 mL within three months before signing informed consent, or planned to donate blood during the study or within one month after the end of the trial; Have taken any prescription drugs, nonpreserip drugs, biological products, traditional Chinese medicines, herbal medicines, vitamin dietary supplements and health products within four weeks before signing the informed consent or use oral long-acting contraceptives or implanted long-acting contraceptives; Subjects participating in other clinical trials and taking trial products, or participated in any other clinical trials of drugs within three months before signing the informed consent; History of drugs or drug abuse or alcoholics or drug abuse screening shows positive response; current or past alcoholics (drinking more than 14 standard units per week, 1 Standard unit containing 14g alcohol, such as 360 mL beer or 40% spirits or 150 mL wines with 45 mL alcohol), or alcohol breath test positive; Smokers: The average daily smoking volume was more than 5 cigarettes within six months before signing the informed consent; Habitually consume excessive caffeine-containing beverages or foods, or foods that may affect drug metabolism within four weeks before signing informed consent. Such as: coffee (no more than 1100 mL per day), tea (no more than 2200 mL per day), cola (no more than 2200 mL per day), functional drinks (no more than 1100 mL per day), chocolate (no more than 510 g per day); Positive with serum immunological test for HBsAg, Anti-HCV, Anti-HIV or Anti-TP; QTc interval≥450 ms, electrocardiogram abnormality with clinical significance, or prolonged history of QTc interval; Abnormal results of chest X-ray (posterior and anterior) with clinical significance; Female subjects: positive pregnancy tests or pregnant or breast-feeding or planning to conceive, who plan to conceive within three months from the signing of informed consent to the end of the study; male subjects: whose partners plan to conceive or plan to donate sperm within three months from the signing of informed consent to the end of the study; Not suitable for this trial according to the investigator.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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    Phase I Study of Direct Coagulation Factor Xa Inhibitor SYHA136 Tablets in Chinese Healthy Volunteers

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