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A Five-Treatment-Period Study to Evaluate the Single-Dose Pharmacokinetics and Pharmacodynamics of Avatrombopag in Healthy Japanese and White Subjects

Primary Purpose

Thrombocytopenia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
avatrombopag
Sponsored by
Eisai Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Thrombocytopenia focused on measuring Healthy

Eligibility Criteria

20 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria

  1. Platelet count between the lower limit of normal and 350 x 109/L, inclusive, at Screening and each Baseline; measurements can repeated for verification, if necessary
  2. Nonsmoking, healthy white and Japanese adult male and female subjects, greater than or equal to 20 years and less than or equal to 55 years old at the time of informed consent. (Nonsmokers are defined as those who have discontinued smoking for at least 4 weeks before dosing.)
  3. Japanese subjects must be born in Japan of Japanese parents and Japanese grandparents, must have lived no more than 5 years outside of Japan, and must not have changed their lifestyle or habits, including diet, while living outside of Japan.
  4. Body mass index greater than or equal to 18 and less than or equal to 28 kg/m2 at Screening and Baseline Period 1. The BMI in white subjects must be within +/- 2 kg/m2 of the BMI in Japanese subjects.
  5. Nonsmoking, healthy white and Japanese adult males and females between the ages of 20 and 55, inclusive
  6. BMI between 18 and 28. inclusive
  7. Females must not be pregnant or lactating, and if they are of childbearing potential they must agree to use a highly effective method of contraception or abstain
  8. Males must have a vasectomy or they and their partner must use a highly effective method of contraception

Exclusion Criteria

  1. Evidence of organ dysfunction or any clinically significant deviation from normal in their medical history (eg, history of splenectomy); history of arterial or venous thrombosis, including partial or complete thromboses (eg, stroke, transient ischemic attack, myocardial infarction, deep vein thrombosis, pulmonary embolism); known family history of hereditary thrombophilic disorders (eg, Factor V Leiden, antithrombin III deficiency)
  2. Recent clinically significant illness or infection that requires medical treatment
  3. Evidence of disease that may influence the outcome of the study (eg, psychiatric disorders, disorders of the gastrointestinal tract, liver, kidney, respiratory system, endocrine system, hematological system, neurological system, or cardiovascular system), or subjects who have a congenital abnormality in metabolism
  4. Any history of gastrointestinal surgery (eg, hepatectomy, nephrotomy, digestive organ resection)
  5. Any clinically abnormal symptom or organ impairment found by medical history, physical examination, vital sign electrocardiogram (ECG) assessment, or laboratory test results
  6. A known or suspected history of drug or alcohol dependency or abuse or a positive urine drug, cotinine, or alcohol test
  7. Positive results for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV) antibody at Screening
  8. Weight loss or gain of >10% within 4 weeks before dosing
  9. Known history of clinically significant drug or food allergy
  10. Currently enrolled in another clinical trial

Sites / Locations

  • Parexel International Early Development Clinical Units

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

avatrombopag

Arm Description

Each subject will receive a single administration during each of the 5 treatment periods as follows: 40 and 60 mg in the fed and fasted state, and 20 mg in the fed state. Subjects will be randomized to one of four dosing sequences.

Outcomes

Primary Outcome Measures

Pharmacokinetic (PK) profiles of avatrombopag
The following PK parameters will be estimated for plasma: Cmax, AUC, and t1/2.

Secondary Outcome Measures

Pharmacodynamic (PD) profiles of avatrombopag
Analyses will carried out for AUEC(0-28d) and Emax using a mixed linear model including fixed terms for dose, race, food, sequence, and period with interaction terms for food by race and for dose by race and subject as random effect.
Comparison of PK and PD for avatrombopag
To assess the similarity of the PK and PD of avatrombopag between healthy Japanese and white subjects after a single administration of avatrombopag under fasted conditions
Adverse events (AEs ) as a measure of safety and tolerability
Saftey assessments include AEs, clinical laboratory results, vital signs, and ECGs.
Laboratory assessments as a measure of safety and tolerability
Clinical laboratory assessments will include haematology, clinical chemistry, urinalysis and other screening tests
Vital signs as a measure of safety and tolerability
Vital sign measurements will include systolic and diastolic blood pressure (BP) and pulse rate
Electrocardiogram (ECG) as a measure of safety and tolerability
Twelve-lead ECGs will be obtained as a measure of safety and tolerability

Full Information

First Posted
January 13, 2014
Last Updated
December 16, 2014
Sponsor
Eisai Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02039076
Brief Title
A Five-Treatment-Period Study to Evaluate the Single-Dose Pharmacokinetics and Pharmacodynamics of Avatrombopag in Healthy Japanese and White Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
November 2014
Overall Recruitment Status
Completed
Study Start Date
December 2013 (undefined)
Primary Completion Date
June 2014 (Actual)
Study Completion Date
September 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Eisai Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This will be a randomized, open-label, 5-treatment-period study to evaluate the PK and PD of avatrombopag following a single administration of avatrombopag in the fed and fasted condition, or the fed condition, to healthy Japanese and white subjects. A standard high-fat, high calorie breakfast will be used to assess the fed condition.
Detailed Description
The study will comprise a Prerandomization Phase and a Randomization Phase. The Prerandomization Phase will include 2 periods, Screening and Baseline 1. The Screening Period will be up to 3 weeks (21 days) in duration. The Randomization Phase will consist of 5 single-dose treatment periods, of which 3 will include administration of avatrombopag in the fed condition and 2 will include administration of avatrombopag in the fasted condition. Each treatment period will be separated by a wash out interval of at least 28 days. Before each treatment period, subjects will complete a baseline period (Baseline Periods 2, 3, 4, and 5), during which baseline assessments will be collected. A Final Visit will occur 28 days (+/- 1 day) after dosing in Treatment Period 5.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Thrombocytopenia
Keywords
Healthy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
avatrombopag
Arm Type
Experimental
Arm Description
Each subject will receive a single administration during each of the 5 treatment periods as follows: 40 and 60 mg in the fed and fasted state, and 20 mg in the fed state. Subjects will be randomized to one of four dosing sequences.
Intervention Type
Drug
Intervention Name(s)
avatrombopag
Primary Outcome Measure Information:
Title
Pharmacokinetic (PK) profiles of avatrombopag
Description
The following PK parameters will be estimated for plasma: Cmax, AUC, and t1/2.
Time Frame
Up to 23 Weeks
Secondary Outcome Measure Information:
Title
Pharmacodynamic (PD) profiles of avatrombopag
Description
Analyses will carried out for AUEC(0-28d) and Emax using a mixed linear model including fixed terms for dose, race, food, sequence, and period with interaction terms for food by race and for dose by race and subject as random effect.
Time Frame
Up to 23 Weeks
Title
Comparison of PK and PD for avatrombopag
Description
To assess the similarity of the PK and PD of avatrombopag between healthy Japanese and white subjects after a single administration of avatrombopag under fasted conditions
Time Frame
Up to 23 Weeks
Title
Adverse events (AEs ) as a measure of safety and tolerability
Description
Saftey assessments include AEs, clinical laboratory results, vital signs, and ECGs.
Time Frame
Up to 23 Weeks
Title
Laboratory assessments as a measure of safety and tolerability
Description
Clinical laboratory assessments will include haematology, clinical chemistry, urinalysis and other screening tests
Time Frame
Up to 23 Weeks
Title
Vital signs as a measure of safety and tolerability
Description
Vital sign measurements will include systolic and diastolic blood pressure (BP) and pulse rate
Time Frame
Up to 23 Weeks
Title
Electrocardiogram (ECG) as a measure of safety and tolerability
Description
Twelve-lead ECGs will be obtained as a measure of safety and tolerability
Time Frame
Up to 23 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria Platelet count between the lower limit of normal and 350 x 109/L, inclusive, at Screening and each Baseline; measurements can repeated for verification, if necessary Nonsmoking, healthy white and Japanese adult male and female subjects, greater than or equal to 20 years and less than or equal to 55 years old at the time of informed consent. (Nonsmokers are defined as those who have discontinued smoking for at least 4 weeks before dosing.) Japanese subjects must be born in Japan of Japanese parents and Japanese grandparents, must have lived no more than 5 years outside of Japan, and must not have changed their lifestyle or habits, including diet, while living outside of Japan. Body mass index greater than or equal to 18 and less than or equal to 28 kg/m2 at Screening and Baseline Period 1. The BMI in white subjects must be within +/- 2 kg/m2 of the BMI in Japanese subjects. Nonsmoking, healthy white and Japanese adult males and females between the ages of 20 and 55, inclusive BMI between 18 and 28. inclusive Females must not be pregnant or lactating, and if they are of childbearing potential they must agree to use a highly effective method of contraception or abstain Males must have a vasectomy or they and their partner must use a highly effective method of contraception Exclusion Criteria Evidence of organ dysfunction or any clinically significant deviation from normal in their medical history (eg, history of splenectomy); history of arterial or venous thrombosis, including partial or complete thromboses (eg, stroke, transient ischemic attack, myocardial infarction, deep vein thrombosis, pulmonary embolism); known family history of hereditary thrombophilic disorders (eg, Factor V Leiden, antithrombin III deficiency) Recent clinically significant illness or infection that requires medical treatment Evidence of disease that may influence the outcome of the study (eg, psychiatric disorders, disorders of the gastrointestinal tract, liver, kidney, respiratory system, endocrine system, hematological system, neurological system, or cardiovascular system), or subjects who have a congenital abnormality in metabolism Any history of gastrointestinal surgery (eg, hepatectomy, nephrotomy, digestive organ resection) Any clinically abnormal symptom or organ impairment found by medical history, physical examination, vital sign electrocardiogram (ECG) assessment, or laboratory test results A known or suspected history of drug or alcohol dependency or abuse or a positive urine drug, cotinine, or alcohol test Positive results for human immunodeficiency virus (HIV), hepatitis B surface antigen (HBsAg), or hepatitis C virus (HCV) antibody at Screening Weight loss or gain of >10% within 4 weeks before dosing Known history of clinically significant drug or food allergy Currently enrolled in another clinical trial
Facility Information:
Facility Name
Parexel International Early Development Clinical Units
City
Glendale
State/Province
California
Country
United States

12. IPD Sharing Statement

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A Five-Treatment-Period Study to Evaluate the Single-Dose Pharmacokinetics and Pharmacodynamics of Avatrombopag in Healthy Japanese and White Subjects

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