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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
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Thrombosis focused on measuring Hemophilia B

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

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

    First Posted
    June 3, 2011
    Last Updated
    October 1, 2015
    Sponsor
    Merck Sharp & Dohme LLC
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    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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