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Safety Study of APD-791 With Aspirin and/or Clopidogrel (TG1C)

Primary Purpose

Acute Coronary Syndrome

Status
Terminated
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Clopidogrel
Aspirin
APD791
Placebo
Sponsored by
IlDong Pharmaceutical Co Ltd
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional screening trial for Acute Coronary Syndrome

Eligibility Criteria

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

Inclusion Criteria:

  1. a healthy adult between 20 and 45 years old at the time of visit for screening
  2. a person who is able to give written consent
  3. a person between 50 and 85 kg at the time of visit for screening
  4. a woman who is negative on a serum hCG test at the time of visit and the day before a trial, and who is not nursing
  5. a woman who agrees on double contraception, medically approved, from the time of visit for screening to 90 days after the last administration of a clinical trial drug, or who had a contraceptive operation no later than 120 days before visit for screening, or who is menopausal
  6. a man who had a contraceptive operation no later than 120 days before visit for screening, or who agrees on double contraception, medically approved, from the time of visit for screening to 90 days after the last administration of a clinical trial drug, and also agree not to donate sperm
  7. a person more than hemoglobin 12 g/dL at the time of screening (a woman more than hemoglobin 11 g/dL)
  8. a person whose vital signs were in the normal range at the time of visit for screening, or who is medically determined not to be clinically significant by an investigator
  9. a person who voluntarily decides to participate in this clinical trial and gives written consent on strict clinical trial compliance
  10. a person whose blood can be collected during a study period with visit for monitoring

Exclusion Criteria:

  1. a person with the medical history of gastric ulcer, duodenal ulcer or esophageal ulcer within 90 days from the time of visit for screening
  2. a person with the medical history of gastrointestinal diseases(e.g. Crohn's disease, ulcerative colitis, etc.) or surgery(excluding uncomplicated appendectomy or herniotomy) affecting the absorption of a clinical trial drug
  3. a person with the medical history of blood coagulation disorder or hemorrhagic diseases, or with clinically significant abnormal findings decided by a investigator on blood coagulation test at the time of screening
  4. a woman with the medical history of dysfunctional uterine bleeding within a year from the time of visit for screening
  5. a person with the medical history of epilepsy or convulsion
  6. a person with the medical history of internal organ transplant
  7. a person expected to be hard to complete a clinical trial because of surgery or medical procedures planned within a clinical trial period
  8. a person with the medical history of clinically significant new diseases within 30 days from the time of visit for screening according to investigator's decision
  9. a person with hypersensitivity reaction to a drug or gelatin, or the medical history of clinically significant hypersensitivity reaction
  10. a person with the history of drug abuse, or with a positive reaction to a drug possible to be abused on urine drug screening
  11. a person with the medical history of alcohol abuse within two years from the time of visit for screening
  12. a person who is a smoker, or with a positive reaction on a urine nicotine test conducted at the time of visit for screening
  13. a person who donated whole blood within 60 days or constituents of blood within 30 days, or received a blood transfusion within 30 days from the time of visit for screening
  14. a person taking other clinical trial drugs within 90 days from the time of visit for screening
  15. a person taking a prescription drug within 30 days, or a contraindicated drug or oriental medicine within 14 days from the time of visit for screening
  16. a person with a positive reaction to a serum test(hepatitis B test, hepatitis C test, HIV test, syphilis test)
  17. a person with hepatic enzymes(AST, ALT) more than 2.5 times of the reference upper limit(UNL) or total bilirubin more than 1.5 times of the reference upper limit(UNL) or creatinine more than 1.25 times of the reference upper limit(UNL)
  18. a person expected to be hard to complete a clinical trial due to physical or mental status according to investigator's medical decision at the time of visit for screening
  19. a person decided to be inappropriate to participate in this clinical trial according to investigator's medical decision on the result of laboratory tests, such as complete blood cell count, general chemical test, clinicochemical urinalysis, and physical examination, vital signs, ECG, other tests excluding exclusion criteria 17 items conducted before subject selection for a clinical trial

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm 5

    Arm 6

    Arm 7

    Arm 8

    Arm 9

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Placebo Comparator

    Experimental

    Experimental

    Experimental

    Placebo Comparator

    Arm Label

    10mg MD

    20mg MD

    40mg MD

    60mg MD

    Placebo MD

    120mg SD

    240mg SD

    320mg SD

    Placebo SD

    Arm Description

    APD791 10mg Multiple dose and

    APD791 20mg Multiple dose

    APD791 40mg Multiple dose

    APD791 60mg Multiple dose

    Placebo for Multiple dose group

    APD791 120mg Single dose

    APD791 240mg Single dose

    APD791 320mg Single dose

    Placebo for Single dose

    Outcomes

    Primary Outcome Measures

    To assess the safety of APD791 when orally co-administered with Aspirin and Clopidogrel in healthy subjects
    Adverse reaction monitoring for subjective or objective symptoms Physical examination Vital signs 12-electrode ECG Laboratory tests

    Secondary Outcome Measures

    Pharmacokinetic characteristic evaluation variable
    Non-compartmental analysis is conducted by using APD791 and its metabolite, M1 and M2 and the following pharmacokinetic evaluation variables are calculated. Cmax0-12, Cmax,ss (Day 7 only), Cmin,ss (Day 7 only), tmax0-12, tmax,ss (Day 7 only), λz, t1/2β, AUC0-12 (Day 1 only), AUCinf, Accumulation index, CL/F, MRT, Vz/F
    Pharmacodynamic characteristic evaluation variable
    Pharmacodynam1) % inhibition of serotonin-stimulated platelet aggregation 2) Change in % inhibition of serotonin-stimulated platelet aggregation 3) % inhibition of TRAP-induced platelet aggregation ic characteristic evaluation variable

    Full Information

    First Posted
    December 12, 2013
    Last Updated
    February 11, 2019
    Sponsor
    IlDong Pharmaceutical Co Ltd
    Collaborators
    Asan Medical Center
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02034292
    Brief Title
    Safety Study of APD-791 With Aspirin and/or Clopidogrel
    Acronym
    TG1C
    Official Title
    Phase I Study to Assess the Safety of APD-791 When Co-administered With Aspirin
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2019
    Overall Recruitment Status
    Terminated
    Why Stopped
    Sponsor Decision
    Study Start Date
    February 2014 (Actual)
    Primary Completion Date
    March 2014 (Actual)
    Study Completion Date
    March 2014 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    IlDong Pharmaceutical Co Ltd
    Collaborators
    Asan Medical Center

    4. Oversight

    Data Monitoring Committee
    Yes

    5. Study Description

    Brief Summary
    Evaluating safety and PK parameter of APD-791 when co-administered with aspirin and clopidogrel.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Acute Coronary Syndrome

    7. Study Design

    Primary Purpose
    Screening
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigatorOutcomes Assessor
    Allocation
    Randomized
    Enrollment
    16 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    10mg MD
    Arm Type
    Experimental
    Arm Description
    APD791 10mg Multiple dose and
    Arm Title
    20mg MD
    Arm Type
    Experimental
    Arm Description
    APD791 20mg Multiple dose
    Arm Title
    40mg MD
    Arm Type
    Experimental
    Arm Description
    APD791 40mg Multiple dose
    Arm Title
    60mg MD
    Arm Type
    Experimental
    Arm Description
    APD791 60mg Multiple dose
    Arm Title
    Placebo MD
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo for Multiple dose group
    Arm Title
    120mg SD
    Arm Type
    Experimental
    Arm Description
    APD791 120mg Single dose
    Arm Title
    240mg SD
    Arm Type
    Experimental
    Arm Description
    APD791 240mg Single dose
    Arm Title
    320mg SD
    Arm Type
    Experimental
    Arm Description
    APD791 320mg Single dose
    Arm Title
    Placebo SD
    Arm Type
    Placebo Comparator
    Arm Description
    Placebo for Single dose
    Intervention Type
    Drug
    Intervention Name(s)
    Clopidogrel
    Intervention Type
    Drug
    Intervention Name(s)
    Aspirin
    Intervention Type
    Drug
    Intervention Name(s)
    APD791
    Intervention Type
    Drug
    Intervention Name(s)
    Placebo
    Primary Outcome Measure Information:
    Title
    To assess the safety of APD791 when orally co-administered with Aspirin and Clopidogrel in healthy subjects
    Description
    Adverse reaction monitoring for subjective or objective symptoms Physical examination Vital signs 12-electrode ECG Laboratory tests
    Time Frame
    safety review will be conducted at every end of dosing (about every 2 or 3 weeks)
    Secondary Outcome Measure Information:
    Title
    Pharmacokinetic characteristic evaluation variable
    Description
    Non-compartmental analysis is conducted by using APD791 and its metabolite, M1 and M2 and the following pharmacokinetic evaluation variables are calculated. Cmax0-12, Cmax,ss (Day 7 only), Cmin,ss (Day 7 only), tmax0-12, tmax,ss (Day 7 only), λz, t1/2β, AUC0-12 (Day 1 only), AUCinf, Accumulation index, CL/F, MRT, Vz/F
    Time Frame
    After last patient last visit. About 8month later since start of the study.
    Title
    Pharmacodynamic characteristic evaluation variable
    Description
    Pharmacodynam1) % inhibition of serotonin-stimulated platelet aggregation 2) Change in % inhibition of serotonin-stimulated platelet aggregation 3) % inhibition of TRAP-induced platelet aggregation ic characteristic evaluation variable
    Time Frame
    Day1, Day4, Day7 of every dose for mutiple dose group and first day for single dose group.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    20 Years
    Maximum Age & Unit of Time
    45 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: a healthy adult between 20 and 45 years old at the time of visit for screening a person who is able to give written consent a person between 50 and 85 kg at the time of visit for screening a woman who is negative on a serum hCG test at the time of visit and the day before a trial, and who is not nursing a woman who agrees on double contraception, medically approved, from the time of visit for screening to 90 days after the last administration of a clinical trial drug, or who had a contraceptive operation no later than 120 days before visit for screening, or who is menopausal a man who had a contraceptive operation no later than 120 days before visit for screening, or who agrees on double contraception, medically approved, from the time of visit for screening to 90 days after the last administration of a clinical trial drug, and also agree not to donate sperm a person more than hemoglobin 12 g/dL at the time of screening (a woman more than hemoglobin 11 g/dL) a person whose vital signs were in the normal range at the time of visit for screening, or who is medically determined not to be clinically significant by an investigator a person who voluntarily decides to participate in this clinical trial and gives written consent on strict clinical trial compliance a person whose blood can be collected during a study period with visit for monitoring Exclusion Criteria: a person with the medical history of gastric ulcer, duodenal ulcer or esophageal ulcer within 90 days from the time of visit for screening a person with the medical history of gastrointestinal diseases(e.g. Crohn's disease, ulcerative colitis, etc.) or surgery(excluding uncomplicated appendectomy or herniotomy) affecting the absorption of a clinical trial drug a person with the medical history of blood coagulation disorder or hemorrhagic diseases, or with clinically significant abnormal findings decided by a investigator on blood coagulation test at the time of screening a woman with the medical history of dysfunctional uterine bleeding within a year from the time of visit for screening a person with the medical history of epilepsy or convulsion a person with the medical history of internal organ transplant a person expected to be hard to complete a clinical trial because of surgery or medical procedures planned within a clinical trial period a person with the medical history of clinically significant new diseases within 30 days from the time of visit for screening according to investigator's decision a person with hypersensitivity reaction to a drug or gelatin, or the medical history of clinically significant hypersensitivity reaction a person with the history of drug abuse, or with a positive reaction to a drug possible to be abused on urine drug screening a person with the medical history of alcohol abuse within two years from the time of visit for screening a person who is a smoker, or with a positive reaction on a urine nicotine test conducted at the time of visit for screening a person who donated whole blood within 60 days or constituents of blood within 30 days, or received a blood transfusion within 30 days from the time of visit for screening a person taking other clinical trial drugs within 90 days from the time of visit for screening a person taking a prescription drug within 30 days, or a contraindicated drug or oriental medicine within 14 days from the time of visit for screening a person with a positive reaction to a serum test(hepatitis B test, hepatitis C test, HIV test, syphilis test) a person with hepatic enzymes(AST, ALT) more than 2.5 times of the reference upper limit(UNL) or total bilirubin more than 1.5 times of the reference upper limit(UNL) or creatinine more than 1.25 times of the reference upper limit(UNL) a person expected to be hard to complete a clinical trial due to physical or mental status according to investigator's medical decision at the time of visit for screening a person decided to be inappropriate to participate in this clinical trial according to investigator's medical decision on the result of laboratory tests, such as complete blood cell count, general chemical test, clinicochemical urinalysis, and physical examination, vital signs, ECG, other tests excluding exclusion criteria 17 items conducted before subject selection for a clinical trial

    12. IPD Sharing Statement

    Learn more about this trial

    Safety Study of APD-791 With Aspirin and/or Clopidogrel

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