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

About this trial
This is an interventional screening trial for Acute Coronary Syndrome
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
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
NCT ID
NCT02034292
First Posted
December 12, 2013
Last Updated
February 11, 2019
Sponsor
IlDong Pharmaceutical Co Ltd
Collaborators
Asan Medical Center
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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