Etude (Study) Phase I Enox - UnFractionated Heparin (UFH)
This study has been completed.
Sponsor:
Sanofi
Information provided by:
Sanofi
ClinicalTrials.gov Identifier:
NCT00622115
First received: February 13, 2008
Last updated: March 14, 2011
Last verified: March 2011
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Purpose
Primary objective:
- to characterize the pharmacokinetic and the pharmacodynamic profile after intravenous bolus injection of unfractionated heparin (UFH) after repeated sc 100 IU anti-Xa/kg (corresponding to 1 mg/kg) twice a day during 2.5 days (every 12±2hrs) administrations of enoxaparin in Caucasian healthy subjects.
Secondary objective(s):
- to compare the pharmacokinetic and the pharmacodynamic profile between 3 different timing of administration of the UFH
- to assess the tolerability of the different anticoagulation protocols
| Condition | Intervention | Phase |
|---|---|---|
|
Thrombosis |
Drug: Enoxaparin |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase I, Pharmacokinetic and Tolerability Study of Intravenous Unfractionated Heparin After Subcutaneous Enoxaparin 1mg/kg Bid Repeated Administration in Healthy Subjects |
Resource links provided by NLM:
Further study details as provided by Sanofi:
Primary Outcome Measures:
- Concentration-time profiles of anti-Xa and anti-IIa levels [ Time Frame: At baseline (Day 2) after the morning enoxaparin injection and at day 3 from pre-dose of enoxaparin and lasting until 14 hours after the enoxaparin injection. ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Effect-time profiles of ACT, TGTppp and TGTprp [ Time Frame: At baseline (Day 2) after the morning enoxaparin sc injection and at day 3 from pre-dose of enoxaparin and lasting until 14 hours after the enoxaparin injection. ] [ Designated as safety issue: No ]
- PFA100 levels measured [ Time Frame: At pre-dose, 4h and 14h post dose of enoxaparin ] [ Designated as safety issue: No ]
- Documentation of adverse event, physical examination, clinical laboratory safety, vital signs and ECG recording at prespecified time-points. [ Time Frame: during the entire study ] [ Designated as safety issue: Yes ]
| Enrollment: | 72 |
| Study Start Date: | July 2007 |
| Study Completion Date: | November 2007 |
| Primary Completion Date: | November 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: A
70 U/kg of UnFractionated Heparin (UFH) administered intravenously at 4 hours following the last injection of enoxaparin
|
Drug: Enoxaparin |
|
Experimental: B
70 U/kg of UnFractionated Heparin (UFH) administered intravenously at 6 hours following the last injection of enoxaparin
|
Drug: Enoxaparin |
|
Experimental: C
70 U/kg of UnFractionated Heparin (UFH) administered intravenously at 10 hours following the last injection of enoxaparin
|
Drug: Enoxaparin |
Eligibility| Ages Eligible for Study: | 40 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Criteria
Inclusion Criteria:
- Caucasian
- Male and female subjects, between 40 and 60 years of age
- Body weight between 50 kg and 90 kg if male and between 40 and 80 kg if female with Body Mass Index (BMI) between 18 and 29 kg/m2
Health Status:
- Certified as healthy by a comprehensive clinical assessment (detailed medical history and complete physical examination)
- Subject with hypertension, hypo- or hyperthyroidism or dyslipidemia will be included if their concomitant pathology is well-controlled by treatment for at least one year
Normal vital signs after 10 minutes resting in supine position:
- 95 mmHg < systolic blood pressure (SBP) < 140 mmHg;
- 45 mmHg < diastolic blood pressure (DBP) < 90 mmHg;
- 40 bpm < heart rate < 100 bpm.
- Normal 12-lead electrocardiogram (ECG); 120 ms < PR < 220 ms, QRS < 120 ms, QTc ≤ 430 ms for male, 450 ms for female or not considered as clinically significant by the investigator
- Laboratory parameters within the normal range unless the Investigator considers an abnormality to be clinically irrelevant for healthy subjects; hepatic enzymes (aspartate amino-transferase or AST, alanine amino-transferase or ALT) should be strictly below the upper laboratory norm.
- Platelets ≥ 150 000 / mm3
- Mean corpuscular volume (MCV) and gamma glutamyl-transferase (GGT) should be strictly in the normal range of the laboratory
- Activated partial thromboplastin time (aPTT) ratio should be comprised between 0.95 and 1.15
- Estimated Creatinine clearance by Cockroft formula should be higher than 50 mL/min
- Non smoker or smoking the equivalent or less than 5 cigarettes a day and able not to smoke during the study hospitalization
- Normal gynecological examination no longer than 12 months before inclusion.
- For female with childbearing potential using an effective contraception method (e.g. intra-uterine device, hormonal contraception, diaphragm and condom) except if postmenopausal for more than 12 months or sterilized for more than three months
- Subject with coagulation test and blood count (including platelets) within the physiological ranges)
Regulations:
- Having given written informed consent prior to any procedure related to the study
- Covered by Health Insurance System and/or in compliance with the recommendations of National Law in force relating to biomedical research
- Not under any administrative or legal supervision
Exclusion Criteria:
Medical history and clinical status:
- Contra-indication to anticoagulant therapy
- Subject with known increased bleeding time, hemophilia, thrombocytopenia, and/or history of any vascular purpura
- Subject with detectable antibody against heparin in the blood
- Any history or presence of clinically relevant cardiovascular, gynecologic (for women), pulmonary, gastro-intestinal, hepatic, renal, metabolic, hematological, neurologic, psychiatric, systemic, ocular or infectious disease that is capable of altering the absorption, metabolism, or elimination of drugs, or of constituting a risk factor when taking the study medication; any acute infectious disease or signs of acute illness; except subject with hypertension, hypo- or hyperthyroidism or dyslipidemia if well-controlled by treatment for at least one year.
- Subject with diabetes or other cardiovascular or metabolic disease
- Subject with INR > 1.5
- Frequent headaches and/or migraine, recurrent nausea and/or vomiting (more than twice a month)
- Blood donation or blood loss within one month before administration
- Symptomatic hypotension whatever the decrease in blood pressure or asymptomatic postural hypotension defined by a decrease in SBP equal to or greater than 20 mmHg within three minutes when changing from the supine to the standing position
- Presence or history of drug allergy, or allergic disease diagnosed and treated by a physician
- History or presence of drug or alcohol abuse (alcohol consumption > 40 grams/day)
- Smoking more than 5 cigarettes or equivalent/day, or unable to stop smoking during the study
- Excessive consumption of beverages with xanthine bases (> 4 cups or glasses/day)
- Pregnancy (defined as positive beta-HCG plasma test that can not be explicated by menopauses), breast-feeding for female, any history or presence of clinically relevant gynecologic disease
Interfering substance:
- Any medication (including St John's Wort) within 14 days before administration, or within 5 times the elimination half-life of that drug, except for hormonal contraception or replacement therapy, and allowed therapy for stable pathology
- Anti-inflammatory treatments and anti-aggregant treatments are strictly forbidden during the whole study period
General conditions:
- Subject who, in the judgment of the Investigator, is likely to be non-compliant during the study, or unable to cooperate because of a language problem or poor mental development
- Subject in exclusion period of a previous study according to applicable regulations
- Subject who cannot be contacted in case of emergency
- Subject is the investigator or any sub-investigator, research assistant, pharmacist, study coordinator, other staff thereof, directly involved in the conduct of the protocol or any other protocol of the Investigating Center
- Subject is an employee of the Investigating Center
Biological status:
- Positive reaction to any of the following tests: HBs antigen, anti-HCV antibodies, anti-HIV1 antibodies, anti-HIV2 antibodies, anti-LMWH antibodies
- Positive results on urine drug screen (amphetamines/metamphetamines, barbiturates, benzodiazepines, cannabinoids)
- Positive alcohol breath or plasma test
Contacts and Locations
More Information
Publications:
| Responsible Party: | Kazuki Otani/ Medical Project Manager, sanofi-aventis |
| ClinicalTrials.gov Identifier: | NCT00622115 History of Changes |
| Other Study ID Numbers: | ENOXA_C_02537, 2007-000884-99 |
| Study First Received: | February 13, 2008 |
| Last Updated: | March 14, 2011 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Additional relevant MeSH terms:
|
Thrombosis Embolism and Thrombosis Vascular Diseases Cardiovascular Diseases Calcium heparin Heparin Enoxaparin Anticoagulants |
Hematologic Agents Therapeutic Uses Pharmacologic Actions Fibrinolytic Agents Fibrin Modulating Agents Molecular Mechanisms of Pharmacological Action Cardiovascular Agents |
ClinicalTrials.gov processed this record on May 23, 2013