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Sickle Cell DiseasePhase 1NCT01430091

A Relative Bioavailability Study of a Prasugrel Orally Disintegrating Tablet

A Phase 1 study testing Prasugrel (clinical formulation) and Prasugrel (Orally Disintegrating Tablet [ODT]) in people with Sickle Cell Disease, run by Eli Lilly and Company at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study compares the clinical tablet formulation of prasugrel taken orally with an orally disintegrating tablet (ODT) taken orally. The study will evaluate the amount of prasugrel active metabolite circulating in the blood for each treatment. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Sickle Cell Disease
What is being tested?
Prasugrel (clinical formulation) and Prasugrel (Orally Disintegrating Tablet [ODT])
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
18 participants
Where
1 siteUnited States
Study dates
Sep 2011to Oct 2011
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Overtly healthy males or females, as determined by medical history and physical examination
  • Are either women who are of child-bearing potential, surgically sterilised or defined as post-menopausal. Female subjects of child-bearing potential (not surgically sterilised between menarche and menopause) must have a negative pregnancy test at the time of screening and must be using a reliable method of birth control. These include tubal ligation, an intrauterine device which has been in place for at least 3 months, the oral contraceptive pill which has been taken, without difficulty, for at least 3 months, or an approved hormonal implant. Barrier methods alone (condoms or diaphragm/cap) are not acceptable, but must be used in conjunction with a chemical method, that is, spermicidal gel. A woman is presumed to be post-menopausal if she has had amenorrhoea for greater than 12 months alone or amenorrheic for 6 to 12 months and has a serum oestradiol concentration <73 picomoles per liter (pmol/L) (20 picograms per milliliter [pg/mL]) (not applicable for women on hormone replacement therapy [HRT; oestrogen]) and a follicle stimulating hormone (FSH) concentration >40 international units per liter (IU/L).
  • Have clinical laboratory test results within normal reference range for the investigator site, or results with acceptable deviations that are judged to be not clinically significant by the investigator
  • Between the body mass index (BMI) of 18.5 and 32.0 kilograms per meter squared (kg/m^2), inclusive
  • Have acceptable blood pressure (BP) and heart rate (HR) (supine) as determined by the investigator
  • Have venous access sufficient to allow blood sampling
  • Are reliable and willing to make themselves available for the duration of the study, and will abide by the research unit policy and procedure and study restrictions
  • Have given written informed consent approved by Lilly and the Ethical Review Board (ERB) governing the site

Who cannot join

  • Have a history or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, haematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; of constituting a risk when taking the study medication; or of interfering with the interpretation of data, as determined by the investigator
  • Evidence of significant active neuropsychiatric disease
  • Have a history or presence of significant bleeding disorders, that is, haematemesis, melaena, severe or recurrent epistaxis, haemoptysis, haemorrhage, clinically overt haematuria, or intracranial haemorrhage
  • Have a history (within the last 5 years) or presence of gastric ulcers. Previous history of duodenal ulcer is acceptable but must have been successfully surgically or medically treated with no further evidence of disease in the past 6 months (from screening)
  • Have a personal or family history of coagulation or bleeding disorders or reasonable suspicion of vascular malformations, for example, cerebral haemorrhage, aneurysm, or premature stroke (cerebrovascular accident <65 years of age)
  • Have a self-reported history of significant bleeding from trauma (for example, prolonged bleeding after tooth extraction)
Show all 25Show fewer
  • Are pre-menopausal females with a history or presence of menorrhagia within the last 5 years (from screening)
  • Have clinically significant out of range values for prothrombin time (PT), activated partial thromboplastin time (APTT), or platelet count at screening
  • Have repeatedly reported positive results (at least 2 separate samples) on the faecal occult blood examination
  • Have a history of major surgery within 3 months of screening
  • Have planned surgery within 14 days after the last study day
  • Have a clinically significant abnormality in fundoscopic examination or petechiae examination
  • Have any other clinically significant abnormality following the investigator's review of the prestudy physical examination, electrocardiogram (ECG) and clinical (safety) laboratory tests
  • Regularly use known drugs of abuse and/or show unacceptable positive findings on urinary drug screening
  • Have known allergies or significant hypersensitivity to prasugrel or related drugs, or a history of relevant allergic drug reactions of any origin
  • Have donated blood of more than 500 mL within the previous 1 month before prasugrel administration
  • Show evidence of positive human immunodeficiency virus (HIV) antibodies
  • Show evidence of positive hepatitis C antibody
  • Show evidence of positive hepatitis B surface antigen
  • Have a regular alcohol intake greater than 21 units/week for males or 14 units/week for females or are unwilling to comply with the alcohol consumption requirements from 48 hours prior to the first dose of prasugrel until discharge from the clinical research unit (CRU) after the final Pharmacokinetics (PK) sample of Period 5 has been taken. One unit of alcohol is equal to 8 g ethanol
  • Smoke 10 or more cigarettes per day
  • Use prescription, over the counter or herbal medications that cannot safely be discontinued within 14 days prior to prasugrel administration. Exceptions: subjects may continue thyroid replacement therapy, HRT (oestrogen), contraceptives and certain medications that are inhaled or applied to the skin, eyes, or nose. The influenza vaccine may also be administered; however this must be at least 72 hours before any prasugrel dose
  • Use proton pump inhibitors, antacids, or H2 antagonists, which may impact stomach pH
  • Have participated in a study involving administration of an investigational compound within the 30 days prior to prasugrel administration
  • Have any other condition that, in the opinion of the principal investigator increases the risk to the study subject or decreases the likelihood of obtaining reliable results from the study

Trial locations and contacts

1 site in 1 country.

United States1 site
  • For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician.

    Honolulu, Hawaii

Other trials in United States

About this study

Official title: Relative Bioavailability of a Prasugrel Paediatric Orally Disintegrating Tablet Formulation Compared to the Tablet in Healthy Adult Subjects

This study compares the clinical tablet formulation of prasugrel taken orally with an orally disintegrating tablet (ODT) taken orally. The study will evaluate the amount of prasugrel active metabolite circulating in the blood for each treatment.

Being tested
Prasugrel (clinical formulation), Prasugrel (Orally Disintegrating Tablet [ODT])
Medical subject headings
Anemia, Sickle Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Prasugrel (clinical formulation)Drug

    Also called LY640315, Effient®, Efient®

    Administered orally

  • Prasugrel (Orally Disintegrating Tablet [ODT])Drug

    Also called LY640315, Effient®, Efient®

    Administered orally

Study groups in NCT01430091
Study groupRoleWhat they receive
Prasugrel clinical formulationActive comparatorA single 5-milligram (mg) prasugrel tablet administered orally by swallowing it whole on 1 occasion.
Receives: Drug: Prasugrel (clinical formulation)
Prasugrel (ODT) - on tongueExperimentalA single 5-mg prasugrel orally disintegrating tablet (ODT) administered orally by placing it on top of the tongue and keeping it there until it disintegrates.
Receives: Drug: Prasugrel (Orally Disintegrating Tablet [ODT])
Prasugrel (ODT) - apple juiceExperimentalA single 5-mg prasugrel ODT administered orally by placing it on top of the tongue followed by drinking approximately 180 milliliters (ml) apple juice within 1 minute after the tablet finishes disintegration.
Receives: Drug: Prasugrel (Orally Disintegrating Tablet [ODT])
Prasugrel (ODT) - chewedExperimentalA single 5-mg prasugrel ODT administered orally by placing it on top of the tongue, but then chewed and swallowed rather than waiting for it to disintegrate.
Receives: Drug: Prasugrel (Orally Disintegrating Tablet [ODT])
Prasugrel (ODT) - under tongueExperimentalA single 5-mg prasugrel ODT administered orally by placing it under (rather than on top of) the tongue and keeping it there until it disintegrates.
Receives: Drug: Prasugrel (Orally Disintegrating Tablet [ODT])

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pharmacokinetics: Area Under the Concentration-Time Curve From Time Zero to the Last Measureable Concentration (AUC[0-tlast]) of Prasugrel's Active Metabolite (PRAS-AM)

    Measured: Pre-dose up to 8 hours post-dose after each treatment

  2. Pharmacokinetics: Maximum Concentration (Cmax) of Prasugrel's Active Metabolite (PRAS-AM)

    Measured: Pre-dose up to 8 hours post-dose after each treatment

  3. Pharmacokinetics: Time of Maximum Concentration (Tmax) of Prasugrel's Active Metabolite (PRAS-AM)

    Measured: Pre-dose up to 8 hours post-dose after each treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Sep 2011 (estimated)
  2. Study startSep 2011
  3. Primary completionOct 2011
  4. Study completionOct 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
18 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01430091
Sponsor's protocol ID
13040
Other IDs
H7T-EW-TADQ
Status last verified
Oct 2012
First submitted
6 Sep 2011
Last updated
6 Nov 2012
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Prasugrel (clinical formulation) and Prasugrel (Orally Disintegrating Tablet [ODT]) in people with Sickle Cell Disease, run by Eli Lilly and Company at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 25 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Nov 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Nov 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pharmacokinetics: Area Under the Concentration-Time Curve From Time Zero to the Last Measureable Concentration (AUC[0-tlast]) of Prasugrel's Active Metabolite (PRAS-AM) (time frame: Pre-dose up to 8 hours post-dose after each treatment). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Nov 2012.

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