HealthyPhase 1NCT02183389
Bioavailability of Warfarin After Coadministration With Multiple Doses of BI 1356 Compared to the Bioavailability of Warfarin Alone in Healthy Male Volunteers
A Phase 1 study testing Warfarin and BI 1356 in people with Healthy, run by Boehringer Ingelheim.
Trial summary
To investigate whether and to what extent BI 1356 affects pharmacokinetic and pharmacodynamic parameters of warfarin Read more about this study
- Who is it for?
- Ages 18 to 50 years, men onlyHealthy volunteers can take part
- Conditions the study is for
- Healthy
- What is being tested?
- Warfarin and BI 1356
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 18 participants
- Where
- No sites listed yet
- Study dates
- May 2008to Oct 2008
- Phase
- Phase 1
- Are there results?
- None posted in the registry
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 50 years
- Men only
- Healthy volunteers accepted
- Adult
Who may be able to join
- Healthy males according to the following criteria:
- Based upon a complete medical history, including the physical examination, vital signs (blood pressure (BP), pulse rate (PR)), 12-lead electrocardiogram (ECG), clinical laboratory tests
- Age ≥ 18 and Age ≤ 50 years
- BMI ≥ 18.5 and BMI ≤ 29.9 kg/m2 (Body Mass Index)
- Signed and dated written informed consent prior to admission to the study in accordance with good clinical practice (GCP) and the local legislation
- Homozygote wild-type carriers (*1/*1) of cytochrome P 450 (CYP) 2C9
Who cannot join
- Any finding of the medical examination (including BP, PR and ECG) deviating from normal and of clinical relevance
- Any evidence of a clinically relevant concomitant disease
- Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
- Surgery of the gastrointestinal tract (except appendectomy)
- Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
- History of relevant orthostatic hypotension, fainting spells or blackouts
Show all 25Show fewer
- Chronic or relevant acute infections
- History of relevant allergy/hypersensitivity (including allergy to drug or its excipients)
- Intake of drugs with a long half-life (> 24 hours) within at least one month or less than 10 half-lives of the respective drug prior to administration or during the trial
- Use of drugs which might reasonably influence the results of the trial or that prolong the QT/QTc interval based on the knowledge at the time of protocol preparation within 10 days prior to administration or during the trial
- Participation in another trial with an investigational drug within two months prior to administration or during the trial
- Smoker (> 10 cigarettes or > 3 cigars or > 3 pipes/day)
- Inability to refrain from smoking on trial days
- Alcohol abuse (more than 60 g/day)
- Drug abuse
- Blood donation (more than 100 mL within four weeks prior to administration or during the trial)
- Excessive physical activities (within one week prior to administration or during the trial)
- Any laboratory value outside the reference range that is of clinical relevance
- Inability to comply with dietary regimen of trial site
- A marked baseline prolongation of QT/QTc interval (e.g., repeated demonstration of a QTc interval >450 ms)
- A history of additional risk factors for Torsades de points (TdP) (e.g., heart failure, hypokalemia, family history of Long QT Syndrome)
- Anemia at screening
- Galactose intolerance
- Lactase deficiency
- Glucose-galactose-malabsorption
About this study
Official title: Relative Bioavailability of a Single Oral Dose of Warfarin (10 mg qd) After Coadministration With Multiple Oral Doses of BI 1356 (5 mg qd) Compared to the Bioavailability of a Single Oral Dose of Warfarin (10 mg qd) Alone in Healthy Male Volunteers (an Open Label, Two Periods, Fixed-sequence, Clinical Phase I Study)
To investigate whether and to what extent BI 1356 affects pharmacokinetic and pharmacodynamic parameters of warfarin
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
WarfarinDrug
BI 1356Drug
| Study group | Role | What they receive |
|---|---|---|
| Treatment B: BI 1356 and Warfarin | Experimental | BI 1356 for 12 days combined with a single dose of warfarin on day 6 Receives: Drug: Warfarin; Drug: BI 1356 |
| Treatment A: Warfarin | Active comparator | Warfarin as single dose Receives: Drug: Warfarin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity (AUC0-∞)
Measured: Up to 168 hours after start of study medication
Maximum measured concentration of the analyte in plasma (Cmax)
Measured: Up to 168 hours after start of study medication
Secondary outcomes (17)
Area under the concentration time curve (AUC) of the analyte in plasma at different time points
Measured: Up to 168 hours after start of study medication
Time from dosing to the maximum concentration of the analyte in plasma (tmax)
Measured: Up to 168 hours after start of study medication
Terminal rate constant in plasma (λz)
Measured: Up to 168 hours after start of study medication
Terminal half life of the analyte in plasma (t1/2)
Measured: Up to 168 hours after start of study medication
Mean residence time of the analyte in the body after p.o. administration (MRTpo)
Measured: Up to 168 hours after start of study medication
Apparent clearance of the analyte in the plasma after extravascular administration (CL/F)
Measured: Up to 168 hours after start of study medication
Apparent volume of distribution during the terminal phase λz following an extravascular dose (Vz/F)
Measured: Up to 168 hours after start of study medication
Number of patients with adverse events
Measured: Up 42 days
Number of patients with relevant changes in physical examination
Measured: Up to 14 days after last study drug administration
Number of patients with relevant changes in vital signs (Blood Pressure (BP), Pulse Rate (PR))
Measured: Up to 14 days after last study drug administration
Number of patients with relevant changes in 12-lead resting electrocardiogram (ECG)
Measured: Up to 14 days after last study drug administration
Number of patients with relevant changes in laboratory values
Measured: Up to 14 days after last study drug administration
Assessment of tolerability a 4-point scale by the investigator
Measured: Up 42 days
International normalised ratio, area under the concentration time curve of the analyte in plasma over the time interval from time zero to 168 hours (INR AUC0-168)
Measured: Up to 168 hours after start of treatment
International normalised ratio, maximum concentration of the analyte in plasma (INRmax)
Measured: Up to 168 hours after start of treatment
Prothrombin time, area under the concentration time curve of the analyte in plasma over the time interval from time zero to 168 hours (PT AUC0-168)
Measured: Up to 168 hours after start of treatment
Prothrombin time, maximum concentration of the analyte in plasma (PTmax)
Measured: Up to 168 hours after start of treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jul 2014 (estimated)
- Study startMay 2008
- Primary completionOct 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for HealthyStudies of the same condition, open and under way.
- More trials run by Boehringer IngelheimThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 18 participants (actual)
Sponsor and investigators
- Lead sponsor
- Boehringer Ingelheim
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02183389
- Sponsor's protocol ID
- 1218.28
- Status last verified
- Jul 2014
- First submitted
- 4 Jul 2014
- Last updated
- 8 Jul 2014
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Jul 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Relative Bioavailability of a Single Oral Dose of Warfarin (10 mg qd) After Coadministration With Multiple Oral Doses of BI 1356 (5 mg qd) Compared to the Bioavailability of a Single Oral Dose of Warfarin (10 mg qd) Alone in Healthy Male Volunteers (an Open Label, Two Periods, Fixed-sequence, Clinical Phase I Study)
- ClinicalTrials.gov ID
- NCT02183389
- Acronym / sponsor ID
- 1218.28
- Conditions
- Healthy
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 18 participants (actual)
- Lead sponsor
- Boehringer IngelheimIndustry (pharma, biotech, devices)
- Study start
- May 2008
- Primary completion
- Oct 2008 (actual)
- First posted
- 8 Jul 2014 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To investigate whether and to what extent BI 1356 affects pharmacokinetic and pharmacodynamic parameters of warfarin
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Treatment B: BI 1356 and Warfarin | Experimental | Drug: Warfarin, Drug: BI 1356BI 1356 for 12 days combined with a single dose of warfarin on day 6 |
| Treatment A: Warfarin | Active comparator | Drug: WarfarinWarfarin as single dose |
Who may qualify
- Ages
- 18 to 50 years
- Sex
- Male only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Healthy males according to the following criteria:
- Age ≥ 18 and Age ≤ 50 years
- BMI ≥ 18.5 and BMI ≤ 29.9 kg/m2 (Body Mass Index)
- Signed and dated written informed consent prior to admission to the study in accordance with good clinical practice (GCP) and the local legislation
- Homozygote wild-type carriers (*1/*1) of cytochrome P 450 (CYP) 2C9
Key exclusion criteria (25 listed)
- Any finding of the medical examination (including BP, PR and ECG) deviating from normal and of clinical relevance
- Any evidence of a clinically relevant concomitant disease
- Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
- Surgery of the gastrointestinal tract (except appendectomy)
- Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Warfarin | Drug | Treatment A: Warfarin, Treatment B: BI 1356 and Warfarin |
| BI 1356 | Drug | Treatment B: BI 1356 and Warfarin |
Primary outcome
Area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity (AUC0-∞)
Time frame: Up to 168 hours after start of study medication
Maximum measured concentration of the analyte in plasma (Cmax)
Time frame: Up to 168 hours after start of study medication
17 secondary outcomes
Area under the concentration time curve (AUC) of the analyte in plasma at different time points
Time frame: Up to 168 hours after start of study medication
Time from dosing to the maximum concentration of the analyte in plasma (tmax)
Time frame: Up to 168 hours after start of study medication
Terminal rate constant in plasma (λz)
Time frame: Up to 168 hours after start of study medication
Terminal half life of the analyte in plasma (t1/2)
Time frame: Up to 168 hours after start of study medication
Mean residence time of the analyte in the body after p.o. administration (MRTpo)
Time frame: Up to 168 hours after start of study medication
Apparent clearance of the analyte in the plasma after extravascular administration (CL/F)
Time frame: Up to 168 hours after start of study medication
Apparent volume of distribution during the terminal phase λz following an extravascular dose (Vz/F)
Time frame: Up to 168 hours after start of study medication
Number of patients with adverse events
Time frame: Up 42 days
Number of patients with relevant changes in physical examination
Time frame: Up to 14 days after last study drug administration
Number of patients with relevant changes in vital signs (Blood Pressure (BP), Pulse Rate (PR))
Time frame: Up to 14 days after last study drug administration
Number of patients with relevant changes in 12-lead resting electrocardiogram (ECG)
Time frame: Up to 14 days after last study drug administration
Number of patients with relevant changes in laboratory values
Time frame: Up to 14 days after last study drug administration
Assessment of tolerability a 4-point scale by the investigator
Time frame: Up 42 days
International normalised ratio, area under the concentration time curve of the analyte in plasma over the time interval from time zero to 168 hours (INR AUC0-168)
Time frame: Up to 168 hours after start of treatment
International normalised ratio, maximum concentration of the analyte in plasma (INRmax)
Time frame: Up to 168 hours after start of treatment
Prothrombin time, area under the concentration time curve of the analyte in plasma over the time interval from time zero to 168 hours (PT AUC0-168)
Time frame: Up to 168 hours after start of treatment
Prothrombin time, maximum concentration of the analyte in plasma (PTmax)
Time frame: Up to 168 hours after start of treatment
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Jul 2014.
- Related InfoLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing Warfarin and BI 1356 in people with Healthy, run by Boehringer Ingelheim.
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 6 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 8 Jul 2014. Status can change between updates, so confirm with the study contact before making plans.
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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity (AUC0-∞) (time frame: Up to 168 hours after start of study medication). The study lists 2 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 8 Jul 2014.