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Thrombosis; ArteryNCT04088123

Impact of Anti-platelet Drug Exposure on Platelet mRNA Splicing in Healthy Subjects

An observational study of Thrombosis; Artery, run by George Washington University at 2 sites in United States.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The purpose of this pilot study is to determine how the anti-platelet drug, ticagrelor, impacts platelet mRNA splicing after a single loading dose in 10 healthy participants. These results will be valuable in that they will help inform our analysis of platelet RNA splicing after a thrombotic event. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Thrombosis; Artery
What is being tested?
Ticagrelor Oral Tablet [Brilinta]
Type of treatment
Pill or oral medicine
How many people
0 participants
Where
2 sitesUnited States
Study dates
1 Apr 2020to 23 Sep 2020
Phase
Observational
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 70 years
  • All sexes
  • Adult, Older adult

Study population: Healthy patients who meet our inclusion and exclusion criteria

Who may be able to join

  • 18 - 70 years-old
  • Speak and understand English

Who cannot join

  • History of blood clotting/bleeding disorders
  • Current medications that are CYP3A4 inhibitors/inducers
  • Current medications that their pharmacokinetics is impacted by ticagrelor (i.e. simvastatin, lovastatin, digoxin) per FDA recommendations.
  • Diagnosed with arterial or venous thrombosis
  • Active cancer diagnosis
  • Pregnant
Show all 9Show fewer
  • Hepatic impairment including active hepatitis infection or cirrhosis
  • Current hormonal contraception
  • Currently taking aspirin or anti-platelet drugs. If patient has recently taken an NSAID, the last dose should have been discontinued based established criteria

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Shenandoah University Bernard J. Dunn School of Pharmacy

    Fairfax, Virginia, 22601

  • The George Washington University School of Medicine and Health Sciences

    Washington D.C., District of Columbia, 20037

Other trials in United States

About this study

Official title: Investigation of Anti-platelet Drug Single Dose Exposure on Platelet mRNA Splicing in Healthy Subjects

The purpose of this pilot study is to determine how the anti-platelet drug, ticagrelor, impacts platelet mRNA splicing after a single loading dose in 10 healthy participants. These results will be valuable in that they will help inform our analysis of platelet RNA splicing after a thrombotic event.

Read the detailed description

There is nothing known on how differential splicing in platelets is impacted by of P2Y12 inhibition by anti-platelet agents. Consequently, the focus of this longitudinal pilot study will be to determine the impact of a single ticagrelor loading dose (180 mg), our "model" anti-platelet drug, on platelet RNA splicing in 10 healthy individuals.

It will test the hypothesis that ticagrelor exposure does not significantly alter platelet mRNA splicing. It will involve administering a single loading dose (180 mg) of ticagrelor to healthy volunteers.

Being tested
Ticagrelor Oral Tablet [Brilinta]
Medical subject headings
Thrombosis

What participants receive

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

  • Ticagrelor Oral Tablet [Brilinta]Drug

    Also called Brilinta

    A single loading dose of ticagrelor (180 mg) will be administered to each participant in this study.

Study groups in NCT04088123
Study groupRoleWhat they receive
Healthy PatientsThe study design will involve analysis of platelet splicing/activity before and after exposure to a single, 180 mg loading dose of ticagrelor. All subjects will be cardiovascular healthy.
Receives: Drug: Ticagrelor Oral Tablet [Brilinta]

What is being measured

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

  1. Measurement of the Change in Platelet Activity From Baseline after Drug Administration

    As determined by the VerifyNow P2Y12 Assay

    Measured: Comparison made 2.5 hours following drug administration

  2. Measurement of the Change in Platelet mRNA splicing From Baseline after Drug Administration

    As determined by RNAseq analysis

    Measured: Comparison made 2.5 hours following drug administration

  3. Measurement of Ticagrelor Pharmacokinetics After Drug Administration

    Drug and its major metabolite levels will be measured by HPLC

    Measured: Comparison made 2.5 hours following drug administration

Timeline

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

  1. First posted12 Sep 2019
  2. Study start1 Apr 2020 (estimated)
  3. Primary completion23 Sep 2020
  4. Study completion23 Sep 2020

Why it stopped: Inability to commence enrollment at institution, terminated on 9/23/20

Resources

More details

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

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04088123
Sponsor's protocol ID
NCR191544
Other IDs
U54MD010723, Pharmacy Faculty Fund, PIND 144269
Status last verified
Oct 2021
First submitted
10 Sep 2019
Last updated
28 Oct 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: No IPD will be shared with researchers. Only aggregate data from the study

Questions about this trial

What is this clinical trial studying?

An observational study of Thrombosis; Artery, run by George Washington University at 2 sites 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 2 inclusion and 9 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: withdrawn, as of the sponsor's last update on 28 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites 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.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

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?

Measurement of the Change in Platelet Activity From Baseline after Drug Administration (time frame: Comparison made 2.5 hours following drug administration). 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 28 Oct 2021.

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