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To Evaluate Whether Naproxen and Darexaban (YM150) Interact in Their Effects

Phase 1
Completed
Conditions
Pharmacodynamic Interaction
Healthy Subjects
Interventions
Registration Number
NCT01409603
Lead Sponsor
Astellas Pharma Inc
Brief Summary

The primary objective of this study is to evaluate whether naproxen and darexaban which have different effects on blood coagulation influence each other in their effects. Also it will be investigated whether the blood levels of either drug are influenced by the presence of the other drug. In addition, the safety and tolerability of each drug and the combination of the drugs will be investigated.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
26
Inclusion Criteria
  • Body mass index (BMI) between 18.5-30.0 kg/m2
  • Male subjects must be non-fertile, i.e. surgically sterilized or must practice an adequate contraceptive method to prevent pregnancies
Exclusion Criteria
  • Known or suspected hypersensitivity to darexaban or naproxen or any components of the formulation used
  • A contra-indication for the use of naproxen
  • Any of the liver function tests (i.e. ALT, AST and bilirubin) above the upper limit of normal at repeated measures
  • Any clinically significant history of any other disease or disorder - gastrointestinal, cardiovascular, respiratory, renal, hepatic, neurological, dermatological, psychiatric or metabolic as judged by the medical investigator.
  • Any clinically significant abnormality following the investigator's review of the pre-study physical examination, ECG and clinical laboratory tests
  • Use of any prescribed or OTC (over-the-counter) drugs (including vitamins, natural and herbal remedies, e.g. St. John's wort) in the 2 weeks prior to admission to the Clinical Unit, except for occasional use of paracetamol (up to 3 g/day)
  • Regular use of any inducer of liver metabolism (e.g. barbiturates, rifampicin) in the 3 months prior to admission to the Clinical Unit
  • Donation of blood or blood products within 3 months prior to admission to the Clinical Unit
  • Any use of drugs of abuse, or smoking of more than 10 cigarettes (or equivalent) or more than 21 units (210 g) of alcohol per week within the 3 months prior to study
  • Participation in any clinical study within 3 months or participation in more than 3 clinical studies within 12 months, prior to the expected date of enrolment into the study, provided that the clinical study did not entail a biological compound with a long terminal half life

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Treatment arm Bdarexabandarexaban, wash-out, combination therapy, wash-out, naproxen
Treatment arm BNaproxendarexaban, wash-out, combination therapy, wash-out, naproxen
Treatment arm FNaproxencombination therapy, wash-out, darexaban, wash-out, naproxen
Treatment arm Fdarexabancombination therapy, wash-out, darexaban, wash-out, naproxen
Treatment arm DNaproxennaproxen, wash-out, combination therapy, wash-out, darexaban
Treatment arm Adarexabandarexaban, wash-out, naproxen, wash-out, combination therapy
Treatment arm ANaproxendarexaban, wash-out, naproxen, wash-out, combination therapy
Treatment arm CNaproxennaproxen, wash-out, darexaban, wash-out, combination therapy
Treatment arm Ddarexabannaproxen, wash-out, combination therapy, wash-out, darexaban
Treatment arm ENaproxencombination therapy, wash-out, naproxen, wash-out, darexaban
Treatment arm Cdarexabannaproxen, wash-out, darexaban, wash-out, combination therapy
Treatment arm Edarexabancombination therapy, wash-out, naproxen, wash-out, darexaban
Primary Outcome Measures
NameTimeMethod
Assessment of pharmacodynamics of naproxenBaseline and 3 hours after multiple dosing (darexaban: 6 days, naproxen: 4 days) of darexaban, naproxen, or a combination of the two
Secondary Outcome Measures
NameTimeMethod
Assessment of pharmacodynamics of darexabanBaseline and 3 hours after multiple dosing (darexaban: 6 days, naproxen: 4 days) of darexaban, naproxen, or a combination of the two
Pharmacokinetics of darexaban assessed by plasma concentrationPlasma samples are taken until 24 hours after six days of dosing of darexaban, or the combination with naproxen
Pharmacokinetics of naproxen assessed by plasma concentrationPlasma samples are taken until 12 hours after four days of dosing of naproxen, or the combination with darexaban
Monitoring of safety and tolerability through assessment of vital signs, Electrocardiogram (ECG), clinical safety laboratory and adverse events6 days (for treatment periods with darexaban) or 4 days. (naproxen alone)

Trial Locations

Locations (1)

SGS Aster

🇫🇷

Paris, France

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