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Interaction Study of Clopidogrel 300/75 mg Given Alone or Concomitantly With Omeprazole 80 mg in Healthy Subjects

Phase 1
Completed
Conditions
Healthy
Interventions
Registration Number
NCT01129375
Lead Sponsor
Sanofi
Brief Summary

Primary objective:

* Assess the effects of clopidogrel (300 mg loading dose followed by 4 days 75 mg/day) on Adenosine diphosphate (ADP)-induced platelet aggregation when given concomitantly with omeprazole 80 mg/day compared to given alone in healthy male and female subjects

Secondary Objective:

* Compare the pharmacokinetic profiles of clopidogrel and its active metabolite when clopidogrel is given either alone or concomitantly with omeprazole

Detailed Description

The total study duration per subjects is 8 - 9 weeks broken down as follows:

* Screening: 2 to 21 days before the first dosing

* Period clopidogrel/placebo: 7 days including 5 days treatment

* Period clopidogrel/placebo + omeprazole: 12 days including 10 days treatment

* Washout between periods: at least 14 days after last dosing with respect to clopidogrel treatment

* End of study: 7 to 10 days after the last dosing

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
72
Inclusion Criteria

Not provided

Exclusion Criteria
  • Evidence of inherited disorder of coagulation/hemostasis functions
  • Smoking more than 5 cigarettes or equivalent per day
  • Abnormal hemostasis screen
  • unability to abstain from intake of any drug affecting hemostasis throughout the whole study duration
  • Any contraindication to clopidogrel and/or omeprazole

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Group clopidogrel - clopidogrel + omeprazoleclopidogrelPeriod 1: * Day 1: clopidogrel 300 mg loading dose * Day 2 to Day 5: clopidogrel 75 mg, once daily Period 2: * Day -5 to Day -1: omeprazole 80 mg, once daily * Day 1: clopidogrel 300 mg loading dose + omeprazole 80 mg concomitantly * Day 2 to Day 5: clopidogrel 75 mg + omeprazole 80 mg concomitantly, once daily Each intake is under fasted conditions
Group placebo - placebo + omeprazoleomeprazolePeriod 1: * Day 1: placebo loading dose * Day 2 to Day 5: placebo, once daily Period 2: * Day -5 to Day -1: omeprazole 80 mg, once daily * Day 1: placebo loading dose + omeprazole 80 mg concomitantly * Day 2 to Day 5: placebo + omeprazole 80 mg concomitantly, once daily Each intake is under fasted conditions
Group placebo + omeprazole placeboomeprazolePeriod 1: * Day -5 to Day -1: omeprazole 80 mg, once daily * Day 1: placebo loading dose + omeprazole 80 mg concomitantly * Day 2 to Day 5: placebo + omeprazole 80 mg concomitantly, once daily Period 2: * Day 1: placebo loading dose * Day 2 to Day 5: placebo, once daily Each intake is under fasted conditions
Group clopidogrel - clopidogrel + omeprazoleomeprazolePeriod 1: * Day 1: clopidogrel 300 mg loading dose * Day 2 to Day 5: clopidogrel 75 mg, once daily Period 2: * Day -5 to Day -1: omeprazole 80 mg, once daily * Day 1: clopidogrel 300 mg loading dose + omeprazole 80 mg concomitantly * Day 2 to Day 5: clopidogrel 75 mg + omeprazole 80 mg concomitantly, once daily Each intake is under fasted conditions
Group placebo - placebo + omeprazoleplaceboPeriod 1: * Day 1: placebo loading dose * Day 2 to Day 5: placebo, once daily Period 2: * Day -5 to Day -1: omeprazole 80 mg, once daily * Day 1: placebo loading dose + omeprazole 80 mg concomitantly * Day 2 to Day 5: placebo + omeprazole 80 mg concomitantly, once daily Each intake is under fasted conditions
Group clopidogrel + omeprazole - clopidogrelomeprazolePeriod 1: * Day -5 to Day -1: omeprazole 80 mg, once daily * Day 1: clopidogrel 300 mg loading dose + omeprazole 80 mg concomitantly * Day 2 to Day 5: clopidogrel 75 mg + omeprazole 80 mg concomitantly, once daily Period 2: * Day 1: clopidogrel 300 mg loading dose * Day 2 to Day 5: clopidogrel 75 mg, once daily Each intake is under fasted conditions
Group placebo + omeprazole placeboplaceboPeriod 1: * Day -5 to Day -1: omeprazole 80 mg, once daily * Day 1: placebo loading dose + omeprazole 80 mg concomitantly * Day 2 to Day 5: placebo + omeprazole 80 mg concomitantly, once daily Period 2: * Day 1: placebo loading dose * Day 2 to Day 5: placebo, once daily Each intake is under fasted conditions
Group clopidogrel + omeprazole - clopidogrelclopidogrelPeriod 1: * Day -5 to Day -1: omeprazole 80 mg, once daily * Day 1: clopidogrel 300 mg loading dose + omeprazole 80 mg concomitantly * Day 2 to Day 5: clopidogrel 75 mg + omeprazole 80 mg concomitantly, once daily Period 2: * Day 1: clopidogrel 300 mg loading dose * Day 2 to Day 5: clopidogrel 75 mg, once daily Each intake is under fasted conditions
Primary Outcome Measures
NameTimeMethod
Maximum platelet aggregation intensity (MAI) induced by Adenosine diphosphate (ADP) 5µM after 5 days treatmentDay 5 of each period
Secondary Outcome Measures
NameTimeMethod
Maximum platelet aggregation intensity (MAI) induced by ADP 20µM after 5 days treatmentDay 5 of each period
Platelet Reactivity Index - Vasodilatator-stimulated phosphoprotein test (PRI - VASP) after 5 days treatmentDay 5 of each period
Clopidogrel pharmacokinetic parameters (maximum plasma concentration (Cmax) and area under the plasma concentration curve (AUC0-24)) after 5 days treatmentUp to 24 hours postdose on Day 5 for each period
Clopidogrel active metabolite pharmacokinetic parameters (Cmax and AUC0- 24) after 5 days treatmentUp to 24 hours postdose on Day 5 for each period

Trial Locations

Locations (1)

Sanofi-Aventis Administrative Office

🇺🇸

Bridgewater, New Jersey, United States

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