Pharmacokinetics of Tranexamic Acid After Oral, Intramuscular or Intravenous Administration: a Prospective, Randomised, Cross-over Trial in Healthy Volunteers.
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 15
- 试验地点
- 2
- 主要终点
- Serum tranexamic acid concentrations versus time profiles for each route of administration (Oral, intramuscular and intravenous)
研究概览
简要总结
This is a Phase 1 study which aims to determine the pharmacokinetics and local and systemic tolerance of tranexamic acid in healthy volunteers using a population approach after oral, intramuscular or intravenous administration. It will also determine the feasibility of measuring tranexamic acid in spots of dry capillary blood.
详细描述
Fifteen healthy volunteers will receive in random order 1 gram of intravenous and intramuscular injections and 2 grams of oral tranexamic acid solution. Blood samples will be taken at:
- T0+ 5min (only for IV route)
- T0+30min
- T0+1h
- T0+2h
- T0+3h
- T0+4h
- T0+5h
- T0+6h
- T0+8h (only for IM and PO routes)
- T0+24h
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adult healthy volunteers both men and non-pregnant women
- •≥18-≤45-year-old
- •Body mass index between ≥18 and ≤30 kg/m2, and bodyweight between ≥50 and ≤100 kg
- •Coagulation test results of fibrinogen, D-dimers, prothrombin time and a partial thromboplastin time within normal limits at screening
- •Normal renal function based on medical history and laboratory tests
- •If a woman, must have a negative urine β-human chorionic gonadotropin (βhCG) pregnancy test at screening and inclusion visits
- •Provision of signed informed consent prior to any study specific procedure
- •People with public healthcare insurance (in France)
排除标准
- •Previous thrombotic event or pre-existing pro-thrombotic disease
- •Any history of seizures
- •Any chronic or active cardiovascular or renal disease
- •Planned general anaesthesia or surgery in the 3 months following inclusion
- •Pregnant and/or breastfeeding
- •Known allergy to the study drugs or any of the excipients of the formulations
- •Use of any prescription or non-prescription medication (other than hormonal contraception) within 7 days before the first dose of the study drug is scheduled
- •Inability to give informed consent
- •Previous participation during the year in clinical studies compensated for an amount incompatible with participation in this study, verified by recording in the national register of subjects participating in human research trials
- •Legal criteria:
- •People deprived of liberty by judicial or administrative decision
- •Adult protected by law (France)
研究组 & 干预措施
Tranexamic acid Group 1
Participants will receive tranexamic acid in the following order:
First Dose: Intravenous Second Dose: Intramuscular Third Dose: Oral
干预措施: Tranexamic Acid 1 gram intravenously (Drug)
Tranexamic acid Group 1
Participants will receive tranexamic acid in the following order:
First Dose: Intravenous Second Dose: Intramuscular Third Dose: Oral
干预措施: Tranexamic acid 2 grams oral solution (Drug)
Tranexamic acid Group 1
Participants will receive tranexamic acid in the following order:
First Dose: Intravenous Second Dose: Intramuscular Third Dose: Oral
干预措施: Tranexamic acid 1 gram intramuscular (Drug)
Tranexamic acid Group 2
Participants will receive tranexamic acid in the following order:
First Dose: Intravenous Second Dose: Oral Third Dose: Intramuscular
干预措施: Tranexamic Acid 1 gram intravenously (Drug)
Tranexamic acid Group 2
Participants will receive tranexamic acid in the following order:
First Dose: Intravenous Second Dose: Oral Third Dose: Intramuscular
干预措施: Tranexamic acid 2 grams oral solution (Drug)
Tranexamic acid Group 2
Participants will receive tranexamic acid in the following order:
First Dose: Intravenous Second Dose: Oral Third Dose: Intramuscular
干预措施: Tranexamic acid 1 gram intramuscular (Drug)
Tranexamic acid Group 3
Participants will receive tranexamic acid in the following order:
First Dose: Intramuscular Second Dose: Intravenous Third Dose: Oral
干预措施: Tranexamic Acid 1 gram intravenously (Drug)
Tranexamic acid Group 3
Participants will receive tranexamic acid in the following order:
First Dose: Intramuscular Second Dose: Intravenous Third Dose: Oral
干预措施: Tranexamic acid 2 grams oral solution (Drug)
Tranexamic acid Group 3
Participants will receive tranexamic acid in the following order:
First Dose: Intramuscular Second Dose: Intravenous Third Dose: Oral
干预措施: Tranexamic acid 1 gram intramuscular (Drug)
Tranexamic acid Group 4
Participants will receive tranexamic acid in the following order:
First Dose: Intramuscular Second Dose: Oral Third Dose: Intravenous
干预措施: Tranexamic Acid 1 gram intravenously (Drug)
Tranexamic acid Group 4
Participants will receive tranexamic acid in the following order:
First Dose: Intramuscular Second Dose: Oral Third Dose: Intravenous
干预措施: Tranexamic acid 2 grams oral solution (Drug)
Tranexamic acid Group 4
Participants will receive tranexamic acid in the following order:
First Dose: Intramuscular Second Dose: Oral Third Dose: Intravenous
干预措施: Tranexamic acid 1 gram intramuscular (Drug)
Tranexamic acid Group 5
Participants will receive tranexamic acid in the following order:
First Dose: Oral Second Dose: Intravenous Third Dose: Intramuscular
干预措施: Tranexamic Acid 1 gram intravenously (Drug)
Tranexamic acid Group 5
Participants will receive tranexamic acid in the following order:
First Dose: Oral Second Dose: Intravenous Third Dose: Intramuscular
干预措施: Tranexamic acid 2 grams oral solution (Drug)
Tranexamic acid Group 5
Participants will receive tranexamic acid in the following order:
First Dose: Oral Second Dose: Intravenous Third Dose: Intramuscular
干预措施: Tranexamic acid 1 gram intramuscular (Drug)
Tranexamic acid Group 6
Participants will receive tranexamic acid in the following order:
First Dose: Oral Second Dose: Intramuscular Third Dose: Intravenous
干预措施: Tranexamic Acid 1 gram intravenously (Drug)
Tranexamic acid Group 6
Participants will receive tranexamic acid in the following order:
First Dose: Oral Second Dose: Intramuscular Third Dose: Intravenous
干预措施: Tranexamic acid 2 grams oral solution (Drug)
Tranexamic acid Group 6
Participants will receive tranexamic acid in the following order:
First Dose: Oral Second Dose: Intramuscular Third Dose: Intravenous
干预措施: Tranexamic acid 1 gram intramuscular (Drug)
结局指标
主要结局
Serum tranexamic acid concentrations versus time profiles for each route of administration (Oral, intramuscular and intravenous)
时间窗: 24 hours
次要结局
- Reaction at site of injection for intramuscular and Iintravenous routes(24 hours)
- Pain during after administration (visual analogue scale) for each administration route(8 hours)
- • Correlation between serum and dry blood spot concentrations for each administration route(24 hours)
