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临床试验/NCT01129414
NCT01129414已完成1 期

A Randomized, Placebo-controlled, Two-period, Two-treatment, Two Sequence, Cross-over Pharmacodynamic and Pharmacokinetic Interaction Study After 5-days Repeated Oral Doses of Clopidogrel (600 mg Loading Dose Followed by 150 mg/Day) Alone or Given Concomitantly With Omeprazole 80 mg/Day in Healthy Male and Female Subjects

Sanofi1 个研究点 分布在 1 个国家目标入组 72 人开始时间: 2009年6月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
发起方
Sanofi
入组人数
72
试验地点
1
主要终点
Maximum platelet aggregation intensity (MAI) induced by Adenosine diphosphate (ADP) 5µM after 5 days treatment

研究概览

简要总结

Primary objective:

  • Assess the effects of clopidogrel (600 mg loading dose followed by 4 days 150 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

详细描述

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

  • Screening: 2 to 21 days before the first dosing (clopidogrel or omeprazole)
  • 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

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
主要目的
Basic Science
盲法
Double (Participant, Investigator)

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Healthy subject:
  • as determined by medical history, physical examination including vital signs and clinical laboratory tests:
  • with a body weight between 50 kg and 95 kg if male, between 40 kg and 85 kg if female, and with a Body Mass Index (BMI) between 18 and 30 kg/m²

排除标准

  • 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.

研究组 & 干预措施

Group placebo - placebo + omeprazole

Placebo Comparator

Period 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

干预措施: Placebo (Drug)

Group placebo + omeprazole placebo

Placebo Comparator

Period 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

干预措施: Placebo (Drug)

Group clopidogrel - clopidogrel + omeprazole

Experimental

Period 1:

  • Day 1: clopidogrel 600 mg loading dose
  • Day 2 to Day 5: clopidogrel 150 mg, once daily

Period 2:

  • Day -5 to Day -1: omeprazole 80 mg, once daily
  • Day 1: clopidogrel 600 mg loading dose + omeprazole 80 mg concomitantly
  • Day 2 to Day 5: clopidogrel 150 mg + omeprazole 80 mg concomitantly, once daily

Each intake is under fasted conditions

干预措施: Clopidogrel (Drug)

Group clopidogrel - clopidogrel + omeprazole

Experimental

Period 1:

  • Day 1: clopidogrel 600 mg loading dose
  • Day 2 to Day 5: clopidogrel 150 mg, once daily

Period 2:

  • Day -5 to Day -1: omeprazole 80 mg, once daily
  • Day 1: clopidogrel 600 mg loading dose + omeprazole 80 mg concomitantly
  • Day 2 to Day 5: clopidogrel 150 mg + omeprazole 80 mg concomitantly, once daily

Each intake is under fasted conditions

干预措施: Omeprazole (Drug)

Group placebo - placebo + omeprazole

Placebo Comparator

Period 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

干预措施: Omeprazole (Drug)

Group clopidogrel + omeprazole - clopidogrel

Experimental

Period 1:

  • Day -5 to Day -1: omeprazole 80 mg, once daily
  • Day 1: clopidogrel 600 mg loading dose + omeprazole 80 mg concomitantly
  • Day 2 to Day 5: clopidogrel 150 mg + omeprazole 80 mg concomitantly, once daily

Period 2:

  • Day 1: clopidogrel 600 mg loading dose
  • Day 2 to Day 5: clopidogrel 150 mg, once daily

Each intake is under fasted conditions

干预措施: Clopidogrel (Drug)

Group clopidogrel + omeprazole - clopidogrel

Experimental

Period 1:

  • Day -5 to Day -1: omeprazole 80 mg, once daily
  • Day 1: clopidogrel 600 mg loading dose + omeprazole 80 mg concomitantly
  • Day 2 to Day 5: clopidogrel 150 mg + omeprazole 80 mg concomitantly, once daily

Period 2:

  • Day 1: clopidogrel 600 mg loading dose
  • Day 2 to Day 5: clopidogrel 150 mg, once daily

Each intake is under fasted conditions

干预措施: Omeprazole (Drug)

Group placebo + omeprazole placebo

Placebo Comparator

Period 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

干预措施: Omeprazole (Drug)

结局指标

主要结局

Maximum platelet aggregation intensity (MAI) induced by Adenosine diphosphate (ADP) 5µM after 5 days treatment

时间窗: Day 5 of each period

次要结局

  • Maximum platelet aggregation intensity (MAI) induced by ADP 20µM after 5 days treatment(Day 5 of each period)
  • Platelet Reactivity Index - Vasodilatator-stimulated phosphoprotein test (PRI - VASP) after 5 days treatment(Day 5 of each period)
  • Clopidogrel pharmacokinetic parameters (maximum plasma concentration (Cmax) and area under the plasma concentration curve (AUC0-24)) after 5 days treatment(Up to 24 hours postdose on Day 5 for each period)
  • Clopidogrel active metabolite pharmacokinetic parameters (Cmax and AUC0-24) after 5 days treatment(Up to 24 hours postdose on Day 5 for each period)

研究者

发起方
Sanofi
申办方类型
Industry
责任方
Sponsor

研究点 (1)

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