Drug Drug Interactions of Aspirin and P2Y12-inhibitors
Study Details
Study Description
Brief Summary
Study Objective: To investigate potential drug-drug interactions (pharmacokinetics and pharmacodynamics) of morphine and antiplatelet drugs (aspirin, clopidogrel, prasugrel, ticagrelor)
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Detailed Description
Rationale: Opiates reduce the intestinal resorption of orally administered drugs such as paracetamol. Because morphine is often injected to relieve pain in patients with myocardial infarction, it is of particular interest if morphine may decrease the rate of absorption of antiplatelet drugs. Results of this study will provide essential information for the use of morphine and antiplatelet drugs in clinical practice, in particular in myocardial infarction.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Morphine Vendal 5 mg i.v. bolus injection |
Drug: Morphine
i.v. bolus injection
Other Names:
|
Placebo Comparator: Placebo Sodium chloride 0.9% i.v. bolus injection |
Drug: Placebo
i.v. bolus injection
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Platelet function [14 days]
Secondary Outcome Measures
- Tmax [14 days]
- Cmax [14 days]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Healthy volunteers ≥ 18 years of age
-
No intake of NSARs and P2Y12-inhibitors within 14 days before study entry
-
Written informed consent
Exclusion Criteria:
-
Known coagulation disorders
-
Relevant impairment of hepatic function (elevated transaminases, ≥ 2 fold)
-
Relevant impairment of renal function
-
Infectious diseases (HIV, hepatitis B and C)
-
Gestation and lactation
-
Clinically relevant abnormal laboratory values
-
Use of medication during 2 weeks before the start of the study, which may affect the validity of the study
-
General contraindications for aspirin (resp. clopidogrel, prasugrel, ticagrelor) and morphine
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Medical University of Vienna, Department of Clinical Pharmacology | Vienna | Austria | 1090 |
Sponsors and Collaborators
- Medical University of Vienna
Investigators
- Principal Investigator: Bernd Jilma, Prof. Dr., Medical University of Vienna
Study Documents (Full-Text)
None provided.More Information
Publications
- Hobl EL, Schmid RW, Stimpfl T, Ebner J, Jilma B. Absorption kinetics of low-dose chewable aspirin--implications for acute coronary syndromes. Eur J Clin Invest. 2015 Jan;45(1):13-7. doi: 10.1111/eci.12373.
- Hobl EL, Stimpfl T, Ebner J, Schoergenhofer C, Derhaschnig U, Sunder-Plassmann R, Jilma-Stohlawetz P, Mannhalter C, Posch M, Jilma B. Morphine decreases clopidogrel concentrations and effects: a randomized, double-blind, placebo-controlled trial. J Am Coll Cardiol. 2014 Feb 25;63(7):630-635. doi: 10.1016/j.jacc.2013.10.068. Epub 2013 Dec 4. Erratum in: J Am Coll Cardiol. 2018 Aug 7;72(6):705.
- 2010-023761-22