Comparative Pharmacokinetic, Pharmacodynamic, and Safety Study of 1 Dose Level of Aspirin for Injection and Oral Aspirin Tablets in Healthy Adult Human Subjects

Sponsor
Rhoshan Pharmaceuticals Inc (Industry)
Overall Status
Completed
CT.gov ID
NCT05166096
Collaborator
(none)
24
1
2
5.2
4.6

Study Details

Study Description

Brief Summary

The purpose of this study is to compare the safety, pharmacokinetics, and pharmacodynamic effects of aspirin administered intravenously with aspirin administered orally.

Condition or Disease Intervention/Treatment Phase
Phase 1

Study Design

Study Type:
Interventional
Actual Enrollment :
24 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
None (Open Label)
Primary Purpose:
Basic Science
Official Title:
A Phase 1, Open-Label, 2-Period, 2-Formulation, Within-Subject Crossover Comparative Pharmacokinetic, Pharmacodynamic, and Safety Study of 1 Dose Level of Aspirin for Injection and Oral Aspirin Tablets in Healthy Adult Human Subjects Under Fasting Conditions
Actual Study Start Date :
Dec 3, 2021
Actual Primary Completion Date :
May 11, 2022
Actual Study Completion Date :
May 11, 2022

Arms and Interventions

Arm Intervention/Treatment
Experimental: Rho-11 administered in Period 1, oral aspirin administered in Period 2

Drug: Rho-11
Subjects will be administered 325 mg aspirin by rapid IV push
Other Names:
  • Intravenous aspirin
  • Drug: aspirin 325mg
    Subjects will be administered 325 mg aspirin orally

    Experimental: Oral aspirin administered in Period 1, Rho-11 administered in Period 2

    Drug: Rho-11
    Subjects will be administered 325 mg aspirin by rapid IV push
    Other Names:
  • Intravenous aspirin
  • Drug: aspirin 325mg
    Subjects will be administered 325 mg aspirin orally

    Outcome Measures

    Primary Outcome Measures

    1. Change in serum thromboxane B2 from baseline [1 hour before dosing and 2, 5, 10, 20, 30,45, 60, and 180 minutes post dosing]

      Change in serum thromboxane B2 from baseline to 180 minutes post treatment

    Secondary Outcome Measures

    1. Urinary 11-dehydro-TXB2 levels [Every 12 hours from 72 hours prior to dosing to 72 hours after dosing.]

      Measured levels of 11-dehydro-TXB2 in urine following treatment

    2. Urinary 2,3-dinor-6-keto-PGF1alpha [Every 12 hours from 72 hours prior to dosing to 72 hours after dosing.]

      Measured levels of 2,3-dinor-6-keto-PGF1alpha in urine following treatment

    3. Acetylsalicylic Acid Plasma Pharmacokinetics [1 hour prior to dosing, and 1,3,5,10,15,20,30, and 45 minutes and 1,1.5,2,3,6,8, and 24 hours post-dosing.]

      Measured change in levels of acetylsalicylic acid in plasma following treatment

    4. Salicylic Acid Plasma Pharmacokinetics [1 hour prior to dosing, and 1,3,5,10,15,20,30, and 45 minutes and 1,1.5,2,3,6,8, and 24 hours post-dosing.]

      Measured change in levels of salicylic acid in plasma following treatment

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 55 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    Each subject must meet all of the following criteria to be enrolled in this study:
    1. The subject is male or female 18 to 55 years of age, inclusive

    2. The subjects has a body mass index (BMI) 18 to 30 kg/m2, inclusive, at screening.

    3. The subject is considered by the investigator to be in good general health as determined by medical history, clinical laboratory test results, vital sign measurements, 12-lead ECG results, and physical examination findings at screening.

    4. The subject has a hemoglobin level within following acceptable range at Screening and Check-in: Male: 12.8 to 17.4 g/dL, Female: 10.8 to 15.0 g/dL

    5. The subject has liver function tests within normal limits, or has results that do not show clinically significant abnormalities, as judged by the investigator at Screening and Check in.

    6. The subject has estimated glomerular filtration rate (eGFR) ≥ 50 mL/min at Screening.

    7. Female subjects of childbearing potential must use an acceptable method of birth control (i.e., diaphragm with spermicide, intrauterine device, condom with foam or vaginal spermicide, oral contraceptives, or abstinence) or be surgically sterile (i.e., hysterectomy, bilateral tubal ligation or bilateral oophorectomy), or postmenopausal (defined as amenorrhea 12 consecutive months and documented plasma FSH level >40 IU/mL). Female subjects must have a negative pregnancy test at screening and before dosing with study drug.

    Male subjects with female partners of childbearing potential must be vasectomized, be willing to use an acceptable method of birth control, or to practice abstinence during the study.

    1. The subject agrees to comply with all protocol requirements.

    2. The subject is able to provide written informed consent.

    Exclusion Criteria:
    Subjects meeting any of the following criteria will be excluded from the study:
    1. The subjects has had any major illness within 3 months before dosing with study drug or any significant ongoing chronic medical illness, as judged by the investigator.

    2. The subjects has a history of active deep vein thrombosis and/or thromboembolic disorder, including history of hypothrombinemia and vitamin K deficiency.

    3. The subject has a history of neuropsychiatric disease, hypertension, cardiac failure, cerebrovascular disease, chronic respiratory disease, asthma, nasal polyps associated with asthma, hepatic or renal impairment, recent dehydration (within last 30 days), gout thyrotoxicosis or systemic lupus erythematosus and other connective tissue disorders.

    4. The subject has a history of gastrointestinal bleeding or has active gastrointestinal disease that could affect drug absorption.

    5. The subject has a history of hemorrhagic disorder.

    6. Prothrombin time or activated partial thromboplastin time level outside the normal range at screening and check-in.

    7. The subject has an increased risk of bleeding including but not limited to: any history of a clinically significant bleeding problem, any recent (within 30 days preceding the first dose of study drug) major trauma, platelet count <100,000 mm3

    8. The subject has a history of glucose-6-phosphate dehydrogenase deficiency.

    9. The subject has a recent history of tooth extraction within 3 weeks before dosing with study drug.

    10. The subject is a smoker or has used nicotine-containing products (e.g., snuff, nicotine patch, nicotine chewing gum, mock cigarettes, inhalers, or "vape" devices) within 6 months before the first dose of study drug and throughout the study (including the washout period).

    11. The subject has a history of alcohol abuse or drug addiction within 1 year prior to check-in or excessive alcohol consumption (regular alcohol intake >21 units per week for male subjects and >14 units of alcohol per week for female subjects), or use of alcohol 48 hours before dosing with study drug.

    12. The subject has a positive test result for drugs of abuse, alcohol, or cotinine at screening or before dosing with study drug.

    13. The subject has used any prescription (excluding hormonal birth control) or over-the-counter medications, including fish oil and other herbal or nutritional supplements and, in particular, aspirin (no aspirin-containing medications allowed at all), nonsteroidal anti-inflammatory agents (No NSAIDS allowed at all, and no acetaminophen, diclofenac, ketorolac allowed), or anticoagulation therapy within 14 days before dosing with study drug and throughout the entire study period (including the washout period).

    14. The subject has received vaccination against Varicella zoster within 6 weeks before dosing with study drug.

    15. The subject has a positive test result for COVID-19, hepatitis B surface antigen, hepatitis C virus antibody, or HIV type 1 or 2 antibodies at screening.

    16. The subject has received the COVID-19 vaccine within 14 days before Day -3, or subjects who plan to receive a COVID-19 vaccine at any time during the study.

    17. The subject has a history of relevant drug and/or food allergies (i.e., allergy to aspirin or any excipients, allergic skin reactions, or any significant food allergy that could preclude a standard diet in the clinical unit).

    18. The subject has consumed grapefruit or grapefruit juice, Seville orange or Seville orange-containing products (e.g. marmalade), or alcohol-, caffeine-, poppy-, or xanthine-containing products within 48 hours.

    19. The subject is involved in strenuous activity or contact sports within 24 hours before dosing with study drug and during the study.

    20. The subject has donated blood or blood products >450 mL within 30 days before dosing with study drug.

    21. The subject has received study drug in another investigational study within 30 days or 5 half-lives, whichever is longer, before dosing with study drug.

    22. In the opinion of the investigator, the subject is not suitable for entry into the study.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 PPD Early Development Austin Texas United States 78744

    Sponsors and Collaborators

    • Rhoshan Pharmaceuticals Inc

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Rhoshan Pharmaceuticals Inc
    ClinicalTrials.gov Identifier:
    NCT05166096
    Other Study ID Numbers:
    • RHO-11-002
    First Posted:
    Dec 21, 2021
    Last Update Posted:
    Jun 14, 2022
    Last Verified:
    Jun 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jun 14, 2022