Study to Compare Pharmacokinetics & Pharmacodynamics of Warfarin & Esmolol in the Absence & Presence of MEDI0382

Sponsor
MedImmune LLC (Industry)
Overall Status
Completed
CT.gov ID
NCT03347968
Collaborator
(none)
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Study Details

Study Description

Brief Summary

A Phase 1 study to evaluate the effect of MEDI0382 on PK and PD of warfarin and esmolol in healthy subjects.

Condition or Disease Intervention/Treatment Phase
Phase 1

Detailed Description

This is a Phase 1 open label, one-sequence, crossover study to evaluate the effect of MEDI0382 on PK and PD of warfarin and esmolol in healthy subjects. The safety and tolerability of MEDI0382 in combination with warfarin and esmolol will also be evaluated. Following screening, the study consists of 2 5-day inpatient stays followed by outpatient visits.

Study Design

Study Type:
Interventional
Actual Enrollment :
22 participants
Allocation:
Non-Randomized
Intervention Model:
Crossover Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1, Open-label Study to Compare the Pharmacokinetics and Pharmacodynamics of Warfarin and Esmolol in the Absence and Presence of MEDI0382 in Healthy Subjects
Actual Study Start Date :
Nov 27, 2017
Actual Primary Completion Date :
Apr 9, 2018
Actual Study Completion Date :
Apr 9, 2018

Arms and Interventions

Arm Intervention/Treatment
Experimental: MEDI0382

All participants will receive MEDI0382.

Biological: MEDI0382
All participants will receive MEDI0382

Active Comparator: Warfarin

All participants will receive Warfarin

Drug: Warfarin
All participants will receive Warfarin

Active Comparator: Esmolol

All participants will receive Esmolol

Drug: Esmolol
All participants will receive Esmolol

Outcome Measures

Primary Outcome Measures

  1. Maximum international normalized ratio (INRmax) [Days 2-8 and Days 27-33]

    To assess the INR max in the absence and presence of Warfarin on a steady state MEDI0382

  2. Change in heart rate from resting after a 9-minute excercise treadmill test (Bruce Protocol, first 3 stages) [Days 1 and 26]

    To assess the effects of MEDI0382 on the hear rate-lowering effect of esmolol during treadmill test.

  3. Maximum international normalized ratio (INRmax) [Days 2-8 and Days 27-33]

    To assess the AUC INR in the absence and presence of Warfarin on a steady state MEDI0382

Secondary Outcome Measures

  1. PK(AUC) of R-Warfarin and S-Warfarin [Days 2 and 27]

    To assess AUC of R-warfarin and S-warfarin in the presence and absence of steady state MEDI0382

  2. PK (Cmax) of R-Warfarin and S-Warfarin [Days 2 and 27]

    To assess Cmax of R-warfarin and S-warfarin in the presence and absence of steady state MEDI0382

  3. Number of patients with Adverse Events (AEs) [33 Days]

    To assess the adverse events as a criteria of safety and tolerability variables.

  4. 12 lead electrocardiogram including RR, PR, QRS, QT and QTc intervals [Day 1, Day 8, Day 13, and Day 18]

    To assess the cardiovascular system functioning as a criteria of safety and tolerability variables.

  5. Anti-drug antibody titer incidence [Days 1 and 33]

    To evaluate the safety and tolerability of multiple doses of MEDI0382 in conjunction with Warfarin and Esmolol.

  6. Clinical laboratory assessments (hematology) [Days 1 and 33]

    To assess hematology as a criteria of safety and tolerability variables..

  7. Vital signs (systolic and diastolic blood pressure) [Days 1-8, Days 12 and 13, Days 25-33]

    To assess the vital signs as a criteria of safety and tolerability variables

  8. Vital signs (pulse rate and respiratory rate [Days 1-8, Days 12 and 13, Days 25-33]

    To assess the vital signs as a criteria of safety and tolerability variables

  9. Clinical laboratory assessments (serum chemistry) [Day -1, Day 8, Day 17, Day 25 and Day 33]

    To assess clinical chemistry as a criteria of safety and tolerability variables.

  10. Clinical laboratory assessment (urinalysis) [Day -1]

    To assess urinalysis as a criteria of safety and tolerability variables.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 45 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes

Inclusion Criteria:.

  • Healthy volunteers aged ≥ 18 to 45 years

  • BMI between 18 -30 kg/m2

  • Females of childbearing potential who are sexually active with a nonsterilized male partner must use at least one highly effective method of contraception

Exclusion Criteria:
  • Any concurrent condition that in the opinion of the investigator would interfere with the evaluation of the investigational product

  • Receipt of investigational product as part of a clinical study or a GLP-1 analogue containing preparation within the last 30 days or 5 half-lives of the drug (whichever is longer) at the time of screening.

  • Concurrent participation in another study of any kind

  • Severe allergy/hypersensitivity to any of the proposed study treatments or excipients.

  • History or presence of gastrointestinal (GI), hepatic, or renal disease or any other conditions known to interfere with absorption, distribution, metabolism or excretion of drugs.

  • Impaired renal function is defined as estimated glomerular filtration rate (eGFR) < 60 mL/minute/1.73 m2 at screening.

  • Any clinically significant illness, medical/surgical procedure, or trauma within 4 weeks of screening.

  • History of hemophilia, von Willebrand's disease, lupus anticoagulant, or other diseases/syndromes that can either alter or increase the propensity for bleeding.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Research Site Daytona Beach Florida United States 32117

Sponsors and Collaborators

  • MedImmune LLC

Investigators

  • Study Director: Armando Flor, MedImmune LLC

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
MedImmune LLC
ClinicalTrials.gov Identifier:
NCT03347968
Other Study ID Numbers:
  • D5670C00009
First Posted:
Nov 20, 2017
Last Update Posted:
Apr 25, 2018
Last Verified:
Apr 1, 2018
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by MedImmune LLC
Additional relevant MeSH terms:

Study Results

No Results Posted as of Apr 25, 2018