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Completed

NCT Number: NCT01123824

Pharmacodynamic and Pharmacokinetic Study of 2 Different Dose Regimen of Clopidogrel in CYP2C19 Genotyped Healthy Subjects

Primary Objective:

* Investigate the possible role of the CYP2C19 genotype in Adenosine diphosphate (ADP)-induced platelet aggregation after administration of a standard dose regimen of clopidogrel (300 mg loading dose followed by 75 mg/day for 4 days) in healthy male and female subjects

Secondary Objectives:

* Assess the pharmacodynamic activity of a higher dose regimen of clopidogrel (600 mg loading dose followed by 150 mg/day for 4 days) * Compare the pharmacokinetic profiles of clopidogrel active metabolite between the selected groups of genotyped subjects and the 2 dose regimen

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Key information

Conditions

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Sanofi-Aventis Administrative Office

Berlin, Germany

About this study

The total study duration per subject is 10-12 weeks broken down as follows:

  • Screening: 2 to 40 days before the first dosing
  • Period 1: 7 days including 5 days treatment
  • Washout: At least 14 days after the last dosing
  • Period 2: 7 days including 5 days treatment
  • End of study: 7 to 10 days after the last dosing

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Healthy subject in good health, as determined by a medical history, physical examination including vital signs and clinical laboratory tests:

  • with a body weight between 45 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
  • classified into one of the 4 groups of metabolizers according to his/her CYP2C19 genotype:
  • Ultrarapid Metabolizers (UMs, CYP2C19*1/*17 and CYP2C19*17/*17)
  • homozygous Extensive Metabolizers (homoEMs, CYP2C19*1/*1)
  • heterozygous Extensive Metabolizers (heteroEMs, CYP2C19*1/*2 and CYP2C19*1/*3)
  • Poor Metabolizers (PMs, CYP2C19*2/*2 and CYP2C19*2/*3)

Exclusion criteria

  • Evidence of inherited disorder of coagulation/hemostasis functions
  • Subject smoking more than 10 cigarettes or equivalent per day
  • Unability to abstain from intake of any drug affecting hemostasis throughout the whole study duration

The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Treatment and study plan

clopidogrel

Drug

Pharmaceutical form: tablets

Route of administration: oral

Other names: SR25990

Placebo

Drug

Pharmaceutical form: matching tablets

Route of administration: oral

Primary outcomes

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

    Time frame: Day 5 of each period

Secondary outcomes

  1. Maximum platelet aggregation intensity (MAI) induced by ADP 20 µM after 5 days treatment

    Time frame: Day 5 of each period

  2. Platelet reactivity index -Vasodilator-stimulated phosphoprotein test (PRI-VASP) after 5 days treatment

    Time frame: Day 5 of each period

  3. Clopidogrel active metabolite pharmacokinetic parameters (Cmax, tmax, AUC0-24, AUClast) after 5 days treatment

    Time frame: Up to 24 hours postdose on Day 5 for each period

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Collaborators

  • Bristol-Myers Squibb

Registry information

Official study title

A Randomized, Double-blind, Double-dummy, Two Period, Two Treatment Cross-over Pharmacodynamic and Pharmacokinetic Study of Clopidogrel Given as 5-day Repeated Oral Doses (300 mg Loading Dose Followed by 75 mg/Day and 600 mg Loading Dose Followed by 150 mg/Day) in 4 Different Groups of CYP2C19 Genotyped Healthy Male and Female Subjects

Important dates

Study start
2009
Primary completion
2009
Study completion
2009
First posted
May 14, 2010
Registry last updated
Dec 15, 2011

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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