NCT Number: NCT02171052
Relative Bioavailability of Dabigatran and Digoxin in Healthy Male and Female Volunteers
To investigate the bioavailability of dabigatran with and without concomitant administration of digoxin and the bioavailability of digoxin with and without concomitant administration of dabigatran etexilate
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Conditions
Age range
18 year–65 year
Sex eligibility
All sexes
Study type
Interventional
Phase
Phase 1
Who can participate
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
- Healthy males and females according to the following criteria:
Based upon a complete medical history, including the physical examination, vital signs (BP, PR), 12-lead ECG, clinical laboratory tests
- Age ≥18 and ≤65 years
- BMI ≥18.5 and BMI ≤29.9 kg/m2 (Body Mass Index)
- Signed and dated written informed consent prior to admission to the study in accordance with GCP and the local legislation.
Exclusion criteria
- Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
- Relevant surgery of gastrointestinal tract
- History of any bleeding disorder or acute blood coagulation defect
- Puls below 50 bpm at screening
- Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
- History of relevant orthostatic hypotension, fainting spells or blackouts
- Chronic or relevant acute infections
- History of allergy/hypersensitivity (including drug allergy) which is deemed relevant to the trial as judged by the investigator
- Intake of any medication within four weeks of first dosing.
- Use of drugs which might reasonably influence the results of the trial based on the knowledge at the time of protocol preparation within four weeks prior to administration or during the trial
- Participation in another trial with an investigational drug within two months prior to administration or during the trial
- Alcohol abuse (more than 60 g/day)
- Drug abuse
- Within 5 days of study medication no intake of grapefruit, grapefruit juice, or products containing grapefruit juice, Seville oranges, garlic supplements, or St. John's Worth
- Blood donation (more than 100 mL within four weeks prior to administration or during the trial)
- Excessive physical activities (within one week prior to administration or during the trial)
- Any laboratory value outside the reference range that is of clinical relevance
- Inability to comply with dietary regimen of study centre
- Females of child bearing potential who are pregnant, breast feeding or who are either not surgically sterile or are sexually active and not using an acceptable form of contraception as either the oral contraceptives since at least two months and the double barrier method, i.e. intrauterine device with spermicide and condom for the male partner
- Male subjects must agree to minimise the risk of female partners becoming pregnant from the first dosing day until 3 months after the completion of the post study medical. Acceptable methods of contraception comprises barrier contraception and a medically accepted contraceptive method for the female partner (intra-uterine device with spermicide, hormonal contraceptive since at least two month)
- Planned surgeries within four weeks following the end-of study examination
- Intake of medication, which influences the blood clotting, i.e., acetylsalicylic acid, cumarin etc.
- The subject is able to understand and comply with protocol requirements, instructions and protocol-stated restrictions
- Vulnerable subjects (e.g. persons kept in detention).
Treatment and study plan
Digoxin
DrugPrimary outcomes
-
Area under the concentration-time curve of the analyte in plasma at steady state over a uniform dosing interval τ (AUCτ,ss)
Time frame: Up to 72 hours after drug administration on day 4
-
Maximum measured concentration of the analyte in plasma at steady state (Cmax,ss)
Time frame: 2 hours before and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 and 72 hours after drug administration on day 4
Secondary outcomes
-
Area under the concentration-time curve of the analyte in plasma from the time point 0 after the last dose at steady state to the last quantifiable analyte plasma concentration within the uniform dosing interval τ (AUC0-tz,ss)
Time frame: Up to 72 hours after drug administration on day 4
-
Time of last measurable concentration of the analyte in plasma within the dosing interval τ at steady state (tz,ss)
Time frame: Up to 72 hours after drug administration on day 4
-
Time from last dosing to the maximum concentration of the analyte in plasma at steady state (tmax,ss)
Time frame: Up to 72 hours after drug administration on day 4
-
Apparent clearance of the analyte in the plasma at steady state after extravascular multiple dose administration (CL/Fss)
Time frame: Up to 72 hours after drug administration on day 4
-
Renal clearance of the analyte at steady state determined over the dosing interval τ (CLR,ss)
Time frame: Up to 24 hours after drug administration on day 4
-
Minimum measured concentration of the analyte in plasma at steady state over a uniform dosing interval τ (Cmin,ss)
Time frame: Up to 72 hours after drug administration on day 4
-
Time from last dosing to the minimum concentration of the analyte in plasma at steady state over a uniform dosing interval τ ( tmin,ss)
Time frame: Up to 72 hours after drug administration on day 4
-
Pre-dose concentration of the analyte in plasma at steady state immediately before administration of the next dose (Cpre,ss)
Time frame: 2 hours before drug administration on day 4
-
Mean residence time of the analyte in the body at steady state after p.o. administration (MRTp.o.,ss)
Time frame: Up to 72 hours after drug administration on day 4
-
Fraction of parent drug eliminated in urine at steady state over a uniform dosing interval τ (feτ,ss)
Time frame: Up to 24 hours after drug administration on day 4
-
Assessment of tolerability by investigator on a four point scale (good, satisfactory, not satisfactory, bad)
Time frame: Day 76
-
Apparent volume of distribution during the terminal phase λz at steady state following an extravascular administration (Vz/Fss)
Time frame: Up to day 7
-
Amount of analyte that was eliminated in urine at steady state over an uniform dosing interval τ (Aeτ,ss)
Time frame: Up to 24 hours after drug administration on day 4
-
Area under the effect ratio curve (AUERτ,ss) for activated prothrombin time (aPTT) and ecarin clotting time (ECT)
Time frame: Up to 72 hours after drug administration on day 4
-
Prolongation at trough (ERpre,ss) for aPTT
Time frame: Up to 72 hours after drug administration on day 4
-
Change from baseline in physical examination
Time frame: Baseline, day 76
-
Change from baseline in vital signs (blood pressure, pulse rate)
Time frame: Baseline, day 76
-
Change from baseline in 12-lead electrocardiogram
Time frame: Baseline, day 76
-
Change from baseline in clinical laboratory tests
Time frame: Baseline, day 76
-
Number of Participants with Serious and Non-Serious Adverse Events
Time frame: Up to day 76
-
Maximum effect ratio at steady state (ERmax,ss) for aPTT and ECT
Time frame: Up to 72 hours after drug administration on day 4
-
Prolongation at trough (ERpre,ss) for ECT
Time frame: Up to 72 hours after drug administration on day 4
Sponsors and collaborators
Lead sponsor
Boehringer Ingelheim
Industry
Registry information
Official study title
Relative Bioavailability of Dabigatran and Digoxin After 150 mg BID Dabigatran Etexilate and Digoxin at 0.25 mg QD Alone or Following Concomitant Multiple Oral Administrations in Healthy Male and Female Volunteers (an Open Label, Randomised, Multiple-dose, Three-way Crossover Study)
Important dates
- Study start
- 2006
- Primary completion
- 2006
- First posted
- Jun 23, 2014
- Registry last updated
- Jun 23, 2014
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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