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Completed

NCT Number: NCT03347968

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

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

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Key information

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Research Site

Daytona Beach, Florida, 32117, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

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

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.

Treatment and study plan

MEDI0382

Biological

All participants will receive MEDI0382

Warfarin

Drug

All participants will receive Warfarin

esmolol

Drug

All participants will receive Esmolol

Primary outcomes

  1. Maximum international normalized ratio (INRmax)

    Time frame: 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)

    Time frame: 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)

    Time frame: 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 outcomes

  1. PK(AUC) of R-Warfarin and S-Warfarin

    Time frame: 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

    Time frame: 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)

    Time frame: 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

    Time frame: 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

    Time frame: 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)

    Time frame: Days 1 and 33

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

  7. Vital signs (systolic and diastolic blood pressure)

    Time frame: 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

    Time frame: 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)

    Time frame: 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)

    Time frame: Day -1

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

Sponsors and collaborators

Lead sponsor

MedImmune LLC

Industry

Registry information

Official study 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

Important dates

Study start
2017
Primary completion
2018
Study completion
2018
First posted
Nov 20, 2017
Registry last updated
Apr 25, 2018

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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