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出境医 / 临床实验 / Pharmacokinetics and Pharmacodynamics of Vicagrel in Healthy Adult Subjects of Different CYP2C19

Pharmacokinetics and Pharmacodynamics of Vicagrel in Healthy Adult Subjects of Different CYP2C19

Study Description
Brief Summary:
This study is a single-center, randomized, open, two-cycle crossover, clopidogrel control, multiple dosing study. The aim was to evaluate the pharmacokinetic/pharmacodynamic behavior of different metabolites of CYP2C19 in healthy subjects. The study enrolled 48 patients, divided into three groups of CYP2C19 fast metabolite, middle metabolite, and slow metabolism, 16 cases in each group. All groups of subjects were administered for 7 days in the first cycle, once a day (loading dose on the first day, maintenance dose on other days), and entering the 14-day washout period after the end of the first cycle. The second cycle was entered, and the second cycle was administered for 7 days, once a day (the first day was given a loading dose, and the other days were given a maintenance dose). Blood was collected before and after administration of D1, D7, D22, and D28, and PK/PD was measured.

Condition or disease Intervention/treatment Phase
Healthy Subjects PK/PD Drug: Vicagrel 6mg Drug: Clopidogrel 75mg Phase 1

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 50 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Pharmacokinetics and Pharmacodynamics of Vicagrel in Healthy Adult Subjects of Different CYP2C19
Actual Study Start Date : April 3, 2019
Actual Primary Completion Date : June 28, 2019
Actual Study Completion Date : September 3, 2019
Arms and Interventions
Arm Intervention/treatment
Experimental: Vicagrel
Vicagrel 24mg loading followed by 6mg/day for 6 days
Drug: Vicagrel 6mg
Vicagrel 24mg loading followed by 6mg/day for 6 days

Active Comparator: Clopidogrel
Clopidogrel 300mg loading followed by 75mg/day for 6 days
Drug: Clopidogrel 75mg
Clopidogrel 300mg loading followed by 75mg/day for 6 days

Outcome Measures
Primary Outcome Measures :
  1. Peak Plasma Concentration (Cmax) [ Time Frame: 1 day,7 days after taking drugs ]
    To evaluate the Peak Plasma Concentration (Cmax) after taking drugs

  2. Area under the plasma concentration versus time curve (AUC) [ Time Frame: 1 day,7 days after taking drugs ]
    To evaluate the AUC after taking drugsl

  3. Time to maximum plasma concentration (Tmax) [ Time Frame: 1 day,7 days after taking drugs ]
    To evaluate the Tmax after taking drugs

  4. terminal half-life (T1/2) [ Time Frame: 1 day,7 days after taking drugs ]
    To evaluate the T1/2 after taking drugs

  5. inhibition of platelet aggregation [ Time Frame: 1 day,7 days after taking drugs ]
    To evluate the inhibition of platelet aggregation assessed by Verifynow System after taking drugs


Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   18 Years to 45 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Voluntary signing of informed consent before the trial, and full understanding of the experimental content, process and possible adverse reactions;
  • Subjects with ability and adherence to trial protocol;
  • Subjects (including partners) voluntarily take effective contraceptive measures from screening to the last study drug administration within 6 months;
  • Male and female aged 18-45,gender is unlimited (including 18 and 45 years old);
  • Male Weight ≥50 kg, female Weight ≥ 45 kg, and BMI ranging from 18 to 28 kg/m2 (including critical values);
  • Physical examination, normal or abnormal vital signs have no clinical significance (reference range of vital signs: systolic blood pressure 90-150 mmHg, diastolic blood pressure 50-95 mmHg, pulse 50-110 beats/min, body temperature 35.5-37.2 °C);
  • CYP2C19 rapid metabolizers (CYP2C19*1/*1), or intermediate metabolizers (CYP2C19*1/*2, CYP2C19*1/*3), or poor metabolizers (CYP2C19*2/*2, CYP2C19*2/* 3, CYP2C19*3/*3).

Exclusion Criteria:

  • More than 5 cigarettes per day 3 months before the trial;
  • History of allergies or allergies to the drug (two or more drugs or food allergies);
  • History of drug and/or alcohol abuse (14 units of alcohol per week: 1 unit = 285 mL of beer, or 25 mL of spirits, or 100 mL of wine);
  • Donate blood or massive blood loss (> 450 mL) within 3 months prior to formal screening;
  • Take any drug that alters the activity of CYP450s within 28 days before the formal screening;
  • Take any prescription, non-prescription, any vitamin or herbal medicine within 14 days of the formal screening;
  • Take special diet (including dragon fruit, mango, grapefruit, etc.) within 2 weeks before the formal screening, or have strenuous exercise, or other factors affecting drug absorption, distribution, metabolism, excretion, etc.;
  • Taking inhibitors or inducers of the CYP3A4, P-gp or Bcrp Currently, such as itraconazole, ketoconazole or dronedarone;
  • Recently there have been major changes in diet or exercise habits;
  • Taking other research drugs or participating in clinical trials within 3 months before taking the study drug;
  • History of dysphagia or any gastrointestinal disease affecting drug absorption;
  • Have any disease that increases the risk of bleeding, such as acute gastritis, stomach and duodenal ulcers, thrombocytopenic purpura, hemophilia, and so on;
  • ECG abnormalities have clinical significance;
  • Female subjects are in lactation or have a positive of pregnancy test;
  • Clinical laboratory abnormalities have clinical significance or other clinically significant abnormalities (including but not limited to gastrointestinal, kidney, liver, nerve, blood, endocrine, tumor, lung, immune, mental or cardiovascular and cerebrovascular diseases);
  • Infectious diseases (two pairs of hepatitis B, hepatitis C antibodies, HIV, Treponema pallidum antibodies) have positive results;
  • Acute disease or concomitant medication from the screening to the study;
  • Taking chocolate, any food or drink with caffeine or jaundice-rich within 48 hours before taking the study drug;
  • Any alcoholic product or alcohol breath test positive within 24 hours before taking the study drug;
  • Urine drug test (morphine, marijuana) is positive;
  • The investigator believes that there are other factors who are not suitable for participating in the test.
Contacts and Locations

Locations
Layout table for location information
China, Jilin
The First Hospital of Jilin University
Chang chun, Jilin, China, 130021
Sponsors and Collaborators
Jiangsu vcare pharmaceutical technology co., LTD
Tracking Information
First Submitted Date  ICMJE April 24, 2019
First Posted Date  ICMJE May 8, 2019
Last Update Posted Date September 19, 2019
Actual Study Start Date  ICMJE April 3, 2019
Actual Primary Completion Date June 28, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: May 6, 2019)
  • Peak Plasma Concentration (Cmax) [ Time Frame: 1 day,7 days after taking drugs ]
    To evaluate the Peak Plasma Concentration (Cmax) after taking drugs
  • Area under the plasma concentration versus time curve (AUC) [ Time Frame: 1 day,7 days after taking drugs ]
    To evaluate the AUC after taking drugsl
  • Time to maximum plasma concentration (Tmax) [ Time Frame: 1 day,7 days after taking drugs ]
    To evaluate the Tmax after taking drugs
  • terminal half-life (T1/2) [ Time Frame: 1 day,7 days after taking drugs ]
    To evaluate the T1/2 after taking drugs
  • inhibition of platelet aggregation [ Time Frame: 1 day,7 days after taking drugs ]
    To evluate the inhibition of platelet aggregation assessed by Verifynow System after taking drugs
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE Not Provided
Original Secondary Outcome Measures  ICMJE Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Pharmacokinetics and Pharmacodynamics of Vicagrel in Healthy Adult Subjects of Different CYP2C19
Official Title  ICMJE Pharmacokinetics and Pharmacodynamics of Vicagrel in Healthy Adult Subjects of Different CYP2C19
Brief Summary This study is a single-center, randomized, open, two-cycle crossover, clopidogrel control, multiple dosing study. The aim was to evaluate the pharmacokinetic/pharmacodynamic behavior of different metabolites of CYP2C19 in healthy subjects. The study enrolled 48 patients, divided into three groups of CYP2C19 fast metabolite, middle metabolite, and slow metabolism, 16 cases in each group. All groups of subjects were administered for 7 days in the first cycle, once a day (loading dose on the first day, maintenance dose on other days), and entering the 14-day washout period after the end of the first cycle. The second cycle was entered, and the second cycle was administered for 7 days, once a day (the first day was given a loading dose, and the other days were given a maintenance dose). Blood was collected before and after administration of D1, D7, D22, and D28, and PK/PD was measured.
Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 1
Study Design  ICMJE Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Condition  ICMJE
  • Healthy Subjects
  • PK/PD
Intervention  ICMJE
  • Drug: Vicagrel 6mg
    Vicagrel 24mg loading followed by 6mg/day for 6 days
  • Drug: Clopidogrel 75mg
    Clopidogrel 300mg loading followed by 75mg/day for 6 days
Study Arms  ICMJE
  • Experimental: Vicagrel
    Vicagrel 24mg loading followed by 6mg/day for 6 days
    Intervention: Drug: Vicagrel 6mg
  • Active Comparator: Clopidogrel
    Clopidogrel 300mg loading followed by 75mg/day for 6 days
    Intervention: Drug: Clopidogrel 75mg
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: September 18, 2019)
50
Original Estimated Enrollment  ICMJE
 (submitted: May 6, 2019)
48
Actual Study Completion Date  ICMJE September 3, 2019
Actual Primary Completion Date June 28, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Voluntary signing of informed consent before the trial, and full understanding of the experimental content, process and possible adverse reactions;
  • Subjects with ability and adherence to trial protocol;
  • Subjects (including partners) voluntarily take effective contraceptive measures from screening to the last study drug administration within 6 months;
  • Male and female aged 18-45,gender is unlimited (including 18 and 45 years old);
  • Male Weight ≥50 kg, female Weight ≥ 45 kg, and BMI ranging from 18 to 28 kg/m2 (including critical values);
  • Physical examination, normal or abnormal vital signs have no clinical significance (reference range of vital signs: systolic blood pressure 90-150 mmHg, diastolic blood pressure 50-95 mmHg, pulse 50-110 beats/min, body temperature 35.5-37.2 °C);
  • CYP2C19 rapid metabolizers (CYP2C19*1/*1), or intermediate metabolizers (CYP2C19*1/*2, CYP2C19*1/*3), or poor metabolizers (CYP2C19*2/*2, CYP2C19*2/* 3, CYP2C19*3/*3).

Exclusion Criteria:

  • More than 5 cigarettes per day 3 months before the trial;
  • History of allergies or allergies to the drug (two or more drugs or food allergies);
  • History of drug and/or alcohol abuse (14 units of alcohol per week: 1 unit = 285 mL of beer, or 25 mL of spirits, or 100 mL of wine);
  • Donate blood or massive blood loss (> 450 mL) within 3 months prior to formal screening;
  • Take any drug that alters the activity of CYP450s within 28 days before the formal screening;
  • Take any prescription, non-prescription, any vitamin or herbal medicine within 14 days of the formal screening;
  • Take special diet (including dragon fruit, mango, grapefruit, etc.) within 2 weeks before the formal screening, or have strenuous exercise, or other factors affecting drug absorption, distribution, metabolism, excretion, etc.;
  • Taking inhibitors or inducers of the CYP3A4, P-gp or Bcrp Currently, such as itraconazole, ketoconazole or dronedarone;
  • Recently there have been major changes in diet or exercise habits;
  • Taking other research drugs or participating in clinical trials within 3 months before taking the study drug;
  • History of dysphagia or any gastrointestinal disease affecting drug absorption;
  • Have any disease that increases the risk of bleeding, such as acute gastritis, stomach and duodenal ulcers, thrombocytopenic purpura, hemophilia, and so on;
  • ECG abnormalities have clinical significance;
  • Female subjects are in lactation or have a positive of pregnancy test;
  • Clinical laboratory abnormalities have clinical significance or other clinically significant abnormalities (including but not limited to gastrointestinal, kidney, liver, nerve, blood, endocrine, tumor, lung, immune, mental or cardiovascular and cerebrovascular diseases);
  • Infectious diseases (two pairs of hepatitis B, hepatitis C antibodies, HIV, Treponema pallidum antibodies) have positive results;
  • Acute disease or concomitant medication from the screening to the study;
  • Taking chocolate, any food or drink with caffeine or jaundice-rich within 48 hours before taking the study drug;
  • Any alcoholic product or alcohol breath test positive within 24 hours before taking the study drug;
  • Urine drug test (morphine, marijuana) is positive;
  • The investigator believes that there are other factors who are not suitable for participating in the test.
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years to 45 Years   (Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE China
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03942458
Other Study ID Numbers  ICMJE VCP1-Ⅰ-04
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE Not Provided
Responsible Party Jiangsu vcare pharmaceutical technology co., LTD
Study Sponsor  ICMJE Jiangsu vcare pharmaceutical technology co., LTD
Collaborators  ICMJE Not Provided
Investigators  ICMJE Not Provided
PRS Account Jiangsu vcare pharmaceutical technology co., LTD
Verification Date March 2019

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP