A Study to Evaluate the Effects of Laropiprant on the Antiplatelet Effects of Clopidogrel and Aspirin in Combination (MK-0524A-114)(COMPLETED)

NCT ID: NCT01012219

Last Updated: 2015-11-02

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-11-30

Study Completion Date

2010-04-30

Brief Summary

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This is a 3-period study. Periods 1 and 2 will evaluate the effects of multiple doses of laropiprant on the antiplatelet effects of clopidogrel and aspirin administered in combination in participants with primary hypercholesterolemia or mixed dyslipidemia. Period 3 will be open-label and will evaluate single dose pharmacokinetics of nicotinic acid and laropiprant components of Tredaptive.

Detailed Description

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Conditions

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Primary Hypercholesterolemia Mixed Hyperlipidemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Period 1

In Periods 1 and 2 each participant will receive one of the following treatments in a randomized crossover fashion: Treatment A (aspirin 81 mg, clopidogrel 75 mg and laropiprant 40 mg once daily for 7 days) or Treatment B (aspirin 81 mg, clopidogrel 75 mg and placebo to laropiprant 40 mg once daily for 7 days).

Group Type EXPERIMENTAL

Comparator: aspirin

Intervention Type DRUG

81 mg oral tablet once daily for 7 days

Comparator: clopidogrel

Intervention Type DRUG

75 mg oral tablet once daily for 7 days

Comparator: laropiprant

Intervention Type DRUG

40 mg oral tablet once daily for 7 days

Comparator: placebo

Intervention Type DRUG

placebo oral tablet once daily for 7 days

Period 2

In Periods 1 and 2 each participant will receive one of the following treatments in a randomized crossover fashion: Treatment A (aspirin 81 mg, clopidogrel 75 mg and laropiprant 40 mg once daily for 7 days) or Treatment B (aspirin 81 mg, clopidogrel 75 mg and placebo to laropiprant 40 mg once daily for 7 days).

Group Type EXPERIMENTAL

Comparator: aspirin

Intervention Type DRUG

81 mg oral tablet once daily for 7 days

Comparator: clopidogrel

Intervention Type DRUG

75 mg oral tablet once daily for 7 days

Comparator: laropiprant

Intervention Type DRUG

40 mg oral tablet once daily for 7 days

Comparator: placebo

Intervention Type DRUG

placebo oral tablet once daily for 7 days

Period 3

Group Type EXPERIMENTAL

niacin (+) laropiprant

Intervention Type DRUG

open-label, single dose Tredaptive (1000mg ER niacin/ 20mg laropiprant) 2 oral tablets

Interventions

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niacin (+) laropiprant

open-label, single dose Tredaptive (1000mg ER niacin/ 20mg laropiprant) 2 oral tablets

Intervention Type DRUG

Comparator: aspirin

81 mg oral tablet once daily for 7 days

Intervention Type DRUG

Comparator: clopidogrel

75 mg oral tablet once daily for 7 days

Intervention Type DRUG

Comparator: laropiprant

40 mg oral tablet once daily for 7 days

Intervention Type DRUG

Comparator: placebo

placebo oral tablet once daily for 7 days

Intervention Type DRUG

Other Intervention Names

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Tredaptive

Eligibility Criteria

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Inclusion Criteria

* Participant has primary hypercholesterolemia or mixed dyslipidemia (high cholesterol)
* Participant is a non-smoker

Exclusion Criteria

* Participant has a history of chronic seizures
* Participant has a history of cancer
* Participant has a history of stomach or intestinal ulcers or any history of GI bleeding
* Participant has had major surgery, donated blood or participated in another investigational study in the past 4 weeks
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Monitor

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

References

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De Kam PJ, Luo WL, Wenning L, Ratcliffe L, Sisk CM, Royalty J, Radziszewski W, Wagner JA, Lai E. The effects of laropiprant on the antiplatelet activity of co-administered clopidogrel and aspirin. Platelets. 2014;25(7):480-7. doi: 10.3109/09537104.2013.836747. Epub 2013 Nov 8.

Reference Type RESULT
PMID: 24206527 (View on PubMed)

Other Identifiers

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2009_689

Identifier Type: -

Identifier Source: secondary_id

0524A-114

Identifier Type: -

Identifier Source: org_study_id

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