A Study to Investigate the Effect of YM150 on the Plasma Concentration of Digoxin in Healthy Subjects

NCT ID: NCT01514812

Last Updated: 2012-01-24

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE1
• Total Enrollment: 24 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2006-02-28
• Study Completion Date: 2006-04-30

Brief Summary

This study is to evaluate the effect of YM150 on the plasma concentration of digoxin in healthy subjects.

Detailed Description

The study will be of a double blind, randomized, two period crossover design. Two treatments, digoxin in combination with YM150, and digoxin in combination with placebo, will be evaluated. Each subject will receive both treatments in random order. Placebo will be used to maintain the blind. Males and females will be equally divided over the treatment orders.

Subjects will be dosed with digoxin and either YM150 or placebo for 8 days to reach steady state. In the second period the subjects will receive digoxin and the alternate treatment. There will be a washout period of at least 10 days between the consecutive treatments. In both study periods the subjects will be admitted the day prior to study drug administration (Day 0). The subjects will be discharged on Day 10. Approximately one week after the last discharge, the subjects will return to the unit for a post study visit.

Conditions

Healthy; Pharmacokinetic of Digoxin

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: CROSSOVER
• Blinding Strategy: QUADRUPLE

Study Groups

YM150-placebo sequence group

YM150+digoxin; Washout; Placebo+digoxin

Group Type: EXPERIMENTAL

YM150

Intervention Type: DRUG

oral - modified release formulation of YM150

placebo

Intervention Type: DRUG

oral

digoxin

Intervention Type: DRUG

oral

placebo-YM150 sequence group

Placebo+digoxin; Washout; YM150+digoxin

Group Type: EXPERIMENTAL

YM150

Intervention Type: DRUG

oral - modified release formulation of YM150

placebo

Intervention Type: DRUG

oral

digoxin

Intervention Type: DRUG

oral

Interventions

YM150

oral - modified release formulation of YM150

Intervention Type: DRUG

placebo

oral

Intervention Type: DRUG

digoxin

oral

Intervention Type: DRUG

Other Intervention Names

darexaban

Eligibility Criteria

Inclusion Criteria

• Healthy, as judged by the investigator or sub-investigator based on the results of physical examinations and all tests
• Body weight: male: ≥60 kg, <100 kg; female: ≥45.0 kg, <80.0 kg
• BMI (at screening): ≥18.0, <30.0

Exclusion Criteria

• Female subjects of child-bearing potential, not practicing adequate methods to prevent pregnancies, like abstinence or double barrier methods
• Known or suspected hypersensitivity / allergy to FXa inhibitors, digoxin, or heart glycosides in general or the constituents of the formulations used
• History of and/or any sign or symptom indicating current abnormal hemostasis or blood dyscrasia, including but not limited to neutropenia, thrombocytopenia, thrombocytopathy, thromboasthenia, hemophilia, Von Willebrand's disease, and vascular purpura, bleeding gums, or frequent nose bleeding
• Family history of congenital vascular malformation (e.g. Marfan's Syndrome) and/or bleeding disorder (e.g. hemophilia, Von Willebrand's disease, Christmas disease)
• PT or aPTT at the screening visit outside the normal range
• History of peptic ulcer or of any other organic lesion susceptible to bleed
• Any surgical intervention (including tooth extraction) or trauma within the last 3 months preceding the initiation of the study
• Any clinically significant history of upper gastrointestinal symptoms (such as nausea, vomiting, abdominal discomfort or upset, or heartburn) in the 4 weeks prior to admission to the Research Unit
• Any clinically significant history of any other disease or disorder - gastrointestinal, cardiovascular, respiratory, renal, hepatic, neurological, dermatological, psychiatric or metabolic
• Any of the liver function tests (ALAT, ASAT, LDH and γ-GT) above the upper limit of normal range (ULN)
• Any clinically significant abnormality following the investigator's review of the prestudy physical examination, ECG and clinical laboratory tests
• Abnormal pulse rate and blood pressure measurements at the pre-study visit as follows: Pulse rate <40 or >90 bpm; systolic blood pressure <95 or >160 mmHg; diastolic blood pressure <40 or >95 mmHg (measurements taken after subject has been resting in supine position for 5 min)
• Regular use of any prescribed or OTC (over-the-counter) drugs (including natural and herbal remedies and especially those with P-gp inhibiting activity, like St. John's worth) in the four weeks prior to admission to the Research Unit OR any use of such drugs (including natural and herbal remedies) as well as vitamins in the two weeks prior to admission to the Research Unit
• Donation of blood or blood products within 3 months prior to admission to the Research Unit

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 55 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Astellas Pharma Inc

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Use Central Contact

Role: STUDY_CHAIR

Astellas Pharma Inc

Locations

Paris, , France

Countries

France

References

Kadokura T, Groenendaal D, Heeringa M, Mol R, Verheggen F, Garcia-Hernandez A, Onkels H. Darexaban (YM150), an oral direct factor Xa inhibitor, has no effect on the pharmacokinetics of digoxin. Eur J Drug Metab Pharmacokinet. 2014 Mar;39(1):1-9. doi: 10.1007/s13318-013-0141-1. Epub 2013 Jun 11.

Reference Type: DERIVED

PMID: 23754514 (View on PubMed)

Other Identifiers

2004-004930-15

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

150-CL-007

Identifier Type: -

Identifier Source: org_study_id