Trial Outcomes & Findings for Bioequivalence of Tablet Formulation of Dabigatran Etexilate Compared to Commercial Capsule Formulation Following Oral Administration in Healthy Male Subjects (NCT NCT03070171)
NCT ID: NCT03070171
Last Updated: 2019-01-09
Results Overview
Area under the concentration-time curve of free dabigatran in plasma over the time interval from 0 to the time of the last quantifiable data point (AUC0-tz). Geometric Mean (gMean) is actually Adjusted gMean \& Geometric Coefficient of Variation (gCV) is actually Intra individual gCV (%gCV). PK exclusion criteria: 1) The subject experienced emesis at or before 2 times median Time from (last) dosing to the maximum measured concentration of the analyte in plasma (tmax). Median tmax was to be taken either from the median tmax for reference product or test product, depending on whether the subject had experienced emesis after taken the test or reference product. Median tmax was to be determined excluding the subjects experiencing emesis. 2) Time deviations 3) Use of restricted medications 4) A pre-dose concentration was \>5% of the Cmax value of that subject.
COMPLETED
PHASE1
160 participants
1:00h before drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 3:00h, 4:00h, 6:00h, 8:00h, 12:00h, 24:00h, 36:00h and 48:00h after drug administration.
2019-01-09
Participant Flow
Randomised, single-dose, open-label, replicate design in a two-treatments, four-period, two-sequence crossover design (T:Dabigatran etexilate tablet formulation 110 mg and R: Dabigatran etexilate capsule formulation 110 mg)
All subjects were screened for eligibility to participate in trial. Subjects attended specialist sites to ensure that they (the subjects) met all implemented inclusion/exclusion criteria. Subjects were not to be randomised to trial drug if any of the specific entry criteria was violated.
Participant milestones
| Measure |
T-R-R-T
Subjects were treated with single oral dose, started in period 1 with 110 milligram (mg) Dabigatran etexilate tablet with 200 milliliter (mL) of water after an overnight fast of at least 10 hour (h), followed in period 2 and period 3 by 110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h, and in period 4 by 110 mg Dabigatran etexilate tablet with 200 mL of water after an overnight fast of at least 10 h. Treatment periods were separated by a wash-out phase of at least 4 days.
|
R-T-T-R
Subjects were treated with single oral dose, started in period 1 with 110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h, followed in period 2 and period 3 by 110 mg Dabigatran etexilate tablet with 200 mL of water after an overnight fast of at least 10 h, and in period 4 by 110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h. Treatment periods were separated by a wash-out phase of at least 4 days.
|
|---|---|---|
|
Treatment Period 1 + Washout
STARTED
|
80
|
80
|
|
Treatment Period 1 + Washout
COMPLETED
|
80
|
80
|
|
Treatment Period 1 + Washout
NOT COMPLETED
|
0
|
0
|
|
Treatment Period 2 + Washout
STARTED
|
80
|
80
|
|
Treatment Period 2 + Washout
COMPLETED
|
80
|
79
|
|
Treatment Period 2 + Washout
NOT COMPLETED
|
0
|
1
|
|
Treatment Period 3 + Washout
STARTED
|
80
|
79
|
|
Treatment Period 3 + Washout
COMPLETED
|
80
|
79
|
|
Treatment Period 3 + Washout
NOT COMPLETED
|
0
|
0
|
|
Treatment Period 4 + Washout
STARTED
|
80
|
79
|
|
Treatment Period 4 + Washout
COMPLETED
|
80
|
78
|
|
Treatment Period 4 + Washout
NOT COMPLETED
|
0
|
1
|
Reasons for withdrawal
| Measure |
T-R-R-T
Subjects were treated with single oral dose, started in period 1 with 110 milligram (mg) Dabigatran etexilate tablet with 200 milliliter (mL) of water after an overnight fast of at least 10 hour (h), followed in period 2 and period 3 by 110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h, and in period 4 by 110 mg Dabigatran etexilate tablet with 200 mL of water after an overnight fast of at least 10 h. Treatment periods were separated by a wash-out phase of at least 4 days.
|
R-T-T-R
Subjects were treated with single oral dose, started in period 1 with 110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h, followed in period 2 and period 3 by 110 mg Dabigatran etexilate tablet with 200 mL of water after an overnight fast of at least 10 h, and in period 4 by 110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h. Treatment periods were separated by a wash-out phase of at least 4 days.
|
|---|---|---|
|
Treatment Period 2 + Washout
Other Adverse Event
|
0
|
1
|
|
Treatment Period 4 + Washout
Withdrawal by Subject
|
0
|
1
|
Baseline Characteristics
TS
Baseline characteristics by cohort
| Measure |
T-R-R-T
n=80 Participants
Subjects were treated with single oral dose, started in period 1 with 110 milligram (mg) Dabigatran etexilate tablet with 200 milliliter (mL) of water after an overnight fast of at least 10 hour (h), followed in period 2 and period 3 by 110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h, and in period 4 by 110 mg Dabigatran etexilate tablet with 200 mL of water after an overnight fast of at least 10 h. Treatment periods were separated by a wash-out phase of at least 4 days.
|
R-T-T-R
n=80 Participants
Subjects were treated with single oral dose, started in period 1 with 110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h, followed in period 2 and period 3 by 110 mg Dabigatran etexilate tablet with 200 mL of water after an overnight fast of at least 10 h, and in period 4 by 110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h. Treatment periods were separated by a wash-out phase of at least 4 days.
|
Total
n=160 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
27.2 Years
STANDARD_DEVIATION 4.2 • n=5 Participants • TS
|
27.3 Years
STANDARD_DEVIATION 4.2 • n=7 Participants • TS
|
27.2 Years
STANDARD_DEVIATION 4.2 • n=5 Participants • TS
|
|
Sex: Female, Male
Female
|
0 Participants
n=5 Participants • TS
|
0 Participants
n=7 Participants • TS
|
0 Participants
n=5 Participants • TS
|
|
Sex: Female, Male
Male
|
80 Participants
n=5 Participants • TS
|
80 Participants
n=7 Participants • TS
|
160 Participants
n=5 Participants • TS
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
0 Participants
n=5 Participants • TS
|
0 Participants
n=7 Participants • TS
|
0 Participants
n=5 Participants • TS
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
80 Participants
n=5 Participants • TS
|
80 Participants
n=7 Participants • TS
|
160 Participants
n=5 Participants • TS
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants • TS
|
0 Participants
n=7 Participants • TS
|
0 Participants
n=5 Participants • TS
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants • TS
|
0 Participants
n=7 Participants • TS
|
0 Participants
n=5 Participants • TS
|
|
Race (NIH/OMB)
Asian
|
80 Participants
n=5 Participants • TS
|
80 Participants
n=7 Participants • TS
|
160 Participants
n=5 Participants • TS
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants • TS
|
0 Participants
n=7 Participants • TS
|
0 Participants
n=5 Participants • TS
|
|
Race (NIH/OMB)
Black or African American
|
0 Participants
n=5 Participants • TS
|
0 Participants
n=7 Participants • TS
|
0 Participants
n=5 Participants • TS
|
|
Race (NIH/OMB)
White
|
0 Participants
n=5 Participants • TS
|
0 Participants
n=7 Participants • TS
|
0 Participants
n=5 Participants • TS
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants • TS
|
0 Participants
n=7 Participants • TS
|
0 Participants
n=5 Participants • TS
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants • TS
|
0 Participants
n=7 Participants • TS
|
0 Participants
n=5 Participants • TS
|
PRIMARY outcome
Timeframe: 1:00h before drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 3:00h, 4:00h, 6:00h, 8:00h, 12:00h, 24:00h, 36:00h and 48:00h after drug administration.Population: Pharmacokinetic set (PKS): All subjects from Treated Set (TS) who provided at least 1 observation for at least 1 primary endpoint that was not excluded as per PK exclusion criteria (defined in the description).
Area under the concentration-time curve of free dabigatran in plasma over the time interval from 0 to the time of the last quantifiable data point (AUC0-tz). Geometric Mean (gMean) is actually Adjusted gMean \& Geometric Coefficient of Variation (gCV) is actually Intra individual gCV (%gCV). PK exclusion criteria: 1) The subject experienced emesis at or before 2 times median Time from (last) dosing to the maximum measured concentration of the analyte in plasma (tmax). Median tmax was to be taken either from the median tmax for reference product or test product, depending on whether the subject had experienced emesis after taken the test or reference product. Median tmax was to be determined excluding the subjects experiencing emesis. 2) Time deviations 3) Use of restricted medications 4) A pre-dose concentration was \>5% of the Cmax value of that subject.
Outcome measures
| Measure |
Dabigatran Etexilate Tablet (T)
n=159 Participants
Patients were administered single oral dose of 110 mg Dabigatran etexilate tablet with 200 mL of water after an overnight fast of at least 10 h
|
Dabigatran Etexilate Capsule (R)
n=160 Participants
Patients were administered single oral dose of110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h
|
|---|---|---|
|
AUC0-tz of Free Dabigatran
|
725.03686 Nanogram*hour/milliliter (ng・h/mL)
Geometric Coefficient of Variation 57.00406
|
668.42714 Nanogram*hour/milliliter (ng・h/mL)
Geometric Coefficient of Variation 52.33393
|
PRIMARY outcome
Timeframe: 1:00h before drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 3:00h, 4:00h, 6:00h, 8:00h, 12:00h, 24:00h, 36:00h and 48:00h after drug administration.Population: PKS
Maximum plasma concentration of free dabigatran (Cmax). Geometric Mean is actually Adjusted geometric mean and Geometric Coefficient of Variation (gCV) is actually Intra individual gCV.
Outcome measures
| Measure |
Dabigatran Etexilate Tablet (T)
n=159 Participants
Patients were administered single oral dose of 110 mg Dabigatran etexilate tablet with 200 mL of water after an overnight fast of at least 10 h
|
Dabigatran Etexilate Capsule (R)
n=160 Participants
Patients were administered single oral dose of110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h
|
|---|---|---|
|
Cmax of Free Dabigatran
|
86.26026 Nanogram/milliliter (ng/mL)
Geometric Coefficient of Variation 56.43338
|
79.16785 Nanogram/milliliter (ng/mL)
Geometric Coefficient of Variation 55.20456
|
SECONDARY outcome
Timeframe: 1:00h before drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 3:00h, 4:00h, 6:00h, 8:00h, 12:00h, 24:00h, 36:00h and 48:00h after drug administration.Population: PKS
Area under the concentration-time curve of total dabigatran in plasma over the time interval from 0 to the time of the last quantifiable data point (AUC0-tz ). Geometric Mean is actually Adjusted geometric mean and Geometric Coefficient of Variation (gCV) is actually Intra individual gCV.
Outcome measures
| Measure |
Dabigatran Etexilate Tablet (T)
n=159 Participants
Patients were administered single oral dose of 110 mg Dabigatran etexilate tablet with 200 mL of water after an overnight fast of at least 10 h
|
Dabigatran Etexilate Capsule (R)
n=160 Participants
Patients were administered single oral dose of110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h
|
|---|---|---|
|
AUC0-tz of Total Dabigatran
|
847.26720 ng•h/mL
Geometric Coefficient of Variation 57.32236
|
787.31279 ng•h/mL
Geometric Coefficient of Variation 52.53129
|
SECONDARY outcome
Timeframe: 1:00h before drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 3:00h, 4:00h, 6:00h, 8:00h, 12:00h, 24:00h, 36:00h and 48:00h after drug administration.Population: PKS
Maximum plasma concentration of total dabigatran (Cmax). Geometric Mean is actually Adjusted geometric mean and Geometric Coefficient of Variation (gCV) is actually Intra individual gCV.
Outcome measures
| Measure |
Dabigatran Etexilate Tablet (T)
n=159 Participants
Patients were administered single oral dose of 110 mg Dabigatran etexilate tablet with 200 mL of water after an overnight fast of at least 10 h
|
Dabigatran Etexilate Capsule (R)
n=160 Participants
Patients were administered single oral dose of110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h
|
|---|---|---|
|
Cmax of Total Dabigatran
|
99.81133 ng/mL
Geometric Coefficient of Variation 58.31846
|
93.54769 ng/mL
Geometric Coefficient of Variation 56.54651
|
SECONDARY outcome
Timeframe: 1:00h before drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 3:00h, 4:00h, 6:00h, 8:00h, 12:00h, 24:00h, 36:00h and 48:00h after drug administration.Population: PKS
Area under the concentration-time curve of total dabigatran in plasma over the time interval from 0 extrapolated to infinity (AUC0-∞). Geometric Mean is actually Adjusted geometric mean and Geometric Coefficient of Variation (gCV) is actually Intra individual gCV.
Outcome measures
| Measure |
Dabigatran Etexilate Tablet (T)
n=159 Participants
Patients were administered single oral dose of 110 mg Dabigatran etexilate tablet with 200 mL of water after an overnight fast of at least 10 h
|
Dabigatran Etexilate Capsule (R)
n=160 Participants
Patients were administered single oral dose of110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h
|
|---|---|---|
|
AUC0-∞ of Total Dabigatran
|
877.70198 ng•h/mL
Geometric Coefficient of Variation 52.04260
|
813.94379 ng•h/mL
Geometric Coefficient of Variation 49.99079
|
SECONDARY outcome
Timeframe: 1:00h before drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 3:00h, 4:00h, 6:00h, 8:00h, 12:00h, 24:00h, 36:00h and 48:00h after drug administration.Population: PKS
Area under the concentration-time curve of free dabigatran in plasma over the time interval from 0 extrapolated to infinity (AUC0-∞). Geometric Mean is actually Adjusted geometric mean and Geometric Coefficient of Variation (gCV) is actually Intra individual gCV.
Outcome measures
| Measure |
Dabigatran Etexilate Tablet (T)
n=159 Participants
Patients were administered single oral dose of 110 mg Dabigatran etexilate tablet with 200 mL of water after an overnight fast of at least 10 h
|
Dabigatran Etexilate Capsule (R)
n=160 Participants
Patients were administered single oral dose of110 mg Dabigatran etexilate capsule with 200 mL of water after an overnight fast of at least 10 h
|
|---|---|---|
|
AUC0-∞ of Free Dabigatran
|
753.13668 ng•h/mL
Geometric Coefficient of Variation 51.62318
|
694.57320 ng•h/mL
Geometric Coefficient of Variation 49.42941
|
Adverse Events
Dabigatran Etexilate Tablet (T)
Dabigatran Etexilate Capsule (R)
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Boehringer Ingelheim, Call Center
Boehringer Ingelheim
Results disclosure agreements
- Principal investigator is a sponsor employee Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.
- Publication restrictions are in place
Restriction type: OTHER