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.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

160 participants

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.

Results posted on

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

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

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

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

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

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

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

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

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

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)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Dabigatran Etexilate Capsule (R)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Boehringer Ingelheim, Call Center

Boehringer Ingelheim

Phone: 1-800-243-0127

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