Rivaroxaban Hypericum Trial

NCT ID: NCT03796377

Last Updated: 2020-11-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

12 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-13

Study Completion Date

2019-04-09

Brief Summary

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Single-center, open-label, sequential treatment study to investigate the influence of the combined P-glycoprotein and CYP3A4 inducer hypericum perforatum on the pharmacokinetics and pharmacodynamics of rivaroxaban in healthy volunteers.

Detailed Description

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Each session (one with and one without preceding CYP induction) will start with phenotyping using 25 mg fexofenadine orally for P-gp phenotyping and 2 mg midazolam orally for cytochrome P450 (CYP) 3A4 phenotyping. After a washout period of 5 days, subjects will receive a single oral dose of 20 mg rivaroxaban, a dose currently approved for human use in clinical routine. The same procedure will be repeated after pretreatment with St. John's wort extract (Jarsin®) twice daily 450 mg po (dose usually used in clinical routine) for 2 weeks.

Conditions

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Drug Interaction Study

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Rivaroxaban

Single oral dose of 20 mg rivaroxaban

Group Type OTHER

Rivaroxaban

Intervention Type DRUG

20 mg rivaroxaban.

Rivaroxaban after CYP- and P-gp induction

Single oral dose of 20 mg rivaroxaban after pretreatment with St. John's wort extract (Jarsin®) twice daily 450 mg po for 2 weeks.

Group Type OTHER

St Johns Wort Extract

Intervention Type DRUG

20 mg rivaroxaban after supplementation with St. John's wort extract (Jarsin®) twice daily 450 mg po for 2 weeks.

Rivaroxaban

Intervention Type DRUG

20 mg rivaroxaban.

Interventions

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St Johns Wort Extract

20 mg rivaroxaban after supplementation with St. John's wort extract (Jarsin®) twice daily 450 mg po for 2 weeks.

Intervention Type DRUG

Rivaroxaban

20 mg rivaroxaban.

Intervention Type DRUG

Other Intervention Names

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Inducer of CYP3A4 and P-gp

Eligibility Criteria

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Inclusion Criteria

* Men or women, age between 18 and 45 years (inclusive) at screening
* BMI between 18 and 28 kg/m2 (inclusive) at screening
* No clinically significant findings on the physical examination at screening
* Hematology and clinical chemistry results not deviating from the normal range to a clinically relevant extent at screening
* Ability to communicate well with the investigator and to understand and comply with the requirements of the study
* Women of child-bearing age: willingness of using a double barrier contraception method during the study, i.e. a hormonal method (oral contraceptive, intrauterine device) in combination with a mechanical barrier (e.g. condom, diaphragm)
* Signed informed consent

Exclusion Criteria

* Known allergic reaction to any excipient of the drug formulations
* Known photosensitivity
* Smoking
* History or clinical evidence of alcoholism or drug abuse within the 3-year period prior to screening
* Loss of ≥ 250 ml of blood within 3 months prior to screening, including blood donation
* Treatment with an investigational drug within 30 days prior to screening
* Previous treatment with any prescribed or over-the-counter medications (including herbal medicines such as St. John's wort) within 2 weeks prior to screening
* Pregnant (positive results from urine drug screen at screening) or lactating women
* History or clinical evidence of any disease (e.g. gastrointestinal tract disease) and/or existence of any surgical or medical condition, which might interfere with the absorption, distribution, metabolism or excretion of the study drugs, or which might increase the risk for toxicity
* Legal incapacity or limited legal capacity at screening
* Any circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Bayer

INDUSTRY

Sponsor Role collaborator

Insel Gruppe AG, University Hospital Bern

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Inselpital

Role: STUDY_DIRECTOR

Sponsor: Inselspital, Bern University Hospital

Locations

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Inselspital

Bern, , Switzerland

Site Status

Countries

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Switzerland

References

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Scholz I, Liakoni E, Hammann F, Grafinger KE, Duthaler U, Nagler M, Krahenbuhl S, Haschke M. Effects of Hypericum perforatum (St John's wort) on the pharmacokinetics and pharmacodynamics of rivaroxaban in humans. Br J Clin Pharmacol. 2021 Mar;87(3):1466-1474. doi: 10.1111/bcp.14553. Epub 2020 Oct 25.

Reference Type RESULT
PMID: 32959922 (View on PubMed)

Other Identifiers

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Studien-Nr. 3459

Identifier Type: -

Identifier Source: org_study_id