Impact of Anti-platelet Drug Exposure on Platelet mRNA Splicing in Healthy Subjects

NCT ID: NCT04088123

Last Updated: 2021-10-28

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

WITHDRAWN

Study Classification

OBSERVATIONAL

Study Start Date

2020-04-01

Study Completion Date

2020-09-23

Brief Summary

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The purpose of this pilot study is to determine how the anti-platelet drug, ticagrelor, impacts platelet mRNA splicing after a single loading dose in 10 healthy participants. These results will be valuable in that they will help inform our analysis of platelet RNA splicing after a thrombotic event.

Detailed Description

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There is nothing known on how differential splicing in platelets is impacted by of P2Y12 inhibition by anti-platelet agents. Consequently, the focus of this longitudinal pilot study will be to determine the impact of a single ticagrelor loading dose (180 mg), our "model" anti-platelet drug, on platelet RNA splicing in 10 healthy individuals.

It will test the hypothesis that ticagrelor exposure does not significantly alter platelet mRNA splicing. It will involve administering a single loading dose (180 mg) of ticagrelor to healthy volunteers.

Conditions

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Thrombosis; Artery

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Healthy Patients

The study design will involve analysis of platelet splicing/activity before and after exposure to a single, 180 mg loading dose of ticagrelor. All subjects will be cardiovascular healthy.

Ticagrelor Oral Tablet [Brilinta]

Intervention Type DRUG

A single loading dose of ticagrelor (180 mg) will be administered to each participant in this study.

Interventions

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Ticagrelor Oral Tablet [Brilinta]

A single loading dose of ticagrelor (180 mg) will be administered to each participant in this study.

Intervention Type DRUG

Other Intervention Names

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Brilinta

Eligibility Criteria

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Inclusion Criteria

* 18 - 70 years-old
* Speak and understand English

Exclusion Criteria

* History of blood clotting/bleeding disorders
* Current medications that are CYP3A4 inhibitors/inducers
* Current medications that their pharmacokinetics is impacted by ticagrelor (i.e. simvastatin, lovastatin, digoxin) per FDA recommendations.
* Diagnosed with arterial or venous thrombosis
* Active cancer diagnosis
* Pregnant
* Hepatic impairment including active hepatitis infection or cirrhosis
* Current hormonal contraception
* Currently taking aspirin or anti-platelet drugs. If patient has recently taken an NSAID, the last dose should have been discontinued based established criteria
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Minority Health and Health Disparities (NIMHD)

NIH

Sponsor Role collaborator

Shenandoah University

OTHER

Sponsor Role collaborator

The GW Medical Faculty Associates

OTHER

Sponsor Role collaborator

George Washington University

OTHER

Sponsor Role lead

Responsible Party

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Travis J. O'Brien

Associate Professor of Pharmacology and Physiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Travis J O'Brien, PHD

Role: PRINCIPAL_INVESTIGATOR

George Washington University

Locations

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The George Washington University School of Medicine and Health Sciences

Washington D.C., District of Columbia, United States

Site Status

Shenandoah University Bernard J. Dunn School of Pharmacy

Fairfax, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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U54MD010723

Identifier Type: NIH

Identifier Source: secondary_id

View Link

Pharmacy Faculty Fund

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

PIND 144269

Identifier Type: OTHER

Identifier Source: secondary_id

NCR191544

Identifier Type: -

Identifier Source: org_study_id