A Clinical Trial to Evaluate the Effect of Grapefruit Juice on the PK/PD of Edoxaban
NCT ID: NCT07113054
Last Updated: 2025-09-16
Study Results
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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ACTIVE_NOT_RECRUITING
PHASE1
14 participants
INTERVENTIONAL
2025-09-02
2025-10-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Edoxaban and Grapefruit Juice
* Period 1: Single dose of edoxaban 60 mg administered alone
* Period 2: Single dose of edoxaban 60 mg coadministered with grapefruit juice 3 times daily for 3 days
Edoxaban 60 MG [Lixiana]
Single administration of edoxaban
Edoxaban 60 MG [Lixiana] + Grapefruit Juice
Coadministration of edoxaban and grapefruit juice
Interventions
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Edoxaban 60 MG [Lixiana]
Single administration of edoxaban
Edoxaban 60 MG [Lixiana] + Grapefruit Juice
Coadministration of edoxaban and grapefruit juice
Eligibility Criteria
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Inclusion Criteria
* Subjects with BMI of 18 to 32 kg/m2 (inclusive)
* Subjects who agree to use medically acceptable methods of contraception and not to donate sperm or oocyte
* Subjects who voluntarily decided to participate in the study and provided written consent to comply with the protocol
Exclusion Criteria
* Subjects with current or history of clinically significant hypersensitivity reactions or hypersensitivity reactions to the components or constituents of the investigational product
* Subjects who have clinically significant hemorrhage or increased risk of hemorrhage due to the following conditions A. Recent history of gastrointesinal ulcers B. Malignant tumor with a high risk of bleeding C. Recent brain or spinal cord injury D. Recent brain, spinal cord, or opthalmic surgery E. Recent history of intracranial or intracerebral hemorrhage F. Esophageal varices, arterial malformations, vascular aneurysms, or spinal cord or cerebral vascular abnormalities G. Coagulation disorders, thrombocytopenia, or platelet dysfunction H. Recent biopsy or major trauma I. Bacterial endocarditis J. Esophagitis, Gastritis, or Gastroesophageal reflux
* Subjects with a history of galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption
* Subjects whose eGFR calculated by the CKD-EPI formula is 80mL/min or less at Screening
* Subjects whose AST or ALT levels are more than 2 times the upper limit of normal range, or total bilirubin levels are more than 1.5 times the upper limit of normal range at screening
* Subjects whose coagulation test (aPTT, PT) exceeds the normal range at screening
* Subjects who have taken the following medication or medication known to have significant drug interactions with the investigational product within the 2 weeks prior to the first administration day A. Strong P-gp inhibitor or inducer B. Acetylsalicylic acid, antiplatelet agent, anticoagulant, fibrinolytic agent, non-steroidal anti-inflammatory drug (NSAID), selective serotonin reuptake inhibitor (SSRI), or selective serotonin-norepinephrine reuptake inhibitor (SNRI)
* Subjects who donated whole blood within 60 days or blood components within 30 days, or received blood transfusion within 30 days prior to the first administration day
* Subjects who participated and have been exposed to an investigational product in other clinical study within 180 days prior to the first administration day
* Subjects who consistently consumed alcohol (alcohol 21 units/week \[1 unit = 10 g of pure alcohol\]) within 2 weeks of the first administration day
* Subjects who consumed grapefruit or grapefruit juice within 2 weeks of the first administration day
* Pregnant or breastfeeding women
* Subjects judged unsuitable to participate in the clinical study by investigators due to other reasons, including the results of laboratory tests
19 Years
50 Years
ALL
Yes
Sponsors
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Hyewon Chung
OTHER
Responsible Party
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Hyewon Chung
Assistant Professor
Locations
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Korea University Guro Hospital
Seoul, Seoul, South Korea
Countries
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References
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Mendell J, Zahir H, Matsushima N, Noveck R, Lee F, Chen S, Zhang G, Shi M. Drug-drug interaction studies of cardiovascular drugs involving P-glycoprotein, an efflux transporter, on the pharmacokinetics of edoxaban, an oral factor Xa inhibitor. Am J Cardiovasc Drugs. 2013 Oct;13(5):331-42. doi: 10.1007/s40256-013-0029-0.
Ogata K, Mendell-Harary J, Tachibana M, Masumoto H, Oguma T, Kojima M, Kunitada S. Clinical safety, tolerability, pharmacokinetics, and pharmacodynamics of the novel factor Xa inhibitor edoxaban in healthy volunteers. J Clin Pharmacol. 2010 Jul;50(7):743-53. doi: 10.1177/0091270009351883. Epub 2010 Jan 15.
Liu L, Li X, Liu Y, Xu B, Li Y, Yuan F, Zhang P, Tu S, Hu W. Bioequivalence and Pharmacokinetic Study of 2 Edoxaban Tablets in Healthy Chinese Subjects. Clin Pharmacol Drug Dev. 2022 Dec;11(12):1440-1446. doi: 10.1002/cpdd.1156. Epub 2022 Aug 11.
Wang EJ, Casciano CN, Clement RP, Johnson WW. Inhibition of P-glycoprotein transport function by grapefruit juice psoralen. Pharm Res. 2001 Apr;18(4):432-8. doi: 10.1023/a:1011089924099.
Mikkaichi T, Yoshigae Y, Masumoto H, Imaoka T, Rozehnal V, Fischer T, Okudaira N, Izumi T. Edoxaban transport via P-glycoprotein is a key factor for the drug's disposition. Drug Metab Dispos. 2014 Apr;42(4):520-8. doi: 10.1124/dmd.113.054866. Epub 2014 Jan 23.
Other Identifiers
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EG-DDI
Identifier Type: -
Identifier Source: org_study_id
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