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

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-02

Study Completion Date

2025-10-31

Brief Summary

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The aim of the study is to evaluate the effect of grapefruit juice on the pharmacokinetics and pharmacodynamics of edoxaban in healthy adults

Detailed Description

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Pharmacokinetics and pharmacodynamics of edoxaban without coadministration of grapefruit juice will be compared with those after administration of grapefruit juice.

Conditions

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Healthy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

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

Group Type EXPERIMENTAL

Edoxaban 60 MG [Lixiana]

Intervention Type DRUG

Single administration of edoxaban

Edoxaban 60 MG [Lixiana] + Grapefruit Juice

Intervention Type OTHER

Coadministration of edoxaban and grapefruit juice

Interventions

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Edoxaban 60 MG [Lixiana]

Single administration of edoxaban

Intervention Type DRUG

Edoxaban 60 MG [Lixiana] + Grapefruit Juice

Coadministration of edoxaban and grapefruit juice

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults aged 19 to 50 years of age (inclusive) at the time of screening
* 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 cardiovascular, respiratory, hepatic, renal, hematological, gastrointestinal, endocrine, immunological, dermatological, or neuropsychiatric disease
* 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
Minimum Eligible Age

19 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hyewon Chung

OTHER

Sponsor Role lead

Responsible Party

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Hyewon Chung

Assistant Professor

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Korea University Guro Hospital

Seoul, Seoul, South Korea

Site Status

Countries

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South Korea

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.

Reference Type BACKGROUND
PMID: 23784266 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 20081065 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 35950601 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 11451028 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 24459178 (View on PubMed)

Other Identifiers

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EG-DDI

Identifier Type: -

Identifier Source: org_study_id

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