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Acute Coronary SyndromePhase 1TG1CNCT02034292

Safety Study of APD-791 With Aspirin and/or Clopidogrel

A Phase 1 study testing Clopidogrel, Aspirin and APD791 in people with Acute Coronary Syndrome, run by IlDong Pharmaceutical Co Ltd.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Evaluating safety and PK parameter of APD-791 when co-administered with aspirin and clopidogrel. Read more about this study

Who is it for?
Ages 20 to 45 yearsHealthy volunteers can take part
Conditions the study is for
Acute Coronary Syndrome
What is being tested?
Clopidogrel, Aspirin and APD791
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
16 participants
Where
No sites listed yet
Study dates
Feb 2014to Mar 2014
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 45 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • a healthy adult between 20 and 45 years old at the time of visit for screening
  • a person who is able to give written consent
  • a person between 50 and 85 kg at the time of visit for screening
  • a woman who is negative on a serum hCG test at the time of visit and the day before a trial, and who is not nursing
  • a woman who agrees on double contraception, medically approved, from the time of visit for screening to 90 days after the last administration of a clinical trial drug, or who had a contraceptive operation no later than 120 days before visit for screening, or who is menopausal
  • a man who had a contraceptive operation no later than 120 days before visit for screening, or who agrees on double contraception, medically approved, from the time of visit for screening to 90 days after the last administration of a clinical trial drug, and also agree not to donate sperm
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  • a person more than hemoglobin 12 g/dL at the time of screening (a woman more than hemoglobin 11 g/dL)
  • a person whose vital signs were in the normal range at the time of visit for screening, or who is medically determined not to be clinically significant by an investigator
  • a person who voluntarily decides to participate in this clinical trial and gives written consent on strict clinical trial compliance
  • a person whose blood can be collected during a study period with visit for monitoring

Who cannot join

  • a person with the medical history of gastric ulcer, duodenal ulcer or esophageal ulcer within 90 days from the time of visit for screening
  • a person with the medical history of gastrointestinal diseases(e.g. Crohn's disease, ulcerative colitis, etc.) or surgery(excluding uncomplicated appendectomy or herniotomy) affecting the absorption of a clinical trial drug
  • a person with the medical history of blood coagulation disorder or hemorrhagic diseases, or with clinically significant abnormal findings decided by a investigator on blood coagulation test at the time of screening
  • a woman with the medical history of dysfunctional uterine bleeding within a year from the time of visit for screening
  • a person with the medical history of epilepsy or convulsion
  • a person with the medical history of internal organ transplant
Show all 19Show fewer
  • a person expected to be hard to complete a clinical trial because of surgery or medical procedures planned within a clinical trial period
  • a person with the medical history of clinically significant new diseases within 30 days from the time of visit for screening according to investigator's decision
  • a person with hypersensitivity reaction to a drug or gelatin, or the medical history of clinically significant hypersensitivity reaction
  • a person with the history of drug abuse, or with a positive reaction to a drug possible to be abused on urine drug screening
  • a person with the medical history of alcohol abuse within two years from the time of visit for screening
  • a person who is a smoker, or with a positive reaction on a urine nicotine test conducted at the time of visit for screening
  • a person who donated whole blood within 60 days or constituents of blood within 30 days, or received a blood transfusion within 30 days from the time of visit for screening
  • a person taking other clinical trial drugs within 90 days from the time of visit for screening
  • a person taking a prescription drug within 30 days, or a contraindicated drug or oriental medicine within 14 days from the time of visit for screening
  • a person with a positive reaction to a serum test(hepatitis B test, hepatitis C test, HIV test, syphilis test)
  • a person with hepatic enzymes(AST, ALT) more than 2.5 times of the reference upper limit(UNL) or total bilirubin more than 1.5 times of the reference upper limit(UNL) or creatinine more than 1.25 times of the reference upper limit(UNL)
  • a person expected to be hard to complete a clinical trial due to physical or mental status according to investigator's medical decision at the time of visit for screening
  • a person decided to be inappropriate to participate in this clinical trial according to investigator's medical decision on the result of laboratory tests, such as complete blood cell count, general chemical test, clinicochemical urinalysis, and physical examination, vital signs, ECG, other tests excluding exclusion criteria 17 items conducted before subject selection for a clinical trial

About this study

Official title: Phase I Study to Assess the Safety of APD-791 When Co-administered With Aspirin

Evaluating safety and PK parameter of APD-791 when co-administered with aspirin and clopidogrel.

Being tested
Clopidogrel, Aspirin, APD791, Placebo
Medical subject headings
Acute Coronary Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT02034292
Study groupRoleWhat they receive
10mg MDExperimentalAPD791 10mg Multiple dose and
Receives: Drug: Clopidogrel; Drug: Aspirin; Drug: APD791
20mg MDExperimentalAPD791 20mg Multiple dose
Receives: Drug: Clopidogrel; Drug: Aspirin; Drug: APD791
40mg MDExperimentalAPD791 40mg Multiple dose
Receives: Drug: Clopidogrel; Drug: Aspirin; Drug: APD791
60mg MDExperimentalAPD791 60mg Multiple dose
Receives: Drug: Clopidogrel; Drug: Aspirin; Drug: APD791
Placebo MDPlacebo comparatorPlacebo for Multiple dose group
Receives: Drug: Clopidogrel; Drug: Aspirin; Drug: APD791
120mg SDExperimentalAPD791 120mg Single dose
Receives: Drug: Clopidogrel; Drug: Aspirin; Drug: APD791
240mg SDExperimentalAPD791 240mg Single dose
Receives: Drug: Clopidogrel; Drug: Aspirin; Drug: APD791
320mg SDExperimentalAPD791 320mg Single dose
Receives: Drug: Clopidogrel; Drug: Aspirin; Drug: APD791
Placebo SDPlacebo comparatorPlacebo for Single dose
Receives: Drug: Clopidogrel; Drug: Aspirin; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To assess the safety of APD791 when orally co-administered with Aspirin and Clopidogrel in healthy subjects

    Adverse reaction monitoring for subjective or objective symptoms Physical examination Vital signs 12-electrode ECG Laboratory tests

    Measured: safety review will be conducted at every end of dosing (about every 2 or 3 weeks)

Secondary outcomes (2)
  1. Pharmacokinetic characteristic evaluation variable

    Non-compartmental analysis is conducted by using APD791 and its metabolite, M1 and M2 and the following pharmacokinetic evaluation variables are calculated.

    Cmax0-12, Cmax,ss (Day 7 only), Cmin,ss (Day 7 only), tmax0-12, tmax,ss (Day 7 only), λz, t1/2β, AUC0-12 (Day 1 only), AUCinf, Accumulation index, CL/F, MRT, Vz/F

    Measured: After last patient last visit. About 8month later since start of the study.

  2. Pharmacodynamic characteristic evaluation variable

    Pharmacodynam1) % inhibition of serotonin-stimulated platelet aggregation 2) Change in % inhibition of serotonin-stimulated platelet aggregation 3) % inhibition of TRAP-induced platelet aggregation ic characteristic evaluation variable

    Measured: Day1, Day4, Day7 of every dose for mutiple dose group and first day for single dose group.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Jan 2014 (estimated)
  2. Study startFeb 2014
  3. Primary completionMar 2014
  4. Study completionMar 2014

Why it stopped: Sponsor Decision

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Screening
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
16 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02034292
Sponsor's protocol ID
ID-TG1C-1301
Acronym
TG1C
Status last verified
Feb 2019
First submitted
12 Dec 2013
Last updated
15 Feb 2019
Results posted
No
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Clopidogrel, Aspirin and APD791 in people with Acute Coronary Syndrome, run by IlDong Pharmaceutical Co Ltd.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 19 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 15 Feb 2019. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: Sponsor Decision). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To assess the safety of APD791 when orally co-administered with Aspirin and Clopidogrel in healthy subjects (time frame: safety review will be conducted at every end of dosing (about every 2 or 3 weeks)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Feb 2019.

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