Healthy VolunteersPhase 1NCT03698513
A Study to Assess Administration of an Oral Anti-thrombotic With Antiplatelet Therapy in Healthy Subjects
A Phase 1 study testing BMS-986177, Clopidogrel and Aspirin in people with Healthy Volunteers, run by Bristol-Myers Squibb at 1 site in United States.
Trial summary
This study will investigate the safety and interaction of BMS-986177 in healthy volunteers, when administered with Aspirin and/or Clopidogrel Read more about this study
- Who is it for?
- Ages 18 to 55 yearsHealthy volunteers can take part
- Conditions the study is for
- Healthy Volunteers
- What is being tested?
- BMS-986177, Clopidogrel and Aspirin
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 113 participants
- Where
- 1 siteUnited States
- Study dates
- 4 Oct 2018to 19 Feb 2019
- 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 18 to 55 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Must have a Body Mass Index (BMI) of 18.0 to 32.0 kg/m2, inclusive.
- Must have a normal renal function at screening as evidenced by an estimated glomerular filtration rate (GFR) of > 80 mL/min/1.73 m2 calculated with the Chronic Kidney Disease Epidemiology Collaboration formula and the absence of protein in the urine
- For Parts 1 and 2:
- Must be a clopidogrel responder (eg, a decrease in platelet aggregation of at least 30% after a single 600-mg dose of clopidogrel compared with baseline).
Who cannot join
- Any significant acute or chronic medical illness, including tinnitus or any other condition listed as a contraindication in the aspirin package insert.
- History of dizziness and/or recurrent headaches (i.e. daily headaches lasting for 1 week's duration in the last month prior to study treatment administration).
- History of head injury in the last 2 years, including participants with base skull fractures, intracranial tumor, or aneurysm.
- History of gastroesophageal reflux disease, dyspepsia (indigestion), protracted nausea, or chronic diarrhea (defined as 3 or 4 loose stools per day that last for ≥ 4 weeks) within the past 6 months.
- Other protocol-defined inclusion/exclusion criteria apply.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Randomized, Cross-over Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BMS-986177 (an Oral Antithrombotic) With Single and Dual Antiplatelet Therapy (Aspirin and Clopidogrel) in Healthy Participants
This study will investigate the safety and interaction of BMS-986177 in healthy volunteers, when administered with Aspirin and/or Clopidogrel
- Conditions
- Healthy Volunteers
- Being tested
- BMS-986177, Placebo (for BMS-986177), Clopidogrel, Aspirin
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BMS-986177Drug
BMS-986177 capsule
Placebo (for BMS-986177)Other
BMS-986177 placebo match capsule
ClopidogrelDrug
Clopidogrel tablet
AspirinDrug
Aspirin tablet
| Study group | Role | What they receive |
|---|---|---|
| BMS-986177 + Aspirin + Clopidogrel (Part 1) | Experimental | BMS-986177 200 mg capsule twice daily (days 1-5) + Aspirin 325 mg tablet once daily (days 1-5) + Clopidogrel 300 mg tablet once daily (day 1) then 75 mg tablet once daily (days 2-5) Receives: Drug: BMS-986177; Drug: Clopidogrel; Drug: Aspirin |
| BMS-986177 (Part 1) | Experimental | BMS-986177 200 mg capsule twice daily (days 1-5) Receives: Drug: BMS-986177 |
| BMS-986177 placebo + Aspirin + Clopidogrel (Part 1) | Placebo comparator | BMS-986177 placebo match capsule twice daily (days 1-5) + Aspirin 325 mg tablet once daily (days 1-5) + Clopidogrel 300 mg once daily (day 1) then 75 mg tablet once daily (days 2-5) Receives: Other: Placebo (for BMS-986177); Drug: Clopidogrel; Drug: Aspirin |
| BMS-986177 (Part 2) | Experimental | BMS-986177 200 mg capsule twice daily (days 1-5) Receives: Drug: BMS-986177 |
| BMS-986177 placebo + Clopidogrel (Part 2) | Placebo comparator | BMS-986177 placebo match capsule twice daily (days 1-5) + Clopidogrel 300 mg tablet once daily (day 1) then 75 mg tablet once daily (days 2-5) Receives: Other: Placebo (for BMS-986177); Drug: Clopidogrel |
| BMS-986177 + Clopidogrel (Part 2) | Experimental | BMS-986177 200 mg capsule twice daily (days 1-5) + Clopidogrel 300 mg tablet once daily (day 1) then 75 mg tablet once daily (days 2-5) Receives: Drug: BMS-986177; Drug: Clopidogrel |
| BMS-986177 (Part 3) | Experimental | BMS-986177 200 mg capsule twice daily (days 1-5) Receives: Drug: BMS-986177 |
| BMS-986177 placebo + Aspirin (Part 3) | Placebo comparator | BMS-986177 placebo match capsule twice daily (days 1-5) + Aspirin 325 mg tablet once daily (days 1-5) Receives: Other: Placebo (for BMS-986177); Drug: Aspirin |
| BMS-986177 + Aspirin (Part 3) | Experimental | BMS-986177 200 mg capsule twice daily (days 1-5) + Aspirin 325 mg tablet once daily (days 1-5) Receives: Drug: BMS-986177; Drug: Aspirin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Adverse Events (AEs)
Measured: Up to Day 33
Incidence of Serious Adverse Events (SAEs)
Measured: Up to Day 95
Incidence of Adverse Events (AEs) leading to discontinuation
Measured: Up to Day 33
Number of participants with vital sign abnormalities
Measured: Up to Day 33
Number of participants with 12-lead electrocardiogram (ECG) abnormalities
Measured: Up to Day 33
Number of participants with clinical laboratory abnormalities
Measured: Up to Day 33
Number of participants with physical examination abnormalities
Measured: Up to Day 33
Secondary outcomes (7)
Maximum observed plasma concentration (Cmax)
Cmax of BMS-986177, acetylsalicylic acid, salicylic acid, clopidogrel and clopidogrel metabolite
Measured: Up to Day 33
Area under the plasma concentration time curve in one dosing interval [AUC(TAU)]
AUC(TAU) of BMS-986177, acetylsalicylic acid, salicylic acid, clopidogrel and clopidogrel metabolite
Measured: Up to Day 33
Time of maximum observed concentration (Tmax)
Tmax of BMS-986177, acetylsalicylic acid, salicylic acid, clopidogrel and clopidogrel metabolite
Measured: Up to Day 33
Terminal plasma half-life (T-HALF)
T-Half of BMS-986177, acetylsalicylic acid, salicylic acid, clopidogrel and clopidogrel metabolite
Measured: Up to Day 33
Trough observed plasma concentration (Ctrough)
Ctrough of BMS-986177, acetylsalicylic acid, salicylic acid, clopidogrel and clopidogrel metabolite
Measured: Up to Day 26
Apparent total body clearance (CLT/F)
CLT/F of BMS-986177, aspirin, clopidogrel
Measured: Up to Day 33
Volume of distribution (Vz/F)
Vz/F of BMS-986177, aspirin, clopidogrel
Measured: Up to Day 33
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Oct 2018
- Study start4 Oct 2018
- Primary completion19 Feb 2019
- Study completion19 Feb 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Healthy VolunteersStudies of the same condition, open and under way.
- More trials run by Bristol-Myers SquibbThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 113 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bristol-Myers Squibb
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03698513
- Sponsor's protocol ID
- CV010-034
- Status last verified
- Sep 2021
- First submitted
- 4 Oct 2018
- Last updated
- 29 Sep 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Perera V, Abelian G, Luettgen J, Aronson R, Li D, Wang Z, Zhang L, Lubin S, Merali S, Murthy B. Safety, tolerability, pharmacokinetics and pharmacodynamics of milvexian with aspirin and/or clopidogrel in healthy participants. Sci Rep. 2024 Jul 18;14(1):16591. doi: 10.1038/s41598-024-67182-8.
PubMed 39025971
Study at a glance
From the registry record, last updated by the sponsor on 29 Sep 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Cross-over Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of BMS-986177 (an Oral Antithrombotic) With Single and Dual Antiplatelet Therapy (Aspirin and Clopidogrel) in Healthy Participants
- ClinicalTrials.gov ID
- NCT03698513
- Acronym / sponsor ID
- CV010-034
- Conditions
- Healthy Volunteers
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 113 participants (actual)
- Lead sponsor
- Bristol-Myers SquibbIndustry (pharma, biotech, devices)
- Study start
- 4 Oct 2018 (actual)
- Primary completion
- 19 Feb 2019 (actual)
- Study completion
- 19 Feb 2019 (actual)
- First posted
- 9 Oct 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will investigate the safety and interaction of BMS-986177 in healthy volunteers, when administered with Aspirin and/or Clopidogrel
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 9
| Arm | Type | Receives |
|---|---|---|
| BMS-986177 + Aspirin + Clopidogrel (Part 1) | Experimental | Drug: BMS-986177, Drug: Clopidogrel, Drug: AspirinBMS-986177 200 mg capsule twice daily (days 1-5) + Aspirin 325 mg tablet once daily (days 1-5) + Clopidogrel 300 mg tablet once daily (day 1) then 75 mg tablet once daily (days 2-5) |
| BMS-986177 (Part 1) | Experimental | Drug: BMS-986177BMS-986177 200 mg capsule twice daily (days 1-5) |
| BMS-986177 placebo + Aspirin + Clopidogrel (Part 1) | Placebo comparator | Other: Placebo (for BMS-986177), Drug: Clopidogrel, Drug: AspirinBMS-986177 placebo match capsule twice daily (days 1-5) + Aspirin 325 mg tablet once daily (days 1-5) + Clopidogrel 300 mg once daily (day 1) then 75 mg tablet once daily (days 2-5) |
| BMS-986177 (Part 2) | Experimental | Drug: BMS-986177BMS-986177 200 mg capsule twice daily (days 1-5) |
| BMS-986177 placebo + Clopidogrel (Part 2) | Placebo comparator | Other: Placebo (for BMS-986177), Drug: ClopidogrelBMS-986177 placebo match capsule twice daily (days 1-5) + Clopidogrel 300 mg tablet once daily (day 1) then 75 mg tablet once daily (days 2-5) |
| BMS-986177 + Clopidogrel (Part 2) | Experimental | Drug: BMS-986177, Drug: ClopidogrelBMS-986177 200 mg capsule twice daily (days 1-5) + Clopidogrel 300 mg tablet once daily (day 1) then 75 mg tablet once daily (days 2-5) |
| BMS-986177 (Part 3) | Experimental | Drug: BMS-986177BMS-986177 200 mg capsule twice daily (days 1-5) |
| BMS-986177 placebo + Aspirin (Part 3) | Placebo comparator | Other: Placebo (for BMS-986177), Drug: AspirinBMS-986177 placebo match capsule twice daily (days 1-5) + Aspirin 325 mg tablet once daily (days 1-5) |
| BMS-986177 + Aspirin (Part 3) | Experimental | Drug: BMS-986177, Drug: AspirinBMS-986177 200 mg capsule twice daily (days 1-5) + Aspirin 325 mg tablet once daily (days 1-5) |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Must have a Body Mass Index (BMI) of 18.0 to 32.0 kg/m2, inclusive.
- Must have a normal renal function at screening as evidenced by an estimated glomerular filtration rate (GFR) of > 80 mL/min/1.73 m2 calculated with the Chronic Kidney Disease Epidemiology Collaboration formula and the absence of protein in the urine
- Must be a clopidogrel responder (eg, a decrease in platelet aggregation of at least 30% after a single 600-mg dose of clopidogrel compared with baseline).
Key exclusion criteria (5 listed)
- Any significant acute or chronic medical illness, including tinnitus or any other condition listed as a contraindication in the aspirin package insert.
- History of dizziness and/or recurrent headaches (i.e. daily headaches lasting for 1 week's duration in the last month prior to study treatment administration).
- History of head injury in the last 2 years, including participants with base skull fractures, intracranial tumor, or aneurysm.
- History of gastroesophageal reflux disease, dyspepsia (indigestion), protracted nausea, or chronic diarrhea (defined as 3 or 4 loose stools per day that last for ≥ 4 weeks) within the past 6 months.
- Other protocol-defined inclusion/exclusion criteria apply.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| BMS-986177BMS-986177 capsule | Drug | BMS-986177 (Part 1), BMS-986177 (Part 2), BMS-986177 (Part 3), BMS-986177 + Aspirin (Part 3), BMS-986177 + Aspirin + Clopidogrel (Part 1), BMS-986177 + Clopidogrel (Part 2) |
| Placebo (for BMS-986177)BMS-986177 placebo match capsule | Other | BMS-986177 placebo + Aspirin (Part 3), BMS-986177 placebo + Aspirin + Clopidogrel (Part 1), BMS-986177 placebo + Clopidogrel (Part 2) |
| ClopidogrelClopidogrel tablet | Drug | BMS-986177 + Aspirin + Clopidogrel (Part 1), BMS-986177 + Clopidogrel (Part 2), BMS-986177 placebo + Aspirin + Clopidogrel (Part 1), BMS-986177 placebo + Clopidogrel (Part 2) |
| AspirinAspirin tablet | Drug | BMS-986177 + Aspirin (Part 3), BMS-986177 + Aspirin + Clopidogrel (Part 1), BMS-986177 placebo + Aspirin (Part 3), BMS-986177 placebo + Aspirin + Clopidogrel (Part 1) |
Primary outcome
Incidence of Adverse Events (AEs)
Time frame: Up to Day 33
Incidence of Serious Adverse Events (SAEs)
Time frame: Up to Day 95
Incidence of Adverse Events (AEs) leading to discontinuation
Time frame: Up to Day 33
Number of participants with vital sign abnormalities
Time frame: Up to Day 33
Number of participants with 12-lead electrocardiogram (ECG) abnormalities
Time frame: Up to Day 33
Number of participants with clinical laboratory abnormalities
Time frame: Up to Day 33
Number of participants with physical examination abnormalities
Time frame: Up to Day 33
7 secondary outcomes
Maximum observed plasma concentration (Cmax)
Time frame: Up to Day 33
Area under the plasma concentration time curve in one dosing interval [AUC(TAU)]
Time frame: Up to Day 33
Time of maximum observed concentration (Tmax)
Time frame: Up to Day 33
Terminal plasma half-life (T-HALF)
Time frame: Up to Day 33
Trough observed plasma concentration (Ctrough)
Time frame: Up to Day 26
Apparent total body clearance (CLT/F)
Time frame: Up to Day 33
Volume of distribution (Vz/F)
Time frame: Up to Day 33
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Sep 2021.
- Derived from this study: PubMed 39025971Perera V, Abelian G, Luettgen J, Aronson R, Li D, Wang Z, Zhang L, Lubin S, Merali S, Murthy B. Safety, tolerability, pharmacokinetics and pharmacodynamics of milvexian with aspirin and/or clopidogrel in healthy participants. Sci Rep. 2024 Jul 18;14(1):16591. doi: 10.1038/s41598-024-67182-8.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
- Investigator Inquiry FormLink provided by the sponsor.
- FDA Safety Alerts and RecallsLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing BMS-986177, Clopidogrel and Aspirin in people with Healthy Volunteers, run by Bristol-Myers Squibb at 1 site in United States.
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 4 inclusion and 5 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: finished, as of the sponsor's last update on 29 Sep 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Incidence of Adverse Events (AEs) (time frame: Up to Day 33). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03698513, which also lists 1 linked publication.
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 29 Sep 2021.