ClinicalTrials.gg
CompletedNCT03430661Updated Jul 3, 2025

A Study to Investigate the Interaction Between ACT-246475 and Clopidogrel, Prasugrel, and Ticagrelor in Healthy Subjects

A Phase 1 interventional study of ACT-246475 and Clopidogrel in Healthy, sponsored by Viatris Innovation GmbH. Completed at 1 site in United States. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-07-03.

Sponsored by Viatris Innovation GmbH (part of Viatris Inc.) · Phase 1, Interventional, and Other

From the registry’s dates

  • Primary completion was May 2019, 7 years 5 months ago, and no results have been posted to the registry.

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Phase
Phase 1
Study type
Interventional
Enrollment
77
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The primary objective of this study is to assess the pharmacodynamic (PD) effects of clopidogrel, prasugrel, and ticagrelor when administered after a single subcutaneous (s.c.) dose of ACT-246475 in healthy male and female subjects

02

Conditions studied

  • Healthy
03

In context

Lead sponsor

Viatris Innovation GmbH is the lead sponsor of 24 studies on the registry; 3 are open to participants now.

Of its 10 completed or terminated interventional studies of FDA-regulated products, 3 (30%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Main Inclusion Criteria:

  • Signed
  • Healthy male and female subjects aged between 18 and 65 years (inclusive) at screening
  • of 18.0 to 31.0 kg/m2 (inclusive) at Screening
  • Women of must have a negative serum pregnancy test and use reliable birth controls from screening up to at least 30 days after last study treatment administration
  • Systolic blood pressure (SBP) 100-140 mmHg, diastolic blood pressure (DBP) 50-90 mmHg, and pulse rate 50-90 beats per minute (bpm) (inclusive) at screening
  • Healthy on the basis of physical examination, cardiovascular assessments, and laboratory tests
  • Maximum (at peak) aggregation ≥ 40% (light transmission aggregometry [LTA]) upon 20 μM adenosine diphosphate (ADP) activation at screening
  • Values of closure time tested with the Platelet Function Analyzer (PFA) equipment, for both cartridges of collagen/adrenaline and collagen/ADP below the at screening

Main Exclusion Criteria:

  • Pregnant or lactating women
  • Known to ACT-246475, clopidogrel, prasugrel, ticagrelor, any of their , or drugs of the same class
  • Any to clopidogrel, prasugrel, or ticagrelor treatment
  • Known hypersensitivity or allergy to natural rubber latex
  • Platelet count \< 120 × 109 L-1 at Screening and Day -1
  • Known platelet disorders (e.g., Glanzmann thromboasthenia, von Willebrand disease, platelet release defect)
  • Previous treatment with acetylsalicylate, non-steroidal anti-inflammatory drugs, P2Y12 receptor antagonists, or any medication with blood-thinning activity (i.e., injectable or oral anticoagulants) within 3 weeks prior to study treatment administration
  • Any circumstances or conditions, which, in the opinion of the investigator, may affect full participation in the study or compliance with the protocol
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
77 participants (actual)

Study arms

  • Experimental
    Part A: Group 1

    Clopidogrel will be administered 0.5 h after ACT-246475 or placebo, i.e., at the time of tmax

    Drug: ACT-246475 · Drug: Clopidogrel · Drug: Placebo

  • Experimental
    Part A: Group 2

    Clopidogrel will be administered 12 h after ACT-246475 or placebo

    Drug: ACT-246475 · Drug: Clopidogrel · Drug: Placebo

  • Experimental
    Part A: Group 3

    Any time interval up to 24 h between the administration of ACT-246475 or placebo and clopidogrel may be studied

    Drug: ACT-246475 · Drug: Clopidogrel · Drug: Placebo

  • Experimental
    Part B: Group 1

    Prasugrel will be administered 12 h after ACT-246475 or placebo

    Drug: ACT-246475 · Drug: Prasugrel · Drug: Placebo

  • Experimental
    Part B: Group 2

    Any time interval up to 24 h between the administration of ACT-246475 or placebo and prasugrel may be studied

    Drug: ACT-246475 · Drug: Prasugrel · Drug: Placebo

  • Experimental
    Part B: Group 3

    Any time interval up to 24 h between the administration of ACT-246475 or placebo and prasugrel may be studied

    Drug: ACT-246475 · Drug: Prasugrel · Drug: Placebo

  • Experimental
    Part C: Group 1

    Ticagrelor will be administered 0.5 h after ACT-246475 or placebo, i.e., at the time of tmax

    Drug: ACT-246475 · Drug: Placebo · Drug: Ticagrelor

  • Experimental
    Part C: Group 2

    Any time interval up to 24 h between the administration of ACT-246475 or placebo and ticagrelor may be studied

    Drug: ACT-246475 · Drug: Placebo · Drug: Ticagrelor

  • Experimental
    Part C: Group 3

    Any time interval up to 24 h between the administration of ACT-246475 or placebo and ticagrelor may be studied

    Drug: ACT-246475 · Drug: Placebo · Drug: Ticagrelor

Interventions

  • Lyophilized ACT-246475A to be reconstituted with 1 mL of water for injection

  • Tablet for oral administration (300 or 600 mg)

  • Tablet for oral administration (60 mg)

  • DrugPlacebo

    Matching ACT-246475 placebo will consist of sterile 0.9% w/v sodium chloride solution

  • Tablet for oral administration (180 mg)

06

What researchers measure

Primary outcomes

  1. Time-matched comparisons of IPA% (MPA) between treatments (i.e., Treatment A1 vs A2, Treatment B1 vs B2, and treatment C1 vs C2, treatments are defined below) following administration of ACT-246475 and its matching placebo.

    \- IPA%\[MPA\] will be calculated as mean change in percentage from baseline for each time point.

    Time frame: From baseline up to 48 hours

  2. Time-matched comparisons of IPA %(PRU) between treatments (i.e., Treatment A1 vs A2, Treatment B1 vs B2, and treatment C1 vs C2) following administration of ACT-246475 and its matching placebo.

    \- IPA%\[PRU\] will be calculated as mean change in percentage from baseline for each time point. Treatment A1: single s.c. dose administration of ACT-246475-matching placebo followed by a single oral dose of clopidogrel (600 mg). Treatment A2: single s.c. dose administration (16 mg) of ACT-246475 followed by a single oral dose of clopidogrel (300 mg). Treatment B1: single s.c. dose administration of ACT-246475-matching placebo followed by a single oral dose of prasugrel (60 mg). Treatment B2: single s.c. dose administration (16 mg) of ACT-246475 followed by a single oral dose of prasugrel (60 mg). Treatment C1: single s.c. dose administration of ACT-246475-matching placebo followed by a single oral dose of ticagrelor (180 mg). Treatment B2: single s.c. dose administration (16 mg) of ACT-246475 followed by a single oral dose of ticagrelor (180 mg).

    Time frame: From baseline up to 48 hours

07

Study locations

1 site
  • Biotrial Inc
    Newark, New Jersey 07103, United States
08

References and documents

Publications

  • Schilling U, Dingemanse J, Dobrow M, Baumann M, Riederer MA, Juif PE, Ufer M. Insights from In Vitro and Clinical Data to Guide Transition from the Novel P2Y12 Antagonist Selatogrel to Clopidogrel, Prasugrel, and Ticagrelor. Thromb Haemost. 2021 Jun;121(6):755-766. doi: 10.1055/s-0040-1721773. Epub 2021 Jan 7. PubMed 33412611 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2018 to primary completion in May 2019, 15 months.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 30, 2018
First posted
Feb 13, 2018
StartActual
Jan 24, 2018
Primary completionActual
May 20, 2019
CompletionActual
May 29, 2019
Last update
Jul 3, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03430661
Responsible party
Sponsor
First posted
Feb 13, 2018
Start date
Jan 24, 2018
Primary completion
May 20, 2019
Completion
May 29, 2019
Last update
Jul 3, 2025

Study contacts

Clinical Trials
study director · Viatris Innovation GmbH

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2022. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drugs tested here: Selatogrel · Clopidogrel · Prasugrel · Ticagrelor

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