An Early Phase 1 interventional study of Dabigatran Etexilate Mesylate and Quizartinib in Healthy Subjects, Drug-drug Interaction and Pharmacokinetics, sponsored by Daiichi Sankyo Co., Ltd.. Completed at 1 site in United States. Open to participants aged 18 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-07-09.
Sponsored by Daiichi Sankyo Co., Ltd. · Early Phase 1, Interventional, and Treatment
The purpose of this study is to investigate the one-way drug-drug interaction potential of quizartinib on dabigatran etexilate in healthy adult participants.
This study will evaluate the potential intestinal inhibitory effect of quizartinib on the pharmacokinetics of a Pgp substrate dabigatran etexilate in healthy participants.
The hypothesis for this clinical study is that quizartinib, as a P-gp inhibitor, may increase the systemic exposure (measured by area under the concentration-time curve [AUC] and maximum concentration [Cmax]) of P-gp substrates that may be sensitive to intestinal P-gp inhibition.
Daiichi Sankyo Co., Ltd. is the lead sponsor of 72 studies on the registry; none are open to participants now.
Of its 10 completed or terminated interventional studies of FDA-regulated products, 8 (80%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Participants who will receive a single oral dose of 150mg dabigatran etexilate on Day 1 of Period 1 and then will receive a single oral dose of 60mg quizartinib 2 hours prior to the administration of a single oral dose of 150mg dabigatran etexilate on the morning of Day 5 of Period 2.
Drug: Dabigatran Etexilate Mesylate · Drug: Quizartinib
Single oral 150 mg capsule dose
Also known as: Pradaxa
Single oral 60 mg dose of quizartinib administered as two 30 mg tablets (26.5 mg free base per tablet)
Maximum Plasma Concentration (Cmax) of Total Dabigatran and of Free Dabigatran Following a Single Dose in Participants Without and With Concomitant Quizartinib
Maximum Plasma Concentration (Cmax) is defined as the maximum observed plasma concentration and was calculated using non-compartmental analysis.
Time frame: Period 1 Day 1 (Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60 and 72 hours post-dose) and Period 2 Day 5 (pre-dose and 1, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 14, 26, 38, 50, 62, and 74 hours post-dose)
Area Under the Plasma Concentration-Time Curve up to the Last Quantifiable Concentration Post-Dose (AUClast) of Total Dabigatran and of Free Dabigatran Following a Single Dose in Participants Without and With Concomitant Quizartinib
Area Under the Plasma Concentration-Time Curve up to the Last Quantifiable Concentration Post-Dose (AUClast) is defined as AUC from time 0 to the last measurable concentration, as calculated by the linear up-log down trapezoidal method and was calculated using non-compartmental analysis.
Time frame: Period 1 Day 1 (Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60 and 72 hours post-dose) and Period 2 Day 5 (pre-dose and 1, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 14, 26, 38, 50, 62, and 74 hours post-dose)
Area Under the Plasma Concentration-Time Curve up to Infinity (AUCinf) of Total Dabigatran and of Free Dabigatran Following a Single Dose in Participants Without and With Concomitant Quizartinib
Area Under the Plasma Concentration-Time Curve up to Infinity (AUCinf) is defined as area under the plasma concentration-time curve from the time of dosing extrapolated to infinity and was calculated using non-compartmental analysis.
Time frame: Period 1 Day 1 (Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60 and 72 hours post-dose) and Period 2 Day 5 (pre-dose and 1, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 14, 26, 38, 50, 62, and 74 hours post-dose)
Time of Maximum Plasma Concentration (Tmax) of Total Dabigatran and of Free Dabigatran Following a Single Dose in Participants Without and With Concomitant Quizartinib
Time of Maximum Plasma Concentration (Tmax) is defined as time of maximum observed plasma concentration and was calculated using non-compartmental analysis.
Time frame: Period 1 Day 1 (Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60 and 72 hours post-dose) and Period 2 Day 5 (pre-dose and 1, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 14, 26, 38, 50, 62, and 74 hours post-dose)
Terminal Elimination Half-Life (T1/2) of Total Dabigatran and of Free Dabigatran Following a Single Dose in Participants Without and With Concomitant Quizartinib
Terminal Elimination Half-Life (T1/2) is defined as terminal elimination half-life and was calculated using non-compartmental analysis.
Time frame: Period 1 Day 1 (Pre-dose and 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, 48, 60 and 72 hours post-dose) and Period 2 Day 5 (pre-dose and 1, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 14, 26, 38, 50, 62, and 74 hours post-dose)
Maximum Plasma Concentration (Cmax) of Quizartinib and the Metabolite ACC886 Following Single Dose of Dabigatran With Quizartinib in Participants
Maximum Plasma Concentration (Cmax) is defined as the maximum observed plasma concentration and was calculated using non-compartmental analysis. Cmax was assessed for Quizartinib and Metabolite AC886.
Time frame: Period 2 Day 5 (Pre-dose and 1, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 14, 26, 38, 50, 62, and 74 hours post-dose)
Time of Maximum Plasma Concentration (Tmax) of Quizartinib and the Metabolite ACC886 Following Single Dose of Dabigatran With Quizartinib in Participants
Time of Maximum Plasma Concentration (Tmax) is defined as time of maximum observed plasma concentration and was calculated using non-compartmental analysis. Tmax was assessed for Quizartinib and Metabolite AC886.
Time frame: Period 2 Day 5 (Pre-dose and 1, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 14, 26, 38, 50, 62, and 74 hours post-dose)
Area Under the Plasma Concentration-Time Curve From Time 0 to 74 Hours (AUClast,74) of Quizartinib and the Metabolite ACC886 Following Single Dose of Dabigatran With Quizartinib in Participants
Area Under the Plasma Concentration-Time Curve From Time 0 to 74 Hours (AUClast,74) is defined as area under the plasma concentration-time curve to the last quantifiable concentration post dose at 74 hours and was calculated using non-compartmental analysis. AUClast,74 was assessed for Quizartinib and Metabolite AC886.
Time frame: Period 2 Day 5 (Pre-dose and 1, 2.5, 3, 3.5, 4, 5, 6, 8, 10, 14, 26, 38, 50, 62, and 74 hours post-dose)
Number of Participants Reporting Treatment-Emergent Adverse Events (TEAE) Relatedness to Study Medication Following Single Dose of Dabigatran Without and With Quizartinib in Participants
A Treatment-Emergent Adverse Events (TEAE) is defined as any event not present prior to the initiation of the drug treatment of the drug treatment or any event already present that worsens in either intensity or frequency following exposure to the drug treatment. Number of any TEAE that is related and unrelated to study medication is presented.
Time frame: Up to 2 months
A total of 20 participants who met all inclusion criteria and no exclusion criteria were enrolled from 28 Aug 2020 to 20 Oct 2020 at 1 clinic in the United States.
| Milestone | Dabigatran Etexilate/Dabigatran Etexilate + Quizartinib |
|---|---|
| Started | 20 |
| Completed | 20 |
| Not completed | 0 |
| Milestone | Dabigatran Etexilate/Dabigatran Etexilate + Quizartinib |
|---|---|
| Started | 20 |
| Completed | 20 |
| Not completed | 0 |
Maximum Plasma Concentration (Cmax) is defined as the maximum observed plasma concentration and was calculated using non-compartmental analysis.
| ng/mL | Period 1: Dabigatran Etexilate | Period 2: Dabigatran Etexilate + Quizartinib |
|---|---|---|
| Total Dabigatran | 192 ± 94.5 | 239 ± 141 |
| Free Dabigatran | 159 ± 82.2 | 201 ± 127 |
Area Under the Plasma Concentration-Time Curve up to the Last Quantifiable Concentration Post-Dose (AUClast) is defined as AUC from time 0 to the last measurable concentration, as calculated by the linear up-log down trapezoidal method and was calculated using non-compartmental analysis.
| ng*h/mL | Period 1: Dabigatran Etexilate | Period 2: Dabigatran Etexilate + Quizartinib |
|---|---|---|
| Total Dabigatran | 1720 ± 870 | 2100 ± 1280 |
| Free Dabigatran | 1390 ± 736 | 1710 ± 1100 |
Area Under the Plasma Concentration-Time Curve up to Infinity (AUCinf) is defined as area under the plasma concentration-time curve from the time of dosing extrapolated to infinity and was calculated using non-compartmental analysis.
| ng*h/mL | Period 1: Dabigatran Etexilate | Period 2: Dabigatran Etexilate + Quizartinib |
|---|---|---|
| Total Dabigatran | 1740 ± 902 | 2140 ± 1280 |
| Free Dabigatran | 1420 ± 760 | 1730 ± 1100 |
Time of Maximum Plasma Concentration (Tmax) is defined as time of maximum observed plasma concentration and was calculated using non-compartmental analysis.
| hours | Period 1: Dabigatran Etexilate | Period 2: Dabigatran Etexilate + Quizartinib |
|---|---|---|
| Total Dabigatran | 2.0 (1.5 to 3.1) | 2.0 (1.5 to 4.0) |
| Free Dabigatran | 2.0 (1.5 to 4.0) | 2.0 (1.5 to 4.0) |
Terminal Elimination Half-Life (T1/2) is defined as terminal elimination half-life and was calculated using non-compartmental analysis.
| hours | Period 1: Dabigatran Etexilate | Period 2: Dabigatran Etexilate + Quizartinib |
|---|---|---|
| Total Dabigatran | 15.4 ± 4.4 | 18.1 ± 17.0 |
| Free Dabigatran | 14.2 ± 4.2 | 14.1 ± 6.6 |
Maximum Plasma Concentration (Cmax) is defined as the maximum observed plasma concentration and was calculated using non-compartmental analysis. Cmax was assessed for Quizartinib and Metabolite AC886.
| ng/mL | Period 2: Dabigatran Etexilate + Quizartinib |
|---|---|
| Quizartinib | 250 ± 50.8 |
| AC886 | 25.7 ± 8.71 |
Time of Maximum Plasma Concentration (Tmax) is defined as time of maximum observed plasma concentration and was calculated using non-compartmental analysis. Tmax was assessed for Quizartinib and Metabolite AC886.
| hours | Period 2: Dabigatran Etexilate + Quizartinib |
|---|---|
| Quizartinib | 3.0 (2.5 to 6.0) |
| AC886 | 8.0 (3.5 to 26.1) |
Area Under the Plasma Concentration-Time Curve From Time 0 to 74 Hours (AUClast,74) is defined as area under the plasma concentration-time curve to the last quantifiable concentration post dose at 74 hours and was calculated using non-compartmental analysis. AUClast,74 was assessed for Quizartinib and Metabolite AC886.
| ng*h/mL | Period 2: Dabigatran Etexilate + Quizartinib |
|---|---|
| Quizartinib | 9390 ± 1660 |
| AC886 | 1350 ± 495 |
A Treatment-Emergent Adverse Events (TEAE) is defined as any event not present prior to the initiation of the drug treatment of the drug treatment or any event already present that worsens in either intensity or frequency following exposure to the drug treatment. Number of any TEAE that is related and unrelated to study medication is presented.
| Participants | Period 1: Dabigatran Etexilate | Period 2: Dabigatran Etexilate + Quizartinib |
|---|---|---|
| Related | 0 | 2 |
| Unrelated | 0 | 1 |
Collected over Adverse events were collected from the date of signing the informed consent form up to 30 days after last dose, up to 2 months.. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Period 1: Dabigatran Etexilate | 0/20 (0%) | 0/20 (0%) | 0/20 (0%) |
| Period 2: Dabigatran Etexilate + Quizartinib | 0/20 (0%) | 0/20 (0%) | 3/20 (15%) |
| Event | Period 1: Dabigatran Etexilate | Period 2: Dabigatran Etexilate + Quizartinib |
|---|---|---|
| DizzinessNervous system disorders | 0/20 | 1/20 |
| HeadacheNervous system disorders | 0/20 | 1/20 |
| ParaesthesiaNervous system disorders | 0/20 | 1/20 |
Baseline characteristics were assessed using the Safety Analysis Set.
| Age, Categorical(Participants) | Dabigatran Etexilate/Dabigatran Etexilate + Quizartinib |
|---|---|
| <=18 years | 0 |
| Between 18 and 65 years | 20 |
| >=65 years | 0 |
| Age, Continuous(years) | Dabigatran Etexilate/Dabigatran Etexilate + Quizartinib |
|---|---|
| Mean | 39.0 ± 10.37 |
| Sex: Female, Male(Participants) | Dabigatran Etexilate/Dabigatran Etexilate + Quizartinib |
|---|---|
| Female | 9 |
| Male | 11 |
| Race (NIH/OMB)(Participants) | Dabigatran Etexilate/Dabigatran Etexilate + Quizartinib |
|---|---|
| American Indian or Alaska Native | 0 |
| Asian | 0 |
| Native Hawaiian or Other Pacific Islander | 0 |
| Black or African American | 12 |
| White | 8 |
| More than one race | 0 |
| Unknown or Not Reported | 0 |
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Daiichi Sankyo Co., Ltd.