Trial Outcomes & Findings for Bioavailability of Apixaban Sprinkle Compared to Apixaban Capsules (NCT NCT03509883)

NCT ID: NCT03509883

Last Updated: 2020-01-23

Results Overview

Assessment of bioavailability of apixaban 0.5mg tablets relative to apixaban 0.1mg Sprinkle in terms of concentration

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

94 participants

Primary outcome timeframe

Day 1 to Day 8

Results posted on

2020-01-23

Participant Flow

94 Participants Enrolled; 30 participants Randomized; Reasons Not Randomized: 43 participants no longer meet study criteria; 12 were lost to follow up 9 other; 5 screening extras: 4 back ups

Participant milestones

Participant milestones
Measure
Treatment A, Then Treatment B
Apixaban tablets (treatment A) followed by apixaban sprinkle capsules (treatment B)
Treatment B, Then Treatment A
Apixaban sprinkle capsules (treatment B) followed by apixaban tablets (treatment A)
Initial Treatment
STARTED
15
15
Initial Treatment
COMPLETED
15
15
Initial Treatment
NOT COMPLETED
0
0
Initial Treatment Washout
STARTED
15
15
Initial Treatment Washout
COMPLETED
15
15
Initial Treatment Washout
NOT COMPLETED
0
0
Cross-over and Treatment
STARTED
15
15
Cross-over and Treatment
COMPLETED
15
15
Cross-over and Treatment
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Bioavailability of Apixaban Sprinkle Compared to Apixaban Capsules

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment A
n=15 Participants
Apixaban tablets (treatment A) followed by apixaban sprinkle capsules (treatment B)
Treatment B
n=15 Participants
Apixaban sprinkle capsules (treatment B) followed by apixaban tablets (treatment A)
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
31.3 Years
STANDARD_DEVIATION 7.6 • n=99 Participants
32.8 Years
STANDARD_DEVIATION 7.3 • n=107 Participants
32.0 Years
STANDARD_DEVIATION 7.4 • n=206 Participants
Sex: Female, Male
Female
8 Participants
n=99 Participants
8 Participants
n=107 Participants
16 Participants
n=206 Participants
Sex: Female, Male
Male
7 Participants
n=99 Participants
7 Participants
n=107 Participants
14 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
6 Participants
n=99 Participants
7 Participants
n=107 Participants
13 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
9 Participants
n=99 Participants
8 Participants
n=107 Participants
17 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
1 Participants
n=107 Participants
1 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=99 Participants
5 Participants
n=107 Participants
10 Participants
n=206 Participants
Race (NIH/OMB)
White
10 Participants
n=99 Participants
9 Participants
n=107 Participants
19 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Day 1 to Day 8

Population: All Treated Participants

Assessment of bioavailability of apixaban 0.5mg tablets relative to apixaban 0.1mg Sprinkle in terms of concentration

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
Concentration as Measured by Maximum Observed Plasma Concentration (Cmax)
77.4 ng/mL
Geometric Coefficient of Variation 26.5
99.3 ng/mL
Geometric Coefficient of Variation 24.6

PRIMARY outcome

Timeframe: Day 1 to Day 8

Population: All Treated Participants

Assessment of bioavailability of apixaban 0.5mg tablets relative to apixaban 0.1mg Sprinkle in terms of plasma concentration and time

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
AUC (0-T) - Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration
695.9 ng*h/mL
Geometric Coefficient of Variation 27.3
769.2 ng*h/mL
Geometric Coefficient of Variation 23.7

PRIMARY outcome

Timeframe: Day 1 to Day 8

Population: All Treated Participants

Assessment of bioavailability of apixaban 0.5mg tablets relative to apixaban 0.1mg Sprinkle in terms of plasma concentration and time

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
AUC (INF) - Area Under the Plasma Concentration-time Curve From Time Zero Extrapolated to Infinite Time
714.7 ng*h/mL
Geometric Coefficient of Variation 26.9
787.9 ng*h/mL
Geometric Coefficient of Variation 23.1

SECONDARY outcome

Timeframe: Day 1 to Day 8

Population: All Treated Participants

Assessment of bioavailability of apixaban 0.5mg tablets relative to apixaban 0.1mg Sprinkle in terms time of maximum concentration

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
Tmax - Time of Maximum Observed Plasma Concentration
2.30 h (hours)
Geometric Coefficient of Variation 36.4
0.98 h (hours)
Geometric Coefficient of Variation 43.8

SECONDARY outcome

Timeframe: Day 1 to Day 8

Population: All Treated Participants

Assessment of bioavailability of apixaban 0.5mg tablets relative to apixaban 0.1mg Sprinkle in terms of time required to reach to half of plasma concentration

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
T-Half - Terminal Plasma Half Life.
8.81 h (hours)
Geometric Coefficient of Variation 39.2
7.91 h (hours)
Geometric Coefficient of Variation 32.7

SECONDARY outcome

Timeframe: Day 1 to Day 8

Population: All Treated Participants

The relative bioavailability of 0.1mg apixaban sprinkle capsules as compared to 0.5mg tablet formulation

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
Apixaban sprinkle capsules (treatment B)
Frel - Relative Bioavailability
110.24 Percentage
Geometric Coefficient of Variation 9.3

SECONDARY outcome

Timeframe: Day 1 to Day 38

Population: All Treated Participants

Adverse events regardless of causality, Serious Adverse Events \& Adverse events leading to discontinuation

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
Number of Participants With Adverse Events Regardless of Causality, Serious Adverse Events and Adverse Events Leading to Discontinuation
Adverse Events
7 Participants
3 Participants
Number of Participants With Adverse Events Regardless of Causality, Serious Adverse Events and Adverse Events Leading to Discontinuation
Serious Adverse Events
0 Participants
0 Participants
Number of Participants With Adverse Events Regardless of Causality, Serious Adverse Events and Adverse Events Leading to Discontinuation
Adverse Events leading to Discontinuation
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Pre-treatment Screening

Population: All treated participants

Average height of all participants treated

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
Physical Measurement - Height
173.23 centimeter (cm)
Standard Deviation 5.81
165.86 centimeter (cm)
Standard Deviation 8.86

SECONDARY outcome

Timeframe: Pre-treatment screening to Day 8

Population: All treated participants

Average weight of all participants treated

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
Physical Measurement - Weight
Pre-treatment
78.09 kilograms (kg)
Standard Deviation 5.81
165.86 kilograms (kg)
Standard Deviation 8.86
Physical Measurement - Weight
Day 1
77.83 kilograms (kg)
Standard Deviation 3.35
71.47 kilograms (kg)
Standard Deviation 12.55
Physical Measurement - Weight
Day 8
76.15 kilograms (kg)
Standard Deviation 11.60
70.64 kilograms (kg)
Standard Deviation 12.28

SECONDARY outcome

Timeframe: Pre-treatment Screening to Day 8

Population: All treated participants

Body mass index (BMI) of 18.0 to 30.0 kg/m2, inclusive. Body mass index = weight (kg)/\[height(m)\]2.

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
Physical Measurement - Body Mass Index (BMI)
Pre-treatment
22.96 kilograms / Meters² (kg/m²)
Standard Deviation 3.35
25.85 kilograms / Meters² (kg/m²)
Standard Deviation 2.91
Physical Measurement - Body Mass Index (BMI)
Day 1
25.87 kilograms / Meters² (kg/m²)
Standard Deviation 3.50
25.84 kilograms / Meters² (kg/m²)
Standard Deviation 2.87
Physical Measurement - Body Mass Index (BMI)
Day 8
25.31 kilograms / Meters² (kg/m²)
Standard Deviation 3.25
25.55 kilograms / Meters² (kg/m²)
Standard Deviation 2.79

SECONDARY outcome

Timeframe: Day 1 to Day 8

Population: All Treated Participants

Assessment of clinical laboratory abnormalities

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
Number of Participants With a Given Clinical Laboratory Abnormality
Blood Urea Nitrogen (BUN) Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
hemoglobin abnormal low
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Hematocrit abnormal low
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Platelet count abnormal low
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
platelet count abnormal high
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Leukocytes abnormal low
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Leukocytes Abnormal high
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Neutrophils (Absolute) Abnormal low
2 participants
1 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Lymphocytes abnormal low
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Lymphocytes Abnormal high
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Monocytes (Absolute) Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Basophils (absolute) Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Eosinophils (absolute) Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Prothrombin Time (PT) Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
International Normalized Ratio (INR) Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Alkaline Phosphate (ALP) Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Aspartate Aminotransferase (AST) Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Alanine Aminotransferase (ALT) Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Bilirubin, Total Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Creatinine Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Sodium Abnormal Low
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Sodium, Serum Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Potassium Abnormal Low
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Potassium, Serum Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Chloride, Serum Abnormal Low
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Chloride, Serum Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Calcium, Serum Abnormal Low
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Calcium, Serum Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Phosphorus, Inorganic Abnormal Low
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Phosphorus, Inorganic Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Glucose, Fasting Serum Abnormal Low
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Glucose, Fasting Serum Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Protein, Total Abnormal Low
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Protein, Total Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Albumin Abnormal Low
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Lactate Dehydrogenase (LDH) Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Protein, Urine Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Glucose, Urine Abnormal High
0 participants
0 participants
Number of Participants With a Given Clinical Laboratory Abnormality
Blood, Urine Abnormal High
2 participants
2 participants
Number of Participants With a Given Clinical Laboratory Abnormality
WBC, Urine Abnormal High
2 participants
2 participants
Number of Participants With a Given Clinical Laboratory Abnormality
RBC, Urine Abnormal High
1 participants
0 participants

SECONDARY outcome

Timeframe: Day 1 to Day 8

Population: All treated participants

Number of participants with Out-of Range Blood Pressure changes as follows: Systolic Blood Pressure (SBP) mmHg \< 90 and change from baseline \< -20 \> 140 and change from baseline \> 20 Diastolic Blood Pressure (DBP) mmHg \< 55 and change from baseline \< -10 \> 90 and change from baseline \> 10

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
Number of Participants With Out-of Range Vital Signs: Blood Pressure
SBP < 90 and change from baseline < -20
0 participants
0 participants
Number of Participants With Out-of Range Vital Signs: Blood Pressure
SBP >140 and change from baseline >20
0 participants
0 participants
Number of Participants With Out-of Range Vital Signs: Blood Pressure
DBP < 55 and change from baseline < -10
0 participants
1 participants
Number of Participants With Out-of Range Vital Signs: Blood Pressure
DBP >90 and change from baseline >10
0 participants
0 participants

SECONDARY outcome

Timeframe: Day 1 to Day 8

Population: All treated participants

Number of participants with Out-of Range Heart Rate changes as follows: \< 55 and change from baseline \< -16 \>100 and change from baseline \> 10

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
Number of Participants With Out-of Range Vital Signs: Heart Rate (Bpm)
<55 and change from baseline < -16
0 participants
0 participants
Number of Participants With Out-of Range Vital Signs: Heart Rate (Bpm)
>100 and change from baseline > 10
0 participants
0 participants

SECONDARY outcome

Timeframe: Day 1 to Day 8

Population: All treated participants

Number of participants with Out-of Range respiration rate changes as follows: Respiration Rate is measured by number of respiration per min (rpm) \> 16 rpm Change from baseline \>10 rpm \> 16 rpm or change from baseline \> 10 rpm

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
Number of Participants With Out-of Range Vital Signs: Respiration Rate
>16 rpm
1 participants
1 participants
Number of Participants With Out-of Range Vital Signs: Respiration Rate
change from baseline > 10 rpm
0 participants
0 participants
Number of Participants With Out-of Range Vital Signs: Respiration Rate
>16 or change from baseline >10 rpm
1 participants
1 participants

SECONDARY outcome

Timeframe: Day 1 to Day 8

Population: All treated participants

Number of participants with Out-of Range temperature changes as follows: Temperature is measured in Degrees centigrade (°C) \>38.3°C Change from baseline \> 1.6°C \>38.3°C or change from baseline \> 1.6°C

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
Number of Participants With Out-of Range Vital Signs: Temperature
>38.3°C
0 participants
0 participants
Number of Participants With Out-of Range Vital Signs: Temperature
change from baseline > 1.6°C
0 participants
0 participants
Number of Participants With Out-of Range Vital Signs: Temperature
>38.3°C or change from baseline > 1.6°C
0 participants
0 participants

SECONDARY outcome

Timeframe: Day 1 to Day 8

Population: All treated participants

Number of participants with out-of-range ECG changes. ECG intervals are measured in milliseconds (msec)

Outcome measures

Outcome measures
Measure
Treatment A
n=30 Participants
Apixaban tablets (treatment A)
Treatment B
n=30 Participants
Apixaban sprinkle capsules (treatment B)
Number of Participants With Out-of Range ECG Evaluations
QT Interval Baseline ≤ 500
30 participants
30 participants
Number of Participants With Out-of Range ECG Evaluations
PR Interval Baseline ≤ 200
30 participants
30 participants
Number of Participants With Out-of Range ECG Evaluations
PR Interval Baseline >200
0 participants
0 participants
Number of Participants With Out-of Range ECG Evaluations
PR Interval Maximum on Treatment ≤ 200
29 participants
30 participants
Number of Participants With Out-of Range ECG Evaluations
PR Interval Maximum on Treatment >200
1 participants
0 participants
Number of Participants With Out-of Range ECG Evaluations
QRS Interval Baseline ≤ 120
30 participants
30 participants
Number of Participants With Out-of Range ECG Evaluations
QRS Interval Baseline >200
0 participants
0 participants
Number of Participants With Out-of Range ECG Evaluations
QRS Interval Maximum on Treatment ≤ 120
30 participants
30 participants
Number of Participants With Out-of Range ECG Evaluations
QRS Interval Maximum on Treatment > 120
0 participants
0 participants
Number of Participants With Out-of Range ECG Evaluations
QT Interval Baseline >500
0 participants
0 participants
Number of Participants With Out-of Range ECG Evaluations
QT Interval Maximum on Treatment ≤ 500
30 participants
30 participants
Number of Participants With Out-of Range ECG Evaluations
QT Interval Maximum on Treatment > 500
0 participants
0 participants
Number of Participants With Out-of Range ECG Evaluations
QT Interval Increase from Baseline ≤ 30
29 participants
29 participants
Number of Participants With Out-of Range ECG Evaluations
QT Interval Increase from Baseline > 30
1 participants
1 participants
Number of Participants With Out-of Range ECG Evaluations
QTcF Interval Baseline ≤ 450
30 participants
30 participants
Number of Participants With Out-of Range ECG Evaluations
QTcF Interval Baseline >450
0 participants
0 participants
Number of Participants With Out-of Range ECG Evaluations
QTcF Interval Maximum on Treatment ≤ 450
30 participants
30 participants
Number of Participants With Out-of Range ECG Evaluations
QTcF Interval Maximum on Treatment > 450
0 participants
0 participants
Number of Participants With Out-of Range ECG Evaluations
QTcF Interval Increase from Baseline ≤ 30
30 participants
30 participants
Number of Participants With Out-of Range ECG Evaluations
QTcF Interval Increase from Baseline > 30
0 participants
0 participants

Adverse Events

Treatment A

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Treatment B

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Treatment A
n=30 participants at risk
Apixaban tablets 5 × 0.5-mg
Treatment B
n=30 participants at risk
Apixaban sprinkle capsules (treatment B)
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
6.7%
2/30 • 40 days (1st dose to 30 days after study completion)
0.00%
0/30 • 40 days (1st dose to 30 days after study completion)

Additional Information

Bristol-Myers Squibb Study Director

Bristol-Myers Squibb

Phone: Please Email

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60