Trial Outcomes & Findings for A Study to Understand the Effect of a Study Medicine Called ARV-471 on Dabigatran Etexilate in Healthy Adults (NCT NCT05673889)
NCT ID: NCT05673889
Last Updated: 2024-08-16
Results Overview
Cmax was defined as maximum observed plasma concentration. Cmax for total dabigatran was observed directly from data.
COMPLETED
PHASE1
24 participants
Period 1 and 2: Pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post-dose on Day 1
2024-08-16
Participant Flow
The study consisted of 2 Periods in a single fixed sequence. Twenty-four participants were screened and passed. All 24 participants were assigned to the study treatment and all completed the study.
Participant milestones
| Measure |
All Participants
Participants received a single oral dose of dabigatran etexilate (as mesylate) 75 milligram (mg) on Period 1 Day 1. A minimum washout period of 4 days was required after dabigatran etexilate (as mesylate) administration in Period 1. After completion of Period 1, participants received a single oral dose of ARV-471 (PF-07850327) 200 mg followed by a single oral dose of dabigatran etexilate (as mesylate) 75 mg on Period 2 Day 1.
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|---|---|
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Period 1 (4 Days)
STARTED
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24
|
|
Period 1 (4 Days)
COMPLETED
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24
|
|
Period 1 (4 Days)
NOT COMPLETED
|
0
|
|
Period 2 (3 Days)
STARTED
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24
|
|
Period 2 (3 Days)
COMPLETED
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24
|
|
Period 2 (3 Days)
NOT COMPLETED
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
A Study to Understand the Effect of a Study Medicine Called ARV-471 on Dabigatran Etexilate in Healthy Adults
Baseline characteristics by cohort
| Measure |
All Participants
n=24 Participants
Participants received a single oral dose of dabigatran etexilate (as mesylate) 75 milligram (mg) on Period 1 Day 1. A minimum washout period of 4 days was required after dabigatran etexilate (as mesylate) administration in Period 1. After completion of Period 1, participants received a single oral dose of ARV-471 (PF-07850327) 200 mg followed by a single oral dose of dabigatran etexilate (as mesylate) 75 mg on Period 2 Day 1.
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|---|---|
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Age, Continuous
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44.7 Years
STANDARD_DEVIATION 15.92 • n=99 Participants
|
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Sex: Female, Male
Female
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4 Participants
n=99 Participants
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Sex: Female, Male
Male
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20 Participants
n=99 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
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2 Participants
n=99 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
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22 Participants
n=99 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=99 Participants
|
|
Race/Ethnicity, Customized
White
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19 Participants
n=99 Participants
|
|
Race/Ethnicity, Customized
Black or African American
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4 Participants
n=99 Participants
|
|
Race/Ethnicity, Customized
Asian
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1 Participants
n=99 Participants
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PRIMARY outcome
Timeframe: Period 1 and 2: Pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post-dose on Day 1Population: Analysis population included all participants who took at least 1 dose of study intervention and in whom at least 1 of the PK parameters of primary interest were reported.
Cmax was defined as maximum observed plasma concentration. Cmax for total dabigatran was observed directly from data.
Outcome measures
| Measure |
Period 1: Dabigatran 75 mg
n=24 Participants
Participants received dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 1 Day 1.
|
Period 2: Dabigatran 75 mg + ARV-471 200 mg
n=24 Participants
Participants received ARV-471 (as 2 tablets of 100 mg) and dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 2 Day 1.
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|---|---|---|
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Maximum Observed Plasma Concentration (Cmax) of Total Dabigatran When Dabigatran Etexilate is Administered Alone Versus When Dabigatran Etexilate is Administered With ARV-471
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49.80 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 94
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95.72 nanogram per milliliter (ng/mL)
Geometric Coefficient of Variation 66
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PRIMARY outcome
Timeframe: Period 1 and 2: Pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 36 and 48 hours post-dose on Day 1Population: Analysis population included all participants who took at least 1 dose of study intervention and in whom at least 1 of the PK parameters of primary interest were reported.
AUCinf was defined as area under the concentration-time curve from time 0 extrapolated to infinity. AUCinf was calculated by AUClast + (Clast/kel), where Clast was the predicted plasma concentration at the last quantifiable time point from the log-linear regression analysis and kel was the terminal phase rate constant calculated by a linear regression of the log-linear concentration time curve; AUClast was defined as area under the plasma concentration-time profile from time 0 to the time of the last quantifiable concentration.
Outcome measures
| Measure |
Period 1: Dabigatran 75 mg
n=23 Participants
Participants received dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 1 Day 1.
|
Period 2: Dabigatran 75 mg + ARV-471 200 mg
n=24 Participants
Participants received ARV-471 (as 2 tablets of 100 mg) and dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 2 Day 1.
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|---|---|---|
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Area Under the Plasma Concentration-time Curve From Time Zero to Extrapolated Infinite Time (AUCinf) of Total Dabigatran When Dabigatran Etexilate is Administered Alone vs Dabigatran Etexilate is Administered With ARV-471
|
522.3 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 42
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949.6 nanogram*hour per milliliter (ng*hr/mL)
Geometric Coefficient of Variation 63
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SECONDARY outcome
Timeframe: From the first dose (Day 1) up to 35 days after the last dose (Day 5) of study intervention (up to 40 days)Population: The analysis population included all participants who took at least 1 dose of study intervention.
An AE is any untoward medical occurrence in a participant who received study intervention without regard to possibility of causal relationship with the study intervention. SAE is defined as one of the following: is fatal or life threatening; results in persistent or significant disability/incapacity; constitutes a congenital anomaly/birth defect; is medically significant; requires inpatient hospitalization or prolongation of existing hospitalization. Treatment-emergent AE is defined as an AE with onset date occurring during the on-treatment period. AEs include all SAEs and non-SAEs.
Outcome measures
| Measure |
Period 1: Dabigatran 75 mg
n=24 Participants
Participants received dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 1 Day 1.
|
Period 2: Dabigatran 75 mg + ARV-471 200 mg
n=24 Participants
Participants received ARV-471 (as 2 tablets of 100 mg) and dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 2 Day 1.
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|---|---|---|
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Number of Participants With All-Causality and Treatment-Related Treatment-emergent Adverse Events (TEAEs)
Participants with all-causality TEAEs
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6 Participants
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6 Participants
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Number of Participants With All-Causality and Treatment-Related Treatment-emergent Adverse Events (TEAEs)
Participants with all-causality SAEs
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0 Participants
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0 Participants
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Number of Participants With All-Causality and Treatment-Related Treatment-emergent Adverse Events (TEAEs)
Participants with treatment related TEAEs
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3 Participants
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1 Participants
|
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Number of Participants With All-Causality and Treatment-Related Treatment-emergent Adverse Events (TEAEs)
Participants with treatment related SAEs
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0 Participants
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0 Participants
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SECONDARY outcome
Timeframe: Baseline (Period 1 Day -1) up to Period 2 Day 3 (8 days)Population: The analysis population included all participants who took at least 1 dose of study intervention and with at least 1 observation of the given laboratory test while on study treatment or during lag time.
Following parameters were analyzed for laboratory examination: hematology (hemoglobin, hematocrit, red blood cell count, platelet count, white blood cell count, total neutrophils, eosinophils, monocytes, basophils, lymphocytes); liver function (aspartate aminotransferase, alanine aminotransferase, total bilirubin, alkaline phosphatase, albumin, total protein); renal function (blood urea nitrogen, creatinine, uric acid, cystatinC); electrolytes (sodium, potassium, chloride, calcium, bicarbonate); clinical chemistry (glucose); urinalysis (dipstick \[decimal logarithm of reciprocal of hydrogen ion activity {pH} of urine, glucose, protein, blood, ketones, nitrites, leukocyte esterase, urobilinogen, bilirubin\], microscopy. Abnormality was determined at the investigator's discretion.
Outcome measures
| Measure |
Period 1: Dabigatran 75 mg
n=24 Participants
Participants received dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 1 Day 1.
|
Period 2: Dabigatran 75 mg + ARV-471 200 mg
n=24 Participants
Participants received ARV-471 (as 2 tablets of 100 mg) and dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 2 Day 1.
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|---|---|---|
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Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)
Monocytes/Leukocytes (%) >1.2 × ULN
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2 Participants
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2 Participants
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Number of Participants With Laboratory Test Abnormalities (Without Regard to Baseline Abnormality)
Leukocyte Esterase >=1
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0 Participants
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1 Participants
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SECONDARY outcome
Timeframe: Baseline (Period 1 Day 1) up to Period 2 Day 3 (7 days)Population: The analysis population included all participants who took at least 1 dose of study intervention.
Vital signs (blood pressure and pulse rate) were obtained with participant following at least a 5-minute rest in a supine position. Clinical significance of vital signs was determined at the investigator's discretion.
Outcome measures
| Measure |
Period 1: Dabigatran 75 mg
n=24 Participants
Participants received dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 1 Day 1.
|
Period 2: Dabigatran 75 mg + ARV-471 200 mg
n=24 Participants
Participants received ARV-471 (as 2 tablets of 100 mg) and dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 2 Day 1.
|
|---|---|---|
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Number of Participants With Clinically Significant Vital Signs
|
0 Participants
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0 Participants
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SECONDARY outcome
Timeframe: Baseline (Period 1 Day 1) up to Period 2 Day 3 (7 days)Population: The analysis population included all participants who took at least 1 dose of study intervention.
ECG abnormalities criteria include a) a postdose QTc corrected using Fridericia's formula (QTcF) increased by \>60 millisecond (ms) from the baseline and the absolute QTcF value \>450 ms; or b) an absolute QTcF value \>500 ms for any scheduled ECG.
Outcome measures
| Measure |
Period 1: Dabigatran 75 mg
n=24 Participants
Participants received dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 1 Day 1.
|
Period 2: Dabigatran 75 mg + ARV-471 200 mg
n=24 Participants
Participants received ARV-471 (as 2 tablets of 100 mg) and dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 2 Day 1.
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|---|---|---|
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Number of Participants With Electrocardiogram (ECG) Abnormalities
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1 Participants
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2 Participants
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Adverse Events
Period 1: Dabigatran 75 mg
Period 2: Dabigatran 75 mg + ARV-471 200 mg
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Period 1: Dabigatran 75 mg
n=24 participants at risk
Participants received dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 1 Day 1.
|
Period 2: Dabigatran 75 mg + ARV-471 200 mg
n=24 participants at risk
Participants received ARV-471 (as 2 tablets of 100 mg) and dabigatran etexilate (as mesylate) (as 1 capsule of 75 mg) on Period 2 Day 1.
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|---|---|---|
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Injury, poisoning and procedural complications
Contusion
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0.00%
0/24 • From the first dose (Day 1) up to 35 days after the last dose (Day 5) of study intervention (up to 40 days).
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8.3%
2/24 • From the first dose (Day 1) up to 35 days after the last dose (Day 5) of study intervention (up to 40 days).
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Vascular disorders
Haematoma
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8.3%
2/24 • From the first dose (Day 1) up to 35 days after the last dose (Day 5) of study intervention (up to 40 days).
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0.00%
0/24 • From the first dose (Day 1) up to 35 days after the last dose (Day 5) of study intervention (up to 40 days).
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Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place