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NCT04459585

A Study of the Effect of Quizartinib on the Pharmacokinetics of the P-gp Substrate Dabigatran Etexilate in Healthy Participants

Completed EARLY_PHASE1 Results posted Last updated 9 July 2021
What this trial tests

EARLY_PHASE1 trial testing Dabigatran Etexilate Mesylate in Healthy Subjects in 20 participants. Completed in 20 October 2020.

Timeline
28 August 2020
Primary endpoint
20 October 2020
20 October 2020

Quick facts

Lead sponsorDaiichi Sankyo Co., Ltd.
PhaseEARLY_PHASE1
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsequential
Maskingnone
Primary purposetreatment
Enrollment20
Start date28 August 2020
Primary completion20 October 2020
Estimated completion20 October 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Daiichi Sankyo Co., Ltd. — full company profile →

Who can join

Adults 18 to 55, any sex, with Healthy Subjects or Drug-drug Interaction. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Maximum Plasma Concentration (Cmax) of Total Dabigatran and of Free Dabigatran Following a Single Dose in Participants Without and With Concomitant Quizartinib Primary · 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) is defined as the maximum observed plasma concentration and was calculated using non-compartmental analysis.

Total Dabigatran
GroupValue95% CI
Period 1: Dabigatran Etexilate192± 94.5
Period 2: Dabigatran Etexilate + Quizartinib239± 141
Free Dabigatran
GroupValue95% CI
Period 1: Dabigatran Etexilate159± 82.2
Period 2: Dabigatran Etexilate + Quizartinib201± 127
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 Primary · 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) 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.

Total Dabigatran
GroupValue95% CI
Period 1: Dabigatran Etexilate1720± 870
Period 2: Dabigatran Etexilate + Quizartinib2100± 1280
Free Dabigatran
GroupValue95% CI
Period 1: Dabigatran Etexilate1390± 736
Period 2: Dabigatran Etexilate + Quizartinib1710± 1100
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 Primary · 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) 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.

Total Dabigatran
GroupValue95% CI
Period 1: Dabigatran Etexilate1740± 902
Period 2: Dabigatran Etexilate + Quizartinib2140± 1280
Free Dabigatran
GroupValue95% CI
Period 1: Dabigatran Etexilate1420± 760
Period 2: Dabigatran Etexilate + Quizartinib1730± 1100
Time of Maximum Plasma Concentration (Tmax) of Total Dabigatran and of Free Dabigatran Following a Single Dose in Participants Without and With Concomitant Quizartinib Secondary · 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) is defined as time of maximum observed plasma concentration and was calculated using non-compartmental analysis.

Total Dabigatran
GroupValue95% CI
Period 1: Dabigatran Etexilate2.01.5 – 3.1
Period 2: Dabigatran Etexilate + Quizartinib2.01.5 – 4.0
Free Dabigatran
GroupValue95% CI
Period 1: Dabigatran Etexilate2.01.5 – 4.0
Period 2: Dabigatran Etexilate + Quizartinib2.01.5 – 4.0
Terminal Elimination Half-Life (T1/2) of Total Dabigatran and of Free Dabigatran Following a Single Dose in Participants Without and With Concomitant Quizartinib Secondary · 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) is defined as terminal elimination half-life and was calculated using non-compartmental analysis.

Total Dabigatran
GroupValue95% CI
Period 1: Dabigatran Etexilate15.4± 4.4
Period 2: Dabigatran Etexilate + Quizartinib18.1± 17.0
Free Dabigatran
GroupValue95% CI
Period 1: Dabigatran Etexilate14.2± 4.2
Period 2: Dabigatran Etexilate + Quizartinib14.1± 6.6
Maximum Plasma Concentration (Cmax) of Quizartinib and the Metabolite ACC886 Following Single Dose of Dabigatran With Quizartinib in Participants Secondary · 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) is defined as the maximum observed plasma concentration and was calculated using non-compartmental analysis. Cmax was assessed for Quizartinib and Metabolite AC886.

Quizartinib
GroupValue95% CI
Period 2: Dabigatran Etexilate + Quizartinib250± 50.8
AC886
GroupValue95% CI
Period 2: Dabigatran Etexilate + Quizartinib25.7± 8.71
Time of Maximum Plasma Concentration (Tmax) of Quizartinib and the Metabolite ACC886 Following Single Dose of Dabigatran With Quizartinib in Participants Secondary · 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) is defined as time of maximum observed plasma concentration and was calculated using non-compartmental analysis. Tmax was assessed for Quizartinib and Metabolite AC886.

Quizartinib
GroupValue95% CI
Period 2: Dabigatran Etexilate + Quizartinib3.02.5 – 6.0
AC886
GroupValue95% CI
Period 2: Dabigatran Etexilate + Quizartinib8.03.5 – 26.1
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 Secondary · 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) 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.

Quizartinib
GroupValue95% CI
Period 2: Dabigatran Etexilate + Quizartinib9390± 1660
AC886
GroupValue95% CI
Period 2: Dabigatran Etexilate + Quizartinib1350± 495
Number of Participants Reporting Treatment-Emergent Adverse Events (TEAE) Relatedness to Study Medication Following Single Dose of Dabigatran Without and With Quizartinib in Participants Secondary · Up to 2 months

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.

Related
GroupValue95% CI
Period 1: Dabigatran Etexilate0
Period 2: Dabigatran Etexilate + Quizartinib2
Unrelated
GroupValue95% CI
Period 1: Dabigatran Etexilate0
Period 2: Dabigatran Etexilate + Quizartinib1

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected from the date of signing the informed consent form up to 30 days after last dose, up to 2 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Period 1: Dabigatran Etexilate
Serious: 0/20 (0%)
Deaths: 0/20
Period 2: Dabigatran Etexilate + Quizartinib
Serious: 0/20 (0%)
Deaths: 0/20
Other adverse events (3 terms — click to expand)

ReactionSystemPeriod 1: Dabigatran Etexi…Period 2: Dabigatran Etexi…
DizzinessNervous system disorders
HeadacheNervous system disorders
ParaesthesiaNervous system disorders

Data from ClinicalTrials.gov NCT04459585 adverse events section.

Sponsor's own description

The purpose of this study is to investigate the one-way drug-drug interaction potential of quizartinib on dabigatran etexilate in healthy adult participants.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other trials of Dabigatran Etexilate Mesylate

Trials testing the same drug.

Other recruiting trials for Healthy Subjects

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Other Daiichi Sankyo Co., Ltd. trials

Trials by the same sponsor.

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing