Unstable Angina Pectoris Clinical Trial
Official title:
Differences in the Pharmacokinetic and Pharmacodynamic Profile of Ticagrelor and Its Active Metabolite AR-C124900XX Between Patients With Unstable Angina Pectoris Treated With Crushed Ticagrelor and a Combination of Morphine and Naloxone or Morphine Alone - a Randomized Study
Verified date | March 2019 |
Source | Collegium Medicum w Bydgoszczy |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to evaluate differences in the pharmacokinetics and pharmacodynamics of ticagrelor and its active metabolite between patients who received ticagrelor and morphine followed by naloxone versus patients treated with ticagrelor and morphine alone for unstable angina pectoris.
Status | Completed |
Enrollment | 30 |
Est. completion date | December 2018 |
Est. primary completion date | December 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility |
Inclusion Criteria: - Provision of informed consent prior to any study specific procedures - Diagnosis of unstable angina - Male or non-pregnant female, aged 18-80 years - Provision of informed consent for angiography and PCI - GRACE score <140 pts Exclusion Criteria: - treatment with ticlopidine, clopidogrel, prasugrel or ticagrelor within 14 days before the study enrollment - current treatment with morphine or any opioid "mi" receptor agonist - hypersensitivity to ticagrelor - current treatment with oral anticoagulant or chronic therapy with low-molecular-weight heparin - active bleeding - history of intracranial hemorrhage - recent gastrointestinal bleeding (within 30 days) - history of coagulation disorders - platelet count less than <100 x10^3/mcl - hemoglobin concentration less than 10.0 g/dl - history of moderate or severe hepatic impairment - history of major surgery or severe trauma (within 3 months) - risk of bradycardic events as judged by the investigator - second or third degree atrioventricular block during screening for eligibility - history of asthma or severe chronic obstructive pulmonary disease - kidney disease requiring dialysis - manifest infection or inflammatory state - Killip class III or IV during screening for eligibility - respiratory failure - history of severe chronic heart failure (NYHA class III or IV) - concomitant therapy with strong CYP3A inhibitors (ketoconazole, itraconazole, voriconazole, telithromycin, clarithromycin, nefazadone, ritonavir, saquinavir, nelfinavir, indinavir, atazanavir) or strong CYP3A inducers (rifampicin, phenytoin, carbamazepine, dexamethasone, phenobarbital) within 14 days and during study treatment - body weight below 50 kg |
Country | Name | City | State |
---|---|---|---|
Poland | Cardiology Department, Dr. A. Jurasz University Hospital | Bydgoszcz | Kujawsko-Pomorskie |
Lead Sponsor | Collaborator |
---|---|
Collegium Medicum w Bydgoszczy |
Poland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Time to maximum concentration (tmax) for ticagrelor and AR-C124900XX for ticagrelor+morphine vs ticagrelor+morphine+naloxone arms | 6 hours | ||
Secondary | Maximum ticagrelor and AR-C124900XX concentration at 6h after administration | 6 hours | ||
Secondary | Area under the plasma concentration-time curve for ticagrelor (AUC 0-6h) | prior to the initial dose and 15 min, 30 min, 45 min, 1h, 2h, 3h, 4h, 6h post dose | ||
Secondary | Area under the plasma concentration-time curve for AR-C124900XX (AUC 0-6h) | prior to the initial dose and 15 min, 30 min, 45 min, 1h, 2h, 3h, 4h, 6h post dose | ||
Secondary | Platelet arbitrary aggregation units/min assessed by Multiple Electrode Aggregometry | prior to the initial dose and 30min, 1h, 2h, 3h, 4h, 6h post dose |
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