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The purpose of this study is to investigate CYP2C9 inhibition by BIA 9-1067 through the assessment of its effect on the pharmacokinetics of S-warfarin, a substrate of CYP2C9.
Single-centre, open-label, randomised, two-way crossover study in healthy young male and female volunteers. The study was to consist of 2 treatment periods separated by a washout period of 14 days or more. In one period, subjects were to receive a single-dose of 25 mg BIA 9-1067 with a single-dose of racemic 25 mg warfarin. In the other period, a 25 mg warfarin single-dose was to be administered alone.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Experimental | Period 1: BIA 9-1067 + warfarin Period 2: warfarin |
|
| Group 2 | Active Comparator | Period 1: warfarin Period 2: BIA 9-1067 + warfarin |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BIA 9-1067 | Drug | BIA 9-1067 25 mg |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Cmax - Maximum Observed Plasma Concentration (BIA 9-1067 + Warfarin) | Mean plasma BIA 9-1067 pharmacokinetic parameters obtained following an oral single dose of 25 mg warfarin co-administered with 25 mg BIA 9-1067 | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
| Tmax - Time to Maximum Observed Plasma Concentration (BIA 9-1067 + Warfarin) | Mean plasma BIA 9-1067 pharmacokinetic parameters obtained following an oral single dose of 25 mg warfarin co-administered with 25 mg BIA 9-1067 | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
| AUC0-t - Area Under the Plasma Concentration-time Curve From Time 0 to Last Observed Concentration (BIA 9-1067 + Warfarin) | Mean plasma BIA 9-1067 pharmacokinetic parameters obtained following an oral single dose of 25 mg warfarin co-administered with 25 mg BIA 9-1067 | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
| Cmax = Maximum Plasma Concentration (Warfarin Alone) | Mean plasma S-warfarin pharmacokinetic parameters obtained following an oral singledose of 25 mg warfarin administered alone | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
| Tmax - Time to Maximum Observed Plasma Concentration (Warfarin Alone) | Mean plasma S-warfarin pharmacokinetic parameters obtained following an oral singledose of 25 mg warfarin administered alone | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
| AUC0-t - Area Under the Plasma Concentration-time Curve From Time 0 to Last Observed Concentration (Warfarin Alone) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| BIAL - Portela & Cª - Human Pharmacology Unit (UFH) | S. Mamede Do Coronado | Trofa | 4745-457 | Portugal |
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| ID | Title | Description |
|---|---|---|
| FG000 | Group 1: BIA 9-1067 + Warfarin, Then Warfarin | Period 1: BIA 9-1067 + warfarin Period 2: warfarin BIA 9-1067: BIA 9-1067 25 mg Warfarin: Warfarin 25 mg |
| FG001 | Group 2: Warfarin, Then BIA 9-1067 + Warfarin | Period 1: warfarin Period 2: BIA 9-1067 + warfarin BIA 9-1067: BIA 9-1067 25 mg Warfarin: Warfarin 25 mg |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Group 1: BIA 9-1067 + Warfarin, Then Warfarin | Period 1: BIA 9-1067 + warfarin Period 2: warfarin BIA 9-1067: BIA 9-1067 25 mg Warfarin: Warfarin 25 mg |
| BG001 | Group 2: Warfarin, Then BIA 9-1067 + Warfarin |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Cmax - Maximum Observed Plasma Concentration (BIA 9-1067 + Warfarin) | Mean plasma BIA 9-1067 pharmacokinetic parameters obtained following an oral single dose of 25 mg warfarin co-administered with 25 mg BIA 9-1067 | Posted | Mean | Standard Deviation | ng/mL | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
|
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | BIA 9-1067 + Warfarin | BIA 9-1067 25 mg Warfarin 25 mg |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Blepharitis | Eye disorders | MedDRA (12.1) |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Head of Clinical Research | Bial - Portela & Cª, S.A. | +351 229 866 100 | jose.rocha@bial.com |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| C549349 | opicapone |
| D014859 | Warfarin |
| ID | Term |
|---|---|
| D015110 | 4-Hydroxycoumarins |
| D003374 | Coumarins |
| D001578 | Benzopyrans |
| D011714 | Pyrans |
| D006573 |
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| Warfarin | Drug | Warfarin 25 mg |
|
|
Mean plasma S-warfarin pharmacokinetic parameters obtained following an oral singledose of 25 mg warfarin administered alone |
| before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
| Cmax - Maximum Observed Plasma Concentration (Warfarin + BIA 9-1067) | Mean plasma S-warfarin pharmacokinetic parameters obtained following an oral single dose of 25 mg warfarin co-administered with 25 mg BIA 9-1067 | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
| Tmax - Time to Maximum Observed Plasma Concentration (Warfarin + BIA 9-1067) | Mean plasma S-warfarin pharmacokinetic parameters obtained following an oral single dose of 25 mg warfarin co-administered with 25 mg BIA 9-1067 | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
| AUC0-t - Area Under the Plasma Concentration-time Curve From Time 0 to Last Observed Concentration (Warfarin + BIA 9-1067) | Mean plasma S-warfarin pharmacokinetic parameters obtained following an oral single dose of 25 mg warfarin co-administered with 25 mg BIA 9-1067 | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
Period 1: warfarin Period 2: BIA 9-1067 + warfarin
BIA 9-1067: BIA 9-1067 25 mg
Warfarin: Warfarin 25 mg
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
|
| Primary | Tmax - Time to Maximum Observed Plasma Concentration (BIA 9-1067 + Warfarin) | Mean plasma BIA 9-1067 pharmacokinetic parameters obtained following an oral single dose of 25 mg warfarin co-administered with 25 mg BIA 9-1067 | Posted | Median | Full Range | hours | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
|
|
|
| Primary | AUC0-t - Area Under the Plasma Concentration-time Curve From Time 0 to Last Observed Concentration (BIA 9-1067 + Warfarin) | Mean plasma BIA 9-1067 pharmacokinetic parameters obtained following an oral single dose of 25 mg warfarin co-administered with 25 mg BIA 9-1067 | Posted | Mean | Standard Deviation | ng.h/mL | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
|
|
|
| Primary | Cmax = Maximum Plasma Concentration (Warfarin Alone) | Mean plasma S-warfarin pharmacokinetic parameters obtained following an oral singledose of 25 mg warfarin administered alone | Posted | Mean | Standard Deviation | ng/mL | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
|
|
|
| Primary | Tmax - Time to Maximum Observed Plasma Concentration (Warfarin Alone) | Mean plasma S-warfarin pharmacokinetic parameters obtained following an oral singledose of 25 mg warfarin administered alone | Posted | Median | Full Range | hours | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
|
|
|
| Primary | AUC0-t - Area Under the Plasma Concentration-time Curve From Time 0 to Last Observed Concentration (Warfarin Alone) | Mean plasma S-warfarin pharmacokinetic parameters obtained following an oral singledose of 25 mg warfarin administered alone | Posted | Mean | Standard Deviation | ng.h/mL | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
|
|
|
| Primary | Cmax - Maximum Observed Plasma Concentration (Warfarin + BIA 9-1067) | Mean plasma S-warfarin pharmacokinetic parameters obtained following an oral single dose of 25 mg warfarin co-administered with 25 mg BIA 9-1067 | Posted | Mean | Standard Deviation | ng/mL | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
|
|
|
| Primary | Tmax - Time to Maximum Observed Plasma Concentration (Warfarin + BIA 9-1067) | Mean plasma S-warfarin pharmacokinetic parameters obtained following an oral single dose of 25 mg warfarin co-administered with 25 mg BIA 9-1067 | Posted | Median | Full Range | hours | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
|
|
|
| Primary | AUC0-t - Area Under the Plasma Concentration-time Curve From Time 0 to Last Observed Concentration (Warfarin + BIA 9-1067) | Mean plasma S-warfarin pharmacokinetic parameters obtained following an oral single dose of 25 mg warfarin co-administered with 25 mg BIA 9-1067 | Posted | Mean | Standard Deviation | ng.h/mL | before dose and ½, 1, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 60, 72, 96, 120 and 144 h post- dose. |
|
|
|
| 0 |
| 20 |
| 6 |
| 20 |
| EG001 | Warfarin | Warfarin 25 mg | 0 | 20 | 7 | 20 |
| Abdominal pain upper | Gastrointestinal disorders | MedDRA (12.1) |
|
| Gingival bleeding | Gastrointestinal disorders | MedDRA (12.1) |
|
| Vessel puncture site haematoma | Injury, poisoning and procedural complications | MedDRA (12.1) |
|
| Blood creatine phosphokinase increased | Investigations | MedDRA (12.1) |
|
| Decreased appetite | Metabolism and nutrition disorders | MedDRA (12.1) |
|
| Dizziness | Nervous system disorders | MedDRA (12.1) |
|
| Headache | Nervous system disorders | MedDRA (12.1) |
|
| Hypoaesthesia | Nervous system disorders | MedDRA (12.1) |
|
| Presyncope | Nervous system disorders | MedDRA (12.1) |
|
| Metrorrhagia | Reproductive system and breast disorders | MedDRA (12.1) |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (12.1) |
|
| Haematoma | Vascular disorders | MedDRA (12.1) |
|
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| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |