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The objective of this study was to assess safety, pharmacokinetics and the effect of BIBR 953 ZW on coagulation parameters of BIBR 953 ZW after oral single doses of the prodrug, BIBR 1048 MS, in healthy male subjects. This was the first administration of this substance to humans.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BIBR 1048 MS dose 1 | Experimental |
| |
| BIBR 1048 MS dose 2 | Experimental |
| |
| BIBR 1048 MS dose 3 | Experimental |
| |
| BIBR 1048 MS dose 4 | Experimental |
| |
| BIBR 1048 MS dose 5 | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BIBR 1048 MS dose 1 | Drug |
| ||
| BIBR 1048 MS dose 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Changes from baseline in prothrombin time (PT) (International Normalised Ratio (INR)) | - 0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 hours after administration | |
| Changes from baseline in activated partial thromboplastin time (aPTT) | - 0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24 hours after administration |
| Measure | Description | Time Frame |
|---|---|---|
| Peak (maximum) plasma concentration (Cmax) of BIBR 953 ZW | - 0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours after administration | |
| time to reach the peak plasma concentration (tmax ) of BIBR 953 ZW | - 0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours after administration |
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Inclusion Criteria:
Exclusion Criteria:
Any finding of the medical examination (including blood pressure, pulse rate and ECG) deviating from normal and of clinical relevance
History or current gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunologic, hormonal disorders
History of orthostatic hypotension, fainting spells or blackouts
Diseases of the central nervous system (such as epilepsy) or psychiatric disorders
Chronic or relevant acute infections
History of
Intake of drugs with a long half-life (> 24 hours) within 1 month prior to administration
Use of any drugs which might influence the results of the trial within 10 days prior to administration or during the trial
Participation in another trial with an investigational drug within 2 months prior to administration or during trial
Smoker (> 10 cigarettes or 3 cigars or 3 pipes/day) or inability to refrain from smoking on study days
Alcohol abuse (> 60 g/day)
Drug abuse
Blood donation within 1 month prior to administration or during the trial
Excessive physical activities within 5 days prior to administration or during the trial
Any laboratory value outside the clinically accepted reference range
History of any familial bleeding disorder
Thrombocytes < 150000/µl
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|
| BIBR 1048 MS dose 3 | Drug |
|
| BIBR 1048 MS dose 4 | Drug |
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| BIBR 1048 MS dose 5 | Drug |
|
| Placebo to BIBR 1048 MS | Drug |
|
| AUC0-12 h - Area under the plasma concentration-time curve of BIBR 953 ZW from 0 to 12 h | - 0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours after administration |
| Area under the plasma concentration-time curve (AUC0-infinity) of BIBR 953 ZW from 0 to infinity | - 0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours after administration |
| Area under the plasma concentration-time curve of BIBR 953 ZW (AUCtf -infinity) from tf (last time point when measured plasma concentration) to infinity expressed as % of AUC0-infinity | - 0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours after administration |
| Terminal half-life(t1/2 ) of BIBR 953 ZW derived from non-compartmental analysis | - 0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours after administration |
| Total mean residence time (MRTtot ) of BIBR 953 ZW | - 0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours after administration |
| Total clearance (CLtot /f ) of BIBR 953 ZW after oral administration | 24 hours after administration |
| Volume of distribution (Vz/f ) of BIBR 953 ZW during terminal phase after oral administration | - 0.5, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 48 hours after administration |
| Changes from baseline in Pulse rate | up to day 3 |
| Changes from baseline in Systolic and diastolic blood pressure | up to day 3 |
| Occurrence of Adverse events | up to day 3 |
| Changes from baseline in Ecarin Clotting Time (ECT) | up to day 3 |
| Changes from baseline in thrombin inhibition test time | up to day 3 |
| Changes from baseline in thrombin time | up to day 3 |