Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
To compare with placebo the anticoagulant activity of three dosages of BIBT 986 on parameters of coagulation, platelet activation and inflammation in a model of tissue factor triggered activation of the coagulation system; to examine the safety of BIBT 986 in this setting
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low dose of BIBT 986 CL | Experimental |
| |
| Medium dose of BIBT 986 CL | Experimental |
| |
| High dose of BIBT 986 CL | Experimental |
| |
| Placebo | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Low dose of BIBT 986 CL, per i.v. infusion | Drug |
| ||
| Medium dose of BIBT 986 CL, per i.v. infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Change in activated partial thromboplastin time (aPTT) | up to 48 hours after start of treatment | |
| Change in international normalized ratio (INR) | up to 48 hours after start of treatment | |
| Change in thrombin time (TT) | up to 48 hours after start of treatment | |
| Change in ecarin clotting time (ECT) | up to 48 hours after start of treatment | |
| Change in prothrombin fragment (F1+2) | up to 48 hours after start of treatment | |
| Change in D-dimer | up to 48 hours after start of treatment | |
| Change in thrombin anti-thrombin complexes (TAT) | up to 48 hours after start of treatment | |
| Change in protein C activity | up to 48 hours after start of treatment | |
| Change in antithrombin | up to 48 hours after start of treatment | |
| Change in thrombomodulin | up to 48 hours after start of treatment | |
| Change in tissue factor messenger RNA (mRNA) |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the plasma concentration-time curve (AUC) | up to 48 hours after start of treatment | |
| Maximum concentration in plasma at the end of the infusion (Cgh) | up to 48 hours after start of treatment |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Any finding in the medical examination (including blood pressure, pulse rate, ECG, and laboratory parameters) deviating from normal and of clinical relevance
History of or current gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunologic, autoimmune, hormonal disorders, diseases of the central nervous system (such as epilepsy), or psychiatric disorders
Symptoms of a clinically relevant illness in the 3 weeks before the first trial day
History of orthostatic hypotension, fainting spells, and blackouts
Chronic or relevant acute infections
History of allergy / hypersensitivity (including drug allergy) which was deemed relevant to the trial as judged by the investigator
History of
Hereditary deficiency of protein C or S, or a mutation of factor V (Leiden), or any other known abnormality affecting coagulation, fibrinolysis, or platelet function
Platelet count < 150000/μL
Any ECG value outside of the reference range of clinical relevance (QRS interval > 110 ms or QTcB (QT interval Bazett correction) > 450 ms will be an obligatory exclusion criterion)
Intake of drugs with a long half-life (> 24 hours) within 1 month prior to administration
Use of any drugs that 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
Participation in an LPS trial within the last six weeks
Smoker (> 10 cigarettes or 3 cigars or 3 pipes/day) or inability to refrain from smoking on study days
Concurrent or history of drug, alcohol, tobacco or coffee / tea / cola 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
Seropositivity for hepatitis B surface antigen (HBs-Ag), hepatitis C virus (HCV), HIV 1, or HIV 2 antibodies
Weight over 95 kg
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Drug |
|
| High dose of BIBT 986 CL, per i.v. infusion | Drug |
|
| Placebo | Drug |
|
| Lipopolysaccharide (LPS), single i.v. bolus | Drug | Endotoxin derived from E. coli bacteria, used for activation of coagulation |
|
| up to 48 hours after start of treatment |
| Change in platelet count | up to 48 hours after start of treatment |
| Change in plasmin antiplasmin complexes (PAP) | Pre-dose, up to day 14 after start of treatment |
| Change in soluble P-selectin | up to 48 hours after start of treatment |
| Change in tumor necrosis factor alpha (TNF alpha) | up to 48 hours after start of treatment |
| Change in interleukin-6 (IL-6) | up to 48 hours after start of treatment |
| Change in primary haemostasis measured by closure times | up to 48 hours after start of treatment |
| Number of subjects with clinically relevant changes in vital signs | blood pressure, pulse rate, body temperature | up to 14 days after start of treatment |
| Number of subjects with clinically relevant changes in laboratory parameters | up to 14 days after start of treatment |
| Number of subjects with adverse events | up to 14 days after start of treatment |
| Number of subjects with clinically relevant changes in ECG | up to 14 days after start of treatment |
| Change in thrombus precursor protein | up to 48 hours after start of treatment |
| Change in soluble E-selectin | up to 48 hours after start of treatment |
| Apparent terminal half-life of BIBT 986 in plasma (t1/2) | up to 48 hours after start of treatment |
| Mean residence time of BIBT 986 in the body after intravenous bolus administration (MRT) | up to 48 hours after start of treatment |
| Volume of distribution of BIBT 986 in plasma at steady state (Vss) | up to 48 hours after start of treatment |
| Apparent volume of distribution of BIBT 986 during the terminal phase after intravenous infusion (Vz) | up to 48 hours after start of treatment |
| ID | Term |
|---|---|
| D008070 | Lipopolysaccharides |
| ID | Term |
|---|---|
| D006001 | Glycoconjugates |
| D002241 | Carbohydrates |
| D011135 | Polysaccharides, Bacterial |
| D011134 | Polysaccharides |
| D008055 | Lipids |
| D000942 | Antigens, Bacterial |
| D000941 | Antigens |
| D001685 | Biological Factors |
| D004731 | Endotoxins |
| D001427 | Bacterial Toxins |
| D014118 | Toxins, Biological |
Not provided
Not provided