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A Phase 1 study to evaluate the effect of MEDI0382 on PK and PD of warfarin and esmolol in healthy subjects.
This is a Phase 1 open label, one-sequence, crossover study to evaluate the effect of MEDI0382 on PK and PD of warfarin and esmolol in healthy subjects. The safety and tolerability of MEDI0382 in combination with warfarin and esmolol will also be evaluated. Following screening, the study consists of 2 5-day inpatient stays followed by outpatient visits.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MEDI0382 | Experimental | All participants will receive MEDI0382. |
|
| Warfarin | Active Comparator | All participants will receive Warfarin |
|
| Esmolol | Active Comparator | All participants will receive Esmolol |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MEDI0382 | Biological | All participants will receive MEDI0382 |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum international normalized ratio (INRmax) | To assess the INR max in the absence and presence of Warfarin on a steady state MEDI0382 | Days 2-8 and Days 27-33 |
| Change in heart rate from resting after a 9-minute excercise treadmill test (Bruce Protocol, first 3 stages) | To assess the effects of MEDI0382 on the hear rate-lowering effect of esmolol during treadmill test. | Days 1 and 26 |
| Maximum international normalized ratio (INRmax) | To assess the AUC INR in the absence and presence of Warfarin on a steady state MEDI0382 | Days 2-8 and Days 27-33 |
| Measure | Description | Time Frame |
|---|---|---|
| PK(AUC) of R-Warfarin and S-Warfarin | To assess AUC of R-warfarin and S-warfarin in the presence and absence of steady state MEDI0382 | Days 2 and 27 |
| PK (Cmax) of R-Warfarin and S-Warfarin | To assess Cmax of R-warfarin and S-warfarin in the presence and absence of steady state MEDI0382 |
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Inclusion Criteria:.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Armando Flor | MedImmune LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Daytona Beach | Florida | 32117 | United States |
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| ID | Term |
|---|---|
| D003924 | Diabetes Mellitus, Type 2 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| C000624433 | cotadutide |
| D014859 | Warfarin |
| C036604 | esmolol |
| ID | Term |
|---|---|
| D015110 | 4-Hydroxycoumarins |
| D003374 | Coumarins |
| D001578 | Benzopyrans |
| D011714 | Pyrans |
| D006573 |
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| Warfarin |
| Drug |
All participants will receive Warfarin |
|
| Esmolol | Drug | All participants will receive Esmolol |
|
| Days 2 and 27 |
| Number of patients with Adverse Events (AEs) | To assess the adverse events as a criteria of safety and tolerability variables. | 33 Days |
| 12 lead electrocardiogram including RR, PR, QRS, QT and QTc intervals | To assess the cardiovascular system functioning as a criteria of safety and tolerability variables. | Day 1, Day 8, Day 13, and Day 18 |
| Anti-drug antibody titer incidence | To evaluate the safety and tolerability of multiple doses of MEDI0382 in conjunction with Warfarin and Esmolol. | Days 1 and 33 |
| Clinical laboratory assessments (hematology) | To assess hematology as a criteria of safety and tolerability variables.. | Days 1 and 33 |
| Vital signs (systolic and diastolic blood pressure) | To assess the vital signs as a criteria of safety and tolerability variables | Days 1-8, Days 12 and 13, Days 25-33 |
| Vital signs (pulse rate and respiratory rate | To assess the vital signs as a criteria of safety and tolerability variables | Days 1-8, Days 12 and 13, Days 25-33 |
| Clinical laboratory assessments (serum chemistry) | To assess clinical chemistry as a criteria of safety and tolerability variables. | Day -1, Day 8, Day 17, Day 25 and Day 33 |
| Clinical laboratory assessment (urinalysis) | To assess urinalysis as a criteria of safety and tolerability variables. | Day -1 |
| D004700 | Endocrine System Diseases |
| Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |