To Evaluate Whether Acetyl Salicylic Acid (Aspirin), the Combination of Aspirin and Clopidogrel and Darexaban (YM150) Interact in Their Effects

Study Overview
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Brief Summary
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The primary objective of this study is to evaluate whether ASA, the combination of ASA and clopidogrel, and darexaban, which have different effects on blood coagulation, influence each other in their effects. Also it will be investigated whether the blood levels of either drug are influenced by the presence of the other drug. In addition, the safety and tolerability of each drug and the combination of the drugs will be investigated.

Official Title
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A Randomized, Open-label, Two-period Crossover Study in Healthy Male Subjects to Evaluate the Pharmacodynamic Effect of Darexaban (YM150) on Acetyl Salicylic Acid (ASA) and of Darexaban on the Combination of ASA and Clopidogrel at Steady State

Conditions
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Pharmacodynamic Interaction, Healthy Subjects

Intervention / Treatment
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* Drug: darexaban
* Drug: darexaban (double dose)
* Drug: Acetyl Salicylic Acid
* Drug: clopidogrel


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Body mass index (BMI) between 18.5-30.0 kg/m2 Male subjects must be non-fertile, i.e. surgically sterilized or must practice an adequate contraceptive method to prevent pregnancies Exclusion Criteria: Known or suspected hypersensitivity to darexaban or ASA or any components of the formulation used Any of the liver function tests (i.e. ALT, AST and bilirubin) above the upper limit of normal at repeated measures Any clinically significant history of any other disease or disorder - gastrointestinal, cardiovascular, respiratory, renal, hepatic, neurological, dermatological, psychiatric or metabolic as judged by the medical investigator Any clinically significant abnormality following the investigator's review of the pre-study physical examination, ECG and clinical laboratory tests Use of any prescribed or OTC (over-the-counter) drugs (including vitamins, natural and herbal remedies, e.g. St. John's wort) in the 2 weeks prior to admission to the Clinical Unit, except for occasional use of paracetamol (up to 3 g/day) Regular use of any inducer of liver metabolism (e.g. barbiturates, rifampicin) in the 3 months prior to admission to the Clinical Unit. Donation of blood or blood products within 3 months prior to admission to the Clinical Unit Any use of drugs of abuse, or smoking of more than 10 cigarettes (or equivalent) or more than 21 units (210 g) of alcohol per week within the 3 months prior to study Participation in any clinical study within 3 months or participation in more than 3 clinical studies within 12 months, prior to the expected date of enrolment into the study, provided that the clinical study did not entail a biological compound with a long terminal half life

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Treatment arm A<br>ASA, wash-out (w.o.), ASA + darexaban | Drug: darexaban<br>* oral<br>* Other names: YM150;Drug: Acetyl Salicylic Acid<br>* oral<br>* Other names: Aspirin;|
| Experimental: Treatment arm B<br>ASA + darexaban, w.o., ASA | Drug: darexaban<br>* oral<br>* Other names: YM150;Drug: Acetyl Salicylic Acid<br>* oral<br>* Other names: Aspirin;|
| Experimental: Treatment arm C<br>ASA, w.o., darexaban (double dose) + ASA | Drug: darexaban (double dose)<br>* oral<br>* Other names: YM150;Drug: Acetyl Salicylic Acid<br>* oral<br>* Other names: Aspirin;|
| Experimental: Treatment arm D<br>darexaban (double dose) + ASA, w.o., ASA | Drug: darexaban (double dose)<br>* oral<br>* Other names: YM150;Drug: Acetyl Salicylic Acid<br>* oral<br>* Other names: Aspirin;|
| Experimental: Treatment arm E<br>ASA + clopidogrel, w.o., ASA + clopidogrel + darexaban | Drug: darexaban<br>* oral<br>* Other names: YM150;Drug: Acetyl Salicylic Acid<br>* oral<br>* Other names: Aspirin;Drug: clopidogrel<br>* oral<br>* Other names: Plavix;|
| Experimental: Treatment arm F<br>ASA + clopidogrel + darexaban, w.o., ASA + clopidogrel | Drug: darexaban<br>* oral<br>* Other names: YM150;Drug: Acetyl Salicylic Acid<br>* oral<br>* Other names: Aspirin;Drug: clopidogrel<br>* oral<br>* Other names: Plavix;|
| Experimental: Treatment arm G<br>ASA + clopidogrel, w.o., darexaban (double dose) + ASA + clopidogrel | Drug: darexaban (double dose)<br>* oral<br>* Other names: YM150;Drug: Acetyl Salicylic Acid<br>* oral<br>* Other names: Aspirin;Drug: clopidogrel<br>* oral<br>* Other names: Plavix;|
| Experimental: Treatment arm H<br>darexaban (double dose) + ASA + clopidogrel, w.o., ASA + clopidogrel | Drug: darexaban (double dose)<br>* oral<br>* Other names: YM150;Drug: Acetyl Salicylic Acid<br>* oral<br>* Other names: Aspirin;Drug: clopidogrel<br>* oral<br>* Other names: Plavix;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of pharmacodynamics of darexaban |  | Baseline and up to 24 hours after six days of dosing of darexaban, ASA, clopidogrel, or a combination | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of pharmacodynamics of ASA and a combination of ASA and clopidogrel |  | Baseline and up to 24 hours after six days of dosing of darexaban, ASA, clopidogrel, or a combination | 
| Pharmacokinetics of ASA and the combination of ASA and clopidogrel assessed by plasma concentration |  | Plasma samples are taken until 24 hours after six days of dosing of ASA, a combination of ASA and clopidogrel, or the combination with darexaban | 
| Monitoring of safety and tolerability through assessment of vital signs, Electrocardiogram (ECG), clinical safety laboratory and adverse events |  | 6 days for each of the 2 treatment periods | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pharmacodynamics, darexaban, Acetyl Salicylic Acid, clopidogrel, YM150, Phase 1