Evaluation of the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamic Effects of PER977 Following Heparin

NCT02206087 | Completed Phase 1

• 1 other identifier: PER977-01-002
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Normal subjects will receive unfractionated heparin followed by a single dose of PER977 with dose escalation by cohort. Ten subjects enrolled in Cohort 4 will receive a single dose of PER977 followed by a one-week washout and then will receive unfractionated heparin followed by a single dose of PER977. The study will provide some insight into the doses that may be required to reverse anticoagulation induced by heparin.

Conditions

Healthy

Keywords

PER977; heparin; anticoagulation reversal; whole blood clotting time

Outcome Measures

Primary Outcomes (1)

• Effect of PER977 on reversal of heparin anticoagulation

  To identify a dose of PER977 that reverses the effects of heparin as measured by whole blood clotting time

  Single day dosing

Secondary Outcomes (1)

• Safety and tolerability of PER977 administered following heparin

  Single day dosing

Study Arms (6)

Cohort 1

EXPERIMENTAL

100 mg PER977 or placebo administered following heparin sodium

Drug: PER977; Drug: Placebo; Drug: Heparin Sodium

Cohort 2

EXPERIMENTAL

200 mg PER977 or placebo administered following heparin sodium

Drug: PER977; Drug: Placebo; Drug: Heparin Sodium

Cohort 3

EXPERIMENTAL

300 mg PER977 or placebo administered following heparin sodium

Drug: PER977; Drug: Placebo; Drug: Heparin Sodium

Cohort 4

EXPERIMENTAL

400 mg PER977 or placebo administered as a single agent followed by 3-day wash-out. A second dose of 400 mg PER977 or placebo will be administered following heparin sodium injection

Drug: PER977; Drug: Placebo; Drug: Heparin Sodium

Cohort 5

EXPERIMENTAL

500 mg PER977 or placebo will be administered following heparin sodium injection

Drug: PER977; Drug: Placebo; Drug: Heparin Sodium

Cohort 6

EXPERIMENTAL

600 mg PER977 or placebo will be administered following heparin sodium injection

Drug: PER977; Drug: Placebo; Drug: Heparin Sodium

Interventions

PER977 DRUG

Reversal of heparin-induced anticoagulation

Cohort 1; Cohort 2; Cohort 3; Cohort 4; Cohort 5; Cohort 6

Placebo DRUG

Reversal of heparin-induced anticoagulation

Cohort 1; Cohort 2; Cohort 3; Cohort 4; Cohort 5; Cohort 6

Heparin Sodium DRUG

Cohort 1; Cohort 2; Cohort 3; Cohort 4; Cohort 5; Cohort 6

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adults age 18 to 65 years, inclusive
• Laboratory values have no clinically significant abnormalities as judged by the Investigator.
• No clinically significant findings on 12-lead electrocardiogram
• Body mass index (BMI) 18 to ≤ 27 kg/m2, inclusive
• Male subjects agree to use appropriate contraception .
• Female subjects may be surgically sterile or post-menopausal or, if of child-bearing potential, must have a negative serum pregnancy test prior to enrollment, and must agree to use two forms of acceptable contraception for the duration of the study and for a minimum of one complete menstrual cycles or 28 days following discharge from the study.
• Subjects must understand and agree to comply with the requirements of the study and they must be willing to sign the informed consent form indicating voluntary consent to participate in the study prior to initiation of screening or study related activities.

You may not qualify if:

• History or current evidence of clinically significant disease Current evidence of liver function tests or renal function tests (serum creatinine) greater than the upper limit of normal. The presence of Gilbert's Syndrome is acceptable. Current evidence of QTcF \>normal (450±10 msec for males or 470±10 msec for females).
• History of unexplained syncope
• Hypersensitivity to unfractionated heparin, thrombocytopenia with a positive in vitro test to anti-platelet antibody in the presence of unfractionated heparin, hypersensitivity to heparin or porcine products or any other contraindication to unfractionated heparin
• History of major bleeding, trauma, surgical procedure of any type, or vaginal delivery within six months prior to screening
• History of peptic ulcer, gastrointestinal bleeding or bleeding from hemorrhoids within six months prior to screening
• History of minor bleeding episodes such as epistaxis, or gingival bleeding within 1 month prior to screening
• Personal or family history of clotting disorder or abnormality, excessive bleeding, thrombovascular disease or any hematologic disorder involving platelets or clotting abnormalities or any condition requiring treatment with transfusions, or personal history of heparin-induced thrombocytopenia
• Females with a history of dysfunctional uterine bleeding who have not undergone hysterectomy, including history of menorrhagia, metrorrhagia or polymenorrhea
• Pregnant or breast-feeding
• Males with a history of hormone therapy within 3 months prior to screening
• Administration of any blood product or anticoagulant within 3 months prior to study entry or any non-steroidal anti-inflammatory drug or cyclooxygenase inhibitor within 2 weeks prior to dosing.
• Taking any type of medication for more than 14 consecutive days within the 4 weeks prior to study entry
• Positive serologic test for HIV, hepatitis C antibody, or hepatitis B surface antigen
• Donation of blood or blood products within 56 days prior to screening
• History of randomization in any prior study of PER977

Sponsors & Collaborators

• Perosphere Pharmaceuticals Inc, a wholly owned subsidiary of AMAG Pharmaceuticals, Inc.: lead

Study Sites (1)

Quintiles

Overland Park, Kansas, 66211, United States

Location

MeSH Terms

Interventions

PER977; Heparin

Intervention Hierarchy (Ancestors)

Glycosaminoglycans; Polysaccharides; Carbohydrates

Study Officials

• Barbara Lomeli, MD

  Quintiles, Inc.

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 1
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: SEQUENTIAL
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 2, 2014
• First Posted: August 1, 2014
• Study Start: June 1, 2014
• Primary Completion: March 1, 2016
• Study Completion: March 1, 2016
• Last Updated: May 21, 2020

Record last verified: 2017-11

Locations

US (1)