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Effect of Lacosamide 200 mg Twice a Day (Bid) on Single Dose Warfarin 25 mg in Healthy Males

Single-center, Open-label, Randomized 2-way Crossover Study of the Effect of Lacosamide 200 mg Twice Daily on the Single-dose Pharmacokinetics and Pharmacodynamics of Warfarin (25 mg) in Healthy Male Volunteers

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01526083
Enrollment
16
Registered
2012-02-03
Start date
2012-01-31
Completion date
2012-03-31
Last updated
2012-05-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy Volunteers

Keywords

Male Healthy Volunteers

Brief summary

The purpose of this study is to investigate the effect of Lacosamide 200 mg twice a day (bid) on single dose pharmacokinetics (PK) and pharmacodynamics (PD) of Warfarin (25 mg) in healthy male volunteers.

Interventions

OTHERLacosamide

Strength: 200 mg, Form: Tablet, Frequency: Twice daily, Duration: 9 days

OTHERWarfarin

Strength: 5 mg, Form: Tablet, Frequency: 1 single dose in each period In total, during the two periods, each healthy volunteer will receive 2 single doses 3 weeks apart. Duration: single dose

Sponsors

UCB Pharma
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
CROSSOVER
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to 55 Years
Healthy volunteers
Yes

Inclusion criteria

* Healthy male volunteers 18-55 years of age * BMI 18.0-30.0 kg/m2 and weight at least 50 kg * Tympanic body temperature 35.0-37.5°C (95 and 99.5°F) inclusive

Exclusion criteria

* Volunteer has participated or is participating in any other clinical studies of investigational drug or another Investigational Medicinal Product (IMP) within the last 3 months * Volunteer is not healthy (eg, taking any drug treatments, excessive amount of alcohol, cigarettes or caffeine, having any medical or emotional/psychological problems, a drug/alcohol abuse, having abnormal safety parameters) * Volunteer is taking Warfarin or Non Steroidal Anti-Inflammatory Drug (NSAID) * Volunteer has history of suicide attempt * Volunteer has history of coagulation abnormalities, occult blood in stool, gastrointestinal ulcer, surgery within 6 months

Design outcomes

Primary

MeasureTime frame
Area under the Warfarin plasma concentration versus time curve from time 0 to infinity, AUC (Warfarin)Multiple sampling from 0 -168 hours following administration of a single Warfarin dose in each treatment period
Area under the Warfarin plasma concentration versus time curve from time 0 to the last quantifiable level, AUC0-t(Warfarin)Multiple sampling from 0 -168 hours following administration of a single warfarin dose in each treatment period
Maximum Warfarin plasma concentration (Cmax)Multiple sampling from 0 -168 hours following administration of a single Warfarin dose in each treatment period
Maximum prothrombin time (PTmax)Multiple sampling from 0 -168 hours following administration of a single warfarin dose in each treatment period
Warfarin area under the prothrombin time (PT) versus time curve (PTAUC)Multiple sampling from 0 -168 hours following administration of a single warfarin dose in each treatment period
Warfarin maximum international normalized ratio (INRmax)Multiple sampling from 0 -168 hours following administration of a single Warfarin dose in each treatment period
Warfarin area under the International Normalized Ratio (INR) versus time curve (INRAUC)Multiple sampling from 0 -168 hours following administration of a single Warfarin dose in each treatment period

Secondary

MeasureTime frameDescription
VKORC1 genotypeSingle measurement on Day 1
Occurrence of at Least One Treatment-emergent Adverse Event (TEAE) during the duration of the studyDuration of study is approximately 32 days
Change from Baseline in Pulse Rate at 4 h post doseFrom pre dose to 4 h post dose Warfarin administration in each treatment period40-90 bpm
Change from Baseline in Pulse Rate at 12 h post doseFrom pre dose to 12 h post dose Warfarin administration in each treatment period40-90 bpm
Change from Baseline in Pulse Rate at 24 h post doseFrom pre dose to 24 h post dose Warfarin administration in each treatment period40-90 bpm
Change from Baseline in Systolic Blood Pressure at 4 h post doseFrom pre dose to 4 h post dose Warfarin administration in each treatment period
Change from Baseline in Systolic Blood Pressure at 12 h post doseFrom pre dose to 12 h post dose Warfarin administration in each treatment period
Lacosamide trough plasma concentration (Ctrough)Morning pre dose sample on Days 3-10 or Days 24 -30 of Lacosamide BID dosing
Change from Baseline in Diastolic Blood Pressure at 4 h post doseFrom pre dose to 4 h post dose Warfarin administration in each treatment period
Change from Baseline in Diastolic Blood Pressure at 12 h post doseFrom pre dose to 12 h post dose Warfarin administration in each treatment period
Change from Baseline in Diastolic Blood Pressure at 24 h post doseFrom pre dose to 24 h post dose Warfarin administration in each treatment period
Change from Baseline in Body Temperature at 4h post doseFrom pre dose to 4 h post dose Warfarin administration in each treatment period
Change from Baseline in Body Temperature at 12 h post doseFrom pre dose to 12 h post dose Warfarin administration in each treatment period
Change from Baseline in Body Temperature at 24 h post doseFrom pre dose to 24 h post dose Warfarin administration in each treatment period
Change from Baseline in Body Temperature at 4 h post doseFrom pre dose to 4 h post dose LCM administration
Change from Baseline in Systolic Blood Pressure at 24 h post doseFrom pre dose to 24 h post dose Warfarin administration in each treatment period
Time of maximum Warfarin plasma concentration (Tmax)Multiple sampling from 0 -168 hours following administration of a single Warfarin dose
Terminal half-life of Warfarin (T ½)Multiple sampling from 0 -168 hours following administration of a single Warfarin dose
Apparent total body clearance of Warfarin (CL /F)Multiple sampling from 0 -168 hours following administration of a single Warfarin dose
Apparent volume of distribution of Warfarin (V /F)Multiple sampling from 0 -168 hours following administration of a single Warfarin dose
First order terminal elimination rate constant of WarfarinMultiple sampling from 0 -168 hours following administration of a single Warfarin dose
CYP2C9 genotypeSingle measurement on Day 1

Countries

Netherlands

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026