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Ticagrelor granule

Phase 1

Sickle Cell Disease | Small molecule | Hematology |AstraZeneca PLC|Last Updated: Aug 2, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLED
Total Trials1
Total Enrollment44

FDA Designations

No designations recorded

Clinical trial landscape

Ticagrelor granule · 1 trial · 1 indication

Phase 1 1
NCT03126695A Study to Compare if the Uptake of Ticagrelor in the Body Differs When Different Tablets Are AdministeredSickle Cell Disease
COMPLETED44 Analytics
PHASE1COMPLETED
A Study to Compare if the Uptake of Ticagrelor in the Body Differs When Different Tablets Are Administered
Sickle Cell DiseaseUnlock trial analytics

Study Endpoints

Primary Endpoints

Maximum observed plasma concentration (Cmax)
At 0 hours (pre-dose) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours post-dose in each treatment period

* To determine the relative bioavailability of ticagrelor granule for oral suspension and the pediatric ticagrelor tablet to the commercial ticagrelor tablet in healthy subjects. * To determine the relative bioavailability of ticagrelor pediatric tablet taken whole and the pediatric tablet dispersed in water to the granule for oral suspension in healthy subjects. * To evaluate the bioequivalence between the pediatric ticagrelor tablet taken whole and the pediatric ticagrelor tablet dispersed in water in healthy subjects.

Area under plasma concentration-time curve from zero to infinity (AUC)
At 0 hours (pre-dose) and post-dose at 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours post-dose.

* To determine the relative bioavailability of ticagrelor granule for oral suspension and the pediatric ticagrelor tablet to the commercial ticagrelor tablet in healthy subjects. * To determine the relative bioavailability of ticagrelor pediatric tablet taken whole and the pediatric tablet dispersed in water to the granule for oral suspension in healthy subjects. * To evaluate the bioequivalence between the pediatric ticagrelor tablet taken whole and the pediatric ticagrelor tablet dispersed in water in healthy subjects.

Secondary Endpoints

Area under the plasma concentration-time curve from time zero to the time of the last measurable concentration (AUC(0-t))
At 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours post-dose in each treatment period
Time to reach maximum observed plasma concentration, taken directly from the individual concentration-time curve (tmax).
At 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours post-dose in each treatment period
Half-life associated with terminal slope (λz) of a semi-logarithmic concentration-time curve (t½λz).
At 0 hours (pre-dose) and post-dose at 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours post-dose in each treatment period
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeOTHER

Treatment Arms

ArmTypeDescription
Treatment Sequence 1 (ADBC)EXPERIMENTALSubjects were randomized to treatment sequence ADBC: On Day 1, following an overnight fast of at least 10 hours, each subject will receive single dose of the treatment assigned to that treatment period. A =Ticagrelor granule for oral suspension equal to 90 mg. B = Ticagrelor pediatric tablets equal to 90 mg. C= Ticagrelor pediatric tablets suspended in water equal to 90 mg. D = Ticagrelor commercial IR (1 x 90 mg) tablet
Treatment Sequence 2 (BACD)EXPERIMENTALSubjects were randomized to treatment sequence BACD: On Day 1, following an overnight fast of at least 10 hours, each subjects will receive single dose of the treatment assigned to that treatment period. A =Ticagrelor granule for oral suspension equal to 90 mg. B = Ticagrelor pediatric tablets equal to 90 mg. C= Ticagrelor pediatric tablets suspended in water equal to 90 mg. D = Ticagrelor commercial IR (1 x 90 mg) tablet
Treatment Sequence 3 (CBDA)EXPERIMENTALSubjects were randomized to treatment sequence CBDA: On Day 1, following an overnight fast of at least 10 hours, each subjects will receive single dose of the treatment assigned to that treatment period. A =Ticagrelor granule for oral suspension equal to 90 mg. B = Ticagrelor pediatric tablets equal to 90 mg. C= Ticagrelor pediatric tablets suspended in water equal to 90 mg. D = Ticagrelor commercial IR (1 x 90 mg) tablet
Treatment Sequence 4 (DCAB)ACTIVE_COMPARATORSubjects were randomized to treatment sequence DCAB: On Day 1, following an overnight fast of at least 10 hours, each subjects will receive single dose of the treatment assigned to that treatment period. A =Ticagrelor granule for oral suspension equal to 90 mg. B = Ticagrelor pediatric tablets equal to 90 mg. C= Ticagrelor pediatric tablets suspended in water equal to 90 mg. D = Ticagrelor commercial IR (1 x 90 mg) tablet

Interventions

NameTypeDescription
Ticagrelor granuleDRUGA P2Y12 receptor inhibitor provided as granule for suspension.
Ticagrelor pediatric tabletsDRUGA P2Y12 receptor inhibitor provided as pediatric tablets to be swallowed whole.
Ticagrelor pediatric tablets suspended in waterDRUGA P2Y12 receptor inhibitor provided as pediatric tablets suspended in water.
Ticagrelor immediate release (IR) tablets (Commercial tablet)DRUGA P2Y12 platelet inhibitor indicated to reduce the rate of thrombotic cardiovascular events in patients with acute coronary syndrome (unstable angina, non-ST (S and T waves) elevation MI or ST elevation MI) and in patients with a history of MI
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. Provision of signed and dated written informed consent prior to any study specific procedures. 2. Healthy male and female subjects aged 18 to 55 years with suitable veins for cannulation or repeated venipuncture. 3. Females must have a negative pregnancy test at Screening and...

Countries:Germany
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Frequently asked questions about Ticagrelor granule

What is Ticagrelor granule used for in Sickle Cell Disease?

Ticagrelor granule is an investigational small molecule being studied for use in Sickle Cell Disease. It is in Phase 1 clinical development. The drug is being evaluated to understand how it is absorbed in the body, specifically comparing different tablet formulations in patients with the condition.

What does Ticagrelor granule target?

Ticagrelor granule is a small molecule that targets the P2Y12 receptor, an antiplatelet agent. It works by inhibiting platelet activation and aggregation. This mechanism is being explored in the context of Sickle Cell Disease, where it may help reduce complications related to blood cell adhesion and vaso-occlusion.

Who makes Ticagrelor granule?

Ticagrelor granule is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker AZN. The company is conducting clinical trials to evaluate the drug's pharmacokinetics and potential therapeutic effects in Sickle Cell Disease.

What phase is Ticagrelor granule in?

Ticagrelor granule is currently in Phase 1 clinical development. It is an investigational drug, meaning it has not yet been approved by regulatory authorities. The ongoing Phase 1 trial is focused on assessing how the drug is absorbed and tolerated in the body.

What clinical trials is Ticagrelor granule in?

Ticagrelor granule has one completed clinical trial registered under NCT03126695. This Phase 1 study, titled 'A Study to Compare if the Uptake of Ticagrelor in the Body Differs When Different Tablets Are Administered,' enrolled 44 participants with Sickle Cell Disease in Germany. The trial was active-controlled and randomized.

Is Ticagrelor granule the same as ticagrelor?

Ticagrelor granule is a formulation of ticagrelor, an antiplatelet medication. The granule form is being developed specifically for potential use in Sickle Cell Disease, whereas ticagrelor tablets are already approved for other cardiovascular indications. The granule formulation is being studied to compare its absorption profile with other tablet forms.