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Apixaban alone

Phase 1

Venous Thromboembolism | Small molecule | Cardiovascular |Bristol-Myers Squibb Company|Last Updated: Oct 11, 2017

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedACTIVE_CONTROLLEDBiomarker
Total Trials1
Total Enrollment12
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03083782Drug Interaction Study of Apixaban With Cyclosporine and TacrolimusPHASE1 COMPLETED 12Apr 18, 2017Jun 30, 2017Oct 11, 20171 United States
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Study Endpoints
Primary Endpoints
Apixaban area under the plasma concentration curve between 0 and 72 hours (AUC(0-72)).
Days 1-4 (Treatment A), Days 3-6 (Treatment B & C)

Blood samples for Apixaban pharmacokinetics will be collected prior to apixaban administration at 0H, and then at 1, 2, 3, 4, 6, 12, 24, 48 and, 72 hours in each treatment arm.

Apixaban peak plasma concentration (Cmax)
Days 1-4 (Treatment A), Days 3-6 (Treatment B & C)

Blood samples for Apixaban pharmacokinetics will be collected prior to apixaban administration at 0H, and then at 1, 2, 3, 4, 6, 12, 24, 48 and, 72 hours in each treatment arm.

Secondary Endpoints
Safety and tolerability of apixaban when co-administered with cyclosporine assessed by capturing adverse events and laboratory safety tests
Day 1-4 (Treatment A), Day 1-6 (Treatment B & C)
Safety and tolerability of apixaban when co-administered with tacrolimus assessed by capturing adverse events and laboratory safety tests
Day 1-4 (Treatment A), Day 1-6 (Treatment B & C)
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeBASIC_SCIENCE
Treatment Arms
ArmTypeDescription
Treatment A: Apixaban aloneACTIVE_COMPARATOROral apixaban will be administered in healthy volunteers to define baseline apixaban pharmacokinetics
Treatment B: Cyclosporine with apixabanEXPERIMENTALOral cyclosporine will be administered to steady state in healthy volunteers followed by a single oral dose of apixaban to define apixaban pharmacokinetics in the presence of cyclosporine
Treatment C: Tacrolimus with apixabanEXPERIMENTALOral tacrolimus will be administered to steady state in healthy volunteers followed by a single oral dose of apixaban to define apixaban pharmacokinetics in the presence of tacrolimus
Interventions
NameTypeDescription
Apixaban aloneDRUGA single dose of 10 mg apixaban administered orally at 0H on Day 1.
CyclosporineDRUGOnce daily dose of 100 mg cyclosporine administered orally on Days 1 to 3.
TacrolimusDRUGOnce daily dose of 5 mg tacrolimus administered orally on Days 1 to 3.
ApixabanDRUGA single dose of 10 mg apixaban administered orally on Day 3 immediately following cyclosporine
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Eligibility Criteria
Age Range18 Years — 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: 1. Be a healthy male or female between ages 18-55 (inclusive) at the screening visit 2. Have a body mass index (BMI) ≥ 19 and ≤ 33 (inclusive) 3. Be a female subject, subject 1. Can be of childbearing potential and must demonstrate a urine β-hCG level consistent with the non...

Countries:United States
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