To demonstrate the pharmacodynamic (PD) equivalence of enoxaparin Rovi (100 mg/mL) 100-mg SC injection to Clexane® (100 mg/mL) 100-mg SC injection in healthy volunteers. As secondary objective, to evaluate the safety and tolerability of enoxaparin Rovi (100 mg/mL) in healthy volunteers.
This is a single-dose, randomized, double-blind, 2-period, 2 sequence crossover study. Subjects will be screened up to 30 days before the study begins and admitted to the clinic on Day -1 of Period 1 for baseline assessments. Before dosing on Day 1 of Period 1, subjects will be randomly assigned to a treatment sequence. Subjects will receive a single dose of study drug on Day 1 of each treatment period. On Day 1 of Period 1, subjects will receive a single dose by subcutaneous route of the assigned study drug: enoxaparin (100 mg/mL) 100-mg SC injection manufactured by Rovi Spain, or Clexane (100 mg/mL) 100-mg SC injection manufactured by Sanofi EU; after an overnight fasting period of at least 10 hours. Subjects will continue fasting for at least 4 hours after study drug administration. The washout period between administrations of study drug in each period will be at least 7 days. On Day 1 of Period 2, subjects will cross over to receive the dose of the other drug, after an overnight fasting period of at least 10 hours. The total duration of the study will be approximately 6 weeks.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
46
AUEC0-inf for anti-FXa
area under the effect curve (AUEC) from time 0 to infinity, for anti-FXa
Time frame: Day -1 (Periods 1 and 2), before dosing (Pre-dose), and between 0.5 and 36 hours after dosing on Day 1 (Periods 1 and 2)
AUEC0-T for anti-FXa and anti-FIIa
area under the effect curve (AUEC) from time 0 to the last measured activity (T), for anti-FXa and anti-FIIa
Time frame: Day -1 (Periods 1 and 2), before dosing (Pre-dose), and between 0.5 and 36 hours after dosing on Day 1 (Periods 1 and 2)
Amax for anti-FXa and anti-FIIa
peak effect for anti-FXa activity (anti-FXamax), and anti-FIIa activity (anti-FIIamax)
Time frame: Day -1 (Periods 1 and 2), before dosing (Pre-dose), and between 0.5 and 36 hours after dosing on Day 1 (Periods 1 and 2)
RAUEC
ratio of AUEC0-T of anti-FXa to anti-FIIa
Time frame: Day -1 (Periods 1 and 2), before dosing (Pre-dose), and between 0.5 and 36 hours after dosing on Day 1 (Periods 1 and 2)
Amax for TFPI levels
peak effect activity (Amax) forTissue factor pathway inhibitor (TFPI)
Time frame: Day -1 (Periods 1 and 2), before dosing (Pre-dose), and between 0.5 and 36 hours after dosing on Day 1 (Periods 1 and 2)
AUEC0-T for TFPI levels
Area under the effect curve (AUEC) from time 0 to the last measured activity (T) forTissue factor pathway inhibitor (TFPI)
Time frame: Day -1 (Periods 1 and 2), before dosing (Pre-dose), and between 0.5 and 36 hours after dosing on Day 1 (Periods 1 and 2)
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AUEC0-inf for TFPI levels
Area under the effect curve (AUEC) from time 0 to infinity forTissue factor pathway inhibitor (TFPI)
Time frame: Day -1 (Periods 1 and 2), before dosing (Pre-dose), and between 0.5 and 36 hours after dosing on Day 1 (Periods 1 and 2)
Tmax for anti-FXa and anti-FIIa
time of observed maximum measured plasma activity for anti-FXa and anti-FIIa
Time frame: Day -1 (Periods 1 and 2), before dosing (Pre-dose), and between 0.5 and 36 hours after dosing on Day 1 (Periods 1 and 2)
t1/2 for anti-FXa and anti-FIIa
apparent first order terminal elimination half-life for anti-FXa and anti-FIIa
Time frame: Day -1 (Periods 1 and 2), before dosing (Pre-dose), and between 0.5 and 36 hours after dosing on Day 1 (Periods 1 and 2)
CL/F for anti-FXa and anti-FIIa
apparent plasma clearance after extravascular administration for anti-FXa and anti-FIIa
Time frame: Day -1 (Periods 1 and 2), before dosing (Pre-dose), and between 0.5 and 36 hours after dosing on Day 1 (Periods 1 and 2)
MRT for anti-FXa and anti-FIIa
mean residence time for anti-FXa and anti-FIIa
Time frame: Day -1 (Periods 1 and 2), before dosing (Pre-dose), and between 0.5 and 36 hours after dosing on Day 1 (Periods 1 and 2)
Adverse Events (AEs)
All treatment emergent AEs (TEAEs), relationship of TEAEs to study drug, severity of TEAEs, treatment emergent serious AEs, relationship of treatment emergent serious AEs to study drug, and TEAEs leading to study drug discontinuation. The frequency of TEAEs will be summarized by system organ class and preferred term
Time frame: from Informed Consent signature until 14 days after the last study drug administration (independently of the period)
hematology
clinical laboratory results
Time frame: at Screening, Day -1 (Period 1 only), and Day 3 (Period 2 only) and at the follow up visit (Day 7 of Period 2 only)
Serum chemistry
measurements of a variety of compounds in the serum layer of blood
Time frame: at Screening, Day -1 (Period 1 only), and Day 3 (Period 2 only) and at the follow up visit (Day 7 of Period 2 only)
Coagulation
Prothrombin time (reported in seconds) and activated partial thromboplastin time (aPTT)
Time frame: at Screening, Day -1 (Period 1 only), and Day 3 (Period 2 only) and at the follow up visit (Day 7 of Period 2 only)
Urianalysis
measurements of a variety of compounds in urine
Time frame: at Screening, Day -1 (Period 1 only), and Day 3 (Period 2 only) and at the follow up visit (Day 7 of Period 2 only)
Blood presure
systolic and diastolic blood presure recorded after the subject had been resting for at least 5 minutes
Time frame: at Screening, Day -1 (Period 1 only), and before dosing (Pre-dose) and 0.5 hours after dosing on Day 1 (Periods 1 and 2)
Pulse rate
recorded after the subject had been resting
Time frame: at Screening, Day -1 (Period 1 only), and before dosing (Pre-dose) and 0.5 hours after dosing on Day 1 (Periods 1 and 2)
Respiratory rate
measured subsequently to pulse rate
Time frame: at Screening, Day -1 (Period 1 only), and before dosing (Pre-dose) and 0.5 hours after dosing on Day 1 (Periods 1 and 2)
Tympanic temperature
measured subsequently to pulse rate
Time frame: at Screening, Day -1 (Period 1 only), and before dosing (Pre-dose) and 0.5 hours after dosing on Day 1 (Periods 1 and 2)