Key result
Intravenous pyragrel was well tolerated in healthy volunteers at single doses up to 300 mg and multiple doses of 180 mg, exhibiting linear pharmacokinetics and no serious adverse events.
Why the study?
Thromboxane synthetase inhibition has proved effective for cardiovascular and cerebrovascular diseases, motivating this phase I trial to evaluate the safety, tolerability, and pharmacokinetics of sodium pyragrel in healthy volunteers.
What is the safety, tolerability, and pharmacokinetics of intravenous pyragrel in healthy volunteers?
RCT (n=84)
Double-blind (Part I), Open-label (Parts II-V)
Randomized
No
What is the safety, tolerability, and pharmacokinetics of intravenous pyragrel in healthy volunteers?
Absolute Event Rate: 33.3% vs 12.5%
p-value: p=0.882
Intravenous pyragrel, a novel thromboxane A2 synthetase inhibitor, showed acceptable safety and linear pharmacokinetics in healthy volunteers, warranting further clinical development.
Sodium pyragrel was well tolerated in healthy volunteers; leaves open efficacy and safety in CCVD patients.
Background and Objective: Inhibition of thrombosis and platelet aggregation through a thromboxane synthetase inhibitor proved to be an effective and promising treatment for cardiovascular and/or cerebrovascular disease (CCVD) patients. This phase I study evaluated the safety, tolerability and pharmacokinetics of sodium pyragrel, a novel thromboxane A2 synthetase inhibitor, in healthy volunteers. Methods: A total of 84 healthy Chinese volunteers were enrolled in the study and randomized into one of five dosing regimens of intravenous pyragrel, which were single ascending dose (30 to 300 mg), multiple doses [pyragrel 180 mg once daily on Day 1 and Day 6, twice daily from Day 2 to Day 5)], 3×3 Latin square crossover (60, 120, 240 mg) and a continuous dose (360 mg in 24 h), respectively. Plasma concentrations were determined using HPLC-MS/MS. Pharmacokinetics parameters were calculated with non-compartment analysis. Results: The maximum plasma concentrations of pyragrel were essentially reached at the end of the 3 h infusion. The pharmacokinetic process of pyragrel and two main metabolites (BBS and BJS) is linear over the 30-300 mg dose range, with no significant accumulation on multiple doses. The urinary excretion of pyragrel accounted for more than 70% of the total drug amount. Preliminary pharmacodynamic results demonstrated that the production of urinary 11-D-HTXB2 was time- and dose-dependently inhibit by single i.v. dose of pyragrel. Conclusions: Pyragrel was well tolerated after single ascending doses up to 300 mg, multiple doses of 180 mg and continuous administration of 360 mg within 24 h. No drug-related, serious adverse drug reactions occurred during the five-part study. The most common pyragrel-related adverse events (AEs) were total bilirubin (TB)/direct bilirubin (DB) elevations with a relatively low incidence rate and seemed to be dose independent. Given the acceptable safety and appropriate pharmacokinetic properties of sodium pyragrel proven in this study, continued clinical development is warranted. The study was registered at http://www.chictr.org.cn (ChiCTR-IID-16010159).
No takes yet. Share an insight, caveat, or question.
Zou et al. (2019) conducted an RCT in Healthy volunteers (n=84). Pyragrel vs. Ozagrel or placebo was evaluated on Incidence of adverse events (Part I) (p=0.882). Intravenous pyragrel was well tolerated in healthy volunteers at single doses up to 300 mg and multiple doses of 180 mg, exhibiting linear pharmacokinetics and no serious adverse events.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: