Table 3.
PK parameter | Andexanet alfa dose (n = 6/cohort) | Placebo* (n = 8) | ||
---|---|---|---|---|
Cohort 1 (600-mg bolus) | Cohort 2 (800/8 × 60 min) | Cohort 3 (800-mg bolus) | ||
Total edoxaban, mean ± SD | ||||
Cmax, ng/mL | 1420 ± 384 | 1720 ± 327 | 1240 ± 225 | 212 ± 62.1 |
C3.03,† ng/mL | 1450 ± 424 | 1680 ± 340 | NA | 164 ± 91.4‡ |
C5.03,§ ng/mL | NA | NA | 1200 ± 228 | 94.9 ± 14.9ǁ |
Tmax,¶ h (range) | 3.1 (3.04, 3.21) | 3.3 (3.05, 3.27) | 5.2 (5.03, 5.40) | 2.0 (1.00, 2.47) |
AUC0-24, ng • h/mL | 3550 ± 970 | 4950 ± 1050 | 3280 ± 438 | 1520 ± 358 |
CL/F, L/h | 17.9 ± 4.24 | 12.6 ± 2.80 | 18.6 ± 2.33 | 41.3 ± 8.77 |
t1/2, h | 15.4 ± 6.24 | 9.3 ± 2.90 | 13.3 ± 4.14 | 9.5 ± 4.20 |
Unbound edoxaban, mean ± SD | ||||
Pre–andexanet alfa/placebo | 130 ± 52.9 | 114 ± 37.1 | 63.6 ± 13.3 | 125 ± 57.5‡ |
C3.03,† ng/mL | 59.6 ± 33.1§ | 41.1 ± 19.7 | NA | 103 ± 55.4‡ |
C5.03,§ ng/mL | NA | NA | 15.1 ± 7.52 | 65.6 ± 10.5ǁ |
Total D21-2393, mean ± SD | ||||
Cmax, ng/mL | 61.9 ± 11.9 | 85.3 ± 53.7 | 45.6 ± 12.3 | 14.4 ± 5.43 |
C3.03,† ng/mL | 60.0 ± 14.8¶ | 75.6 ± 46.1 | NA | 14.5 ± 5.48# |
C5.03,§ ng/mL | NA | NA | 43.2 ± 13.2 | 5.00 ± 1.63ǁ |
Tmax,¶ h (range) | 3.2 (3.05, 4.02) | 3.3 (3.25, 3.30) | 5.2 (5.03, 5.54) | 2.2 (2.00, 3.00) |
AUC0-24, ng • h/mL | 205 ± 47.9 | 290 ± 191 | 164 ± 38.0 | 98.6 ± 34.5 |
t1/2, h | 10.4 ± 4.77§ | 8.4 ± 2.53 | 12.8 ± 4.83 | 8.7 ± 3.35 |
Unbound D21-2393, mean ± SD | ||||
Pre–andexanet alfa/placebo | 5.9 ± 3.03 | 7.5 ± 2.82 | 3.6 ± 1.25 | 7.7 ± 2.89# |
C3.03,† ng/mL | 3.07 ± 1.07¶ | 2.7 ± 0.96§ | Not applicable | 7.8 ± 4.26# |
C5.03,§ ng/mL | NA | NA | 0.73 ± 0.32 | 2.7 ± 0.98ǁ |
C5.03, concentration at 5.03 hours postdose; NA, not available.
Pooled placebo subjects from cohorts 1 to 3.
Anticoagulant plasma concentration measured 2 minutes after the end of the andexanet alfa bolus dose (3.03 hours after edoxaban dosing).
N = 5.
Anticoagulant plasma concentration measured 2 minutes after the end of the andexanet alfa bolus dose (5.03 hours after edoxaban dosing).
N = 3.
Median (minimum, maximum); time relative to edoxaban dosing.
N = 4.