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A Study to Evaluate the Effects of SB-751689 or rhPTH(1-34) on Excretion of Calcium and Phosphate in Women

Primary Purpose

Osteoporosis

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
rhPTH(1-34)
SB-751689 100 mg
SB-751689 400 mg
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Osteoporosis focused on measuring renal,, pharmacology,, Osteoporosis

Eligibility Criteria

40 Years - 65 Years (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy postmenopausal women 40 to 65 years of age, inclusive, meeting at least one of the following: Postmenopausal defined by the STRAW criteria of 12 months of spontaneous amenorrhea with serum FSH levels = 40 mIU/mL; History of bilateral oophorectomy (with or without hysterectomy) and at least 6 weeks post-surgical with serum FSH levels = 40 mIU/mL
  • Body weight > 50 kg and BMI within the range 19 - 32 kg/m2
  • Capable of giving written informed consent

Exclusion Criteria:

  • Any clinically relevant biological or physical abnormality found or reported at screening which, in the opinion of the investigator, is clinically significant and would preclude safe participation in this study. These abnormalities may be identified on the screening history and physical or laboratory examination and 12-lead electrocardiogram (ECG).
  • A subject may not participate in the study if any of the following laboratory results are above the upper limit of the normal range at screening: liver function tests (ALT, AST, GGT, alkaline phosphatase, total bilirubin), plasma amylase, glucose, alkaline phosphatase, or CPK.
  • A subject may not participate in the study if any of the following laboratory results are outside the normal range at screening: serum levels of albumin-adjusted calcium, total calcium, PTH, and urinary calcium.
  • A subject with vitamin D deficiency as defined by serum 25-hydroxy vitamin D < 20 ng/mL (equivalent to 50 nmol/L) at screening may not participate in the study. A QTc interval > 450 msec at screening.
  • Positive urine drug screen.
  • Positive for HIV, hepatitis B virus or hepatitis C virus assays.
  • Urinary cotinine levels indicative of smoking.
  • History of smoking or use of nicotine containing products within one year of screening.
  • History of regular alcohol consumption
  • History of drug abuse within 6 months of the study.
  • Participation in a study with an investigational drug within 30 days or 5 half-lives (whichever is longer) preceding the first dose of study medication.
  • Exposure to more than four new chemical entities within 12 months prior to the first dosing day.
  • Use of prescription or non-prescription drugs, calcium containing antacids, aspirin or nonsteroidal anti-inflammatory drugs, vitamins, herbal and dietary supplements, excluding study related vitamin D and calcium supplements, within 14 days prior to the first dose of study medication.
  • Donation of blood in excess of 500 mL within 56 days prior to dosing.
  • Evidence of hepatic or biliary disease (including cholecystectomy and Gilbert's Syndrome).
  • Significant renal disease as define by:
  • Serum creatinine clearance <60ml/min (estimated from serum creatinine (SCr) and demographic data using the MDRD calculation):
  • A validated web-based calculator is found at: http://nephron.com/cgi-bin/MDRDSIdefault.cgi
  • GFR Calculator
  • To calculate estimated GFR (mL/min/1.73m2) manually:
  • = 186 x (SCr in mg/dL)-1.154 x (age)-0.203 x (0.742 if female) x (1.210 if African-American)
  • = exp(5.228-1.154 x ln (SCr)-0.203x ln(age)-(0.299 if female) + (0.192 if African American))
  • Urine protein/creatinine (mg/mg) ratio >2.5; or urine albumin concentration > 300 ug/mg.
  • Known loss of kidney, either surgically or by injury or disease
  • History of significant gastrointestinal
  • History of a gastrointestinal surgical procedure that might affect the absorption of SB-751689
  • History of sensitivity to any of the study medications or components thereof.
  • History of clinically significant cardiovascular disease.
  • History of pancreatitis or kidney stones. Medical conditions which might alter bone metabolism
  • Subjects at increased risk of osteosarcoma such as those with Paget's disease of the bone or any prior external beam or implant radiation therapy involving the skeleton.

Sites / Locations

  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site

Outcomes

Primary Outcome Measures

renal fractional clearance of calcium and phosphate

Secondary Outcome Measures

renal fraction clearance of electrolytes, cAMP, safety measures, and serum biomarkers
urinary excretion of sodium, magnesium, potassium, bicarbonate, and chloride
Albumin-adjusted serum calcium levels
Vitamin D and P1NP levels
Plasma levels of SB-751689 and rhPTH(1-34)
Plasma PTH
Adverse event reports, 12-lead ECGs, vital signs, nursing/physician observation and laboratory tests.

Full Information

First Posted
September 17, 2007
Last Updated
October 13, 2010
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT00532077
Brief Title
A Study to Evaluate the Effects of SB-751689 or rhPTH(1-34) on Excretion of Calcium and Phosphate in Women
Official Title
An Exploratory, Open Label, Multicenter Parallel Group Study to Evaluate the Effects of Single and Repeat Dosing of SB-751689 (400 mg or 100 mg) or rhPTH(1-34) on the Fractional Renal Excretion of Calcium and Phosphate in Healthy Postmenopausal Females.
Study Type
Interventional

2. Study Status

Record Verification Date
October 2010
Overall Recruitment Status
Completed
Study Start Date
August 2007 (undefined)
Primary Completion Date
January 2008 (Actual)
Study Completion Date
January 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
GlaxoSmithKline

4. Oversight

5. Study Description

Brief Summary
SB-751689 may alter calcium and phosphate handling at the kidney level. This study will examine what happens to calcium and phosphate, and other electrolytes, at the kidney after treatment with SB-751689 for 1 month. Another group of subjects will get another drug called Forteo for 1 month to compare the response of the kidney for calcium and phosphate.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Osteoporosis
Keywords
renal,, pharmacology,, Osteoporosis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
40 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
rhPTH(1-34)
Intervention Type
Drug
Intervention Name(s)
SB-751689 100 mg
Intervention Type
Drug
Intervention Name(s)
SB-751689 400 mg
Other Intervention Name(s)
rhPTH(1-34), SB-751689 100 mg
Primary Outcome Measure Information:
Title
renal fractional clearance of calcium and phosphate
Time Frame
over 1 month
Secondary Outcome Measure Information:
Title
renal fraction clearance of electrolytes, cAMP, safety measures, and serum biomarkers
Time Frame
over 1 month
Title
urinary excretion of sodium, magnesium, potassium, bicarbonate, and chloride
Title
Albumin-adjusted serum calcium levels
Title
Vitamin D and P1NP levels
Title
Plasma levels of SB-751689 and rhPTH(1-34)
Title
Plasma PTH
Title
Adverse event reports, 12-lead ECGs, vital signs, nursing/physician observation and laboratory tests.

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy postmenopausal women 40 to 65 years of age, inclusive, meeting at least one of the following: Postmenopausal defined by the STRAW criteria of 12 months of spontaneous amenorrhea with serum FSH levels = 40 mIU/mL; History of bilateral oophorectomy (with or without hysterectomy) and at least 6 weeks post-surgical with serum FSH levels = 40 mIU/mL Body weight > 50 kg and BMI within the range 19 - 32 kg/m2 Capable of giving written informed consent Exclusion Criteria: Any clinically relevant biological or physical abnormality found or reported at screening which, in the opinion of the investigator, is clinically significant and would preclude safe participation in this study. These abnormalities may be identified on the screening history and physical or laboratory examination and 12-lead electrocardiogram (ECG). A subject may not participate in the study if any of the following laboratory results are above the upper limit of the normal range at screening: liver function tests (ALT, AST, GGT, alkaline phosphatase, total bilirubin), plasma amylase, glucose, alkaline phosphatase, or CPK. A subject may not participate in the study if any of the following laboratory results are outside the normal range at screening: serum levels of albumin-adjusted calcium, total calcium, PTH, and urinary calcium. A subject with vitamin D deficiency as defined by serum 25-hydroxy vitamin D < 20 ng/mL (equivalent to 50 nmol/L) at screening may not participate in the study. A QTc interval > 450 msec at screening. Positive urine drug screen. Positive for HIV, hepatitis B virus or hepatitis C virus assays. Urinary cotinine levels indicative of smoking. History of smoking or use of nicotine containing products within one year of screening. History of regular alcohol consumption History of drug abuse within 6 months of the study. Participation in a study with an investigational drug within 30 days or 5 half-lives (whichever is longer) preceding the first dose of study medication. Exposure to more than four new chemical entities within 12 months prior to the first dosing day. Use of prescription or non-prescription drugs, calcium containing antacids, aspirin or nonsteroidal anti-inflammatory drugs, vitamins, herbal and dietary supplements, excluding study related vitamin D and calcium supplements, within 14 days prior to the first dose of study medication. Donation of blood in excess of 500 mL within 56 days prior to dosing. Evidence of hepatic or biliary disease (including cholecystectomy and Gilbert's Syndrome). Significant renal disease as define by: Serum creatinine clearance <60ml/min (estimated from serum creatinine (SCr) and demographic data using the MDRD calculation): A validated web-based calculator is found at: http://nephron.com/cgi-bin/MDRDSIdefault.cgi GFR Calculator To calculate estimated GFR (mL/min/1.73m2) manually: = 186 x (SCr in mg/dL)-1.154 x (age)-0.203 x (0.742 if female) x (1.210 if African-American) = exp(5.228-1.154 x ln (SCr)-0.203x ln(age)-(0.299 if female) + (0.192 if African American)) Urine protein/creatinine (mg/mg) ratio >2.5; or urine albumin concentration > 300 ug/mg. Known loss of kidney, either surgically or by injury or disease History of significant gastrointestinal History of a gastrointestinal surgical procedure that might affect the absorption of SB-751689 History of sensitivity to any of the study medications or components thereof. History of clinically significant cardiovascular disease. History of pancreatitis or kidney stones. Medical conditions which might alter bone metabolism Subjects at increased risk of osteosarcoma such as those with Paget's disease of the bone or any prior external beam or implant radiation therapy involving the skeleton.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials, MD
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
GSK Investigational Site
City
Daytona Beach
State/Province
Florida
ZIP/Postal Code
32117
Country
United States
Facility Name
GSK Investigational Site
City
Port Orange
State/Province
Florida
ZIP/Postal Code
32127
Country
United States
Facility Name
GSK Investigational Site
City
Honolulu
State/Province
Hawaii
ZIP/Postal Code
96813
Country
United States
Facility Name
GSK Investigational Site
City
Austin
State/Province
Texas
ZIP/Postal Code
78752
Country
United States

12. IPD Sharing Statement

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A Study to Evaluate the Effects of SB-751689 or rhPTH(1-34) on Excretion of Calcium and Phosphate in Women

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