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A Phase I Rheumatoid Arthritis Study in Healthy Volunteers

Primary Purpose

Arthritis, Rheumatoid

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
GSK1827771
Placebo
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Arthritis, Rheumatoid focused on measuring domain antibody, Rheumatoid Arthritis,

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy adult men or women as determined by a responsible physician, based on a medical evaluation including history, physical examination, laboratory tests and cardiac assessment.
  • Female subjects of non-childbearing potential.
  • Male subjects must agree to abstain from or agree to use adequate contraception, in addition to having their female partner use another form of contraception. This criterion must be followed from the time of the first dose of study medication until Pharmacokinetic levels are determined to be below the LLQ.
  • Men or women who are between 18 and 55 years of age, inclusive.
  • Body Mass Index (BMI) within the range of 18-35 kilogram per meter square (kg/m^2) inclusive.
  • Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form

Exclusion Criteria:

  • The subject has a positive pre-study urine drug/urine alcohol screen. A minimum list of drugs that will be screened for includes amphetamines, barbiturates, cocaine, opiates, cannabinoids and benzodiazepines.
  • A history of regular alcohol consumption averaging >7 drinks/week for females or >14 drinks/week for males. One drink is equivalent to (12 g alcohol) = 5 ounces [150 milliliter (mL)] of wine or 12 ounces (360 mL) of beer or 1.5 ounces (45 mL) of 80 proof distilled spirits
  • The subject is unwilling to abstain from alcohol consumption from 48 hour prior to dosing until discharge from the clinic, and for 48 hour prior to all other out-patient clinic visits.
  • Smoked or used tobacco or nicotine-containing products within the previous 6 months prior to the first dose of current study medication.
  • The subject has participated in a clinical trial and has received a drug or a new chemical entity within 30 days or 5 half-lives, or twice the duration of the biological effect of any drug (whichever is longer) prior to the first dose of current study medication.
  • Previous exposure to or treatment with PEGylated molecules.
  • Use of anti-Tumor Necrosis Factor (anti-TNF) drugs within 60 days prior to dosing.
  • Use of prescription or non-prescription drugs, including vitamins, herbal and dietary supplements (including St John's Wort) within 7 days , or 5 half-lives (whichever is longer) prior to the first dose of study medication, unless in the opinion of the Investigator and GSK Medical Monitor the medication will not interfere with the study procedures or compromise subject safety.
  • History of sensitivity to any of the study medications, or components thereof, or a history of drug or other allergy (including antibiotics) which, in the opinion of the investigator and/or GSK Medical Monitor, contraindicates the subject's participation.
  • Positive pregnancy test at Screening or on Day -1 (females only).
  • Any clinically significant abnormality identified on the screening medical assessment or examination, or ECG.
  • Any white blood cell (WBC) or neutrophil count outside the normal range at screening or on Day -1.
  • History of significant cardiac, pulmonary, metabolic, renal, hepatic, or gastrointestinal conditions that in the opinion of the investigator and/or GSK Medical Monitor, places the subject at an unacceptable risk as participant in this trial.
  • History of any autoimmune or current inflammatory conditions including rheumatoid arthritis or any other joint disease.
  • History of malignancy, except for surgically cured basal cell carcinoma or cured cervical carcinoma (> 2 yrs prior to dosing).
  • Currently has asthma or history of chronic obstructive pulmonary disease (COPD).
  • Current evidence of ongoing or acute infection.
  • The subject has a history of repeated, chronic or opportunistic infections which, in the opinion of the investigator and/or GSK Medical Monitor, places the subject at an unacceptable risk as a participant in this trial.
  • History of Mycobacterium tuberculosis or any other previous Mycobacterium infection.
  • A positive pre-study Hepatitis B surface antigen, positive Hepatitis C antibody, or human immunodeficiency virus (HIV) antibody testing result.
  • History of a severe allergic reaction, angio-edema, anaphylaxis or immunodeficiency
  • History of elevated blood pressure or blood pressure >140/90 millimeters of mercury (mmHg) at screening.
  • Corrected QT interval (QTc) > 450 milliseconds.
  • Where participation in study would result in donation of blood in excess of 500 mL within 56 days of starting the study.
  • Subject whose calculated creatinine clearance is less than 80 mL/min
  • Liver function tests above the upper limit of normal at screening (alkaline transaminase (ALT), aspartate transaminase (AST) or bilirubin).
  • Chronic liver or biliary disease, history of Gilbert's syndrome in a previous clinical study or at screening.

Sites / Locations

  • GSK Investigational Site
  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Placebo Comparator

Arm Label

Subjects receiving GSK 1827771 in sub-cohort Xa (Cohort 1-5)

Subjects receiving placebo in sub-cohort Xa (Cohort 1-5)

Subjects receiving GSK 1827771 in sub-cohort Xb (Cohort 1-5)

Subjects receiving placebo in sub-cohort Xb (Cohort 1-5)

Subjects receiving GSK 1827771 in sub-cohort Xc (Cohort 1-5)

Subjects receiving placebo in sub-cohort Xc (Cohort 1-5)

Arm Description

Eligible subjects will receive GSK1827771 with the starting dose of 0.3 milligram (mg)

Eligible subjects will receive placebo matching to GSK1827771

Eligible subjects will receive GSK1827771 via injection

Eligible subjects will receive placebo matching to GSK1827771

Eligible subjects will receive GSK1827771 via injection

Eligible subjects will receive placebo matching to GSK1827771

Outcomes

Primary Outcome Measures

Number of subjects with abnormal clinical chemistry findings
Blood samples will be collected at specific time points as a measure of safety
Number of subjects with abnormal clinical hematology findings
Blood samples will be collected at specific time points as a measure of safety
Number of subjects with abnormal urinalysis findings
Urine samples will be collected at specific time points as a measure of safety
Number of subjects with abnormal blood pressure values
Systolic and diastolic blood pressure will be measured in a supine position after at least 5 minutes of rest as a measure of safety.
Number of subjects with abnormal heart rate values
Heart rate will be measured in a supine position after at least 5 minutes of rest as a measure of safety.
Number of subjects with abnormal respiratory rate values
Respiratory rate will be measured in a supine position after at least 5 minutes of rest as a measure of safety.
Number of subjects with abnormal body temperature findings
Body temperature will be measured in a supine position after at least 5 minutes of rest as a measure of safety.
Number of subjects with abnormal electrocardiogram (ECG) findings
12-lead ECG measurements will be performed in a supine position after at least 5 minutes of rest as a measure of safety
Number of subjects with adverse events (AEs)
An adverse event is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Secondary Outcome Measures

Plasma concentrations of GSK1827771
Blood samples will be collected at specific time points for calculating plasma concentrations of GSK1827771
Maximum plasma concentration (Cmax) of GSK1827771
Blood samples will be collected at specific time points for calculating Cmax of GSK1827771
Area under the curve (AUC) of GSK1827771
Blood samples will be collected at specific time points for calculating AUC of GSK1827771
Frequency of anti-GSK1827771
The presence of anti-GSK1827771 binding antibodies will be assessed using an immunoelectrochemiluminescence screening assay (ECL).
Titer of anti-GSK1827771
Blood samples for determination of anti-GSK1827771 antibodies will be taken at specific time points.
Frequency of anti-PEG
Antibodies to PEG components of GSK1827771 will be measured.
Titer of anti-PEG
Antibodies to PEG components of GSK1827771 will be measured.
Frequency of anti-dAb
Antibodies to dAb components of GSK1827771 will be measured.
Titer of anti-dAb
Antibodies to dAb components of GSK1827771 will be measured.
Change from Baseline response of whole blood to ex vivo stimulation with IL-1 alpha or IL-1 beta
Blood samples will be collected for assessment of pharmacodynamic activity of GSK1827771 at specific time points
Exploratory biomarker levels in blood
Blood samples will be taken for exploratory biomarker analysis

Full Information

First Posted
October 4, 2007
Last Updated
August 11, 2017
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT00539760
Brief Title
A Phase I Rheumatoid Arthritis Study in Healthy Volunteers
Official Title
A Phase I, Randomized, Observer- and Subject-Blind, Placebo-Controlled, Single Ascending Dose Study to Investigate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of GSK1827771 in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
August 2017
Overall Recruitment Status
Completed
Study Start Date
September 5, 2007 (Actual)
Primary Completion Date
April 5, 2008 (Actual)
Study Completion Date
April 5, 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
GSK182771 is a domain antibody targeting the interleukin (IL)-1 receptor which is being developed for the treatment of rheumatoid arthritis. This study is being done in healthy volunteers to verify the safety and tolerability of GSK182771

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Arthritis, Rheumatoid
Keywords
domain antibody, Rheumatoid Arthritis,

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Subjects receiving GSK 1827771 in sub-cohort Xa (Cohort 1-5)
Arm Type
Experimental
Arm Description
Eligible subjects will receive GSK1827771 with the starting dose of 0.3 milligram (mg)
Arm Title
Subjects receiving placebo in sub-cohort Xa (Cohort 1-5)
Arm Type
Placebo Comparator
Arm Description
Eligible subjects will receive placebo matching to GSK1827771
Arm Title
Subjects receiving GSK 1827771 in sub-cohort Xb (Cohort 1-5)
Arm Type
Experimental
Arm Description
Eligible subjects will receive GSK1827771 via injection
Arm Title
Subjects receiving placebo in sub-cohort Xb (Cohort 1-5)
Arm Type
Placebo Comparator
Arm Description
Eligible subjects will receive placebo matching to GSK1827771
Arm Title
Subjects receiving GSK 1827771 in sub-cohort Xc (Cohort 1-5)
Arm Type
Experimental
Arm Description
Eligible subjects will receive GSK1827771 via injection
Arm Title
Subjects receiving placebo in sub-cohort Xc (Cohort 1-5)
Arm Type
Placebo Comparator
Arm Description
Eligible subjects will receive placebo matching to GSK1827771
Intervention Type
Drug
Intervention Name(s)
GSK1827771
Intervention Description
GSK1827771 will be administered using injection via subcutaneous (SC) route.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo to GSK1827771 for Injection will be administered via SC route
Primary Outcome Measure Information:
Title
Number of subjects with abnormal clinical chemistry findings
Description
Blood samples will be collected at specific time points as a measure of safety
Time Frame
Up to 29 days
Title
Number of subjects with abnormal clinical hematology findings
Description
Blood samples will be collected at specific time points as a measure of safety
Time Frame
Up to 29 days
Title
Number of subjects with abnormal urinalysis findings
Description
Urine samples will be collected at specific time points as a measure of safety
Time Frame
Up to 29 days
Title
Number of subjects with abnormal blood pressure values
Description
Systolic and diastolic blood pressure will be measured in a supine position after at least 5 minutes of rest as a measure of safety.
Time Frame
Up to 29 days
Title
Number of subjects with abnormal heart rate values
Description
Heart rate will be measured in a supine position after at least 5 minutes of rest as a measure of safety.
Time Frame
Up to 29 days
Title
Number of subjects with abnormal respiratory rate values
Description
Respiratory rate will be measured in a supine position after at least 5 minutes of rest as a measure of safety.
Time Frame
Up to 29 days
Title
Number of subjects with abnormal body temperature findings
Description
Body temperature will be measured in a supine position after at least 5 minutes of rest as a measure of safety.
Time Frame
Up to 29 days
Title
Number of subjects with abnormal electrocardiogram (ECG) findings
Description
12-lead ECG measurements will be performed in a supine position after at least 5 minutes of rest as a measure of safety
Time Frame
Up to 29 days
Title
Number of subjects with adverse events (AEs)
Description
An adverse event is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
Time Frame
Up to 29 days
Secondary Outcome Measure Information:
Title
Plasma concentrations of GSK1827771
Description
Blood samples will be collected at specific time points for calculating plasma concentrations of GSK1827771
Time Frame
Pre-dose, 0.25, 0.5, 1, 2, 4, 8, 12, 24 hours post-dose on Day 1; in morning and evening on Day 2-7; in morning on Day 14, 21, 28
Title
Maximum plasma concentration (Cmax) of GSK1827771
Description
Blood samples will be collected at specific time points for calculating Cmax of GSK1827771
Time Frame
Pre-dose, 0.25, 0.5, 1, 2, 4, 8, 12, 24 hours post-dose on Day 1; in morning and evening on Day 2-7; in morning on Day 14, 21, 28
Title
Area under the curve (AUC) of GSK1827771
Description
Blood samples will be collected at specific time points for calculating AUC of GSK1827771
Time Frame
Pre-dose, 0.25, 0.5, 1, 2, 4, 8, 12, 24 hours post-dose on Day 1; in morning and evening on Day 2-7; in morning on Day 14, 21, 28
Title
Frequency of anti-GSK1827771
Description
The presence of anti-GSK1827771 binding antibodies will be assessed using an immunoelectrochemiluminescence screening assay (ECL).
Time Frame
Up to 29 days
Title
Titer of anti-GSK1827771
Description
Blood samples for determination of anti-GSK1827771 antibodies will be taken at specific time points.
Time Frame
Up to 29 days
Title
Frequency of anti-PEG
Description
Antibodies to PEG components of GSK1827771 will be measured.
Time Frame
Up to 29 days
Title
Titer of anti-PEG
Description
Antibodies to PEG components of GSK1827771 will be measured.
Time Frame
Up to 29 days
Title
Frequency of anti-dAb
Description
Antibodies to dAb components of GSK1827771 will be measured.
Time Frame
Up to 29 days
Title
Titer of anti-dAb
Description
Antibodies to dAb components of GSK1827771 will be measured.
Time Frame
Up to 29 days
Title
Change from Baseline response of whole blood to ex vivo stimulation with IL-1 alpha or IL-1 beta
Description
Blood samples will be collected for assessment of pharmacodynamic activity of GSK1827771 at specific time points
Time Frame
Baseline and up to 29 days
Title
Exploratory biomarker levels in blood
Description
Blood samples will be taken for exploratory biomarker analysis
Time Frame
Up to 29 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy adult men or women as determined by a responsible physician, based on a medical evaluation including history, physical examination, laboratory tests and cardiac assessment. Female subjects of non-childbearing potential. Male subjects must agree to abstain from or agree to use adequate contraception, in addition to having their female partner use another form of contraception. This criterion must be followed from the time of the first dose of study medication until Pharmacokinetic levels are determined to be below the LLQ. Men or women who are between 18 and 55 years of age, inclusive. Body Mass Index (BMI) within the range of 18-35 kilogram per meter square (kg/m^2) inclusive. Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form Exclusion Criteria: The subject has a positive pre-study urine drug/urine alcohol screen. A minimum list of drugs that will be screened for includes amphetamines, barbiturates, cocaine, opiates, cannabinoids and benzodiazepines. A history of regular alcohol consumption averaging >7 drinks/week for females or >14 drinks/week for males. One drink is equivalent to (12 g alcohol) = 5 ounces [150 milliliter (mL)] of wine or 12 ounces (360 mL) of beer or 1.5 ounces (45 mL) of 80 proof distilled spirits The subject is unwilling to abstain from alcohol consumption from 48 hour prior to dosing until discharge from the clinic, and for 48 hour prior to all other out-patient clinic visits. Smoked or used tobacco or nicotine-containing products within the previous 6 months prior to the first dose of current study medication. The subject has participated in a clinical trial and has received a drug or a new chemical entity within 30 days or 5 half-lives, or twice the duration of the biological effect of any drug (whichever is longer) prior to the first dose of current study medication. Previous exposure to or treatment with PEGylated molecules. Use of anti-Tumor Necrosis Factor (anti-TNF) drugs within 60 days prior to dosing. Use of prescription or non-prescription drugs, including vitamins, herbal and dietary supplements (including St John's Wort) within 7 days , or 5 half-lives (whichever is longer) prior to the first dose of study medication, unless in the opinion of the Investigator and GSK Medical Monitor the medication will not interfere with the study procedures or compromise subject safety. History of sensitivity to any of the study medications, or components thereof, or a history of drug or other allergy (including antibiotics) which, in the opinion of the investigator and/or GSK Medical Monitor, contraindicates the subject's participation. Positive pregnancy test at Screening or on Day -1 (females only). Any clinically significant abnormality identified on the screening medical assessment or examination, or ECG. Any white blood cell (WBC) or neutrophil count outside the normal range at screening or on Day -1. History of significant cardiac, pulmonary, metabolic, renal, hepatic, or gastrointestinal conditions that in the opinion of the investigator and/or GSK Medical Monitor, places the subject at an unacceptable risk as participant in this trial. History of any autoimmune or current inflammatory conditions including rheumatoid arthritis or any other joint disease. History of malignancy, except for surgically cured basal cell carcinoma or cured cervical carcinoma (> 2 yrs prior to dosing). Currently has asthma or history of chronic obstructive pulmonary disease (COPD). Current evidence of ongoing or acute infection. The subject has a history of repeated, chronic or opportunistic infections which, in the opinion of the investigator and/or GSK Medical Monitor, places the subject at an unacceptable risk as a participant in this trial. History of Mycobacterium tuberculosis or any other previous Mycobacterium infection. A positive pre-study Hepatitis B surface antigen, positive Hepatitis C antibody, or human immunodeficiency virus (HIV) antibody testing result. History of a severe allergic reaction, angio-edema, anaphylaxis or immunodeficiency History of elevated blood pressure or blood pressure >140/90 millimeters of mercury (mmHg) at screening. Corrected QT interval (QTc) > 450 milliseconds. Where participation in study would result in donation of blood in excess of 500 mL within 56 days of starting the study. Subject whose calculated creatinine clearance is less than 80 mL/min Liver function tests above the upper limit of normal at screening (alkaline transaminase (ALT), aspartate transaminase (AST) or bilirubin). Chronic liver or biliary disease, history of Gilbert's syndrome in a previous clinical study or at screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Evansville
State/Province
Indiana
ZIP/Postal Code
47714
Country
United States
Facility Name
GSK Investigational Site
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21225
Country
United States

12. IPD Sharing Statement

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A Phase I Rheumatoid Arthritis Study in Healthy Volunteers

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