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Firategrast (SB683699) Surface Area Study in Multiple Sclerosis Patients

Primary Purpose

Multiple Sclerosis

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Formulation A
Formulation B
Formulation C
Formulation D
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Sclerosis focused on measuring PK,, SB-683699,, multiple sclerosis, firategrast,, surface area,

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female subjects aged 18-65 years inclusive with a diagnosis of MS
  • EDSS between 0-6.5 inclusive at the Screening visit
  • QTc <450msec
  • A female subject is eligible to enter the study if she is of non-childbearing potential, or of childbearing potential, has a negative urine pregnancy test at Screening, and agrees to consistent and correct use of adequate contraception
  • Provide a signed and dated written informed consent prior to study participation
  • The subject is able to understand and comply with protocol requirements, instructions and protocol-stated restrictions
  • A negative urine drugs of abuse test.
  • No evidence of pulmonary tuberculosis as verified by a negative chest X-ray within the past 6 months

Exclusion Criteria:

  • Subjects receiving corticosteroids within 4 weeks of Screening for treatment of MS. If non-systemic steroids are being used for other chronic inflammatory conditions, subjects may be included at the discretion of the investigator after discussion with the GSK medical monitor.
  • Use of an β-interferon product, glatiramer acetate or azathioprine within 3 months of Screening, or use of Mitoxantrone within 12 months of Screening. Subjects who have received other therapies affecting the immune system (such as IVIg, cyclophosphamide, plasmapheresis, or any other immunosuppressive or immunomodulatory treatment) in the past may be included on a case by case basis after discussion with the GSK medical monitor. None of these treatments will be allowed during this study
  • Previous exposure to alemtuzumab, natalizumab or bone marrow transplantation or whole body irradiation.
  • Subjects with a cardiac pacemaker or any other type of metal implant or with any other contraindication for MRI (including known allergy to gadolinium).
  • Use of 4-aminopyridine, rosiglitazone, pioglitazone and any other compounds metabolised primarily through cytochrome P450 2C8 are prohibited at Screening and throughout the study
  • Subjects with clinically significant renal laboratory values: subjects with a calculated creatinine clearance <60ml/min
  • Subjects with local urinalysis findings outside of ranges defined in the protocol during the screening period.
  • Presence of clinically significant hepatic laboratory values
  • CD4 count <500 cells/µl, CD4:CD8 <1.0, idiopathic CD4/CD8 lymphopenia or secondary lymphopenia at Screening.
  • JCV DNA detected in plasma or buffy coat using PCR
  • Any findings on the MRI of the brain other than MS, except for benign findings that require no further evaluation or treatment and do not have an impact on the patient's neurological health
  • Current or history of cancer, excluding localized non-melanoma skin cancer.
  • Uncontrolled or any active bacterial, viral, or fungal infection. Any previous serious infections should be discussed with the GSK medical monitor (e.g. opportunistic or atypical infections).
  • History of tuberculosis or positive chest X-ray for TB
  • Known congenital or acquired immunodeficiency.
  • Any abnormality on 12-lead ECG at Screening which is clinically significant in the opinion of the investigator.
  • Subjects with positive hepatitis B, hepatitis C or HIV tests at Screening.
  • Women who are lactating, pregnant (positive pregnancy test at Screening), or planning to become pregnant during the course of the study.
  • Recent history or suspicion of current drug abuse (including analgesic abuse) or alcohol abuse within the last 6 months prior to Screening.
  • Use of an investigational drug for condition other than MS within 30 days or 5 half-lives (whichever is longer) preceding Screening. Prior use of an investigational drug for MS should be discussed with the GSK medical monitor.
  • Any concurrent illness, disability or clinically significant abnormality (including laboratory tests) that may affect the interpretation of clinical efficacy or safety data or prevent the subject from safely completing the assessments required by the protocol.

Sites / Locations

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

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Sequence ADBC

Sequence BACD

Sequence CBDA

Sequence DCAB

Arm Description

Subjects will be administered formulation A, formulation D, formulation B and formulation C across four study days each separated by a washout period of at least seven days. Subjects will fast overnight prior to dosing. Blood samples will be collected at intervals over a period of 24 hours post-dose.

Subjects will be administered formulation B, formulation A, formulation C and formulation D across four study days each separated by a washout period of at least seven days. Subjects will fast overnight prior to dosing. Blood samples will be collected at intervals over a period of 24 hours post-dose.

Subjects will be administered formulation C, formulation B, formulation D and formulation A across four study days each separated by a washout period of at least seven days. Subjects will fast overnight prior to dosing. Blood samples will be collected at intervals over a period of 24 hours post-dose.

Subjects will be administered formulation D, formulation C, formulation A and formulation B across four study days each separated by a washout period of at least seven days. Subjects will fast overnight prior to dosing. Blood samples will be collected at intervals over a period of 24 hours post-dose.

Outcomes

Primary Outcome Measures

The AUC(0-24) for firategrast following administration of tablets made from three different batches of drug with different surface areas.

Secondary Outcome Measures

Cmax and Tmax. The AUC(0-24) Cmax and Tmax of of SB683699 metabolite GW786375X.
AEs, vital signs and clinical laboratory data during the course of the study.
SB-683699 and GW786375X plasma concentration to derive pharmacokinetic parameters.

Full Information

First Posted
October 23, 2007
Last Updated
July 31, 2017
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT00548769
Brief Title
Firategrast (SB683699) Surface Area Study in Multiple Sclerosis Patients
Official Title
An Open-label, Randomised, Four Period Crossover Study to Investigate the Relative Pharmacokinetic Profiles of Tablets From Three Batches of Firategrast With Different Surface Areas and Two Different Tablet Formulations Containing the Same Batch of Firategrast, Given as Single 900mg Doses to Male and Female Subjects With a Diagnosis of Multiple Sclerosis
Study Type
Interventional

2. Study Status

Record Verification Date
July 2017
Overall Recruitment Status
Completed
Study Start Date
April 21, 2007 (Actual)
Primary Completion Date
November 26, 2007 (Actual)
Study Completion Date
November 26, 2007 (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
Sufficient subjects with a confirmed diagnosis of MS (EDSS score of 6.5 or below), will be recruited to ensure that 30 subjects (approx. equal numbers of each gender) complete the study. Subjects will undergo a screening visit, then four study days, each separated by a washout period of at least 7 days, when the different firategrast batches of drug substance will be administered, and a follow-up visit.
Detailed Description
An open-label, randomised, four period crossover study to investigate the relative pharmacokinetic profiles of tablets from three batches of firategrast with different surface areas and two different tablet formulations containing the same batch of firategrast, given as single 900mg doses to male and female subjects with a diagnosis of Multiple Sclerosis

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Sclerosis
Keywords
PK,, SB-683699,, multiple sclerosis, firategrast,, surface area,

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
37 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Sequence ADBC
Arm Type
Experimental
Arm Description
Subjects will be administered formulation A, formulation D, formulation B and formulation C across four study days each separated by a washout period of at least seven days. Subjects will fast overnight prior to dosing. Blood samples will be collected at intervals over a period of 24 hours post-dose.
Arm Title
Sequence BACD
Arm Type
Experimental
Arm Description
Subjects will be administered formulation B, formulation A, formulation C and formulation D across four study days each separated by a washout period of at least seven days. Subjects will fast overnight prior to dosing. Blood samples will be collected at intervals over a period of 24 hours post-dose.
Arm Title
Sequence CBDA
Arm Type
Experimental
Arm Description
Subjects will be administered formulation C, formulation B, formulation D and formulation A across four study days each separated by a washout period of at least seven days. Subjects will fast overnight prior to dosing. Blood samples will be collected at intervals over a period of 24 hours post-dose.
Arm Title
Sequence DCAB
Arm Type
Experimental
Arm Description
Subjects will be administered formulation D, formulation C, formulation A and formulation B across four study days each separated by a washout period of at least seven days. Subjects will fast overnight prior to dosing. Blood samples will be collected at intervals over a period of 24 hours post-dose.
Intervention Type
Drug
Intervention Name(s)
Formulation A
Other Intervention Name(s)
firategrast (SB683699)
Intervention Description
Formulation A will contain firategrast drug substance from native drug batch Irvine. Subjects will be administered three tablets of 300 milligrams with drug substance surface area of 2.1 square meter per gram. The tablets will be administered with 240 milliliters of water.
Intervention Type
Drug
Intervention Name(s)
Formulation B
Intervention Description
Formulation B will contain firategrast drug substance from native drug batch Tonbridge. Subjects will be administered three tablets of 300 milligrams with drug substance surface area of 2.6 square meter per gram. The tablets will be administered with 240 milliliters of water.
Intervention Type
Drug
Intervention Name(s)
Formulation C
Intervention Description
Formulation C will contain firategrast drug substance from Tonbridge single pass micronized drug. Subjects will be administered three tablets of 300 milligrams with drug substance surface area of 3-4 square meter per gram. The tablets will be administered with 240 milliliters of water.
Intervention Type
Drug
Intervention Name(s)
Formulation D
Intervention Description
Formulation D will contain firategrast drug substance from Tonbridge with reduced tablet size. Subjects will be administered three tablets of 300 milligrams with drug substance surface area of 2.6 square meter per gram. The tablets will be administered with 240 milliliters of water.
Primary Outcome Measure Information:
Title
The AUC(0-24) for firategrast following administration of tablets made from three different batches of drug with different surface areas.
Time Frame
Pre-dose. 0.5 hours, 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours, 16 hours, 24 hours post dose
Secondary Outcome Measure Information:
Title
Cmax and Tmax. The AUC(0-24) Cmax and Tmax of of SB683699 metabolite GW786375X.
Time Frame
Pre-dose. 0.5 hours, 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours, 16 hours, 24 hours post dose
Title
AEs, vital signs and clinical laboratory data during the course of the study.
Time Frame
Throughout the course of the study
Title
SB-683699 and GW786375X plasma concentration to derive pharmacokinetic parameters.
Time Frame
Pre-dose. 0.5 hours, 1 hour, 2 hours, 3 hours, 4 hours, 6 hours, 8 hours, 12 hours, 16 hours, 24 hours post dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects aged 18-65 years inclusive with a diagnosis of MS EDSS between 0-6.5 inclusive at the Screening visit QTc <450msec A female subject is eligible to enter the study if she is of non-childbearing potential, or of childbearing potential, has a negative urine pregnancy test at Screening, and agrees to consistent and correct use of adequate contraception Provide a signed and dated written informed consent prior to study participation The subject is able to understand and comply with protocol requirements, instructions and protocol-stated restrictions A negative urine drugs of abuse test. No evidence of pulmonary tuberculosis as verified by a negative chest X-ray within the past 6 months Exclusion Criteria: Subjects receiving corticosteroids within 4 weeks of Screening for treatment of MS. If non-systemic steroids are being used for other chronic inflammatory conditions, subjects may be included at the discretion of the investigator after discussion with the GSK medical monitor. Use of an β-interferon product, glatiramer acetate or azathioprine within 3 months of Screening, or use of Mitoxantrone within 12 months of Screening. Subjects who have received other therapies affecting the immune system (such as IVIg, cyclophosphamide, plasmapheresis, or any other immunosuppressive or immunomodulatory treatment) in the past may be included on a case by case basis after discussion with the GSK medical monitor. None of these treatments will be allowed during this study Previous exposure to alemtuzumab, natalizumab or bone marrow transplantation or whole body irradiation. Subjects with a cardiac pacemaker or any other type of metal implant or with any other contraindication for MRI (including known allergy to gadolinium). Use of 4-aminopyridine, rosiglitazone, pioglitazone and any other compounds metabolised primarily through cytochrome P450 2C8 are prohibited at Screening and throughout the study Subjects with clinically significant renal laboratory values: subjects with a calculated creatinine clearance <60ml/min Subjects with local urinalysis findings outside of ranges defined in the protocol during the screening period. Presence of clinically significant hepatic laboratory values CD4 count <500 cells/µl, CD4:CD8 <1.0, idiopathic CD4/CD8 lymphopenia or secondary lymphopenia at Screening. JCV DNA detected in plasma or buffy coat using PCR Any findings on the MRI of the brain other than MS, except for benign findings that require no further evaluation or treatment and do not have an impact on the patient's neurological health Current or history of cancer, excluding localized non-melanoma skin cancer. Uncontrolled or any active bacterial, viral, or fungal infection. Any previous serious infections should be discussed with the GSK medical monitor (e.g. opportunistic or atypical infections). History of tuberculosis or positive chest X-ray for TB Known congenital or acquired immunodeficiency. Any abnormality on 12-lead ECG at Screening which is clinically significant in the opinion of the investigator. Subjects with positive hepatitis B, hepatitis C or HIV tests at Screening. Women who are lactating, pregnant (positive pregnancy test at Screening), or planning to become pregnant during the course of the study. Recent history or suspicion of current drug abuse (including analgesic abuse) or alcohol abuse within the last 6 months prior to Screening. Use of an investigational drug for condition other than MS within 30 days or 5 half-lives (whichever is longer) preceding Screening. Prior use of an investigational drug for MS should be discussed with the GSK medical monitor. Any concurrent illness, disability or clinically significant abnormality (including laboratory tests) that may affect the interpretation of clinical efficacy or safety data or prevent the subject from safely completing the assessments required by the protocol.
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
Praha 5
ZIP/Postal Code
150 18
Country
Czechia
Facility Name
GSK Investigational Site
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
GSK Investigational Site
City
Grodzisk Mazowiecki
ZIP/Postal Code
05-825
Country
Poland
Facility Name
GSK Investigational Site
City
Poznan
ZIP/Postal Code
60-479
Country
Poland

12. IPD Sharing Statement

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Firategrast (SB683699) Surface Area Study in Multiple Sclerosis Patients

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