Study In Healthy Subjects To Evaluate The Photo-Irritant Potential Of Eltrombopag
Primary Purpose
Purpura, Thrombocytopaenic, Idiopathic
Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
Ciprofloxacin
Eltrombopag
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Purpura, Thrombocytopaenic, Idiopathic focused on measuring Safety, Photoirritant, Photosensitivity, Placebo control, Ciprofloxacin, Eltrombopag
Eligibility Criteria
Inclusion Criteria:
- Healthy Caucasian male or females with no clinically significant abnormality identified by the physician by evaluation of medical history, physical examination, clinical laboratory tests or 12-lead ECG.
- Subjects were adult males or females between 18 and 65 years of age, inclusive.
- All female subjects of child bearing potential agreed to commit to one of the protocol approved methods of contraception, and that they were used consistently and in accordance with both the product label and the instructions of a physician. Female participants are not permitted to use Hormonal form of contraception (combined oral contraceptive pills etc) because of its known potential to induce photosensitivity.
- All male subjects agreed to abstain completely from (or use a condom during) sexual intercourse with a pregnant or lactating female.
- All male subjects with partner(s) who is /are able to have children agreed to use condom with spermicide from screening until 90 days after the last dose of study medication. In addition, their partner (s) had to also use one of the following forms of contraception until 90 days after last date of study medication:
- Hormonal contraception i.e. the pill or hormones given by injection or given under the skin.
- Diaphragm with spermicide
- Cervical cap or female condoms.
- An intrauterine device (a coil micro-insert).
- Intrauterine system (IUS) e-g Mirena coil
- Tubal ligation
- Body weight greater than or equal to 50 kg and body mass index within the range 19-29.9 kg/m2.
- A signed and dated written informed consent was obtained for the subject.
- Skin Type 1, 2, or 3 according to the dermatological scale presented in the study protocol (see Modular Appendices).
- Negative test for porphyrins, ANF, anti-Ro and anti-La (tests for lupus erythematosus) at screening.
- Liver function tests (LFTs; AST, ALT, ALP, bilirubin, gamma-GT) within the reference range, or deviations that were not considered clinically significant at screening by the investigator.
- Subjects who had a normal value of MED in comparison with the normal population databank at the photobiology unit, Dundee.
- The subject was able to understand and comply with protocol requirements and time tables, instructions and protocol-stated restrictions Exclusion Criteria
- Any abnormality identified on the screening medical assessment that in the opinion of the investigator and GlaxoSmithKline medical monitor could have been associated with an increased rish to the subject or could have interfered with study procedures.
- Subjects who had any sun or sunbed exposure to the skin of the back during the four weeks prior to the screening period.
- Subjects with history of polymorphic light eruption.
- Subjects who had a history of sensitivity to ciprofloxacin, any of the study medications or components thereof.
- Subjects with history of malignant melanoma in a first degree family member.
- Subjects with history of Gilbert Syndrome.
- Subjects with history of deep vein thrombosis or any other thromboembolic event.
- Subjects with history of sensitivity to heparin, or heparin-induced thrombocytopenia.
- Subjects with history of platelet clumping that prevents reliable measurement of platelet counts.
- Subjects with history of thrombocytopenia or bleeding due to abnormal platelet number or function.
- Subjects with C-reactive protein (CRP) that is elevated above normal range and considered clinically significant at screening.
- Subjects with history of myocardial infarction, stroke or sudden unexplained death in a first degree family member under the age of 60 years.
- Subjects with clotting factor abnormalities associated with hypercoagulability, specifically Factor V Leiden, Protein C, or Protein S deficiency, or antithrombin III deficiency.
- Subjects with haemoglobin, white blood cells, platelet count or reticulocyte count that are outside the reference range and considered clinically significant at screening by the investigator.
- Subjects with positive test for HIV, hepatitis B virus or hepatitis C virus.
- Subjects with positive urine drug screen including alcohol.
- Subjects with history of alcohol/drug abuse or dependence within 12 months of screening.
- History of regular alcohol consumption exceeding average weekly intake of greater than 21 units or an average daily intake of greater than three units (males) or an average weekly intake of greater than 14 units or an average daily intake of greater than two units (females). One unit is equivalent to a half-pint (220 mL) of beer/lager or one (25 mL) measure of spirits or one glass (125 mL) of wine.
- Subjects who could not refrain from smoking during the study period from Day-1 through the completion of follow-up assessments.
- Subjects who had received treatment with an investigational drug within 30 days or five half-lives (whichever is longer) preceding the first dose of study medication.
- Subjects who had been exposed to more than four new chemical entities within 12 months prior to the first dosing day.
- Subjects who had taken any prescription or non-prescription drugs (including aspirin and NSAIDs), vitamins, herbal and dietary supplements, or any herbal remedies containing St. John's Wort within seven days (or 14 days if the drug is a potential enzyme inducer) or five half-lives (whichever is longer) prior to the first dose of study medication and through the completion of follow-up assessments. By exception, acetaminophen (or, paracetamol) at doses of less than or equal to 2 g/day and stable thyroid replacement therapy was allowed.
- Consumption of antacids (e.g., Maalox, Mylanta, Amphogel, Milk of Magnesia or TUMS™) within 48 h of the first dose of study medication and until the completion of follow-up assessments.
Subjects who had an clinically significant skin/allergic disease, including photo-allergy (excluding non
- active hay fever).
- Subjects with multiple tattoos which may have obscured skin reactions or which restricted the skin surface area available for testing.
- Subjects had to abstain from consumption of grapefruit, pomelo or Seville oranges from screening until the completion of follow-up assessments
Sites / Locations
- GSK Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Active Comparator
Placebo Comparator
Arm Label
Arm 1
Arm 2
Arm 3
Arm Description
Eltrombopag 75 mg QD x 6 days
Ciprofloxicin 500mg BID x 6 days
Placebo QD x 6 days
Outcomes
Primary Outcome Measures
Evaluate the photosensitizing potential, as measured by photoirritant index and change from baseline in minimum erythemal dose, of eltrombopag when dosed orally at 75 mg QD as compared to placebo and ciprofloxacin 500 mg BID.
Secondary Outcome Measures
Severity of phototoxic response Concentration of porphyrins, ANF, anti-Ro, and anti-La as measured on Day 6.
Vital signs (blood pressure, heart rate, respiration rate and body temperature) taken after resting semi-supine position for at least 10 minutes;
Clinical laboratory tests
Assessment of AEs.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00688272
Brief Title
Study In Healthy Subjects To Evaluate The Photo-Irritant Potential Of Eltrombopag
Official Title
A Phase I, Double-blind, Placebo and Observer-blind Positive Controlled, Randomized, Parallel Group Study in Healthy Subjects to Investigate the Photoirritant Potential of Eltrombopag
Study Type
Interventional
2. Study Status
Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
June 2, 2008 (Actual)
Primary Completion Date
September 25, 2008 (Actual)
Study Completion Date
September 25, 2008 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline
4. Oversight
5. Study Description
Brief Summary
This study is designed to investigate the safety profile and the photoirritant potential of eltrombopag in healthy subjects. The study is placebo- and positive controlled, randomized, parallel group with three treatment arms: eltrombopag (75 mg QD), placebo, and a positive control (ciprofloxacin, 500 mg BID). Eltrombopag will be administered in a double-blind fashion with respect to placebo and the positive control, ciprofloxacin, will be administered under observer-blinded conditions. Twelve to fifteen subjects will be recruited into each arm, to assure total enrollment of 36 evaluable subjects. The primary endpoint is the photosensitizing potential of eltrombopag as measured by photoirritant index (PI) and change in minimum erythemal dose (MED) in comparison with placebo.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Purpura, Thrombocytopaenic, Idiopathic
Keywords
Safety, Photoirritant, Photosensitivity, Placebo control, Ciprofloxacin, Eltrombopag
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
36 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Arm 1
Arm Type
Experimental
Arm Description
Eltrombopag 75 mg QD x 6 days
Arm Title
Arm 2
Arm Type
Active Comparator
Arm Description
Ciprofloxicin 500mg BID x 6 days
Arm Title
Arm 3
Arm Type
Placebo Comparator
Arm Description
Placebo QD x 6 days
Intervention Type
Drug
Intervention Name(s)
Ciprofloxacin
Intervention Description
Given 500mg BID x 6 days
Intervention Type
Drug
Intervention Name(s)
Eltrombopag
Other Intervention Name(s)
Ciprofloxacin
Intervention Description
Given QD x 6 days
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Given QD x 6 days
Primary Outcome Measure Information:
Title
Evaluate the photosensitizing potential, as measured by photoirritant index and change from baseline in minimum erythemal dose, of eltrombopag when dosed orally at 75 mg QD as compared to placebo and ciprofloxacin 500 mg BID.
Time Frame
Screening - Day 8
Secondary Outcome Measure Information:
Title
Severity of phototoxic response Concentration of porphyrins, ANF, anti-Ro, and anti-La as measured on Day 6.
Time Frame
Day 6
Title
Vital signs (blood pressure, heart rate, respiration rate and body temperature) taken after resting semi-supine position for at least 10 minutes;
Time Frame
Screening, Days 1,2,3,4,5,6,7, and f/u
Title
Clinical laboratory tests
Time Frame
Screening, Day 1, 7 and f/u
Title
Assessment of AEs.
Time Frame
Continuous trhoughout the study.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Healthy Caucasian male or females with no clinically significant abnormality identified by the physician by evaluation of medical history, physical examination, clinical laboratory tests or 12-lead ECG.
Subjects were adult males or females between 18 and 65 years of age, inclusive.
All female subjects of child bearing potential agreed to commit to one of the protocol approved methods of contraception, and that they were used consistently and in accordance with both the product label and the instructions of a physician. Female participants are not permitted to use Hormonal form of contraception (combined oral contraceptive pills etc) because of its known potential to induce photosensitivity.
All male subjects agreed to abstain completely from (or use a condom during) sexual intercourse with a pregnant or lactating female.
All male subjects with partner(s) who is /are able to have children agreed to use condom with spermicide from screening until 90 days after the last dose of study medication. In addition, their partner (s) had to also use one of the following forms of contraception until 90 days after last date of study medication:
Hormonal contraception i.e. the pill or hormones given by injection or given under the skin.
Diaphragm with spermicide
Cervical cap or female condoms.
An intrauterine device (a coil micro-insert).
Intrauterine system (IUS) e-g Mirena coil
Tubal ligation
Body weight greater than or equal to 50 kg and body mass index within the range 19-29.9 kg/m2.
A signed and dated written informed consent was obtained for the subject.
Skin Type 1, 2, or 3 according to the dermatological scale presented in the study protocol (see Modular Appendices).
Negative test for porphyrins, ANF, anti-Ro and anti-La (tests for lupus erythematosus) at screening.
Liver function tests (LFTs; AST, ALT, ALP, bilirubin, gamma-GT) within the reference range, or deviations that were not considered clinically significant at screening by the investigator.
Subjects who had a normal value of MED in comparison with the normal population databank at the photobiology unit, Dundee.
The subject was able to understand and comply with protocol requirements and time tables, instructions and protocol-stated restrictions Exclusion Criteria
Any abnormality identified on the screening medical assessment that in the opinion of the investigator and GlaxoSmithKline medical monitor could have been associated with an increased rish to the subject or could have interfered with study procedures.
Subjects who had any sun or sunbed exposure to the skin of the back during the four weeks prior to the screening period.
Subjects with history of polymorphic light eruption.
Subjects who had a history of sensitivity to ciprofloxacin, any of the study medications or components thereof.
Subjects with history of malignant melanoma in a first degree family member.
Subjects with history of Gilbert Syndrome.
Subjects with history of deep vein thrombosis or any other thromboembolic event.
Subjects with history of sensitivity to heparin, or heparin-induced thrombocytopenia.
Subjects with history of platelet clumping that prevents reliable measurement of platelet counts.
Subjects with history of thrombocytopenia or bleeding due to abnormal platelet number or function.
Subjects with C-reactive protein (CRP) that is elevated above normal range and considered clinically significant at screening.
Subjects with history of myocardial infarction, stroke or sudden unexplained death in a first degree family member under the age of 60 years.
Subjects with clotting factor abnormalities associated with hypercoagulability, specifically Factor V Leiden, Protein C, or Protein S deficiency, or antithrombin III deficiency.
Subjects with haemoglobin, white blood cells, platelet count or reticulocyte count that are outside the reference range and considered clinically significant at screening by the investigator.
Subjects with positive test for HIV, hepatitis B virus or hepatitis C virus.
Subjects with positive urine drug screen including alcohol.
Subjects with history of alcohol/drug abuse or dependence within 12 months of screening.
History of regular alcohol consumption exceeding average weekly intake of greater than 21 units or an average daily intake of greater than three units (males) or an average weekly intake of greater than 14 units or an average daily intake of greater than two units (females). One unit is equivalent to a half-pint (220 mL) of beer/lager or one (25 mL) measure of spirits or one glass (125 mL) of wine.
Subjects who could not refrain from smoking during the study period from Day-1 through the completion of follow-up assessments.
Subjects who had received treatment with an investigational drug within 30 days or five half-lives (whichever is longer) preceding the first dose of study medication.
Subjects who had been exposed to more than four new chemical entities within 12 months prior to the first dosing day.
Subjects who had taken any prescription or non-prescription drugs (including aspirin and NSAIDs), vitamins, herbal and dietary supplements, or any herbal remedies containing St. John's Wort within seven days (or 14 days if the drug is a potential enzyme inducer) or five half-lives (whichever is longer) prior to the first dose of study medication and through the completion of follow-up assessments. By exception, acetaminophen (or, paracetamol) at doses of less than or equal to 2 g/day and stable thyroid replacement therapy was allowed.
Consumption of antacids (e.g., Maalox, Mylanta, Amphogel, Milk of Magnesia or TUMS™) within 48 h of the first dose of study medication and until the completion of follow-up assessments.
Subjects who had an clinically significant skin/allergic disease, including photo-allergy (excluding non
active hay fever).
Subjects with multiple tattoos which may have obscured skin reactions or which restricted the skin surface area available for testing.
Subjects had to abstain from consumption of grapefruit, pomelo or Seville oranges from screening until the completion of follow-up assessments
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
Dundee
ZIP/Postal Code
DD1 9SY
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
20831698
Citation
Bowen CJ, Lobb KM, Park JW, Sanderson B, Ferguson J. Eltrombopag (75 mg) does not induce photosensitivity: results of a clinical pharmacology trial. Photodermatol Photoimmunol Photomed. 2010 Oct;26(5):243-9. doi: 10.1111/j.1600-0781.2010.00538.x.
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Study In Healthy Subjects To Evaluate The Photo-Irritant Potential Of Eltrombopag
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