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An Open Label, Randomised, Repeat Dose Study to Assess the Pharmacokinetic Performance of Five Ezogabine/Retigabine Modified Release (MR) Formulations at Steady State Compared to the Immediate Release (IR) Formulation.

Primary Purpose

Epilepsy

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Investigational Medicinal Product (MR1)
Investigational Medicinal Product (MR2)
Investigational Medicinal Product (MR3)
Investigational Medicinal Product (MR4)
Investigational Medicinal Product (MR5)
Investigational Medicinal Product (IR)
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Epilepsy focused on measuring Healthy Volunteers

Eligibility Criteria

18 Years - 60 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy as determined by a responsible and experienced physician
  2. Male or female between 18 and 60 years of age inclusive, at the time of signing the informed consent.
  3. A female subject is eligible to participate if she is of:

    • Non-childbearing potential defined
    • Child-bearing potential and agrees to use one of the contraception methods listed
  4. Male subjects must agree to use one of the contraception methods listed
  5. Body weight > 50 kg and body mass index (BMI) within the range of 18 - 30kg/m2 (inclusive).
  6. Normal or High Normal blood pressure
  7. 24hr holter with no clinically significant findings.
  8. QTcB or QTcF < 450 msec at screening and pre-dose.
  9. Creatinine Clearance within the normal range at screening and pre-dose.
  10. Liver function test within normal limits at screening and pre-dose.
  11. Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.

Exclusion Criteria:

A subject will not be eligible for inclusion in this study if any of the following criteria apply:

  1. Subjects who are vegetarian or vegan, or for any other reason be unwilling to consume a high fat meal.
  2. The subject has either a previous disease or current medical condition
  3. Has made a suicide attempt in the past or, in the investigator's judgment, poses significant suicide risk.
  4. Presence of clinically significant proteinuria or hematuria or other clinically significant findings in urinalysis.
  5. Subjects with symptoms of urinary dysfunction.
  6. Subjects whose ECG shows PR interval is >220 msec, or presence of intraventricular conduction disturbances (complete or incomplete BBB), at screening or prior to dosing.
  7. Presence of clinically significant arrhythmias.
  8. A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening.
  9. Current or chronic liver disease or biliary abnormalities. Medical history positive for biliary signs and symptoms (cholecystectomy is acceptable).
  10. History of regular alcohol consumption within 6 months of the study.
  11. A positive drug/alcohol screen at screening and / or pre-dose.
  12. A positive test for HIV antibody.
  13. The subjects smokes more than 10 cigarettes per week.
  14. The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the first dosing day in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer).
  15. Exposure to more than four new chemical entities within 12 months prior to the first dosing day.
  16. Use of prescription or non-prescription drugs.
  17. History of sensitivity to any of the study medications, or components thereof or a history of drug or other allergy.
  18. Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period.
  19. Pregnant females as determined by positive serum hCG test at screening or prior to dosing.
  20. Lactating females.
  21. Unwillingness or inability to follow the procedures outlined in the protocol.
  22. Subject is mentally or legally incapacitated.

Sites / Locations

  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

ABFCED sequence

BCADFE sequence

CDBEAF sequence

DECFBA sequence

EFDACB sequence

FAEBDC sequence

Arm Description

Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 milligram (mg) twice daily (BID) dosing of ezogabine modified release (MR) tablet in periods A, B, C, D and E and will receive 200 mg three times daily (TID) dosing of ezogabine immediate release (IR) tablet in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase.

Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase.

Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase.

Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase.

Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase.

Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase.

Outcomes

Primary Outcome Measures

Area under the curve from zero to 24 hours at steady-state of ezogabine

Secondary Outcome Measures

Area under the curve of ezogabine from zero to 24 hours at steady-state
Cmax of ezogabine at steady state
Tmax of ezogabine at steady-state
Cmin of ezogabine at steady state
Cmax:Cmin Ratio of ezogabine
Fluctuation Index (FI) of ezogabine

Full Information

First Posted
April 7, 2011
Last Updated
June 18, 2018
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT01332513
Brief Title
An Open Label, Randomised, Repeat Dose Study to Assess the Pharmacokinetic Performance of Five Ezogabine/Retigabine Modified Release (MR) Formulations at Steady State Compared to the Immediate Release (IR) Formulation.
Official Title
An Open Label, Randomised, Repeat Dose Study to Assess the Pharmacokinetic Performance of Five Ezogabine/Retigabine Modified Release (MR) Formulations at Steady State Compared to the Immediate Release (IR) Formulation.
Study Type
Interventional

2. Study Status

Record Verification Date
June 2018
Overall Recruitment Status
Completed
Study Start Date
February 10, 2011 (Actual)
Primary Completion Date
May 23, 2011 (Actual)
Study Completion Date
May 23, 2011 (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
This is an open-label, single centre, repeat dose, up- titration study in healthy male and female subjects to assess the pharmacokinetic (PK) performance of five prototypes of ezogabine modified release tablet formulations. The study will consist of a screening period, a treatment phase (consisting of a titration phase, bioavailability phase and food effect phase) and a post-treatment follow-up visit. The study duration from screening to follow up will be approximately 7 weeks. No study procedures will start before informed consent is obtained. Subjects will remain in the clinical unit for the duration of the treatment period (35 days). Subjects will receive repeat doses of ezogabine for up to 34 days starting at a dose of 100 mg IR TID (300mg TDD) with a standard meal (to be consumed 30 min prior to dosing) for Days 1-3, on days 4-6 subjects will receive 150mg IR TID (450mg TDD). On Day 7 through to the end of the study subjects will receive ezogabine (Mr or IR) at a dose of 600mgTDD. On Day 7 subjects will enter into a 6-way cross over period to investigate the 5 MR formulations being tested (each at 300mg BID) and the single IR formulation (at 200mg TID). Subjects will receive each formulaition for 4 days and blood samples for pharmacokinetic analysis will be collected up to 24 hours post dose on each 4th day (PK days). On Day 31 subjects will enter into a food effect phase to investigate the 5 MR formulations being tested (each at 600mg QD). Subjects in this period will have a PK day on Day 33 (following a standard breakfast), and on Day 34 (following a high fat breakfast) to investigate a food effect on the PK profile of ezogabine.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Epilepsy
Keywords
Healthy Volunteers

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
ABFCED sequence
Arm Type
Experimental
Arm Description
Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 milligram (mg) twice daily (BID) dosing of ezogabine modified release (MR) tablet in periods A, B, C, D and E and will receive 200 mg three times daily (TID) dosing of ezogabine immediate release (IR) tablet in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase.
Arm Title
BCADFE sequence
Arm Type
Experimental
Arm Description
Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase.
Arm Title
CDBEAF sequence
Arm Type
Experimental
Arm Description
Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase.
Arm Title
DECFBA sequence
Arm Type
Experimental
Arm Description
Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase.
Arm Title
EFDACB sequence
Arm Type
Experimental
Arm Description
Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase.
Arm Title
FAEBDC sequence
Arm Type
Experimental
Arm Description
Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase.
Intervention Type
Drug
Intervention Name(s)
Investigational Medicinal Product (MR1)
Intervention Description
Ezogabine MR1 at a dose strength of 300 mg will be orally administered with approximately 250 milliliter (mL) of water to group A subjects during the bioavailability phase. For the food effect phase subjects in group G will be orally administered MR1 tablets at a dose strength of 600 mg.
Intervention Type
Drug
Intervention Name(s)
Investigational Medicinal Product (MR2)
Intervention Description
Ezogabine MR2 at a dose strength of 300 mg will be orally administered to group B subjects with approximately 250 mL of water during the bioavailability phase. For the food effect phase subjects in group H will be orally administered MR2 tablets at a dose strength of 600 mg.
Intervention Type
Drug
Intervention Name(s)
Investigational Medicinal Product (MR3)
Intervention Description
Ezogabine MR3 will be orally administered with approximately 250 mL of water to group C subjects during the bioavailability phase. For the food effect phase subjects in group I will be orally administered MR3 tablets at a dose strength of 600 mg.
Intervention Type
Drug
Intervention Name(s)
Investigational Medicinal Product (MR4)
Intervention Description
Ezogabine MR4 will be orally administered with approximately 250 mL of water to group D subjects during the bioavailability phase. For the food effect phase subjects in group J will be orally administered MR4 tablets at a dose strength of 600 mg.
Intervention Type
Drug
Intervention Name(s)
Investigational Medicinal Product (MR5)
Intervention Description
Ezogabine MR5 will be orally administered with approximately 250 mL of water to group E subjects during the bioavailability phase. For the food effect phase subjects in group K will be orally administered MR5 tablets at a dose strength of 600 mg.
Intervention Type
Drug
Intervention Name(s)
Investigational Medicinal Product (IR)
Intervention Description
Ezogabine IR at dose strengths of 50 mg and 200 mg will be orally administered with approximately 250 mL of water.
Primary Outcome Measure Information:
Title
Area under the curve from zero to 24 hours at steady-state of ezogabine
Time Frame
Days 10, 14, 18, 22, 26 and 30
Secondary Outcome Measure Information:
Title
Area under the curve of ezogabine from zero to 24 hours at steady-state
Time Frame
Days 33 and 34
Title
Cmax of ezogabine at steady state
Time Frame
Days 10, 14, 18, 22, 26, 30, 33 and 34
Title
Tmax of ezogabine at steady-state
Time Frame
Days 10, 14, 18, 22, 26, 30, 33 and 34
Title
Cmin of ezogabine at steady state
Time Frame
Days 10, 14, 18, 22, 26, 30, 33 and 34
Title
Cmax:Cmin Ratio of ezogabine
Time Frame
Days 10, 14, 18, 22, 26, 30, 33 and 34
Title
Fluctuation Index (FI) of ezogabine
Time Frame
Days 10, 14, 18, 22, 26, 30, 33 and 34

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy as determined by a responsible and experienced physician Male or female between 18 and 60 years of age inclusive, at the time of signing the informed consent. A female subject is eligible to participate if she is of: Non-childbearing potential defined Child-bearing potential and agrees to use one of the contraception methods listed Male subjects must agree to use one of the contraception methods listed Body weight > 50 kg and body mass index (BMI) within the range of 18 - 30kg/m2 (inclusive). Normal or High Normal blood pressure 24hr holter with no clinically significant findings. QTcB or QTcF < 450 msec at screening and pre-dose. Creatinine Clearance within the normal range at screening and pre-dose. Liver function test within normal limits at screening and pre-dose. Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form. Exclusion Criteria: A subject will not be eligible for inclusion in this study if any of the following criteria apply: Subjects who are vegetarian or vegan, or for any other reason be unwilling to consume a high fat meal. The subject has either a previous disease or current medical condition Has made a suicide attempt in the past or, in the investigator's judgment, poses significant suicide risk. Presence of clinically significant proteinuria or hematuria or other clinically significant findings in urinalysis. Subjects with symptoms of urinary dysfunction. Subjects whose ECG shows PR interval is >220 msec, or presence of intraventricular conduction disturbances (complete or incomplete BBB), at screening or prior to dosing. Presence of clinically significant arrhythmias. A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening. Current or chronic liver disease or biliary abnormalities. Medical history positive for biliary signs and symptoms (cholecystectomy is acceptable). History of regular alcohol consumption within 6 months of the study. A positive drug/alcohol screen at screening and / or pre-dose. A positive test for HIV antibody. The subjects smokes more than 10 cigarettes per week. The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the first dosing day in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer). Exposure to more than four new chemical entities within 12 months prior to the first dosing day. Use of prescription or non-prescription drugs. History of sensitivity to any of the study medications, or components thereof or a history of drug or other allergy. Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period. Pregnant females as determined by positive serum hCG test at screening or prior to dosing. Lactating females. Unwillingness or inability to follow the procedures outlined in the protocol. Subject is mentally or legally incapacitated.
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
Baltimore
State/Province
Maryland
ZIP/Postal Code
21225
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Links:
URL
https://www.clinicalstudydatarequest.com
Description
Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.
Available IPD and Supporting Information:
Available IPD/Information Type
Individual Participant Data Set
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114552
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Informed Consent Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114552
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Clinical Study Report
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114552
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Study Protocol
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114552
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Dataset Specification
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114552
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Annotated Case Report Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114552
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Statistical Analysis Plan
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114552
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register

Learn more about this trial

An Open Label, Randomised, Repeat Dose Study to Assess the Pharmacokinetic Performance of Five Ezogabine/Retigabine Modified Release (MR) Formulations at Steady State Compared to the Immediate Release (IR) Formulation.

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