A Study to Evaluate the Effect of Intravenous Zanamivir on Cardiac Conduction in Healthy Volunteers
Primary Purpose
Influenza, Human
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
600 mg zanamivir + moxifloxacin placebo
1200 mg zanamivir + moxifloxacin placebo
zanamivir placebo + moxifloxacin placebo
zanamivir placebo + 400 mg moxifloxacin
Sponsored by
About this trial
This is an interventional other trial for Influenza, Human focused on measuring 12-lead ECG, cardiac repolarization, QTc, influenza, GR121167, zanamivir
Eligibility Criteria
Inclusion Criteria:
- Healthy as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring.
- Male or female between 18 and 55 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 as pre-menopausal females with a documented tubal ligation or hysterectomy; or postmenopausal defined as 12 months of spontaneous amenorrhea or of child-bearing potential and agrees to use one of the contraception methods listed in the protocol.
- Body weight greater than or equal to 50 kg for men and greater than or equal to 45 kg for women and BMI within the range 18.5-31.0 kg/m2 (inclusive).
- AST, ALT, alkaline phosphatase and bilirubin less than or equal to 1.5xULN (isolated bilirubin >1.5x upper limit of normal (ULN) is acceptable if bilirubin is fractionated and direct bilirubin <35%).
- Capable of giving written informed consent, which includes agreement to comply with the requirements and restrictions listed in the consent form
Exclusion Criteria:
- The subject has a positive pre-study drug/alcohol screen. A minimum list of drugs that will be screened for include amphetamines, barbiturates, cocaine, opiates, cannabinoids and benzodiazepines.
- 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).
- History of sensitivity to any of the study medications, or components thereof, or a history of drug or other allergy that, in the opinion of the investigator or GSK Medical Monitor, contraindicates their participation.
- Use of prescription or non-prescription drugs, including vitamins, herbal and dietary supplements (including St John's Wort) within 7 days (or 14 days if the drug is a potential enzyme inducer) 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.
- A history of sensitivity to heparin or heparin-induced thrombocytopenia should not be enrolled.
- History of regular alcohol consumption within 6 months of the study defined as an average weekly intake of >14 drinks/week for men or >7 drinks/week for women.
- Has a history or regular use of tobacco- or nicotine-containing products within 3 months prior to screening.
- Pregnant females as determined by positive serum or urine human chorionic gonadotrophin (hCG) test at screening or prior to dosing.
- Lactating females.
- Unwillingness or inability to follow the procedures outlined in the protocol.
- Subjects with a pre-existing condition interfering with normal gastrointestinal anatomy or motility, hepatic and/or renal function, that could interfere with the absorption, metabolism, and/or excretion of the study drugs. Subjects with a history of cholecystectomy, inflammatory bowel disease or pancreatitis should be excluded. Subjects with active peptic ulcer disease or a history of upper gastrointestinal bleeding
- A creatinine clearance less than 80mL/min as determined by Cockcroft-Gault equation.
- History/evidence of clinically significant pulmonary disease, renal or hepatobiliary diseases. Subjects with a history of nephrolithiasis will be excluded.
- A positive pre-study Human immunodeficiency virus (HIV) antibody test, a positive Hepatitis B surface antigen or Hepatitis C antibody result within 3 months of screening.
- Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period.
- Subjects with a hemoglobin <11 g/dL. A single repeat is allowed for eligibility determination.
- The subject's systolic blood pressure is outside the range of 90-140mmHg, or diastolic blood pressure is outside the range of 45-90mmHg or heart rate is outside the range of 45-100bpm for female subjects or 45-100 bpm for male subjects.
- Exclusion criteria for screening ECG (a single repeat is allowed for eligibility determination) per protocol.
Sites / Locations
- GSK Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Experimental
Arm Label
Treatment A
Treatment B
Treatment C
Treatment D
Arm Description
Treatment A will include combination of zanamivir 600 mg IV plus placebo for moxifloxacin
Treatment A will include combination of zanamivir 1200 mg IV plus placebo for moxifloxacin
Treatment C will include zanamivir placebo plus placebo for moxifloxacin
Treatment D will include moxifloxacin plus zanamivir placebo
Outcomes
Primary Outcome Measures
Change from baseline in QTcF for zanamivir
Secondary Outcome Measures
Change from baseline in QTcB
Change from baseline in QTci
Change from baseline in QT
Change from baseline in Heart Rate
Pharmacokinetic parameters of Area under the concentration-time curve from time zero (pre-dose) to time of last quantifiable concentration from serum zanamivir concentration-time data
Pharmacokinetic parameters of Area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time from serum zanamivir concentration-time data
Pharmacokinetic parameters of maximum observed concentration from serum zanamivir concentration-time data
Pharmacokinetic parameters of time of occurrence of cmax from serum zanamivir concentration-time data
Pharmacokinetic parameters of systemic clearance of parent drug from serum zanamivir concentration-time data
Pharmacokinetic parameters of volume of distribution in terminal phase from serum zanamivir concentration-time data
Pharmacokinetic parameters of terminal phase half-life from serum zanamivir concentration-time data
Pharmacokinetic parameters of Area under the concentration-time curve from time zero (pre-dose) to time of last quantifiable concentration (if needed) from plasma moxifloxacin concentration-time data
Pharmacokinetic parameters of area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (if needed) from plasma moxifloxacin concentration-time data
Pharmacokinetic parameters of maximum observed concentration (if needed) from plasma moxifloxacin concentration-time data
Pharmacokinetic parameters of time of occurrence of cmax (if needed) from plasma moxifloxacin concentration-time data
Pharmacokinetic parameters of systemic clearance of parent drug (if needed) from plasma moxifloxacin concentration-time data
Pharmacokinetic parameters of volume of distribution in terminal phase (if needed) from plasma moxifloxacin concentration-time data
Pharmacokinetic parameters of terminal phase half-life (if needed) from plasm moxifloxacin concentration-time data
Safety and tolerability of zanamivir as assessed by change from baseline in 12-lead Electrocardiograms (ECG)
Safety and tolerability of zanamivir as assessed by change from baseline in blood pressure and heart rate
Safety and tolerability of zanamivir as assessed by change from baseline in the collection of adverse events
Safety and tolerability of zanamivir as assessed by change from baseline in toxicity grading of clinical laboratory tests
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01353729
Brief Title
A Study to Evaluate the Effect of Intravenous Zanamivir on Cardiac Conduction in Healthy Volunteers
Official Title
A Phase I, Randomized, Placebo-Controlled, Four-Way Crossover Study to Evaluate the Effect of Intravenous (IV) Zanamivir on Cardiac Conduction as Assessed by 12-lead Electrocardiogram (ECG) With Moxifloxacin as a Positive Control in Healthy Volunteers
Study Type
Interventional
2. Study Status
Record Verification Date
July 2017
Overall Recruitment Status
Completed
Study Start Date
May 19, 2011 (Actual)
Primary Completion Date
August 2, 2011 (Actual)
Study Completion Date
August 2, 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
Approximately 40 healthy subjects will be enrolled. Each subject will participate in the study for approximately 9 weeks. There will be four treatment sequences with a 5-7 day washout between treatments. Subjects will be admitted to the clinical unit on Day-1 of each dosing period and will remain in the unit until Day 2. Each subject will receive a single dose of each of the four treatments on Day 1 of each treatment period in a randomized fashion. Subjects will be discharged from the clinical research unit after the completion of all assessments on Day 2 of each period and return approximately 5-7 days later for the next dose period. Serial pharmacokinetic samples will be collected for up to 24 hours following each treatment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza, Human
Keywords
12-lead ECG, cardiac repolarization, QTc, influenza, GR121167, zanamivir
7. Study Design
Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
40 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Treatment A
Arm Type
Experimental
Arm Description
Treatment A will include combination of zanamivir 600 mg IV plus placebo for moxifloxacin
Arm Title
Treatment B
Arm Type
Experimental
Arm Description
Treatment A will include combination of zanamivir 1200 mg IV plus placebo for moxifloxacin
Arm Title
Treatment C
Arm Type
Experimental
Arm Description
Treatment C will include zanamivir placebo plus placebo for moxifloxacin
Arm Title
Treatment D
Arm Type
Experimental
Arm Description
Treatment D will include moxifloxacin plus zanamivir placebo
Intervention Type
Drug
Intervention Name(s)
600 mg zanamivir + moxifloxacin placebo
Intervention Description
zanamivir 600 mg IV over 30 min x 1 dose + moxifloxacin placebo administered orally x 1 dose
Intervention Type
Drug
Intervention Name(s)
1200 mg zanamivir + moxifloxacin placebo
Intervention Description
zanamivir 1200 mg IV over 30 min x 1 dose + moxifloxacin placebo administered orally x 1 dose
Intervention Type
Drug
Intervention Name(s)
zanamivir placebo + moxifloxacin placebo
Intervention Description
zanamivir placebo IV over 30 min x 1 dose + moxifloxacin placebo administered orally x 1 dose
Intervention Type
Drug
Intervention Name(s)
zanamivir placebo + 400 mg moxifloxacin
Intervention Description
moxifloxacin 400 mg administered orally x 1 dose + zanamivir placebo IV over 30 min x 1 dose
Primary Outcome Measure Information:
Title
Change from baseline in QTcF for zanamivir
Time Frame
9 weeks
Secondary Outcome Measure Information:
Title
Change from baseline in QTcB
Time Frame
9 weeks
Title
Change from baseline in QTci
Time Frame
9 weeks
Title
Change from baseline in QT
Time Frame
9 weeks
Title
Change from baseline in Heart Rate
Time Frame
9 weeks
Title
Pharmacokinetic parameters of Area under the concentration-time curve from time zero (pre-dose) to time of last quantifiable concentration from serum zanamivir concentration-time data
Time Frame
9 weeks
Title
Pharmacokinetic parameters of Area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time from serum zanamivir concentration-time data
Time Frame
9 weeks
Title
Pharmacokinetic parameters of maximum observed concentration from serum zanamivir concentration-time data
Time Frame
9 weeks
Title
Pharmacokinetic parameters of time of occurrence of cmax from serum zanamivir concentration-time data
Time Frame
9 weeks
Title
Pharmacokinetic parameters of systemic clearance of parent drug from serum zanamivir concentration-time data
Time Frame
9 weeks
Title
Pharmacokinetic parameters of volume of distribution in terminal phase from serum zanamivir concentration-time data
Time Frame
9 weeks
Title
Pharmacokinetic parameters of terminal phase half-life from serum zanamivir concentration-time data
Time Frame
9 weeks
Title
Pharmacokinetic parameters of Area under the concentration-time curve from time zero (pre-dose) to time of last quantifiable concentration (if needed) from plasma moxifloxacin concentration-time data
Time Frame
9 weeks
Title
Pharmacokinetic parameters of area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (if needed) from plasma moxifloxacin concentration-time data
Time Frame
9 weeks
Title
Pharmacokinetic parameters of maximum observed concentration (if needed) from plasma moxifloxacin concentration-time data
Time Frame
9 weeks
Title
Pharmacokinetic parameters of time of occurrence of cmax (if needed) from plasma moxifloxacin concentration-time data
Time Frame
9 weeks
Title
Pharmacokinetic parameters of systemic clearance of parent drug (if needed) from plasma moxifloxacin concentration-time data
Time Frame
9 weeks
Title
Pharmacokinetic parameters of volume of distribution in terminal phase (if needed) from plasma moxifloxacin concentration-time data
Time Frame
9 weeks
Title
Pharmacokinetic parameters of terminal phase half-life (if needed) from plasm moxifloxacin concentration-time data
Time Frame
9 weeks
Title
Safety and tolerability of zanamivir as assessed by change from baseline in 12-lead Electrocardiograms (ECG)
Time Frame
9 weeks
Title
Safety and tolerability of zanamivir as assessed by change from baseline in blood pressure and heart rate
Time Frame
9 weeks
Title
Safety and tolerability of zanamivir as assessed by change from baseline in the collection of adverse events
Time Frame
9 weeks
Title
Safety and tolerability of zanamivir as assessed by change from baseline in toxicity grading of clinical laboratory tests
Time Frame
9 weeks
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 as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring.
Male or female between 18 and 55 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 as pre-menopausal females with a documented tubal ligation or hysterectomy; or postmenopausal defined as 12 months of spontaneous amenorrhea or of child-bearing potential and agrees to use one of the contraception methods listed in the protocol.
Body weight greater than or equal to 50 kg for men and greater than or equal to 45 kg for women and BMI within the range 18.5-31.0 kg/m2 (inclusive).
AST, ALT, alkaline phosphatase and bilirubin less than or equal to 1.5xULN (isolated bilirubin >1.5x upper limit of normal (ULN) is acceptable if bilirubin is fractionated and direct bilirubin <35%).
Capable of giving written informed consent, which includes agreement to comply with the requirements and restrictions listed in the consent form
Exclusion Criteria:
The subject has a positive pre-study drug/alcohol screen. A minimum list of drugs that will be screened for include amphetamines, barbiturates, cocaine, opiates, cannabinoids and benzodiazepines.
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).
History of sensitivity to any of the study medications, or components thereof, or a history of drug or other allergy that, in the opinion of the investigator or GSK Medical Monitor, contraindicates their participation.
Use of prescription or non-prescription drugs, including vitamins, herbal and dietary supplements (including St John's Wort) within 7 days (or 14 days if the drug is a potential enzyme inducer) 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.
A history of sensitivity to heparin or heparin-induced thrombocytopenia should not be enrolled.
History of regular alcohol consumption within 6 months of the study defined as an average weekly intake of >14 drinks/week for men or >7 drinks/week for women.
Has a history or regular use of tobacco- or nicotine-containing products within 3 months prior to screening.
Pregnant females as determined by positive serum or urine human chorionic gonadotrophin (hCG) test at screening or prior to dosing.
Lactating females.
Unwillingness or inability to follow the procedures outlined in the protocol.
Subjects with a pre-existing condition interfering with normal gastrointestinal anatomy or motility, hepatic and/or renal function, that could interfere with the absorption, metabolism, and/or excretion of the study drugs. Subjects with a history of cholecystectomy, inflammatory bowel disease or pancreatitis should be excluded. Subjects with active peptic ulcer disease or a history of upper gastrointestinal bleeding
A creatinine clearance less than 80mL/min as determined by Cockcroft-Gault equation.
History/evidence of clinically significant pulmonary disease, renal or hepatobiliary diseases. Subjects with a history of nephrolithiasis will be excluded.
A positive pre-study Human immunodeficiency virus (HIV) antibody test, a positive Hepatitis B surface antigen or Hepatitis C antibody result within 3 months of screening.
Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period.
Subjects with a hemoglobin <11 g/dL. A single repeat is allowed for eligibility determination.
The subject's systolic blood pressure is outside the range of 90-140mmHg, or diastolic blood pressure is outside the range of 45-90mmHg or heart rate is outside the range of 45-100bpm for female subjects or 45-100 bpm for male subjects.
Exclusion criteria for screening ECG (a single repeat is allowed for eligibility determination) per 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
Austin
State/Province
Texas
ZIP/Postal Code
78744
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.
Citations:
PubMed Identifier
23553534
Citation
Lou Y, Gan J, Peppercorn A, Gould E, Weller S, Piscitelli SC, Patel P. Effect of intravenous zanamivir on cardiac repolarization. Pharmacotherapy. 2013 Jul;33(7):701-9. doi: 10.1002/phar.1261. Epub 2013 Apr 3.
Results Reference
background
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
Annotated Case Report Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114346
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
114346
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
114346
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Individual Participant Data Set
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
114346
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
114346
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
114346
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
114346
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Learn more about this trial
A Study to Evaluate the Effect of Intravenous Zanamivir on Cardiac Conduction in Healthy Volunteers
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