Phase I Study of GW856553 (Losmapimod)
Primary Purpose
Acute Coronary Syndrome
Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
Losmapimod for single dose
Losmapimod for repeat dose
Sponsored by

About this trial
This is an interventional treatment trial for Acute Coronary Syndrome
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. A subject with a clinical abnormality or laboratory parameters outside the reference range for the population being studied may be included only if the Investigator and the GSK Medical Monitor agree that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures.
- Male or female between 20 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.
- Male subjects with female partners of child-bearing potential must agree to use one of the contraception methods. This criterion must be followed from the time of the first dose of study medication until follow-up visit.
- Body weight >= 45 kg and BMI within the range 18.5 - 29.0 kg/m2 (inclusive).
- Japanese defined as being born in Japan, having four ethnic Japanese grandparents, holding a Japanese passport or identity papers and being able to speak Japanese. Japanese subjects must not have lived outside of Japan for more than 10 years.
- ALT, alkaline phosphatase and bilirubin <= 1.5xULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%).
- Single QTc, QTcB or QTcF < 450 msec.
Exclusion Criteria:
- A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening
- Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
- A positive pre-study drug/alcohol screen.
- A positive test for HIV antibody.
- History of regular alcohol consumption within 6 months of the study defined as: an average weekly intake of greater than 21 units for men and 14 for women or an average daily intake of greater than 3 units. One unit is equivalent to a 285 mL glass of full strength beer or 425 mL schooner of light beer or 1 (30 mL) measure of spirits or 1 glass (100 mL) of wine (NHMRC Guidelines [NHMRC, 2009])
- 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.
- Unable to refrain from the 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.
- 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.
- 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 urine 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.
- History or regular use of tobacco- or nicotine-containing products within 6 months prior to screening.
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
Placebo Comparator
Experimental
Placebo Comparator
Arm Label
2.5 mg
7.5 mg
20 mg
Placebo
7.5 mg BID
Placebo BID
Arm Description
Losmapimod for single dose
Losmapimod for single dose
Losmapimod for single dose
Placebo
Losmapimod for repeat dose (14 days)
Placebo
Outcomes
Primary Outcome Measures
Adverse events
Number of participants with adverse events as a measure of safety and tolerability (evaluated by the result of Clinical safety laboratory tests, vital signs and 12-lead ECG).
AUC(0-t)
Area under the concentration-time curve from pre-dose to last time of quantifiable concentration of losmapimod and GSK198602 (inactive metabolite) (Single dose only).
AUC(0-inf)
Area under the concentration-time curve from time pre-dose extrapolated to infinite time of losmapimod and GSK198602 (Single dose only).
AUC(0-tau)
Area under the concentration-time curve over the dosing interval of losmapimod and GSK198602 (Repeat dose only).
Cmax
Maximum observed concentration of losmapimod and GSK198602.
tmax
Time of occurrence of Cmax of losmapimod and GSK198602.
t1/2
Terminal phase half-life of losmapimod and GSK198602
accumulation ratios
accumulation ratios of losmapimod and GSK198602 (Repeat dose only).
Secondary Outcome Measures
hsCRP
Change from baseline in hsCRP after the oral dose of losmapimod.
phosphorylated HSP27
Change from baseline in phosphorylated HSP27 assayed following ex vivo stimulation of cells in wholeblood.
%AUCex
Percentage of AUC(0-inf) obtained by extrapolation of losmapimod and GSK198602.
tlast
Time of last quantifiable concentration of losmapimod and GSK198602.
λz
Terminal phase rate constant of losmapimod and GSK198602.
CL/F
Apparent clearance following oral dosing of losmapimod.
Vz/F
Apparent volume of distribution following oral dosing of losmapimod.
AUC(0-inf)
Area under the concentration-time curve from time pre-dose extrapolated to infinite time of losmapimod and GSK198602 (Repeat dose only).
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01648192
Brief Title
Phase I Study of GW856553 (Losmapimod)
Official Title
A Phase I, Randomized, Single-Blind, Three-Period Cross-Over, Placebo-Controlled, Single Oral Dose, Dose-Escalation (Part 1), Fixed Sequence, and Repeat Dose (Part 2) Study to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of Losmapimod in Healthy Japanese Subjects.
Study Type
Interventional
2. Study Status
Record Verification Date
July 2017
Overall Recruitment Status
Completed
Study Start Date
July 24, 2012 (Actual)
Primary Completion Date
October 26, 2012 (Actual)
Study Completion Date
October 26, 2012 (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 study is the first study of losmapimod in Japanese subjects. This study will be a single-center, single blind, phase I and two part study to characterize the safety, tolerability, pharmacokinetic and pharmacodynamic profiles in healthy Japanese volunteers (male and female of non-childbearing potential). Part1 will be a single dose, randomized, three-period, placebo-controlled and dose escalation part. Each subject will participate in 3 dosing sessions, and receive, on separate days, three of four treatments of losmapimod 2.5, 7.5 and 20 mg, and the matching placebo in the fasted state after overnight fast (at least 10 hours). The design incorporates sufficient washout between treatments (at least 7 days after the previous administration), and is an efficient design for the study objectives. Part 2 will be a fixed dose and placebo-controlled part. Each subject will participate in one dosing session, and receive losmapimod 7.5 mg or the matching placebo twice daily in the fasted state for 14 days. Only subjects will be blind to the sequence and dose studied. The study will include the placebo treatment to allow a valid evaluation of adverse events attributable to treatment versus those independent of treatment. Approximately 18 subjects in each part will receive treatments of losmapimod and/or placebo in the design. The primary objective of the study is to characterize the safety and tolerability of single doses and repeat doses of losmapimod in healthy Japanese subjects. Serial pharmacokinetic samples will be collected and safety assessments will be performed following each dose.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Coronary Syndrome
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
20 (Actual)
8. Arms, Groups, and Interventions
Arm Title
2.5 mg
Arm Type
Experimental
Arm Description
Losmapimod for single dose
Arm Title
7.5 mg
Arm Type
Experimental
Arm Description
Losmapimod for single dose
Arm Title
20 mg
Arm Type
Experimental
Arm Description
Losmapimod for single dose
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo
Arm Title
7.5 mg BID
Arm Type
Experimental
Arm Description
Losmapimod for repeat dose (14 days)
Arm Title
Placebo BID
Arm Type
Placebo Comparator
Arm Description
Placebo
Intervention Type
Drug
Intervention Name(s)
Losmapimod for single dose
Intervention Description
Film coated white tablet
Intervention Type
Drug
Intervention Name(s)
Losmapimod for repeat dose
Intervention Description
Film coated white tablet
Primary Outcome Measure Information:
Title
Adverse events
Description
Number of participants with adverse events as a measure of safety and tolerability (evaluated by the result of Clinical safety laboratory tests, vital signs and 12-lead ECG).
Time Frame
Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
Title
AUC(0-t)
Description
Area under the concentration-time curve from pre-dose to last time of quantifiable concentration of losmapimod and GSK198602 (inactive metabolite) (Single dose only).
Time Frame
up to 96h post dose.
Title
AUC(0-inf)
Description
Area under the concentration-time curve from time pre-dose extrapolated to infinite time of losmapimod and GSK198602 (Single dose only).
Time Frame
up to 96h post dose.
Title
AUC(0-tau)
Description
Area under the concentration-time curve over the dosing interval of losmapimod and GSK198602 (Repeat dose only).
Time Frame
up to 17 days post dose.
Title
Cmax
Description
Maximum observed concentration of losmapimod and GSK198602.
Time Frame
Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
Title
tmax
Description
Time of occurrence of Cmax of losmapimod and GSK198602.
Time Frame
Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
Title
t1/2
Description
Terminal phase half-life of losmapimod and GSK198602
Time Frame
Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
Title
accumulation ratios
Description
accumulation ratios of losmapimod and GSK198602 (Repeat dose only).
Time Frame
up to 17 days post dose.
Secondary Outcome Measure Information:
Title
hsCRP
Description
Change from baseline in hsCRP after the oral dose of losmapimod.
Time Frame
Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
Title
phosphorylated HSP27
Description
Change from baseline in phosphorylated HSP27 assayed following ex vivo stimulation of cells in wholeblood.
Time Frame
Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
Title
%AUCex
Description
Percentage of AUC(0-inf) obtained by extrapolation of losmapimod and GSK198602.
Time Frame
Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
Title
tlast
Description
Time of last quantifiable concentration of losmapimod and GSK198602.
Time Frame
Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
Title
λz
Description
Terminal phase rate constant of losmapimod and GSK198602.
Time Frame
Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
Title
CL/F
Description
Apparent clearance following oral dosing of losmapimod.
Time Frame
Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
Title
Vz/F
Description
Apparent volume of distribution following oral dosing of losmapimod.
Time Frame
Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
Title
AUC(0-inf)
Description
Area under the concentration-time curve from time pre-dose extrapolated to infinite time of losmapimod and GSK198602 (Repeat dose only).
Time Frame
up to 17 days post dose.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
20 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. A subject with a clinical abnormality or laboratory parameters outside the reference range for the population being studied may be included only if the Investigator and the GSK Medical Monitor agree that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures.
Male or female between 20 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.
Male subjects with female partners of child-bearing potential must agree to use one of the contraception methods. This criterion must be followed from the time of the first dose of study medication until follow-up visit.
Body weight >= 45 kg and BMI within the range 18.5 - 29.0 kg/m2 (inclusive).
Japanese defined as being born in Japan, having four ethnic Japanese grandparents, holding a Japanese passport or identity papers and being able to speak Japanese. Japanese subjects must not have lived outside of Japan for more than 10 years.
ALT, alkaline phosphatase and bilirubin <= 1.5xULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%).
Single QTc, QTcB or QTcF < 450 msec.
Exclusion Criteria:
A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening
Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
A positive pre-study drug/alcohol screen.
A positive test for HIV antibody.
History of regular alcohol consumption within 6 months of the study defined as: an average weekly intake of greater than 21 units for men and 14 for women or an average daily intake of greater than 3 units. One unit is equivalent to a 285 mL glass of full strength beer or 425 mL schooner of light beer or 1 (30 mL) measure of spirits or 1 glass (100 mL) of wine (NHMRC Guidelines [NHMRC, 2009])
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.
Unable to refrain from the 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.
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.
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 urine 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.
History or regular use of tobacco- or nicotine-containing products within 6 months prior to 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
Randwick
State/Province
New South Wales
ZIP/Postal Code
2031
Country
Australia
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
Informed Consent Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
116681
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
116681
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
116681
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
116681
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
116681
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
116681
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
116681
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Learn more about this trial
Phase I Study of GW856553 (Losmapimod)
We'll reach out to this number within 24 hrs