A Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single and Repeat Doses of GSK2586184 and the Effect of Food and Gender (JAK116439)
Primary Purpose
Systemic Lupus Erythematosus
Status
Completed
Phase
Phase 1
Locations
Belgium
Study Type
Interventional
Intervention
GSK2586184 800mg single and repeat dose
Placebo-to-match GSK2586184
GSK2586184 single dose taken with food
GSK2586184 single dose taken without food
Sponsored by
About this trial
This is an interventional treatment trial for Systemic Lupus Erythematosus
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
- Cohort A: A female subject 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
- Cohort B: Male subjects with female partners of child-bearing potential must agree to contraception method mandated by protocol
- Cohort A: Subjects between 18 and 65 years of age inclusive, at the time of signing the informed consent
- Cohort B: Subjects between 18 and 50 years of age inclusive, at the time of signing the informed consent
- Normal creatinine clearance values at screening
- ALT, alkaline phosphatase and bilirubin ≤ 1.5xULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%)
- Single QTcF < 480 msec
- BMI within the range 18 - 30.0 kg/m2 (inclusive)
- Subjects must be non-smokers and must not use any nicotine-containing products. A non-smoker is defined as an individual who has abstained from smoking for at least 1 year prior to screening
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 sensitivity to any of the study medications, Intron A or other recombinant interferons, 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
- History of regular alcohol consumption within 6 months of the study defined as an average weekly intake of >21 units for males or >14 units for females. One unit is equivalent to 8 g of alcohol and the following can be used as a guide: a half-pint (~240 ml) of beer, 1 glass (125 ml) of wine or 1 (25 ml) measure of spirits
- 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)
- The subject is unwilling to abstain from alcohol consumption from 48 hr prior to dosing until discharge from the clinic, and for 24 hr prior to all other out-patient clinic visits
- 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 malignancy, except for adequately treated non-invasive cancer of the skin (basal or squamous cell) or cervical carcinoma in situ (>2 yrs prior to dosing)
- 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 history of or a current thyroid disease or epilepsy
- Subjects exposed to radiation in the 6 months, (except for X-ray/CT examinations of the extremities) prior to the first GFR assessment (Day -2) (cohort B only)
Sites / Locations
- GSK Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Other
Other
Active Comparator
Placebo Comparator
Arm Label
Cohort A fed session
Cohort A fasted session
Cohort B active study medication
Cohort B placebo
Arm Description
GSK2586184 800mg single dose with food
GSK2586184 single dose without food
GSK2586184 800mg single and twice daily dose for 13 days
Placebo-to-match single and twice daily dose for 13 days
Outcomes
Primary Outcome Measures
Adverse event reporting
Change in health of subjects
Change from baseline in clinical chemistry, hematology, urinalysis
Change in clinical chemistry, hematology and urinalysis from baseline
Change from baseline in vital signs parameters
Change in blood pressure, heart rate and body temperature outside normal range
Change from baseline in ECG parameters
Change in ECG parameters outside normal range
Plasma concentrations of GSK2586184
Change in plasma concentrations of GSK2586184
Change from baseline for 24h urine albumin, creatinine and PCR
Change in 24h urine creatinine, albumin and PCR values outside normal range
Secondary Outcome Measures
mRNA expression of IFNa and JAK pathway genes
Change in mRNA expression profile of IFNa and JAK pathway genes
Vital signs as a pharmacodynamic endpoint
Change in blood pressure, heart rate and body temperature post IFNa challenge
Plasma levels of Neopterin and B2-microglobulin
Change in plasma concentrations of neopterin and B2-microglobulin post IFNa challenge
Glomerular Filtration Measurement using Cr-51 EDTA
Change in plasma concentrations of Cr-51 EDTA and it's derived clearance
Duodenal concentrations of GSK2586184 and its metabolites and derived pharmacokinetic parameters
Change in bile concentrations of GSK2586184 and it's metabolites
Urine concentrations of GSK2586184 and its metabolites and derived pharmacokinetic parameters
Change in urine concentration of GSK2586184 and it's metabolites
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01687309
Brief Title
A Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single and Repeat Doses of GSK2586184 and the Effect of Food and Gender
Acronym
JAK116439
Official Title
A Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of GSK2586184 Following a Single Doseof 800mg and Repeat Oral Tablet Doses of 800mg b.d and the Effect of Food and Gender on the Pharmacokinetics of oralGSK2586184 in Healthy Subjects
Study Type
Interventional
2. Study Status
Record Verification Date
May 2018
Overall Recruitment Status
Completed
Study Start Date
April 30, 2012 (Actual)
Primary Completion Date
July 31, 2012 (Actual)
Study Completion Date
July 31, 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
A study to investigate the safety, tolerability, pharmacokinetics, and pharmacodynamics of single and repeat doses of 800 mg GSK2586184 in healthy subjects.
Detailed Description
This is a study in healthy volunteers to investigate the safety, tolerability, pharmacokinetics (the body's effect on the drug) and pharmacodynamics (the drug's effect on the body) of single and repeat doses of 800 mg GSK2586184. The effect of food and gender on pharmacokinetics will also be investigated following single dosing.
The study is made up of 2 groups of healthy subjects. The first group consists of 6 female subjects who will receive a single dose of 800mg GSK2586184 (study medication) during 2 seperate sessions. One session will involve the female subjects taking the study medication with food and the other session will involve study medication being taken without food. The safety and tolerability of the study medication in female subjects and the effect of food on the pharmacokinetics of the study medication will be investigated.
The second group will consist of 12 healthy male subjects participating in 2 sessions. 8 subjects will receive study medication and 4 will receive placebo (dummy medication) during the course of the study. Neither they or their study doctor will know which one they are given. Each male subject will receive a single dose of study medication or placebo followed by 13 days of twice daily dosing of study medication or placebo. Each dose will be taken with food.The single dose results from this group of subjects will be compared to the female group to investigate the effect of gender on pharmacokinetics. The safety and pharmacokinetics of repeat dosing will be investigated. The effect of repeat dosing on kidney function and the immune system will also be investigated.
The study will take place in the SGS Clinical Pharmacology Unit in Antwerp, Belgium. A pharmaceutical company, GlaxoSmithKline, is funding the study.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Systemic Lupus Erythematosus
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
19 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Cohort A fed session
Arm Type
Other
Arm Description
GSK2586184 800mg single dose with food
Arm Title
Cohort A fasted session
Arm Type
Other
Arm Description
GSK2586184 single dose without food
Arm Title
Cohort B active study medication
Arm Type
Active Comparator
Arm Description
GSK2586184 800mg single and twice daily dose for 13 days
Arm Title
Cohort B placebo
Arm Type
Placebo Comparator
Arm Description
Placebo-to-match single and twice daily dose for 13 days
Intervention Type
Drug
Intervention Name(s)
GSK2586184 800mg single and repeat dose
Intervention Description
GSK2586184 800mg single dose and then twice daily dosing for 13 days
Intervention Type
Drug
Intervention Name(s)
Placebo-to-match GSK2586184
Intervention Description
Placebo-to-match GSK2586184
Intervention Type
Other
Intervention Name(s)
GSK2586184 single dose taken with food
Intervention Description
GSK2586184 single dose taken with FDA approved high fat, high calorie breakfast
Intervention Type
Other
Intervention Name(s)
GSK2586184 single dose taken without food
Intervention Description
GSK2586184 single dose taken in a fasted state
Primary Outcome Measure Information:
Title
Adverse event reporting
Description
Change in health of subjects
Time Frame
Day 1 through to within 7-10 days after the last dose
Title
Change from baseline in clinical chemistry, hematology, urinalysis
Description
Change in clinical chemistry, hematology and urinalysis from baseline
Time Frame
Cohort A: D-1, predose (each session), D2 (each session) and 7-10 days after the last dose. Cohort B single dose session: D-3, predose, D2. Cohort B repeat dose session: D1, D2, D5, D10, D11, D14 and within 7-10 days after last dose
Title
Change from baseline in vital signs parameters
Description
Change in blood pressure, heart rate and body temperature outside normal range
Time Frame
Cohort A: Predose, 2h post dose, D2, within 7-10 days from last dose. Cohort B single dose session: D-3, predose, 2h post-dose, D2. Cohort B repeat dose session: predose on D1, D2, D5, D10, 2h post-dose on D1 and D10, D14, within 7-10 days post last dose
Title
Change from baseline in ECG parameters
Description
Change in ECG parameters outside normal range
Time Frame
Cohort A: Predose, 2h post dose, D2 and within 7-10 days of last dose. Cohort B single dose session: D-3, pre-dose, 2h post-dose and D2. Cohort B repeat dose session: pre-dose, D2, D5, D10, 2h post-dose on D1, D10, D14 and within 7-10 days from last dose
Title
Plasma concentrations of GSK2586184
Description
Change in plasma concentrations of GSK2586184
Time Frame
Cohort A: 0.25, 0.5, 1, 2, 4, 8, 12, 24 and 48h post-dose. Cohort B single dose session:0.25, 0.5, 1, 2, 4, 8, 12, 24 and 48h post-dose. Cohort B repeat dose session: D1 and D10 (predose, 0.25, 0.5, 1, 2, 4, 8 and 12h post-dose), D2, D3, D4, D5, and D11
Title
Change from baseline for 24h urine albumin, creatinine and PCR
Description
Change in 24h urine creatinine, albumin and PCR values outside normal range
Time Frame
Cohort B repeat dose: D-1, D10 and within 7-10 days post last dose
Secondary Outcome Measure Information:
Title
mRNA expression of IFNa and JAK pathway genes
Description
Change in mRNA expression profile of IFNa and JAK pathway genes
Time Frame
Cohort B repeat dose: Predose, 1, 2, 4, 8 and 12h on D1 and D10. Predose, 1, 2, 4, 8, 12 and 24h post-dose on D11
Title
Vital signs as a pharmacodynamic endpoint
Description
Change in blood pressure, heart rate and body temperature post IFNa challenge
Time Frame
Cohort B repeat dose: Predose, 4, 8, 12, 24, 28, 32, 48, 72, 100 and 120h post dose on D11
Title
Plasma levels of Neopterin and B2-microglobulin
Description
Change in plasma concentrations of neopterin and B2-microglobulin post IFNa challenge
Time Frame
Cohort B repeat dose: Predose, 4, 8, 12, 24, 28, 32, 48, 72, 100 and 120h post dose on D11
Title
Glomerular Filtration Measurement using Cr-51 EDTA
Description
Change in plasma concentrations of Cr-51 EDTA and it's derived clearance
Time Frame
Cohort B: 2h and 4h post Cr-51 EDTA injection on D-2 of single dose session, D8 of repeat dose session and within 7-10 days post last dose
Title
Duodenal concentrations of GSK2586184 and its metabolites and derived pharmacokinetic parameters
Description
Change in bile concentrations of GSK2586184 and it's metabolites
Time Frame
Cohort A: D-1 to D1 predose and 2.5h post-dose to 6.5h post-dose. Cohort B single dose: D-1 to D1 predose and 2.5h post-dose to 6.5h post-dose
Title
Urine concentrations of GSK2586184 and its metabolites and derived pharmacokinetic parameters
Description
Change in urine concentration of GSK2586184 and it's metabolites
Time Frame
Cohort A: D1 predose and for 24 hr post-dose.Cohort B single dose: D1 predose and for 24h post-dose
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 as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring
Cohort A: A female subject 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
Cohort B: Male subjects with female partners of child-bearing potential must agree to contraception method mandated by protocol
Cohort A: Subjects between 18 and 65 years of age inclusive, at the time of signing the informed consent
Cohort B: Subjects between 18 and 50 years of age inclusive, at the time of signing the informed consent
Normal creatinine clearance values at screening
ALT, alkaline phosphatase and bilirubin ≤ 1.5xULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%)
Single QTcF < 480 msec
BMI within the range 18 - 30.0 kg/m2 (inclusive)
Subjects must be non-smokers and must not use any nicotine-containing products. A non-smoker is defined as an individual who has abstained from smoking for at least 1 year prior to screening
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 sensitivity to any of the study medications, Intron A or other recombinant interferons, 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
History of regular alcohol consumption within 6 months of the study defined as an average weekly intake of >21 units for males or >14 units for females. One unit is equivalent to 8 g of alcohol and the following can be used as a guide: a half-pint (~240 ml) of beer, 1 glass (125 ml) of wine or 1 (25 ml) measure of spirits
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)
The subject is unwilling to abstain from alcohol consumption from 48 hr prior to dosing until discharge from the clinic, and for 24 hr prior to all other out-patient clinic visits
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 malignancy, except for adequately treated non-invasive cancer of the skin (basal or squamous cell) or cervical carcinoma in situ (>2 yrs prior to dosing)
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 history of or a current thyroid disease or epilepsy
Subjects exposed to radiation in the 6 months, (except for X-ray/CT examinations of the extremities) prior to the first GFR assessment (Day -2) (cohort B only)
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
Antwerpen
ZIP/Postal Code
2060
Country
Belgium
12. IPD Sharing Statement
Learn more about this trial
A Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single and Repeat Doses of GSK2586184 and the Effect of Food and Gender
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