SB-659032 Platelet Aggregation Study
Primary Purpose
Atherosclerosis
Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
SB-659032
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Atherosclerosis
Eligibility Criteria
Inclusion Criteria:
- Healthy adult males between 18 and 55 years of age, inclusive
- Body weight greater than 50 kg (110 pounds) and body mass index (BMI) between 19 and 32 where: BMI = weight in kg/(height in meters)2
- A signed and dated written informed consent prior to admission to the study
- The subject is able to understand and comply with protocol requirements, instructions and protocol-stated restrictions.
Exclusion Criteria:
- Any clinically relevant abnormality identified on the screening medical assessment, laboratory examination or ECG
- Platelet count below or above the reference range
- History of hypercoagulable state or history of thrombosis
- History of platelet dysfunction
- A known history of Gilbert's Syndrome
- History of asthma, anaphylaxis or anaphalactoid reactions, severe allergic responses
- A history of alcohol, substance or drug abuse within the last year or a positive alcohol breath test at screening or predose in each period. Abuse of alcohol is defined as an average weekly intake of greater than or equal to 21 units (male) or an average daily intake of greater than or equal to 3 units (male). 1 unit is equivalent to a 285mL 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
- Positive urine drug screen at screening or predose in each period
- History of use of tobacco or nicotine containing products within 6 months of screening or a positive urine cotinine at screening or exhaled carbon monoxide test at predose in each period
- Positive HIV, Hepatitis B or Hepatitis C at screening
- Use of aspirin, aspirin-containing products, non-steroidal anti-inflammatory agents or any antiplatelet medication within 14 days prior to Day -1 of the study (a list of these drugs will be reviewed with the subject at screening and provided to them to take home)
- Use of prescription (including hormone replacement therapy) or non-prescription drugs and vitamins within 7 days or 5 half-lives (whichever is longer) prior to Day -1 of the study. An exception is acetaminophen which is allowed at doses of ≤ 2g/day
- Use of dietary/herbal supplements including (but not limited to) St. John's wort, kava, ephedra (ma huang), gingko biloba, DHEA, yohimbe, saw palmetto, ginseng and red yeast rice within 14 days prior to Day -1 of the study
- Treatment with an investigational drug within 30 days or 5 half-lives (whichever is longer) prior to dosing
- Consumption of grapefruit or grapefruit juice within 7 days prior to Day -1 of the study
- A history of cholecystectomy or biliary tract disease including a history of liver disease with elevated liver function tests of known or unknown etiology
- An unwillingness to abstain from sexual intercourse with pregnant or lactating women or an unwillingness to use a condom and another form of contraception (e.g., IUD, birth control pills taken by female partner, diaphragm with spermicide) if engaging in sexual intercourse with a woman who could become pregnant until discharge from the study
- Donation of blood in excess of 500 mL within 56 days or donation of blood in excess of 250 mL within 7 days prior to dosing
- Full ADP- and/or collagen-induced aggregation (greater than and equal to 40%) at all three concentrations of one or both agonists, as assessed within 6 months prior to first dose and at Day -1 of each period
- No ADP- or collagen-induced aggregation (less than 40%) at the highest concentration of either agonist, as assessed within 6 months prior to first dose and at Day -1 of each period
Sites / Locations
- GSK Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
SB-659032
Placebo
Arm Description
250 mg non-enteric coated SB-659032
matched placebo QD for 14 days
Outcomes
Primary Outcome Measures
Platelet aggregation
Percent maximum platelet aggregation following ADP- and collagen-induced aggregation
Biomarkers of platelet aggregation
Urinary 11-dehydrothromboxane B2 and blood CD62 concentrations
Secondary Outcome Measures
Lp-PLA2 inhibition
Lp-PLA2 activity, expressed in terms of percent inhibition relative to baseline
Clinical safety data
spontaneous adverse event reporting, 12-Lead ECG, vital signs, nursing/physician observation and safety and laboratory tests
Mean concentrations of SB-659032 and its major metabolite, SB-664601
SB-659032 and SB-664601 concentrations
Frequency and intensity of odor-related adverse events
The frequency and intensity of odor-related adverse events as reported by subjects will be summarized
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01745458
Brief Title
SB-659032 Platelet Aggregation Study
Official Title
A Double Blind Study to Evaluate Effects of Repeat Doses of SB-659032 on Platelet Aggregation in Healthy Volunteers
Study Type
Interventional
2. Study Status
Record Verification Date
December 2012
Overall Recruitment Status
Completed
Study Start Date
July 2005 (undefined)
Primary Completion Date
December 2005 (Actual)
Study Completion Date
December 2005 (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 assess whether inhibition of plasma Lp-PLA2 activity impacts platelet function as assessed by ex vivo platelet aggregation tests and in vivo plasma biomarkers.
Detailed Description
SB-659032 is a selective and orally active inhibitor of lipoprotein-associated phospholipase A2 (Lp-PLA2) that is being developed for the treatment of atherosclerosis. This study is designed to assess whether inhibition of plasma Lp-PLA2 activity impacts platelet function as assessed by ex vivo platelet aggregation tests and in vivo plasma biomarkers. Blood samples for PK analysis and measurement of Lp-PLA2 activity will also be collected. Questionnaires will be completed to evaluate the frequency of odorrelated AEs with non-enteric coated formulation of SB-659032 relative to placebo. This will be a double blind, repeat dose, randomized, placebo-controlled, two period, period balanced, crossover study. There will be a minimum of a 21 day washout period between dosing in each period.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atherosclerosis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare Provider
Allocation
Randomized
Enrollment
26 (Actual)
8. Arms, Groups, and Interventions
Arm Title
SB-659032
Arm Type
Experimental
Arm Description
250 mg non-enteric coated SB-659032
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
matched placebo QD for 14 days
Intervention Type
Drug
Intervention Name(s)
SB-659032
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matched placebo
Primary Outcome Measure Information:
Title
Platelet aggregation
Description
Percent maximum platelet aggregation following ADP- and collagen-induced aggregation
Time Frame
14 days
Title
Biomarkers of platelet aggregation
Description
Urinary 11-dehydrothromboxane B2 and blood CD62 concentrations
Time Frame
14 days
Secondary Outcome Measure Information:
Title
Lp-PLA2 inhibition
Description
Lp-PLA2 activity, expressed in terms of percent inhibition relative to baseline
Time Frame
14 days
Title
Clinical safety data
Description
spontaneous adverse event reporting, 12-Lead ECG, vital signs, nursing/physician observation and safety and laboratory tests
Time Frame
14 days
Title
Mean concentrations of SB-659032 and its major metabolite, SB-664601
Description
SB-659032 and SB-664601 concentrations
Time Frame
14 days
Title
Frequency and intensity of odor-related adverse events
Description
The frequency and intensity of odor-related adverse events as reported by subjects will be summarized
Time Frame
14 days
10. Eligibility
Sex
Male
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 adult males between 18 and 55 years of age, inclusive
Body weight greater than 50 kg (110 pounds) and body mass index (BMI) between 19 and 32 where: BMI = weight in kg/(height in meters)2
A signed and dated written informed consent prior to admission to the study
The subject is able to understand and comply with protocol requirements, instructions and protocol-stated restrictions.
Exclusion Criteria:
Any clinically relevant abnormality identified on the screening medical assessment, laboratory examination or ECG
Platelet count below or above the reference range
History of hypercoagulable state or history of thrombosis
History of platelet dysfunction
A known history of Gilbert's Syndrome
History of asthma, anaphylaxis or anaphalactoid reactions, severe allergic responses
A history of alcohol, substance or drug abuse within the last year or a positive alcohol breath test at screening or predose in each period. Abuse of alcohol is defined as an average weekly intake of greater than or equal to 21 units (male) or an average daily intake of greater than or equal to 3 units (male). 1 unit is equivalent to a 285mL 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
Positive urine drug screen at screening or predose in each period
History of use of tobacco or nicotine containing products within 6 months of screening or a positive urine cotinine at screening or exhaled carbon monoxide test at predose in each period
Positive HIV, Hepatitis B or Hepatitis C at screening
Use of aspirin, aspirin-containing products, non-steroidal anti-inflammatory agents or any antiplatelet medication within 14 days prior to Day -1 of the study (a list of these drugs will be reviewed with the subject at screening and provided to them to take home)
Use of prescription (including hormone replacement therapy) or non-prescription drugs and vitamins within 7 days or 5 half-lives (whichever is longer) prior to Day -1 of the study. An exception is acetaminophen which is allowed at doses of ≤ 2g/day
Use of dietary/herbal supplements including (but not limited to) St. John's wort, kava, ephedra (ma huang), gingko biloba, DHEA, yohimbe, saw palmetto, ginseng and red yeast rice within 14 days prior to Day -1 of the study
Treatment with an investigational drug within 30 days or 5 half-lives (whichever is longer) prior to dosing
Consumption of grapefruit or grapefruit juice within 7 days prior to Day -1 of the study
A history of cholecystectomy or biliary tract disease including a history of liver disease with elevated liver function tests of known or unknown etiology
An unwillingness to abstain from sexual intercourse with pregnant or lactating women or an unwillingness to use a condom and another form of contraception (e.g., IUD, birth control pills taken by female partner, diaphragm with spermicide) if engaging in sexual intercourse with a woman who could become pregnant until discharge from the study
Donation of blood in excess of 500 mL within 56 days or donation of blood in excess of 250 mL within 7 days prior to dosing
Full ADP- and/or collagen-induced aggregation (greater than and equal to 40%) at all three concentrations of one or both agonists, as assessed within 6 months prior to first dose and at Day -1 of each period
No ADP- or collagen-induced aggregation (less than 40%) at the highest concentration of either agonist, as assessed within 6 months prior to first dose and at Day -1 of each period
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, Sydney
State/Province
New South Wales
ZIP/Postal Code
2031
Country
Australia
12. IPD Sharing Statement
Citations:
PubMed Identifier
24475026
Citation
Shaddinger BC, Xu Y, Roger JH, Macphee CH, Handel M, Baidoo CA, Magee M, Lepore JJ, Sprecher DL. Platelet aggregation unchanged by lipoprotein-associated phospholipase A(2) inhibition: results from an in vitro study and two randomized phase I trials. PLoS One. 2014 Jan 27;9(1):e83094. doi: 10.1371/journal.pone.0083094. eCollection 2014.
Results Reference
derived
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SB-659032 Platelet Aggregation Study
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