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A Phase 1 Study of Novel GS-9973 Tablet Formulations to Evaluate the Effect of Acid Reducing Agents, Relative Bioavailability, and Food Effect on GS-9973 Pharmacokinetics

Primary Purpose

Chronic Lymphocytic Leukemia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Treatment A
Treatment B
Treatment C
Treatment D
Treatment E
Treatment F
Treatment G
Treatment H
Treatment I
Treatment J
Sponsored by
Gilead Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Lymphocytic Leukemia focused on measuring Chronic Lymphocytic Leukemia, CLL

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Have the ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures
  • Must have a body mass index (BMI) range of approximately 19 to 30 kg/m2
  • Must have a minimum weight of 45 kg
  • Females of childbearing potential must have negative serum pregnancy tests at screening and baseline and must practice at least 1 reliable method of contraception as defined by the protocol

    • Female subjects who utilize hormonal contraceptive as 1 of their birth control methods must have used the same method for at least 3 months prior to study dosing
  • Male subjects must agree to use condoms during heterosexual intercourse and avoid sperm donation from Day -1 until 90 days following the last dose of study medication
  • Must refrain from blood donation throughout the study period
  • Must, in the opinion of the Investigator, be in good general
  • Must be a non- or light smoker, eg, less than 10 cigarettes per day

Exclusion Criteria:

  • Pregnant or lactating subjects
  • Use of prescribed or over-the-counter medications that affect gastric pH
  • History of severe peptic ulcer disease, GERD, or other diseases requiring prolonged(>6 weeks) medication or surgical therapy to modify gastric pH
  • Have a history of clinically significant cardiac abnormalities or presence of clinically significant abnormality on 12-lead ECG.
  • Have a history of any cancer requiring systemic chemotherapy or radiation
  • Have a history of bleeding disorders
  • Have a history of liver disorders
  • Current acute infection or history of acute infection within 7 days
  • Have a recent history of alcohol or illicit drug abuse and/or have a positive test for selected drugs of abuse
  • Have a positive hepatitis screen or positive Human Immunodeficiency Virus antibody test
  • Have participated in another clinical trial within 28 days
  • Have received transfusion of blood or plasma products within 6 months
  • Have donated > 500 mL blood within 56 days
  • Are unable or unwilling to comply with study restrictions, return for follow-up appointments, or other considerations, which in the opinion of the Investigator, would make the candidate unsuitable for study participation
  • Current or historical medical condition that is deemed to be of medical significance by the Investigator
  • Have used prescription medications, over the counter products, herbal remedies and nutritional supplements within 7 days

Sites / Locations

  • Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Experimental

Arm Label

Sequence 1

Sequence 2

Sequence 3

Sequence 4

Arm Description

Outcomes

Primary Outcome Measures

Pharmacokinetic parameters for GS-9973
The primary outcome measure is the pharmacokinetic (PK) parameters for GS-9973 including AUC and Cmax.

Secondary Outcome Measures

Secondary pharmacokinetic parameters for GS-9973
A secondary outcome measure is the pharmacokinetic parameters for GS-9973 including Ctau and AUClast.
Incidence of Adverse Events
A secondary outcome measure is the safety and tolerability of GS-9973 which will be evaluated by the incidence of AEs including assessment of clinical laboratory test findings, physical examinations, 12-lead ECG abnormalities, and vital signs measurements.
Blood PD parameters for GS-9973
A secondary outcome measure is the blood pharmacodynamic parameters.

Full Information

First Posted
April 24, 2013
Last Updated
February 5, 2014
Sponsor
Gilead Sciences
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1. Study Identification

Unique Protocol Identification Number
NCT01841489
Brief Title
A Phase 1 Study of Novel GS-9973 Tablet Formulations to Evaluate the Effect of Acid Reducing Agents, Relative Bioavailability, and Food Effect on GS-9973 Pharmacokinetics
Official Title
A Phase 1, Open-Label, Adaptive Study of Novel GS-9973 Tablet Formulations to Evaluate the Effect of Acid Reducing Agents, Relative Bioavailability, and Food Effect on GS-9973 Pharmacokinetics
Study Type
Interventional

2. Study Status

Record Verification Date
February 2014
Overall Recruitment Status
Completed
Study Start Date
May 2013 (undefined)
Primary Completion Date
August 2013 (Actual)
Study Completion Date
October 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gilead Sciences

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase 1, Open-Label, Adaptive Study of Novel GS-9973 Tablet Formulations to Evaluate the Effect of Acid Reducing Agents, Relative Bioavailability, and Food Effect on GS-9973 Pharmacokinetics.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Lymphocytic Leukemia
Keywords
Chronic Lymphocytic Leukemia, CLL

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Sequence 1
Arm Type
Experimental
Arm Title
Sequence 2
Arm Type
Experimental
Arm Title
Sequence 3
Arm Type
Experimental
Arm Title
Sequence 4
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Treatment A
Intervention Description
1600 mg GS-9973 (Formulation 1)
Intervention Type
Drug
Intervention Name(s)
Treatment B
Intervention Description
1600 mg GS-9973 (Formulation 1) plus 20 mg omeprazole
Intervention Type
Drug
Intervention Name(s)
Treatment C
Intervention Description
1600 mg GS-9973 (Formulation 1) plus 40 mg famotidine
Intervention Type
Drug
Intervention Name(s)
Treatment D
Intervention Description
1600 mg GS-9973 (Formulation 2)
Intervention Type
Drug
Intervention Name(s)
Treatment E
Intervention Description
1600 mg GS-9973 (Formulation 2) plus 20 mg omeprazole
Intervention Type
Drug
Intervention Name(s)
Treatment F
Intervention Description
1600 mg GS-9973 (Formulation 2) plus 40 mg famotidine
Intervention Type
Drug
Intervention Name(s)
Treatment G
Intervention Description
1600 mg GS-9973 (Reference formulation)
Intervention Type
Drug
Intervention Name(s)
Treatment H
Intervention Description
1600 mg GS-9973 (Formulation 1 or Formulation 2, based on results from Part A)
Intervention Type
Drug
Intervention Name(s)
Treatment I
Intervention Description
An alternate dose of the chosen formulation from Part A up to 1200 mg administered twice-daily
Intervention Type
Drug
Intervention Name(s)
Treatment J
Intervention Description
An alternate dose of the chosen formulation from Part A up to 1200 mg administered twice-daily
Primary Outcome Measure Information:
Title
Pharmacokinetic parameters for GS-9973
Description
The primary outcome measure is the pharmacokinetic (PK) parameters for GS-9973 including AUC and Cmax.
Time Frame
Up to 3 months
Secondary Outcome Measure Information:
Title
Secondary pharmacokinetic parameters for GS-9973
Description
A secondary outcome measure is the pharmacokinetic parameters for GS-9973 including Ctau and AUClast.
Time Frame
Up to 3 months
Title
Incidence of Adverse Events
Description
A secondary outcome measure is the safety and tolerability of GS-9973 which will be evaluated by the incidence of AEs including assessment of clinical laboratory test findings, physical examinations, 12-lead ECG abnormalities, and vital signs measurements.
Time Frame
Up to 3 months
Title
Blood PD parameters for GS-9973
Description
A secondary outcome measure is the blood pharmacodynamic parameters.
Time Frame
Up to 3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Have the ability to understand and sign a written informed consent form, which must be obtained prior to initiation of study procedures Must have a body mass index (BMI) range of approximately 19 to 30 kg/m2 Must have a minimum weight of 45 kg Females of childbearing potential must have negative serum pregnancy tests at screening and baseline and must practice at least 1 reliable method of contraception as defined by the protocol Female subjects who utilize hormonal contraceptive as 1 of their birth control methods must have used the same method for at least 3 months prior to study dosing Male subjects must agree to use condoms during heterosexual intercourse and avoid sperm donation from Day -1 until 90 days following the last dose of study medication Must refrain from blood donation throughout the study period Must, in the opinion of the Investigator, be in good general Must be a non- or light smoker, eg, less than 10 cigarettes per day Exclusion Criteria: Pregnant or lactating subjects Use of prescribed or over-the-counter medications that affect gastric pH History of severe peptic ulcer disease, GERD, or other diseases requiring prolonged(>6 weeks) medication or surgical therapy to modify gastric pH Have a history of clinically significant cardiac abnormalities or presence of clinically significant abnormality on 12-lead ECG. Have a history of any cancer requiring systemic chemotherapy or radiation Have a history of bleeding disorders Have a history of liver disorders Current acute infection or history of acute infection within 7 days Have a recent history of alcohol or illicit drug abuse and/or have a positive test for selected drugs of abuse Have a positive hepatitis screen or positive Human Immunodeficiency Virus antibody test Have participated in another clinical trial within 28 days Have received transfusion of blood or plasma products within 6 months Have donated > 500 mL blood within 56 days Are unable or unwilling to comply with study restrictions, return for follow-up appointments, or other considerations, which in the opinion of the Investigator, would make the candidate unsuitable for study participation Current or historical medical condition that is deemed to be of medical significance by the Investigator Have used prescription medications, over the counter products, herbal remedies and nutritional supplements within 7 days
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Michael Hawkins, MD
Organizational Affiliation
Gilead Sciences
Official's Role
Study Director
Facility Information:
Facility Name
Investigational Site
City
Daytona Beach
State/Province
Florida
ZIP/Postal Code
32117
Country
United States

12. IPD Sharing Statement

Learn more about this trial

A Phase 1 Study of Novel GS-9973 Tablet Formulations to Evaluate the Effect of Acid Reducing Agents, Relative Bioavailability, and Food Effect on GS-9973 Pharmacokinetics

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