search
Back to results

Study of the Effect of GS-6615 in Subjects With LQT-3

Primary Purpose

Long QT Syndrome

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
GS-6615
Sponsored by
Gilead Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Long QT Syndrome focused on measuring Long QT Syndrome, LQTS, Long QT-3 Syndrome, LQT-3, prolonged QT interval, GS-6615, late sodium current inhibitor

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Males and females between ages 18-65 years (inclusive) at time of screening
  2. Documented LQT-3 genotype with one of the following mutations: delta KPQ, R1623Q, N1325S, E1784K, S1787N, D1790G, G1631D, 1795insD, delF1617, R1644H, L409P, F2004L, I1768V, T1304M, A1330T, or F1596I3.
  3. QTc > 480 msec in lead V5 at screening
  4. Weight of at least 50 kg with body mass index (BMI) between 18 and 30 kg/m^2 (inclusive)
  5. Females of childbearing potential must have a negative serum pregnancy test at screening and check-in
  6. Females of childbearing potential must agree to utilize protocol recommended highly effective contraception methods from three weeks prior to the single dose of study drug and for 30 days following the single dose of study drug

    a. Females who utilize hormonal contraceptive as one of their birth control methods must have used the same method for at least 3 months prior to study dosing

  7. Males must agree to utilize a protocol recommended highly effective method of contraception during heterosexual intercourse throughout the study period and for 90 days following last dose of study drug. Periodic abstinence and withdrawal are not acceptable methods of contraception
  8. Males must refrain from sperm donation from Day -2 through completion of the study and continuing for at least 90 days from the date of last dose of study drug
  9. Willing and able to comply with the requirements of the protocol and directions from the clinic staff
  10. Willing to avoid consumption of grapefruit, grapefruit juice and Seville oranges within 2 weeks prior to the single dose of study drug until discharge from the clinic
  11. Willing to avoid consumption of nicotine (including nicotine gum) and alcoholic beverages within 2 weeks prior to the single dose of study drug until discharge from the clinic
  12. Understand and willing to sign informed consent

Exclusion Criteria:

  1. Ongoing or history of any medical or surgical condition that, in the judgment of the Investigator, might jeopardize the individual's safety or interfere with the absorption, distribution, metabolism or excretion of the study drug
  2. History of meningitis or encephalitis, seizures, migraines, tremors, myoclonic jerks, sleep disorder, anxiety, syncope, head injuries or a family history of seizures
  3. Any abnormal electrocardiographic (ECG) findings (except QTc > 460 msec) at screening judged to be clinically significant by the investigator
  4. Any abnormal laboratory value or physical examination finding at screening or check-in that is judged by the investigator as clinically significant
  5. History of positive serology test for HIV, or hepatitis B or C
  6. Positive urine drug test for ethanol, barbiturates, cocaine, opiates, or amphetamines at screening or check-in
  7. Positive urine cotinine test at check-in
  8. Current treatment with drugs affecting the QT interval
  9. Current treatment with sodium-channel blockers, eg, flecainide and mexiletine
  10. Current treatment with strong or moderate inhibitors or inducers of cytochrome P450 (CYP)3A4 and 1A2
  11. Prior treatment with ranolazine within 7 days prior to study drug administration
  12. Use of systemic prescription medications or over-the-counter (OTC) medication, including multivitamins, and dietary and herbal supplement within 2 weeks or 5 times the terminal half-lives of the medication (whichever is longer) prior to the single dose of study drug, and for the duration of the study
  13. Use of any experimental or investigational drug or device within 30 days prior to the single dose of study drug or 5 half-lives of the drug, whichever is longer
  14. Females who are pregnant or lactating
  15. History of drug or alcohol abuse within 12 months prior to initial dosing of study drug
  16. Psychosocial or addictive disorders that would interfere with ability to give informed consent or could compromise compliance with the protocol

Sites / Locations

  • University of Rochester Medical Center/Strong Memorial Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Cohort 3

Cohort 4

Cohort 5

Cohort 6

Arm Description

Participants will receive a single 10 mg dose of GS-6615.

Participants will receive a single 20 mg dose of GS-6615.

Participants will receive a single 30 mg dose of GS-6615.

Participants will receive a single 60 mg dose of GS-6615.

Participants will receive single doses of GS-6615 as follows: Day 1: 20 mg (loading dose) Day 2: 40 mg (loading dose) Days 3-7: 6 mg (maintenance dose) once daily If a participant has a QTcF value of ≤ 420 msec on 2 consecutive time points after the 20 mg dose on Day 1, the participant will receive the maintenance dose of 6 mg on Day 2.

Participants will receive single doses of GS-6615 as follows: Day 1: 50 mg (loading dose) Day 2-3: 10 mg once daily Days 4-7: 20 mg once daily

Outcomes

Primary Outcome Measures

Changes in QTc intervals (Fridericia formula)
Changes in QTc intervals (Fridericia formula; QTcF) from the time-matched ECG in the primary lead V5. In case QT cannot be measured in lead V5, lead II will be designated as the primary lead Change from the time-matched ECG on Day -1 to Day 1 for Cohorts 1-4 Change from the time-matched ECG average of Day -1 and Day -2 to Days 1-7 for Cohort 5 and 6

Secondary Outcome Measures

Incidence of Adverse Events (AEs)
Changes in ECHO parameters
ECHO parameters relevant for measurement of diastolic function will be assessed.
Area under the plasma concentration-time curve (AUC) from time 0 to the last quantifiable concentration of GS-6615
Maximum observed plasma concentration (Cmax) of GS-6615
Time to maximum observed concentration (Tmax) of GS-6615
Changes in ECG parameters
ECG parameters assessed will include PR, RR, QRS, and QT. PR: electrocardiographic interval occurring between the onset of the P wave and the QRS complex representing time for atrial and ventricular depolarization, respectively RR: electrocardiographic interval representing the time measurement between the R wave of one heartbeat and the R wave of the preceding heartbeat QRS: electrocardiographic deflection between the beginning of the Q wave and termination of the S wave representing time for ventricular depolarization QT: electrocardiographic interval between the beginning of the Q wave and termination of the T wave representing the time for both ventricular depolarization and repolarization to occur
Changes in QTc interval (Bazett [QTcB])
Changes in QTcB from the time-matched ECG in the primary lead V5. In case QT cannot be measured in lead V5, lead II will be designated as the primary lead Change from the time-matched ECG on Day -1 to Day 1 for Cohorts 1-4 Change from the time-matched ECG average of Day -1 and Day -2 to Days 1-7 for Cohort 5 and 6

Full Information

First Posted
May 6, 2013
Last Updated
November 13, 2014
Sponsor
Gilead Sciences
search

1. Study Identification

Unique Protocol Identification Number
NCT01849003
Brief Title
Study of the Effect of GS-6615 in Subjects With LQT-3
Official Title
An Open-label Study to Evaluate the Effect of Single Dose GS-6615 on QT, Safety and Tolerability in Subjects With Long QT-3 Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
November 2014
Overall Recruitment Status
Completed
Study Start Date
May 2013 (undefined)
Primary Completion Date
November 2014 (Actual)
Study Completion Date
November 2014 (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 mechanism of action study is to evaluate the effect of oral GS-6615 on the QTc interval in participants with Long QT-3 syndrome. This study will be performed in six cohorts of participants in a sequential manner, four single-dose cohorts followed by two multiple-dose cohorts. Duration of treatment for the single-dose cohorts and multiple-dose cohorts will be 1 day and 7 days, respectively. Participants will be confined at the study center from check-in until completion of assessments at discharge. Participants will be continuously monitored using real-time telemetry throughout the in-clinic confinement. Physical examinations including vital signs, laboratory analysis, electrocardiograms (ECGs), Holter recordings and echocardiography (ECHO) will be performed at defined time points throughout the study period. Assessment of adverse events and concomitant medications will continue throughout the duration of the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Long QT Syndrome
Keywords
Long QT Syndrome, LQTS, Long QT-3 Syndrome, LQT-3, prolonged QT interval, GS-6615, late sodium current inhibitor

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
Participants will receive a single 10 mg dose of GS-6615.
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
Participants will receive a single 20 mg dose of GS-6615.
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
Participants will receive a single 30 mg dose of GS-6615.
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
Participants will receive a single 60 mg dose of GS-6615.
Arm Title
Cohort 5
Arm Type
Experimental
Arm Description
Participants will receive single doses of GS-6615 as follows: Day 1: 20 mg (loading dose) Day 2: 40 mg (loading dose) Days 3-7: 6 mg (maintenance dose) once daily If a participant has a QTcF value of ≤ 420 msec on 2 consecutive time points after the 20 mg dose on Day 1, the participant will receive the maintenance dose of 6 mg on Day 2.
Arm Title
Cohort 6
Arm Type
Experimental
Arm Description
Participants will receive single doses of GS-6615 as follows: Day 1: 50 mg (loading dose) Day 2-3: 10 mg once daily Days 4-7: 20 mg once daily
Intervention Type
Drug
Intervention Name(s)
GS-6615
Intervention Description
GS-6615 tablet(s) administered orally
Primary Outcome Measure Information:
Title
Changes in QTc intervals (Fridericia formula)
Description
Changes in QTc intervals (Fridericia formula; QTcF) from the time-matched ECG in the primary lead V5. In case QT cannot be measured in lead V5, lead II will be designated as the primary lead Change from the time-matched ECG on Day -1 to Day 1 for Cohorts 1-4 Change from the time-matched ECG average of Day -1 and Day -2 to Days 1-7 for Cohort 5 and 6
Time Frame
Baseline through Day 7
Secondary Outcome Measure Information:
Title
Incidence of Adverse Events (AEs)
Time Frame
Baseline through Day 22
Title
Changes in ECHO parameters
Description
ECHO parameters relevant for measurement of diastolic function will be assessed.
Time Frame
Baseline through Day 7
Title
Area under the plasma concentration-time curve (AUC) from time 0 to the last quantifiable concentration of GS-6615
Time Frame
Baseline through Day 12
Title
Maximum observed plasma concentration (Cmax) of GS-6615
Time Frame
Baseline through Day 12
Title
Time to maximum observed concentration (Tmax) of GS-6615
Time Frame
Baseline through Day 12
Title
Changes in ECG parameters
Description
ECG parameters assessed will include PR, RR, QRS, and QT. PR: electrocardiographic interval occurring between the onset of the P wave and the QRS complex representing time for atrial and ventricular depolarization, respectively RR: electrocardiographic interval representing the time measurement between the R wave of one heartbeat and the R wave of the preceding heartbeat QRS: electrocardiographic deflection between the beginning of the Q wave and termination of the S wave representing time for ventricular depolarization QT: electrocardiographic interval between the beginning of the Q wave and termination of the T wave representing the time for both ventricular depolarization and repolarization to occur
Time Frame
Baseline through Day 12
Title
Changes in QTc interval (Bazett [QTcB])
Description
Changes in QTcB from the time-matched ECG in the primary lead V5. In case QT cannot be measured in lead V5, lead II will be designated as the primary lead Change from the time-matched ECG on Day -1 to Day 1 for Cohorts 1-4 Change from the time-matched ECG average of Day -1 and Day -2 to Days 1-7 for Cohort 5 and 6
Time Frame
Baseline through Day 7

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and females between ages 18-65 years (inclusive) at time of screening Documented LQT-3 genotype with one of the following mutations: delta KPQ, R1623Q, N1325S, E1784K, S1787N, D1790G, G1631D, 1795insD, delF1617, R1644H, L409P, F2004L, I1768V, T1304M, A1330T, or F1596I3. QTc > 480 msec in lead V5 at screening Weight of at least 50 kg with body mass index (BMI) between 18 and 30 kg/m^2 (inclusive) Females of childbearing potential must have a negative serum pregnancy test at screening and check-in Females of childbearing potential must agree to utilize protocol recommended highly effective contraception methods from three weeks prior to the single dose of study drug and for 30 days following the single dose of study drug a. Females who utilize hormonal contraceptive as one of their birth control methods must have used the same method for at least 3 months prior to study dosing Males must agree to utilize a protocol recommended highly effective method of contraception during heterosexual intercourse throughout the study period and for 90 days following last dose of study drug. Periodic abstinence and withdrawal are not acceptable methods of contraception Males must refrain from sperm donation from Day -2 through completion of the study and continuing for at least 90 days from the date of last dose of study drug Willing and able to comply with the requirements of the protocol and directions from the clinic staff Willing to avoid consumption of grapefruit, grapefruit juice and Seville oranges within 2 weeks prior to the single dose of study drug until discharge from the clinic Willing to avoid consumption of nicotine (including nicotine gum) and alcoholic beverages within 2 weeks prior to the single dose of study drug until discharge from the clinic Understand and willing to sign informed consent Exclusion Criteria: Ongoing or history of any medical or surgical condition that, in the judgment of the Investigator, might jeopardize the individual's safety or interfere with the absorption, distribution, metabolism or excretion of the study drug History of meningitis or encephalitis, seizures, migraines, tremors, myoclonic jerks, sleep disorder, anxiety, syncope, head injuries or a family history of seizures Any abnormal electrocardiographic (ECG) findings (except QTc > 460 msec) at screening judged to be clinically significant by the investigator Any abnormal laboratory value or physical examination finding at screening or check-in that is judged by the investigator as clinically significant History of positive serology test for HIV, or hepatitis B or C Positive urine drug test for ethanol, barbiturates, cocaine, opiates, or amphetamines at screening or check-in Positive urine cotinine test at check-in Current treatment with drugs affecting the QT interval Current treatment with sodium-channel blockers, eg, flecainide and mexiletine Current treatment with strong or moderate inhibitors or inducers of cytochrome P450 (CYP)3A4 and 1A2 Prior treatment with ranolazine within 7 days prior to study drug administration Use of systemic prescription medications or over-the-counter (OTC) medication, including multivitamins, and dietary and herbal supplement within 2 weeks or 5 times the terminal half-lives of the medication (whichever is longer) prior to the single dose of study drug, and for the duration of the study Use of any experimental or investigational drug or device within 30 days prior to the single dose of study drug or 5 half-lives of the drug, whichever is longer Females who are pregnant or lactating History of drug or alcohol abuse within 12 months prior to initial dosing of study drug Psychosocial or addictive disorders that would interfere with ability to give informed consent or could compromise compliance with the protocol
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Elizabeth Layug, MD
Organizational Affiliation
Gilead Sciences
Official's Role
Study Director
Facility Information:
Facility Name
University of Rochester Medical Center/Strong Memorial Hospital
City
Rochester
State/Province
New York
ZIP/Postal Code
14620
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study of the Effect of GS-6615 in Subjects With LQT-3

We'll reach out to this number within 24 hrs