GSK2647544 RD, DDI in Healthy Young and Elderly Volunteers
Primary Purpose
Alzheimer's Disease
Status
Terminated
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
GSK2647544
drug-drug interaction
Sponsored by
About this trial
This is an interventional treatment trial for Alzheimer's Disease focused on measuring Alzheimer's disease, GSK2647544, drug-drug interaction, healthy subjects, Lp-PLA2, simvastatin
Eligibility Criteria
Inclusion Criteria:
- Males and females who are 18 to 64 years of age inclusive, defined as young subjects in this study, are eligible for Cohorts 1-3 only
- Males and females who are ≥65 years of age, defined as elderly subjects in this study, are eligible for Cohort 4 only
- Healthy as determined by a responsible and experienced physician
- A female subject is eligible to participate if she is of non-childbearing potential
- Male subjects with female partners of child-bearing potential must agree to use one of the contraception methods
- Body weight > 50 kg (110 pounds) and body mass index (BMI) between 19 and 32
- Aspartate aminotransferase (AST), Alanine transaminase (ALT), alkaline phosphatase and bilirubin <= 1.5xUpper Limit of Normal (ULN)
- Average of triplicate QTcB values and average of triplicate QTcF values must both < 450 msec
- Capable of giving written informed consent
Exclusion Criteria:
- Subjects with Lp-PLA2 activity <=20 nanomole/minute/milliliter (mL)(for subjects with 2 known birth parents of at least 50% Japanese, Chinese, or Korean ancestry)
- History of asthma, anaphylaxis or anaphalactoid reactions, severe allergic responses
- History of hypercoagulable state or history of thrombosis
- History of biliary tract disease including a history of liver disease with elevated liver function tests of known or unknown etiology
- Positive Human immunodeficiency virus (HIV), Hepatitis B or Hepatitis C at screening
- History of regular use of tobacco or nicotine-containing products within 6 months of the study
- Unable to abstain from alcohol or caffeine or xanthine-containing products for 24 h prior to the start of dosing
- Unable to refrain from use of prescription or non-prescription drugs and vitamins within 7 days or 5 half-lives (whichever is longer) prior to administration of study
- Urinary cotinine levels indicative of smoking or history or regular use of tobacco- or nicotine-containing products within 6 months prior to screening (Note: This applies to healthy young subjects screened for Cohorts 1-3 only. Healthy elderly subjects for cohort 4 who are social smokers must give up smoking for the period that they will be on the unit)
- positive pre-study drug/alcohol screen
- Unable to refrain from consumption of Seville oranges, grapefruit or grapefruit juice within 7 days prior to the first dose of study medication until the follow-up visit
- Subjects who have taken statins, medicines that are contraindications of statins, know potent inhibitiors or inducers of CYP3A4 in the 4 weeks or 5 half-lives (whichever is longer) prior to screening and are not able to discontinue use throughout participation in the clinical trial
Sites / Locations
- GSK Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Placebo Comparator
Experimental
Experimental
Arm Label
GSK2647544
Placebo
simvastatin
simvastatin co-dosed with GSK2647544
Arm Description
The planned repeat doses of GSK2647544 are 80 mg bid, 200 mg bid, and 350 mg bid
Matching placebo
for drug-drug interaction
for drug-drug interaction
Outcomes
Primary Outcome Measures
Safety and tolerability of GSK2647544 as assessed by number of subjects with adverse events (AE)s
Safety and tolerability parameters will include recording of AEs
Safety and tolerability of GSK2647544 as assessed by change from Baseline in laboratory values
Safety and tolerability parameters will include laboratory (haematology, clinical chemistry, urinalysis) values at Screening, Day-1, Day 1 to up to Day 15 and Follow-up (7-14 days post-last dose)
Safety and tolerability of GSK2647544 as assessed by change from Baseline in ECG readings
Safety and tolerability parameter will include the electrocardiogram (ECG) readings at Screening, Day -1, Day 1 to up to Day 19, and follow-up (7-14 days post-last dose)
Safety and tolerability of GSK2647544 as assessed by change from Baseline in Telemetry ECG parameters
Safety and tolerability parameter will include the Telemetry ECG readings from 30 minutes pre-dosing till 24 hours post-dosing
Safety and tolerability of GSK2647544 as assessed by change from Baseline in vital signs
Vital signs measurement include systolic and diastolic blood pressure and pulse rate at Screening, Day -1, Day 1 to up to Day 19, and Follow-up (7-14 days post-last dose)
Safety and tolerability of GSK2647544 as assessed by Columbia Suicide Severity Rating Scale (C-SSRS)
C-SSRS will be measured at Screening, Day-1, dispersed days during dosing sessions, prior to discharge, and Follow-up (7-14 days post-last dose)
Peak plasma concentration (Cmax) of GSK2647544
To assess PK profile of GSK2647544, Cmax of GSK2647544 will be measured
Time of peak plasma concentration (tmax) of GSK2647544
To assess PK profile of GSK2647544, tmax of GSK2647544 will be measured
Area under the time concentration curve (AUC) of GSK2647544
To assess PK profile of GSK2647544, AUC of GSK2647544 will be measured
Terminal half-life (t½ ) of GSK2647544
To assess PK profile of GSK2647544, t1/2 of GSK2647544 will be measured
Time of peak plasma concentration (tmax) of simvastatin
To assess the effect of GSK2647544 on PK profile of simvastatin, tmax of simvastatin will be measured
Area under the time concentration curve (AUC) of simvastatin
To assess the effect of GSK2647544 on PK profile of simvastatin, AUC of simvastatin will be measured
Secondary Outcome Measures
Predose plasma lipoprotein-associated phospholipase A2 (Lp-PLA2) activity and postdose Lp-PLA2 activity
Lp-PLA2 activity will be measured at Days 1, 2, 3 and 4 in GSK2647544 single dose sessions; it will be measured at Days 1, 3, 4, 5, 7, 10, 14, 15, 16, 17 and 18 in GSK2647544 repeat dose sessions
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01978327
Brief Title
GSK2647544 RD, DDI in Healthy Young and Elderly Volunteers
Official Title
Single-blind, Randomised, Placebo-controlled Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Repeat Doses of GSK2647544 and Its Potential Pharmacokinetic Interaction With Simvastatin in Healthy Volunteers
Study Type
Interventional
2. Study Status
Record Verification Date
June 2017
Overall Recruitment Status
Terminated
Why Stopped
Given the strength of CYP3A4 inhibition observed in Cohort 1, there is no rationale to investigate higher doses of GSK2647544 in the following two cohorts
Study Start Date
November 22, 2013 (Actual)
Primary Completion Date
March 3, 2014 (Actual)
Study Completion Date
March 3, 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline
4. Oversight
5. Study Description
Brief Summary
GSK2647544 is an orally available, selective inhibitor of Lp PLA2 that is being developed for the treatment of Alzheimer's disease. The current study is a single-blind, randomised, placebo-controlled, 4-cohort study to assess the safety, tolerability, pharmacokinetics and pharmacodynamics of repeat doses of GSK2647544. Cohorts 1, 2 and 3 will evaluate escalating doses of GSK2647544 in young healthy volunteers for 7 days, 7 days, and 14 days, respectively. Cohort 4 will evaluate repeat doses of GSK2647544 in healthy elderly volunteers for 14 days. Additionally, Cohorts 1 and 3 will include an assessment of potential drug-drug interaction with simvastatin to examine CYP3A4 inhibition by GSK2647544.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer's Disease
Keywords
Alzheimer's disease, GSK2647544, drug-drug interaction, healthy subjects, Lp-PLA2, simvastatin
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
12 (Actual)
8. Arms, Groups, and Interventions
Arm Title
GSK2647544
Arm Type
Experimental
Arm Description
The planned repeat doses of GSK2647544 are 80 mg bid, 200 mg bid, and 350 mg bid
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Matching placebo
Arm Title
simvastatin
Arm Type
Experimental
Arm Description
for drug-drug interaction
Arm Title
simvastatin co-dosed with GSK2647544
Arm Type
Experimental
Arm Description
for drug-drug interaction
Intervention Type
Drug
Intervention Name(s)
GSK2647544
Intervention Description
repeat dose
Intervention Type
Drug
Intervention Name(s)
drug-drug interaction
Intervention Description
drug-drug interaction
Primary Outcome Measure Information:
Title
Safety and tolerability of GSK2647544 as assessed by number of subjects with adverse events (AE)s
Description
Safety and tolerability parameters will include recording of AEs
Time Frame
up to 19 days in each dosing session
Title
Safety and tolerability of GSK2647544 as assessed by change from Baseline in laboratory values
Description
Safety and tolerability parameters will include laboratory (haematology, clinical chemistry, urinalysis) values at Screening, Day-1, Day 1 to up to Day 15 and Follow-up (7-14 days post-last dose)
Time Frame
up to 15 days in each dosing session
Title
Safety and tolerability of GSK2647544 as assessed by change from Baseline in ECG readings
Description
Safety and tolerability parameter will include the electrocardiogram (ECG) readings at Screening, Day -1, Day 1 to up to Day 19, and follow-up (7-14 days post-last dose)
Time Frame
up to 19 days in each dosing session
Title
Safety and tolerability of GSK2647544 as assessed by change from Baseline in Telemetry ECG parameters
Description
Safety and tolerability parameter will include the Telemetry ECG readings from 30 minutes pre-dosing till 24 hours post-dosing
Time Frame
2 days in Cohorts 1, 2 and 4; 3 days in Cohort 4
Title
Safety and tolerability of GSK2647544 as assessed by change from Baseline in vital signs
Description
Vital signs measurement include systolic and diastolic blood pressure and pulse rate at Screening, Day -1, Day 1 to up to Day 19, and Follow-up (7-14 days post-last dose)
Time Frame
up to 19 days in each dosing session
Title
Safety and tolerability of GSK2647544 as assessed by Columbia Suicide Severity Rating Scale (C-SSRS)
Description
C-SSRS will be measured at Screening, Day-1, dispersed days during dosing sessions, prior to discharge, and Follow-up (7-14 days post-last dose)
Time Frame
4 days in Cohorts 1 and 2; 8 days in Cohorts 3 and 4
Title
Peak plasma concentration (Cmax) of GSK2647544
Description
To assess PK profile of GSK2647544, Cmax of GSK2647544 will be measured
Time Frame
up to 17 days in GSK2647544 dosing sessions
Title
Time of peak plasma concentration (tmax) of GSK2647544
Description
To assess PK profile of GSK2647544, tmax of GSK2647544 will be measured
Time Frame
up to 17 days in GSK2647544 dosing sessions
Title
Area under the time concentration curve (AUC) of GSK2647544
Description
To assess PK profile of GSK2647544, AUC of GSK2647544 will be measured
Time Frame
up to 17 days in GSK2647544 dosing sessions
Title
Terminal half-life (t½ ) of GSK2647544
Description
To assess PK profile of GSK2647544, t1/2 of GSK2647544 will be measured
Time Frame
up to 17 days in GSK2647544 dosing sessions
Title
Time of peak plasma concentration (tmax) of simvastatin
Description
To assess the effect of GSK2647544 on PK profile of simvastatin, tmax of simvastatin will be measured
Time Frame
4 days in Cohorts 1 and 3
Title
Area under the time concentration curve (AUC) of simvastatin
Description
To assess the effect of GSK2647544 on PK profile of simvastatin, AUC of simvastatin will be measured
Time Frame
4 days in Cohorts 1 and 3
Secondary Outcome Measure Information:
Title
Predose plasma lipoprotein-associated phospholipase A2 (Lp-PLA2) activity and postdose Lp-PLA2 activity
Description
Lp-PLA2 activity will be measured at Days 1, 2, 3 and 4 in GSK2647544 single dose sessions; it will be measured at Days 1, 3, 4, 5, 7, 10, 14, 15, 16, 17 and 18 in GSK2647544 repeat dose sessions
Time Frame
up to 18 days in GSK2647544 dosing sessions
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Males and females who are 18 to 64 years of age inclusive, defined as young subjects in this study, are eligible for Cohorts 1-3 only
Males and females who are ≥65 years of age, defined as elderly subjects in this study, are eligible for Cohort 4 only
Healthy as determined by a responsible and experienced physician
A female subject is eligible to participate if she is of non-childbearing potential
Male subjects with female partners of child-bearing potential must agree to use one of the contraception methods
Body weight > 50 kg (110 pounds) and body mass index (BMI) between 19 and 32
Aspartate aminotransferase (AST), Alanine transaminase (ALT), alkaline phosphatase and bilirubin <= 1.5xUpper Limit of Normal (ULN)
Average of triplicate QTcB values and average of triplicate QTcF values must both < 450 msec
Capable of giving written informed consent
Exclusion Criteria:
Subjects with Lp-PLA2 activity <=20 nanomole/minute/milliliter (mL)(for subjects with 2 known birth parents of at least 50% Japanese, Chinese, or Korean ancestry)
History of asthma, anaphylaxis or anaphalactoid reactions, severe allergic responses
History of hypercoagulable state or history of thrombosis
History of biliary tract disease including a history of liver disease with elevated liver function tests of known or unknown etiology
Positive Human immunodeficiency virus (HIV), Hepatitis B or Hepatitis C at screening
History of regular use of tobacco or nicotine-containing products within 6 months of the study
Unable to abstain from alcohol or caffeine or xanthine-containing products for 24 h prior to the start of dosing
Unable to refrain from use of prescription or non-prescription drugs and vitamins within 7 days or 5 half-lives (whichever is longer) prior to administration of study
Urinary cotinine levels indicative of smoking or history or regular use of tobacco- or nicotine-containing products within 6 months prior to screening (Note: This applies to healthy young subjects screened for Cohorts 1-3 only. Healthy elderly subjects for cohort 4 who are social smokers must give up smoking for the period that they will be on the unit)
positive pre-study drug/alcohol screen
Unable to refrain from consumption of Seville oranges, grapefruit or grapefruit juice within 7 days prior to the first dose of study medication until the follow-up visit
Subjects who have taken statins, medicines that are contraindications of statins, know potent inhibitiors or inducers of CYP3A4 in the 4 weeks or 5 half-lives (whichever is longer) prior to screening and are not able to discontinue use throughout participation in the clinical trial
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
Harrow
State/Province
Middlesex
ZIP/Postal Code
HA1 3UJ
Country
United Kingdom
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.
Available IPD and Supporting Information:
Available IPD/Information Type
Dataset Specification
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
200592
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
200592
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Informed Consent Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
200592
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
200592
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
200592
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
200592
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
200592
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Learn more about this trial
GSK2647544 RD, DDI in Healthy Young and Elderly Volunteers
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