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A Pharmacokinetic Study of Eltrombopag 50 Milligram (mg) in Healthy Volunteers Under Fasting Conditions

Primary Purpose

Cirrhosis, Liver

Status
Completed
Phase
Phase 1
Locations
Mexico
Study Type
Interventional
Intervention
Eltrombopag
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Cirrhosis, Liver focused on measuring eltrombopag 50 mg, healthy volunteers, pharmacokinetic, single-dose, Open-label, fasting

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Subjects' participation must be voluntary according to the General Health Law and an informed consent form must be obtained for each subject before their participation. Compliance to Helsinki´s Declaration, its Japan Review and good clinical practice (GCP) should be followed.
  • Mexican male and female healthy volunteers with 18 to 50 years old will be included. A female subject is eligible to participate if she is of, Non-childbearing potential defined as pre menopausal females with a documented tubal ligation or hysterectomy (for this definition, "documented" refers to the outcome of the investigator's/designee's review of the subject's medical history for study eligibility, as obtained via a verbal interview with the subject or from the subject's medical records]; or postmenopausal defined as 12 months of spontaneous amenorrhea (in questionable cases a blood sample with simultaneous follicle stimulating hormone [FSH] > 40 milliinternational units per milliliter (MlU/ml) and estradiol < 40 picogram per milliliter [pg/ml] [<147 picomole per liter (pmol/L)] is confirmatory). Females on hormone replacement therapy (HRT) and whose menopausal status is in doubt will be required to use one of the contraception methods as described by the Investigator/designee, if they wish to continue their HRT during the study. Otherwise, they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrollment. For most forms of HRT, at least 2-4 weeks will elapse between the cessation of therapy and the blood draw; this interval depends on the type and dosage of HRT. Following confirmation of their post-menopausal status, they can resume use of HRT during the study without use of a contraceptive method). Child-bearing potential with negative pregnancy test as determined by (serum or urine) human chorionic gonadotropin (hCG) test at screening or prior to dosing abbr de ante meridiem (AN ). Agrees to use one of the contraception methods listed by Investigator/designee for an appropriate period of time (as determined by the product label or investigator) prior to the start of dosing to sufficiently minimize the risk of pregnancy at that point. Female subjects must agree to use contraception until seven days after the drug administration. or has only same-sex partners, when this is her preferred and usual lifestyle.
  • Body mass index (BMI) between 18-27.0 kilogram per meter (kg/m^2) according to Quetelet.
  • Volunteers should be healthy as determined by their medical evaluation done by the physicians in the center and by their safety labs results done at a certified local laboratory.
  • Variation limits within normal ranges on their screening visit are: Blood pressure (BP) (seating) between 90 and 130 millimeters of mercury (mm Hg) for Systolic pressure and between 60 and 90 mmHg diastolic pressure, heart rate (HR) between 55 and 100 beats per minute (bpm) and respiratory rate (RR) between 14 and 20 per minute.
  • Safety laboratory tests to be done include: Hematology: Complete blood count with differential, Hemoglobin, Hematocrit, platelet count, etc; Blood chemistry: Albumin, Alkaline phosphatase, aspartate-aminotransferase (AST), alanine aminotransferase (ALT), Urea, Calcium, Chloride, Glucose, Phosphate, Potassium, Serum creatinine, Sodium, Total bilirubin, Total protein, etc; Urinalysis: pH, Specific gravity, Protein, Glucose, Ketones, Bilirubin, Occult blood and cells, Nitrite, Urobilinogen, Leukocytes, Microscopic examination; Hepatitis B and C tests; human Immunodeficiency Virus (HIV) test; Serum pregnancy test; Drug abuse test; Alcohol detection test; Urine Pregnancy test; ECG; Chest X ray. Normal variation limits for laboratory values will be +/- 10% from normal range, unless the principal investigator (PI) considers another deviation as clinically non-significant. In that case, values should be documented in the volunteer's clinical file as well as the decision to include the subject prior consult with GlaxoSmithKline (GSK) Medical Monitor. For safety reasons and as per the PI criteria additional ECG or safety labs may be performed.

Exclusion Criteria:

  • Subjects with changes on their vital signs compared to what obtained in the screening visit.
  • Volunteers that not comply with all the inclusion criteria described previously
  • Volunteers with history of clinically relevant cardiovascular, renal, hepatic, muscular, metabolic. Clinically relevant hematologic, gastrointestinal, neurological, endocrine, pulmonary, mental disease or any other organical abnormality. Volunteers with muscular traumatism within 21 days before the study.
  • Volunteers that require any drug during the study, besides the study drug.
  • Volunteers with dyspepsia, gastritis, esofagitis, duodenal o gastric ulcers.
  • Volunteers that have received hepatic metabolism drug inhibitors or inducers within 30 days of the beginning of the study and that have received drugs that may alter urinary pH, like antiacids with sodium bicarbonate, potasium citrate and certain diuretics
  • Volunteers who received any drug and that 7 half lives have not been completed at the beginning of the study.
  • Volunteers who have ALT, alkaline phosphatase and bilirubin <= 1.5x upper limit of normal range (ULN) (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%).
  • Corrected QT interval duration (QTc) values of triplicate ECGs obtained over a brief recording period: QTc < 450 milliseconds (msec); or QTc < 480 msec in subjects with Bundle Branch Block.
  • Volunteers that might have required to be hospitalized for any reason within 6 months before the beginning of the study
  • Subjects with a previous participation in another research study within 60 days prior to the beginning of the study.
  • Subjects allergic to any food, drug and/or substance
  • Subjects with known history of sensitivity to heparin or heparin-induced thrombocytopenia.
  • Subjects who consume alcohol, coffee, grapefruit, nicotine, orange or metilxantines containing substances (coffee, tea, chocolate, cola products, broiled products etc) within 72 hours prior to their confinement period and until the end of the study.
  • Subjects that might have lost or donated 450 ml of blood within the 60 days prior to the beginning of the study.
  • Alcohol or drug abuse history
  • Volunteers who require special meals (vegetarian).
  • Unwillingness or unable to understand the nature, objectives of possible consequences of the study.
  • Evidence of not being able to cooperate during the study
  • Positive alcohol, drug abuse and/or pregnancy tests
  • Breast feeding
  • Volunteers under any kind of hormonal therapy
  • Volunteers not registered at COFEPRIS web page

Sites / Locations

  • GSK Investigational Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Eltrombopag 50 mg

Arm Description

Each volunteer will receive orally, single dose of tablet eltrombopag 50 mg under fasting conditions

Outcomes

Primary Outcome Measures

Composite of PK parameters for eltrombopag
Following PK parameters will be assessed: Area under the concentration-time curve from time zero to last time of quantifiable concentration within a subject (AUC[0-t]), area under the curve (concentration/time) from time 0 extrapolated to infinity (AUC[0 inf]), maximum observed concentration (Cmax) and time to Cmax (tmax)

Secondary Outcome Measures

Incidence and nature of adverse events (AEs) and Serious adverse events (SAEs)
AEs and SAEs will be collected from the screening until the follow-up visit
Monitoring vital signs
Vital signs assessments included temperature, systolic and diastolic blood pressure, and pulse rate measurements
Electrocardiograms (ECG) assessments
Single 12-lead ECGs will be obtained over a brief (eg, 5-10 minute) recording period at each study visit.
Clinical laboratory parameters
Clinical laboratory parameters will include hematology, clinical chemistry and urine analysis

Full Information

First Posted
September 29, 2014
Last Updated
November 8, 2017
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT02254434
Brief Title
A Pharmacokinetic Study of Eltrombopag 50 Milligram (mg) in Healthy Volunteers Under Fasting Conditions
Official Title
An Open-label Single-dose Pharmacokinetic Study of an Oral Formulation in Tablets Containing Eltrombopag 50 mg (Revolade, Glaxosmithkline Mexico, S.A. De C.V.) in Healthy Volunteers Under Fasting Conditions
Study Type
Interventional

2. Study Status

Record Verification Date
November 2017
Overall Recruitment Status
Completed
Study Start Date
August 28, 2014 (Actual)
Primary Completion Date
September 8, 2014 (Actual)
Study Completion Date
September 8, 2014 (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
This study evaluates pharmacokinetics of eltrombopag 50 mg after the oral administration in Mexican healthy volunteers under fasting conditions. The study will be an open label, single dose study with 26 subjects planned to be enrolled. Healthy subjects (male and female) aged between 18 - 50 years of age (inclusive) and a Body Mass Index within the range of 18-27.0 kg/meter (m)^2 (inclusive) were enrolled according to Quetelet. REVOLADE is a registered trademark of the GSK group of companies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cirrhosis, Liver
Keywords
eltrombopag 50 mg, healthy volunteers, pharmacokinetic, single-dose, Open-label, fasting

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
26 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Eltrombopag 50 mg
Arm Type
Experimental
Arm Description
Each volunteer will receive orally, single dose of tablet eltrombopag 50 mg under fasting conditions
Intervention Type
Drug
Intervention Name(s)
Eltrombopag
Intervention Description
Eltrombopag 50 mg per tablet for oral route of administration will be sourced locally
Primary Outcome Measure Information:
Title
Composite of PK parameters for eltrombopag
Description
Following PK parameters will be assessed: Area under the concentration-time curve from time zero to last time of quantifiable concentration within a subject (AUC[0-t]), area under the curve (concentration/time) from time 0 extrapolated to infinity (AUC[0 inf]), maximum observed concentration (Cmax) and time to Cmax (tmax)
Time Frame
Serum Pharmacokinetic (PK) samples will be collected pre-dose and then samples will be obtained 0.5, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 8.0, 12, 16, 24, 48, 72 and 96 hours after drug administration
Secondary Outcome Measure Information:
Title
Incidence and nature of adverse events (AEs) and Serious adverse events (SAEs)
Description
AEs and SAEs will be collected from the screening until the follow-up visit
Time Frame
Up to Day 12
Title
Monitoring vital signs
Description
Vital signs assessments included temperature, systolic and diastolic blood pressure, and pulse rate measurements
Time Frame
Up to Day 12
Title
Electrocardiograms (ECG) assessments
Description
Single 12-lead ECGs will be obtained over a brief (eg, 5-10 minute) recording period at each study visit.
Time Frame
Up to Day 12
Title
Clinical laboratory parameters
Description
Clinical laboratory parameters will include hematology, clinical chemistry and urine analysis
Time Frame
Up to Day 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects' participation must be voluntary according to the General Health Law and an informed consent form must be obtained for each subject before their participation. Compliance to Helsinki´s Declaration, its Japan Review and good clinical practice (GCP) should be followed. Mexican male and female healthy volunteers with 18 to 50 years old will be included. A female subject is eligible to participate if she is of, Non-childbearing potential defined as pre menopausal females with a documented tubal ligation or hysterectomy (for this definition, "documented" refers to the outcome of the investigator's/designee's review of the subject's medical history for study eligibility, as obtained via a verbal interview with the subject or from the subject's medical records]; or postmenopausal defined as 12 months of spontaneous amenorrhea (in questionable cases a blood sample with simultaneous follicle stimulating hormone [FSH] > 40 milliinternational units per milliliter (MlU/ml) and estradiol < 40 picogram per milliliter [pg/ml] [<147 picomole per liter (pmol/L)] is confirmatory). Females on hormone replacement therapy (HRT) and whose menopausal status is in doubt will be required to use one of the contraception methods as described by the Investigator/designee, if they wish to continue their HRT during the study. Otherwise, they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrollment. For most forms of HRT, at least 2-4 weeks will elapse between the cessation of therapy and the blood draw; this interval depends on the type and dosage of HRT. Following confirmation of their post-menopausal status, they can resume use of HRT during the study without use of a contraceptive method). Child-bearing potential with negative pregnancy test as determined by (serum or urine) human chorionic gonadotropin (hCG) test at screening or prior to dosing abbr de ante meridiem (AN ). Agrees to use one of the contraception methods listed by Investigator/designee for an appropriate period of time (as determined by the product label or investigator) prior to the start of dosing to sufficiently minimize the risk of pregnancy at that point. Female subjects must agree to use contraception until seven days after the drug administration. or has only same-sex partners, when this is her preferred and usual lifestyle. Body mass index (BMI) between 18-27.0 kilogram per meter (kg/m^2) according to Quetelet. Volunteers should be healthy as determined by their medical evaluation done by the physicians in the center and by their safety labs results done at a certified local laboratory. Variation limits within normal ranges on their screening visit are: Blood pressure (BP) (seating) between 90 and 130 millimeters of mercury (mm Hg) for Systolic pressure and between 60 and 90 mmHg diastolic pressure, heart rate (HR) between 55 and 100 beats per minute (bpm) and respiratory rate (RR) between 14 and 20 per minute. Safety laboratory tests to be done include: Hematology: Complete blood count with differential, Hemoglobin, Hematocrit, platelet count, etc; Blood chemistry: Albumin, Alkaline phosphatase, aspartate-aminotransferase (AST), alanine aminotransferase (ALT), Urea, Calcium, Chloride, Glucose, Phosphate, Potassium, Serum creatinine, Sodium, Total bilirubin, Total protein, etc; Urinalysis: pH, Specific gravity, Protein, Glucose, Ketones, Bilirubin, Occult blood and cells, Nitrite, Urobilinogen, Leukocytes, Microscopic examination; Hepatitis B and C tests; human Immunodeficiency Virus (HIV) test; Serum pregnancy test; Drug abuse test; Alcohol detection test; Urine Pregnancy test; ECG; Chest X ray. Normal variation limits for laboratory values will be +/- 10% from normal range, unless the principal investigator (PI) considers another deviation as clinically non-significant. In that case, values should be documented in the volunteer's clinical file as well as the decision to include the subject prior consult with GlaxoSmithKline (GSK) Medical Monitor. For safety reasons and as per the PI criteria additional ECG or safety labs may be performed. Exclusion Criteria: Subjects with changes on their vital signs compared to what obtained in the screening visit. Volunteers that not comply with all the inclusion criteria described previously Volunteers with history of clinically relevant cardiovascular, renal, hepatic, muscular, metabolic. Clinically relevant hematologic, gastrointestinal, neurological, endocrine, pulmonary, mental disease or any other organical abnormality. Volunteers with muscular traumatism within 21 days before the study. Volunteers that require any drug during the study, besides the study drug. Volunteers with dyspepsia, gastritis, esofagitis, duodenal o gastric ulcers. Volunteers that have received hepatic metabolism drug inhibitors or inducers within 30 days of the beginning of the study and that have received drugs that may alter urinary pH, like antiacids with sodium bicarbonate, potasium citrate and certain diuretics Volunteers who received any drug and that 7 half lives have not been completed at the beginning of the study. Volunteers who have ALT, alkaline phosphatase and bilirubin <= 1.5x upper limit of normal range (ULN) (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%). Corrected QT interval duration (QTc) values of triplicate ECGs obtained over a brief recording period: QTc < 450 milliseconds (msec); or QTc < 480 msec in subjects with Bundle Branch Block. Volunteers that might have required to be hospitalized for any reason within 6 months before the beginning of the study Subjects with a previous participation in another research study within 60 days prior to the beginning of the study. Subjects allergic to any food, drug and/or substance Subjects with known history of sensitivity to heparin or heparin-induced thrombocytopenia. Subjects who consume alcohol, coffee, grapefruit, nicotine, orange or metilxantines containing substances (coffee, tea, chocolate, cola products, broiled products etc) within 72 hours prior to their confinement period and until the end of the study. Subjects that might have lost or donated 450 ml of blood within the 60 days prior to the beginning of the study. Alcohol or drug abuse history Volunteers who require special meals (vegetarian). Unwillingness or unable to understand the nature, objectives of possible consequences of the study. Evidence of not being able to cooperate during the study Positive alcohol, drug abuse and/or pregnancy tests Breast feeding Volunteers under any kind of hormonal therapy Volunteers not registered at COFEPRIS web page
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
Mexico City
ZIP/Postal Code
14610
Country
Mexico

12. IPD Sharing Statement

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A Pharmacokinetic Study of Eltrombopag 50 Milligram (mg) in Healthy Volunteers Under Fasting Conditions

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