A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of GSK2798745 in Participants With Diabetic Macular Edema
Primary Purpose
Macular Edema
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
GSK2798745
Sponsored by
About this trial
This is an interventional treatment trial for Macular Edema focused on measuring Diabetic macular edema, GSK2798745, Refraction, Visual acuity.
Eligibility Criteria
Inclusion Criteria:
- At least 18 to 75 years of age inclusive, at the time of signing the informed consent.
- Diagnosis of diabetes mellitus (type 1 or type 2).
- Confirmation of DME with center involvement in at least one eye by fluorescein angiography.
- Confirmation of retinal thickening (diabetic macular edema) involving the center of the fovea in the study by Investigator.
- Best Corrected Visual Acuity (BCVA) letter score of 80 letter or worse (Snellen equivalent: equivalent to 20/25) or worse in the study eye.
- Safe to withhold treatment of the study eye with laser photocoagulation, intravitreal steroid injection, or intravitreal vascular endothelial growth factor (VEGF) inhibitor for the duration of the study.
- Body weight greater than equal to (>=) 50 kilograms (kg) and Body mass index (BMI) within the range 18 to 43 kg per square meter (inclusive) at screening.
- Male participants must agree to refrain from donating sperm, plus either be abstinent from heterosexual or homosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent or must agree to use acceptable contraception/barrier to use acceptable contraceptive methods if their partner is of childbearing potential. This criterion must be followed from the first dose of study treatment until the follow-up visit.
- A female participant is eligible to participate if she is not of childbearing potential.
Exclusion Criteria:
- Additional eye disease in the study eye that in the opinion of the Investigator could compromise assessment.
- History of choroidal neovascularization in the study eye, or current choroidal neovascularization in the fellow eye requiring treatment.
- Active Proliferative diabetic retinopathy (PDR) in the study eye or untreated active PDR in the fellow eye.
- Ischemic maculopathy on fluorescein angiography.
- Intraocular surgery or laser photocoagulation in the study eye within 90 day.
- Use of intravitreal ranibizumab,or bevacizumab within 42 days (6 weeks), or aflibercept within 56 days (8 weeks) of dosing in the study eye.
- Use of intraocular steroids in the study eye within 180 days of dosing.
- Use of or expected need for intravitreal or intraocular treatment in the study eye during course of the study.
- Use of any systemically administered anti-angiogenic agent within 6 months of dosing.
- Evidence of vitreomacular traction as determined by the Investigator.
- Uncontrolled intraocular pressure in the study eye despite treatment with glaucoma medication.
- Within 6 months prior to the Screening Visit, use of medications known to be toxic to the retina, lens or optic nerve
- Uncontrolled diabetes as indicated by glycated hemoglobin (HbA1c) >12% at Screening.
- Active ulcer disease or gastrointestinal bleeding by history within 6 months of screening or by exam at the time of screening.
- Certain type of liver disease.
- Participant who, in the Investigator's opinion, poses a significant suicide risk.
- History or current evidence of any serious or clinically significant cardiac, gastrointestinal, renal, endocrine, neurologic, hematologic, infectious or other condition that is uncontrolled.
- Corrected (QTc) interval >450 milliseconds (msec) or QTc >480 msec in participants with bundle branch block.
- Use of certain medications that may interfere with the study medication or eye assessments (these will be identified by the study doctor).
- Current enrollment, or recent participation in a study of investigational intervention or medical research.
- Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the Investigator or Medical Monitor, contraindicates participation in the study.
- Any other reason the investigator deems the participant should not participate in the study.
- Other protocol-defined inclusion/exclusion criteria may apply.
Sites / Locations
- GSK Investigational Site
- GSK Investigational Site
- GSK Investigational Site
- GSK Investigational Site
- GSK Investigational Site
- GSK Investigational Site
- GSK Investigational Site
- GSK Investigational Site
- GSK Investigational Site
- GSK Investigational Site
- GSK Investigational Site
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Participants receiving GSK2798745
Arm Description
Outcomes
Primary Outcome Measures
Number of participants with abnormal ophthalmic examination findings
Number of participants with abnormal refraction and visual acuity
Number of participants with abnormal physical examination findings
Number of participants with clinically significant changes in laboratory parameters, vital signs, and 12-lead electrocardiogram (ECG) findings
Number of participants with adverse events (AE) and serious adverse events (SAE)
Mean change from Baseline in center subfield retinal thickness as measured by Spectral-Domain Optical Coherence Tomography (SD-OCT)
Secondary Outcome Measures
Plasma concentrations of GSK2798745
Plasma concentrations of major metabolite GSK3526876
Absorption rate of GSK2798745
Clearance of GSK2798745
Volume of distribution of GSK2798745
Maximum observed plasma concentration (Cmax) of GSK2798745
Area under concentration-time curve (AUC) over dosing interval of GSK2798745
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04292912
Brief Title
A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of GSK2798745 in Participants With Diabetic Macular Edema
Official Title
Phase I, Open-Label, Multi-Center Study to Evaluate Safety, Pharmacokinetics and Pharmacodynamics of GSK2798745 After 28 Day Repeat Oral Administration to Adults With Diabetic Macular Edema
Study Type
Interventional
2. Study Status
Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
September 7, 2020 (Actual)
Primary Completion Date
April 11, 2022 (Actual)
Study Completion Date
April 11, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The study will be composed of 3 periods for all participants: Screening, 28-day Treatment period, and Follow-up visit (approximately 28 days after the final dose).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Macular Edema
Keywords
Diabetic macular edema, GSK2798745, Refraction, Visual acuity.
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Model Description
This is a multi-center, open-label, single arm study.
Masking
None (Open Label)
Allocation
N/A
Enrollment
17 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Participants receiving GSK2798745
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
GSK2798745
Intervention Description
GSK2798745 will be administered.
Primary Outcome Measure Information:
Title
Number of participants with abnormal ophthalmic examination findings
Time Frame
Up to Day 28
Title
Number of participants with abnormal refraction and visual acuity
Time Frame
Up to Day 28
Title
Number of participants with abnormal physical examination findings
Time Frame
Up to Day 28
Title
Number of participants with clinically significant changes in laboratory parameters, vital signs, and 12-lead electrocardiogram (ECG) findings
Time Frame
Up to Day 28
Title
Number of participants with adverse events (AE) and serious adverse events (SAE)
Time Frame
Up to Day 28
Title
Mean change from Baseline in center subfield retinal thickness as measured by Spectral-Domain Optical Coherence Tomography (SD-OCT)
Time Frame
Baseline and at Day 28
Secondary Outcome Measure Information:
Title
Plasma concentrations of GSK2798745
Time Frame
At Day 28
Title
Plasma concentrations of major metabolite GSK3526876
Time Frame
At Day 28
Title
Absorption rate of GSK2798745
Time Frame
At Day 28
Title
Clearance of GSK2798745
Time Frame
At Day 28
Title
Volume of distribution of GSK2798745
Time Frame
At Day 28
Title
Maximum observed plasma concentration (Cmax) of GSK2798745
Time Frame
At Day 28
Title
Area under concentration-time curve (AUC) over dosing interval of GSK2798745
Time Frame
At Day 28
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
At least 18 to 75 years of age inclusive, at the time of signing the informed consent.
Diagnosis of diabetes mellitus (type 1 or type 2).
Confirmation of DME with center involvement in at least one eye by fluorescein angiography.
Confirmation of retinal thickening (diabetic macular edema) involving the center of the fovea in the study by Investigator.
Best Corrected Visual Acuity (BCVA) letter score of 80 letter or worse (Snellen equivalent: equivalent to 20/25) or worse in the study eye.
Safe to withhold treatment of the study eye with laser photocoagulation, intravitreal steroid injection, or intravitreal vascular endothelial growth factor (VEGF) inhibitor for the duration of the study.
Body weight greater than equal to (>=) 50 kilograms (kg) and Body mass index (BMI) within the range 18 to 43 kg per square meter (inclusive) at screening.
Male participants must agree to refrain from donating sperm, plus either be abstinent from heterosexual or homosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent or must agree to use acceptable contraception/barrier to use acceptable contraceptive methods if their partner is of childbearing potential. This criterion must be followed from the first dose of study treatment until the follow-up visit.
A female participant is eligible to participate if she is not of childbearing potential.
Exclusion Criteria:
Additional eye disease in the study eye that in the opinion of the Investigator could compromise assessment.
History of choroidal neovascularization in the study eye, or current choroidal neovascularization in the fellow eye requiring treatment.
Active Proliferative diabetic retinopathy (PDR) in the study eye or untreated active PDR in the fellow eye.
Ischemic maculopathy on fluorescein angiography.
Intraocular surgery or laser photocoagulation in the study eye within 90 day.
Use of intravitreal ranibizumab,or bevacizumab within 42 days (6 weeks), or aflibercept within 56 days (8 weeks) of dosing in the study eye.
Use of intraocular steroids in the study eye within 180 days of dosing.
Use of or expected need for intravitreal or intraocular treatment in the study eye during course of the study.
Use of any systemically administered anti-angiogenic agent within 6 months of dosing.
Evidence of vitreomacular traction as determined by the Investigator.
Uncontrolled intraocular pressure in the study eye despite treatment with glaucoma medication.
Within 6 months prior to the Screening Visit, use of medications known to be toxic to the retina, lens or optic nerve
Uncontrolled diabetes as indicated by glycated hemoglobin (HbA1c) >12% at Screening.
Active ulcer disease or gastrointestinal bleeding by history within 6 months of screening or by exam at the time of screening.
Certain type of liver disease.
Participant who, in the Investigator's opinion, poses a significant suicide risk.
History or current evidence of any serious or clinically significant cardiac, gastrointestinal, renal, endocrine, neurologic, hematologic, infectious or other condition that is uncontrolled.
Corrected (QTc) interval >450 milliseconds (msec) or QTc >480 msec in participants with bundle branch block.
Use of certain medications that may interfere with the study medication or eye assessments (these will be identified by the study doctor).
Current enrollment, or recent participation in a study of investigational intervention or medical research.
Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the Investigator or Medical Monitor, contraindicates participation in the study.
Any other reason the investigator deems the participant should not participate in the study.
Other protocol-defined inclusion/exclusion criteria may apply.
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
Sacramento
State/Province
California
ZIP/Postal Code
95841
Country
United States
Facility Name
GSK Investigational Site
City
Lake Worth
State/Province
Florida
ZIP/Postal Code
33467
Country
United States
Facility Name
GSK Investigational Site
City
Winter Haven
State/Province
Florida
ZIP/Postal Code
33880
Country
United States
Facility Name
GSK Investigational Site
City
Shirley
State/Province
New York
ZIP/Postal Code
11967
Country
United States
Facility Name
GSK Investigational Site
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45202
Country
United States
Facility Name
GSK Investigational Site
City
McAllen
State/Province
Texas
ZIP/Postal Code
78503
Country
United States
Facility Name
GSK Investigational Site
City
Castle Hill
State/Province
New South Wales
ZIP/Postal Code
2154
Country
Australia
Facility Name
GSK Investigational Site
City
Westmead
State/Province
New South Wales
ZIP/Postal Code
2145
Country
Australia
Facility Name
GSK Investigational Site
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5000
Country
Australia
Facility Name
GSK Investigational Site
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3004
Country
Australia
Facility Name
GSK Investigational Site
City
Christchurch
ZIP/Postal Code
8011
Country
New Zealand
12. IPD Sharing Statement
Plan to Share IPD
Yes
IPD Sharing Plan Description
IPD for this study will be made available via the Clinical Study Data Request site.
IPD Sharing Time Frame
IPD will be made available within 6 months of publishing the results of the primary endpoints, key secondary endpoints and safety data of the study.
IPD Sharing Access Criteria
Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.
IPD Sharing URL
http://clinicalstudydatarequest.com
Learn more about this trial
A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of GSK2798745 in Participants With Diabetic Macular Edema
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