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Safety, Tolerability, Pharmacokinetic and Microbiological Investigation of GSK3882347 in Female Participants With Urinary Tract Infections

Primary Purpose

Uncomplicated Urinary Tract Infections

Status
Suspended
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
GSK3882347
Nitrofurantoin
Placebo
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Uncomplicated Urinary Tract Infections focused on measuring Microbiological response, Urinary tract infections (UTI), GSK3882347, Nitrofurantoin, Pharmacokinetics, Escherichia coli (E. coli)

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Participants must be greater than or equal to (>=)18 years of age and less than or equal to (<=)70 years.
  • The participant has 2 or more of the following clinical signs and symptoms of uncomplicated urinary tract infections (uUTI) with onset less than or equal to (<=) 72 hours of the screening assessment: dysuria, frequency, urgency, or lower abdominal pain.
  • Participant has nitrite and pyuria from a pretreatment clean-catch midstream urine sample
  • Participants with body mass index (BMI) greater than or equal to (>=) 19.0 kilograms per square meter (kg/m^2).
  • A female participant is eligible to participate who is not pregnant (as confirmed by a highly sensitive pregnancy test before the first dose of study intervention) or breastfeeding and one of the following conditions apply:

    1. Woman participant of non-childbearing potential (WONCBP) Or
    2. Woman participant of childbearing potential (WOCBP) using a contraceptive method that is highly effective, with a failure rate of less than (<) 1 percentage (%), during the study intervention period
  • Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and protocol.

Exclusion Criteria:

  • The participant has a BMI greater to or equal (>=) 40.0 kg/ m^2 or a BMI >=35.0 kg/ m^2 with obesity related health conditions such as high blood pressure or uncontrolled diabetes (non-fasting glucose value >300 milligram/deciliter [mg/dL]).
  • The participant is immunocompromised or has altered immune defenses that may predispose the participant to a higher risk of treatment failure and/or complications.
  • The participant has symptoms known or suspected to be caused by another disease process, such as asymptomatic bacteriuria, overactive bladder, chronic incontinence, or chronic interstitial cystitis.
  • The participant has an anatomical or physiological anomaly that predisposes the participant to UTIs or may be a source of persistent bacterial colonization, including calculi, obstruction of the urinary tract, primary renal disease, or neurogenic bladder, or the participant has a history of anatomical or functional abnormalities of the urinary tract.
  • The participant has an indwelling catheter, nephrostomy, ureteral stent, or other foreign material in the urinary tract.
  • The participant who, in the opinion of the investigator, has an otherwise complicated UTI, an active upper UTI (e.g., pyelonephritis, urosepsis), signs and symptoms onset >=96 hours before the screening assessment, or a temperature >=101 degree Fahrenheit (°F) (>=38 degree Celsius [°C]), flank pain, chills, or any other manifestations suggestive of upper UTI.
  • The participant has anuria, oliguria, or significant impairment of renal function.
  • The participant presents at enrollment with a suspected sexually transmitted infection.
  • A positive confirmation of Coronavirus Disease 2019 (COVID-19) infection, or high clinical index of suspicion for COVID-19.
  • The participant has received treatment with other systemic antimicrobials or systemic antifungals within 4 weeks before study entry.
  • Regular alcohol consumption within 6 months prior to the study with an average weekly intake of >14 units for females and one unit is equivalent to approximately 8 g of alcohol: a half-pint (250 ml) of beer, one glass (125 mL) of wine or one (35 mL) measure of spirits.
  • Unable to take nitrofurantoin. E.g. hypersensitivity to the active substance.

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
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site
  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

GSK3882347 + Placebo

Nitrofurantoin+ Placebo

Arm Description

Participants will be administered GSK3882347 plus placebo.

Participants will be administered nitrofurantoin plus placebo.

Outcomes

Primary Outcome Measures

Numbers of participants with microbiological response (responder/non-responder of GSK3882347) at the test of cure (TOC) visit
Microbiological response is defined as the response of less than (<)10^3 colony forming unit (CFU)/milliliter (mL) for all qualifying Escherichia coli (identified at baseline urine microbiology visit) at TOC visit, without receiving other systemic antimicrobials (rescue medications) prior to TOC

Secondary Outcome Measures

Number of participants with adverse events (AEs) and serious adverse events (SAEs)
AEs and SAEs will be collected.
Number of participants with clinically significant change from baseline in hematology parameters
Blood samples will be collected for the assessment of hematology parameters.
Number of participants with clinically significant change from baseline in clinical chemistry
Blood samples will be collected for the assessment of chemistry parameters.
Number of participants with clinically significant change from baseline in urinalysis
Blood samples will be collected for the assessment of urinalysis parameters.
Number of participants with clinically significant change from baseline in vital signs
Number of participants with clinically significant change from baseline in 12- lead Electrocardiogram (ECG) findings
Plasma concentration of GSK3882347 single dose
Blood samples will be collected for the concentrations of GSK3882347.
Urine concentration of GSK3882347 at 22-24-hour (h) interval collection post-dose
Urine samples will be collected for the concentrations of GSK3882347.

Full Information

First Posted
November 15, 2021
Last Updated
October 19, 2023
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT05138822
Brief Title
Safety, Tolerability, Pharmacokinetic and Microbiological Investigation of GSK3882347 in Female Participants With Urinary Tract Infections
Official Title
A Double-Blind, Double Dummy, Randomized, Phase 1b, Nitrofurantoin Controlled, Repeat Oral Dose Study to Investigate the Safety, Tolerability, Pharmacokinetics and Microbiological Response of GSK3882347 in Female Participants With Acute Uncomplicated Urinary Tract Infection
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Suspended
Why Stopped
To allow analysis of data from supplementary non-clinical study.
Study Start Date
May 18, 2022 (Actual)
Primary Completion Date
July 16, 2024 (Anticipated)
Study Completion Date
July 16, 2024 (Anticipated)

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
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This phase 1b study is a double-blind, double-dummy, nitrofurantoin-controlled study designed to evaluate microbiological response at the test of cure (ToC) visit along with safety, tolerability and pharmacokinetic (PK) response following daily oral dosing for 5 days of GSK3882347 in an adult female with uncomplicated urinary tract infections (uUTI). Comparator nitrofurantoin will be included in the study to ensure unbiased reporting of safety events. The study will be separated into 2 cohorts. Cohort 1 consists of an inpatient treatment period and PK analysis at frequent timepoints. Cohort 2 includes an outpatient treatment period and PK analysis conducted less frequently, at key trough timepoints.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Uncomplicated Urinary Tract Infections
Keywords
Microbiological response, Urinary tract infections (UTI), GSK3882347, Nitrofurantoin, Pharmacokinetics, Escherichia coli (E. coli)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
This will be a randomized double-blind study and participants will be randomized to receive either GSK3882347 or nitrofurantoin in a 3:1 allocation ratio using an interactive response technology (IRT).
Masking
ParticipantInvestigator
Masking Description
This will be a randomized double-blind study with both participants and site staff blinded.
Allocation
Randomized
Enrollment
80 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
GSK3882347 + Placebo
Arm Type
Experimental
Arm Description
Participants will be administered GSK3882347 plus placebo.
Arm Title
Nitrofurantoin+ Placebo
Arm Type
Active Comparator
Arm Description
Participants will be administered nitrofurantoin plus placebo.
Intervention Type
Drug
Intervention Name(s)
GSK3882347
Intervention Description
GSK3882347 will be administered on each dosing day.
Intervention Type
Drug
Intervention Name(s)
Nitrofurantoin
Intervention Description
Nitrofurantoin will be administered on each dosing day.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo matching study drug (GSK3882347) or Nitrofurantoin will be administered on each dosing day.
Primary Outcome Measure Information:
Title
Numbers of participants with microbiological response (responder/non-responder of GSK3882347) at the test of cure (TOC) visit
Description
Microbiological response is defined as the response of less than (<)10^3 colony forming unit (CFU)/milliliter (mL) for all qualifying Escherichia coli (identified at baseline urine microbiology visit) at TOC visit, without receiving other systemic antimicrobials (rescue medications) prior to TOC
Time Frame
Day 10 to Day 13
Secondary Outcome Measure Information:
Title
Number of participants with adverse events (AEs) and serious adverse events (SAEs)
Description
AEs and SAEs will be collected.
Time Frame
Up to Day 31
Title
Number of participants with clinically significant change from baseline in hematology parameters
Description
Blood samples will be collected for the assessment of hematology parameters.
Time Frame
Baseline (Day 1) and up to Day 31
Title
Number of participants with clinically significant change from baseline in clinical chemistry
Description
Blood samples will be collected for the assessment of chemistry parameters.
Time Frame
Baseline (Day 1) and up to Day 31
Title
Number of participants with clinically significant change from baseline in urinalysis
Description
Blood samples will be collected for the assessment of urinalysis parameters.
Time Frame
Baseline (Day 1) and up to Day 31
Title
Number of participants with clinically significant change from baseline in vital signs
Time Frame
Baseline (Day 1) and up to Day 31
Title
Number of participants with clinically significant change from baseline in 12- lead Electrocardiogram (ECG) findings
Time Frame
Baseline (Day 1) and up to Day 31
Title
Plasma concentration of GSK3882347 single dose
Description
Blood samples will be collected for the concentrations of GSK3882347.
Time Frame
Up to Day 5
Title
Urine concentration of GSK3882347 at 22-24-hour (h) interval collection post-dose
Description
Urine samples will be collected for the concentrations of GSK3882347.
Time Frame
Up to Day 5

10. Eligibility

Sex
Female
Gender Based
Yes
Gender Eligibility Description
An adult female participant with 2 or more clinical signs and symptoms of acute urinary tract infections are included in this study activity.
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants must be greater than or equal to (>=)18 years of age and less than or equal to (<=)70 years The participant has 2 or more of the following clinical signs and symptoms of uncomplicated urinary tract infections (uUTI) with onset less than (<) 96 hours of the screening assessment: dysuria, frequency, urgency, or lower abdominal pain Participant has nitrite OR pyuria (≥ 10 white blood cells/ cubic millimeter [WBC/mm^3], OR > 5 WBC/high power field [HPF]) OR the presence of 2+ leukocyte esterase from a pre-treatment clean-catch midstream urine sample Participants with body mass index (BMI) >= 19.0 kilograms per square meter (kg/m^2) A female participant is eligible to participate who is not pregnant (as confirmed by a highly sensitive pregnancy test before the first dose of study intervention) or breastfeeding and one of the following conditions apply: 1) Woman participant of non-childbearing potential (WONCBP) Or 2) Woman participant of childbearing potential (WOCBP) using a contraceptive method that is highly effective, with a failure rate of < 1 percentage (%), during the study intervention period and up to 5 days post intervention Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and protocol. Exclusion Criteria: The participant has a BMI >= 40.0 kg/ m^2 or a BMI >=35.0 kg/ m^2 with obesity related health conditions such as high blood pressure or uncontrolled diabetes (non-fasting glucose value >300 milligram/deciliter [mg/dL]) The participant is immunocompromised or has altered immune defenses that may predispose the participant to a higher risk of treatment failure and/or complications The participant has symptoms known or suspected to be caused by another disease process, such as asymptomatic bacteriuria, overactive bladder, chronic incontinence, or chronic interstitial cystitis The participant has an anatomical or physiological anomaly that predisposes the participant to UTIs or may be a source of persistent bacterial colonization, including calculi, obstruction of the urinary tract, primary renal disease, or neurogenic bladder, or the participant has a history of anatomical or functional abnormalities of the urinary tract The participant has an indwelling catheter, nephrostomy, ureteral stent, or other foreign material in the urinary tract The participant who, in the opinion of the investigator, has an otherwise complicated UTI, an active upper UTI (e.g., pyelonephritis, urosepsis), signs and symptoms onset >=96 hours before the screening assessment, or a temperature >=101-degree Fahrenheit (°F) (>=38 degree Celsius [°C]), flank pain, chills, or any other manifestations suggestive of upper UTI The participant has anuria, oliguria, or significant impairment of renal function The participant presents at enrollment with a suspected sexually transmitted infection A positive confirmation of Coronavirus Disease 2019 (COVID-19) infection, or high clinical index of suspicion for COVID-19 The participant has received treatment with other systemic antimicrobials or systemic antifungals within 1 week or 10 weeks for dalbavancin or oritavancin before study entry. Regular alcohol consumption within 6 months prior to the study with an average weekly intake of >14 units for females and one unit is equivalent to approximately 8 g of alcohol: a half-pint (250 mL) of beer, one glass (125 mL) of wine or one (35 mL) measure of spirits Unable to take nitrofurantoin. E.g. hypersensitivity to the active substance
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
Anniston
State/Province
Alabama
ZIP/Postal Code
36207
Country
United States
Facility Name
GSK Investigational Site
City
La Mesa
State/Province
California
ZIP/Postal Code
91942
Country
United States
Facility Name
GSK Investigational Site
City
Lomita
State/Province
California
ZIP/Postal Code
90717
Country
United States
Facility Name
GSK Investigational Site
City
Modesto
State/Province
California
ZIP/Postal Code
95350-5365
Country
United States
Facility Name
GSK Investigational Site
City
Doral
State/Province
Florida
ZIP/Postal Code
33166
Country
United States
Facility Name
GSK Investigational Site
City
Miami Lakes
State/Province
Florida
ZIP/Postal Code
33016-1507
Country
United States
Facility Name
GSK Investigational Site
City
Ormond Beach
State/Province
Florida
ZIP/Postal Code
32174
Country
United States
Facility Name
GSK Investigational Site
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60643
Country
United States
Facility Name
GSK Investigational Site
City
Bronx
State/Province
New York
ZIP/Postal Code
10456
Country
United States
Facility Name
GSK Investigational Site
City
Arlington
State/Province
Texas
ZIP/Postal Code
76014
Country
United States
Facility Name
GSK Investigational Site
City
Austin
State/Province
Texas
ZIP/Postal Code
78705
Country
United States
Facility Name
GSK Investigational Site
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
GSK Investigational Site
City
Houston
State/Province
Texas
ZIP/Postal Code
77061
Country
United States
Facility Name
GSK Investigational Site
City
Missouri City
State/Province
Texas
ZIP/Postal Code
77459
Country
United States
Facility Name
GSK Investigational Site
City
Saint George
State/Province
Utah
ZIP/Postal Code
84790-7003
Country
United States

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, a 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
https://clinicalstudydatarequest.com

Learn more about this trial

Safety, Tolerability, Pharmacokinetic and Microbiological Investigation of GSK3882347 in Female Participants With Urinary Tract Infections

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