Food Effect Study of Linerixibat Tablets in Healthy Adult Participants
Primary Purpose
Pruritus
Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
linerixibat
Sponsored by
About this trial
This is an interventional treatment trial for Pruritus focused on measuring Pharmacokinetic, Pharmacodynamic, Food effect, Ileal bile acid transporter (IBAT) inhibitor, Linerixibat
Eligibility Criteria
Inclusion criteria:
- Overtly healthy male or female participants 18 to 55 years of age inclusive, at the time of signing the informed consent.
- Participants' age greater than (>) 50 years old, must have had at least 3 weeks elapsed after the completion of an approved primary SARS-CoV-2 vaccination course.
- Body weight >50 kg and body mass index (BMI) within the range 18.5 - 32 kilogram per meter square (kg/m2) (inclusive).
Female Participants:
- A female participant is eligible to participate if she is not pregnant or breastfeeding, and one of the following conditions applies:
- Is a woman of non-childbearing potential (WONCBP). OR
- Is a woman of childbearing potential (WOCBP) and using a contraceptive method that is highly effective (with a failure rate of <1% per year).
- Capable of giving signed informed consent.
Exclusion Criteria:
- History of cholecystectomy.
- Current symptomatic cholelithiasis or inflammatory gall bladder disease.
- Significant history of or current disorders capable of significantly altering the absorption, metabolism, or elimination of drugs.
- Current clinically significant diarrhea.
- History of gastrointestinal surgery with ileal resection or ileal bypass at any time.
- Any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years.
- Administration of any other Ileal Bile Acid Transport (IBAT) inhibitor (including linerixibat) in the 3 months prior to screening.
- Past or intended use of over the counter or prescription medication, including vitamins and dietary or herbal supplements) within 7 days (or 14 days if the drug is a potential enzyme inhibitor) or 5 half-lives (whichever is longer) prior to the first dose of study medication, unless approved by the Investigator in conjunction with GSK Medical Monitor.
- Current enrollment in a clinical trial or recent participation in a clinical trial and has received an investigational product within the following time period prior to study drug administration: 30 days, 5 half-lives, or twice the duration of the biological effect of the investigational product (whichever is longer).
- Exposure to more than 4 new chemical entities within 12 months before the first dose in the current study.
- Screening alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >1.5x upper limit of normal (ULN).
- Bilirubin >1.5x ULN (isolated bilirubin >1.5x ULN is acceptable if bilirubin is fractionated and direct bilirubin <35%).
- Positive hepatitis B surface antigen (HBsAg), hepatitis C antibody test or hepatitis C Ribonucleic acid (RNA) test at screening or within 3 months prior to first dose of study intervention.
- Positive human immunodeficiency virus (HIV) antibody test
- Fridericia's QT correction formula (QTcF) >450 msec on ECG performed at screening.
- Regular use of known drugs of abuse or history of drug abuse or dependence within 6 months of the study.
- Regular alcohol consumption within 6 months prior to signing the informed consent.
- Regular use of tobacco- or nicotine-containing products in the 3 months prior to screening.
Sites / Locations
- GSK Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Treatment sequence AB
Treatment sequence BA
Arm Description
Participants will receive linerixibat in fed state (Treatment A) in period 1 followed by linerixibat in fasted state (Treatment B) in period 2. The washout period will be of at least 7 days.
Participants will receive linerixibat in fasted state (Treatment B) in period 1 followed by linerixibat in fed state (Treatment A) in period 2. The washout period will be of at least 7 days.
Outcomes
Primary Outcome Measures
Plasma linerixibat area under the concentration-time curve from time zero (pre-dose) to the time of the last quantifiable concentration [AUC(0-t)]
Maximum observed plasma concentration (Cmax) of linerixibat
Secondary Outcome Measures
Plasma linerixibat area under the concentration-time curve from time zero (pre-dose) to infinite time [AUC (0-∞)]
Plasma linerixibat area under the concentration-time curve from time zero (pre-dose) to 24 hour [AUC (0-24)]
Time of occurrence of Cmax (Tmax) of linerixibat
Delay in achieving Tmax (Tlag) of linerixibat
Apparent terminal phase half-life (t1/2) of linerixibat
Apparent clearance (CL/F) of linerixibat
Apparent terminal phase volume of distribution (Vz/F) of linerixibat
Serum C4 area under the concentration-time curve from time zero (pre-dose) to the time of the last quantifiable concentration [AUC(0-t)]
Serum C4 area under the concentration-time curve from time zero (pre-dose) to 24 hour [AUC (0-24)]
Incidence of adverse events (AEs) and of serious adverse events (SAEs)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05435170
Brief Title
Food Effect Study of Linerixibat Tablets in Healthy Adult Participants
Official Title
A Phase I, Randomized, Open-label, Single Dose, 2 Period, Crossover Study to Evaluate the Effect of Food on the Pharmacokinetics of Linerixibat Tablets in Healthy Adult Participants
Study Type
Interventional
2. Study Status
Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
August 11, 2022 (Actual)
Primary Completion Date
October 10, 2022 (Actual)
Study Completion Date
October 10, 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
This study will evaluate the effect of food on the Pharmacokinetic (PK) and Pharmacodynamic (PD) parameters of linerixibat administered in fed and fasted states in heathy adult participants
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pruritus
Keywords
Pharmacokinetic, Pharmacodynamic, Food effect, Ileal bile acid transporter (IBAT) inhibitor, Linerixibat
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Model Description
Participants will be randomized to one of the 2 sequences. In sequence AB, participants will receive linerixibat under fed state (Treatment A) in Period 1, then linerixibat under fasted state (Treatment B) in Period 2. In Sequence BA, the 2 treatments will be reversed. The washout period will be of at least 7 days.
Masking
None (Open Label)
Masking Description
Open-label study
Allocation
Randomized
Enrollment
23 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Treatment sequence AB
Arm Type
Experimental
Arm Description
Participants will receive linerixibat in fed state (Treatment A) in period 1 followed by linerixibat in fasted state (Treatment B) in period 2. The washout period will be of at least 7 days.
Arm Title
Treatment sequence BA
Arm Type
Experimental
Arm Description
Participants will receive linerixibat in fasted state (Treatment B) in period 1 followed by linerixibat in fed state (Treatment A) in period 2. The washout period will be of at least 7 days.
Intervention Type
Drug
Intervention Name(s)
linerixibat
Intervention Description
linerixibat will be administered per the treatment sequence
Primary Outcome Measure Information:
Title
Plasma linerixibat area under the concentration-time curve from time zero (pre-dose) to the time of the last quantifiable concentration [AUC(0-t)]
Time Frame
Up to 36 hours post dose
Title
Maximum observed plasma concentration (Cmax) of linerixibat
Time Frame
Up to 36 hours post dose
Secondary Outcome Measure Information:
Title
Plasma linerixibat area under the concentration-time curve from time zero (pre-dose) to infinite time [AUC (0-∞)]
Time Frame
Up to 36 hours post dose
Title
Plasma linerixibat area under the concentration-time curve from time zero (pre-dose) to 24 hour [AUC (0-24)]
Time Frame
Up to 24 hours post dose
Title
Time of occurrence of Cmax (Tmax) of linerixibat
Time Frame
Up to 36 hours post dose
Title
Delay in achieving Tmax (Tlag) of linerixibat
Time Frame
Up to 36 hours post dose
Title
Apparent terminal phase half-life (t1/2) of linerixibat
Time Frame
Up to 36 hours post dose
Title
Apparent clearance (CL/F) of linerixibat
Time Frame
Up to 36 hours post dose
Title
Apparent terminal phase volume of distribution (Vz/F) of linerixibat
Time Frame
Up to 36 hours post dose
Title
Serum C4 area under the concentration-time curve from time zero (pre-dose) to the time of the last quantifiable concentration [AUC(0-t)]
Time Frame
Up to 36 hours post dose
Title
Serum C4 area under the concentration-time curve from time zero (pre-dose) to 24 hour [AUC (0-24)]
Time Frame
Up to 24 hours post dose
Title
Incidence of adverse events (AEs) and of serious adverse events (SAEs)
Time Frame
Up to day 52
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion criteria:
Overtly healthy male or female participants 18 to 55 years of age inclusive, at the time of signing the informed consent.
Participants' age greater than (>) 50 years old, must have had at least 3 weeks elapsed after the completion of an approved primary SARS-CoV-2 vaccination course.
Body weight >50 kg and body mass index (BMI) within the range 18.5 - 32 kilogram per meter square (kg/m2) (inclusive).
Female Participants:
A female participant is eligible to participate if she is not pregnant or breastfeeding, and one of the following conditions applies:
Is a woman of non-childbearing potential (WONCBP). OR
Is a woman of childbearing potential (WOCBP) and using a contraceptive method that is highly effective (with a failure rate of <1% per year).
Capable of giving signed informed consent.
Exclusion Criteria:
History of cholecystectomy.
Current symptomatic cholelithiasis or inflammatory gall bladder disease.
Significant history of or current disorders capable of significantly altering the absorption, metabolism, or elimination of drugs.
Current clinically significant diarrhea.
History of gastrointestinal surgery with ileal resection or ileal bypass at any time.
Any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years.
Administration of any other Ileal Bile Acid Transport (IBAT) inhibitor (including linerixibat) in the 3 months prior to screening.
Past or intended use of over the counter or prescription medication, including vitamins and dietary or herbal supplements) within 7 days (or 14 days if the drug is a potential enzyme inhibitor) or 5 half-lives (whichever is longer) prior to the first dose of study medication, unless approved by the Investigator in conjunction with GSK Medical Monitor.
Current enrollment in a clinical trial or recent participation in a clinical trial and has received an investigational product within the following time period prior to study drug administration: 30 days, 5 half-lives, or twice the duration of the biological effect of the investigational product (whichever is longer).
Exposure to more than 4 new chemical entities within 12 months before the first dose in the current study.
Screening alanine aminotransferase (ALT) or aspartate aminotransferase (AST) >1.5x upper limit of normal (ULN).
Bilirubin >1.5x ULN (isolated bilirubin >1.5x ULN is acceptable if bilirubin is fractionated and direct bilirubin <35%).
Positive hepatitis B surface antigen (HBsAg), hepatitis C antibody test or hepatitis C Ribonucleic acid (RNA) test at screening or within 3 months prior to first dose of study intervention.
Positive human immunodeficiency virus (HIV) antibody test
Fridericia's QT correction formula (QTcF) >450 msec on ECG performed at screening.
Regular use of known drugs of abuse or history of drug abuse or dependence within 6 months of the study.
Regular alcohol consumption within 6 months prior to signing the informed consent.
Regular use of tobacco- or nicotine-containing products in the 3 months prior to screening.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinincal Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Cambridge
ZIP/Postal Code
CB2 0GG
Country
United Kingdom
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.
Learn more about this trial
Food Effect Study of Linerixibat Tablets in Healthy Adult Participants
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