A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of GSK2849466 in Healthy Male Subjects
Cachexia
About this trial
This is an interventional other trial for Cachexia focused on measuring safety, pharmacokinetics, FTIH, SARM
Eligibility Criteria
Inclusion Criteria:
- Males between 18 and 50 years of age (inclusive), at the time of signing the informed consent form.
- Body weight >=50 kilogram (kg) and Body Mass Index (BMI) within the range 19 - 32 kg/meter (m)^2 (inclusive), where BMI = (weight in kg)/(height in meters)^2.
- Healthy as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring. A subject with a clinical abnormality or laboratory parameters outside the reference range for the population being studied may be included only if the Investigator and the GlaxoSmithKline (GSK) Medical Monitor agree that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures.
- Male subjects with female partners of child-bearing potential must agree to use one of the contraception methods listed in the Lifestyle Section of the protocol. This criterion must be followed through the completion of the follow-up visit.
- Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.
- Average corrected QT interval using Fridericia's formulas (QTcF) <450 milliseconds (msec); or QTcF <480 msec in subjects with Bundle Branch Block.
Exclusion Criteria:
- Subjects with a history of clinically significant endocrine, gastrointestinal, hepatic, cardiovascular, neurological, hematological, immunological, renal, respiratory, or genitourinary abnormalities or diseases.
- Subjects with a history at any time in the past of coronary artery disease, congestive heart failure, angina, myocardial infarction, any cardiac surgery, valvular heart disease, clinically significant arrhythmia, dyspnea, pulmonary edema, stroke, or transient ischemic attack.
- ECG exclusion criteria: Heart rate <40 and >100 beats per minute; PR Interval <120 and >200 msec; QRS duration <70 and >110 msec.
- Subjects with a history of malignancy that is not in complete remission for at least 5 years or 1 year for non-melanoma skin carcinoma.
- Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
- History of drug or alcohol abuse within 5 years prior to the Screening Period.
- History of regular alcohol consumption within 6 months of the study defined as an average weekly intake of >14 drinks for males or >7 drinks for females. One drink is equivalent to 12 grams (g) of alcohol: 12 ounces (360 millilitre [mL]) of beer, 5 ounces (150 mL) of wine or 1.5 ounces (45 mL) of 80 proof distilled spirits.
- History of sensitivity to any of the study medications, or components thereof or a history of drug or other allergy that, in the opinion of the investigator or GSK Medical Monitor.
- Subjects with a family history of early onset prostate cancer or multiple members with prostate cancer.
- A positive pre-study drug or alcohol screen.
- Cotinine levels indicative of smoking or history or regular use of tobacco-or nicotine-containing products within 6 months prior to screening.
- Subjects with values outside the specified ranges for the following Key Clinical Laboratory Tests must be excluded from the study: Liver function tests - Alanine transaminase (ALT), Direct Bilirubin, or Albumin >10% outside the normal reference range (<0.9 x lower limit of normal [LLN] or >1.1 x Upper Limit of Normal [ULN]), Renal function - Creatinine <1.6 mg/ deciliter (dl) with an age appropriate Glomerular filtration rate (GFR) >=60 mL/min/1.73 m^2), Electrolytes - Sodium > +,- 5 milliequivalents of solute per litre of solvent (mEq/L) outside the normal reference range, Potassium or Calcium >10% outside the normal reference range (<0.9 x LLN or >1.1 x ULN), Metabolic - Glucose >10% outside the normal reference range (<0.9 x LLN or >1.1 x ULN) and Total Cholesterol >240 mg/dl, Muscle - creatine phosphokinase >2.0 x ULN, Hematology - Hemoglobin, WBC, Neutrophils, or Platelets >10% outside the normal reference range (<0.9 x LLN or >1.1 x ULN), Prostate Specific Antigen (PSA) >=2.5 nanogram (ng)/mL.
- A positive test for human immunodeficiency virus (HIV) antibody.
- A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening.
- Exposure to more than four new chemical entities within 12 months prior to the first dosing day.
- Unable to refrain from prescription or non-prescription drugs, including vitamins, herbal and dietary supplements (including St John's Wort) within 7 days (or 14 days if the drug is a potential enzyme inducer) or 5 half-lives (whichever is longer) prior to the first dose of study medication and throughout the study, unless in the opinion of the Investigator and GSK Medical Monitor the medication will not interfere with the study procedures or compromise subject safety.
- The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the first dosing day in the current study: 3 months (12 weeks), 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer).
- Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56-day period.
- Unable to refrain from consumption of red wine, seville oranges, grapefruit or grapefruit juice from 7 days prior to the first dose of study medication.
- Unwillingness or inability to follow the procedures outlined in the protocol
Sites / Locations
- GSK Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Part A: Cohort 1-GSK2849466
Part A: Cohort 1-Placebo
Part A: Cohort 2-GSK2849466
Part A: Cohort 2-Placebo
Part B: Cohort 3-GSK2849466 (Repeat dose 1)
Part B: Cohort 3-Placebo (Repeat dose 1)
Part B: Cohort 4-GSK2849466 (Repeat dose 2)
Part B: Cohort 4-Placebo (Repeat dose 2)
Part B: Cohort 5-GSK2849466 (Repeat dose 3)
Part B: Cohort 5-Placebo (Repeat dose 3)
The subjects will receive single planned dose of GSK284946 in ascending order (0.01, 0.03, 0.1, and 0.3 mg) in ratio of 3:1.with placebo within each of 4 treatment periods. The dose will not be allowed to exceed 30 mg over a 24-hour period.
The subjects will receive single dose of matching placebo in one of the 4 treatment periods.
The subjects will receive single planned dose of GSK284946 in ascending order (0.3, 1, 3, and 10 mg) in ratio of 3:1.with placebo within each of 4 treatment periods. The dose will not be allowed to exceed 30 mg over a 24-hour period in one of the 4 treatment periods.
The subjects will receive single dose of matching placebo in one of the 4 treatment periods.
The selection of appropriate doses for Part B will be performed upon consideration of available safety and tolerability and PK data from Part A and/or any preceding repeat dose cohorts. The subjects will receive GSK2849466 in ratio of 3:1.with placebo.
The subjects will receive repeat dose of matching placebo.
The selection of appropriate doses for Part B will be performed upon consideration of available safety and tolerability and PK data from Part A and/or any preceding repeat dose cohorts. The subjects will receive GSK2849466 in ratio of 3:1.with placebo. In Cohort 4 subjects will be dosed in the fasted state on Days 1 and 14 and in the fed state on Day 7.
The subjects will receive repeat doses of matching placebo.
The selection of appropriate doses for Part B will be performed upon consideration of available safety and tolerability and PK data from Part A and/or any preceding repeat dose cohorts. The subjects will receive GSK2849466 in ratio of 3:1.with placebo
The subjects will receive repeat doses of matching placebo.