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Effect of Oral GS-6615 on Dofetilide-Induced QT Prolongation, Safety, and Tolerability in Healthy Adults

Primary Purpose

Long QT Syndrome

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
GS-6615
Placebo to match GS-6615
Placebo to match dofetilide
Dofetilide
Sponsored by
Gilead Sciences
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Long QT Syndrome focused on measuring drug-induced long QT syndrome, DILQTS, prolonged QT

Eligibility Criteria

18 Years - 40 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Must, in the opinion of the investigator, be in good health based upon medical history and physical examination, including vital signs
  • Have a calculated body mass index (BMI) from 18 to 30 kg/m^2, inclusive, at study screening
  • Have either a normal 12-lead electrocardiogram (ECG) or one with abnormalities that are considered clinically insignificant and which do not interfere with the ability to interpret the QT interval in the opinion of the investigator in consultation with the medical monitor

Exclusion Criteria:

  • History of meningitis or encephalitis, epilepsy, seizures (known or suspected), migraines, tremors, myoclonic jerks, sleep disorder, anxiety, syncope, head injuries, or a family history of seizures
  • Have any serious or active medical or psychiatric illness (including depression) which, in the opinion of the investigator, would interfere with treatment, assessment, or compliance with the protocol. This would include renal, cardiac, hematological, hepatic, pulmonary (including chronic asthma), endocrine (including diabetes), central nervous, gastrointestinal (including an ulcer), vascular, metabolic (thyroid disorders, adrenal disease), immunodeficiency disorders, active infection, or malignancy that are clinically significant or requiring treatment.
  • Presence or history of cardiovascular disease, including structural heart disease, myocardial infarction (by ECG and/or clinical history), history of ventricular tachycardia or torsade de pointes, heart failure or cardiomyopathy (by clinical history and/or left ventricular ejection fraction < 40%), presence of cardiac conduction abnormalities, a family history of Long QT or Brugada Syndrome, or unexplained death in an otherwise healthy individual between the ages of 1 and 30 years
  • Additional cardiovascular-specific exclusion criteria include findings on screening ECG of:

    • QTcF interval > 430 msec
    • PR interval > 220 msec
    • QRS duration > 110 msec
    • Second- or third-degree atrioventricular block
    • Complete left or right bundle branch block or incomplete right bundle branch block
    • Resting heart rate < 40 or > 100 beats per minute (bpm)
    • Pathological Q waves (defined as Q wave > 40 msec)
    • Ventricular pre-excitation
    • More than 2 ectopic beats
  • Syncope, palpitations, or unexplained dizziness

Sites / Locations

  • Spaulding Clinical Research, LLC

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Placebo to match GS-6615

GS-6615

Arm Description

Placebo to match GS-6615 + dofetilide or placebo to match dofetilide twice daily

GS-6615 or placebo to match GS-6615 + dofetilide or placebo to match dofetilide twice daily

Outcomes

Primary Outcome Measures

Change in daytime QT interval corrected for heart rate using the Fridericia formula (QTcF)
Pharmacokinetic (PK) profiles of GS-6615 and dofetilide
This endpoint will measure the plasma PK profiles of GS-6615 and dofetilide. PK parameters that will be measured include Cmax, Tmax, AUC_0-24, and AUC_0-tlast.

Secondary Outcome Measures

Incidence of adverse events, clinical laboratory test results, vital sign measurements, and electrocardiogram (ECG) data
This endpoint will measure the safety and tolerability profile of GS-6615.

Full Information

First Posted
February 13, 2015
Last Updated
May 19, 2015
Sponsor
Gilead Sciences
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1. Study Identification

Unique Protocol Identification Number
NCT02365532
Brief Title
Effect of Oral GS-6615 on Dofetilide-Induced QT Prolongation, Safety, and Tolerability in Healthy Adults
Official Title
A Phase 1, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Effect of Oral GS-6615 on Dofetilide-Induced QT Prolongation, Safety, and Tolerability in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
May 2015
Overall Recruitment Status
Completed
Study Start Date
February 2015 (undefined)
Primary Completion Date
May 2015 (Actual)
Study Completion Date
May 2015 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gilead Sciences

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study will evaluate the effect of oral GS-6615 on QTc interval in healthy adults with dofetilide-induced QTc prolongation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Long QT Syndrome
Keywords
drug-induced long QT syndrome, DILQTS, prolonged QT

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo to match GS-6615
Arm Type
Placebo Comparator
Arm Description
Placebo to match GS-6615 + dofetilide or placebo to match dofetilide twice daily
Arm Title
GS-6615
Arm Type
Experimental
Arm Description
GS-6615 or placebo to match GS-6615 + dofetilide or placebo to match dofetilide twice daily
Intervention Type
Drug
Intervention Name(s)
GS-6615
Intervention Description
GS-6615 tablets administered orally
Intervention Type
Drug
Intervention Name(s)
Placebo to match GS-6615
Intervention Description
Placebo to match GS-6615 tablets administered orally
Intervention Type
Drug
Intervention Name(s)
Placebo to match dofetilide
Intervention Description
Placebo to match dofetilide capsules administered orally
Intervention Type
Drug
Intervention Name(s)
Dofetilide
Intervention Description
Dofetilide 500 μg capsules administered orally according to the current prescribing information
Primary Outcome Measure Information:
Title
Change in daytime QT interval corrected for heart rate using the Fridericia formula (QTcF)
Time Frame
Up to 6 days
Title
Pharmacokinetic (PK) profiles of GS-6615 and dofetilide
Description
This endpoint will measure the plasma PK profiles of GS-6615 and dofetilide. PK parameters that will be measured include Cmax, Tmax, AUC_0-24, and AUC_0-tlast.
Time Frame
Predose and postdose on Days -2 through Day 4
Secondary Outcome Measure Information:
Title
Incidence of adverse events, clinical laboratory test results, vital sign measurements, and electrocardiogram (ECG) data
Description
This endpoint will measure the safety and tolerability profile of GS-6615.
Time Frame
Up to 6 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Must, in the opinion of the investigator, be in good health based upon medical history and physical examination, including vital signs Have a calculated body mass index (BMI) from 18 to 30 kg/m^2, inclusive, at study screening Have either a normal 12-lead electrocardiogram (ECG) or one with abnormalities that are considered clinically insignificant and which do not interfere with the ability to interpret the QT interval in the opinion of the investigator in consultation with the medical monitor Exclusion Criteria: History of meningitis or encephalitis, epilepsy, seizures (known or suspected), migraines, tremors, myoclonic jerks, sleep disorder, anxiety, syncope, head injuries, or a family history of seizures Have any serious or active medical or psychiatric illness (including depression) which, in the opinion of the investigator, would interfere with treatment, assessment, or compliance with the protocol. This would include renal, cardiac, hematological, hepatic, pulmonary (including chronic asthma), endocrine (including diabetes), central nervous, gastrointestinal (including an ulcer), vascular, metabolic (thyroid disorders, adrenal disease), immunodeficiency disorders, active infection, or malignancy that are clinically significant or requiring treatment. Presence or history of cardiovascular disease, including structural heart disease, myocardial infarction (by ECG and/or clinical history), history of ventricular tachycardia or torsade de pointes, heart failure or cardiomyopathy (by clinical history and/or left ventricular ejection fraction < 40%), presence of cardiac conduction abnormalities, a family history of Long QT or Brugada Syndrome, or unexplained death in an otherwise healthy individual between the ages of 1 and 30 years Additional cardiovascular-specific exclusion criteria include findings on screening ECG of: QTcF interval > 430 msec PR interval > 220 msec QRS duration > 110 msec Second- or third-degree atrioventricular block Complete left or right bundle branch block or incomplete right bundle branch block Resting heart rate < 40 or > 100 beats per minute (bpm) Pathological Q waves (defined as Q wave > 40 msec) Ventricular pre-excitation More than 2 ectopic beats Syncope, palpitations, or unexplained dizziness
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kimberly B Patel, MD
Organizational Affiliation
Gilead Sciences
Official's Role
Study Director
Facility Information:
Facility Name
Spaulding Clinical Research, LLC
City
West Bend
State/Province
Wisconsin
ZIP/Postal Code
53095
Country
United States

12. IPD Sharing Statement

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Effect of Oral GS-6615 on Dofetilide-Induced QT Prolongation, Safety, and Tolerability in Healthy Adults

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