Linerixibat and Obeticholic Acid Drug Interaction Study in Healthy Adult Participants
Primary Purpose
Pruritus
Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Obeticholic acid
Linerixibat
Sponsored by
About this trial
This is an interventional treatment trial for Pruritus focused on measuring Drug-drug interaction, Healthy Volunteers, Linerixibat, Obeticholic acid, Pharmacokinetics
Eligibility Criteria
Inclusion Criteria:
- Overtly healthy male or female participants 18 to 50 years of age inclusive, at the time of signing the informed consent
- Body weight greater than (>) 50 kilogram (kg) and body mass index (BMI) within the range 18.5 - 32 kilogram per meter square (kg/m^2) (inclusive)
- Capable of giving signed informed consent as the protocol.
Exclusion Criteria:
- Any active dermatologic disorder leading to or with the potential to cause itching or a recent history of unexplained clinically significant itching locally or generally within the prior 3 months
- Current or chronic history of liver disease or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones) and/or confirmed hepatocellular carcinoma or biliary cancer
- History of gall bladder removal
- Current symptomatic gallstones or inflammatory gall bladder disease
- Significant history of or current disorders that can significantly alter 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) or Ocaliva 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
- Current enrolment in a clinical trial or recent participation in a clinical trial and has received an investigational product within 30 days before the first dose in the current study
- 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 >1.5xULN (isolated bilirubin >1.5x ULN is acceptable if bilirubin is fractionated and direct bilirubin lesser than (<)35%
- Presence of hepatitis B surface antigen (HBsAg), positive hepatitis C antibody test or positive hepatitis C riboneucleic acid (RNA) test result at screening or within 3 months prior to first dose of study intervention
- Positive pregnancy test at screening or at Day -1
- Positive human immunodeficiency virus (HIV) antibody test
- QT interval corrected (QTc) >450 millisecond (msec)
- Regular use of known drugs of abuse or history of drug abuse or dependence within 6 months of the study
- Participants with moderate (or greater) alcohol consumption
- History of or regular use of tobacco- or nicotine-containing products in the 3 months prior to screening.
- Female participants unable or unwilling to comply with specific contraception restrictions as detailed in the protocol
- Where participation in the study would result in donation of blood or blood products in excess of 500 milliliter (mL) within a 56-day period
- Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the investigator or GSK Medical Monitor, contraindicates participation in the study.
Sites / Locations
- GSK Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Experimental
Arm Label
Treatment Arm 1
Treatment Arm 2
Treatment Arm 3
Treatment Arm 4
Arm Description
Participants will receive OCA at dose level 1, 4 hours after the linerixibat administration
Participants will receive OCA at dose level 2 along with linerixibat
Participants will receive OCA at dose level 1 along with linerixibat
Participants will receive OCA at dose level 2, 4 hours after the linerixibat administration
Outcomes
Primary Outcome Measures
Average trough concentration (Ctrough) in plasma for total-OCA at steady state
Secondary Outcome Measures
Area under the concentration curve from time 0 to t (AUC0-t) for OCA, tauro-OCA, glyco-OCA and total-OCA at steady state
AUC from time 0 to 24 hour (AUC0-24) for OCA, tauro-OCA, glyco-OCA and total-OCA at steady state
Maximum observed plasma concentration (Cmax) for OCA, tauro-OCA, glyco-OCA and total-OCA at steady state
Average trough concentration (Ctrough) in plasma for OCA, tauro-OCA, glyco-OCA and total-OCA at steady state
Time to maximum concentration (Tmax) for OCA, tauro-OCA, glyco-OCA and total-OCA
Ctrough of total OCA over Days 17 to 19 and Days 35 to 38
Number of participants with adverse events
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05133830
Brief Title
Linerixibat and Obeticholic Acid Drug Interaction Study in Healthy Adult Participants
Official Title
A Two-part, Phase 1, Open-label, Randomized, Parallel-arm, Fixed Sequence, Drug-drug Interaction Study to Investigate the Effect of Linerixibat on Plasma Concentrations of Obeticholic Acid and Conjugates in Healthy Adult Participants
Study Type
Interventional
2. Study Status
Record Verification Date
November 2022
Overall Recruitment Status
Completed
Study Start Date
November 23, 2021 (Actual)
Primary Completion Date
May 31, 2022 (Actual)
Study Completion Date
May 31, 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 aims to investigate the effect of linerixibat on plasma concentrations of obeticholic acid (OCA) and its conjugates in healthy adult participants to inform the potential for drug interaction with coadministration of linerixibat and OCA.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pruritus
Keywords
Drug-drug interaction, Healthy Volunteers, Linerixibat, Obeticholic acid, Pharmacokinetics
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Two arms will be evaluated in parallel in Part A. After Part A, if Part B is conducted, one of the two remaining arms will be evaluated.
Masking
None (Open Label)
Allocation
Randomized
Enrollment
52 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Treatment Arm 1
Arm Type
Experimental
Arm Description
Participants will receive OCA at dose level 1, 4 hours after the linerixibat administration
Arm Title
Treatment Arm 2
Arm Type
Experimental
Arm Description
Participants will receive OCA at dose level 2 along with linerixibat
Arm Title
Treatment Arm 3
Arm Type
Experimental
Arm Description
Participants will receive OCA at dose level 1 along with linerixibat
Arm Title
Treatment Arm 4
Arm Type
Experimental
Arm Description
Participants will receive OCA at dose level 2, 4 hours after the linerixibat administration
Intervention Type
Drug
Intervention Name(s)
Obeticholic acid
Intervention Description
OCA will be administered
Intervention Type
Drug
Intervention Name(s)
Linerixibat
Intervention Description
Linerixibat will be administered
Primary Outcome Measure Information:
Title
Average trough concentration (Ctrough) in plasma for total-OCA at steady state
Time Frame
Days 35 to 38
Secondary Outcome Measure Information:
Title
Area under the concentration curve from time 0 to t (AUC0-t) for OCA, tauro-OCA, glyco-OCA and total-OCA at steady state
Time Frame
At Day 18 and Day 37
Title
AUC from time 0 to 24 hour (AUC0-24) for OCA, tauro-OCA, glyco-OCA and total-OCA at steady state
Time Frame
Up to 24 hours on Day 18 and Day 37
Title
Maximum observed plasma concentration (Cmax) for OCA, tauro-OCA, glyco-OCA and total-OCA at steady state
Time Frame
At Day 18 and Day 37
Title
Average trough concentration (Ctrough) in plasma for OCA, tauro-OCA, glyco-OCA and total-OCA at steady state
Time Frame
Days 17 to 19 and Days 35 to 38
Title
Time to maximum concentration (Tmax) for OCA, tauro-OCA, glyco-OCA and total-OCA
Time Frame
At Day 18 and Day 37
Title
Ctrough of total OCA over Days 17 to 19 and Days 35 to 38
Time Frame
Days 17 to 19 and Days 35 to 38
Title
Number of participants with adverse events
Time Frame
Up to Day 52
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Overtly healthy male or female participants 18 to 50 years of age inclusive, at the time of signing the informed consent
Body weight greater than (>) 50 kilogram (kg) and body mass index (BMI) within the range 18.5 - 32 kilogram per meter square (kg/m^2) (inclusive)
Capable of giving signed informed consent as the protocol.
Exclusion Criteria:
Any active dermatologic disorder leading to or with the potential to cause itching or a recent history of unexplained clinically significant itching locally or generally within the prior 3 months
Current or chronic history of liver disease or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones) and/or confirmed hepatocellular carcinoma or biliary cancer
History of gall bladder removal
Current symptomatic gallstones or inflammatory gall bladder disease
Significant history of or current disorders that can significantly alter 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) or Ocaliva 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
Current enrolment in a clinical trial or recent participation in a clinical trial and has received an investigational product within 30 days before the first dose in the current study
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 >1.5xULN (isolated bilirubin >1.5x ULN is acceptable if bilirubin is fractionated and direct bilirubin lesser than (<)35%
Presence of hepatitis B surface antigen (HBsAg), positive hepatitis C antibody test or positive hepatitis C riboneucleic acid (RNA) test result at screening or within 3 months prior to first dose of study intervention
Positive pregnancy test at screening or at Day -1
Positive human immunodeficiency virus (HIV) antibody test
QT interval corrected (QTc) >450 millisecond (msec)
Regular use of known drugs of abuse or history of drug abuse or dependence within 6 months of the study
Participants with moderate (or greater) alcohol consumption
History of or regular use of tobacco- or nicotine-containing products in the 3 months prior to screening.
Female participants unable or unwilling to comply with specific contraception restrictions as detailed in the protocol
Where participation in the study would result in donation of blood or blood products in excess of 500 milliliter (mL) within a 56-day period
Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the investigator or GSK Medical Monitor, contraindicates participation in the study.
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
Baltimore
State/Province
Maryland
ZIP/Postal Code
21225
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
http://clinicalstudydatarequest.com
Learn more about this trial
Linerixibat and Obeticholic Acid Drug Interaction Study in Healthy Adult Participants
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