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Repeat Dose Safety Study for Compound to Treat Anemia

Primary Purpose

Kidney Disease

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
1278863
Placebo
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Kidney Disease focused on measuring Safety, tolerability

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy as determined by a responsible physician, based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring.
  2. Male or female between 18 and 55 years of age, inclusive.
  3. A female subject must be of non-childbearing potential.
  4. Male subjects must agree to use one of the acceptable contraception methods listed in the protocol
  5. Body weight greater than or equal to 50 kg and BMI within the range 19 - 31 kg/m2 (inclusive).
  6. Capable of giving written informed consent
  7. QTcB or QTcF < 450 msec; or QTc < 480 msec in subjects with Bundle Branch Block.

Exclusion Criteria:

  1. The subject has a positive pre-study drug screen.
  2. A hemoglobin value at screening is:

    • Male subjects or post-menopausal females: > 15.5 g/dL
    • Female subjects: > 14.5 g/dL
  3. The values of hematological parameters at screening are:

    MCV: outside the reference range and clinically significant deemed by the investigator and GSK Medical Monitor

  4. The values of the following tests at screening are:

    • TIBC: outside the reference range
    • Serum iron: outside the reference range
    • Serum ferritin: outside the reference range
  5. A value at screening is greater than the upper limit of reference range for the following clinical laboratory parameters: AST, ALT, direct bilirubin.
  6. Clinically significant abnormal CPK determined by the investigator and GSK Medical Monitor.
  7. Calculated creatinine clearance: < 60mL/min
  8. A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening.
  9. A positive test for HIV antibody.
  10. History of drug abuse or dependence within 6 months of the study.
  11. History of regular alcohol consumption within 6 months of the study
  12. Urinary cotinine levels indicative of smoking or history or regular use of tobacco- or nicotine-containing products within 6 months prior to screening.
  13. Use of 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 drug
  14. History of sensitivity to any of the study drugs, or components thereof or a history of drug or other allergy that, in the opinion of the investigator or GSK Medical Monitor, contraindicates their participation.
  15. History of sensitivity to heparin or heparin-induced thrombocytopenia. (if the clinical research unit uses heparin to maintain intravenous cannula patency)
  16. Subjects with a pre-existing condition interfering with normal gastrointestinal anatomy or motility, and/or hepatic function that could interfere with the absorption, metabolism, and/or excretion of the study drugs.
  17. History of peptic ulcer disease.
  18. History of malignancy tumor. Non-melanoma skin cancer that has been definitely removed is allowed.
  19. Pregnant females as determined by positive serum or urine hCG test at screening or prior to dosing.
  20. Lactating females.
  21. Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period.
  22. Unwillingness or inability to follow the procedures, or lifestyle and/or dietary restrictions outlined in the protocol.
  23. Consumption of red wine, seville oranges, grapefruit or grapefruit juice, exotic citrus fruits, grapefruit hybrids or fruit juices of the prohibited fruits from 7 days prior to the first dose of study medication
  24. 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: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer).
  25. Exposure to more than four new chemical entities within 12 months prior to the first dosing day.
  26. Subject is mentally or legally incapacitated.

Sites / Locations

  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

1

2

Arm Description

Repeat doses of active at escalating doses

Repeat doses of placebo

Outcomes

Primary Outcome Measures

adverse events reporting
Safety Labs (hematology)
vital signs (blood pressure and heart rate)
12-lead ECG
dual-lead cardiac monitoring (telemetry monitoring)
clinical monitoring/observation
Safety Labs (Chemistry)
Safety Labs (Urinalysis)

Secondary Outcome Measures

AUC(0-∞) on Day 1, AUC(0-τ), Cmax, tmax and t1/2, on Days 1 and 14
Trough plasma concentrations at the end of the dosing interval
Hemoglobin actual values, rate of rise, maximum change from baseline, and rate of decline following stopping of dosing
Fetal hemoglobin actual values, change from baseline, and percent of total hemoglobin
Actual values and change from baseline in erythropoietin
Actual values and change from baseline in absolute VEGF
Actual values and change from baseline in hepcidin
Actual values and change from baseline in total iron binding capacity (TIBC)
Actual values and change from baseline in transferring saturation (%)

Full Information

First Posted
February 9, 2009
Last Updated
June 21, 2017
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT00840320
Brief Title
Repeat Dose Safety Study for Compound to Treat Anemia
Official Title
A Phase I, Randomized, Single-Blind, Placebo-Controlled, Dose-Escalation Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of Repeat Oral Doses of 1278863A in Healthy Subjects
Study Type
Interventional

2. Study Status

Record Verification Date
June 2017
Overall Recruitment Status
Completed
Study Start Date
March 13, 2009 (Actual)
Primary Completion Date
September 2, 2009 (Actual)
Study Completion Date
September 2, 2009 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to characterize the safety and tolerability of repeat doses of compound 1278863A in healthy subjects.
Detailed Description
Compound 1278863A is a novel small molecule agent, which stimulates erythropoiesis through inhibition of hypoxia-inducible factor (HIF)-prolyl hydroxylases (EGLNs). This compound is being developed for the treatment of anemia. Compound 111427 was the first administration of compound 1278863A to investigate the safety, tolerability, pharmacokinetics, and pharmacodynamics of single oral doses up to 300 mg in healthy adult subjects. This study, PHI112842, will be the first administration of compound 1278863A to investigate the safety, tolerability, pharmacokinetics, and pharmacodynamics of repeat oral doses up to 300 mg for 14 days in healthy adult subjects. At least 6 subjects will complete each cohort. Multiple blood samples for pharmacokinetic analyses will be obtained post-dose in each cohort. Safety will be assessed by measurement of vital signs, cardiac monitoring, collection of adverse event assessments and laboratory safety tests. Blood samples will be collected for pharmacodynamic analyses.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Kidney Disease
Keywords
Safety, tolerability

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Description
Repeat doses of active at escalating doses
Arm Title
2
Arm Type
Placebo Comparator
Arm Description
Repeat doses of placebo
Intervention Type
Drug
Intervention Name(s)
1278863
Intervention Description
15mg, 25mg, 50mg, 150mg
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
matching placebo
Primary Outcome Measure Information:
Title
adverse events reporting
Time Frame
throughout study
Title
Safety Labs (hematology)
Time Frame
Screening, Days -1, 1-3, 5, 7, 9, 11, 14-18, 21, 25, 28
Title
vital signs (blood pressure and heart rate)
Time Frame
Days 1-15, 28
Title
12-lead ECG
Time Frame
Screening, Days 1-2, 4, 6, 8, 10, 12, 14, 28
Title
dual-lead cardiac monitoring (telemetry monitoring)
Time Frame
Days -1 to 3, 14
Title
clinical monitoring/observation
Time Frame
throughout
Title
Safety Labs (Chemistry)
Time Frame
Screening, Days -1, 1-3, 7, 10, 14-15, 17, 21, 28
Title
Safety Labs (Urinalysis)
Time Frame
Screening, Days -1, 1-3, 7, 10, 14-15, 17, 21, 28
Secondary Outcome Measure Information:
Title
AUC(0-∞) on Day 1, AUC(0-τ), Cmax, tmax and t1/2, on Days 1 and 14
Time Frame
Days 1-2, 4, 6, 8, 10, 12, 14-18
Title
Trough plasma concentrations at the end of the dosing interval
Time Frame
Days 2, 4, 6, 8, 10 and 12
Title
Hemoglobin actual values, rate of rise, maximum change from baseline, and rate of decline following stopping of dosing
Time Frame
Days 1, 7, 14, 21, 28
Title
Fetal hemoglobin actual values, change from baseline, and percent of total hemoglobin
Time Frame
Days 1, 7, 14, 21, 28
Title
Actual values and change from baseline in erythropoietin
Time Frame
Days 1-4, 7, 14-15, 18, 21
Title
Actual values and change from baseline in absolute VEGF
Time Frame
Days 1-2, 14-15, 18, 21
Title
Actual values and change from baseline in hepcidin
Time Frame
Days 1-2, 7, 14-15, 18, 21
Title
Actual values and change from baseline in total iron binding capacity (TIBC)
Time Frame
Screening, Days 1, 7, 14, 18, 21
Title
Actual values and change from baseline in transferring saturation (%)
Time Frame
Days 1, 7, 14, 18, 21

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: Healthy as determined by a responsible physician, based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring. Male or female between 18 and 55 years of age, inclusive. A female subject must be of non-childbearing potential. Male subjects must agree to use one of the acceptable contraception methods listed in the protocol Body weight greater than or equal to 50 kg and BMI within the range 19 - 31 kg/m2 (inclusive). Capable of giving written informed consent QTcB or QTcF < 450 msec; or QTc < 480 msec in subjects with Bundle Branch Block. Exclusion Criteria: The subject has a positive pre-study drug screen. A hemoglobin value at screening is: Male subjects or post-menopausal females: > 15.5 g/dL Female subjects: > 14.5 g/dL The values of hematological parameters at screening are: MCV: outside the reference range and clinically significant deemed by the investigator and GSK Medical Monitor The values of the following tests at screening are: TIBC: outside the reference range Serum iron: outside the reference range Serum ferritin: outside the reference range A value at screening is greater than the upper limit of reference range for the following clinical laboratory parameters: AST, ALT, direct bilirubin. Clinically significant abnormal CPK determined by the investigator and GSK Medical Monitor. Calculated creatinine clearance: < 60mL/min A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening. A positive test for HIV antibody. History of drug abuse or dependence within 6 months of the study. History of regular alcohol consumption within 6 months of the study Urinary cotinine levels indicative of smoking or history or regular use of tobacco- or nicotine-containing products within 6 months prior to screening. Use of 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 drug History of sensitivity to any of the study drugs, or components thereof or a history of drug or other allergy that, in the opinion of the investigator or GSK Medical Monitor, contraindicates their participation. History of sensitivity to heparin or heparin-induced thrombocytopenia. (if the clinical research unit uses heparin to maintain intravenous cannula patency) Subjects with a pre-existing condition interfering with normal gastrointestinal anatomy or motility, and/or hepatic function that could interfere with the absorption, metabolism, and/or excretion of the study drugs. History of peptic ulcer disease. History of malignancy tumor. Non-melanoma skin cancer that has been definitely removed is allowed. Pregnant females as determined by positive serum or urine hCG test at screening or prior to dosing. Lactating females. Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period. Unwillingness or inability to follow the procedures, or lifestyle and/or dietary restrictions outlined in the protocol. Consumption of red wine, seville oranges, grapefruit or grapefruit juice, exotic citrus fruits, grapefruit hybrids or fruit juices of the prohibited fruits from 7 days prior to the first dose of study medication 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: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer). Exposure to more than four new chemical entities within 12 months prior to the first dosing day. Subject is mentally or legally incapacitated.
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
Melbourne
State/Province
Victoria
ZIP/Postal Code
3004
Country
Australia

12. IPD Sharing Statement

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Repeat Dose Safety Study for Compound to Treat Anemia

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