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Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single, Oral Escalating Doses of GSK2647544 in Healthy Volunteers

Primary Purpose

Alzheimer's Disease

Status
Completed
Phase
Phase 1
Locations
Australia
Study Type
Interventional
Intervention
GSK2647544
Placebo
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Alzheimer's Disease focused on measuring Lp-PLA2, Alzheimer's disease

Eligibility Criteria

18 Years - 55 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Healthy males who are 18 to 55 years of age, inclusive
  • Healthy as determined by a responsible and experienced physician
  • aspartate aminotransferase (AST), Alanine transaminase (ALT), alkaline phosphatase and bilirubin <= 1.5xUpper Limit of Normal (ULN)
  • Average of triplicate QTcB values and average of triplicate QTcF values must both < 450 millisecond (msec)
  • Body weight > 50 kg (110 pounds) and body mass index (BMI) between 19 and 30
  • Male subjects with female partners of child-bearing potential must agree to use one of the contraception methods
  • Capable of giving written informed consent

Exclusion Criteria:

  • Those with Lp-PLA2 activity <=20 nanomole/minute/milliliter (mL)(for subjects with 2 known birth parents of at least 50% Japanese, Chinese, or Korean ancestry)
  • History of asthma, anaphylaxis or anaphalactoid reactions, severe allergic responses
  • History of hypercoagulable state or history of thrombosis
  • A history of biliary tract disease including a history of liver disease with elevated liver function tests of known or unknown etiology
  • Positive Human immunodeficiency virus (HIV), Hepatitis B or Hepatitis C at screening
  • History of regular use of tobacco- or nicotine-containing products within three months of the study and/or has a positive breath CO at screening
  • History of alcohol consumption exceeding, on average, 21 drinks/week for men (1 drink = 100 mL of wine or 240 mL of beer or 30 mL of hard liquor in Australia) within 6 months of the first dose of study medication
  • Positive urine drug or positive breath alcohol test at screening or at admission to Clinical Research Unit
  • Unable to refrain from use of prescription or non-prescription drugs and vitamins within 7 days or 5 half-lives (whichever is longer) prior to administration of study
  • Unable to refrain from use of dietary/herbal supplements including (but not limited to) St. John's wort, kava, ephedra (ma huang), gingko biloba, DHEA, yohimbe, saw palmetto, ginseng and red yeast rice within 14 days prior to treatment with study medication
  • Treatment with an investigational drug within 30 days or 5 half-lives (whichever is longer) prior to dosing
  • Unable to refrain from consumption of grapefruit or grapefruit juice within 7 days prior to the first dose of study medication
  • For male subjects, an unwillingness to abstain from sexual intercourse with pregnant or lactating women or an unwillingness to use a condom plus partner use of a highly effective contraceptive if engaging in sexual intercourse with a woman who could become pregnant until discharge from the study
  • Donation of blood in excess of 500 mL within 56 days prior to dosing
  • History of sensitivity to heparin or heparin-induced thrombocytopenia
  • Subjects, who in the investigator's judgement, pose a significant suicide risk. Evidence of serious suicide risk may include any history of suicidal behaviour and/or any suicidal ideation of type 4 or 5 on the C-SSRS in the last 6 months

Sites / Locations

  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Placebo Comparator

Arm Label

GSK2647544

Placebo

Arm Description

The starting dose of GSK2647544 is 0.5 mg. The escalating doses to be administered will be determined based on study results from previous dose (s).

Matching placebo

Outcomes

Primary Outcome Measures

Safety and tolerability of GSK2647544 as assessed by number of subjects with adverse events (AE)s
Safety and tolerability parameters will include recording of AEs
Safety and tolerability of GSK2647544 as assessed by change from Baseline in laboratory values
Safety and tolerability parameters will include laboratory (haematology, clinical chemistry, urinalysis) values at Screening, Day -1, Day 3 and Follow-up (7-14 days post-last dose)
Safety and tolerability of GSK2647544 as assessed by change from Baseline in ECG readings
Safety and tolerability parameter will include the electrocardiogram (ECG) readings at Screening, Day -1, Day 1, Day 2, Day 3 and Follow-up (7-14 days post-last dose)
Safety and tolerability of GSK2647544 as assessed by change from Baseline in Telemetry ECG parameters
Safety and tolerability parameter will include the Telemetry ECG readings from 30 minutes pre-dosing till 48 hours post-dosing
Safety and tolerability of GSK2647544 as assessed by change from Baseline in vital signs
Vital signs measurement include systolic and diastolic blood pressure and pulse rate at Screening, Day -1, Day 1, Day 2, Day 3, Day 4 and Follow-up (7-14 days post-last dose)
Safety and tolerability of GSK2647544 as assessed by using the Columbia Suicide Severity Rating Scale (C-SSRS)
C-SSRS will be measured at Screening, Day -1, Day 1 (conducted prior to discharge) and Follow-up (7-14 days post-last dose)

Secondary Outcome Measures

Peak plasma concentration (Cmax) of GSK2647544
To assess PK profile of GSK2647544, Cmax of GSK2647544 will be measured
Time of peak plasma concentration (tmax) of GSK2647544
To assess PK profile of GSK2647544 tmax of GSK2647544 will be measured
Area under the time concentration curve (AUC) of GSK2647544
To assess PK profile of GSK2647544 AUC of GSK2647544 will be measured
Terminal half-life (t½ ) of GSK2647544
To assess PK profile of GSK2647544 t½ of GSK2647544 will be measured
Apparent oral clearance (CL/F) of GSK2647544
To assess PK profile of GSK2647544 CL/F of GSK2647544 will be measured
Predose plasma lipoprotein-associated phospholipase A2 (Lp-PLA2) activity and postdose Lp-PLA2 activity
It will be measured at Day 1, Day 2, Day 3, Day 4 and Day 5

Full Information

First Posted
October 4, 2012
Last Updated
October 16, 2017
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT01702467
Brief Title
Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single, Oral Escalating Doses of GSK2647544 in Healthy Volunteers
Official Title
A Single-Blind, Randomized, Placebo-Controlled Study to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single, Oral Escalating Doses of GSK2647544 in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
October 19, 2012 (Actual)
Primary Completion Date
May 15, 2013 (Actual)
Study Completion Date
May 15, 2013 (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 current study will examine the safety, tolerability, plasma pharmacokinetics (PK), and plasma pharmacodynamics (PD) of single-doses of GSK2647544.The study will be conducted as a randomized, single-blind, placebo controlled, 4-way crossover single oral ascending dose design in 2 independent cohorts, eight healthy male subjects in each of the cohorts. Each potential subject will undergo Screening visit, Treatment Phase and Follow-up visit.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Alzheimer's Disease
Keywords
Lp-PLA2, Alzheimer's disease

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
27 (Actual)

8. Arms, Groups, and Interventions

Arm Title
GSK2647544
Arm Type
Experimental
Arm Description
The starting dose of GSK2647544 is 0.5 mg. The escalating doses to be administered will be determined based on study results from previous dose (s).
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Matching placebo
Intervention Type
Drug
Intervention Name(s)
GSK2647544
Intervention Description
Capsules containing 0.5mg to 50mg of GSK2647544.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Matching placebo capsules.
Primary Outcome Measure Information:
Title
Safety and tolerability of GSK2647544 as assessed by number of subjects with adverse events (AE)s
Description
Safety and tolerability parameters will include recording of AEs
Time Frame
5 days in each of the 4 dosing session
Title
Safety and tolerability of GSK2647544 as assessed by change from Baseline in laboratory values
Description
Safety and tolerability parameters will include laboratory (haematology, clinical chemistry, urinalysis) values at Screening, Day -1, Day 3 and Follow-up (7-14 days post-last dose)
Time Frame
5 days in each of the 4 dosing session
Title
Safety and tolerability of GSK2647544 as assessed by change from Baseline in ECG readings
Description
Safety and tolerability parameter will include the electrocardiogram (ECG) readings at Screening, Day -1, Day 1, Day 2, Day 3 and Follow-up (7-14 days post-last dose)
Time Frame
5 days in each of the 4 dosing session
Title
Safety and tolerability of GSK2647544 as assessed by change from Baseline in Telemetry ECG parameters
Description
Safety and tolerability parameter will include the Telemetry ECG readings from 30 minutes pre-dosing till 48 hours post-dosing
Time Frame
3 Days in each of the 4 dosing session
Title
Safety and tolerability of GSK2647544 as assessed by change from Baseline in vital signs
Description
Vital signs measurement include systolic and diastolic blood pressure and pulse rate at Screening, Day -1, Day 1, Day 2, Day 3, Day 4 and Follow-up (7-14 days post-last dose)
Time Frame
5 days in each of the 4 dosing session
Title
Safety and tolerability of GSK2647544 as assessed by using the Columbia Suicide Severity Rating Scale (C-SSRS)
Description
C-SSRS will be measured at Screening, Day -1, Day 1 (conducted prior to discharge) and Follow-up (7-14 days post-last dose)
Time Frame
5 days in each of the 4 dosing session
Secondary Outcome Measure Information:
Title
Peak plasma concentration (Cmax) of GSK2647544
Description
To assess PK profile of GSK2647544, Cmax of GSK2647544 will be measured
Time Frame
4 Days in each of the 4 dosing session
Title
Time of peak plasma concentration (tmax) of GSK2647544
Description
To assess PK profile of GSK2647544 tmax of GSK2647544 will be measured
Time Frame
4 Days in each of the 4 dosing session
Title
Area under the time concentration curve (AUC) of GSK2647544
Description
To assess PK profile of GSK2647544 AUC of GSK2647544 will be measured
Time Frame
4 Days in each of the 4 dosing session
Title
Terminal half-life (t½ ) of GSK2647544
Description
To assess PK profile of GSK2647544 t½ of GSK2647544 will be measured
Time Frame
4 Days in each of the 4 dosing session
Title
Apparent oral clearance (CL/F) of GSK2647544
Description
To assess PK profile of GSK2647544 CL/F of GSK2647544 will be measured
Time Frame
4 Days in each of the 4 dosing session
Title
Predose plasma lipoprotein-associated phospholipase A2 (Lp-PLA2) activity and postdose Lp-PLA2 activity
Description
It will be measured at Day 1, Day 2, Day 3, Day 4 and Day 5
Time Frame
5 Days in each of the 4 dosing session

10. Eligibility

Sex
Male
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 males who are 18 to 55 years of age, inclusive Healthy as determined by a responsible and experienced physician aspartate aminotransferase (AST), Alanine transaminase (ALT), alkaline phosphatase and bilirubin <= 1.5xUpper Limit of Normal (ULN) Average of triplicate QTcB values and average of triplicate QTcF values must both < 450 millisecond (msec) Body weight > 50 kg (110 pounds) and body mass index (BMI) between 19 and 30 Male subjects with female partners of child-bearing potential must agree to use one of the contraception methods Capable of giving written informed consent Exclusion Criteria: Those with Lp-PLA2 activity <=20 nanomole/minute/milliliter (mL)(for subjects with 2 known birth parents of at least 50% Japanese, Chinese, or Korean ancestry) History of asthma, anaphylaxis or anaphalactoid reactions, severe allergic responses History of hypercoagulable state or history of thrombosis A history of biliary tract disease including a history of liver disease with elevated liver function tests of known or unknown etiology Positive Human immunodeficiency virus (HIV), Hepatitis B or Hepatitis C at screening History of regular use of tobacco- or nicotine-containing products within three months of the study and/or has a positive breath CO at screening History of alcohol consumption exceeding, on average, 21 drinks/week for men (1 drink = 100 mL of wine or 240 mL of beer or 30 mL of hard liquor in Australia) within 6 months of the first dose of study medication Positive urine drug or positive breath alcohol test at screening or at admission to Clinical Research Unit Unable to refrain from use of prescription or non-prescription drugs and vitamins within 7 days or 5 half-lives (whichever is longer) prior to administration of study Unable to refrain from use of dietary/herbal supplements including (but not limited to) St. John's wort, kava, ephedra (ma huang), gingko biloba, DHEA, yohimbe, saw palmetto, ginseng and red yeast rice within 14 days prior to treatment with study medication Treatment with an investigational drug within 30 days or 5 half-lives (whichever is longer) prior to dosing Unable to refrain from consumption of grapefruit or grapefruit juice within 7 days prior to the first dose of study medication For male subjects, an unwillingness to abstain from sexual intercourse with pregnant or lactating women or an unwillingness to use a condom plus partner use of a highly effective contraceptive if engaging in sexual intercourse with a woman who could become pregnant until discharge from the study Donation of blood in excess of 500 mL within 56 days prior to dosing History of sensitivity to heparin or heparin-induced thrombocytopenia Subjects, who in the investigator's judgement, pose a significant suicide risk. Evidence of serious suicide risk may include any history of suicidal behaviour and/or any suicidal ideation of type 4 or 5 on the C-SSRS in the last 6 months
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
Randwick
State/Province
New South Wales
ZIP/Postal Code
2031
Country
Australia

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
Available IPD and Supporting Information:
Available IPD/Information Type
Clinical Study Report
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
116698
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Annotated Case Report Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
116698
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Informed Consent Form
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
116698
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Dataset Specification
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
116698
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Study Protocol
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
116698
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Individual Participant Data Set
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
116698
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register
Available IPD/Information Type
Statistical Analysis Plan
Available IPD/Information URL
https://www.clinicalstudydatarequest.com
Available IPD/Information Identifier
116698
Available IPD/Information Comments
For additional information about this study please refer to the GSK Clinical Study Register

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Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single, Oral Escalating Doses of GSK2647544 in Healthy Volunteers

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