Effect of Oral GS-6615 on Dofetilide-Induced QT Prolongation, Safety, and Tolerability in Healthy Adults
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 Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Locations
-
-
Wisconsin
-
West Bend, Wisconsin, United States, 53095
- Spaulding Clinical Research, LLC
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo to match GS-6615
Placebo to match GS-6615 + dofetilide or placebo to match dofetilide twice daily
|
Placebo to match GS-6615 tablets administered orally
Placebo to match dofetilide capsules administered orally
Dofetilide 500 μg capsules administered orally according to the current prescribing information
|
|
Experimental: GS-6615
GS-6615 or placebo to match GS-6615 + dofetilide or placebo to match dofetilide twice daily
|
Placebo to match GS-6615 tablets administered orally
Placebo to match dofetilide capsules administered orally
Dofetilide 500 μg capsules administered orally according to the current prescribing information
GS-6615 tablets administered orally
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in daytime QT interval corrected for heart rate using the Fridericia formula (QTcF)
Time Frame: Up to 6 days
|
Up to 6 days
|
|
|
Pharmacokinetic (PK) profiles of GS-6615 and dofetilide
Time Frame: Predose and postdose on Days -2 through Day 4
|
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.
|
Predose and postdose on Days -2 through Day 4
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of adverse events, clinical laboratory test results, vital sign measurements, and electrocardiogram (ECG) data
Time Frame: Up to 6 days
|
This endpoint will measure the safety and tolerability profile of GS-6615.
|
Up to 6 days
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Kimberly B Patel, MD, Gilead Sciences
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Heart Diseases
- Cardiovascular Diseases
- Congenital Abnormalities
- Arrhythmias, Cardiac
- Cardiac Conduction System Disease
- Heart Defects, Congenital
- Cardiovascular Abnormalities
- Long QT Syndrome
- Molecular Mechanisms of Pharmacological Action
- Anti-Arrhythmia Agents
- Membrane Transport Modulators
- Potassium Channel Blockers
- Dofetilide
Other Study ID Numbers
Other Study ID Numbers
- GS-US-372-1666
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