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Repeat Dose Safety Study for Compound to Treat Anemia

21 de junio de 2017 actualizado por: GlaxoSmithKline

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

The purpose of this study is to characterize the safety and tolerability of repeat doses of compound 1278863A in healthy subjects.

Descripción general del estudio

Estado

Terminado

Condiciones

Intervención / Tratamiento

Descripción detallada

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.

Tipo de estudio

Intervencionista

Inscripción (Actual)

24

Fase

  • Fase 1

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Ubicaciones de estudio

    • Victoria
      • Melbourne, Victoria, Australia, 3004
        • GSK Investigational Site

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años a 55 años (Adulto)

Acepta Voluntarios Saludables

No

Géneros elegibles para el estudio

Todos

Descripción

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.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Ciencia básica
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Único

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Experimental: 1
Repeat doses of active at escalating doses
15mg, 25mg, 50mg, 150mg
Comparador de placebos: 2
Repeat doses of placebo
placebo coincidente

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Periodo de tiempo
adverse events reporting
Periodo de tiempo: throughout study
throughout study
Safety Labs (hematology)
Periodo de tiempo: Screening, Days -1, 1-3, 5, 7, 9, 11, 14-18, 21, 25, 28
Screening, Days -1, 1-3, 5, 7, 9, 11, 14-18, 21, 25, 28
vital signs (blood pressure and heart rate)
Periodo de tiempo: Days 1-15, 28
Days 1-15, 28
12-lead ECG
Periodo de tiempo: Screening, Days 1-2, 4, 6, 8, 10, 12, 14, 28
Screening, Days 1-2, 4, 6, 8, 10, 12, 14, 28
dual-lead cardiac monitoring (telemetry monitoring)
Periodo de tiempo: Days -1 to 3, 14
Days -1 to 3, 14
clinical monitoring/observation
Periodo de tiempo: throughout
throughout
Safety Labs (Chemistry)
Periodo de tiempo: Screening, Days -1, 1-3, 7, 10, 14-15, 17, 21, 28
Screening, Days -1, 1-3, 7, 10, 14-15, 17, 21, 28
Safety Labs (Urinalysis)
Periodo de tiempo: Screening, Days -1, 1-3, 7, 10, 14-15, 17, 21, 28
Screening, Days -1, 1-3, 7, 10, 14-15, 17, 21, 28

Medidas de resultado secundarias

Medida de resultado
Periodo de tiempo
AUC(0-∞) on Day 1, AUC(0-τ), Cmax, tmax and t1/2, on Days 1 and 14
Periodo de tiempo: Days 1-2, 4, 6, 8, 10, 12, 14-18
Days 1-2, 4, 6, 8, 10, 12, 14-18
Trough plasma concentrations at the end of the dosing interval
Periodo de tiempo: Days 2, 4, 6, 8, 10 and 12
Days 2, 4, 6, 8, 10 and 12
Hemoglobin actual values, rate of rise, maximum change from baseline, and rate of decline following stopping of dosing
Periodo de tiempo: Days 1, 7, 14, 21, 28
Days 1, 7, 14, 21, 28
Fetal hemoglobin actual values, change from baseline, and percent of total hemoglobin
Periodo de tiempo: Days 1, 7, 14, 21, 28
Days 1, 7, 14, 21, 28
Actual values and change from baseline in erythropoietin
Periodo de tiempo: Days 1-4, 7, 14-15, 18, 21
Days 1-4, 7, 14-15, 18, 21
Actual values and change from baseline in absolute VEGF
Periodo de tiempo: Days 1-2, 14-15, 18, 21
Days 1-2, 14-15, 18, 21
Actual values and change from baseline in hepcidin
Periodo de tiempo: Days 1-2, 7, 14-15, 18, 21
Days 1-2, 7, 14-15, 18, 21
Actual values and change from baseline in total iron binding capacity (TIBC)
Periodo de tiempo: Screening, Days 1, 7, 14, 18, 21
Screening, Days 1, 7, 14, 18, 21
Actual values and change from baseline in transferring saturation (%)
Periodo de tiempo: Days 1, 7, 14, 18, 21
Days 1, 7, 14, 18, 21

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Patrocinador

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio (Actual)

13 de marzo de 2009

Finalización primaria (Actual)

2 de septiembre de 2009

Finalización del estudio (Actual)

2 de septiembre de 2009

Fechas de registro del estudio

Enviado por primera vez

9 de febrero de 2009

Primero enviado que cumplió con los criterios de control de calidad

9 de febrero de 2009

Publicado por primera vez (Estimar)

10 de febrero de 2009

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

22 de junio de 2017

Última actualización enviada que cumplió con los criterios de control de calidad

21 de junio de 2017

Última verificación

1 de junio de 2017

Más información

Términos relacionados con este estudio

Palabras clave

Términos MeSH relevantes adicionales

Otros números de identificación del estudio

  • 112842

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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