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A Single Oral Escalating Dose Study of GSK2140944 in Healthy Volunteers

9 de junio de 2017 actualizado por: GlaxoSmithKline

A Randomized, Single Blind, Placebo Controlled Study to Evaluate Safety, Tolerability, and Pharmacokinetics of Single Escalating Oral Doses of GSK2140944 in Healthy Adult Subjects

GSK2140944 belongs to the Bacterial Type II Topoisomerase Inhibitor (BTI) class of antibiotics. GSK2140944 has demonstrated in vitro and in vivo activity against Gram positive including methicillin resistant Staphylococcus aureus (MRSA) and Gram-negative pathogens associated with respiratory tract, skin and soft tissue infections including isolates resistant to existing classes of antimicrobials. This is a First Time in Human (FTIH) study to assess the safety, tolerability, and pharmacokinetics of single oral doses of GSK2140944 in healthy volunteers. This study will be a single-blind, randomized, placebo-controlled, dose-rising study in healthy subjects. The proposed single doses will range from 100 mg to 3000 mg.

Descripción general del estudio

Estado

Terminado

Intervención / Tratamiento

Descripción detallada

GSK2140944 belongs to the Bacterial Type II Topoisomerase Inhibitor (BTI) class of antibiotics which is being developed for treatment of Gram positive [including methicillin resistant Staphylococcus aureus (MRSA)] and Gram-negative pathogens associated with respiratory tract and skin and soft tissue infections including isolates resistant to existing classes of antimicrobials.

Study BTZ114595 will be the first administration of GSK2140944 in humans. This study will examine the safety, tolerability, and pharmacokinetics of escalating single oral doses of GSK2140944. The predicted clinical target for efficacy, based on preclinical efficacy models, is an AUC(0-24) of 16-30 μg.h/mL. This study aims to explore the safety and tolerability at and above target exposures in order to establish a therapeutic window for this compound.

This study will investigate the safety, tolerability, and pharmacokinetics of escalating single oral doses of GSK2140944.

This will be a randomized, placebo-controlled, single-blind study to determine safety, tolerability, and single dose pharmacokinetic (PK) profile of GSK2140944 in healthy subjects.

The projected single escalating doses of GSK2140944 will range from a starting dose of 100 mg to a maximum dose of 3000 mg. The current plan is to administer the study drug after an overnight fast, but based on emerging PK and safety data, it may be necessary to administer the study drug under fed state to better understand safety, tolerability or PK of GSK2140944. Any decision to remove or modify fasting requirements will be made by the GSK Study Team and the investigator based on joint review of the emerging safety, tolerability and preliminary pharmacokinetic data from prior dose-levels.

Tipo de estudio

Intervencionista

Inscripción (Actual)

48

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

    • Minnesota
      • Minneapolis, Minnesota, Estados Unidos, 55404
        • 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 60 años (Adulto)

Acepta Voluntarios Saludables

Sí

Géneros elegibles para el estudio

Todos

Descripción

Inclusion Criteria:

  • AST, ALT, alkaline phosphatase and bilirubin ≤ 1.5xULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%)
  • Healthy as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring. A subject with a clinical abnormality or laboratory parameters outside the reference range for the population being studied may be included only if the Investigator and the GSK Medical Monitor agree that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures.
  • Male or female ranging from 18 to 60 years of age, at the time of signing the informed consent. Female subject must be of non-childbearing potential defined as pre-menopausal females with a documented tubal ligation or hysterectomy; or postmenopausal defined as 12 months of spontaneous amenorrhea [in questionable cases a blood sample with simultaneous follicle stimulating hormone (FSH) > 40 MlU/ml and estradiol < 40 pg/mL (<147 pmol/L) is confirmatory]. Females on hormone replacement therapy (HRT) and whose menopausal status is in doubt will be required to use one of the contraception methods in Section 8.1 if they wish to continue their HRT during the study. Otherwise, they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrollment. For most forms of HRT, at least 2-4 weeks will elapse between the cessation of therapy and the blood draw; this interval depends on the type and dosage of HRT. Following confirmation of their post-menopausal status, they can resume use of HRT during the study without use of a contraceptive method.
  • Body weight ≥ 50 kg and BMI within the range 19 - 31 kg/m2, inclusive.
  • Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.
  • QTcF < 450 msec, or QTc < 480 msec in subjects with Bundle Branch Block., at screening.

Exclusion Criteria:

  • Any clinically significant central nervous system (e.g., seizures), cardiac, pulmonary, metabolic, renal, hepatic or gastrointestinal conditions or history of such conditions that, in the opinion of the investigator may place the subject at an unacceptable risk as a participant in this trial or may interfere with the absorption, distribution, metabolism or excretion of drugs.
  • A positive urine test for drugs of abuse or alcohol (or alcohol breath test) at screening.
  • A screening urinalysis positive for protein or glucose (greater than "trace" findings of protein or glucose).
  • Positive for Human Immunodeficiency Virus (HIV) antibody, hepatitis B virus surface antigen, or hepatitis C virus antibody at screening.
  • History of drug abuse within 6 months of the study.
  • History of smoking or use of nicotine containing products within 3 months of screening, or a positive urine cotinine indicative of smoking at screening.
  • History of regular alcohol consumption exceeding an average weekly intake of greater than or equal to 21 units for men/14 units for women or an average daily intake of greater than or equal to 3 units for men/2 units for women. One unit is equivalent to a 285 mL glass of full strength beer or 425 mL schooner of light beer or 1 (30 mL) measure of spirits or 1 glass (100 mL) of wine.
  • The subject has participated in a clinical trial and has received a drug or a new chemical entity within 30 days or 5 half-lives, or twice the duration of the biological effect of any drug (whichever is longer) prior to the first dose of current study medication.
  • Use of prescription or non-prescription drugs, including vitamins above the recommended daily intake (National Health and Medical Research Council in Australia guideline), herbal and dietary supplements within 7 days or 5 half-lives (whichever is longer) prior to the first dose of study medication, or use of St. John's Wort within 14 days prior to the first dose of study medication. By exception, the volunteer may take paracetamol or acetaminophen (≤ 2 grams/day) or ibuprofen (1600 mg/day) up to 48 hours prior to the first dose of study medication. However, the investigator and study team can review medication use on a case by case basis to determine if its use would compromise subject safety or interfere with study procedures or data interpretation.
  • Consumption of red wine, seville oranges, grapefruit or grapefruit juice, pummelos, exotic citrus fruits or grapefruit hybrids or fruit juices containing such products for 7 days prior to administration of study medication.
  • Donation of blood in excess of 550 mL within 12 weeks prior to dosing.
  • An unwillingness of male subjects to abstain from sexual intercourse with pregnant or lactating women, or an unwillingness of male subjects to use a condom and spermicide, in addition to having their female partner use another form of contraception such as an IUD, diaphragm with spermicide, oral contraceptives, injectable progesterone, subdermal implants or a tubal ligation, if engaging in sexual intercourse with a female partner who could become pregnant. This criterion must be followed from the time of study medication administration and until 84 days after study medication administration.
  • History of sensitivity to any of the study medications or components thereof or a history of drug or other allergy that, in the opinion of the physician responsible, contraindicates their participation.
  • History of sensitivity to heparin or heparin-induced thrombocytopenia (if the clinical research unit uses heparin to maintain intravenous cannula patency).
  • An unwillingness to comply with lifestyle and/or dietary restrictions as described in Section 8.

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: Otro
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Único

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
Comparador de placebos: Matching Placebo
Placebo
Placebo
Experimental: GSK2140944
Dose range 100mg to 3000mg single dose
Investigational Study Drug

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
GSK2140944 datos de seguridad clínica evaluados por número de eventos adversos (EA)
Periodo de tiempo: Hasta la visita de seguimiento
Los parámetros de seguridad y tolerabilidad incluirán el registro de eventos adversos durante todo el estudio.
Hasta la visita de seguimiento
GSK2140944 clinical safety data assessed as change from baseline in 12-lead ECG
Periodo de tiempo: Day 1, Day 2, Day 3 and at the Follow-up visit
12-lead ECGs will be obtained at each timepoint using an ECG machine, after the subject has rested in the supine position for at least 10 minutes
Day 1, Day 2, Day 3 and at the Follow-up visit
GSK2140944 clinical safety data from dual-lead cardiac monitoring
Periodo de tiempo: Day -1, Day 1
Continuous dual-lead cardiac monitoring will be obtained at each timepoints using an ECG machine
Day -1, Day 1
GSK2140944 clinical safety data assessed as change from baseline in clinical laboratory tests
Periodo de tiempo: Day -1, Day 2, Day 3 and the Follow-up visit
Clinical laboratory assessments will include hematology, clinical chemistry, routine urinalysis and additional parameters
Day -1, Day 2, Day 3 and the Follow-up visit
GSK2140944 clinical safety data assessed as change from baseline in blood pressure
Periodo de tiempo: Day -1, Day 1, Day 2, Day 3 and the Follow-up visit
Vital sign measurements will include systolic and diastolic blood pressure
Day -1, Day 1, Day 2, Day 3 and the Follow-up visit
GSK2140944 clinical safety data assessed as change from baseline in heart rate
Periodo de tiempo: Day -1, Day 1, Day 2, Day 3 and the Follow-up visit
Vital sign measurements will include pulse rate
Day -1, Day 1, Day 2, Day 3 and the Follow-up visit

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Pharmacokinetic parameter: AUC(0-t) following single dose of GSK2140944
Periodo de tiempo: Up to Day 4
Pharmacokinetic data will include area under the concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration (AUC(0-t)) following single dose of GSK2140944
Up to Day 4
Pharmacokinetic parameter: AUC(0-infinity) following single dose of GSK2140944
Periodo de tiempo: Up to Day 4
Pharmacokinetic data will include area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC(0-infinity)) following single dose of GSK2140944
Up to Day 4
Pharmacokinetic parameter: Cmax following single dose of GSK2140944
Periodo de tiempo: Up to Day 4
Pharmacokinetic data will include maximum observed concentration (Cmax) following single dose of GSK2140944
Up to Day 4
Pharmacokinetic parameter: tmax following single dose of GSK2140944
Periodo de tiempo: Up to Day 4
Pharmacokinetic data will include time of occurrence of Cmax (tmax) following single dose of GSK2140944
Up to Day 4
Pharmacokinetic parameter: t1/2 following single dose of GSK2140944
Periodo de tiempo: Up to Day 4
Pharmacokinetic data will include terminal phase half-life (t1/2) following single dose of GSK2140944
Up to Day 4
To assess preliminary dose proportionality using PK parameter AUC(0-infinity) following single dose of GSK2140944
Periodo de tiempo: Up to Day 4
Preliminary dose proportionality will be assessed using PK parameter (AUC(0-infinity)) following single dose of GSK2140944
Up to Day 4
To assess preliminary dose proportionality using PK parameter Cmax following single dose of GSK2140944
Periodo de tiempo: Up to Day 4
Preliminary dose proportionality will be assessed using PK parameter Cmax following single dose of GSK2140944
Up to Day 4
Pharmacokinetic parameter: (Ae) following single dose of GSK2140944
Periodo de tiempo: Up to Day 4
Pharmacokinetic data will include urinary recovery of unchanged drug (Ae) following single dose of GSK2140944
Up to Day 4
Pharmacokinetic parameter: (CLr) following single dose of GSK2140944
Periodo de tiempo: Up to Day 4
Pharmacokinetic data will include renal clearance (CLr) following single dose of GSK2140944
Up to Day 4

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)

26 de septiembre de 2011

Finalización primaria (Actual)

15 de febrero de 2012

Finalización del estudio (Actual)

15 de febrero de 2012

Fechas de registro del estudio

Enviado por primera vez

29 de marzo de 2012

Primero enviado que cumplió con los criterios de control de calidad

24 de julio de 2014

Publicado por primera vez (Estimar)

28 de julio de 2014

Actualizaciones de registros de estudio

Última actualización publicada (Actual)

12 de junio de 2017

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

9 de junio de 2017

Última verificación

1 de junio de 2017

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • 114595

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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