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Relative Bioavailability, Safety, Tolerability, Pharmacokinetics (PK) and Food Effect Study of GSK2140944 in Healthy Subjects

2017年7月10日 更新者:GlaxoSmithKline

A Single-Center, Three-Part, Open Label Study to Evaluate the Relative Bioavailability of Two Formulations, Food Effect, and Interaction With Itraconazole Following Single Dose of GSK2140944 in Healthy Subjects and Effect of Food on Safety, Tolerability, and Pharmacokinetics Following Multiple Doses of GSK2140944 in Healthy Elderly Subjects

This study will be conducted in three parts (Part 1, Part 2 and Part 3). Part 1 of this study will evaluate the relative bioavailability of a single dose of GSK2140944 tablet formulation compared to the reference capsule formulation under fasted conditions. The effect of food on the pharmacokinetics (PK) of a single dose of the tablet formulation will also be assessed. Part 2 will evaluate the effect of repeat doses of itraconazole on the pharmacokinetics of GSK2140944 following a single dose. A decision will be made whether to use the current capsule formulation or the new tablet formulation in Part 2 based upon the safety and PK data obtained from Part 1. Part 3 is conditionally based upon progression of the tablet formulation from Part 1 and will evaluate the effect of food on the safety, tolerability, and pharmacokinetics of the tablet formulation following multiple doses in elderly healthy subjects.

調査の概要

研究の種類

介入

入学 (実際)

46

段階

  • フェーズ 1

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

    • Kansas
      • Overland Park、Kansas、アメリカ、66211
        • GSK Investigational Site

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年歳以上 (大人、高齢者)

健康ボランティアの受け入れ

いいえ

受講資格のある性別

全て

説明

Inclusion Criteria:

  • 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 feels and documents that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures.
  • Part 1 and 2: Male or female between 18 and 64 years of age inclusive, at the time of signing the informed consent. Part 3: Male or female subjects at least 65 years of age or older at the time of signing the informed consent.
  • A female subject is eligible to participate if she is 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. To confirm post-menopausal status, a blood sample for simultaneous follicle stimulating hormone (FSH) >40 milli-International Units (MIU)/milliliter (mL) and estradiol <40 picograms (pg)/mL (<147 picomoles [pmol]/liter [L]) is confirmatory. Male subjects with female partners of child-bearing potential must agree to use one of the contraception methods. This criterion must be followed from the time of the first dose of study medication until the final follow-up visit.
  • Body weight >=50 kilograms (kg) and body mass index (BMI) within the range 19 - 31 kg/meter square (m^2) (inclusive).
  • Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.
  • Alanine amino transferase (ALT), alkaline phosphatase and bilirubin <=1.5xUpper Limit of Normal (ULN) (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%).

Exclusion Criteria:

Criteria Based Upon Medical Histories

  • Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
  • 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.
  • History of photosensitivity to quinolones.
  • Use of systemic antibiotic within 30 days of screening
  • Previous exposure to GSK2140944
  • Confirmed history of C-difficile diarrhea.
  • History of tendon rupture.
  • 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 within 6 months of the study defined as an average weekly intake of >14 drinks for males or >7 drinks for females. One drink is equivalent to 12 grams of alcohol: 12 ounces (360 mL) of beer, 5 ounces (150 mL) of wine or 1.5 ounces (45 mL) of 80 proof distilled spirits.
  • 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 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).

Criteria Based Upon Diagnostic Assessments

  • A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening or positive Human Immunodeficiency Virus (HIV) antibody.
  • A screening or Day -1 urinalysis positive for protein or glucose (greater than 1+ findings of protein or glucose).
  • A serum creatinine value that is increased by more than 0.2 milligram (mg)/deciliter (dL) (or 15.25 micromoles/L) between screening and Day -1.
  • For Part 3 Only: Neutrophil count <2000 cells/microliter (a single repeat is allowed for eligibility determination).
  • A positive urine test for drugs of abuse or alcohol (or alcohol breath test) at screening or at Day -1.
  • Exclusion criteria for screening and baseline ECG (a single repeat is allowed for eligibility determination) as follows: Heart rate: <40 and >100 beats per minute (bpm) for males and <50 and >100 bpm for females; PR Interval: <120 and >220 milliseconds (msec); QRS duration: <70 and >100 msec; QT duration corrected for heart rate by Bazett's formula (QTcB) or QT duration corrected for heart rate by Fridericia's formula (QTcF) interval>450 msec. Evidence of previous myocardial infarction (does not include ST segment changes associated with repolarization). Any conduction abnormality (including but not specific to left or right complete bundle branch block, atrioventricular (AV) block [2nd degree or higher], Wolf Parkinson White [WPW] syndrome), sinus pauses> 3 seconds, non-sustained or sustained ventricular tachycardia (>=3 consecutive ventricular ectopic beats) or any significant arrhythmia which, in the opinion of the principal investigator and GSK medical monitor, will interfere with the safety of the individual subject.

Other Criteria

  • Donation of blood in excess of 500 mL within 12 weeks prior to dosing or participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period.
  • 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.
  • Unwillingness to commit to avoid excessive exposure to sunlight (or exposure to a tanning bed) which would cause a sunburn reaction from first dose up to and including the follow-up visit.

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:処理
  • 割り当て:ランダム化
  • 介入モデル:クロスオーバー割り当て
  • マスキング:なし(オープンラベル)

武器と介入

参加者グループ / アーム
介入・治療
実験的:Part 1
Subjects will receive either GSK2140944 1500 mg (500 mg x 3) capsules under fasted conditions or GSK2140944 1500 mg (750 mg x 2) tablets under fasted conditions or GSK2140944 1500 mg (750 mg x 2) tablets under fed conditions as per the randomization schedule in each of the three periods with a washout period of at least 3 days between the doses. There will also be a follow-up visit within 5-7 days after the last dose of study drug.
Immediate release capsule containing GSK2140944 and inactive formulation excipients with a unit dose strength of 500 mg
Immediate release tablet containing GSK2140944 and inactive formulation excipients with a unit dose strength of 750 mg
実験的:Part 2
Subjects will receive a single dose of GSK2140944 1500 mg (tablet or capsule) on Day 1 followed by a repeat dose of Itraconazole 200 mg once daily for 6 days from Day 4 to Day 9. On Day 7, subjects will receive a single dose of GSK2140944 1500 mg (tablet or capsule) one hour after the dose of Itraconazole. There will also be a follow-up visit within 5-7 days after the last dose of study drug.
Immediate release capsule containing GSK2140944 and inactive formulation excipients with a unit dose strength of 500 mg
Immediate release tablet containing GSK2140944 and inactive formulation excipients with a unit dose strength of 750 mg
Capsule containing Itraconazole with a unit dose strength of 100 mg
実験的:Part 3
Subjects in Group 1 will receive GSK2140944 1500 mg (750 mg x 2) tablets twice daily from Day 1 to Day 5 under fasting and fed conditions in Period I and Period II, respectively. Subjects in Group 2 will receive GSK2140944 1500 mg (750 mg x 2) tablets twice daily from Day 1 to Day 5 under fed and fasting conditions in Period I and Period II, respectively. There will be a washout of at least 7 days between the periods. Subjects will have a follow up visit 5-7 days after the last dose of study drug in both the groups.
Immediate release tablet containing GSK2140944 and inactive formulation excipients with a unit dose strength of 750 mg

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Part 1: Composite of PK parameters following GSK2140944 administration in fasted and fed state
時間枠:Day 1 (Pre-dose, 0.25h, 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 12h, 24h, 36h, and at 48h)
PK parameters will include area under the concentration-time curve (AUC) from time zero (pre-dose) extrapolated to infinite time AUC(0-infinity), AUC from time zero to last quantifiable concentration AUC(0-t), relative bioavailability of drug (Frel), maximum observed concentration (Cmax), time of occurrence of Cmax (tmax), lag time before observation of drug concentration (tlag) and terminal phase half-life (t1/2) in the fasted state; AUC(0-infinity), AUC(0-t), tmax, tlag and Cmax after moderate fat meal.
Day 1 (Pre-dose, 0.25h, 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 12h, 24h, 36h, and at 48h)
Part 2: Composite of PK parameters of GSK2140944 following repeat oral dosing of itraconazole
時間枠:Day 1 and Day 7 (Predose, 0.25h, 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 12h, 24h, 36h, and 48h post dose and also at 60h and 72h post dose on Day 7
PK parameters will include AUC(0-infinity), AUC(0-t), tmax, tlag and Cmax of GSK2140944.
Day 1 and Day 7 (Predose, 0.25h, 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 12h, 24h, 36h, and 48h post dose and also at 60h and 72h post dose on Day 7
Part 3: Safety and tolerability of GSK2140944 as assessed by adverse events (AEs)
時間枠:Approximately 8 weeks
Approximately 8 weeks
Part 3: Safety and tolerability of GSK2140944 as assessed by review of concomitant medications
時間枠:Approximately 8 weeks
Approximately 8 weeks
Part 3: Safety and tolerability of GSK2140944 by laboratory assessments
時間枠:Approximately 8 weeks
Laboratory assessments will include hematology, clinical chemistry, urinalysis parameters
Approximately 8 weeks
Part 3: Safety and tolerability of GSK2140944 as assessed by 12-lead electrocardiograms (ECGs)
時間枠:Approximately 8 weeks
All 12-lead ECGs will be obtained after the subject has rested in a supine position for at least 10 minutes
Approximately 8 weeks
Part 3: Safety and tolerability of GSK2140944 as assessed by vital signs
時間枠:Approximately 8 weeks
Vital signs will be measured for subjects in supine position and will include systolic and diastolic blood pressure, pulse rate and temperature
Approximately 8 weeks

二次結果の測定

結果測定
メジャーの説明
時間枠
Part 1: Safety and tolerability of GSK2140944 as assessed by AEs
時間枠:Approximately 7 weeks
Approximately 7 weeks
Part 1: Safety and tolerability of GSK2140944 as assessed by review of concomitant medications
時間枠:Approximately 7 weeks
Approximately 7 weeks
Part 1: Safety and tolerability of GSK2140944 by laboratory assessments
時間枠:Approximately 7 weeks
Laboratory assessments will include hematology, clinical chemistry, urinalysis parameters
Approximately 7 weeks
Part 1: Safety and tolerability of GSK2140944 as assessed by 12-lead ECGs
時間枠:Approximately 7 weeks
All 12-lead ECGs will be obtained after the subject has rested in a supine position for at least 10 minutes
Approximately 7 weeks
Part 1: Safety and tolerability of GSK2140944 as assessed by vital signs
時間枠:Approximately 7 weeks
Vital signs will be measured for subjects in supine position and will include systolic and diastolic blood pressure, pulse rate and temperature
Approximately 7 weeks
Part 2: Safety and tolerability of GSK2140944 as assessed by AEs
時間枠:Approximately 6 weeks
Approximately 6 weeks
Part 2: Safety and tolerability of GSK2140944 by laboratory assessments
時間枠:Approximately 6 weeks
Laboratory assessments will include hematology, clinical chemistry, urinalysis parameters
Approximately 6 weeks
Part 2: Safety and tolerability of GSK2140944 as assessed by 12-lead ECGs
時間枠:Approximately 6 weeks
All 12-lead ECGs will be obtained after the subject has rested in a supine position for at least 10 minutes
Approximately 6 weeks
Part 2: Safety and tolerability of GSK2140944 as assessed by vital signs
時間枠:Approximately 6 weeks
Vital signs will be measured for subjects in supine position and will include systolic and diastolic blood pressure, pulse rate and temperature
Approximately 6 weeks
Part 3: Composite of PK parameters of GSK2140944 following repeat oral dosing of GSK2140944
時間枠:Day 3 and Day 4 (Pre-dose), Day 5 (Predose, 0.25h, 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 12h, 24h, 36h, and at 48h)
PK parameters will include AUC over the dosing interval (0-tau), tmax, tlag, t1/2, pre-dose (trough) concentration at the end of the dosing interval (Ctau) and Cmax of GSK2140944
Day 3 and Day 4 (Pre-dose), Day 5 (Predose, 0.25h, 0.5h, 1h, 1.5h, 2h, 3h, 4h, 6h, 8h, 12h, 24h, 36h, and at 48h)

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2014年1月28日

一次修了 (実際)

2014年8月21日

研究の完了 (実際)

2014年8月21日

試験登録日

最初に提出

2014年1月23日

QC基準を満たした最初の提出物

2014年1月23日

最初の投稿 (見積もり)

2014年1月27日

学習記録の更新

投稿された最後の更新 (実際)

2017年7月13日

QC基準を満たした最後の更新が送信されました

2017年7月10日

最終確認日

2017年7月1日

詳しくは

本研究に関する用語

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

はい

IPD プランの説明

Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

試験データ・資料

  1. インフォームド コンセント フォーム
    情報識別子:117349
    情報コメント:For additional information about this study please refer to the GSK Clinical Study Register
  2. 臨床研究報告書
    情報識別子:117349
    情報コメント:For additional information about this study please refer to the GSK Clinical Study Register
  3. 個人参加者データセット
    情報識別子:117349
    情報コメント:For additional information about this study please refer to the GSK Clinical Study Register
  4. 研究プロトコル
    情報識別子:117349
    情報コメント:For additional information about this study please refer to the GSK Clinical Study Register
  5. 統計分析計画
    情報識別子:117349
    情報コメント:For additional information about this study please refer to the GSK Clinical Study Register
  6. 注釈付き症例報告書
    情報識別子:117349
    情報コメント:For additional information about this study please refer to the GSK Clinical Study Register
  7. データセット仕様
    情報識別子:117349
    情報コメント:For additional information about this study please refer to the GSK Clinical Study Register

この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。

GSK2140944 capsuleの臨床試験

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