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Healthy Volunteer Study Using 3 Different Formulations of Firategrast

Registration Number
NCT01416363
Lead Sponsor
GlaxoSmithKline
Brief Summary

This study will investigate how 3 types of drug formulations are absorbed by the body. This study is termed 'open-label', which means volunteers will be aware of which treatment they are receiving. The study is split into 2 parts. Part 1, involves volunteers receiving 2 new formulations, as a single dose. There is no placebo (dummy-drug; no active ingredient) in this study. Volunteers will also receive a single dose of a formulation used in previous trials (reference formulation), so a proper comparison with the new formulations can be made. The new fomulations will be administered with food and the reference formulation will be given without food. In Part 2, volunteers will receive only one of the 3 formulations as a repeat dose for 7 days. Each of these doses will be given with food.

Detailed Description

The present study will be conducted in two parts in healthy male volunteers. Part 1 will investigate the pharmacokinetics and tolerability of single doses of firategrast administered as the existing immediate release tablet formulation, as a modified release tablet (3hr) formulation and as a simulated gastro-retentive formulation to be administered via a naso-gastric tube. Subjects will receive each formulation in a randomised 3-way single dose crossover fashion.

Part 2, based on the review of safety, tolerability and pharmacokinetic data from the first two study treatment periods of Part 1, will investigate the pharmacokinetics and tolerability of multiple doses of firategrast administered as the existing immediate release tablet formulation, as a modified release tablet (3hr) formulation and as simulated gastro-retentive formulation to be administered via naso-gastric tube for a period of 7 days.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
38
Inclusion Criteria
  • Male aged 18 to 65 yrs inclusive
  • Healthy, as determined by study physician
  • Capable of giving iformed consent
Exclusion Criteria
  • Positive drugs of abuse result
  • Positive for HIV or Hepatitis B and/or C viruses
  • History of alcohol consumption in excess of average recommended weekly intake (more than 12 units for males)
  • Participation in a clinical trial within 30 days of scheduled first dose

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Treatment Arm CBA: Part 1Firategrast immediate release tabletSubjects will receive treatment sequence CBA; C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route, B : Firategrast 3 hour release tablet 1200 mg once only orally, A : Firategrast immediate release tablet 1200 mg once only orally. There will be a washout period of 5 days between doses.
Treatment Arm BCA: Part 1Firategrast immediate release tabletSubjects will receive treatment sequence BCA; B : Firategrast 3 hour release tablet 1200 mg once only orally, C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route, A : Firategrast immediate release tablet 1200 mg once only orally. There will be a washout period of 5 days between doses.
Treatment Arm ACB: Part 1Firategrast immediate release tabletSubjects will receive treatment sequence ACB; A : Firategrast immediate release tablet 1200 milligram (mg) once only orally, C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route, B : Firategrast 3 hour release tablet 1200 mg once only orally. There will be a washout period of 5 days between doses.
Treatment Arm CBA: Part 1Firategrast modified release tabletSubjects will receive treatment sequence CBA; C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route, B : Firategrast 3 hour release tablet 1200 mg once only orally, A : Firategrast immediate release tablet 1200 mg once only orally. There will be a washout period of 5 days between doses.
Treatment Arm ACB: Part 1Firategrast modified release tabletSubjects will receive treatment sequence ACB; A : Firategrast immediate release tablet 1200 milligram (mg) once only orally, C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route, B : Firategrast 3 hour release tablet 1200 mg once only orally. There will be a washout period of 5 days between doses.
Treatment Arm BAC: Part 1Firategrast gastro-retentive solutionSubjects will receive treatment sequence BAC; B : Firategrast 3 hour release tablet 1200 mg once only orally, A : Firategrast immediate release tablet 1200 mg once only orally, C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route. There will be a washout period of 5 days between doses.
Treatment Arm CAB: Part 1Firategrast gastro-retentive solutionSubjects will receive treatment sequence CAB; C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route, A : Firategrast immediate release tablet 1200 mg once only orally, B : Firategrast 3 hour release tablet 1200 mg once only orally. There will be a washout period of 5 days between doses.
Treatment Arm BAC: Part 1Firategrast modified release tabletSubjects will receive treatment sequence BAC; B : Firategrast 3 hour release tablet 1200 mg once only orally, A : Firategrast immediate release tablet 1200 mg once only orally, C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route. There will be a washout period of 5 days between doses.
Treatment Arm BCA: Part 1Firategrast gastro-retentive solutionSubjects will receive treatment sequence BCA; B : Firategrast 3 hour release tablet 1200 mg once only orally, C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route, A : Firategrast immediate release tablet 1200 mg once only orally. There will be a washout period of 5 days between doses.
Treatment Arm CAB: Part 1Firategrast immediate release tabletSubjects will receive treatment sequence CAB; C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route, A : Firategrast immediate release tablet 1200 mg once only orally, B : Firategrast 3 hour release tablet 1200 mg once only orally. There will be a washout period of 5 days between doses.
Treatment Arm CAB: Part 1Firategrast modified release tabletSubjects will receive treatment sequence CAB; C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route, A : Firategrast immediate release tablet 1200 mg once only orally, B : Firategrast 3 hour release tablet 1200 mg once only orally. There will be a washout period of 5 days between doses.
Treatment Arm ABC: Part 1Firategrast modified release tabletSubjects will receive treatment sequence ABC; A : Firategrast immediate release tablet 1200 mg once only orally, B : Firategrast 3 hour release tablet 1200 mg once only orally, C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route. There will be a washout period of 5 days between doses.
Treatment Arm ABC: Part 1Firategrast immediate release tabletSubjects will receive treatment sequence ABC; A : Firategrast immediate release tablet 1200 mg once only orally, B : Firategrast 3 hour release tablet 1200 mg once only orally, C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route. There will be a washout period of 5 days between doses.
Treatment Arm ACB: Part 1Firategrast gastro-retentive solutionSubjects will receive treatment sequence ACB; A : Firategrast immediate release tablet 1200 milligram (mg) once only orally, C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route, B : Firategrast 3 hour release tablet 1200 mg once only orally. There will be a washout period of 5 days between doses.
Treatment Arm BAC: Part 1Firategrast immediate release tabletSubjects will receive treatment sequence BAC; B : Firategrast 3 hour release tablet 1200 mg once only orally, A : Firategrast immediate release tablet 1200 mg once only orally, C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route. There will be a washout period of 5 days between doses.
Treatment Arm BCA: Part 1Firategrast modified release tabletSubjects will receive treatment sequence BCA; B : Firategrast 3 hour release tablet 1200 mg once only orally, C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route, A : Firategrast immediate release tablet 1200 mg once only orally. There will be a washout period of 5 days between doses.
Treatment Arm CBA: Part 1Firategrast gastro-retentive solutionSubjects will receive treatment sequence CBA; C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route, B : Firategrast 3 hour release tablet 1200 mg once only orally, A : Firategrast immediate release tablet 1200 mg once only orally. There will be a washout period of 5 days between doses.
Treatment Arm ABC: Part 1Firategrast gastro-retentive solutionSubjects will receive treatment sequence ABC; A : Firategrast immediate release tablet 1200 mg once only orally, B : Firategrast 3 hour release tablet 1200 mg once only orally, C : Firategrast simulated gastro-retentive solution 1200 mg once only by naso-gastric route. There will be a washout period of 5 days between doses.
Treatment Arm D: Part 2Firategrast immediate release tabletSubject will receive D: Firategrast immediate release tablet 600 mg twice daily for 7 days
Treatment Arm D: Part 2Firategrast modified release tabletSubject will receive D: Firategrast immediate release tablet 600 mg twice daily for 7 days
Treatment Arm D: Part 2Firategrast gastro-retentive solutionSubject will receive D: Firategrast immediate release tablet 600 mg twice daily for 7 days
Treatment Arm E: Part 2Firategrast immediate release tabletSubject will receive E: Firategrast 3 hour release tablet 1200 mg twice daily for 7 days
Treatment Arm E: Part 2Firategrast modified release tabletSubject will receive E: Firategrast 3 hour release tablet 1200 mg twice daily for 7 days
Treatment Arm E: Part 2Firategrast gastro-retentive solutionSubject will receive E: Firategrast 3 hour release tablet 1200 mg twice daily for 7 days
Treatment Arm F: Part 2Firategrast immediate release tabletSubject will receive F: Firategrast simulated gastro-retentive solution 1200 mg twice daily for 7 days
Treatment Arm F: Part 2Firategrast modified release tabletSubject will receive F: Firategrast simulated gastro-retentive solution 1200 mg twice daily for 7 days
Treatment Arm F: Part 2Firategrast gastro-retentive solutionSubject will receive F: Firategrast simulated gastro-retentive solution 1200 mg twice daily for 7 days
Primary Outcome Measures
NameTimeMethod
Pharmacokinetic measures for single and repeat dosePart 1: approx. 4 weeks, Part 2: approx 8 days

Cmax of firategrast

PK measures for single and repeat dosePart 1 approx 4 weeks, Part 2 approx 8 days

AUC(0-t) of firategrast

Pharmacokinetic measurements for single and repeat dosePart 1: approx 4 weeks, Part 2: approx 8 days

AUC(0-24) of firategrast

Secondary Outcome Measures
NameTimeMethod
Safety & Tolerability in single and repeat dosesPart 1: approx. 4 weeks, Part 2: approx 8 days

Adverse events, changes iin blood pressure, heart rate, ECGs, Haematology, clinical chemistry and urinalysis

CD34 positive cell countPart 1 only approx 4 weeks

as data permit - exploratory measure

Trial Locations

Locations (1)

GSK Investigational Site

🇦🇺

Randwick, New South Wales, Australia

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