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Single Dose Escalation Study of GSK2838232 in Healthy Subjects

Phase 1
Completed
Conditions
Infection, Human Immunodeficiency Virus
Interventions
Registration Number
NCT01802918
Lead Sponsor
GlaxoSmithKline
Brief Summary

GSK2838232 is a novel human immune virus (HIV) maturation inhibitor being developed for the treatment of chronic HIV infection. This study is the first administration of GSK2838232 in humans to establish the initial safety, tolerability, and pharmacokinetic profile following single doses of GSK2838232 and to evaluate the effect of food and ritonavir (RTV) on GSK2838232 in healthy subjects. There will be 2 cohorts in this study. In Cohort 1, approximately 8 healthy subjects will be enrolled (6 active and 2 placebo) at each dose visit. There will be four dosing sessions for each subject with subjects randomized to receive placebo in a random sequence. In Cohort 2, approximately 8 healthy subjects will be enrolled (6 active doses and 2 placebo doses at each dose visit). Cohort 2 will have four dosing sessions for each subject with subjects randomized to receive placebo in a random sequence.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
17
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Cohort 1GSK2838232Subject in this cohort will be randomized to one of the four following treatment sequences (1 treatment per visit): ABCD, BACD, BCAD, or BCDA. Where A=Placebo, B= GSK2838232 5mg, C=GSK2838232 10mg, and D=GSK2838232 20mg
Cohort 1PlaceboSubject in this cohort will be randomized to one of the four following treatment sequences (1 treatment per visit): ABCD, BACD, BCAD, or BCDA. Where A=Placebo, B= GSK2838232 5mg, C=GSK2838232 10mg, and D=GSK2838232 20mg
Cohort 2GSK2838232Subject in this cohort will be randomized to one of the four following treatment sequences (1 treatment per visit): EGHJ, FEHJ, FGIJ, or FGHK. Where E=Placebo, F= GSK2838232 50mg, G= GSK2838232 100mg, H= GSK2838232 50mg + food, I= Placebo + food, J= GSK2838232 10mg + RTV, K= placebo + RTV.
Cohort 2RitonavirSubject in this cohort will be randomized to one of the four following treatment sequences (1 treatment per visit): EGHJ, FEHJ, FGIJ, or FGHK. Where E=Placebo, F= GSK2838232 50mg, G= GSK2838232 100mg, H= GSK2838232 50mg + food, I= Placebo + food, J= GSK2838232 10mg + RTV, K= placebo + RTV.
Cohort 2PlaceboSubject in this cohort will be randomized to one of the four following treatment sequences (1 treatment per visit): EGHJ, FEHJ, FGIJ, or FGHK. Where E=Placebo, F= GSK2838232 50mg, G= GSK2838232 100mg, H= GSK2838232 50mg + food, I= Placebo + food, J= GSK2838232 10mg + RTV, K= placebo + RTV.
Primary Outcome Measures
NameTimeMethod
Number of subjects with AEs as a measure of safety and tolerability in cohort 2.Up to 12 weeks

AEs will be collected from the start of Study Treatment and until 5 days post last-dose (at follow up).

Absolute values and changes over time of hematology as a measure of safety and tolerability in cohort 2Up to 12 weeks
Absolute values and changes over time of clinical chemistry as a measure of safety and tolerability in cohort 1.Up to 16 weeks
Absolute values and changes over time of clinical chemistry as a measure of safety and tolerability in cohort 2.Up to 12 weeks
Absolute values and changes over time of urinalysis as a measure of safety and tolerability in cohort 2Up to 12 weeks
Absolute values and changes over time of ECG intervals and ECG rhythm as a measure of safety and tolerability in cohort 2.Up to 12 weeks
Number of subjects with adverse events (AEs) as a measure of safety and tolerability in cohort 1Up to 16 weeks

AEs will be collected from the start of Study Treatment and until 5 days post last-dose (at follow up).

Absolute values and changes over time of hematology as a measure of safety and tolerability in cohort 1.Up to 16 weeks
Absolute values and changes over time of vital signs as a measure of safety and tolerability in cohort 1Up to 16 weeks.

Vital signs include blood pressure, temperature and heart rate measurement

Real time collection and review of heart rhythm using telemetry as a measure of safety and tolerability in cohort 1.Up to 16 weeks.
Composite of pharmacokinetics (PK) parameters following single dose administration of GSK2838232 in cohort 1PK samples will be collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, and 72 hours post dose in each dosing session and at follow up visit.

PK parameters include: area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC \[0-infinity\]), area under the concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration (AUC \[0-t\]), maximum observed concentration (Cmax), time to maximum observed concentration (Tmax), observed concentration at 24hour post-dose (C24), last observed quantifiable concentration (Ct), lag time before observation of drug concentrations in sampled matrix (tlag), terminal half-life (t1/2), and apparent oral clearance (CL/F).

Absolute values and changes over time of urinalysis as a measure of safety and tolerability in cohort 1.Up to 16 weeks
Absolute values and changes over time of vital signs as a measure of safety and tolerability in cohort 2.Up to 12 weeks

Vital signs include blood pressure, temperature and heart rate measurement

Absolute values and changes over time of ECG intervals and ECG rhythm as a measure of safety and tolerability in cohort 1.Up to 16 weeks.
Real time collection and review of heart rhythm using telemetry as a measure of safety and tolerability in cohort 2.Up to 12 weeks
Composite of pharmacokinetics parameters following single dose administration of GSK2838232 in cohort 2.PK samples will be collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, and 72 hours post dose in each dosing session and at follow up visit.

PK parameters include: AUC (0-infinity), AUC (0-t), Cmax, Tmax, C24, Ct, tlag, t1/2 and CL/F.

Secondary Outcome Measures
NameTimeMethod
Composite of pharmacokinetics parameters following single dose administration of GSK2838232 with and without food in cohort 2.PK samples will be collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, and 72 hours post dose in each dosing session and at follow up visit.

PK parameters include: AUC (0-infinity), AUC (0-t), Cmax, Tmax, C24 and t1/2. Food will be normal fat meal.

Composite of pharmacokinetics parameters following single dose administration of GSK2838232 with co-administration of ritonavir in cohort 2.PK samples will be collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, and 72 hours post dose in each dosing session and at follow up visit.

PK parameters include: AUC (0-infinity), AUC (0-t), Cmax, Tmax, C24 and t1/2.

Trial Locations

Locations (1)

GSK Investigational Site

🇺🇸

Baltimore, Maryland, United States

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