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The purpose of this research study is to look at concentrations of GSK189075 in blood when single doses of the drug are taken by mouth in combination with basal insulin. The clinical effects of the drug in combination with insulin on the body will also be studied. The results will help determine doses of GSK189075 can be studied in the future in the type I diabetes mellitus population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm a | Experimental | GSK189075 |
|
| Arm b | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GSK189075 | Drug | investigational drug |
| |
| placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With All Adverse Events (AE) and Serious Adverse Events (SAE) | Data for number of participants who presented one or more adverse events (serious or non serious) was reported. An AE was defined as any untoward medical occurrence (MO) in a participant temporally associated with the use of a medicinal product (MP), whether or not considered related to the MP and can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with its use. The SAE was any untoward MO that, at any dose, results in death, life threatening, persistent or significant disability/incapacity, results in or prolongs inpatient hospitalization, congenital abnormality or birth defect, that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention to prevent one of the other outcomes listed in this definition. | Up to 6 months |
| Number of Participants With Hypoglycemia Episodes/Events | A hypoglycemic event was defined as symptoms of hypoglycemia confirmed by a blood glucose value below normal limits [less than 3.89 millimoles per liter (mmol/L)] or 70 milligrams per deciliter (mg/dL). Symptoms of hypoglycemia without confirmed blood glucose values were reported as AEs instead of hypoglycemic events. Number of participants with hypoglycemic events were reported. | Day 1 of each treatment period |
| Change From Baseline Vital Signs: Systolic and Diastolic Blood Pressure (SBP and DBP) | SBP and DBP were obtained during each treatment period at the indicated time points. Measurements were made with the participant lying semi-recumbent having rested in this position for at least 10 minute before the initial reading. | Day 1 of each treatment period |
| Change From Baseline Vital Signs: Heart Rate | Heart rate was obtained during each treatment period at indicated time points. Measurements were made with the participants lying semi-recumbent having rested in this position for at least 10 minutes before the initial reading. |
| Measure | Description | Time Frame |
|---|---|---|
| Incremental Adjusted Weighted Means of Plasma Glucose AUC(0-4) and AUC(0-10) on Day 1 | AUC(0-10) was the plasma glucose weighted mean AUC for 0 to 10 h post-dosing and AUC(0-4) was the plasma glucose weighted mean AUC for 0 to 4 h post-dosing. Incremental Adjusted Weighted Means were presented. | Up to 24 hours post dose of each treatment period. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | San Diego | California | 92161 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23011728 | Derived | Mudaliar S, Armstrong DA, Mavian AA, O'Connor-Semmes R, Mydlow PK, Ye J, Hussey EK, Nunez DJ, Henry RR, Dobbins RL. Remogliflozin etabonate, a selective inhibitor of the sodium-glucose transporter 2, improves serum glucose profiles in type 1 diabetes. Diabetes Care. 2012 Nov;35(11):2198-200. doi: 10.2337/dc12-0508. Epub 2012 Sep 25. |
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Participants were screened within 28 days of the first dose and a total of 10 participants were randomized to receive the study drug. The participants were admitted on Day -2 and were analyzed of all Baseline safety and glucose control on Day -1.
A total of 10 participants with type 1 diabetes mellitus (T1DM) were randomized in this study. Study was conducted between 31 Mach 2008 to 19 January 2009 at a single center in the United States (US).
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| ID | Title | Description |
|---|---|---|
| FG000 | Overall Study Arm | Participants received 5 treatments P0, P1, A, B, C in each of the treatment period in a randomized manner separated by a 5 to 35-day washout period between treatments, where Treatment P0 consisted of Basal insulin [continuous subcutaneous insulin injection (CSII)], mealtime placebo injection, and placebo tablet. Treatment P1 consisted of CSII, mealtime bolus insulin injection, and Placebo tablet. Treatment A consisted of CSII, mealtime placebo injection, GSK189075 50 milligram (mg) tablet. Treatment B consisted of CSII, mealtime placebo injection, GSK189075 150 mg tablet. Treatment C consisted of CSII, mealtime placebo injection, GSK189075 500 mg tablet. The two placebo sessions (P0 and P1) were designed to provide information about the relative efficacy of GSK189075 versus each individual participant's usual mealtime insulin bolus. The number of tablets administered will be same for each treatment arm. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Overall Study Arm | Participants received 5 treatments P0, P1, A, B, C in each of the treatment period in a randomized manner separated by a 5 to 35-day washout period between treatments, where Treatment P0 consisted of Basal insulin [continuous subcutaneous insulin injection (CSII)], mealtime placebo injection, and placebo tablet. Treatment P1 consisted of CSII, mealtime bolus insulin injection, and Placebo tablet. Treatment A consisted of CSII, mealtime placebo injection, GSK189075 50 mg tablet. Treatment B consisted of CSII, mealtime placebo injection, GSK189075 150 mg tablet. Treatment C consisted of CSII, mealtime placebo injection, GSK189075 500 mg tablet. The two placebo sessions (P0 and P1) were designed to provide information about the relative efficacy of GSK189075 versus each individual participant's usual mealtime insulin bolus. The number of tablets administered will be same for each treatment arm. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants With All Adverse Events (AE) and Serious Adverse Events (SAE) | Data for number of participants who presented one or more adverse events (serious or non serious) was reported. An AE was defined as any untoward medical occurrence (MO) in a participant temporally associated with the use of a medicinal product (MP), whether or not considered related to the MP and can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with its use. The SAE was any untoward MO that, at any dose, results in death, life threatening, persistent or significant disability/incapacity, results in or prolongs inpatient hospitalization, congenital abnormality or birth defect, that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention to prevent one of the other outcomes listed in this definition. | Safety Population comprised of all enrolled participants who have received at least one dose of study drug were included in the safety population. | Posted | Count of Participants | Participants | Up to 6 months |
Approximately up to 6 months
Safety population was used.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Placebo | Participants received a single dose of Basal insulin (CSII), mealtime placebo injection and matching GSK189075 placebo tablet. On Day 1, all study doses and mealtime insulin boluses were administered 15 minutes before the Participant begins to eat the scheduled meal (on dosing day, breakfast was the oral glucose load; lunch was the standard meal). On Day -1 (day prior to dosing day), basal insulin and insulin boluses before each meal were administered by the continuous insulin infusion pump. Study medication was administered orally in a fasted state before breakfast with 250mL of water. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | Nervous system disorders | MedDRA | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| GSK Response Center | GlaxoSmithKline | 866-435-7343 |
| ID | Term |
|---|---|
| D003922 | Diabetes Mellitus, Type 1 |
| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| Drug |
placebo comparator |
|
|
| Day 1 of each treatment period |
| Number of Participants With Abnormal Electrocardiogram (ECG) Findings | Standard semi-recumbent 12-lead ECG was obtained after the participant rested for a minimum of 10 minutes (If questionable abnormality was noted on the ECG, 2 more measurements were allowed to provide an average of 3 measurements). Number of participants with abnormal ECG were reported. | Day 1 of each treatment period |
| Number of Participants With Abnormal Clinical Chemistry Data | Clinical Chemistry data for parameters: Alanine Amino Transferase (ALT), Albumin, Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), Bicarbonate, Calcium, Chloride, Creatine Kinase, Creatinine, Gamma Glutamyl Transferase (GGT), Glucose, Lactate Dehydrogenase, Magnesium, Phosphorus, Potassium, Total Bilirubin, Sodium, Total protein, triglycerides and urea/BUN was reported. Data for number of participants with abnormal clinical Chemistry data was presented. | Day 1 of each treatment period |
| Number of Participants With Abnormal Hematology Data | Data for abnormal Hematology parameters: Basophils, Eosinophils, Hematocrit, Hemoglobin, Lymphocytes, Mean Corpuscle Hemoglobin (MCH), Mean Corpuscle Volume (MCV), Monocytes, Platelet count, Red Blood Cell (RBC), Reticulocytes, Total Neutrophils, White Blood Cell (WBC) were reported. Data for number of participants with abnormal Hematology were reported. | Day 1 of each treatment period |
| Summary of Urine Osmolality | Urine sample was collected at screening, Day -2 (18:00h) and Day 1 (7:45h) for determination of urine osmolality which was measured in Millimole per kilogram (mmol/kg). | Day 1 (pre dose) of each treatment period |
| Mean Creatinine Clearance | Creatinine clearance was calculated and reported in Milliliters per minute (mL/min) on Day 1 of each period for each collection interval 0-4, 4-8, 8-12, 12-16 and 16-24 hour, as well as the combined intervals of 0-12 and 0-24 hour. For urine measurements, participants were instructed to void within 30 minutes before administration of study medication. | Up to 24 hours post dose of each treatment period. |
| Summary of Fluid Balance | On Day 1, fluid intake, urine volume and number of micturations were recorded over the intervals for each of the following dosing periods: 0-4h, 4-8h, 8-12h, 12-16h and 16-24h. From these measures, fluid balance was calculated over the 24-hour period. Fluid Balance=total fluid intake minus total urine volume. The 0-24h amounts of total Fluid Intake, total urine output, and fluid balance were calculated by adding the amounts collected during these time intervals. | Up to 24 hours post dose of each treatment period. |
| Mean of Derived Plasma Glucose Parameters | The plasma measurements at specified time points on Day 1 were collected. Derived plasma glucose parameters were presented. | Up to 24 hours post dose of each treatment period. |
| Urinary Glucose Excretion (UGE) for Timed Subintervals up to 24 Hours Post Dose (0-24 H) | UGE was assessed for timed subintervals up to 24h post-dose. Urine samples were collected at intervals: 0-4h, 4-8h, 8-12h, 12-16h and 16-24h on study days. The 0-24h amounts excreted in urine were calculated by adding the amounts collected during these time intervals. | Up to 24 hours post dose of each treatment period |
| Percent of Filtered Glucose in the Urine. | Filtered glucose in the urine was assessed at indicated time points and was presented as Percentage. The 0-12h and 0-24h amounts Percent of filtered glucose in the urine were calculated by adding the amounts collected during these time intervals. | Up to 24 hours post dose of each treatment period. |
| Mean Total Urine Volume 0-24 H | Urine volume was recorded over intervals : 0-4h, 4-8h, 8-12h, 12-16h and 16- 24h on Day 1 for each dosing period. Mean total Urine volume over 24 hours was presented. | Day 1 of each treatment period |
| Mean Creatinine Clearance 0-24 H | Urine samples for calculating creatinine clearance were obtained over the intervals: 0-4h, 4-8h, 8-12h, 12-16h and 16-24h. Mean creatinine clearance over 0-24 H was presented. | Day 1 of each treatment period |
| Area Under the Plasma Concentration vs. Time Curve (AUC) From Time Zero (Time of Dosing) to the Last Time Point With Measurable Analyte Concentration, AUC(0-last), AUC From Time Zero to Infinite Time, AUC(0-inf) of GSK189075 Over Period | AUC(0-last) was defined as area under the plasma concentration vs. time curve from time zero (time of dosing) to the last time point with measurable analyte concentration and AUC(0-inf) was defined as area under the plasma concentration vs. time curve from time zero to infinite time. Blood samples were collected on time points: Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period. | Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period |
| Maximum Observed Plasma Concentration (Cmax) of GSK189075 Over Period | Plasma samples for pharmacokinetic analysis were drawn at indicated time points of each treatment period. Cmax was defined as maximal measured plasma concentration over the time span specified. Values were reported as Geometric Means with respective Geometric Coefficient of Variation (% CV). | Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period |
| Time to Maximum Observed Plasma Concentration (Tmax) and Terminal Half Life, (T1/2) of GSK189075 Over Period | Tmax was defined as the time to the maximum or "peak" concentration of a drug observed after multiple administration. T1/2 was defined as the time to when half of the total amount of a particular substance is eliminated from the body. Blood samples obtained during indicated time points. T1/2 was calculated as t1/2 = ln2/λz, with λz (the terminal elimination rate-constant) estimated from log-linear regression analysis of the terminal phase of the plasma concentration-time profile.Tmax and t1/2 values for GSK189075 were presented. | Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period |
| AUC From Time Zero to 4 Hours Post Dose, AUC(0-4) for GSK189074 Over Period | AUC(0-4) was defined as AUC from time zero to 4 hours post dose. Blood samples were collected on time points: Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period. | Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period |
| Oral Clearance (CL/F) Over Period | Oral clearance is a measure of the rate at which the drug is cleared from the body via metabolism. Blood samples were collected on time points: Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period | Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period |
| The Metabolite to Parent AUC Ratio, AUCmetabolite/AUCparent Ratio for GSK189074 Over Period | Blood samples were collected on time points: Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period to obtain the metabolite to parent AUC ratio for GSK189074 | Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period |
| The Metabolite to Parent AUC Ratio, AUCmetabolite/AUCparent Ratio for GSK279782 Over Period | Blood samples were collected on time points: Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period to obtain the metabolite to parent AUC ratio for GSK279782 | Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| ID | Title | Description |
|---|
| OG000 | Placebo | Participants received a single dose of Basal insulin (CSII), mealtime placebo injection and matching GSK189075 placebo tablet. On Day 1, all study doses and mealtime insulin boluses were administered 15 minutes before the Participant begins to eat the scheduled meal (on dosing day, breakfast was the oral glucose load; lunch was the standard meal). On Day -1 (day prior to dosing day), basal insulin and insulin boluses before each meal were administered by the continuous insulin infusion pump. Study medication was administered orally in a fasted state before breakfast with 250 milliliter (mL) of water. |
| OG001 | Placebo+ Prandial Insulin | Participants received a single dose of Basal insulin (CSII), mealtime bolus insulin injection and matching GSK189075 placebo tablet. On Day 1, all study doses and mealtime insulin boluses were administered 15 minutes before the Participant begins to eat the scheduled meal (on dosing day, breakfast was the oral glucose load; lunch was the standard meal). On Day -1 (day prior to dosing day), basal insulin and insulin boluses before each meal were administered by the continuous insulin infusion pump. Study medication was administered orally in a fasted state before breakfast with 250mL of water. |
| OG002 | GSK189075 50mg | Participants received a single dose of Basal insulin (CSII), mealtime placebo injection and GSK189075 50 mg tablet. On Day 1, all study doses and mealtime insulin boluses were administered 15 minutes before the Participant begins to eat the scheduled meal (on dosing day, breakfast was the oral glucose load; lunch was the standard meal). On Day -1 (day prior to dosing day), basal insulin and insulin boluses before each meal were administered by the continuous insulin infusion pump. Study medication was administered orally in a fasted state before breakfast with 250mL of water. |
| OG003 | GSK189075 150mg | Participants received a single dose of Basal insulin (CSII), mealtime placebo injection and GSK189075 150 mg tablet. On Day 1, all study doses and mealtime insulin boluses were administered 15 minutes before the Participant begins to eat the scheduled meal (on dosing day, breakfast was the oral glucose load; lunch was the standard meal). On Day -1 (day prior to dosing day), basal insulin and insulin boluses before each meal were administered by the continuous insulin infusion pump. Study medication was administered orally in a fasted state before breakfast with 250mL of water. |
| OG004 | GSK189075 500mg | Participants received a single dose of Basal insulin (CSII), mealtime placebo injection and GSK189075 500 mg tablet. On Day 1, all study doses and mealtime insulin boluses were administered 15 minutes before the Participant begins to eat the scheduled meal (on dosing day, breakfast was the oral glucose load; lunch was the standard meal). On Day -1 (day prior to dosing day), basal insulin and insulin boluses before each meal were administered by the continuous insulin infusion pump. Study medication was administered orally in a fasted state before breakfast with 250mL of water. |
|
|
| Primary | Number of Participants With Hypoglycemia Episodes/Events | A hypoglycemic event was defined as symptoms of hypoglycemia confirmed by a blood glucose value below normal limits [less than 3.89 millimoles per liter (mmol/L)] or 70 milligrams per deciliter (mg/dL). Symptoms of hypoglycemia without confirmed blood glucose values were reported as AEs instead of hypoglycemic events. Number of participants with hypoglycemic events were reported. | Safety Population | Posted | Count of Participants | Participants | Day 1 of each treatment period |
|
|
|
| Primary | Change From Baseline Vital Signs: Systolic and Diastolic Blood Pressure (SBP and DBP) | SBP and DBP were obtained during each treatment period at the indicated time points. Measurements were made with the participant lying semi-recumbent having rested in this position for at least 10 minute before the initial reading. | Safety Population | Posted | Mean | Standard Deviation | Millimeters of mercury (mmHg) | Day 1 of each treatment period |
|
|
|
| Primary | Change From Baseline Vital Signs: Heart Rate | Heart rate was obtained during each treatment period at indicated time points. Measurements were made with the participants lying semi-recumbent having rested in this position for at least 10 minutes before the initial reading. | Safety Population | Posted | Mean | Standard Deviation | beats/minute | Day 1 of each treatment period |
|
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|
| Primary | Number of Participants With Abnormal Electrocardiogram (ECG) Findings | Standard semi-recumbent 12-lead ECG was obtained after the participant rested for a minimum of 10 minutes (If questionable abnormality was noted on the ECG, 2 more measurements were allowed to provide an average of 3 measurements). Number of participants with abnormal ECG were reported. | Safety Population | Posted | Count of Participants | Participants | Day 1 of each treatment period |
|
|
|
| Primary | Number of Participants With Abnormal Clinical Chemistry Data | Clinical Chemistry data for parameters: Alanine Amino Transferase (ALT), Albumin, Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), Bicarbonate, Calcium, Chloride, Creatine Kinase, Creatinine, Gamma Glutamyl Transferase (GGT), Glucose, Lactate Dehydrogenase, Magnesium, Phosphorus, Potassium, Total Bilirubin, Sodium, Total protein, triglycerides and urea/BUN was reported. Data for number of participants with abnormal clinical Chemistry data was presented. | Safety Population. Only those participants available at the specific time points were analyzed. | Posted | Count of Participants | Participants | Day 1 of each treatment period |
|
|
|
| Primary | Number of Participants With Abnormal Hematology Data | Data for abnormal Hematology parameters: Basophils, Eosinophils, Hematocrit, Hemoglobin, Lymphocytes, Mean Corpuscle Hemoglobin (MCH), Mean Corpuscle Volume (MCV), Monocytes, Platelet count, Red Blood Cell (RBC), Reticulocytes, Total Neutrophils, White Blood Cell (WBC) were reported. Data for number of participants with abnormal Hematology were reported. | Safety Population. Only those participants available at the specific time points were analyzed. | Posted | Count of Participants | Participants | Day 1 of each treatment period |
|
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| Primary | Summary of Urine Osmolality | Urine sample was collected at screening, Day -2 (18:00h) and Day 1 (7:45h) for determination of urine osmolality which was measured in Millimole per kilogram (mmol/kg). | Safety Population. Only those participants available at the specified time points were analyzed. | Posted | Mean | Standard Deviation | mmol/kg | Day 1 (pre dose) of each treatment period |
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| Primary | Mean Creatinine Clearance | Creatinine clearance was calculated and reported in Milliliters per minute (mL/min) on Day 1 of each period for each collection interval 0-4, 4-8, 8-12, 12-16 and 16-24 hour, as well as the combined intervals of 0-12 and 0-24 hour. For urine measurements, participants were instructed to void within 30 minutes before administration of study medication. | Safety Population. Only those participants available at the specified time points were analyzed. | Posted | Mean | Standard Deviation | mL/min | Up to 24 hours post dose of each treatment period. |
|
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|
| Primary | Summary of Fluid Balance | On Day 1, fluid intake, urine volume and number of micturations were recorded over the intervals for each of the following dosing periods: 0-4h, 4-8h, 8-12h, 12-16h and 16-24h. From these measures, fluid balance was calculated over the 24-hour period. Fluid Balance=total fluid intake minus total urine volume. The 0-24h amounts of total Fluid Intake, total urine output, and fluid balance were calculated by adding the amounts collected during these time intervals. | Safety Population. | Posted | Mean | Standard Deviation | Milliliters (mL) | Up to 24 hours post dose of each treatment period. |
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| Primary | Mean of Derived Plasma Glucose Parameters | The plasma measurements at specified time points on Day 1 were collected. Derived plasma glucose parameters were presented. | Safety Population. | Posted | Mean | Standard Deviation | mmol/L | Up to 24 hours post dose of each treatment period. |
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| Secondary | Incremental Adjusted Weighted Means of Plasma Glucose AUC(0-4) and AUC(0-10) on Day 1 | AUC(0-10) was the plasma glucose weighted mean AUC for 0 to 10 h post-dosing and AUC(0-4) was the plasma glucose weighted mean AUC for 0 to 4 h post-dosing. Incremental Adjusted Weighted Means were presented. | Safety Population | Posted | Mean | Standard Deviation | mmol/L | Up to 24 hours post dose of each treatment period. |
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| Secondary | Urinary Glucose Excretion (UGE) for Timed Subintervals up to 24 Hours Post Dose (0-24 H) | UGE was assessed for timed subintervals up to 24h post-dose. Urine samples were collected at intervals: 0-4h, 4-8h, 8-12h, 12-16h and 16-24h on study days. The 0-24h amounts excreted in urine were calculated by adding the amounts collected during these time intervals. | Safety Population | Posted | Mean | Standard Deviation | mmol | Up to 24 hours post dose of each treatment period |
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| Secondary | Percent of Filtered Glucose in the Urine. | Filtered glucose in the urine was assessed at indicated time points and was presented as Percentage. The 0-12h and 0-24h amounts Percent of filtered glucose in the urine were calculated by adding the amounts collected during these time intervals. | Safety Population | Posted | Mean | Standard Deviation | Percentage | Up to 24 hours post dose of each treatment period. |
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| Secondary | Mean Total Urine Volume 0-24 H | Urine volume was recorded over intervals : 0-4h, 4-8h, 8-12h, 12-16h and 16- 24h on Day 1 for each dosing period. Mean total Urine volume over 24 hours was presented. | Safety Population | Posted | Mean | Standard Deviation | mL | Day 1 of each treatment period |
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| Secondary | Mean Creatinine Clearance 0-24 H | Urine samples for calculating creatinine clearance were obtained over the intervals: 0-4h, 4-8h, 8-12h, 12-16h and 16-24h. Mean creatinine clearance over 0-24 H was presented. | Safety Population | Posted | Mean | Standard Deviation | mL/min | Day 1 of each treatment period |
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| Secondary | Area Under the Plasma Concentration vs. Time Curve (AUC) From Time Zero (Time of Dosing) to the Last Time Point With Measurable Analyte Concentration, AUC(0-last), AUC From Time Zero to Infinite Time, AUC(0-inf) of GSK189075 Over Period | AUC(0-last) was defined as area under the plasma concentration vs. time curve from time zero (time of dosing) to the last time point with measurable analyte concentration and AUC(0-inf) was defined as area under the plasma concentration vs. time curve from time zero to infinite time. Blood samples were collected on time points: Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period. | Safety Population | Posted | Geometric Mean | Geometric Coefficient of Variation | hour*nanograms per milliliter (hr*ng/mL) | Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period |
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| Secondary | Maximum Observed Plasma Concentration (Cmax) of GSK189075 Over Period | Plasma samples for pharmacokinetic analysis were drawn at indicated time points of each treatment period. Cmax was defined as maximal measured plasma concentration over the time span specified. Values were reported as Geometric Means with respective Geometric Coefficient of Variation (% CV). | Safety Population | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period |
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| Secondary | Time to Maximum Observed Plasma Concentration (Tmax) and Terminal Half Life, (T1/2) of GSK189075 Over Period | Tmax was defined as the time to the maximum or "peak" concentration of a drug observed after multiple administration. T1/2 was defined as the time to when half of the total amount of a particular substance is eliminated from the body. Blood samples obtained during indicated time points. T1/2 was calculated as t1/2 = ln2/λz, with λz (the terminal elimination rate-constant) estimated from log-linear regression analysis of the terminal phase of the plasma concentration-time profile.Tmax and t1/2 values for GSK189075 were presented. | Safety Population. Only those participants available at specified time points were analyzed. | Posted | Geometric Mean | Geometric Coefficient of Variation | hour | Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period |
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| Secondary | AUC From Time Zero to 4 Hours Post Dose, AUC(0-4) for GSK189074 Over Period | AUC(0-4) was defined as AUC from time zero to 4 hours post dose. Blood samples were collected on time points: Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period. | Safety Population | Posted | Geometric Mean | Geometric Coefficient of Variation | hr*ng/mL | Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period |
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|
|
| Secondary | Oral Clearance (CL/F) Over Period | Oral clearance is a measure of the rate at which the drug is cleared from the body via metabolism. Blood samples were collected on time points: Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period | Safety Population | Posted | Geometric Mean | Geometric Coefficient of Variation | mL/min | Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period |
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|
|
| Secondary | The Metabolite to Parent AUC Ratio, AUCmetabolite/AUCparent Ratio for GSK189074 Over Period | Blood samples were collected on time points: Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period to obtain the metabolite to parent AUC ratio for GSK189074 | Safety Population | Posted | Geometric Mean | Geometric Coefficient of Variation | Ratio | Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period |
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|
|
| Secondary | The Metabolite to Parent AUC Ratio, AUCmetabolite/AUCparent Ratio for GSK279782 Over Period | Blood samples were collected on time points: Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period to obtain the metabolite to parent AUC ratio for GSK279782 | Pharmacokinetic (PK) Parameter Population comprised of all participants for whom pharmacokinetic parameter estimates were derived during any treatment period | Posted | Geometric Mean | Geometric Coefficient of Variation | Ratio | Pre-dose, 0.25 h, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 6 h, 8 h, 12 h, and 16 h of each treatment period |
|
|
|
| 0 |
| 10 |
| 0 |
| 10 |
| 3 |
| 10 |
| EG001 | Placebo+ Prandial Insulin | Participants received a single dose of Basal insulin (CSII), mealtime bolus insulin injection and matching GSK189075 placebo tablet. On Day 1, all study doses and mealtime insulin boluses were administered 15 minutes before the Participant begins to eat the scheduled meal (on dosing day, breakfast was the oral glucose load; lunch was the standard meal). On Day -1 (day prior to dosing day), basal insulin and insulin boluses before each meal were administered by the continuous insulin infusion pump. Study medication was administered orally in a fasted state before breakfast with 250mL of water. | 0 | 10 | 0 | 10 | 4 | 10 |
| EG002 | GSK189075 50mg | Participants received a single dose of Basal insulin (CSII), mealtime placebo injection and GSK189075 50 mg tablet. On Day 1, all study doses and mealtime insulin boluses were administered 15 minutes before the Participant begins to eat the scheduled meal (on dosing day, breakfast was the oral glucose load; lunch was the standard meal). On Day -1 (day prior to dosing day), basal insulin and insulin boluses before each meal were administered by the continuous insulin infusion pump. Study medication was administered orally in a fasted state before breakfast with 250mL of water. | 0 | 10 | 0 | 10 | 5 | 10 |
| EG003 | GSK189075 150mg | Participants received a single dose of Basal insulin (CSII), mealtime placebo injection and GSK189075 150 mg tablet. On Day 1, all study doses and mealtime insulin boluses were administered 15 minutes before the Participant begins to eat the scheduled meal (on dosing day, breakfast was the oral glucose load; lunch was the standard meal). On Day -1 (day prior to dosing day), basal insulin and insulin boluses before each meal were administered by the continuous insulin infusion pump. Study medication was administered orally in a fasted state before breakfast with 250mL of water. | 0 | 10 | 0 | 10 | 6 | 10 |
| EG004 | GSK189075 500mg | Participants received a single dose of Basal insulin (CSII), mealtime placebo injection and GSK189075 500 mg tablet. On Day 1, all study doses and mealtime insulin boluses were administered 15 minutes before the Participant begins to eat the scheduled meal (on dosing day, breakfast was the oral glucose load; lunch was the standard meal). On Day -1 (day prior to dosing day), basal insulin and insulin boluses before each meal were administered by the continuous insulin infusion pump. Study medication was administered orally in a fasted state before breakfast with 250mL of water. | 0 | 10 | 0 | 10 | 4 | 10 |
| Abdominal pain lower | Gastrointestinal disorders | MedDRA | Systematic Assessment |
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| Dyspepsia | Gastrointestinal disorders | MedDRA | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA | Systematic Assessment |
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| Catheter site related reaction | General disorders | MedDRA | Systematic Assessment |
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| Discomfort | General disorders | MedDRA | Systematic Assessment |
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| Bronchitis | Infections and infestations | MedDRA | Systematic Assessment |
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| Muscle strain | Injury, poisoning and procedural complications | MedDRA | Systematic Assessment |
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| Thermal burn | Injury, poisoning and procedural complications | MedDRA | Systematic Assessment |
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| Insomnia | Psychiatric disorders | MedDRA | Systematic Assessment |
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| Dry throat | Respiratory, thoracic and mediastinal disorders | MedDRA | Systematic Assessment |
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GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
| D004700 | Endocrine System Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
| SBP,Day1,1 H |
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| SBP,Day1,2 H |
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| SBP,Day1,4 H |
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| SBP,Day1,6 H |
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| SBP,Day1,8 H |
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| SBP,Day1,24 H |
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| DBP,Day1,0.5 H |
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| DBP,Day1,1 H |
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| DBP,Day1,2 H |
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| DBP,Day1,4 H |
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| DBP,Day1,6 H |
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| DBP,Day1,8 H |
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| DBP,Day1,24 H |
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| Day 1,1 H |
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| Day 1,2 H |
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| Day 1,4 H |
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| Day 1,6 H |
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| Day 1,8 H |
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| Day 1,24 H |
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| DAY -2 (2) |
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| DAY -2 (3) |
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| DAY -1 |
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| DAY -1 (2) |
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| DAY -1 (3) |
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| DAY 1 PRE-DOSE |
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| DAY 1 PRE-DOSE (2) |
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| DAY 1 PRE-DOSE (3) |
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| DAY 1 4 H |
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| DAY 1 24 H |
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| ALT,DAY 1 ,PRE-DOSE,Low |
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| ALT,DAY 1, 24 H,Normal |
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|
| ALT,DAY 1, 24 H,Low |
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| ALT,DAY 1, 24 H,Missing |
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|
| Albumin,DAY 1, PRE-DOSE,Normal |
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| Albumin,DAY 1, 24 H,High |
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| Albumin,DAY 1, 24 H,Normal |
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|
| ALP,DAY 1, PRE-DOSE,Normal |
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|
| ALP,DAY 1, 24 H,Normal |
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| AST,DAY 1, PRE-DOSE,Normal |
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| AST,DAY 1 ,PRE-DOSE,Low |
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|
| AST,DAY 1, 24 H,Normal |
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| AST,DAY 1, 24 H,Low |
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|
| AST,DAY 1, 24 H,Missing |
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|
| Bicarbonate,DAY 1, PRE-DOSE,Normal |
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| Bicarbonate,DAY 1 ,PRE-DOSE,Low |
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|
| Calcium,DAY 1, PRE-DOSE,Normal |
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| Chloride,DAY 1, PRE-DOSE,High |
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| Chloride,DAY 1, PRE-DOSE,Normal |
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| Chloride,DAY 1, 24 H,Normal |
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|
| Creatine Kinase,DAY 1, PRE-DOSE,High |
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| Creatine Kinase,DAY 1, PRE-DOSE,Normal |
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| Creatinine,DAY 1, PRE-DOSE,Normal |
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| Creatinine,DAY 1, 24 H,Normal |
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| GGT,DAY 1, PRE-DOSE,Normal |
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| GGT,DAY 1, PRE-DOSE,Missing |
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| GGT,DAY 1, 24 H,Normal |
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| Glucose,DAY 1, PRE-DOSE,High |
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| Glucose,DAY 1, PRE-DOSE,Normal |
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| Glucose,DAY 1 ,PRE-DOSE,Low |
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| Glucose,DAY 1, 24 H,High |
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|
| Glucose,DAY 1, 24 H,Normal |
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|
| Glucose,DAY 1, 24 H,Low |
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|
| Lactate Dehydrogenase,DAY 1, PRE-DOSE,Normal |
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| Magnesium,DAY 1, PRE-DOSE,Normal |
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|
| Phosphorus, inorganic,DAY 1, PRE-DOSE,Normal |
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| Potassium,DAY 1, PRE-DOSE,High |
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|
| Potassium,DAY 1, PRE-DOSE,Normal |
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| Potassium,DAY 1, 24 H,Normal |
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| Sodium,DAY 1, PRE-DOSE,Normal |
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| Sodium,DAY 1, 24 H,Normal |
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|
| Total Bilirubin,DAY 1, PRE-DOSE,Normal |
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| Total Bilirubin,DAY 1, PRE-DOSE,Low |
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|
| Total Bilirubin,DAY 1, 24 H,Normal |
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| Total Protein,DAY 1, PRE-DOSE,Normal |
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|
| Total Protein,DAY 1 ,PRE-DOSE,Low |
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| Total Protein,DAY 1, 24 H,Normal |
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|
| Total Protein,DAY 1, 24 H,Low |
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|
| Triglycerides,DAY 1, PRE-DOSE,Normal |
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|
| Urea/BUN,DAY 1, PRE-DOSE,Normal |
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| Urea/BUN,DAY 1, 24 H,Normal |
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|
| Urea/BUN,DAY 1, 24 H,Low |
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|
|
| Basophils,DAY 1, PRE-DOSE,Normal |
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|
| Basophils,DAY 1, 24 H,High |
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| Basophils,DAY 1, 24 H,Normal |
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|
| Eosinophils,DAY 1, PRE-DOSE,High |
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|
| Eosinophils,DAY 1, PRE-DOSE,Normal |
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|
| Eosinophils,DAY 1, 24 H,High |
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|
| Eosinophils,DAY 1, 24 H,Normal |
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|
| Hematocrit,DAY 1, PRE-DOSE,Normal |
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| Hematocrit,DAY 1 ,PRE-DOSE,Low |
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| Hematocrit,DAY 1, 24 H,Normal |
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|
| Hematocrit,DAY 1, 24 H,Low |
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| Hemoglobin,DAY 1, PRE-DOSE,Normal |
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| Hemoglobin,DAY 1 ,PRE-DOSE,Low |
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|
| Hemoglobin,DAY 1, 24 H,Normal |
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|
| Hemoglobin,DAY 1, 24 H,Low |
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|
| Lymphocytes,DAY 1, PRE-DOSE,Normal |
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|
| Lymphocytes,DAY 1 ,PRE-DOSE,Low |
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|
| Lymphocytes,DAY 1, 24 H,High |
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|
| Lymphocytes,DAY 1, 24 H,Normal |
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|
| Lymphocytes,DAY 1, 24 H,Low |
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| MCH,DAY 1, PRE-DOSE,High |
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| MCH,DAY 1, PRE-DOSE,Normal |
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| MCHC,DAY 1, PRE-DOSE,High |
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| MCHC,DAY 1, PRE-DOSE,Normal |
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| MCV,DAY 1, PRE-DOSE,High |
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| MCV,DAY 1, PRE-DOSE,Normal |
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| Monocytes,DAY 1, PRE-DOSE,High |
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| Monocytes,DAY 1, PRE-DOSE,Normal |
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| Monocytes,DAY 1, 24 H,High |
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| Monocytes,DAY 1, 24 H,Normal |
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|
| Platelet count,DAY 1, PRE-DOSE,Normal |
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|
| Platelet count,DAY 1, 24 H,Normal |
|
|
| Platelet count,DAY 1, 24 H,Low |
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|
| RBC,DAY 1 ,PRE-DOSE,Low |
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| RBC,DAY 1, 24 H,Normal |
|
|
| RBC,DAY 1, 24 H,Low |
|
|
| Reticulocytes,DAY 1, PRE-DOSE,High |
|
|
| Reticulocytes,DAY 1, PRE-DOSE,Normal |
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| Reticulocytes,DAY 1, PRE-DOSE,Missing |
|
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| Total Neutrophils,DAY 1, PRE-DOSE,High |
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|
| Total Neutrophils,DAY 1, PRE-DOSE,Normal |
|
|
| Total Neutrophils,DAY 1 ,PRE-DOSE,Low |
|
|
| Total Neutrophils,DAY 1, 24 H,High |
|
|
| Total Neutrophils,DAY 1, 24 H,Normal |
|
|
| WBC,DAY 1, PRE-DOSE,Normal |
|
|
| WBC,DAY 1 ,PRE-DOSE,Low |
|
|
| WBC,DAY 1, 24 H,Normal |
|
|
| WBC,DAY 1, 24 H,Low |
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|
|
| DAY 1,PRE-DOSE |
|
|
|
| 4-8 H |
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|
| 8-12 H |
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|
| 12-16 H |
|
|
| 16-24 H |
|
|
| 0-12 H |
|
|
| 0-24 H |
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|
| Total Fluid Intake,0-24h |
|
| Total urine output,0-4h |
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| Total urine output,0-24h |
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| Fluid Balance,0-4h |
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| Fluid Balance,0-24h |
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| 2 h |
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| 4 h |
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| 6 h |
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| 8 h |
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| 12 h |
|
| AUC(0-10) |
|
| ANCOVA |
| 0.0021 |
| Mean Difference (Final Values) |
| -2.325 |
| 2-Sided |
| 95 |
| -3.735 |
| -0.916 |
| Superiority or Other |
| Difference from placebo to GSK189075 500mg AUC(0-4) Incremental Adjusted Weighted Mean | ANCOVA | 0.0021 | Mean Difference (Final Values) | -2.402 | 2-Sided | 95 | -3.862 | -0.942 | Superiority or Other |
| Difference from Placebo+ Prandial insulin to GSK189075 50mg AUC(0-4) Incremental Adjusted Weighted Mean | ANCOVA | 0.0382 | Mean Difference (Final Values) | 1.556 | 2-Sided | 95 | 0.090 | 3.021 | Superiority or Other |
| Difference from Placebo+ Prandial insulin to GSK189075 150mg AUC(0-4) Incremental Adjusted Weighted Mean | ANCOVA | 0.0132 | Mean Difference (Final Values) | 1.958 | 2-Sided | 95 | 0.439 | 3.477 | Superiority or Other |
| Difference from Placebo+ Prandial insulin to GSK189075 500mg AUC(0-4) Incremental Adjusted Weighted Mean | ANCOVA | 0.0161 | Mean Difference (Final Values) | 1.881 | 2-Sided | 95 | 0.373 | 3.389 | Superiority or Other |
| Difference from placebo to GSK189075 50mg AUC(0-10) Incremental Adjusted Weighted Mean | ANCOVA | 0.0001 | Mean Difference (Net) | -3.592 | 2-Sided | 95 | -5.162 | -2.022 | Superiority or Other |
| Difference from placebo to GSK189075 150mg AUC(0-10) Incremental Adjusted Weighted Mean | ANCOVA | 0.0000 | Mean Difference (Final Values) | -3.820 | 2-Sided | 95 | -5.304 | -2.337 | Superiority or Other |
| Difference from placebo to GSK189075 500mg AUC(0-10) Incremental Adjusted Weighted Mean | ANCOVA | 0.0006 | Mean Difference (Final Values) | -2.887 | 2-Sided | 95 | -4.424 | -1.350 | Superiority or Other |
| Difference from Placebo+ Prandial insulin to GSK189075 50mg AUC(0-10) Incremental Adjusted Weighted Mean | ANCOVA | 0.0005 | Mean Difference (Final Values) | 2.953 | 2-Sided | 95 | 1.411 | 4.496 | Superiority or Other |
| Difference from Placebo+ Prandial insulin to GSK189075 150mg AUC(0-10) Incremental Adjusted Weighted Mean | ANCOVA | 0.0015 | Mean Difference (Final Values) | 2.725 | 2-Sided | 95 | 1.126 | 4.324 | Superiority or Other |
| Difference from Placebo+ Prandial insulin to GSK189075 500mg AUC(0-10) Incremental Adjusted Weighted Mean | ANCOVA | 0.0001 | Mean Difference (Final Values) | 3.659 | 2-Sided | 95 | 2.071 | 5.246 | Superiority or Other |
| 0-12 H |
|
| 0-24 H |
|
|
| t1/2 |
|
|