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This is an open-label, single centre, repeat dose, up- titration study in healthy male and female subjects to assess the pharmacokinetic (PK) performance of five prototypes of ezogabine modified release tablet formulations.
The study will consist of a screening period, a treatment phase (consisting of a titration phase, bioavailability phase and food effect phase) and a post-treatment follow-up visit. The study duration from screening to follow up will be approximately 7 weeks. No study procedures will start before informed consent is obtained. Subjects will remain in the clinical unit for the duration of the treatment period (35 days).
Subjects will receive repeat doses of ezogabine for up to 34 days starting at a dose of 100 mg IR TID (300mg TDD) with a standard meal (to be consumed 30 min prior to dosing) for Days 1-3, on days 4-6 subjects will receive 150mg IR TID (450mg TDD). On Day 7 through to the end of the study subjects will receive ezogabine (Mr or IR) at a dose of 600mgTDD.
On Day 7 subjects will enter into a 6-way cross over period to investigate the 5 MR formulations being tested (each at 300mg BID) and the single IR formulation (at 200mg TID). Subjects will receive each formulaition for 4 days and blood samples for pharmacokinetic analysis will be collected up to 24 hours post dose on each 4th day (PK days).
On Day 31 subjects will enter into a food effect phase to investigate the 5 MR formulations being tested (each at 600mg QD). Subjects in this period will have a PK day on Day 33 (following a standard breakfast), and on Day 34 (following a high fat breakfast) to investigate a food effect on the PK profile of ezogabine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ABFCED sequence | Experimental | Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 milligram (mg) twice daily (BID) dosing of ezogabine modified release (MR) tablet in periods A, B, C, D and E and will receive 200 mg three times daily (TID) dosing of ezogabine immediate release (IR) tablet in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase. |
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| BCADFE sequence | Experimental | Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase. |
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| CDBEAF sequence | Experimental | Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Investigational Medicinal Product (MR1) | Drug | Ezogabine MR1 at a dose strength of 300 mg will be orally administered with approximately 250 milliliter (mL) of water to group A subjects during the bioavailability phase. For the food effect phase subjects in group G will be orally administered MR1 tablets at a dose strength of 600 mg. |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the curve from zero to 24 hours at steady-state of ezogabine | Days 10, 14, 18, 22, 26 and 30 |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the curve of ezogabine from zero to 24 hours at steady-state | Days 33 and 34 | |
| Cmax of ezogabine at steady state | Days 10, 14, 18, 22, 26, 30, 33 and 34 | |
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Inclusion Criteria:
Healthy as determined by a responsible and experienced physician
Male or female between 18 and 60 years of age inclusive, at the time of signing the informed consent.
A female subject is eligible to participate if she is of:
Male subjects must agree to use one of the contraception methods listed
Body weight > 50 kg and body mass index (BMI) within the range of 18 - 30kg/m2 (inclusive).
Normal or High Normal blood pressure
24hr holter with no clinically significant findings.
QTcB or QTcF < 450 msec at screening and pre-dose.
Creatinine Clearance within the normal range at screening and pre-dose.
Liver function test within normal limits at screening and pre-dose.
Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.
Exclusion Criteria:
A subject will not be eligible for inclusion in this study if any of the following criteria apply:
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Baltimore | Maryland | 21225 | United States |
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| Label | URL |
|---|---|
| Results for study 114552 can be found on the GSK Clinical Study Register. | View source |
| Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research. | View source |
| ID | Type | URL | Comment |
|---|---|---|---|
| 114552 | Individual Participant Data Set | View IPD |
Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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| DECFBA sequence | Experimental | Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase. |
|
| EFDACB sequence | Experimental | Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase. |
|
| FAEBDC sequence | Experimental | Each subject will participate in six study periods in the bioavailability phase, wherein the subjects will receive a 300 mg BID dosing of ezogabine MR in periods A, B, C, D and E and will receive 200 mg TID dosing of ezogabine IR in period F. Following the completion of the crossover phase, subjects will be re-randomized to one of five cohorts receiving 600 mg doses of either G, H, I, J or K for the food effect phase. |
|
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| Investigational Medicinal Product (MR2) | Drug | Ezogabine MR2 at a dose strength of 300 mg will be orally administered to group B subjects with approximately 250 mL of water during the bioavailability phase. For the food effect phase subjects in group H will be orally administered MR2 tablets at a dose strength of 600 mg. |
|
| Investigational Medicinal Product (MR3) | Drug | Ezogabine MR3 will be orally administered with approximately 250 mL of water to group C subjects during the bioavailability phase. For the food effect phase subjects in group I will be orally administered MR3 tablets at a dose strength of 600 mg. |
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| Investigational Medicinal Product (MR4) | Drug | Ezogabine MR4 will be orally administered with approximately 250 mL of water to group D subjects during the bioavailability phase. For the food effect phase subjects in group J will be orally administered MR4 tablets at a dose strength of 600 mg. |
|
| Investigational Medicinal Product (MR5) | Drug | Ezogabine MR5 will be orally administered with approximately 250 mL of water to group E subjects during the bioavailability phase. For the food effect phase subjects in group K will be orally administered MR5 tablets at a dose strength of 600 mg. |
|
| Investigational Medicinal Product (IR) | Drug | Ezogabine IR at dose strengths of 50 mg and 200 mg will be orally administered with approximately 250 mL of water. |
|
| Tmax of ezogabine at steady-state |
| Days 10, 14, 18, 22, 26, 30, 33 and 34 |
| Cmin of ezogabine at steady state | Days 10, 14, 18, 22, 26, 30, 33 and 34 |
| Cmax:Cmin Ratio of ezogabine | Days 10, 14, 18, 22, 26, 30, 33 and 34 |
| Fluctuation Index (FI) of ezogabine | Days 10, 14, 18, 22, 26, 30, 33 and 34 |
For additional information about this study please refer to the GSK Clinical Study Register |
| 114552 | Informed Consent Form | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 114552 | Clinical Study Report | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 114552 | Study Protocol | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 114552 | Dataset Specification | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 114552 | Annotated Case Report Form | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 114552 | Statistical Analysis Plan | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| ID | Term |
|---|---|
| D004827 | Epilepsy |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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