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GSK2118436 is an orally administered, potent and selective small molecule BRAF inhibitor that is being developed for the treatment of BRAF mutation-positive tumors. This is a 4-part study (in 4 separate cohorts of subjects) designed to examine the interaction potential of GSK2118436, either as a perpetrator (i.e., effect of GSK2118436 on warfarin; Part A) or victim (i.e., effect of other drugs on GSK2118436; Part B: ketoconazole and Part C: gemfibrozil), as well as to evaluate the single and repeat dose pharmacokinetic parameters of GSK2118436 (Part D). A sufficient number of subjects will be screened to obtain approximately 12 evaluable subjects each for Part A, Part B, Part C and Part D. Following completion of this study, subjects may continue dosing with GSK2118436 in the roll-over study, Protocol BRF114144.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A | Experimental | Warfarin dosed at 15mg |
|
| Part B | Experimental | Ketoconazole dosed at 400mg |
|
| Part C | Experimental | Gemfibrozil dosed at 600mg |
|
| Part D | Experimental | GSK2118436 dosed alone |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Warfarin | Drug | Warfarin dosed at 15mg on Day 1 and Day 22 |
| |
| Ketoconazole |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum plasma concentration (Cmax) of S-warfarin with and without GSK2118436 | Up to 168 hours after dosing on Day 1 (warfarin alone) and Day 22 (warfarin in combination with GSK2118436) | |
| Area under the concentration time curve (AUC) of S-warfarin with and without GSK2118436 | Up to 168 hours after dosing on Day 1 (warfarin alone) and Day 22 (warfarin in combination with GSK2118436) | |
| Maximum plasma concentration (Cmax) of GSK2118436 with and without an inhibitor | Up to 12 hours after dosing on Day 18 (GSK2118436 alone) and Day 22 (GSK2118436 in combination with inhibitor) | |
| Area under the concentration time curve (AUC) of GSK2118436 with and without an inhibitor | Up to12 hours after dosing on Day 18 (GSK2118436 alone) and Day 22 (GSK2118436 in combination with inhibitor) | |
| Cmax of GSK2118436 and metabolites after single and multiple 75mg HPMC dose | Up to 24 hours after dosing on Day 1 and up to 12 hours after dosing on Day 18 | |
| AUC of GSK2118436 and metabolites after single and multiple 75mg HPMC dose | Up to 24 hours after dosing on Day 1 and up to 12 hours after dosing on Day 18 | |
| Time to Cmax (Tmax) of GSK2118436 and metabolites after single and multiple 75mg HPMC dose | Up to 24 hours after dosing on Day 1 and up to 12 hours after dosing on Day 18 | |
| Half-life of GSK2118436 and metabolites after single 75mg HPMC dose | Up to 24 hours after dosing on Day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax of R-warfarin with and without GSK2118436 | Up to 168 hours after dosing on Day 1 (warfarin alone) and Day 22 (warfarin in combination with GSK2118436) | |
| Time to Cmax (Tmax) of R-warfarin | Up to 168 hours after dosing on Day 1 (warfarin alone) and Day 22 (warfarin in combination with GSK2118436) |
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Inclusion Criteria:
Absolute neutrophil count (ANC) >/=1.2 x 109/L Hemoglobin >/= 9 g/dL Platelets >/= 100 x 109/L Serum bilirubin >/= 1.5 x Upper Limit of Normal (ULN) AST and ALT >/= 2.5 x ULN; <5 x ULN if liver metastases are present (with approval of GSK medical monitor) Serum creatinine >/= ULN or calculated creatinine clearance >/= 60 mL/min PT/INR and partial thromboplastin time (PTT) >/= 1.3 x ULN Left ventricular ejection fraction >/= institutional lower limit of normal by ECHO
Exclusion Criteria:
Symptomatic Treated (surgery, radiation therapy) but not clinically and radiographically stable one month after local therapy, or Asymptomatic and untreated but > 1 cm in the longest dimension Patients with small (≤ 1 cm in the longest dimension), asymptomatic brain metastases that do not need immediate local therapy can be enrolled with the approval of the GSK medical monitor. Subjects on a stable dose of corticosteroids for more than one month, or those who have been off corticosteroids for at least two weeks can be enrolled. Subjects must also be off of enzyme-inducing anticonvulsants for more than four weeks; Note: Any brain metastases is exclusionary for Part A (must be excluded by prior imaging);
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Scottsdale | Arizona | 85259 | United States | ||
| GSK Investigational Site |
Not provided
| Label | URL |
|---|---|
| Results for study 113771 can be found on the GSK Clinical Study Register. | View source |
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| Drug |
Ketoconazole dosed at 400mg daily on Days 19 through 22 |
|
| Gemfibrozil | Drug | Gemfibrozil dosed at 600mg twice daily on Days 19 through 22 |
|
| GSK2118436 150mg | Drug | GSK2118436 dosed at 150mg twice daily |
|
| GSK2118436 75mg | Drug | GSK2118436 dosed at 75mg twice daily |
|
| Cmax of GSK2118436 and metabolites after single and multiple 150mg HPMC dose | Up to 24 hours after dosing on Day 1 and up to 12 hours after dosing on Day 18 |
| AUC of GSK2118436 and metabolites after single and multiple 150mg HPMC dose | Up to 24 hours after dosing on Day 1 and up to 12 hours after dosing on Day 18 |
| Tmax of GSK2118436 and metabolites after single and multiple 150mg HPMC dose | Up to 24 hours after dosing on Day 1 and up to 12 hours after dosing on Day 18 |
| Half-life of GSK2118436 and metabolites after single 150mg HPMC dose | Up to 24 hours after dosing on Day 1 |
| Trough concentration of GSK2118436 | Up to168 hours after dosing on Day 22 |
| Number of subjects with adverse events as a measure of safety and tolerability | From date of first dose to transition to Rollover protocol BRF114144 (22 - 29 days) or study follow up visit if subject does not transition to BRF114144 (approximately 29 - 39 days) |
| Tmax for GSK2118436 with and without an inhibitor | Up to 12 hours after dosing on Day 18 (GSK2118436 alone) and Day 22 (GSK2118436 in combination with inhibitor) |
| AUC, Cmax, Tmax and trough concentration of GSK2118436 metabolites with and without an inhibitor, and AUC ratio of metabolites to parent | Up to 12 hours after dosing on Day 18 (GSK2118436 alone) and Day 22 (GSK2118436 in combination with inhibitor) |
| Inhibitor concentrations in combination with GSK2118436 | Up to12 hours after dosing on Day 22 (GSK2118436 in combination with inhibitor) |
| AUC of R-warfarin with and without GSK2118436 | Up to 168 hours after dosing on Day 1 (warfarin alone) and Day 22 (warfarin in combination with GSK2118436) |
| Terminal half-life (t1/2) of R-warfarin | Up to 168 hours after dosing on Day 1 (warfarin alone) and Day 22 (warfarin in combination with GSK2118436) |
| Cmax of GSK2118436 | Up to168 hours after dosing on Day 22 |
| Trough concentration for GSK2118436 with and without an inhibitor | Up to 12 hours after dosing on Day 18 (GSK2118436 alone) and Day 22 (GSK2118436 in combination with inhibitor) |
| Cmax of GSK2118436 metabolites with and without an inhibitor | Up to 12 hours after dosing on Day 18 (GSK2118436 alone) and Day 22 (GSK2118436 in combination with inhibitor) |
| Tmax of GSK2118436 metabolites with and without an inhibitor | Up to 12 hours after dosing on Day 18 (GSK2118436 alone) and Day 22 (GSK2118436 in combination with inhibitor) |
| Trough concentration of GSK2118436 metabolites with and without an inhibitor | Up to 12 hours after dosing on Day 18 (GSK2118436 alone) and Day 22 (GSK2118436 in combination with inhibitor) |
| AUC ratio of metabolites to parent with and without an inhibitor | Up to 12 hours after dosing on Day 18 (GSK2118436 alone) and Day 22 (GSK2118436 in combination with inhibitor) |
| Sarasota |
| Florida |
| 34232 |
| United States |
| GSK Investigational Site | Detroit | Michigan | 48201 | United States |
| GSK Investigational Site | Columbus | Ohio | 43210 | United States |
| GSK Investigational Site | Oklahoma City | Oklahoma | 73104 | United States |
| GSK Investigational Site | Greenville | South Carolina | 29605 | United States |
| GSK Investigational Site | Nashville | Tennessee | 37203 | United States |
| GSK Investigational Site | Salt Lake City | Utah | 84112 | United States |
| GSK Investigational Site | Nedlands | Western Australia | 6009 | Australia |
| GSK Investigational Site | Headington | OX3 7LJ | United Kingdom |
| GSK Investigational Site | London | W1G 6AD | United Kingdom |
| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D014859 | Warfarin |
| D007654 | Ketoconazole |
| D015248 | Gemfibrozil |
| C561627 | dabrafenib |
| ID | Term |
|---|---|
| D015110 | 4-Hydroxycoumarins |
| D003374 | Coumarins |
| D001578 | Benzopyrans |
| D011714 | Pyrans |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D010879 | Piperazines |
| D058607 | Fibric Acids |
| D058610 | Isobutyrates |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D009930 | Organic Chemicals |
| D010421 | Pentanoic Acids |
| D014631 | Valerates |
| D010647 | Phenyl Ethers |
| D004987 | Ethers |
| D010636 | Phenols |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D005232 | Fatty Acids, Volatile |
| D005227 | Fatty Acids |
| D008055 | Lipids |
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