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This study is the first administration of GW824575 in humans. This will be a single centre, masked, placebo-controlled study, to investigate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of GW824575, given as single and repeated oral doses to healthy male subjects. The study will be comprised of 4 parts and enroll approximately 40 subjects: Part A will consist of two cohorts of 8 healthy male subjects to assess the safety, tolerability, PK, and PD of ascending single oral doses of GW824575. All available safety, tolerability, and PK data will be monitored prior to each dose escalation. In order to support the possible indication for age-related macular degeneration (AMD), Part B will be one cohort of 12 subjects to examine the safety, tolerability, PK, and PD of a repeated dose of GW824575 over 21 days in healthy male subjects who are greater than or equal to 50 years of age. The total daily dose in this cohort will not exceed the maximum tolerated dose (MTD) from Parts A and D. Subjects in this cohort will undergo ophthalmology assessments before receiving investigational product and after Day 7 of the 21-day in-patient treatment, after steady state has been reached. As part of protocol amendment 2, Part C (Cohort 4) is removed from the protocol. Part D, added under protocol amendment 2, will consist of one cohort of 12 healthy male subjects to assess safety, tolerability, PK, and PD of ascending single doses of GW824575 as well as the effect of food on the PK of GW824575.
Part A will consist of two cohorts of healthy male subjects to assess the safety, tolerability, and PK of ascending single oral doses of GW824575. The sponsor will review available safety, tolerability, and PK data and, where available, PD receptor occupancy (from the eosinophil shape change data) data before each dose escalation. Outcome measures in Part A will be assessed and presented through 48 hours post-dose for each of up to 4 single dose escalations per cohort. Part B will be one cohort to examine the safety, tolerability and PK of a repeated dose of GW824575 over 21 days in healthy male subjects who are greater than or equal to 50 years of age. Subjects in this cohort will undergo ophthalmic assessments before receiving investigational product and after Day 7 of the 21-day in-patient treatment, after steady state has been reached. The PD endpoints such as receptor occupancy will be assessed. The dosing regimen (once or twice daily) will be determined by PK data from Part A; however, regardless of dosing regimen, subjects will only receive a single dose in the morning on Days 1 and 21 of the treatment period. Outcome measures in Part B (Cohort 3) will be assessed and presented through 21 days repeat dosing until 48 hours post-dose last dose (i.e., on Day 23). If a safety signal is noted during, or after, the conduct of Cohort 3 of the study; the cohort may be halted or dose down-titrated, and an additional cohort, at a lower dose, may be instituted in Part B as Cohort 5. Dose selection for the additional cohort (Cohort 5) will be informed by the aggregate safety, PK, and PD data available at that time. Part D will consist of one cohort of healthy male subjects. The cohort will 1) explore the effect of a high fat meal on the PK of GW824575 during two treatment periods with approximately 48 hour washout between periods and 2) assess the safety, tolerability, and PK of ascending single oral doses of GW824575 administered in the fasting state or with a standard meal in up to 3 additional treatment periods with at least 6-day washout between periods. The sponsor will review available safety, tolerability, and PK data and, where available, PD RO (from the eosinophil shape change data) data before each dose escalation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GW824575 | Experimental | Investigational treatment - Swedish Orange Coloured, opaque hard gelatin capsule |
|
| GW824575 matched-placebo | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GW824575 | Drug | Investigational treatment - Swedish Orange Coloured, opaque hard gelatin capsule |
|
| Measure | Description | Time Frame |
|---|---|---|
| Subject tolerability as measured by the number (and frequency) of subjects who experience adverse events after single ascending doses of GW824575 | To assess the safety and tolerability of single doses of GW824575 in healthy male subjects. | Parts A and D - Through the expected 48-hour duration of hospital stay.Through the expected 48-hour duration of hospital stay. |
| Subject tolerability as measured by the number (and frequency) of subjects who experience adverse events after repeat doses of GW824575 | To assess the safety and tolerability of repeat doses of GW824575 in healthy male subjects who are greater than or equal to 50 years of age | Part B through the expected 23-day duration of hospital stay. |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic parameters such as Cmax, AUC, half-life, Tmax of GW824575 after single dosing. | To characterise the PK profile of single doses of GW824575 in healthy male subjects | Parts A and D - predose, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 24, 36, and 48 hours of each hospital stay. |
| Pharmacokinetic parameters such as Cmax, AUC, half-life, Tmax of GW824575 after repeat dosing. |
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Inclusion Criteria:
For subjects in Part B - Male subjects greater than or equal to 50 years of age, at the time of signing the informed consent..
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 | London | NW10 7EW | United Kingdom |
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| Label | URL |
|---|---|
| Results for study 115802 can be found on the GSK Clinical Study Register. | View source |
| ID | Type | URL | Comment |
|---|---|---|---|
| 115802 | Clinical Study Report | 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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| ID | Term |
|---|---|
| D012164 | Retinal Diseases |
| ID | Term |
|---|---|
| D005128 | Eye Diseases |
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| GW824575 matched-placebo | Drug | Placebo |
|
To characterise the PK profile of repeat doses of GW824575 in healthy male subjects who are greater than or equal to 50 years of age |
| predose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, and 24, hours on Day 1 of dosing and on Day 21 of dosing in Part B. |
| Single dose - eosinophil shape change assay | To determine the PD effect of single doses of GW824575 in healthy male subjects. | 24 to 27 hours post dose. |
| Repeat dose - eosinophil shape change assay | To determine the PD effect of repeat doses of GW824575 in healthy male subjects who are greater than 50 years of age | Part B at 3, 8 and 24 hours post last dose on Day 21. |
| Urine, serum and bile sampling for GW824575 | To investigate the metabolism of GW824575 following single and repeat doses in healthy male subjects who are greater than or equal to 50 years of age. | Part B (only) at 12-hours after 12 days of repeat dosing. |
| Changes in safety laboratory values after single ascending doses of GW824575 | To assess the safety of single dose of GW824575 in healthy male subjects | Parts A and D - At the conclusion of the expected 48-hour duration of hospital stay. |
| Changes in safety laboratory values after repeat dosing with GW824575 | To assess the safety of repeat doses of GW824575 in healthy male subjects who are greater than or equal to 50 years of age | Part B through the expected 22-day duration of hospital stay. |
For additional information about this study please refer to the GSK Clinical Study Register |
| 115802 | Statistical Analysis Plan | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 115802 | Study Protocol | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 115802 | Informed Consent Form | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 115802 | Dataset Specification | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 115802 | Individual Participant Data Set | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 115802 | Annotated Case Report Form | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |