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This first time in human (FTIH) study will be the first administration of GSK1322322 as an intravenous formulation and will investigate safety, tolerability, and pharmacokinetics in healthy subjects. One cohort of subjects will undergo bronchoalveolar lavage (BAL) for determination of GSK1322322 concentrations in lung with simultaneous comparison to plasma concentrations to evaluate drug penetration in the lung. The study will evaluate the absolute bioavailability of an oral tablet formulation as compared to the IV formulation.In addition, Amendment 01 will enable the investigation of an improved IV formulation (GSK1322322J mesylate salt) in an additional repeat dosing cohort and the supra-therapeutic cohort.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort A1 | Experimental | Single dose 60 minute infusion of 500mg IV GSK1322322/placebo followed by BID for 4 days |
|
| Cohort A2 | Experimental | Single dose 30 minute infusion of 500mg IV GSK1322322/placebo followed by BID for 4 days |
|
| Cohort B | Experimental | Initial single 1000mg oral GSK1322322/placebo dose, initial single dose 1000mg IV GSK1322322/placebo followed by BID for 4 days |
|
| Cohort C | Experimental | Initial single 1500mg oral GSK1322322/placebo dose, initial single dose 1500mg IV GSK1322322/placebo followed by BID for 4 days |
|
| Cohort D | Experimental | Single dose 2000mg IV GSK1322322J/placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 500mg IV GSK1322322/placebo | Drug | 500mg IV |
| |
| Measure | Description | Time Frame |
|---|---|---|
| GSK1322322 safety parameters including the number of subjects with adverse events (AEs) | Cohort A up to 14 days; Cohort B and C up to 16 days | |
| GSK1322322 safety parameters including absolute values and changes over time of clinical safety laboratory assessments. | Cohort A up to 14 days; Cohort B and C up to 16 days | |
| GSK1322322 safety parameters including the change from baseline in vital signs (blood pressure (BP) and heart rate) | Cohort A up to 14 days; Cohort B and C up to 16 days | |
| GSK1322322 safety parameters including change from baseline in electrocardiogram (ECG) parameters | Cohort A up to 14 days; Cohort B and C up to 16 days | |
| GSK1322322 pharmacokinetic parameters (PK) after single oral dose, area under the concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration (AUC(0-t)). | Cohorts B and C on Day -2 | |
| GSK1322322 PK parameters after single oral dose area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC(0-∞)). | Cohorts B and C on Day -2 | |
| GSK1322322 PK parameters after single oral dose aximum observed concentration (Cmax). | Cohorts B and C on Day -2 | |
| GSK1322322 PK parameters after single oral dose time of occurrence of Cmax (tmax). | Cohorts B and C on Day -2 | |
| Measure | Description | Time Frame |
|---|---|---|
| GSK1322322 urine PK parameters: amount excreted (Ae) of unchanged GSK1322322, fraction of the dose excreted in the urine (fe) and renal clearance (CLr) following single dose IV administration from Period 2 and Period 3. | cohort B and C on Day 1 and 2 | |
| Day 6 GSK1322322 AUC(0-τ) compared to AUC(0-12) on Day 1 to evaluate the accumulation ratio following repeat IV administration of GSK1322322. |
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Inclusion Criteria:
Exclusion Criteria:
Lactating females.
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Minneapolis | Minnesota | 55404 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24189245 | Derived | Naderer OJ, Rodvold KA, Jones LS, Zhu JZ, Bowen CL, Chen L, Dumont E. Penetration of GSK1322322 into epithelial lining fluid and alveolar macrophages as determined by bronchoalveolar lavage. Antimicrob Agents Chemother. 2014;58(1):419-23. doi: 10.1128/AAC.01836-13. Epub 2013 Nov 4. |
| Label | URL |
|---|---|
| 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 |
|---|---|---|---|
| 113376 | 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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| Cohort E |
| Experimental |
Single dose 3000mg IV GSK1322322J/placebo |
|
| Cohort F | Experimental | 1000mg IV GSK1322322J/placebo followed by BID for 4 days |
|
| 1000mg oral GSK1322322/placebo |
| Drug |
1000mg oral |
|
| 1000mg IV GSK1322322/placebo | Drug | 1000mg IV |
|
| 1500mg oral GSK1322322/placebo dose | Drug | 1500mg oral |
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| 1500mg IV GSK1322322/placebo | Drug | 1500mg IV |
|
| 2000mg IV GSK1322322J/placebo | Drug | 2000mg IV |
|
| 3000mg IV GSK1322322J/placebo | Drug | 3000mg IV |
|
| 1000mg IV GSK1322322J/placebo | Drug | 1000mg IV |
|
| GSK1322322 PK parameters after single oral dose mean residence time (MRTpo) |
| Cohorts B and C on Day -2 |
| GSK1322322 PK parameters after single oral dose apparent clearance after oral administration (CL/F) | Cohorts B and C on Day -2 |
| GSK1322322 PK parameters after single oral dose apparent volume of distribution after oral administration (Vz/F) | Cohorts B and C on Day -2 |
| GSK1322322 PK parameters after single oral dose terminal phase half-life (t 1/2). | cohort B and C on Day -2 |
| GSK1322322 PK parameters after single IV dose area under the concentration-time curve from zero (pre-dose) to some fixed nominal time (12 hours) (AUC(0-12)). | Cohorts A, B, C, D, E on Day 1 |
| GSK1322322 PK parameters after single IV dose area under the concentration-time curve from zero (pre-dose) to some fixed nominal time (24 hours) AUC(0-24) | Cohorts A, B, C, D, E on Day 1 |
| GSK1322322 PK parameters after single IV dose AUC(0-t) | Cohorts A, B, C, D, E on Day 1 |
| GSK1322322 PK parameters after single IV dose AUC(0-∞). | Cohorts A, B, C, D, E on Day 1 |
| GSK1322322 PK parameters after single IV dose Cmax | Cohorts A, B, C, D, E on Day 1 |
| GSK1322322 PK parameters after single IV dose mean residence time intravenous (MRTiv) | Cohort A, B, C, D, E on Day 1 |
| GSK1322322 PK parameters after single IV dose t1/2 | Cohort A, B, C, D, E on Day 1 |
| Absolute bioavailability will be determined by comparing oral AUC(0-∞) to IV AUC(0-∞) | Cohort B and C on Day -2 and Day 1 |
| MAT of oral tablet will be determined (=MRTpo-MRTiv) | Cohort B and C on Day -2 and Day 1 |
| After repeated IV doses, pharmacokinetic parameters including Area under the concentration-time curve over the dosing interval (AUC(0-τ)) | Cohorts A, B, C on Days 3 - 6 |
| After repeated IV doses, pharmacokinetic parameters including Cmax | Cohorts A, B, C on Days 3 - 6 |
| After repeated IV doses, pharmacokinetic parameters including CL | Cohorts A, B, C on Days 3 - 6 |
| GSK1322322 concentrations in BAL obtained in epithelial lining fluid (ELF) and alveolar macrophages (AM) as compared to that in plasma | Cohort C Day 6 |
| Cohorts A, B, C Day 6 and Day 1 |
| Day 6 GSK1322322 AUC(0-τ) compared to AUC(0-∞) on Day 1 to evaluate time invariance following repeat IV administration of GSK1322322. | Cohorts A, B, C Day 6 and Day 1 |
| GSK1322322 PK parameters: AUC(0-∞) on Day 1 and AUC(0-τ) on Day 6 following IV administration at different doses for the assessment of dose proportionality. | Cohorts A, B, C Day1 and 6 |
| Microbiome analysis of stool prior to and after exposure to GSK1322322 | Cohort A, B,C, D, E single sample predose and single sample post dose |
| GSK1322322J safety parameters including the number of subjects with adverse events (AEs) | Cohort D and E up to 11 days, Cohort F up to 14 days |
| GSK1322322J safety parameters including absolute values and changes over time of clinical safety laboratory assessments | Cohort D and E up to 11 days; Cohort F up to 14 days |
| GSK1322322J safety parameters including the change from baseline in vital signs (blood pressure (BP) and heart rate) | Cohort D and E up to 11 days; Cohort F up to 14 days |
| GSK1322322J safety parameters including change from baseline in electrocardiogram (ECG) parameters | Cohort D and E up to 11 days: Cohort F up to 14 days |
| Results for study 113376 can be found on the GSK Clinical Study Register. | View source |
For additional information about this study please refer to the GSK Clinical Study Register |
| 113376 | Clinical Study Report | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 113376 | Informed Consent Form | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 113376 | Dataset Specification | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 113376 | Annotated Case Report Form | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 113376 | Statistical Analysis Plan | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 113376 | Study Protocol | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| ID | Term |
|---|---|
| D001424 | Bacterial Infections |
| ID | Term |
|---|---|
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
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| ID | Term |
|---|---|
| C583947 | GSK1322322 |
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