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This study is the first study of losmapimod in Japanese subjects. This study will be a single-center, single blind, phase I and two part study to characterize the safety, tolerability, pharmacokinetic and pharmacodynamic profiles in healthy Japanese volunteers (male and female of non-childbearing potential). Part1 will be a single dose, randomized, three-period, placebo-controlled and dose escalation part. Each subject will participate in 3 dosing sessions, and receive, on separate days, three of four treatments of losmapimod 2.5, 7.5 and 20 mg, and the matching placebo in the fasted state after overnight fast (at least 10 hours). The design incorporates sufficient washout between treatments (at least 7 days after the previous administration), and is an efficient design for the study objectives. Part 2 will be a fixed dose and placebo-controlled part. Each subject will participate in one dosing session, and receive losmapimod 7.5 mg or the matching placebo twice daily in the fasted state for 14 days. Only subjects will be blind to the sequence and dose studied. The study will include the placebo treatment to allow a valid evaluation of adverse events attributable to treatment versus those independent of treatment. Approximately 18 subjects in each part will receive treatments of losmapimod and/or placebo in the design. The primary objective of the study is to characterize the safety and tolerability of single doses and repeat doses of losmapimod in healthy Japanese subjects. Serial pharmacokinetic samples will be collected and safety assessments will be performed following each dose.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 2.5 mg | Experimental | Losmapimod for single dose |
|
| 7.5 mg | Experimental | Losmapimod for single dose |
|
| 20 mg | Experimental | Losmapimod for single dose |
|
| Placebo | Placebo Comparator | Placebo |
|
| 7.5 mg BID | Experimental | Losmapimod for repeat dose (14 days) |
|
| Placebo BID | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Losmapimod for single dose | Drug | Film coated white tablet |
|
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | Number of participants with adverse events as a measure of safety and tolerability (evaluated by the result of Clinical safety laboratory tests, vital signs and 12-lead ECG). | Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose. |
| AUC(0-t) | Area under the concentration-time curve from pre-dose to last time of quantifiable concentration of losmapimod and GSK198602 (inactive metabolite) (Single dose only). | up to 96h post dose. |
| AUC(0-inf) | Area under the concentration-time curve from time pre-dose extrapolated to infinite time of losmapimod and GSK198602 (Single dose only). | up to 96h post dose. |
| AUC(0-tau) | Area under the concentration-time curve over the dosing interval of losmapimod and GSK198602 (Repeat dose only). | up to 17 days post dose. |
| Cmax | Maximum observed concentration of losmapimod and GSK198602. | Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose. |
| tmax | Time of occurrence of Cmax of losmapimod and GSK198602. | Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose. |
| t1/2 | Terminal phase half-life of losmapimod and GSK198602 | Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose. |
| Measure | Description | Time Frame |
|---|---|---|
| hsCRP | Change from baseline in hsCRP after the oral dose of losmapimod. | Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose. |
| phosphorylated HSP27 | Change from baseline in phosphorylated HSP27 assayed following ex vivo stimulation of cells in wholeblood. |
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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 | Randwick | New South Wales | 2031 | Australia |
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| Label | URL |
|---|---|
| Results for study 116681 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 |
|---|---|---|---|
| 116681 | Informed Consent Form | 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 |
|---|---|
| D054058 | Acute Coronary Syndrome |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| ID | Term |
|---|---|
| C543534 | 6-(5-((cyclopropylamino)carbonyl)-3-fluoro-2-methylphenyl)-N-(2,2-dimethylprpyl)-3-pyridinecarboxamide |
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| Losmapimod for repeat dose | Drug | Film coated white tablet |
|
| accumulation ratios | accumulation ratios of losmapimod and GSK198602 (Repeat dose only). | up to 17 days post dose. |
| Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose. |
| %AUCex | Percentage of AUC(0-inf) obtained by extrapolation of losmapimod and GSK198602. | Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose. |
| tlast | Time of last quantifiable concentration of losmapimod and GSK198602. | Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose. |
| λz | Terminal phase rate constant of losmapimod and GSK198602. | Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose. |
| CL/F | Apparent clearance following oral dosing of losmapimod. | Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose. |
| Vz/F | Apparent volume of distribution following oral dosing of losmapimod. | Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose. |
| AUC(0-inf) | Area under the concentration-time curve from time pre-dose extrapolated to infinite time of losmapimod and GSK198602 (Repeat dose only). | up to 17 days post dose. |
For additional information about this study please refer to the GSK Clinical Study Register |
| 116681 | Dataset Specification | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116681 | Individual Participant Data Set | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116681 | Clinical Study Report | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116681 | Annotated Case Report Form | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116681 | Statistical Analysis Plan | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116681 | Study Protocol | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |