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A study to investigate the safety, tolerability, pharmacokinetics, and pharmacodynamics of single and repeat doses of 800 mg GSK2586184 in healthy subjects.
This is a study in healthy volunteers to investigate the safety, tolerability, pharmacokinetics (the body's effect on the drug) and pharmacodynamics (the drug's effect on the body) of single and repeat doses of 800 mg GSK2586184. The effect of food and gender on pharmacokinetics will also be investigated following single dosing.
The study is made up of 2 groups of healthy subjects. The first group consists of 6 female subjects who will receive a single dose of 800mg GSK2586184 (study medication) during 2 seperate sessions. One session will involve the female subjects taking the study medication with food and the other session will involve study medication being taken without food. The safety and tolerability of the study medication in female subjects and the effect of food on the pharmacokinetics of the study medication will be investigated.
The second group will consist of 12 healthy male subjects participating in 2 sessions. 8 subjects will receive study medication and 4 will receive placebo (dummy medication) during the course of the study. Neither they or their study doctor will know which one they are given. Each male subject will receive a single dose of study medication or placebo followed by 13 days of twice daily dosing of study medication or placebo. Each dose will be taken with food.The single dose results from this group of subjects will be compared to the female group to investigate the effect of gender on pharmacokinetics. The safety and pharmacokinetics of repeat dosing will be investigated. The effect of repeat dosing on kidney function and the immune system will also be investigated.
The study will take place in the SGS Clinical Pharmacology Unit in Antwerp, Belgium. A pharmaceutical company, GlaxoSmithKline, is funding the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort A fed session | Other | GSK2586184 800mg single dose with food |
|
| Cohort A fasted session | Other | GSK2586184 single dose without food |
|
| Cohort B active study medication | Active Comparator | GSK2586184 800mg single and twice daily dose for 13 days |
|
| Cohort B placebo | Placebo Comparator | Placebo-to-match single and twice daily dose for 13 days |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GSK2586184 800mg single and repeat dose | Drug | GSK2586184 800mg single dose and then twice daily dosing for 13 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Adverse event reporting | Change in health of subjects | Day 1 through to within 7-10 days after the last dose |
| Change from baseline in clinical chemistry, hematology, urinalysis | Change in clinical chemistry, hematology and urinalysis from baseline | Cohort A: D-1, predose (each session), D2 (each session) and 7-10 days after the last dose. Cohort B single dose session: D-3, predose, D2. Cohort B repeat dose session: D1, D2, D5, D10, D11, D14 and within 7-10 days after last dose |
| Change from baseline in vital signs parameters | Change in blood pressure, heart rate and body temperature outside normal range | Cohort A: Predose, 2h post dose, D2, within 7-10 days from last dose. Cohort B single dose session: D-3, predose, 2h post-dose, D2. Cohort B repeat dose session: predose on D1, D2, D5, D10, 2h post-dose on D1 and D10, D14, within 7-10 days post last dose |
| Change from baseline in ECG parameters | Change in ECG parameters outside normal range | Cohort A: Predose, 2h post dose, D2 and within 7-10 days of last dose. Cohort B single dose session: D-3, pre-dose, 2h post-dose and D2. Cohort B repeat dose session: pre-dose, D2, D5, D10, 2h post-dose on D1, D10, D14 and within 7-10 days from last dose |
| Plasma concentrations of GSK2586184 | Change in plasma concentrations of GSK2586184 | Cohort A: 0.25, 0.5, 1, 2, 4, 8, 12, 24 and 48h post-dose. Cohort B single dose session:0.25, 0.5, 1, 2, 4, 8, 12, 24 and 48h post-dose. Cohort B repeat dose session: D1 and D10 (predose, 0.25, 0.5, 1, 2, 4, 8 and 12h post-dose), D2, D3, D4, D5, and D11 |
| Change from baseline for 24h urine albumin, creatinine and PCR |
| Measure | Description | Time Frame |
|---|---|---|
| mRNA expression of IFNa and JAK pathway genes | Change in mRNA expression profile of IFNa and JAK pathway genes | Cohort B repeat dose: Predose, 1, 2, 4, 8 and 12h on D1 and D10. Predose, 1, 2, 4, 8, 12 and 24h post-dose on D11 |
| Vital signs as a pharmacodynamic endpoint |
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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 | Antwerp | 2060 | Belgium |
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| Label | URL |
|---|---|
| Results for study 116439 can be found on the GSK Clinical Study Register. | View source |
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| Placebo-to-match GSK2586184 | Drug | Placebo-to-match GSK2586184 |
|
| GSK2586184 single dose taken with food | Other | GSK2586184 single dose taken with FDA approved high fat, high calorie breakfast |
|
| GSK2586184 single dose taken without food | Other | GSK2586184 single dose taken in a fasted state |
|
Change in 24h urine creatinine, albumin and PCR values outside normal range |
| Cohort B repeat dose: D-1, D10 and within 7-10 days post last dose |
Change in blood pressure, heart rate and body temperature post IFNa challenge |
| Cohort B repeat dose: Predose, 4, 8, 12, 24, 28, 32, 48, 72, 100 and 120h post dose on D11 |
| Plasma levels of Neopterin and B2-microglobulin | Change in plasma concentrations of neopterin and B2-microglobulin post IFNa challenge | Cohort B repeat dose: Predose, 4, 8, 12, 24, 28, 32, 48, 72, 100 and 120h post dose on D11 |
| Glomerular Filtration Measurement using Cr-51 EDTA | Change in plasma concentrations of Cr-51 EDTA and it's derived clearance | Cohort B: 2h and 4h post Cr-51 EDTA injection on D-2 of single dose session, D8 of repeat dose session and within 7-10 days post last dose |
| Duodenal concentrations of GSK2586184 and its metabolites and derived pharmacokinetic parameters | Change in bile concentrations of GSK2586184 and it's metabolites | Cohort A: D-1 to D1 predose and 2.5h post-dose to 6.5h post-dose. Cohort B single dose: D-1 to D1 predose and 2.5h post-dose to 6.5h post-dose |
| Urine concentrations of GSK2586184 and its metabolites and derived pharmacokinetic parameters | Change in urine concentration of GSK2586184 and it's metabolites | Cohort A: D1 predose and for 24 hr post-dose.Cohort B single dose: D1 predose and for 24h post-dose |
| ID | Term |
|---|---|
| D008180 | Lupus Erythematosus, Systemic |
| ID | Term |
|---|---|
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| C000604226 | GSK2586184 |
| D012847 | Single Person |
| D005502 | Food |
| ID | Term |
|---|---|
| D017533 | Marital Status |
| D005191 | Family Characteristics |
| D003710 | Demography |
| D011154 | Population Characteristics |
| D012959 | Socioeconomic Factors |
| D000066888 | Diet, Food, and Nutrition |
| D010829 | Physiological Phenomena |
| D019602 | Food and Beverages |
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