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This study is the first administration of GSK2849466 in humans. This will be a single centre, randomized, double-blind, placebo-controlled study, to investigate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of GSK2849466, given as single and repeat oral doses up to 14 days to healthy male subjects. Part A will be a randomized placebo controlled and 4-way crossover study. It will include two cohorts of 8 subjects each. In each cohort there will be 4 study periods each approximately of 1 week including 6 days of washout. Each subject will receive a total of 3 active doses as ascending single oral dose of GSK2849466 and 1 placebo dose during the course of their participation in the study. The first ("bridging dose") dose provided to subjects in Cohort 2 will be the same as the last dose provided to subjects in Cohort 1. The single doses of GSK2849466 planned in Part A of this study are: 0.01, 0.03, 0.1, and 0.3 milligram (mg) in Cohort 1 and 0.3, 1, 3, and 10 mg in Cohort 2. In cohorts 1 and 2 all available safety, tolerability, and PK data will be reviewed prior to each dose escalation. The dosing schedule in Part A may be adjusted to expand a cohort or to add an additional cohort(s) in order to further evaluate additional doses or repeat evaluation of a dose level already studied. Part B will be a randomized placebo controlled, parallel group study. It will include three cohorts of 12 subjects each. Each subject will receive repeat doses of GSK2849466 over 14 days. The doses chosen for Part B will be based on the safety, tolerability, and PK data from Part A. Subjects in Cohort 4 (and/or an another cohort [s] as determined based on Part A PK data) will be dosed in the fasted state on Days 1 and 14 and in the fed state on Day 7 when subjects will receive a standard meal 30 minutes prior to dosing. Part B will provide sufficient safety and tolerability data to bridge to longer duration studies. The study duration, including screening and follow-up, is not expected to exceed 70 days for subjects in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A: Cohort 1-GSK2849466 | Experimental | The subjects will receive single planned dose of GSK284946 in ascending order (0.01, 0.03, 0.1, and 0.3 mg) in ratio of 3:1.with placebo within each of 4 treatment periods. The dose will not be allowed to exceed 30 mg over a 24-hour period. |
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| Part A: Cohort 1-Placebo | Experimental | The subjects will receive single dose of matching placebo in one of the 4 treatment periods. |
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| Part A: Cohort 2-GSK2849466 | Experimental | The subjects will receive single planned dose of GSK284946 in ascending order (0.3, 1, 3, and 10 mg) in ratio of 3:1.with placebo within each of 4 treatment periods. The dose will not be allowed to exceed 30 mg over a 24-hour period in one of the 4 treatment periods. |
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| Part A: Cohort 2-Placebo | Experimental | The subjects will receive single dose of matching placebo in one of the 4 treatment periods. |
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| Part B: Cohort 3-GSK2849466 (Repeat dose 1) | Experimental | The selection of appropriate doses for Part B will be performed upon consideration of available safety and tolerability and PK data from Part A and/or any preceding repeat dose cohorts. The subjects will receive GSK2849466 in ratio of 3:1.with placebo. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GSK2849466 | Drug | GSK2849466 will be available as capsules of dose strengths 0.01, 0.1, 1.0, and 2.5 mg. |
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| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability of single ascending doses GSK2849466 as assessed by number of subjects with adverse events (AE)s | Safety and tolerability parameters will include recording of AEs, throughout the study. | 28 days |
| Safety and tolerability of repeat doses of GSK2849466 as assessed by number of subjects with AEs | Safety and tolerability parameters will include recording of AEs, throughout the study. | 14 days |
| Safety and tolerability of single ascending doses of GSK2849466 as assessed by change from Baseline in electrocardiogram (ECG) readings | Safety and tolerability parameter will include the ECG readings at Baseline and at end of the study. | 28 days |
| Safety and tolerability of repeat doses of GSK2849466 as assessed by change from Baseline in ECG readings | Safety and tolerability parameter will include the ECG readings at Baseline and at end of the study. | 14 days |
| Safety and tolerability of single ascending doses of GSK2849466 as assessed by change from Baseline in clinical monitoring of blood pressure | Safety and tolerability parameters will include blood pressure readings at Baseline and at end of the study. | 28 days |
| Safety and tolerability of repeat doses of GSK2849466 as assessed by change from Baseline in clinical monitoring of blood pressure | Safety and tolerability parameters will include blood pressure readings at Baseline and at end of the study. | 14 days |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the time-concentration curve from time zero (pre-dose) to last time of quantifiable concentration (AUC(0-t)) and AUC from zero to infinity (AUC(0-inf)) following single doses of GSK2849466 | The AUC(0-t) and AUC(0-inf) for GSK2849466 will be assessed following single doses of GSK2849466. | 2 days of each treatment period in Part A: Day 1-0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12 hours post dose; Day 2-24 hours post Day 1 dose. |
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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 | Baltimore | Maryland | 21225 | United States |
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| 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 |
| Results for study 116715 can be found on the GSK Clinical Study Register. | View source |
| ID | Type | URL | Comment |
|---|---|---|---|
| 116715 | Annotated Case Report 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 |
|---|---|
| D002100 | Cachexia |
| ID | Term |
|---|---|
| D015431 | Weight Loss |
| D001836 | Body Weight Changes |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
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| Part B: Cohort 3-Placebo (Repeat dose 1) | Experimental | The subjects will receive repeat dose of matching placebo. |
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| Part B: Cohort 4-GSK2849466 (Repeat dose 2) | Experimental | The selection of appropriate doses for Part B will be performed upon consideration of available safety and tolerability and PK data from Part A and/or any preceding repeat dose cohorts. The subjects will receive GSK2849466 in ratio of 3:1.with placebo. In Cohort 4 subjects will be dosed in the fasted state on Days 1 and 14 and in the fed state on Day 7. |
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| Part B: Cohort 4-Placebo (Repeat dose 2) | Experimental | The subjects will receive repeat doses of matching placebo. |
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| Part B: Cohort 5-GSK2849466 (Repeat dose 3) | Experimental | The selection of appropriate doses for Part B will be performed upon consideration of available safety and tolerability and PK data from Part A and/or any preceding repeat dose cohorts. The subjects will receive GSK2849466 in ratio of 3:1.with placebo |
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| Part B: Cohort 5-Placebo (Repeat dose 3) | Experimental | The subjects will receive repeat doses of matching placebo. |
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| Placebo | Drug | Matching placebo capsules will be available. |
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| Safety and tolerability of single ascending doses of GSK2849466 as assessed by change from Baseline in heart rate | Safety and tolerability parameters will include heart rate at Baseline and at end of the study. | 28 days |
| Safety and tolerability of repeat doses of GSK2849466 as assessed by change from Baseline in heart rate | Safety and tolerability parameters will include heart rate at Baseline and at end of the study. | 14 days |
| Safety and tolerability of GSK2849466 as assessed by change from Baseline in cardiac telemetry | Safety and tolerability parameters will include cardiac telemetry recording at Baseline and at end of the study. | Part A-Day 1 continuous at least 12 hours post-dose of each dosing session; Part B-Day 1, 4, 7, 10 and 14 continuous at least 8 hours post-dose |
| Safety and tolerability of single ascending doses of GSK2849466 as assessed by change from Baseline in laboratory assessments | Safety and tolerability parameters will include laboratory values at Baseline and at end of the study. | 28 days |
| Safety and tolerability of repeat doses of GSK2849466 as assessed by change from Baseline in laboratory assessments | Safety and tolerability parameters will include laboratory values at Baseline and at end of the study. | 14 days |
| Maximum concentration (Cmax) following single doses of GSK2849466 | The Cmax of GSK2849466 will be assessed following single doses of GSK2849466. | 2 days of each treatment period in Part A: Day 1-0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12 hours post dose; Day 2-24 hours post Day 1 dose. |
| Time to maximum observed plasma drug concentration (Tmax) following single doses of GSK2849466 | The Tmax for GSK2849466 will be assessed following single doses of GSK2849466. | 2 days of each treatment period in Part A: Day 1-0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12 hours post dose; Day 2-24 hours post Day 1 dose. |
| Terminal half-life (t1/2) following single doses of GSK2849466 | The t1/2 for GSK2849466 will be assessed following single doses of GSK2849466. | 2 days of each treatment period in Part A: Day 1-0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12 hours post dose; Day 2-24 hours post Day 1 dose. |
| The AUC(0-t), AUC(0-inf)) and AUC from time zero to the end of the dosing interval at steady state AUC(0-tau) following repeat doses of GSK2849466 | The AUC(0-t), AUC(0-inf) and AUC(0-tau) following repeat doses of GSK2849466 with and without food (Cohort 4 and/or another cohort(s) as determined based on Part A PK data) will be assessed in Part B of the study. | Part B (all cohorts): Day 1, 2, 14, 15(24 hours serial sampling); Day 4, 5, 6, 7 (pre dose sampling). Part B (Cohort 4): Day 7 and 8 (24 hours serial sampling) and no PK samples on Day 8 if fasted on Day 7. |
| The Cmax following repeat doses of GSK2849466 | The Cmax following repeat doses of GSK2849466 with and without food (Cohort 4 and/or another cohort(s) as determined based on Part A PK data) will be assessed in Part B of the study. | Part B (all cohorts): Day 1, 2, 14, 15(24 hours serial sampling); Day 4, 5, 6, 7 (pre dose sampling). Part B (Cohort 4): Day 7 and 8 (24 hours serial sampling) and no PK samples on Day 8 if fasted on Day 7. |
| The Tmax following repeat doses of GSK2849466 | The Tmax following repeat doses of GSK2849466 with and without food (Cohort 4 and/or another cohort(s) as determined based on Part A PK data) will be assessed in Part B of the study. | Part B (all cohorts): Day 1, 2, 14, 15(24 hours serial sampling); Day 4, 5, 6, 7 (pre dose sampling). Part B (Cohort 4): Day 7 and 8 (24 hours serial sampling) and no PK samples on Day 8 if fasted on Day 7. |
| The t1/2 following repeat doses of GSK2849466 | The t1/2 following repeat doses of GSK2849466 with and without food (Cohort 4 and/or another cohort(s) as determined based on Part A PK data) will be assessed in Part B of the study. | Part B (all cohorts): Day 1, 2, 14, 15(24 hours serial sampling); Day 4, 5, 6, 7 (pre dose sampling). Part B (Cohort 4): Day 7 and 8 (24 hours serial sampling) and no PK samples on Day 8 if fasted on Day 7. |
| The estimation of an accumulation ratio following repeat doses of GSK2849466 | The estimation of an accumulation ratio following repeat doses of GSK2849466 with and without food (Cohort 4 and/or another cohort(s) as determined based on Part A PK data) will be assessed in Part B of the study. | Part B (all cohorts): Day 1, 2, 14, 15(24 hours serial sampling); Day 4, 5, 6, 7 (pre dose sampling). Part B (Cohort 4): Day 7 and 8 (24 hours serial sampling) and no PK samples on Day 8 if fasted on Day 7. |
For additional information about this study please refer to the GSK Clinical Study Register |
| 116715 | Clinical Study Report | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116715 | Statistical Analysis Plan | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116715 | Informed Consent Form | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116715 | Dataset Specification | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116715 | Study Protocol | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116715 | Individual Participant Data Set | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D013851 | Thinness |