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This will be a randomized, placebo-controlled, single blind study to investigate the safety, tolerability and pharmacokinetic (PK) profile of GSK2140944 following repeat oral doses in healthy adult subjects. The study will include a Screening period (40 days), Treatment period (16 days) and a Follow-up period (26 to 30 days). A single dose will be administered on Day 1 for characterization of single dose PK, followed by twice-daily (BID) or thrice-daily (TID) dosing on Days 3 to 16. Subjects may only be randomized to one cohort per the randomization schedule. Up to 6 cohorts will be enrolled using a sequential panel. Subjects in Cohort 1 will receive GSK2140944 (6) and placebo (2). Subsequent cohorts will enroll 16 subjects such that 12 subjects will receive GSK2140944 and 4 subjects will receive placebo, per dose level according to the randomization schedule. Dose escalations are planned to run in successive weeks. Cohort 2 may begin dosing once subjects in Cohort 1 have completed 7 days of BID dosing, PK data is reviewed and safety data from at least 6 subjects is available. Each subsequent dose escalation will commence only when GSK2140944 safety data and available PK data of at least 12 subjects dosed at the previous dose level have been reviewed. The number of cohorts may be reduced or expanded if needed. The first planned dose is 400 milligram (mg) BID but may be modified based upon emergent PK, safety and tolerability data from ongoing clinical study BTZ115198 evaluating single and repeat intravenous (IV) doses of GSK2140944. The projected dose for Cohort 2 is 800 mg BID, Cohort 3 is 1500 mg BID, Cohort 4 is 2300 mg BID or 1500 mg TID and Cohort 5 and cohort 6 will be decided later. The planned maximum dose is 2500 mg TID but may be modified based upon emergent safety, tolerability and PK data. Doses of GSK2140944 or placebo will be administered following a moderate fat meal.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 - GSK2140944 400 mg | Experimental | Subjects will be randomized in 6:2 ratio to receive either GSK2140944 (Day 1: Single oral dose Days 3 to 16: (14 Days) BID oral doses) or placebo for approximately 15 days |
|
| Cohort 1 - Placebo | Placebo Comparator | Subjects will be randomized in 6:2 ratio to receive either GSK2140944 BID or matching placebo for approximately 15 days |
|
| Cohort 2 - GSK2140944 800 mg | Experimental | Subjects will be randomized in 12:4 ratio to receive either GSK2140944 (Day 1: Single oral dose Days 3 to 16: (14 Days) BID oral doses) or placebo for approximately 15 days. GSK2140944 dose in Cohort 2 will be decided based on the safety and PK data from six subjects in Cohort 1 |
|
| Cohort 2 - Placebo | Placebo Comparator | Subjects will be randomized in 12:4 ratio to receive either GSK2140944 BID or matching placebo for approximately 15 days |
|
| Cohort 3 - GSK2140944 1500 mg | Experimental | Subjects will be randomized in 12:4 ratio to receive either GSK2140944 (Day 1: Single oral dose Days 3 to 16: (14 Days) BID oral doses) or placebo for approximately 15 days. GSK2140944 dose in Cohort 3 will be decided on the safety data and available PK data from at least 12 subjects dosed at the Cohort 2 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GSK2140944 | Drug | GSK2140944 will be available as immediate release capsules of dose strength 100 mg and 500 mg |
|
| Measure | Description | Time Frame |
|---|---|---|
| GSK2140944 clinical safety data assessed as change from baseline in 12-lead ECG | 12-lead ECGs will be obtained at each timepoint using an ECG machine, after the subject has rested in a semi-supine position for at least 10 minutes | Day 1, Day 4, Day 7, Day 10, Day 13, Day 16, Day 18 and at the Follow-up visit |
| GSK2140944 clinical safety data from dual-lead cardiac monitoring | Continuous dual-lead cardiac monitoring will be obtained at each timepoints using an ECG machine | Day 1 |
| GSK2140944 clinical safety data assessed as change from baseline in clinical laboratory tests | Clinical laboratory assessments will include hematology, clinical chemistry, routine urinalysis and additional parameters | Day -2 and pre-morning dose on Day 2, Day 5, Day 8, Day 11, and Day 14; on the morning of Day 17 and at the Follow-up visit |
| GSK2140944 clinical safety data assessed as by number of adverse events (AE) | Safety and tolerability parameters will include recording of AEs, throughout the study | Up to the Follow-up visit |
| GSK2140944 clinical safety data assessed as change from baseline in blood pressure | Vital sign measurements will be done in semi-supine position and will include systolic and diastolic blood pressure | Day -1, Day 1, Day 4, Day 7, Day 10, Day 13, Day 16, Day 18 and the Follow-up visit |
| GSK2140944 clinical safety data assessed as change from baseline in heart rate | Vital sign measurements will be done in semi-supine position and will include pulse rate |
| Measure | Description | Time Frame |
|---|---|---|
| To assess preliminary dose proportionality using PK parameter AUC(0-infinity) following single dose of GSK2140944 | Preliminary dose proportionality will be assessed using PK parameter (AUC(0-infinity)) following single dose of GSK2140944 | Up to Day 3 |
| To assess preliminary dose proportionality using PK parameter Cmax following single dose of GSK2140944 |
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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 | Overland Park | Kansas | 66211 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35769034 | Derived | Tiffany C, Dumont EF, Hossain M, Srinivasan M, Swift B. Pharmacokinetics, safety, and tolerability of gepotidacin administered as single or repeat ascending doses, in healthy adults and elderly subjects. Clin Transl Sci. 2022 Sep;15(9):2251-2264. doi: 10.1111/cts.13359. Epub 2022 Jul 13. |
| Label | URL |
|---|---|
| Results for study 116778 can be found on the GSK Clinical Study Register. | View source |
| ID | Type | URL | Comment |
|---|---|---|---|
| 116778 | 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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|
| Cohort 3 - Placebo | Placebo Comparator | Subjects will be randomized in 12:4 ratio to receive either GSK2140944 bid or matching placebo for approximately 15 days |
|
| Cohort 4 - GSK2140944 2500 mg | Experimental | Subjects will be randomized in 12:4 ratio to receive either GSK2140944 (Day 1: Single oral dose Days 3 to 16: (14 Days) BID oral doses) or placebo for approximately 15 days. GSK2140944 dose in Cohort 4 will be decided on the safety data and available PK data from at least 12 subjects dosed at the Cohort 3 |
|
| Cohort 4 - Placebo | Placebo Comparator | Subjects will be randomized in 12:4 ratio to receive either GSK2140944 bid or matching placebo for approximately 15 days |
|
| Cohort 5 - GSK2140944 TBD | Experimental | Subjects will be randomized in 6:2 ratio to receive either GSK2140944 (Day 1: Single oral dose Days 3 to 16: (14 Days) TID oral doses) or placebo for approximately 15 days. GSK2140944 dose in Cohort 5 will be decided on the safety data and available PK data from at least 12 subjects dosed at the Cohort 4 |
|
| Cohort 5 - Placebo | Placebo Comparator | Subjects will be randomized in 6:2 ratio to receive either GSK2140944 TID or matching placebo for approximately 15 days |
|
| Cohort 6 - GSK2140944 TBD | Experimental | Subjects will be randomized in 6:2 ratio to receive either GSK2140944 (Day 1: Single oral dose Days 3 to 16: (14 Days) TID oral doses) or placebo for approximately 15 days. GSK2140944 dose in Cohort 5 will be decided on the safety data and available PK data from at least 6 subjects dosed at the Cohort 5 |
|
| Cohort 6 - Placebo | Placebo Comparator | Subjects will be randomized in 6:2 ratio to receive either GSK2140944 TID or matching placebo for approximately 15 days |
|
| Placebo | Drug | Matching placebo will be available |
|
| Day -1, Day 1, Day 4, Day 7, Day 10, Day 13, Day 16, Day 18 and the Follow-up visit |
| Pharmacokinetic parameter: AUC(0-12) following single dose of GSK2140944 | Pharmacokinetic data will include area under the curve from time zero (pre-dose) to 12 hour post-dose (AUC(0-12)) following single dose of GSK2140944 | Day 1 |
| Pharmacokinetic parameter: AUC(0-24) following single dose of GSK2140944 | Pharmacokinetic data will include area under the curve from time zero (pre-dose) to 24 hour post-dose (AUC(0-24)) following single dose of GSK2140944 | Up to Day 2 |
| Pharmacokinetic parameter: AUC(0-t) following single dose of GSK2140944 | Pharmacokinetic data will include area under the concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration (AUC(0-t)) following single dose of GSK2140944 | Up to Day 3 |
| Pharmacokinetic parameter: AUC(0-infinity) following single dose of GSK2140944 | Pharmacokinetic data will include area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC(0-infinity)) following single dose of GSK2140944 | Up to Day 3 |
| Pharmacokinetic parameter: Cmax following single dose of GSK2140944 | Pharmacokinetic data will include maximum observed concentration (Cmax) following single dose of GSK2140944 | Up to Day 3 |
| Pharmacokinetic parameter: tmax following single dose of GSK2140944 | Pharmacokinetic data will include time of occurrence of Cmax (tmax) following single dose of GSK2140944 | Up to Day 3 |
| Pharmacokinetic parameter: t1/2 following single dose of GSK2140944 | Pharmacokinetic data will include terminal phase half-life (t1/2) following single dose of GSK2140944 | Up to Day 3 |
| Pharmacokinetic parameter: AUC(0-tau) following repeat dose of GSK2140944 | Pharmacokinetic data will include area under the concentration-time curve over the dosing interval (AUC(0-tau)) following repeat dose of GSK2140944 | Day 14, Day 15 and Day 16 |
| Pharmacokinetic parameter: Cmax following repeat dose of GSK2140944 | Pharmacokinetic data will include Cmax following repeat dose of GSK2140944 | Day 14, Day 15 and Day 16 |
| Pharmacokinetic parameter: tmax following repeat dose of GSK2140944 | Pharmacokinetic data will include tmax following repeat dose of GSK2140944 | Day 14, Day 15 and Day 16 |
| Pharmacokinetic parameter: Ctau following repeat dose of GSK2140944 | Pharmacokinetic data will include pre-dose (trough) concentration at the end of the dosing interval (Ctau) following repeat dose of GSK2140944 | Day 14, Day 15 and Day 16 |
| Pharmacokinetic parameter: Ro following repeat dose of GSK2140944 | Pharmacokinetic data will include accumulation ratio (Ro) following repeat dose of GSK2140944 | Day 14, Day 15 and Day 16 |
| Pharmacokinetic parameter: AUC(0-8) following single dose of GSK2140944 | Pharmacokinetic data will include area under the curve from time zero (pre-dose) to 8 hour post-dose (AUC[0-8]) following single dose of GSK2140944 | Day 1 |
Preliminary dose proportionality will be assessed using PK parameter Cmax following single dose of GSK2140944 |
| Up to Day 3 |
| To assess preliminary dose proportionality using PK parameter AUC(0-tau) following repeat doses of GSK2140944 | Preliminary dose proportionality will be assessed using PK parameter (AUC(0-tau) following repeat doses of GSK2140944 | Day 14, Day 15 and Day 16 |
| To assess preliminary dose proportionality using PK parameter Cmax following repeat doses of GSK2140944 | Preliminary dose proportionality will be assessed using PK parameter Cmax following repeat doses of GSK2140944 | Day 14, Day 15 and Day 16 |
| To examine extent of accumulation using PK parameter Ro using AUC(0-tau) following repeat doses of GSK2140944 | Accumulation ratio will be assessed using PK parameter AUC(0-tau) following repeat doses of GSK2140944 | Day 14, Day 15 and Day 16 |
| To examine extent of accumulation using PK parameter AUC(0-tau) following single dose of GSK2140944 | Accumulation ratio will be assessed using PK parameter AUC(0-tau) following single dose of GSK2140944 | Day 1 |
| To examine the extent of time invariance using repeat dose AUC(0-tau) | The extent of time invariance will be assessed using PK parameter AUC(0-tau) following repeat dose | Day 14, Day 15 and Day 16 |
| To examine the extent of time invariance using single dose AUC(0-infinity) | The extent of time invariance will be assessed using PK parameter AUC(0-infinity) following single dose | Up to Day 3 |
| To assess achievement of steady-state following repeat oral doses of GSK2140944 | Achievement of steady-state will be assessed using trough concentrations at the end of the dosing interval (Ctau) collected at pre-morning dose on Days 14 and 15 (together with pre-morning dose Ctau on Days 16 from the full PK profiles on Day 16). | Day 14, Day 15 and Day 16 |
| 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 |
For additional information about this study please refer to the GSK Clinical Study Register |
| 116778 | Individual Participant Data Set | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116778 | Clinical Study Report | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116778 | Study Protocol | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116778 | Annotated Case Report Form | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116778 | Statistical Analysis Plan | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 116778 | Dataset Specification | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| ID | Term |
|---|---|
| D007239 | Infections |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| C000612856 | gepotidacin |
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