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GSK2838232 is a novel human immune virus (HIV) maturation inhibitor being developed for the treatment of chronic HIV infection. This study is the first administration of GSK2838232 in humans to establish the initial safety, tolerability, and pharmacokinetic profile following single doses of GSK2838232 and to evaluate the effect of food and ritonavir (RTV) on GSK2838232 in healthy subjects. There will be 2 cohorts in this study. In Cohort 1, approximately 8 healthy subjects will be enrolled (6 active and 2 placebo) at each dose visit. There will be four dosing sessions for each subject with subjects randomized to receive placebo in a random sequence. In Cohort 2, approximately 8 healthy subjects will be enrolled (6 active doses and 2 placebo doses at each dose visit). Cohort 2 will have four dosing sessions for each subject with subjects randomized to receive placebo in a random sequence.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | Subject in this cohort will be randomized to one of the four following treatment sequences (1 treatment per visit): ABCD, BACD, BCAD, or BCDA. Where A=Placebo, B= GSK2838232 5mg, C=GSK2838232 10mg, and D=GSK2838232 20mg |
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| Cohort 2 | Experimental | Subject in this cohort will be randomized to one of the four following treatment sequences (1 treatment per visit): EGHJ, FEHJ, FGIJ, or FGHK. Where E=Placebo, F= GSK2838232 50mg, G= GSK2838232 100mg, H= GSK2838232 50mg + food, I= Placebo + food, J= GSK2838232 10mg + RTV, K= placebo + RTV. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GSK2838232 | Drug | Bottled powder with 5, 10 and 20mg unit dose strength per single dose for re-constituted oral suspension given once daily |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects with adverse events (AEs) as a measure of safety and tolerability in cohort 1 | AEs will be collected from the start of Study Treatment and until 5 days post last-dose (at follow up). | Up to 16 weeks |
| Number of subjects with AEs as a measure of safety and tolerability in cohort 2. | AEs will be collected from the start of Study Treatment and until 5 days post last-dose (at follow up). | Up to 12 weeks |
| Absolute values and changes over time of hematology as a measure of safety and tolerability in cohort 1. | Up to 16 weeks | |
| Absolute values and changes over time of hematology as a measure of safety and tolerability in cohort 2 | Up to 12 weeks | |
| Absolute values and changes over time of clinical chemistry as a measure of safety and tolerability in cohort 1. | Up to 16 weeks | |
| Absolute values and changes over time of clinical chemistry as a measure of safety and tolerability in cohort 2. | Up to 12 weeks | |
| Absolute values and changes over time of urinalysis as a measure of safety and tolerability in cohort 1. | Up to 16 weeks | |
| Absolute values and changes over time of urinalysis as a measure of safety and tolerability in cohort 2 | Up to 12 weeks | |
| Measure | Description | Time Frame |
|---|---|---|
| Composite of pharmacokinetics parameters following single dose administration of GSK2838232 with and without food in cohort 2. | PK parameters include: AUC (0-infinity), AUC (0-t), Cmax, Tmax, C24 and t1/2. Food will be normal fat meal. | PK samples will be collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, and 72 hours post dose in each dosing session and at follow up visit. |
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Inclusion Criteria
Exclusion Criteria
Evidence of previous myocardial infarction (Does not include ST segment changes associated with repolarization).
Any conduction abnormality (including but not specific to left or right complete bundle branch block, AV block [2nd degree or higher], WPW syndrome).
Sinus Pauses > 3 seconds. Any significant arrhythmia which, in the opinion of the principal investigator OR GSK medical monitor, will interfere with the safety for the individual subject.
Non-sustained or sustained ventricular tachycardia (>=3 consecutive ventricular ectopic beats).
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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 |
|---|---|
| Results for study 116787 can be found on the GSK Clinical Study Register. | View source |
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| ID | Term |
|---|---|
| D007239 | Infections |
| D000163 | Acquired Immunodeficiency Syndrome |
| ID | Term |
|---|---|
| D015658 | HIV Infections |
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D015229 | Sexually Transmitted Diseases, Viral |
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| ID | Term |
|---|---|
| C000629546 | GSK-2838232 |
| D019438 | Ritonavir |
| ID | Term |
|---|---|
| D013844 | Thiazoles |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D001393 | Azoles |
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| Placebo | Drug | Visually matching GSK2838232 |
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| Ritonavir | Drug | 100mg tablets once daily for 12 days |
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| Absolute values and changes over time of vital signs as a measure of safety and tolerability in cohort 1 |
Vital signs include blood pressure, temperature and heart rate measurement |
| Up to 16 weeks. |
| Absolute values and changes over time of vital signs as a measure of safety and tolerability in cohort 2. | Vital signs include blood pressure, temperature and heart rate measurement | Up to 12 weeks |
| Absolute values and changes over time of ECG intervals and ECG rhythm as a measure of safety and tolerability in cohort 1. | Up to 16 weeks. |
| Absolute values and changes over time of ECG intervals and ECG rhythm as a measure of safety and tolerability in cohort 2. | Up to 12 weeks |
| Real time collection and review of heart rhythm using telemetry as a measure of safety and tolerability in cohort 1. | Up to 16 weeks. |
| Real time collection and review of heart rhythm using telemetry as a measure of safety and tolerability in cohort 2. | Up to 12 weeks |
| Composite of pharmacokinetics (PK) parameters following single dose administration of GSK2838232 in cohort 1 | PK parameters include: area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC [0-infinity]), area under the concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration (AUC [0-t]), maximum observed concentration (Cmax), time to maximum observed concentration (Tmax), observed concentration at 24hour post-dose (C24), last observed quantifiable concentration (Ct), lag time before observation of drug concentrations in sampled matrix (tlag), terminal half-life (t1/2), and apparent oral clearance (CL/F). | PK samples will be collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, and 72 hours post dose in each dosing session and at follow up visit. |
| Composite of pharmacokinetics parameters following single dose administration of GSK2838232 in cohort 2. | PK parameters include: AUC (0-infinity), AUC (0-t), Cmax, Tmax, C24, Ct, tlag, t1/2 and CL/F. | PK samples will be collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, and 72 hours post dose in each dosing session and at follow up visit. |
| Composite of pharmacokinetics parameters following single dose administration of GSK2838232 with co-administration of ritonavir in cohort 2. | PK parameters include: AUC (0-infinity), AUC (0-t), Cmax, Tmax, C24 and t1/2. | PK samples will be collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, and 72 hours post dose in each dosing session and at follow up visit. |
| D012749 | Sexually Transmitted Diseases |
| D016180 | Lentivirus Infections |
| D012192 | Retroviridae Infections |
| D012327 | RNA Virus Infections |
| D014777 | Virus Diseases |
| D012897 | Slow Virus Diseases |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D007153 | Immunologic Deficiency Syndromes |
| D007154 | Immune System Diseases |
| D006573 |
| Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |