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The proposed indication for GSK1940029 is topical treatment of acne, the early clinical plan will evaluate the irritation potential of GSK1940029 (Study SCD117225 - 3 Part study); and safety, tolerability and pharmacokinetics of GSK1940029 (Study SCD117226 - 2 Part study), after topical administration on healthy subjects and acne patients. Study SCD117225 will be a randomized, single-blind, three part study, to evaluate the primary irritation potential (Part 1), cumulative irritation potential (Part 2) of two concentrations of GSK1940029 gel applied to the intact skin of healthy subjects, and the facial irritation potential of one or two concentrations of GSK1940029 applied to the face of acne patients (Part3). In Part 1 and Part 2 the following 6 treatments will be applied using individual patches: (A) 200 milligrams (mg) of 0.3% GSK1940029 gel, (B) 200 mg of 1% GSK1940029 gel, (C) 200 mg of 0.3%/1% vehicle gel only (vehicle control), (D) 200 microliters (µL) of sterile distilled water (negative irritant control), (E) 200 µL of - 0.5% sodium lauryl sulfate (SLS) in sterile distilled water for Part 1/0.1% SLS in sterile distilled water for Part 2 (positive irritant control), and (F) Patch only (patch control). Each treatment will be randomized to one of six designated locations on either upper arm or other locations, such as the lower or upper back, within each subject. The same treatment will be reapplied to the same location on subsequent days. Each treatment will be applied daily for 2 days in Part 1, and daily for 21 days in Part 2. In Part 3, each patient will apply a thin coat of one or two concentration of GSK1940029 gel or vehicle to acne affected facial/neck skin by hand, once daily for 28 days. Parts within Study SCD117225 and Study SCD117226 will have interdependencies. No significant primary irritation signal in Study SCD117225 Part 1 would allow initiation of Study SCD117226 Part 1 (single dose application). Once safety, tolerability and exposure information are determined in Study SCD117226 Part 1, Part 2 of Study SCD117225 may be initiated along with Part 2 (14-day repeat dose application). No significant cumulative irritation signal (study SCD117225 Part 2) in combination with adequate 14-day safety (study SCD117226 Part 2) would allow initiation of Part 3 of Study SCD117225.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1 | Experimental | Each of the following 6 treatments will be randomized to one of 6 designated locations on either upper arm or other locations, such as the lower or upper back, within each healthy subject: (A) 200 mg of 0.3% GSK1940029 gel, (B) 200 mg of 1% GSK1940029 gel, (C) 200 mg of 0.3%/1% vehicle gel only, (D) 200 µL of sterile distilled water, (E) Patch only, and (F) 200 µL of 0.5% SLS in sterile distilled water, Each treatment will be applied using individual patches, daily for 2 days |
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| Part 2 | Experimental | Each of the following 6 treatments will be randomized to one of 6 designated locations on either upper arm or other locations, such as the lower or upper back, within each healthy subject: (A) 200 mg of 0.3% GSK1940029 gel, (B) 200 mg of 1% GSK1940029 gel, (C) 200 mg of 0.3%/1% vehicle gel only, (D) 200 µL of sterile distilled water, (E) Patch only, and (F) 200 µL of 0.1% SLS in sterile distilled water. Each treatment will be applied using individual patches, daily for 21 days |
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| Part 3 | Experimental | Each acne patient will apply a thin coat of one or two concentration of GSK1940029 gel or vehicle to acne affected facial/neck skin by hand, once daily for 28 days |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 0.3% GSK1940029 gel | Drug | 200 mg of the gel will be applied to individual patches by using a spatula |
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| Measure | Description | Time Frame |
|---|---|---|
| Primary cutaneous irritation scores | The patch/test sites will be evaluated for irritation potential and will be graded using a grading scale based on scales developed by Hill Top Research, Inc and cited by the United States (US) Food and Drug Administration (FDA) in the Draft Guidance for Industry: Skin Irritation and Sensitization Testing of Generic Transdermal Drug Products, December 1999 | Days 2, 3 4 and 5 of Part 1 |
| Cumulative cutaneous irritation scores | Visual evaluations of the patch/test sites will be performed for irritation potential approximately 24 hours after each patch application, and will be graded using a grading scale based on scales developed by Hill Top Research, Inc and cited by the US FDA in the Draft Guidance for Industry: Skin Irritation and Sensitization Testing of Generic Transdermal Drug Products, December 1999 | Day 2 to Day 22 of Part 2 |
| Facial irritation scores | The Facial Irritation Scoring System will be based on the Draize Scoring System with an additional Sensation of Burning/Stinging category | Days 1, 7, 14, 21, 28, 29 and at FU (Days 35-42) of Part 3 |
| Lanman-Maibach irritation classifications | The derived cumulative irritation scores will be interpreted using the Lanman-Maibach classification system | Day 2 to Day 22 of Part 2 |
| Tolerability of GSK1940029 as assessed by Clinical monitoring/observation | Up to Day 17 of Part 1, Up to Day 36 of Part 2, and Up to Day 42 of Part 3 | |
| Tolerability of GSK1940029 as assessed by adverse events (AEs) | Up to Day 17 of Part 1, Up to Day 36 of Part 2, and Up to Day 42 of Part 3 |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and tolerability of GSK1940029 as assessed by clinical laboratory tests | Clinical laboratory tests will include hematology, chemistry and urinalysis parameters | Screening, Days 1, 4, and FU (Days 10 to 17) of Part 1. Screening, Days 1, 8, 22, and FU (Days 29 to 36) of Part 2. Screening, Days 1, 7, 14, 21, 29, and FU (Days 35 to 42) of Part 3. |
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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 | Adelaide | South Australia | 5000 | Australia |
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| Label | URL |
|---|---|
| Results for study 117225 can be found on the GSK Clinical Study Register. | View source |
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| ID | Term |
|---|---|
| D000152 | Acne Vulgaris |
| ID | Term |
|---|---|
| D017486 | Acneiform Eruptions |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012625 | Sebaceous Gland Diseases |
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| ID | Term |
|---|---|
| C038828 | long-chain-aldehyde dehydrogenase |
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| 1% GSK1940029 gel | Drug | 200 mg of the gel will be applied to individual patches by using a spatula |
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| 0.3%/1% vehicle gel only | Drug | 200 mg of the gel will be applied to individual patches by using a spatula |
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| Sterile distilled water | Other | 200 µL of the solution will be applied to individual patches by using a pipette or syringe |
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| 0.5% SLS in sterile distilled water | Other | 200 µL of the solution will be applied to individual patches by using a pipette or syringe |
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| 0.1% SLS in sterile distilled water | Other | 200 µL of the solution will be applied to individual patches by using a pipette or syringe |
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| Patch only | Other | Only patch will be applied |
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| Safety and tolerability of GSK1940029 as assessed by vital signs measurements | Vital signs measurements will include systolic and diastolic blood pressure and heart rate | Screening, Days 1, 2, and FU (Days 10 to 17) of Part 1. Screening, Days 1, 2 and FU (Days 29 to 36) of Part 2. Screening, Days 1, 2 and FU (Days 35 to 42) of Part 3 |
| Safety and tolerability of GSK1940029 as assessed by clinical monitoring/observation | Up to Day 17 of Part 1, Up to Day 36 of Part 2, and Up to Day 42 of Part 3 |
| Ocular tolerability of topical applications of GSK1940029 | Eye examination will be performed. Ocular evaluations will include slit lamp examination with fluorscein, tear film breakup time, visual acuity and ocular surface disease index | Screening, Days 1, 5, and FU (Days 10 to 17) of Part 1. Screening, Days 1, 22, and FU (Days 29 to 36) of Part 2. Screening, Days 1, 7, 14, 21, 29, and FU (Days 35 to 42) of Part 3. |
| Plasma GSK1940029 pharmacokinetics (PK) | Blood samples for PK analysis of GSK1940029 will be collected. PK parameters will include Area under the concentration-time curve: from time zero (pre-dose) to last time of quantifiable concentration within a subject across all treatments [AUC(0-t)] and from time zero (pre-dose) extrapolated to infinite time [AUC(0-infinity)]; maximum observed concentration (Cmax); time of occurrence of cmax (tmax); and terminal phase half-life (t1/2) as data permit | Part 3 Only - Days 1 and 28: pre-dose, 2, 4, and 8 hours post-dose; Day 2: pre-dose; and Day 29: 24 hour post-Day 28 dose |