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GSK3008348 is an investigational drug, being developed by GlaxoSmithKline Research and Development Limited (the Sponsor, a pharmaceutical company based in the UK) for the treatment of Idiopathic Pulmonary Fibrosis (IPF). IPF is a rare and poorly understood disease that causes scarring of the lungs. The main symptoms are shortness of breath and a dry cough. Symptoms generally worsen over time and in some subjects may prove fatal. The cause of IPF is unknown.
This is a First Time in Human, Phase 1, 3-part study which is being carried out on behalf of the Sponsor by Quintiles. The primary purpose of Part A is to examine the safety and tolerability of single nebulised (a medicated spray) doses of GSK3008348 following inhalation in healthy volunteers. The secondary objective is to determine how and at what rate the body absorbs, distributes, breaksdown and eliminates the drug.
Parts B and C of this study will be in-patients with Idiopathic Pulmonary Fibrosis (IPF). The purpose of Part B and C is to examine the safety and tolerability, and how much of the drug binds to its target, following single nebulised (a medicated spray) doses of GSK3008348 following inhalation in patients with Idiopathic Pulmonary Fibrosis (IPF). The secondary objective is to determine how and at what rate the bodies of these patients absorbs, distributes, breaksdown and eliminates the drug.
The total duration of Part A will be 65 - 87 days, Part B 62 days and Part C 43 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part A, Cohort 1: GSK3008348 1-3000 mcg/Placebo | Experimental | Healthy subjects will receive single 3 ascending doses of GSK3008348 (ranging from 1 to 3000 microgram [mcg]) and matching placebo by nebulisation in one of the four treatment period according to randomization. There will be washout period of at least 6 days between the doses. Actual doses may involve either an increase or a decrease in the planned dose as well as a repeat of the previous. |
|
| Part A, Cohort 2: GSK3008348 1-3000 mcg/Placebo | Experimental | Healthy subjects will receive single 3 ascending doses of GSK3008348 (ranging from 1 to 3000 microgram [mcg]) and matching placebo by nebulisation in one of the four treatment period according to randomization. There will be washout period of at least 6 days between the doses. Actual doses may involve either an increase or a decrease in the planned dose as well as a repeat of the previous. |
|
| Part A, Cohort 3: GSK3008348 1-3000 mcg/Placebo | Experimental | Healthy subjects will receive single 3 ascending doses of GSK3008348 (ranging from 1 to 3000 microgram [mcg]) and matching placebo by nebulisation in one of the four treatment period according to randomization. There will be washout period of at least 6 days between the doses. Actual doses may involve either an increase or a decrease in the planned dose as well as a repeat of the previous. |
|
| Part B, Cohort 4: GSK3008348/Placebo, IPF, Period 2 PET Scan |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GSK3008348 Nebuliser solution | Drug | Nebuliser solution formulated at 5000 mcg/mL with 5% mannitol, citric acid, sodium citrate and water for injection, pH adjusted using Hydrochloric acid or Sodium hydroxide to the target pH 5.4 +/- 0.4. 4 ml of diluted dose of appropriate concentration will be administered by nebulisation. |
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Number of participants with adverse events (AE) as a measure of safety and tolerability | An AE is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. AE will be collected from the start of study treatment until the final follow-up visit. | Up to Day 33 |
| Part A: Temperature as a measure of safety and tolerability | Up to Day 33 | |
| Part A: Systolic and diastolic blood pressure as a measure of safety and tolerability | Up to Day 33 | |
| Part A: Pulse rate and respiratory rate as a measure of safety and tolerability | Up to Day 33 | |
| Part A: Peripheral capillary oxygen saturation (SpO2) levels as a measure of safety and tolerability | SpO2 levels are estimates of the amount of oxygen in the blood. SpO2 will be measured by pulse oximetry. | Up to Day 33 |
| Part A: ECG and Telemetry as a measure of safety and tolerability | 12-lead ECG and cardiac telemetry will be performed. | Up to Day 21 |
| Part A: FEV1 and FVC as a measure of safety and tolerability | Forced expiratory volume in 1 second (FEV1) is the volume of air that can forcibly be blown out in one second, after full inspiration. Forced vital capacity (FVC) is the volume of air that can forcibly be blown out after full inspiration. Lung function test will be performed to obtain FEV1 and FVC . |
| Measure | Description | Time Frame |
|---|---|---|
| Part A: Area under the curve (AUC) following single doses of GSK3008348 | AUC from time zero to infinity (AUC[0-inf]), AUC from time zero to the time of last quantifiable concentration (AUC[0-t]) will be calculated from concentration-time curve using the linear trapezoidal rule based on each individual subject's profile. | Blood samples will be collected at pre-dose and at 5, 10, 15, 30 minutes (mins), 1, 2, 3, 4, 6, 8, 12 hours (Day 1) and 24 hours (Day 2) post-dose of each treatment period |
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Inclusion Criteria:
Part A:
- Male and female subjects >= 18 years at the time of signing the consent form.
Parts B and C :
- Male subjects >= 45 years and female subjects >= 55 years at the time of signing the consent form.
Part A:
Parts B and C:
Part A:
- Body weight >=50 Kilogram (kg) and BMI within the range 19.0 - 35.0 kg/meter square (m^2) (inclusive).
Parts B and C:
Exclusion Criteria:
Parts B and C:
All Parts:
Parts B and C:
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | London | SE1 1YR | United Kingdom |
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| Label | URL |
|---|---|
| Results for study 200262 can be found on the GSK Clinical Study Register. | View source |
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| Experimental |
IPF subject will receive single dose of GSK3008348 (safe and tolerated dose as per cohort 1 to 3) or Placebo in two treatment periods according to randomization. There will be washout period of 6 to 28 days between the doses. Subjects will receive up to three microdose administrations of [18F]-FBA-A20FMDV2 for the PET scanning in period 2. |
|
| Part B, Cohort 5: GSK3008348/Placebo, IPF, Period 2 PET Scan | Experimental | IPF subject will receive single dose of GSK3008348 (safe and tolerated dose as per cohort 1 to 3) or Placebo in two treatment periods according to randomization. There will be washout period of 6 to 28 days between the doses. Subjects will receive up to three microdose administrations of [18F]-FBA-A20FMDV2 for the PET scanning in period 2. |
|
| Part B, Cohort 6: GSK3008348/Placebo, IPF, Period 2 PET Scan | Experimental | IPF subject will receive single dose of GSK3008348 (safe and tolerated dose as per cohort 1 to 3) or Placebo in two treatment periods according to randomization. There will be washout period of 6 to 28 days between the doses. Subjects will receive up to three microdose administrations of [18F]-FBA-A20FMDV2 for the PET scanning in period 2. |
|
| Part B, Cohort 7: GSK3008348/Placebo, IPF, Period 2 PET Scan | Experimental | IPF subject will receive single dose of GSK3008348 (safe and tolerated dose as per cohort 1 to 3) or Placebo in two treatment periods according to randomization. There will be washout period of 6 to 28 days between the doses. Subjects will receive up to three microdose administrations of [18F]-FBA-A20FMDV2 for the PET scanning in period 2. |
|
| Part C, Cohort 8: GSK3008348, IPF, PET Scan | Experimental | IPF subject will receive single dose of GSK3008348 (safe and tolerated dose as per Part B) in two treatment periods. There will be washout period of 6 to 14 days between the doses. Subjects will receive up to three microdose administrations of [18F]-FBA-A20FMDV2 for the PET scanning in both periods. |
|
|
| Placebo Nebuliser solution | Drug | 5% mannitol nebuliser solution. 4 ml of solution will be administered by nebulisation |
|
| GSK26346763: ([18F]-FBA-A20FMDV2) IV infusion | Radiation | Formulated in 0.9% saline. The maximum amount of radioactivity injected during each PET scan will be 150 Megabecquerel (MBq) and maximum mass of [18F]-FBA-A20FMDV2 administered across all three administrations will be 100 mcg. Intravenous bolus infusion of 20 ml will be administered over about 30 seconds. |
|
| Up to Day 33 |
| Part A: DLCO as a measure of safety and tolerability | Diffusing capacity (DLCO) is the carbon monoxide uptake from a single inspiration in a standard time (usually 10 seconds). Lung function test will be performed to obtain DLCO. | Up to Day 20 |
| Part A: Taste questionnaire for taste of nebulised GSK3008348 as a measure of safety and tolerability | Subjects will be required to complete a taste questionnaire following dosing. | Up to Day 19 |
| Part A: Composite of hematology laboratory tests as a measure of safety and tolerability | Hematology laboratory tests will include platelet count, red blood cell count, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, neutrophils, lymphocytes, monocytes, eosinophils and basophils. | Up to Day 33 |
| Part A: Composite of clinical chemistry laboratory tests as a measure of safety and tolerability | Clinical chemistry laboratory tests will include urea, creatinine, glucose non-fasted, creatinine phosphokinase, potassium, sodium, calcium, aspartate aminotransferase alanine transaminase,total and direct bilirubin, total protein, alkaline phosphatise and albumin. | Up to Day 33 |
| Part A: Composite of urinalysis laboratory tests as a measure of safety and tolerability | Urinalysis laboratory tests will include specific gravity, pH, glucose, protein, blood and ketones by dipstick, microscopic examination (if blood or protein is abnormal). | Up to Day 33 |
| Part B: AE as a measure of safety and tolerability | An AE is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. AE will be collected from the start of study treatment until the final follow-up visit. | Up to Day 43 |
| Part B: Temperature as a measure of safety and tolerability | Up to Day 43 |
| Part B: Systolic and diastolic blood pressure as a measure of safety and tolerability | Up to Day 43 |
| Part B: Pulse rate and respiratory rate as a measure of safety and tolerability | Up to Day 43 |
| Part B: SpO2 levels as a measure of safety and tolerability | SpO2 levels are estimates of the amount of oxygen in the blood. SpO2 will be measured by pulse oximetry. | Up to Day 43 |
| Part B: ECG and Telemetry as a measure of safety and tolerability | 12-lead ECG and cardiac telemetry will be performed. | Up to Day 31 |
| Part B: FEV1 and FVC as a measure of safety and tolerability | FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. FVC is the volume of air that can forcibly be blown out after full inspiration. Lung function test will be performed to obtain FEV1 and FVC . | Up to Day 43 |
| Part B: DLCO as a measure of safety and tolerability | DLCO is the carbon monoxide uptake from a single inspiration in a standard time (usually 10 seconds). Lung function test will be performed to obtain DLCO. | Up to Day 30 |
| Part B: Taste questionnaire for taste of nebulised GSK3008348 as a measure of safety and tolerability | Subjects will be required to complete a taste questionnaire following dosing. | Up to Day 29 |
| Part B: Changes in volume of distribution [VT]) at approximately 1 hour post-dose compared to pre-dose of [18F]-FBA-A20FMDV2 in the lung | Positron Emission Tomography (PET) scan and a sample of blood will be taken simultaneously for measurement of [18F]-FBA-A20FMDV2 concentration. The blood volume in tissue will be determined by dividing the tissue tracer concentration by the blood value. Changes in the uptake of [18F]-FBA-A20FMDV2 in the lung will be calculated. | Baseline (from Day 15), Up to Day 30 |
| Part B: Composite of hematology laboratory tests as a measure of safety and tolerability | Hematology laboratory tests will include platelet count, red blood cell count, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, neutrophils, lymphocytes, monocytes, eosinophils and basophils. | Up to Day 30 |
| Part B: Composite of clinical chemistry laboratory tests as a measure of safety and tolerability | Clinical chemistry laboratory tests will include urea, creatinine, glucose fasted, creatinine phosphokinase, potassium, sodium, calcium, aspartate aminotransferase alanine transaminase, total and direct bilirubin, total protein, alkaline phosphatise and albumin. | Up to Day 30 |
| Part B: Composite of urinalysis laboratory tests as a measure of safety and tolerability | Urinalysis laboratory tests will include specific gravity, pH, glucose, protein, blood and ketones by dipstick, microscopic examination (if blood or protein is abnormal) | Up to Day 30 |
| Part C: Changes in VT at various time points post-dose compared to pre-dose of [18F]-FBA-A20FMDV2 in the lung | PET scan and a sample of blood will be taken simultaneously for measurement of [18F]-FBA-A20FMDV2 concentration. The blood volume in tissue will be determined by dividing the tissue tracer concentration by the blood value. Changes in the uptake of [18F]-FBA-A20FMDV2 in the lung will be calculated. | Baseline (from Day 1), Up to Day 29 |
| Part A: Cmax following single doses of GSK3008348 | Maximum observed concentration (Cmax) will be calculated from concentration-time curve based on each individual subject's profile. | Blood samples will be collected at pre-dose and at 5, 10, 15, 30 mins, 1, 2, 3, 4, 6, 8, 12 hours (Day 1) and 24 hours (Day 2) post-dose of each treatment period |
| Part A: Tmax and t½ following single doses of GSK3008348 | Time of maximum concentration (tmax) will be calculated from concentration-time curve based on each individual subject's profile. Elimination half-life (t½) is time required for or drug in the body to reduced by one-half. t½ will be calculated from concentration-time curve based on each individual subject's profile. | Blood samples will be collected at pre-dose and at 5, 10, 15, 30 mins, 1, 2, 3, 4, 6, 8, 12 hours (Day 1) and 24 hours (Day 2) post-dose of each treatment period |
| Part B: Area under the curve (AUC) following single doses of GSK3008348 | AUC from time zero to infinity (AUC[0-inf]), AUC from time zero to the time of last quantifiable concentration (AUC[0-t]) will be calculated from concentration-time curve using the linear trapezoidal rule based on each individual subject's profile. | Blood samples will be collected at pre-dose and at 5, 10, 15, 30 mins, 1, 2, 3, 4, 6, 8, 12 hours (Day 1) and 24 hours (Day 2) post-dose of each treatment period |
| Part B: Cmax following single doses of GSK3008348 | Maximum observed concentration (Cmax) will be calculated from concentration-time curve based on each individual subject's profile. | Blood samples will be collected at pre-dose and at 5, 10, 15, 30 mins, 1, 2, 3, 4, 6, 8, 12 hours (Day 1) and 24 hours (Day 2) post-dose of each treatment period |
| Part B: Tmax and t½ following single doses of GSK3008348 | Time of maximum concentration (tmax) will be calculated from concentration-time curve based on each individual subject's profile. Elimination half-life (t½) is time required for or drug in the body to reduced by one-half. t½ will be calculated from concentration-time curve based on each individual subject's profile. | Blood samples will be collected at pre-dose and at 5, 10, 15, 30 mins, 1, 2, 3, 4, 6, 8, 12 hours (Day 1) and 24 hours (Day 2) post-dose of each treatment period |
| Part B: Changes in VT at 14-28 hours post-dose compared to pre-dose of [18F]-FBA-A20FMDV2 in the lung | PET scan and a sample of blood will be taken simultaneously for measurement of [18F]-FBA-A20FMDV2 concentration. The blood volume in tissue will be determined by dividing the tissue tracer concentration by the blood value. Changes in the uptake of [18F]-FBA-A20FMDV2 in the lung will be calculated. | Baseline (from Day 15), Up to Day 30 |
| Part C: Area under the curve (AUC) following single doses of GSK3008348 | AUC from time zero to infinity (AUC[0-inf]), AUC from time zero to the time of last quantifiable concentration (AUC[0-t]) will be calculated from concentration-time curve using the linear trapezoidal rule based on each individual subject's profile. | Blood samples will be collected at pre-dose and post-nebulisation at 5, 10, 15, 30 mins, 1, 2, 3, 4, 6, 8, 12 hours (Day 1) and 24 hours (Day 2) post-dose of each treatment period |
| Part C: Cmax following single doses of GSK3008348 | Maximum observed concentration (Cmax) will be calculated from concentration-time curve based on each individual subject's profile. | Blood samples will be collected at pre-dose and post-nebulisation at 5, 10, 15, 30 mins, 1, 2, 3, 4, 6, 8, 12 hours (Day 1) and 24 hours (Day 2) post-dose of each treatment period |
| Part C: Tmax and t½ following single doses of GSK3008348 | Time of maximum concentration (tmax) will be calculated from concentration-time curve based on each individual subject's profile. Elimination half-life (t½) is time required for or drug in the body to reduced by one-half. t½ will be calculated from concentration-time curve based on each individual subject's profile. | Blood samples will be collected at pre-dose and post-nebulisation at 5, 10, 15, 30 mins, 1, 2, 3, 4, 6, 8, 12 hours (Day 1) and 24 hours (Day 2) post-dose of each treatment period |
| Part C: AE as a measure of safety and tolerability | An AE is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. AE will be collected from the start of study treatment until the final follow-up visit. | Up to Day 43 |
| Part C: Temperature as a measure of safety and tolerability | Up to Day 43 |
| Part C: Systolic and diastolic blood pressure as a measure of safety and tolerability | Up to Day 43 |
| Part C: Pulse rate and respiratory rate as a measure of safety and tolerability | Up to Day 43 |
| Part C: Peripheral capillary oxygen saturation (SpO2) levels as a measure of safety and tolerability | SpO2 levels are estimates of the amount of oxygen in the blood. SpO2 will be measured by pulse oximetry. | Up to Day 43 |
| Part C: Composite of hematology laboratory tests as a measure of safety and tolerability | Hematology laboratory tests will include platelet count, red blood cell count, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, neutrophils, lymphocytes, monocytes, eosinophils and basophils. | Up to Day 43 |
| Part C: Composite of clinical chemistry laboratory tests as a measure of safety and tolerability | Clinical chemistry laboratory tests will include urea, creatinine, glucose fasted, creatinine phosphokinase, potassium, sodium, calcium, aspartate aminotransferase alanine transaminase,, total and direct bilirubin, , total protein, alkaline phosphatise and albumin. | Up to Day 43 |
| Part C: Composite of urinalysis laboratory tests as a measure of safety and tolerability | Urinalysis laboratory tests will include specific gravity, pH, glucose, protein, blood and ketones by dipstick, microscopic examination (if blood or protein is abnormal) | Up to Day 43 |
| ID | Term |
|---|---|
| D054990 | Idiopathic Pulmonary Fibrosis |
| ID | Term |
|---|---|
| D011658 | Pulmonary Fibrosis |
| D017563 | Lung Diseases, Interstitial |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D007262 | Infusions, Intravenous |
| ID | Term |
|---|---|
| D061605 | Administration, Intravenous |
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
| D007263 | Infusions, Parenteral |
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