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This is a phase I single-center, double-blind, randomized, placebo-controlled study to investigate the safety, tolerability and pharmacokinetics and food effect of BVL-GSK098 administered as single and multiple oral doses to healthy volunteers
This is an exploratory, first-in-human (FIH), double-blind, randomized, placebo-controlled, single and multiple ascending oral dose study in healthy volunteers.The study will be divided into two parts that will be conducted sequentially. Part A is a SAD study to determine the safety, tolerability and PK of single oral doses of BVL-GSK098 in healthy volunteers. In addition, the last cohort of Part A will investigate the effect of food on the PK of BVL-GSK098. Part B is a MAD study to determine the safety, tolerability and PK of BVL-GSK098 following multiple daily oral doses in healthy volunteers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Single Ascending Dose (SAD) | Experimental | There are multiple dose levels or cohorts. Each cohort has 6 subjects randomized to BVL-GSK098 and 2 subjects randomized to placebo. |
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| Multiple Ascending Dose (MAD) | Experimental | There are multiple dose levels or cohorts. Each cohort has 6 subjects randomized to BVL-GSK098 and 2 subjects randomized to placebo. |
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| Food Effect | Experimental | This cohort has 6 subjects randomized to BVL-GSK098 and 2 subjects randomized to placebo. Each participant will receive a single oral dose of BVL-GSK098 or placebo administered after the participant eats a high-fat, high calorie breakfast. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BVL-GSK098 capsule, placebo | Drug | Oral QD |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs) | All AEs will be counted and described within each cohort/dose level, by treatment received and tabulated. | From screening visit (Day -3 to -30) to end of study (7-10 days post last dose) |
| Number of participants with clinically significant abnormal findings in hematology parameters | Blood samples will be collected for the assessment of hematology parameters. | Day 1 until end of study (7-10 days post last dose) |
| Number of participants with clinically significant abnormal findings in clinical chemistry parameters | Blood samples will be collected for the assessment of chemistry parameters. | Day 1 until end of study (7-10 days post last dose) |
| Number of participants with urinalysis findings | Urine samples will be collected for the assessment of urinalysis parameters. | Day 1 until end of study (7-10 days post last dose) |
| Number of participants with clinically significant abnormal findings in vital signs | Number of participants with abnormal vital signs will be assessed. | Day 1 until end of study (7-10 days post last dose) |
| Number of participants with clinically significant abnormal findings in Electrocardiogram (ECG) Parameters | Triplicate 12-lead ECGs will be obtained | Day 1 until end of study (7-10 days post last dose) |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum observed plasma drug concentration (Cmax) of BVL-GSK098 | Blood samples will be collected to evaluate Cmax of BVL-GSK098 | Single dose: up to 72 hours; Multiple dose: up to 10 days |
| Time to maximum observed plasma drug concentration (tmax) of BVL-GSK098 |
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Inclusion Criteria:
Volunteers aged 18 to 55 years inclusive and between 19 and 30 kg/m2 body mass index (BMI) with a minimum weight of 50 kg or men and 45 kg for women, at the time of signing the informed consent.
Volunteers who are healthy as determined by the investigator based on medical evaluation including medical history, physical examination and cardiac monitoring.
Volunteers who have a clinically acceptable temperature, blood pressure and pulse rate in supine and standing position (systolic blood pressure between 100-140 mm Hg/ diastolic blood pressure between 50-90 mm Hg / HR between 50-100 bpm). Blood pressure and pulse will be measured after a minimum of 3 minutes of resting.
Volunteers whose clinical laboratory test results are not clinically relevant and are acceptable to the Investigator.
Male volunteers must use appropriate contraception (e.g. condoms as part of a double barrier method) from the time of the first dose until 3 months after the post-study visit.
A female volunteer is eligible to participate if she is of non-childbearing potential, defined as:
Nonsmokers (i.e., one who has abstained from use of tobaccco and other nicotine-containing products for the last 6 months).
Willingness to stay in the investigational site for up to 11 days.
Volunteers are capable of giving signed informed consent which included compliance with the requirements and restrictions listed in the consent form and in this protocol.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rosa M Antonijoan, MD | Institut de Recerca de l'HSCSP. IIB Sant Pau. | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CIM Sant Pau | Barcelona | 08041 | Spain | |||
| Hospital Universitario de La Princesa |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38656557 | Derived | Pieren M, Abaigar Gutierrez-Solana A, Antonijoan Arbos RM, Boyle GW, Davila M, Davy M, Gitzinger M, Husband L, Martinez-Martinez MS, Mazarro DO, Pefani E, Penman SL, Remuinan MJ, Vlasakakis G, Zeitlinger M, Dale GE. First-in-human study of alpibectir (BVL-GSK098), a novel potent anti-TB drug. J Antimicrob Chemother. 2024 Jun 3;79(6):1353-1361. doi: 10.1093/jac/dkae107. |
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Double-blind
Blood samples will be collected to evaluate tmax of BVL-GSK098 |
| Single dose: up to 72 hours; Multiple dose: up to 10 days |
| Area under the plasma drug concentration versus time curve (AUC) of BVL-GSK098 | Blood samples will be collected to evaluate AUC of BVL-GSK098 | Single dose: up to 72 hours; Multiple dose: up to 10 days |
| Apparent terminal half-life (t1/2) of BVL-GSK098 as appropriate | Blood samples will be collected to evaluate t1/2 of BVL-GSK098 | Single dose: up to 72 hours; Multiple dose: up to 10 days |
| The effect of food on the plasma concentrations of BVL-GSK098 | Blood samples will be collected to evaluate the food effect on plasma concentrations of BVL-GSK098 | up to 72 hours |
| Observed accumulation ratio following BVL-GSK098 repeat dosing | up to 10 days |
| Madrid |
| 28006 |
| Spain |