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A Safety and Pharmacokinetic (PK) Study of GSK2982772 in Healthy Subjects

NCT03305419 — Phase 1, Completed, 62 participants, GlaxoSmithKline

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A Single-centre, Randomized, Double-blind (Sponsor-unblinded), Placebo-controlled Study to Evaluate the Safety, Tolerability and Pharmacokinetics of GSK2982772 in Repeat Oral Doses in Healthy Subjects

RegistryNCT03305419
StatusCompleted
PhasePhase 1
Study typeInterventional; randomized, sequential, masking: double, treatment
Enrollment62 (Actual)
SponsorGlaxoSmithKline (Industry)
ConditionsAutoimmune Diseases
InterventionsGSK2982772 capsule, Placebo capsule (Drug)
Datesstart 2017-10-11, primary completion 2018-10-15, completion 2018-10-15, first posted 2017-10-10, last updated 2023-10-10
Locations1 site in United Kingdom

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-Summary

This study is designed to evaluate the safety, tolerability and PK of GSK2982772, in repeat oral doses in healthy subjects. This study is being conducted to support administration of higher dose levels of GSK2982772 than initially studied in the First Time in Human (FTiH) study. This study will also assess the impact of food during the repeat doses of GSK2982772. This will be a two part study; Part A and Part B. Part A (cohort 1) - single ascending dose, randomized, placebo-controlled, 3-way crossover. Part B (cohorts 2, 3, 4 and 5) - repeat dose, randomized, placebo-controlled, sequential-group. Subjects will be randomized in 3:1 ratio to receive GSK2982772 or placebo in crossover manner on Day 1 of each of the three periods in Part A. Subjects will be randomized in 3:1 ratio to receive GSK2982772 or placebo in sequential groups for 14 days in cohort 2 of Part B and in 9:5 ratio to receive GSK2982772 or placebo in sequential groups for 14 days in cohorts 3, 4 and 5 of Part B. Approximately 66 subjects will be included in this study. The study duration, including screening and follow-up, will not be expected to exceed 13 weeks for Part A and 8 weeks for Part B.

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+Arms and interventions

ArmTypeInterventionsDescription
Subjects receiving treatment sequence ABC in cohort 1: Part AExperimentalDrug: GSK2982772 capsule; Drug: Placebo capsuleEligible subjects will be randomized to receive treatment sequence ABC in Part A; A= GSK2982772 120 mg TID, B= GSK2982772 240 mg TID, and C= GSK2982772 360 mg BID. Subjects will receive oral capsule of GSK2982772 or placebo on Day 1 in each of the 3 treatment periods followed by a wash-out period of at least 7 days between dosing regimens.
Subjects receiving treatment sequence ABP in cohort 1: Part AExperimentalDrug: GSK2982772 capsule; Drug: Placebo capsuleEligible subjects will be randomized to receive treatment sequence ABP in Part A; A= GSK2982772 120 mg TID, B= GSK2982772 240 mg TID, and P= Placebo. Subjects will receive oral capsule of GSK2982772 or placebo on Day 1 in each of the 3 treatment periods followed by a wash-out period of at least 7 days between dosing regimens.
Subjects receiving treatment sequence APC in cohort 1: Part AExperimentalDrug: GSK2982772 capsule; Drug: Placebo capsuleEligible subjects will be randomized to receive treatment sequence APC in Part A; A= GSK2982772 120 mg TID, P= Placebo and C= GSK2982772 360 mg BID. Subjects will receive oral capsule of GSK2982772 or placebo on Day 1 in each of the 3 treatment periods followed by a wash-out period of at least 7 days between dosing regimens.
Subjects receiving treatment sequence PBC in cohort 1: Part AExperimentalDrug: GSK2982772 capsule; Drug: Placebo capsuleEligible subjects will be randomized to receive treatment sequence PBC in Part A; P= Placebo, B= GSK2982772 240 mg TID and C= GSK2982772 360 mg BID. Subjects will receive oral capsule of GSK2982772 or placebo on Day 1 in each of the 3 treatment periods followed by a wash-out period of at least 7 days between dosing regimens.
Subjects receiving GSK2982772 120 mg TID in cohort 2 : Part BExperimentalDrug: GSK2982772 capsuleEligible subjects will receive GSK2982772 oral capsule with a dose of 120 mg TID for 14 days in Part B.
Subjects receiving GSK2982772 120 mg TID in cohort 3 : Part BExperimentalDrug: GSK2982772 capsuleEligible subjects will receive GSK2982772 oral capsule with a dose of 120 mg TID for 14 days in Part B.
Subjects receiving GSK2982772 240 mg TID in cohort 4: Part BExperimentalDrug: GSK2982772 capsuleEligible subjects will receive GSK2982772 oral capsule with a dose of 240 mg TID for 14 days in Part B.
Subjects receiving GSK2982772 360 mg BID in cohort 5: Part BExperimentalDrug: GSK2982772 capsuleEligible subjects will receive GSK2982772 oral capsule with a dose of 360 mg BID for 14 days in Part B.
Subjects receiving placebo in cohort 2 : Part BPlacebo comparatorDrug: Placebo capsuleSubjects will receive placebo oral capsule for 14 days in Part B.
Subjects receiving placebo in cohort 3 : Part BPlacebo comparatorDrug: Placebo capsuleSubjects will receive placebo oral capsule for 14 days in Part B.
Subjects receiving placebo in cohort 4 : Part BPlacebo comparatorDrug: Placebo capsuleSubjects will receive placebo oral capsule for 14 days in Part B.
Subjects receiving placebo in cohort 5: Part BPlacebo comparatorDrug: Placebo capsuleSubjects will receive placebo oral capsule for 14 days in Part B.
  • GSK2982772 capsule (Drug): GSK2982772 will be available as size 00, white, opaque capsule containing white to almost white Solid (120 mg maximum fill per capsule). It will be administered orally with water to receive total dose of 120 mg, 240 mg or 360 mg per randomization.
  • Placebo capsule (Drug): Placebo will be available as size 00, white, opaque capsule containing white to almost white Solid. It will be administered orally with water.

+Outcome measures

Primary outcomes

  • Number of Subjects With Adverse Events (AEs) and Serious AEs (SAEs): Part A [Up to Day 14]: An AE is any untoward medical occurrence in a clinical study subjects, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect or any other situation according to medical or scientific judgment will be categorized as SAE.
  • Number of Participants With AEs and SAEs: Part B [Up to Day 28]: An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect or any other situation according to medical or scientific judgment were categorized as SAE.
  • Number of Participants With Worst Case Clinical Chemistry Parameters by Potential Clinical Importance Criteria: Part A [Up to Week 9]: Blood samples were collected from participants for the analysis of following clinical chemistry parameters: alanine amino transferase (ALT), albumin, alkaline phosphatase, aspartate amino transferase (AST), calcium, creatinine, glucose, potassium, sodium and total bilirubin. PCI ranges were >=2 times Upper Limit of Normal (ULN) units per liter (U/L) for ALT, <30 grams per liter (g/L) for albumin, >=2 times ULN U/L for alkaline phosphatase, >=2 times ULN U/L for AST, <2 or >2.75 millimoles per liter (mmol/L) for calcium, >44.2 micromoles per liter (µmol/L) for creatinine, <3 or >9 mmol/L for glucose, <3 or >5.5 mmol/L for potassium, <130 or >150 mmol/L for sodium and >=1.5 times ULN for total bilirubin. Participants were counted in the worst case category that their value changed to low, normal or high. If values were unchanged (example: High to High), or whose value became normal, were recorded in 'No Change' category.
  • Number of Participants With Worst Case Clinical Chemistry Parameters by Potential Clinical Importance Criteria: Part B [Up to Week 4]: Blood samples were collected from participants for the analysis of following clinical chemistry parameters: ALT, albumin, alkaline phosphatase, AST, calcium, creatinine, glucose, potassium, sodium and total bilirubin. PCI ranges were >=2 times ULN U/L for ALT, <30 g/L for albumin, >=2 times ULN U/L for alkaline phosphatase, >=2 times ULN U/L for AST, <2 or >2.75 mmol/L for calcium, >44.2 µmol/L for creatinine, <3 or >9 mmol/L for glucose, <3 or >5.5 mmol/L for potassium, <130 or >150 mmol/L for sodium and >=1.5 times ULN for total bilirubin. Participants were counted in the worst case category that their value changed to low, normal or high. If values were unchanged (example: High to High), or whose value became normal, were recorded in 'No Change' category.
  • Number of Participants With Worst Case Hematology Parameters by Potential Clinical Importance Criteria: Part A [Up to Week 9]: Blood samples were collected from participants for analysis of following hematology parameters; hematocrit, hemoglobin, lymphocytes, platelet count, total neutrophils and white blood cell (WBC) counts. PCI ranges were >0.54 or < 0.075 proportion of red blood cells (RBC) in blood for hematocrit, <25 or >180 g/L for hemoglobin, 0.8 x10\^9 cells/L for lymphocytes, <1.5 x10\^9 cells/L for neutrophils, <100 or >550 x10\^9 cells/L for platelets and <3 or 20> x 10\^9 cells per liter WBC. Participants were counted in the worst case category that their value changed to low, normal or high. If values were unchanged (example: High to High), or whose value became normal, were recorded in 'No Change' category.
  • Number of Participants With Worst Case Hematology Parameters by Potential Clinical Importance Criteria: Part B [Up to Week 4]: Blood samples were collected from participants for analysis of following hematology parameters; hematocrit, hemoglobin, lymphocytes, platelet count, total neutrophils and WBC counts. PCI ranges were >0.54 or < 0.075 proportion of RBC in blood for hematocrit, <25 or >180 g/L for hemoglobin, 0.8 x10\^9 cells/L for lymphocytes, <1.5 x10\^9 cells/L for neutrophils, <100 or >550 x10\^9 cells/L for platelets and <3 or 20> x 10\^9 cells per liter WBC. Participants were counted in the worst case category that their value changed to low, normal or high. If values were unchanged (example: High to High), or whose value became normal, were recorded in 'No Change' category.
  • Number of Participants With Worst Case Urinalysis Results: Part A [Up to Week 9]: Urine samples were collected from participants for analysis of following parameters: cellular casts, granular casts, hyaline casts, RBC and WBC and were counted as cells per high-power field (cells/HPF). The number of participants with cells in urine has been presented.
  • Number of Participants With Worst Case Urinalysis Results: Part B [Up to Week 4]: Urine samples were collected from participants for analysis of following parameters: cellular casts, granular casts, hyaline casts, RBC and WBC and were counted as cells per high-power field (cells/HPF). The number of participants with cells in urine has been presented.
  • Number of Participants With Abnormal Vital Signs: Part A [Up to Week 9]: Vital signs were measured in a supine position after 5 minutes rest. The PCI criteria for vital signs included: systolic blood pressure <85 and >160 millimeters of mercury \[mmHg\]), diastolic blood pressure <45 mmHg and >100 mmHg, heart rate <40 and >100 beats per minute, body temperature <=35.5 and >=37.8 degrees Celsius and respiration rate <=8 and >=20 breaths per minute. Data of participants with potential clinical importance has been reported.
  • Number of Participants With Abnormal Vital Signs: Part B [Up to Week 4]: Vital signs were measured in a supine position after 5 minutes rest. The PCI criteria for vital signs included: systolic blood pressure <85 and >160 mmHg, diastolic blood pressure <45 mmHg and >100 mmHg, heart rate <40 and >100 beats per minute, body temperature <=35.5 and >=37.8 degrees Celsius and respiration rate <=8 and >=20 breaths per minute. Data of participants with potential clinical importance has been reported.
  • Number of Participants With Abnormal Electrocardiogram (ECG) Findings: Part A [Up to Day 4]: 12-lead ECG's were obtained in the supine position after 5 minutes of rest using an ECG machine that automatically calculated the heart rate and measured PR, QRS, QT and QT duration corrected for heart rate by Fridericia's formula (QTcF) intervals. Clinically significant and not clinically significant abnormal ECG findings have been presented. Clinically significant abnormal findings are those which are not associated with the underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.
  • Number of Participants With Abnormal ECG Findings: Part B [Up to Week 4]: 12-lead ECG's were obtained in the supine position after 5 minutes of rest using an ECG machine that automatically calculated the heart rate and measured PR, QRS, QT and QT duration corrected for heart rate by Fridericia's formula (QTcF) intervals. Clinically significant and not clinically significant abnormal ECG findings have been presented. Clinically significant abnormal findings are those which are not associated with the underlying disease, unless judged by the investigator to be more severe than expected for the participant's condition.

Secondary outcomes

  • Area Under the Concentration-time Curve (AUC) From Time Zero to 24 Hours (AUC[0-24]) Following TID Dosing of GSK2982772: Part A [Pre-dose, 20, 40minutes, 1 hour, 1hr 30min, 2, 3, 5, 7hour, 7hr 20min,and 7hr 40 min, 8hr, 8hr 30min, 9hr, 10hr, 12hr, 14hr, 14hr 20min, 14hr 40 min, 15hr, 15hr 30min, 16hr, 17hr, 19hr, 22hr, 24hours post dose on Day1]: Blood samples were collected at indicated timepoints for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • AUC(0-24) Following BID Dosing of GSK2982772: Part A [Pre-dose, 20min, 40min, 1hr, 1hr 30min, 2hr, 3hr, 4hr, 6hr, 8hr, 10hr, 12hr, 12hr 20min, 12hr 40min, 13hr, 13hr 30min, 14hr, 15hr, 16hr, 19hr, 22hr, 24hr post dose on Day 1.]: Blood samples were collected at indicated timepoints for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • AUC[0-24] Following TID Dosing of GSK2982772: Part B [Pre-dose, 20, 40minutes, 1 hour, 1hr 30min, 2, 3, 5, 7hour, 7hr 20min,and 7hr 40 min, 8hr, 8hr 30min, 9hr, 10hr, 12hr, 14hr, 14hr 20min, 14hr 40 min, 15hr, 15hr 30min, 16hr, 17hr, 19hr, 22hr, 24hours post dose on Day14]: Blood samples were collected at indicated timepoints for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • AUC (0-7) Following TID Dosing of GSK2982772 : Part A [Pre-dose, 20 and 40 minutes, 1 and 1 hour 30 minutes, 2, 3, 5, 7 hours on Day 1]: Blood samples were collected at indicated timepoints for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • AUC (7-14) Following TID Dosing of GSK2982772 : Part A [7 hours, 7 hours 20 and 40 minutes, 8 hours, 8 hours 30 minutes, 9, 10, 12, 14 hours on Day 1]: Blood samples were collected at indicated timepoints for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • AUC (14-24) Following TID Dosing of GSK2982772 : Part A [14 hours, 14 hours 20 and 40 minutes, 15 hours ,15 hours 30 minutes, 16, 19, 22 and 24 hours on Day 1]: Blood samples were collected at indicated timepoints for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • AUC (0-12) Following BID Dosing of GSK2982772 in Part A [Pre-dose, 20 and 40 minutes, 1 and 1 hour 30 minutes, 2, 3, 4, 6, 8, 10 hours,12 hours on Day 1]: Blood samples were collected at indicated timepoints for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • AUC (12-24) Following BID Dosing of GSK2982772 in Part A [12 hours, 12 hours 20 and 40 minutes, 13 and 13 hours 30 minutes, 14, 15, 16, 19, 22 and 24 hours on Day 1]: Blood samples were collected at indicated timepoints for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • AUC(0-7) Following TID Dosing of GSK2982772 in Part B [Pre-dose, 20 and 40 minutes, 1 and 1 hour 30 minutes, 2, 3, 5, 7 hours on Days 1 and 14]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • AUC (7-14) Following TID Dosing of GSK2982772 in Part B [7 and 7 hours 20 and 40 minutes, 8 and 8 hours 30 minutes, 9, 10, 12, 14 hours on Day 14]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • AUC (14-24) Following TID Dosing of GSK2982772 in Part B [14 hours, 14 hours 20 minutes, 14 hours 40 minutes, 15 hours, 15 hours 30 minutes, 16, 17, 19, 22 and 24 hours on Day 14]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Maximum Observed Plasma Drug Concentration Cmax (0-7) Following TID Dosing of GSK2982772 in Part A [Pre-dose, 20 and 40 minutes, 1 and 1 hour 30 minutes, 2, 3, 5, and 7 hours post dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Cmax (7-14) Following TID Dosing of GSK2982772 in Part A [7 hours, 7 hours 20 and 40 minutes, 8 and 8 hours 30 minutes, 9, 10, 12, 14 hours post dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Cmax (14-24) Following TID Dosing of GSK2982772 in Part A [14 hours, 14 hours 20 and 40 minutes, 15 and 15 hours 30 minutes, 16, 19, 22 and 24 hours post dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Cmax (0-12) Following BID Dosing of GSK2982772 in Part A [Pre-dose, 20 and 40 minutes, 1 and 1 hour 30 minutes, 2, 3, 4, 6, 8, 10 hours and 12 hours post dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Cmax (12-24) Following BID Dosing of GSK2982772 in Part A [12 hours, 12 hours 20 and 40 minutes, 13 and 13 hours 30 minutes, 14, 15, 16, 19, 22 and 24 hours post dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Cmax (0-7) Following TID Dosing of GSK2982772 in Part B [Pre-dose, 20 and 40 minutes, 1 and 1 hour 30 minutes, 2, 3, 5, 7 hours post dose on Days 1 and 14]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Cmax (7-14) Following TID Dosing of GSK2982772 in Part B [7hours, 7 hours 20 and 40 minutes, 8 hours, 8 hours 30 minutes, 9, 10, 12, 14 hours on Day 14]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Cmax (14-24) Following TID Dosing of GSK2982772 in Part B [14 hours, 14 hours 20 and 40 minutes, 15 hours, 15 hours 30 minutes, 16, 17, 19, 22 and 24 hours post dose on Day 14]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Time to Cmax (Tmax) (0-7) Following TID Dosing of GSK2982772 in Part A [Pre-dose, 20 and 40 minutes, 1 and 1 hour 30 minutes, 2, 3, 5, and 7 hours post dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Tmax (7-14) Following TID Dosing of GSK2982772 in Part A [7hours, 7 hours 20 and 40 minutes, 8 hours, 8 hours 30 minutes, 9, 10, 12, 14 hours post dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Tmax (14-24) Following TID Dosing of GSK2982772 in Part A [14 hours, 14 hours 20 and 40 minutes, 15 hours, 15 hours 30 minutes, 16, 17, 19, 22 and 24 hours post dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Tmax (0-12) Following BID Dosing of GSK2982772 in Part A [Pre-dose, 20 and 40 minutes, 1hour, 1 hour 30 minutes, 2, 3, 4, 6, 8, 10 hours and 12 hours post dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Tmax (12-24) Following BID Dosing of GSK2982772 in Part A [12 hours, 12 hours 20 and 40 minutes, 13 hours, 13 hours 30 minutes, 14, 15, 16, 19, 22 and 24 hours post dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772.Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Tmax (0-7) Following TID Dosing of GSK2982772 Part B [Pre-dose, 20 and 40 minutes, 1 hour, 1 hour 30 minutes, 2, 3, 5, 7 hours post dose on Days 1 and 14]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Tmax (7-14) Following TID Dosing of GSK2982772 in Part B [7hours and 7 hours 20 and 40 minutes, 8hours, 8 hours 30 minutes, 9, 10, 12, 14 hours post dose on Day 14]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Tmax (14-24) Following TID Dosing of GSK2982772 in Part B [14hours, 14 hours 20 and 40 minutes, 15 hours and 15 hours 30 minutes, 16, 17, 19, 22 and 24 hours post dose on Day 14]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Observed Trough Plasma Drug Concentration at 7 Hour (C7),Following TID Dosing of GSK2982772 in Part A [7 hours post-dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Observed Trough Plasma Drug Concentration at 14 Hours (C14) Following TID Dosing of GSK2982772 in Part A [14 hours post-dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • C24 Following TID Dosing of GSK2982772 in Part A [24 hours post-dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • C12 Following BID Dosing of GSK2982772 in Part A [12 hours post-dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772.Pharmacokinetic parameters were calculated by standard non-compartmental analysis. Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • C24 Following BID Dosing of GSK2982772 in Part A [24 hours post-dose on Day 1]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772.Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • C0 Following TID Dosing of GSK2982772 in Part B [Pre-dose on Day 14]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772.Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • C7 Following TID Dosing of GSK2982772 in Part B [7 hours post-dose on Days 1 and 14]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772.Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • C14 Following TID Dosing of GSK2982772 in Part B [14 hours post-dose on Day 14]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772.Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • C24 Following TID Dosing of GSK2982772 in Part B [24 hours post-dose on Day 14]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772.Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • AUC([0-7] Following TID Dosing of GSK2982772 in Fed State of Part B [Pre-dose, 20 and 40 minutes, 1 and 1 hour 30 minutes, 2, 3, 5, 7 hours on Days 9 and 11]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772.Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Cmax (0-7) Following TID Dosing of GSK2982772 in Fed State of Part B [Pre-dose, 20 and 40 minutes, 1 and 1 hour 30 minutes, 2, 3, 5, 7 hours on Days 9 and 11]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772.Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Tmax (0-7) Following TID Dosing of GSK2982772 in Fed State of Part B [Pre-dose, 20 and 40 minutes, 1 and 1 hour 30 minutes, 2, 3, 5, 7 hours on Days 9 and 11]: Blood samples were collected at indicated time-points for pharmacokinetic analysis of GSK2982772.Pharmacokinetic parameters were calculated by standard non-compartmental analysis.
  • Ratio of Plasma 4 Beta-hydroxycholesterol to Cholesterol: Part B [Pre-dose on Day 1 and 24 hours post first dose on Day 14]: Blood samples were collected into EDTA tubes and processed to plasma for 4 beta-hydroxycholesterol and cholesterol. Ratio of 4 beta-hydroxycholesterol to cholesterol is presented

+Eligibility

Sex: All, ages: 18 Years to 65 Years, accepts healthy volunteers

Inclusion Criteria:

* Subject must be 18 to 65 years of age inclusive, at the time of signing the informed consent.
* Healthy as determined by the Investigator or medically qualified designee based on a medical evaluation including medical history, physical examination, neurological examination, laboratory tests and cardiac monitoring. A subject with a clinical abnormality or laboratory parameter(s) which is/are not specifically listed in the inclusion or exclusion criteria, outside the reference range for the population being studied may be included only if the Investigator in consultation with the Medical Monitor (if required) agree and document that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures.
* Body weight >=50 kilograms (kg) and body mass index (BMI) within the range 19 - 30 kg per square meter (kg/m\^2) (inclusive).
* A male subject with a female partner of reproductive potential must agree to use contraception during the treatment period and for at least 90 days after the last dose of study treatment and refrain from donating sperm during this period. A female subject is eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies: not a woman of childbearing potential (WOCBP) or a WOCBP who agrees to follow the contraceptive guidance for a minimum of 28 days prior to the treatment period and for at least 30 days after the last administration of study drug. A WOCBP using a hormonal method of highly effective contraception must also agree to partner use of a male condom during the treatment period and for at least 30 days after the last administration of study drug.
* Capable of giving signed informed consent.

Exclusion Criteria:

* History or presence of or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study treatment; or interfering with the interpretation of data.
* History of herpes zoster (shingles) reactivation.
* Evidence of active or latent tuberculosis (TB) as documented by medical history and examination, chest x-rays (posterior anterior and lateral), and TB testing: either a positive tuberculin skin test (TST; defined as a skin induration >5 millimeter (mm) at 48 to 72 hours, regardless of Bacillus Calmette-Guerin (BCG) or other vaccination history) or a positive (not indeterminate) QuantiFERON-TB Gold test.
* ALT >1.5 times upper limit of normal (ULN).
* Bilirubin >1.5 times ULN (isolated bilirubin >1.5 times ULN is acceptable if bilirubin is fractionated and direct bilirubin <35%).
* Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
* ECG QT interval corrected for heart rate (QTc) >450 millisecond (msec).
* History of serious or recurrent infections or has had an active infection within 14 days of receiving study medication.
* History of diagnosis of obstructive sleep apnoea or significant respiratory disorder. Childhood asthma that has fully resolved is permitted.
* Part A: History of active suicidal ideation behavior (SIB) within the past 6 months or any history of attempted suicide in a subject's lifetime.
* History of current evidence of febrile seizures, epilepsy, convulsions, significant head injury, or other significant neurologic conditions.
* Past or intended use of over-the-counter or prescription medication, including herbal medications, within 7 days (or 14 days if the drug is a potential enzyme inducer) or 5 half-lives (whichever is the longest) prior to dosing.
* Subject received a vaccine (either live attenuated or now-live) within 30 days prior to randomization, or plans to receive a live attenuated vaccine within 30 days + 5 half-lives (32 days) of the last dose of study medication.
* Participation in the study would result in loss of blood or blood products in excess of 500 milliliters (mL) within a 56-day period.
* Exposure to more than 4 new chemical entities within 12 months prior to the first dosing day.
* The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the first dosing day in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer).
* Presence of Hepatitis B surface antigen (HBsAg) at screening Positive Hepatitis C antibody test result at screening.
* Positive pre-study drug/alcohol screen.
* Positive human immunodeficiency virus (HIV1 and 2) antibody test.
* Regular use of known drugs of abuse.
* Subjects with impaired renal function defined as Chronic Kidney Disease Epidemiology Collaboration (CKS-EPI) Creatinine > 1.6 mg/deciliter (mg/dL) with an age appropriate glomerular filtration rate (GFR) <= 60 (mL/minute/1.73 m\^2) estimated by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation.
* An elevated C-reactive protein (CRP) outside of the normal reference range.
* Regular alcohol consumption within 6 months prior to the study defined as: For United Kingdom (UK) - an average weekly intake of >14 units for males and females. One unit is equivalent to 8 grams (g) of alcohol: a half-pint (approximately 240 mL) of beer, 1 glass (125 mL) of wine or 1 (25 mL) measure of spirits.
* Cotinine or carbon monoxide levels indicative of smoking or history or regular use of tobacco- or nicotine-containing products within 6 months prior to screening.
* Sensitivity to any of the study treatments, or components thereof, or drug or other allergy that, in the opinion of the investigator or medical monitor, contraindicates participation in the study.
* Unwilling or unable to swallow multiple size 00 capsules as part of study participation.

PART B Specific exclusion criteria:

* History of SIB as measured using the Columbia Suicide Severity Rating Scale (C-SSRS) or a history of attempted suicide.
* A positive anti-nuclear antibody (ANA) outside of the normal reference range.
* Fasting total cholesterol >=300 mg/dL or triglycerides >=250 mg/dL.

+Posted results

Participant flow

MilestonePart A:GSK2982772 120 mg TID/240 mg TID/360 mg BIDPart A:GSK2982772 120 mg TID/240 mg TID/PlaceboPart A:GSK2982772 120 mg TID/Placebo/GSK2982772 360 mg BIDPart A:Placebo/GSK2982772 240 mg TID/360 mg BIDPart B:PlaceboPart B:GSK2982772 120 mg TIDPart B:GSK2982772 240 mg TIDPart B:GSK2982772 360 mg BID
Started33330000
Completed32330000
Not completed01000000

Outcome results

  • Number of Subjects With Adverse Events (AEs) and Serious AEs (SAEs): Part A (Primary), Count of participants, Participants: Part A:Placebo 3; Part A:GSK2982772 120 mg TID 6; Part A:GSK2982772 240 mg TID 4; Part A:GSK2982772 360 mg BID 7
  • Number of Participants With AEs and SAEs: Part B (Primary), Count of participants, Participants: Part B:Placebo 9; Part B:GSK2982772 120 mg TID 17; Part B:GSK2982772 240 mg TID 12; Part B:GSK2982772 360 mg BID
  • Number of Participants With Worst Case Clinical Chemistry Parameters by Potential Clinical Importance Criteria: Part A (Primary), Count of participants, Participants: Part A:Placebo 0; Part A:GSK2982772 120 mg TID 0; Part A:GSK2982772 240 mg TID 0; Part A:GSK2982772 360 mg BID 0
  • Number of Participants With Worst Case Clinical Chemistry Parameters by Potential Clinical Importance Criteria: Part B (Primary), Count of participants, Participants: Part B:Placebo 0; Part B:GSK2982772 120 mg TID 0; Part B:GSK2982772 240 mg TID 0; Part B:GSK2982772 360 mg BID
  • Number of Participants With Worst Case Hematology Parameters by Potential Clinical Importance Criteria: Part A (Primary), Count of participants, Participants: Part A:Placebo 0; Part A:GSK2982772 120 mg TID 0; Part A:GSK2982772 240 mg TID 0; Part A:GSK2982772 360 mg BID 0
  • Number of Participants With Worst Case Hematology Parameters by Potential Clinical Importance Criteria: Part B (Primary), Count of participants, Participants: Part B:Placebo 0; Part B:GSK2982772 120 mg TID 0; Part B:GSK2982772 240 mg TID 0; Part B:GSK2982772 360 mg BID
  • Number of Participants With Worst Case Urinalysis Results: Part A (Primary), Count of participants, Participants: Part A:Placebo 3; Part A:GSK2982772 120 mg TID 1; Part A:GSK2982772 240 mg TID 1; Part A:GSK2982772 360 mg BID 1
  • Number of Participants With Worst Case Urinalysis Results: Part B (Primary), Count of participants, Participants: Part B:Placebo ; Part B:GSK2982772 120 mg TID 7; Part B:GSK2982772 240 mg TID 2; Part B:GSK2982772 360 mg BID
  • Number of Participants With Abnormal Vital Signs: Part A (Primary), Count of participants, Participants: Part A:Placebo 6; Part A:GSK2982772 120 mg TID 8; Part A:GSK2982772 240 mg TID 7; Part A:GSK2982772 360 mg BID 8
  • Number of Participants With Abnormal Vital Signs: Part B (Primary), Count of participants, Participants: Part B:Placebo 11; Part B:GSK2982772 120 mg TID 20; Part B:GSK2982772 240 mg TID 12; Part B:GSK2982772 360 mg BID
  • Number of Participants With Abnormal Electrocardiogram (ECG) Findings: Part A (Primary), Count of participants, Participants: Part A:Placebo 1; Part A:GSK2982772 120 mg TID 0; Part A:GSK2982772 240 mg TID 2; Part A:GSK2982772 360 mg BID 4
  • Number of Participants With Abnormal ECG Findings: Part B (Primary), Count of participants, Participants: Part B:Placebo 3; Part B:GSK2982772 120 mg TID 4; Part B:GSK2982772 240 mg TID 3; Part B:GSK2982772 360 mg BID
  • Area Under the Concentration-time Curve (AUC) From Time Zero to 24 Hours (AUC[0-24]) Following TID Dosing of GSK2982772: Part A (Secondary), Geometric mean, Hours*microgram per millilter: Part A:GSK2982772 120 mg TID 21.22 +/- 41.37; Part A:GSK2982772 240 mg TID 46.13 +/- 37.38
  • AUC(0-24) Following BID Dosing of GSK2982772: Part A (Secondary), Geometric mean, Hours*microgram per millilter: Part A:GSK2982772 360 mg BID 54.02 +/- 36.02
  • AUC[0-24] Following TID Dosing of GSK2982772: Part B (Secondary), Geometric mean, Hours*microgram per millilter: Part B:GSK2982772 120 mg TID 25.67 +/- 28.81; Part B:GSK2982772 240 mg TID 52.00 +/- 45.26
  • AUC (0-7) Following TID Dosing of GSK2982772 : Part A (Secondary), Geometric mean, Hours*microgram per millilter: Part A:GSK2982772 120 mg TID 6.053 +/- 33.87; Part A:GSK2982772 240 mg TID 11.686 +/- 33.50
  • AUC (7-14) Following TID Dosing of GSK2982772 : Part A (Secondary), Geometric mean, Hours*microgram per millilter: Part A:GSK2982772 120 mg TID 7.829 +/- 44.25; Part A:GSK2982772 240 mg TID 17.823 +/- 42.11
  • AUC (14-24) Following TID Dosing of GSK2982772 : Part A (Secondary), Geometric mean, Hours*microgram per millilter: Part A:GSK2982772 120 mg TID 7.213 +/- 48.85; Part A:GSK2982772 240 mg TID 16.300 +/- 39.72
  • AUC (0-12) Following BID Dosing of GSK2982772 in Part A (Secondary), Geometric mean, Hours*microgram per millilter: Part A:GSK2982772 360 mg BID 21.80 +/- 24.41
  • AUC (12-24) Following BID Dosing of GSK2982772 in Part A (Secondary), Geometric mean, Hours*microgram per millilter: Part A:GSK2982772 360 mg BID 31.69 +/- 48.02
  • 32 more outcome measures not shown.

Adverse events

Time frame: On-treatment SAEs and non serious AEs were collected from the start of study treatment up to Day 14 for Part A and up to Day 28 for Part B.

ArmDeathsSerious adverse eventsOther adverse events
Part A: Placebo0/9 (0.0%)0/9 (0.0%)3/9 (33.3%)
Part A:GSK2982772 120 mg TID0/9 (0.0%)0/9 (0.0%)6/9 (66.7%)
Part A: GSK2982772 240 mg TID0/9 (0.0%)0/9 (0.0%)4/9 (44.4%)
Part A: GSK2982772 360 mg BID0/9 (0.0%)0/9 (0.0%)7/9 (77.8%)
Part B:Placebo0/14 (0.0%)1/14 (7.1%)9/14 (64.3%)
Part B: GSK2982772 120 mg TID0/20 (0.0%)0/20 (0.0%)17/20 (85.0%)
Part B: GSK2982772 240 mg TID0/13 (0.0%)0/13 (0.0%)12/13 (92.3%)
Part B: GSK2982772 360 mg BID000

Serious adverse events by term

TermOrgan systemPart A: PlaceboPart A:GSK2982772 120 mg TIDPart A: GSK2982772 240 mg TIDPart A: GSK2982772 360 mg BIDPart B:PlaceboPart B: GSK2982772 120 mg TIDPart B: GSK2982772 240 mg TIDPart B: GSK2982772 360 mg BID
Cerebrovascular accidentNervous system disorders0/90/90/90/91/140/200/130/0

Other adverse events by term

TermOrgan systemPart A: PlaceboPart A:GSK2982772 120 mg TIDPart A: GSK2982772 240 mg TIDPart A: GSK2982772 360 mg BIDPart B:PlaceboPart B: GSK2982772 120 mg TIDPart B: GSK2982772 240 mg TIDPart B: GSK2982772 360 mg BID
Dermatitis contactSkin and subcutaneous tissue disorders1/92/93/93/93/144/201/130/0
Abdominal painGastrointestinal disorders0/91/90/90/90/140/200/130/0
DyspepsiaGastrointestinal disorders0/90/90/91/90/140/200/130/0
Faeces softGastrointestinal disorders0/90/91/90/90/140/200/130/0
HaematocheziaGastrointestinal disorders0/90/91/90/90/140/200/130/0
NauseaGastrointestinal disorders0/91/90/90/90/142/201/130/0
ToothacheGastrointestinal disorders0/90/90/91/90/140/200/130/0
FlatulenceGastrointestinal disorders1/90/92/90/90/140/200/130/0
Ventricular tachycardiaCardiac disorders0/91/90/92/90/140/200/130/0
Supraventricular tachycardiaCardiac disorders0/90/90/91/90/140/200/130/0
Medical device site dermatitisGeneral disorders1/90/90/91/91/140/201/130/0
Influenza like illnessGeneral disorders0/90/90/91/90/140/201/130/0
ThirstGeneral disorders0/90/90/91/90/140/200/130/0
Back painMusculoskeletal and connective tissue disorders0/91/90/90/90/140/200/130/0
Muscle spasmsMusculoskeletal and connective tissue disorders0/91/90/90/90/140/200/130/0
Pain in extremityMusculoskeletal and connective tissue disorders0/90/90/91/90/140/200/130/0
Escherichia urinary tract infectionInfections and infestations0/90/91/90/90/140/200/130/0
NasopharyngitisInfections and infestations0/90/90/91/92/141/200/130/0
Abnormal dreamsPsychiatric disorders0/90/90/92/90/144/201/130/0
Productive coughRespiratory, thoracic and mediastinal disorders0/90/90/91/90/141/201/130/0
SneezingRespiratory, thoracic and mediastinal disorders0/90/91/90/90/140/200/130/0
Blood creatinine increasedInvestigations0/91/90/90/91/140/200/130/0
MetrorrhagiaReproductive system and breast disorders0/91/90/90/90/140/200/130/0
HypertensionVascular disorders0/91/90/90/90/140/200/130/0
HeadacheNervous system disorders0/90/90/90/92/143/202/130/0
DizzinessNervous system disorders0/90/90/90/91/141/202/130/0
LethargyNervous system disorders0/90/90/90/90/142/200/130/0
Catheter site bruiseGeneral disorders0/90/90/90/90/143/200/130/0
FatigueGeneral disorders0/90/90/90/90/143/200/130/0
ConstipationGastrointestinal disorders0/90/90/90/90/142/200/130/0
Nasal obstructionRespiratory, thoracic and mediastinal disorders0/90/90/90/91/142/200/130/0
Atrial tachycardiaCardiac disorders0/90/90/90/92/140/200/130/0
Catheter site painGeneral disorders0/90/90/90/91/140/200/130/0
Catheter site swellingGeneral disorders0/90/90/90/90/140/201/130/0
Feeling hotGeneral disorders0/90/90/90/91/140/200/130/0
Vessel puncture site painGeneral disorders0/90/90/90/90/140/201/130/0
SomnolenceNervous system disorders0/90/90/90/90/141/200/130/0
TremorNervous system disorders0/90/90/90/90/141/200/130/0
RashSkin and subcutaneous tissue disorders0/90/90/90/90/140/201/130/0
DiarrhoeaGastrointestinal disorders0/90/90/90/90/140/201/130/0
Dry mouthGastrointestinal disorders0/90/90/90/90/141/200/130/0
Hypoaesthesia oralGastrointestinal disorders0/90/90/90/90/140/201/130/0
TachycardiaCardiac disorders0/90/90/90/90/140/201/130/0
HordeolumInfections and infestations0/90/90/90/90/141/200/130/0
Oral herpesInfections and infestations0/90/90/90/91/140/200/130/0
Upper respiratory tract infectionInfections and infestations0/90/90/90/90/141/200/130/0
AnxietyPsychiatric disorders0/90/90/90/90/140/201/130/0
Mood alteredPsychiatric disorders0/90/90/90/90/140/201/130/0
NightmarePsychiatric disorders0/90/90/90/90/140/201/130/0
Nasal congestionRespiratory, thoracic and mediastinal disorders0/90/90/90/91/141/200/130/0
Dry throatRespiratory, thoracic and mediastinal disorders0/90/90/90/91/140/200/130/0
Oropharyngeal painRespiratory, thoracic and mediastinal disorders0/90/90/90/90/141/200/130/0
Throat irritationRespiratory, thoracic and mediastinal disorders0/90/90/90/90/140/201/130/0
PolyuriaRenal and urinary disorders0/90/90/90/90/140/201/130/0
PollakiuriaRenal and urinary disorders0/90/90/90/90/140/201/130/0
Post procedural complicationInjury, poisoning and procedural complications0/90/90/90/90/141/200/130/0
Seasonal allergyImmune system disorders0/90/90/90/91/140/200/130/0
Ocular hyperaemiaEye disorders0/90/90/90/90/140/201/130/0
Ear disorderEar and labyrinth disorders0/90/90/90/90/141/200/130/0
Hot flushVascular disorders0/90/90/90/90/140/201/130/0

7 more terms not shown.

+Locations (1)

FacilityCityCountryStatus
GSK Investigational SiteCambridgeUnited Kingdom

+Publications

  • Results publication: Tompson DJ, Davies C, Scott NE, Cannons EP, Kostapanos M, Gross AS, Powell M, Ino H, Shimamura R, Ogura H, Nagakubo T, Igarashi H, Nakano A. Comparison of the Pharmacokinetics of RIPK1 Inhibitor GSK2982772 in Healthy Western and Japanese Subjects. Eur J Drug Metab Pharmacokinet. 2021 Jan;46(1):71-83. doi: 10.1007/s13318-020-00652-2. PMID 33165774

+Study documents

+Investigators

  • GSK Clinical Trials, Study director, GlaxoSmithKline

+Funding

NIH grants: 2017

My Notes