Phase 2
N=80
Study to Test GSK256073 in Patients With Dyslipidemia
Dyslipidaemias · Dyslipidemias
Bottom Line
View on ClinicalTrials.gov: NCT00903617 ↗Enrolled (actual)
80
Serious AEs
0.0%
Results posted
Sep 2017
Primary outcome: Primary: The GSK256073 Area Under Concentration-time Curve (AUC) and High Density Lipoprotein Cholesterol (HDLc) Data to Evolve the Exposure-response Pharmacokinetic/Pharmacodynamic (PK/PD) Relationship for Changes in HDLc Levels
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- GSK256073 (Drug); Placebo (Drug); Niaspan (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- GlaxoSmithKline
- Primary completion
- Feb 2010
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY The GSK256073 Area Under Concentration-time Curve (AUC) and High Density Lipoprotein Cholesterol (HDLc) Data to Evolve the Exposure-response Pharmacokinetic/Pharmacodynamic (PK/PD) Relationship for Changes in HDLc Levels |
— | — |
| SECONDARY Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) |
8; 12; 17; 14; 0; 0 | — |
| SECONDARY Number of Participants With Electrocardiography (ECG) Findings |
9; 5; 8; 13; 10; 15 | — |
| SECONDARY Change From Baseline in Vital Signs-Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) |
-2.1; -0.1; -1.0; 1.1; -2.6; 0.8 | — |
| SECONDARY Change From Baseline in Vital Signs-Heart Rate |
1.4; -0.5; 1.9; 1.1; -1.2; -1.9 | — |
| SECONDARY Number of Participants With Abnormal Hematology Values |
0; 0; 0; 0 | — |
| SECONDARY Number of Participants With Abnormal Clinical Chemistry Values |
0; 1; 0; 0; 1; 0 | — |
| SECONDARY Number of Participants With Abnormal Urinalysis Results |
0; 0; 1; 0; 0; 1 | — |
| SECONDARY Average Global Flushing Score |
15; 16; 8; 15; 2; 2 | — |
| SECONDARY Number of Participants With Self Reported Assessment of Flushing |
17; 14; 9; 18; 15; 17 | — |
| SECONDARY Average Number of Flushing Episodes |
15; 16; 8; 15; 3; 1 | — |
| SECONDARY Average Time to Onset of Flushing |
9.1; 3.6; 1.0; 4.1 | — |
| SECONDARY Participant's Average Duration of Flushing |
36.7; 151.7; 60.0; 72.1 | — |
| SECONDARY Number of Participants Who Withdrew Due to Flushing |
0; 0; 0; 0 | — |
| SECONDARY Mean Episode of Flushing as Measured by Visual Analogue Scale (VAS) |
9.0; 31.8; 24.9; 17.1 | — |
| SECONDARY Percent Change From Baseline in Fasting Plasma HDLc and Apolipoprotein A-I (ApoA1) Concentrations Over Eight Weeks of Administration With GSK256073 or Placebo |
-2.7; -5.7; -5.9; -2.2; 1.4; -1.8 | — |
| SECONDARY Percent Change From Baseline in Fasting Levels of Total Cholesterol (TC), Triglyceride (TG), Glucose, Low Density Lipoprotein Cholesterol (LDLc), Apolipoprotein A2 (ApoAII), Apolipoprotein B (ApoB) Over 8 Weeks of Administration With GSK256073 or Placebo |
-9.9; -6.9; -4.7; 0.1; 7.2; 3.4 | — |
| SECONDARY Percent Change From Baseline in Insulin Over Eight Weeks of Administration With GSK256073 or Placebo |
23.1; 21.2; 25.3; -2.8; 9.1; 16.3 | — |
| SECONDARY Percent Change From Baseline in Lipoprotein (a) (Lp[a]) Over Eight Weeks of Administration With GSK256073 or Placebo |
1.8; -10.3; 4.5; -4.6; -6.6; -11.3 | — |
| SECONDARY Percent Change From Baseline in Non-esterified Fatty Acids (NEFA) Over Eight Weeks of Administration With GSK256073 or Placebo |
32.1; 16.8; 29.1; 24.4; 38.8; 37.4 | — |
| SECONDARY Plasma PK- Maximum Observed Concentration (Cmax) |
923.709; 7223.709; 22961.25 | — |
| SECONDARY Plasma PK- Time of Occurrence of Cmax (Tmax) |
2.417; 1.350; 2.500 | — |
| SECONDARY Plasma PK- AUC(0-t) |
8352.281; 75587.96; 340551.4 | — |
Summary
This is a two part study (Part A and Part B) that will first aim to establish the PK/PD relationship between exposure and lipid effects (Part A: 75 subjects), and will then confirm the effect using the most relevant dose(s) (Part B: ~90 subjects). Doses of 5mg, 50mg and 150mg of GSK256073 will be administered in Part A, and the dose(s) for Part B will be based on the PK/PD data from Part A. Data from Part A and Part B will be combined to decrease overall subject numbers needed in part B. Part B of the study will include a niaspan arm for relative comparison of the effects of GSK256073 and niacin on lipids and flushing
Eligibility Criteria
Inclusion Criteria
- Signed written informed consent prior to beginning study-related procedures. Subjects must understand the aims, investigational procedures and possible consequences of the study and must be able to understand and comply with protocol requirements, instructions and protocol-stated restrictions.
- Male or female 18-75 years of age at screening.
- A female subject is eligible to participate if she is of non-childbearing potential defined as pre-menopausal females with a documented tubal ligation or hysterectomy; or postmenopausal defined as 12 months of spontaneous amenorrhea.
- Male subjects must agree to use one of several pre-specified contraception methods. This criterion must be followed from the time of the first dose of study medication until three days following the last dose.
- Body weight > 50 kg (110 pounds) and body mass index (BMI) between 19 and 39 (inclusive)
- LDLc concentration ≥100 mg/dL at screening and within 4 weeks of randomization (if screening occurs > 4 weeks prior to randomization)
- Fasting triglyceride concentration ≤ 300 mg/dL at screening and within 4 weeks of randomization (if screening occurs > 4 weeks prior to randomization)
- HDLc ≤ 45 mg/dL for males or ≤ 55 mg/dL for females at screening and within 4 weeks of randomization (if screening occurs > 4 weeks prior to randomization)
- Subject currently receiving lipid-modifying medication(s) must agree to stop medication(s) for at least 6 weeks prior to randomization. After this washout period LDL, TG and HDL values must be remeasured and meet the above criteria prior to randomization in the study
- AST and ALT 1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin 20% while on or titrated off lipid lowering medication. Subjects pending diagnostic procedures for any of those conditions at the time of screening will not be eligible for participation.
- Renal impairment (for males) as defined by a calculated GFR 200 mg/dl or fasting glucose > 125 mg/dL or currently taking diabetes medications to manage fasting glucose levels (e.g. glitazones, sulfonylureas, insulin, metformin, etc.).
- History of anemia or treatment of anemia within 12 months of screening or Hgb or Hct below the lower limit of reference range for age and gender at screening
- History of pancreatitis
- Any concurrent serious illness (e.g., severe COPD, HIV positive, liver cirrhosis, history of malignancy other than skin cancer within 5 years of initial diagnosis or with evidence of recurrence) that may interfere with a subject from completing the study
- Active peptic ulcer disease (PUD) and/or history of PUD or other gastrointestinal bleeding within 12 months prior to screening.
- History of kidney stones
- History of gout and/or hyperuricemia or taking drugs for hyperuricemia: allopurinol and/or probenecid
- History of Gilbert's syndrome
- Current inadequately controlled hypertension (blood pressure ≥160 mmHg systolic or ≥100 mmHg diastolic at screening). If blood pressure medication is changed, blood pressure will be re-measured after 6 weeks and must again meet these criteria.
- An unwillingness of subjects currently taking aspirin to reduce the daily dose to 81 mg starting 2 weeks prior to first dose and until the follow-up visit.
- Creatinine phosphokinase (CPK) 2X ULN at screening.
- A serum uric acid exceeding by ≥ 15% the upper limit of the reference range at screening.
- PT and/or aPTT above the reference range.
- A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening.
- The subject has a positive pre-study drug screen. A minimum list of drugs that will be screened for include amphetamines, barbiturates, cocaine, opiates, cannabinoids and benzodiazepines.
- History of regular alcohol consumption within 6 months of the study defined as:
- An average weekly intake of >14 drinks/week for men or >7 drinks/week for women. One drink is equivalent to (12 g alcohol) = 5 ounces (150 m
Data sourced from ClinicalTrials.gov (NCT00903617). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.