Phase 2
Completed N=8
Study to Compare the Safety and Anti-HIV Effect of GSK1265744 Versus Placebo in HIV-1 Infected Adults (ITZ112929)
Infection, Human Immunodeficiency Virus
Source: ClinicalTrials.gov NCT00920426 ↗
Enrolled (actual)
8
Serious AEs
0.0%
Results posted
Dec 2017
Primary outcomePrimary: Change From Baseline in Plasma Human Immunodeficiency Virus (HIV-1) Ribonucleic Acid (RNA) to Day 11 — -2.169; -0.092 log10 copies/mL — p=<0.001
Summary
The purpose of this randomized, double-blinded study is to test the safety of GSK1265744 and how well it works on reducing the amount of HIV in the blood. It will also look at how people react to and how a human body uses GSK1265744. This study will compare the effects of GSK1265744 and placebo.
The study will consist of 1 or 2 parts to look at doses of GSK1265744. About 8 people will take part in Part 1 of the study receiving dose A. If additional dosing information is needed after Part 1, about 6 people will take part in Part 2 of the study receiving dose B.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Change From Baseline in Plasma Human Immunodeficiency Virus (HIV-1) Ribonucleic Acid (RNA) to Day 11 |
-2.169; -0.092 | <0.001 sig |
| PRIMARY GSK1265744 Pharmacokinetic (PK) Parameters Following Dose Administration on Day 1: Area Under the Concentration-time Curve From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration Within a Participant Across All Treatments(AUC[0-24]) |
7.53 | — |
| PRIMARY GSK1265744 PK Parameters Following Dose Administration on Day 1: Concentration at 24 Hours Post Dose (C24) |
0.23 | — |
| PRIMARY GSK1265744 PK Parameters Following Dose Administration on Day 10: Area Under the Concentration-time Curve Over the Dosing Interval (AUC[0-tau]) |
17.74 | — |
| PRIMARY GSK1265744 PK Parameters Following Dose Administration on Day 10: Predose Concentration (C0), Concentration at End of Dosing Interval (Ctau), Minimum Observed Concentration During One Dosing Interval (Cmin) |
0.54; 0.57; 0.53 | — |
| PRIMARY GSK1265744 PK Parameters Following Dose Administration on Day 1 and Day 10: Maximum Observed Concentration (Cmax) |
0.52; 1.02 | — |
| PRIMARY GSK1265744 PK Parameters Following Dose Administration on Day 1 and Day 10: Time to Cmax (Tmax) |
2.00; 2.00 | — |
| PRIMARY GSK1265744 PK Parameters Following Dose Administration on Day 1 and Day 10: Terminal Half-life (t1/2) and Absorption Lag Time (Tlag) |
— | — |
| PRIMARY GSK1265744 PK Parameters Following Last Repeat Administration on Day 10: Apparent Clearance Following Oral Dosing (CL/F) |
0.28 | — |
| PRIMARY Number of Participants With Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs) |
0; 2; 3; 0; 0; 0 | — |
| PRIMARY Change From Baseline in Hematology Parameters: Basophils, Eosinophils, Lymphocytes, Monocytes, Total Neutrophils (ANC- Absolute Neutrophil Count), White Blood Cell Count |
0.017; 0.005; 0.007; 0.015; 0.009; 0.020 | — |
| PRIMARY Change From Baseline in Hematology Parameters: Hemoglobin |
0.13; -0.30; 0.06; 0.00; -0.17; -0.15 | — |
| PRIMARY Change From Baseline in Hematology Parameters: Mean Corpuscle Hemoglobin |
-0.03; 0.25; 0.37; 0.30; 0.00; 0.40 | — |
| PRIMARY Change From Baseline in Hematology Parameters: Mean Corpuscle Volume |
1.0; 0.5; 1.0; -0.5; 1.7; 0.0 | — |
| PRIMARY Change From Baseline in Hematology Parameters: Platelet Count |
10428.6; 5000.0; 15142.9; 2500.0; 8000.0; 9500.0 | — |
| PRIMARY Change From Baseline in Hematology Parameters: Red Blood Cell Count |
0.03; -0.15; -0.06; -0.05; -0.09; -0.10 | — |
| PRIMARY Change From Baseline in Hematology Parameters: Reticulocytes |
5.51; 9.45; 13.79; -6.50; 13.79; 21.30 | — |
| PRIMARY Change From Baseline in Clinical Chemistry Data: Albumin, Total Protein |
0.16; 0.00; 0.08; 0.05; 0.06; 0.15 | — |
| PRIMARY Change From Baseline in Clinical Chemistry Data: Alkaline Phosphatase, Alanine Amino Transferase, Aspartate Amino Transferase, Creatine Kinase, Lipase |
1.6; -3.5; 0.5; -5.0; -2.4; -4.0 | — |
| PRIMARY Change From Baseline in Direct Bilirubin, Total Bilirubin, Calcium, Cholesterol, Creatinine, Glucose, High Density Lipoprotein (HDL) Cholesterol Direct, Low Density Lipoprotein (LDL) Cholesterol Calculation, Triglycerides, Urea/Blood Urea Nitrogen |
-0.04; -0.05; -0.10; -0.05; -0.06; 0.00 | — |
| PRIMARY Change From Baseline in Clinical Chemistry Data: Chloride, Carbon Dioxide Content/Bicarbonate, Magnesium, Sodium, Potassium |
0.0; 2.0; -0.2; 2.0; -0.7; 2.0 | — |
| PRIMARY Number of Participants With Urinalysis Data |
7; 2; 7; 2; 7; 2 | — |
| PRIMARY Change From Baseline in Vital Sign: Systolic and Diastolic Blood Pressure |
1.2; 5.8; 1.8; 5.8; -2.5; -4.3 | — |
| PRIMARY Change From Baseline in Vital Sign: Heart Rate |
-7.0; -5.8; 5.3; -5.8; 6.3; -1.8 | — |
| PRIMARY Change From Baseline in Electrocardiogram (ECG) Parameters |
0.0; 1.0; 4.0; 5.0; -0.9; 0.0 | — |
| SECONDARY Change From Baseline in Plasma HIV-1 RNA |
0.000; 0.000; -0.126; 0.058; -0.618; -0.299 | — |
| SECONDARY Change From Baseline in Plasma HIV-1 RNA to Nadir Over 11 Days |
-2.199; -0.418 | <0.001 sig |
| SECONDARY Plasma HIV-1 RNA Rate of Decline (Slope) Over 11 Days |
-0.2313; 0.0013 | <0.0001 sig |
| SECONDARY Number of Participants With HIV-1 RNA<400 Copies/mL |
2; 0; 4; 0; 4; 0 | — |
| SECONDARY Number of Participants With HIV-1 RNA<50 Copies/mL |
2; 0; 3; 0; 2; 0 | — |
| SECONDARY Change From Baseline in CD4+ Cell Count to Day 11 |
71.0; -84.0 | — |
| SECONDARY Pre-morning Dose Concentrations (C0) on Day 2 Through 10 to Assess the Achievement of Steady State of GSK1265744 Following Repeat Administration |
0.2363; 0.3539; 0.4128; 0.5239; 0.5744; 0.5688 | — |
| SECONDARY Accumulation Ratios for AUC, Cmax, and Ctau |
2.355; 1.961; 2.483 | — |
| SECONDARY Day 1 AUC(0-24) at Different Doses for the Assessment of Dose Proportionality Using Power Model |
0.952 | — |
| SECONDARY Day 1 Cmax and C24 at Different Doses for the Assessment of Dose Proportionality Using Power Model |
0.950; 0.949 | — |
| SECONDARY Day 10 AUC(0-tau) at Different Doses for the Assessment of Dose Proportionality Using Power Model |
0.988 | — |
| SECONDARY Day 10 Cmax, C0 and Ctau at Different Doses for the Assessment of Dose Proportionality Using Power Model |
1.025; 0.936; 0.980 | — |
Eligibility Criteria
Inclusion Criteria
A subject will be eligible for inclusion in this study only if all of the following criteria apply:
- Male or female between 18 and 65 years of age inclusive, at the time of signing the informed consent.
- A female subject is eligible to participate if she is of non-childbearing potential, defined as:
- Pre-menopausal females with a documented bilateral oophorectomy, tubal ligation or hysterectomy; or
- Postmenopausal defined as 12 months of spontaneous amenorrhea. A follicle stimulating hormone level will be performed to confirm post-menopausal status. For this study, FSH levels > 40 MlU/ml and estradiol 3ULN at Screening. A single repeat is allowed for eligibility determination.
- Inadequate renal function at Screening, defined as either a serum creatinine >1.5 mg/dL or a calculated creatinine clearance (CrCl) ≤ 50 mL/min. A single repeat serum creatinine is allowed to determine eligibility.
- Any acute laboratory abnormality at screening which, in the opinion of the investigator, should preclude the subject's participation in the study of an investigational compound. Any grade 4 laboratory abnormality at screening, with the exception of CPK, will exclude a subject from study participation unless the investigator can provide a compelling explanation for the laboratory result(s) and has the assent of the sponsor. A single repeat is allowed for eligibility determination.
- A positive drug screen at screening and baseline. A minimum list of drugs that will be screened for include amphetamines, barbiturates, cocaine or PCP.
- History of regular alcohol consumption, defined as an average weekly intake of >14 drinks for males or >7 drinks for females, within 6 months of Screening.
Note: One drink is equivalent to 12 g of alcohol: 12 ounces (360 ml) of beer, 5 ounces (150 ml) of wine or 1.5 ounces (45 ml) of 80 proof distilled spirits.
- Any condition (including alcohol or drug abuse) which, in the opinion of the investigator, could interfere with the subject's ability to comply with the dosing schedule and protocol evaluations or which might compromise the safety of the subject.
- Prior treatment with an integrase inhibitor (greater than or equal to 1 dose).
- Treatment with radiation therapy or cytotoxic chemotherapeutic agents within 30 days of study drug administration or anticipated need for such treatment within the study.
- Treatment with immunomodulating agents (such as systemic corticosteroids, interleukins, interferons) or any agent with known anti-HIV activity (such as hydroxyurea or foscarnet) within 30 days of study drug administration.
- Treatment with any vaccine within 30 days prior to receiving study medication.
- An active Center for Disease Control and Prevention (CDC) Category C disease, except cutaneous Kaposi's sarcoma not requiring systemic therapy during the trial.
- Pregnant females as determined by positive serum or urine hCG test at screening or prior to dosing.
- Lactating females.
- Use of multivitamins or antacids within 24 hours prior to the first dose of investigational product.
- History of sensitivity to any of the study medications, or components thereof or a history of drug or other allergy that, in the opinion of the investigator or GSK Medical Monitor, contraindicates their participation. In addition, if heparin is used during PK sampling, subjects with a history of sensitivity to heparin or heparin-induced thrombocytopenia should not be enrolled.
Note: Study medications refer to GSK1265744 or placebo.
- 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).
- Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period.
- History of clinically relevant pancreat
Data sourced from ClinicalTrials.gov (NCT00920426). 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. Informational only — not medical advice.