A Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Administering Multiple Oral Doses of GSK1292263 Alone and With Atorvastatin
Summary
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)- Part A |
0; 2; 0; 0 | — |
| PRIMARY Number of Participants With Any AEs and SAEs- Part B (Washout) |
14; 37; 0; 0 | — |
| PRIMARY Number of Participants With Any AEs and SAEs- Part B (Run-in) |
19; 8; 0; 0 | — |
| PRIMARY Number of Participants With Any AEs and SAEs- Part B (Pooled Treatment Arm) |
6; 2; 3; 3; 4; 6 | — |
| PRIMARY Number of Participants With Abnormal- Clinically Significant Electrocardiogram (ECG) Findings- Part A |
0; 0 | — |
| PRIMARY Number of Participants With Abnormal Clinically Significant ECG Findings- Part B (Washout) |
1; 1 | — |
| PRIMARY Number of Participants With Abnormal Clinically Significant ECG Findings- Part B (Run-in) |
0; 0 | — |
| PRIMARY Number of Participants With Abnormal Clinically Significant ECG Findings- Part B (Pooled Treatment Arm) |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Vital Signs of Potential Clinical Importance (PCI)- Part A |
0; 1; 0; 0 | — |
| PRIMARY Number of Participants With Vital Signs of PCI- Part B (Washout) |
4; 1 | — |
| PRIMARY Number of Participants With Vital Signs of Potential Clinical Importance- Part B (Run-in) |
1; 0; 0; 0 | — |
| PRIMARY Number of Participants With Vital Signs of Potential Clinical Importance- Part B (Pooled Treatment Arm) |
0; 0; 1; 3; 2; 1 | — |
| PRIMARY Number of Participants With Abnormal Hematology Value of PCI- Part A |
2; 1; 2; 0; 1; 0 | — |
| PRIMARY Number of Participants With Abnormal Hematology Value of PCI- Part B (Washout) |
1; 1; 1; 2; 2 | — |
| PRIMARY Number of Participants With Abnormal Hematology Value of PCI- Part B (Run-in) |
0; 1; 0; 0 | — |
| PRIMARY Number of Participants With Abnormal Hematology Value of PCI- Part B (Pooled Treatment Arm) |
0; 1; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Abnormal Clinical Chemistry Value of PCI- Part A |
0; 0 | — |
| PRIMARY Number of Participants With Abnormal Clinical Chemistry Value of PCI- Part B (Washout) |
3; 2; 1; 1; 3; 3 | — |
| PRIMARY Number of Participants With Abnormal Clinical Chemistry Value of PCI- Part B (run-in) |
1; 0; 5; 5; 1; 0 | — |
| PRIMARY Number of Participants With Abnormal Clinical Chemistry Value of PCI- Part B (Pooled Treatment Arm) |
2; 0; 0; 0; 1; 0 | — |
| PRIMARY Maximum Observed Concentration (Cmax) of GSK1292263- Part A |
976.335; 986.811; 1118.344; 948.764 | — |
| PRIMARY Cmax of GSK1292263- Part B (Pooled Treatment Arm) |
281.321; 475.297; 808.278; 790.315; 263.279; 478.676 | — |
| PRIMARY Time of Occurrence of Cmax (Tmax) and Terminal Phase Half-life (t1/2) GSK1292263- Part A |
6.000; 5.000; 3.000; 5.067; 11.185; 16.164 | — |
| PRIMARY Lag Time Before Observation of Drug Concentrations in Sampled Matrix (Tlag) of GSK1292263- Part A |
0.250; 0.000 | — |
| PRIMARY Tmax and t1/2 of GSK1292263- Part B (Pooled Treatment Arm) |
3.983; 5.008; 4.000; 4.000; 4.000; 4.000 | — |
| PRIMARY Tlag of GSK1292263- Part B (Pooled Treatment Arm) |
0.000; 0.000; 0.000; 0.000; 0.000; 0.000 | — |
| PRIMARY Area Under the Concentration-time Curve From Time Zero (Pre-dose) to 24 Hours [AUC(0-24)] of GSK1292263- Part A |
12953.89; 12032.21; 13206.52; 11890.40 | — |
| PRIMARY AUC(0-24) of GSK1292263- Part B (Pooled Treatment Arm) |
4218.02; 5373.78; 10384.24; 9812.21; 2753.61; 5342.77 | — |
| PRIMARY Trough Concentration of GSK1292263 |
— | — |
| PRIMARY Cmax of Atorvastatin- Part A |
45.587; 25.867; 38.443 | — |
| PRIMARY Cmax of Atorvastatin- Part B (Pooled Treatment Arm) |
2.045; 2.454; 1.683; 1.816; 2.003; 42.376 | — |
| PRIMARY Tmax of Atorvastatin- Part A |
3.000; 4.000; 2.250 | — |
| PRIMARY Tmax of Atorvastatin- Part B (Pooled Treatment Arm) |
2.500; 3.000; 3.983; 3.017; 4.000; 2.508 | — |
| PRIMARY AUC (0-24) of Atorvastatin- Part A |
219.27; 199.15; 187.25 | — |
| PRIMARY AUC (0-24) of Atorvastatin- Part B (Pooled Treatment Arm) |
23.16; 28.78; 19.26; 18.77; 19.59; 188.88 | — |
| PRIMARY Trough Concentration of Atorvastatin |
— | — |
| PRIMARY Percent Change From Baseline for Lipid Metabolism: Apolipoprotein A1 and Apolipoprotein B100 at Day 14 |
-1.93; -8.72; 4.17; -7.19; -3.88; -1.00 | — |
| PRIMARY Percent Change From Baseline in Lipid Metabolism: Apolipoprotein E at Day 14 (24 Hours) |
-21.97; -3.92; -31.41; 34.28; -12.27; -13.19 | — |
| PRIMARY Percent Change From Baseline in Lipid Metabolism: High Density Lipids Cholesterol (HDLc), Low Density Lipids Cholesterol (LDLc), Tryglycerides, Non-HDLc and Total Cholesterol at Day 14 (24 Hours) |
7.50; 14.97; 31.09; -0.03; 6.03; 26.22 | — |
| PRIMARY Percent Change From Baseline in Lipid Metabolism: LDL/HDL Ratio at Day 14 (24 Hours) |
-12.25; -21.12; -41.61; 0.94; -28.69; -34.35 | — |
| PRIMARY Weighted Mean Area Under Concentration Curve From 0 to 24 Hours (AUC [0-24]) Change From Baseline for Triglycerides at Day 14 |
0.13341; 0.30812; 0.12845; 0.25228; 0.09060; 0.04974 | — |
| SECONDARY Cmax of Atorvastatin Metabolite (2-Hydroxyatorvastatin)- Part A |
17.521; 15.535; 21.271 | — |
| SECONDARY Cmax of Atorvastatin Metabolite (2-Hydroxyatorvastatin)- Part B (Pooled Treatment Arm) |
1.298; 1.388; 0.947; 0.952; 1.185; 26.106 | — |
| SECONDARY Tmax of Atorvastatin Metabolite (2-Hydroxyatorvastatin)- Part A |
3.000; 4.000; 2.500 | — |
| SECONDARY Tmax of Atorvastatin Metabolite (2-Hydroxyatorvastatin)- Part B (Pooled Treatment Arm) |
4.500; 4.000; 5.000; 4.000; 4.000; 3.992 | — |
| SECONDARY AUC (0-24) of Atorvastatin Metabolite (2-Hydroxyatorvastatin)- Part A |
119.66; 127.70; 139.78 | — |
| SECONDARY AUC (0-24) of Atorvastatin Metabolite (2-Hydroxyatorvastatin)- Part B (Pooled Treatment Arm) |
16.72; 20.25; 14.37; 12.38; 12.41; 163.16 | — |
| SECONDARY Trough Concentration of Atorvastatin Metabolite (2-Hydroxyatorvastatin) |
— | — |
Eligibility Criteria
Inclusion Criteria
- Healthy adult males and females of non-child-bearing-potential, aged 18-75 years who is capable of giving informed consent.
- 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. In questionable cases, a blood sample with simultaneous follicle stimulating hormone (FSH) > 40 MlU/ml and estradiol 50 kg (110 pounds) and body mass index (BMI) between 19.0 and 39.0 (inclusive).
- Part A: (i) Subjects who are on 80mg or 40mg atorvastatin for >= 4 weeks and are tolerating the drug well, or (ii) Subjects not on lipid-modifying therapy who have a fasting low density lipoprotein cholesterol (LDLc) >= 130mg/dL.
- In Part B at Screening: Subjects who are on statins or Vytorin treatment for >= 4 weeks.
- Part B at the end of the 4 week washout: Subjects who have a fasting LDL cholesterol of >=120mg/dL and =100mg/dL and 1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin 200 mg/dl or fasting glucose > 125 mg/dL or currently taking diabetes medications to manage fasting glucose levels (e.g., thiazolidinediones, sulfonylureas, insulin, metformin).
- History of pancreatitis within 10 years of screening.
- Any concurrent serious illness (e.g., severe chronic obstructive pulmonary disease, sleep apnea, 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.
- Current or chronic history of liver disease, or known hepatic or biliary abnormalities.
- Active peptic ulcer disease and/or history of peptic ulcer disease or gastrointestinal bleeding within 12 months prior to screening.
- History of kidney stones within 10 years of screening.
- History of uncorrected thyroid dysfunction or an abnormal thyroid function test assessed by thyroid stimulating hormone (TSH) at Screening. (NOTE: subjects with hypothyroidism on a stable dose of thyroid replacement therapy for at least 3 months prior to screening and who have a screening TSH within the normal range may participate.)
- Symptomatic cholelithiasis or obstructive or inflammatory gallbladder disease within 3 months prior to screening.
- Gastrointestinal disease that could affect fat or bile acid absorption, or the pharmacokinetics or pharmacodynamics of the study drugs, including inflammatory bowel disease, chronic diarrhea, Crohn's disease or malabsorption syndromes within the past year.
- Gastrointestinal surgery that may affect the pharmacokinetics or pharmacodynamics of the study drugs.
Note: Subjects may be enrolled in the study if they have had a cholecystectomy three or more months before the time of screening and are stable and asymptomatic.
- Subjects taking ezetimibe monotherapy, fibrates, bile acid binding resins, nicotinic acid or fat absorption inhibitors are not eligible for Parts A and B.
- For females a hemoglobin = 160mmHg systolic or >= 100mmHg diastolic at screening). If blood pressure medication is changed as a result of screening, blood pressure will be re-measured after 6 weeks and must again meet these criteria.
- Significant electrocardiogram (ECG) abnormalities, defined as follows:
Heart Rate 100bpm PR Interval 220ms QRS duration 120ms QTC Interval (Bazett) > 450ms Or, has clinically significant rhythm abnormalities identified during 24-hour screening Holter assessment. Subjects with left bundle branch block are excluded from the study. Subjects with partial right bundle branch block may be considered for inclusion following consultation with the GlaxoSmithKline (GSK) Medical Monitor. Subjects with Wolf-Parkinson-White (WPW) syndrome are excluded from the study.
- Creatinine phosphokinase (CPK) >= 2x ULN at screening.
- A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screeni
Data sourced from ClinicalTrials.gov (NCT01218204). 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.