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Phase 2 Completed N=6 Randomized Triple-blind Treatment

A Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Administering Multiple Oral Doses of GSK1292263 Alone and With Atorvastatin

Dyslipidaemias · Dyslipidemias
Source: ClinicalTrials.gov NCT01218204 ↗
Enrolled (actual)
6
Serious AEs
0.0%
Results posted
Nov 2017
Primary outcomePrimary: Number of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)- Part A — 0; 2; 0; 0 Participants

Summary

This study investigates the safety, pharmacokinetics and effects of GSK1292263 when taken alone or when co-dosed with atorvastatin to subjects with dyslipidemia.

Outcome Measures

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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