Phase 2
N=106
A Dose-Ranging Study Evaluating the Efficacy, Safety, and Tolerability of GSK2140944 in the Treatment of Uncomplicated Urogenital Gonorrhea Caused by Neisseria Gonorrhoeae
Gonorrhea
Bottom Line
View on ClinicalTrials.gov: NCT02294682 ↗Enrolled (actual)
106
Serious AEs
0.0%
Results posted
May 2017
Primary outcome: Primary: Number of Participants With Culture-confirmed Bacterial Eradication of Urogenital Neisseria Gonorrhoeae at the Test-of-Cure Visit — 29; 37 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- GSK2140944 (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- GlaxoSmithKline
- Primary completion
- Jul 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Culture-confirmed Bacterial Eradication of Urogenital Neisseria Gonorrhoeae at the Test-of-Cure Visit |
29; 37 | — |
| SECONDARY Number of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE) |
27; 34; 0; 0 | — |
| SECONDARY Change From Baseline in Systolic and Diastolic Blood Pressure (BP) at the Indicated Time Points |
0.4; 1.3; -2.8; 0.5; 0.1; -0.9 | — |
| SECONDARY Change From Baseline in Pulse Rate at the Indicated Time Points |
-0.3; -1.4; 1.1; 2.2 | — |
| SECONDARY Change From Baseline in Temperature at the Indicated Time Points |
-0.126; -0.052; -0.121; -0.088 | — |
| SECONDARY Change From Baseline in Respiratory Rate at the Indicated Time Points |
-0.1; -0.3; 0.1; -0.1 | — |
| SECONDARY Number of Participants With Abnormal Electrocardiogram (ECG) Findings |
14; 12; 0; 0; 8; 9 | — |
| SECONDARY Number of Participants With Abnormal Physical Examination Finding |
2; 0; 0; 0; 1; 1 | — |
| SECONDARY Change From Baseline in Hemoglobin, Protein and Albumin at Test-of-Cure Visit (Day 4 to 8) |
-3.0; -3.9; -0.5; -0.8; -1.1; -2.0 | — |
| SECONDARY Change From Baseline in Hematocrit at Test-of-Cure Visit (Day 4 to 8) |
-0.0117; -0.0155 | — |
| SECONDARY Change From Baseline in Lymphocyte, Monocyte, Neutrophil Basophil, Eosinophil, Leukocyte and Platelet Count at Test-of-Cure Visit (Day 4 to 8) |
0.141; 0.053; -0.013; 0.026; -0.834; -0.598 | — |
| SECONDARY Change From Baseline in Bilirubin, Direct Bilirubin and Creatinine at Test-of-Cure Visit (Day 4 to 8) |
-1.4; 0.4; -0.2; 0.2; 1.38; 2.01 | — |
| SECONDARY Change From Baseline in Alanine Aminotransferase, Aspartate Aminotransferase and Alkaline Phosphatase at Test-of-Cure Visit (Day 4 to 8) |
1.2; 1.8; 2.0; 2.5; -1.8; -2.2 | — |
| SECONDARY Change From Baseline in Chloride, Calcium, Glucose, Potassium, Sodium and Urea at Test-of-Cure Visit (Day 4 to 8) |
0.7; 0.3; -0.017; -0.047; -0.18; -0.02 | — |
| SECONDARY Change From Baseline in Erythrocytes at Test-of-Cure Visit (Day 4 to 8) |
-0.10; -0.15 | — |
| SECONDARY Change From Baseline in Erythrocytes Mean Corpuscular Hemoglobin at Test-of-Cure Visit (Day 4 to 8) |
0.08; 0.12 | — |
| SECONDARY Change From Baseline in Erythrocytes Mean Corpuscular Volume at Test-of-Cure Visit (Day 4 to 8) |
-0.3; -0.2 | — |
| SECONDARY Number of Participants With Abnormal Urinalysis Dipstick Results |
48; 53; 1; 0; 0; 0 | — |
Summary
GSK2140944 has demonstrated in vitro activity against Neisseria (N.) gonorrhoeae, including ciprofloxacin resistant and susceptible strains. This study is a Phase II, randomized, multicenter, open-label, dose ranging study designed to inform the optimal oral dose of GSK2140944 by further characterizing the efficacy, safety, and tolerability in subjects with uncomplicated urogenital gonorrhea due to N. gonorrhoeae. Subjects will be randomly assigned to receive either a single 1500 milligrams (mg) or 3000 mg oral dose of GSK2140944. Appropriate safety and microbiological assessments will be conducted at the Baseline (Day 1) Visit and repeated at the Test-of-Cure (Day 4 to 8) Visit. The study duration will be approximately 1 week. Approximately 60 microbiologically evaluable subjects (30 subjects in each treatment arm) will complete the study if both arms remain active throughout the study.
Eligibility Criteria
Inclusion Criteria
- The subject is an adult male or female at least 18 years of age at the time of signing informed consent who meets one of the following criteria:
- A non-pregnant, non-lactating female of childbearing potential who 1) is sexually inactive by abstinence, 2) has a sole male partner who has been sterilized, or 3) uses a contraceptive method with a failure rate of 40 milli international units (mIU)/millilitre (mL) and estradiol =40.0 kilograms (kg)/square meter (m^2).
- The subject has a serious underlying disease that could be imminently life threatening, or the subject is unlikely to survive for the duration of the study period.
- The subject has a medical condition or requires medication that may be aggravated by inhibition of acetylcholinesterase, such as: Poorly controlled asthma or chronic obstructive pulmonary disease at baseline and, in the opinion of the investigator, is not stable on current therapy; Acute severe pain, uncontrolled with conventional medical management; Active peptic ulcer disease; Parkinson's disease; Myasthenia gravis; A history of seizure disorder requiring medications for control. This does not include a history of childhood febrile seizures; Any evidence of mechanical obstruction of the urinary or digestive tracks.
- The subject has had any past history or current diagnosis of Clostridium difficile infection at the time of the Baseline Visit.
- The subject, in the judgment of the investigator, would not be able or willing to comply with the protocol or complete study follow-up.
- The subject has a history of sensitivity to the study medication, or components thereof, or a history of a drug or other allergy that, in the opinion of the investigator or medical monitor, contraindicates their participation.
- The subject has a PR interval 220 milliseconds (msec). Note: Subjects without an evaluable PR interval (e.g., stable atrial fibrillation) are not eligible for this study.
- The subject has a corrected QT (QTc) >450 msec or a QTc >480 msec for subjects with bundle branch block. Note: The QTc is the QT interval corrected for heart rate according to either Bazett formula (QTcB), Fridericia formula (QTcF), machine, or manual overread.
- The subject has QRS duration 120 msec.
- The subject has pre-existing Grade II atrioventricular block or higher or a history of significant vasovagal and/or syncopal episodes or episodes of symptomatic bradycardia.
- The subject has a current or chronic history of liver disease (with the exception of Gilbert's syndrome), including symptomatic viral hepatitis and moderate to severe liver insufficiency (Child Pugh class B or C).
- The subject has been previously enrolled in this study or has previously been treated with GSK2140944.
- The subject has participated in a clinical trial and has received an investigational product within 30 days or 5 half-lives, whichever is longer.
- The subject has the following gonococcal infections: Suspected or confirmed pelvic inflammatory disease; Suspected or confirmed gonococcal arthritis; Other evidence of disseminated gonococcal infection.
- The subject has received treatment with a systemic or intravaginal antibacterial within 14 days of study entry.
- Subject is taking a medication that has a known risk of torsades de pointes.
Data sourced from ClinicalTrials.gov (NCT02294682). 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.