Phase 2
N=10
Safety and Efficacy Study of GSK2838232 in Human Immunodeficiency Virus (HIV)-1 Infected Adults
Infection, Human Immunodeficiency Virus · HIV Infections
Bottom Line
View on ClinicalTrials.gov: NCT03045861 ↗Enrolled (actual)
10
Serious AEs
0.0%
Results posted
May 2019
Primary outcome: Primary: Maximum Decline From Baseline in Plasma HIV-1 Ribonucleic Acid (RNA) — -42095.14; -49065.88; -32947.50; -33149.13 Copies per milliliter
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- GSK2838232 (Drug); Cobicistat (Drug)
- Age
- Adult · 18+ yrs
- Sex
- Male
- Sponsor
- GlaxoSmithKline
- Primary completion
- Apr 2018
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Maximum Decline From Baseline in Plasma HIV-1 Ribonucleic Acid (RNA) |
-42095.14; -49065.88; -32947.50; -33149.13 | — |
| PRIMARY Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) |
3; 3; 5; 5; 0; 0 | — |
| PRIMARY Number of Participants With Clinical Chemistry Abnormalities of Potential Clinical Importance |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Hematology Parameter Abnormalities of Potential Clinical Importance |
0; 0; 1; 1; 1; 1 | — |
| PRIMARY Number of Participants With Liver Function Laboratory Abnormalities of Potential Clinical Importance |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Abnormal Urine Parameters |
0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Abnormal Electrocardiogram (ECG) Findings |
5; 6; 8; 4; 0; 0 | — |
| PRIMARY Number of Participants With Vital Signs Data Outside Clinical Concern Range |
0; 0; 1; 0; 0; 0 | — |
| PRIMARY Number of Participants Who Were Administered Concomitant Medications |
2; 3; 3; 3 | — |
| PRIMARY Area Under the Plasma Concentration Time Curve From Zero (Pre-dose) to 24 Hours (AUC[0 to 24]) for GSK2838232 on Day 1 |
187; 453; 966; 2752 | — |
| PRIMARY Maximum Observed Concentration (Cmax) for GSK2838232 on Day 1 |
12.65; 32.39; 65.62; 190.0 | — |
| PRIMARY Time to Maximum Observed Concentration (Tmax) for GSK2838232 on Day 1 |
4.033; 3.250; 6.000; 4.000 | — |
| PRIMARY Absorption Lag Time (Tlag) for GSK2838232 on Day 1 |
1.083; 1.000; 0.500; 0.500 | — |
| PRIMARY Concentration of GSK2838232 at 24 Hours Post-dose on Day 1 |
5.890; 13.45; 30.72; 87.33 | — |
| PRIMARY Area Under the Concentration-time Curve Over the Dosing Interval (AUC [0 to Tau]) for GSK2838232 on Day 10 |
590; 1024; 2727; 5664 | — |
| PRIMARY Pre-dose Concentration (C0) of GSK2838232 on Day 10 |
20.02; 36.66; 75.31; 155.5 | — |
| PRIMARY Concentration at End of Dosing Interval (Ctau) for GSK2838232 on Day 10 |
19.24; 31.76; 78.98; 180.3 | — |
| PRIMARY Cmax for GSK2838232 on Day 10 |
32.65; 56.40; 157.9; 306.5 | — |
| PRIMARY Apparent Oral Clearance of GSK2838232 Following Administration on Day 10 |
33.91; 48.84; 36.67; 35.31 | — |
| PRIMARY Terminal Elimination Half-life (T1/2) of GSK2838232 Following Administration on Day 10 |
19.221; 16.298; 18.113; 16.351 | — |
| PRIMARY Tmax for GSK2838232 Following Administration on Day 10 |
6.000; 4.000; 6.000; 4.083 | — |
| SECONDARY Change From Baseline to Day 11 in log10 Plasma HIV-1 RNA Relative to Day 10 AUC (0 to Tau) |
-0.4979; -1.1671; -1.1745; -1.5994 | — |
| SECONDARY Change From Baseline to Day 11 in log10 Plasma HIV-1 RNA Relative to Day 10 Cmax |
-0.4979; -1.1671; -1.1745; -1.5994 | — |
| SECONDARY Change From Baseline to Day 11 in log10 Plasma HIV-1 RNA Relative to Day 10 Ctau |
-0.4979; -1.1671; -1.1745; -1.5994 | — |
| SECONDARY Change From Baseline in Cluster of Differentiation 4+ (CD4+) Cell Count to Day 11 |
-1.4; 52.0; 40.7; 11.1 | — |
| SECONDARY Change From Baseline to Day 11 in CD4+ Count Relative to Day 10 AUC (0 to Tau) |
-0.003 | — |
| SECONDARY Change From Baseline to Day 11 in CD4+ Count Relative to Day 10 Cmax |
-0.067 | — |
| SECONDARY Change From Baseline to Day 11 in CD4+ Count Relative to Day 10 Ctau |
-0.079 | — |
| SECONDARY Number of Participants With Emergent Drug Resistance Mutations |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Accumulation Ratio for GSK2838232 |
3.149; 2.004; 3.229; 2.211; 2.580; 1.498 | — |
| SECONDARY Dose Proportionality of GSK2838232 |
1.157; 1.158; 1.170; 1.012; 1.013; 0.988 | — |
| SECONDARY Pre-morning Dose Concentrations (C0) on Day 2 Through 11 |
6.08; 16.39; 34.17; 96.94; 13.99; 29.03 | — |
| SECONDARY Steady State Assessment of Plasma Pre-dose Concentrations by Treatment |
0.924; 0.999; 0.958; 0.961 | — |
Summary
GSK2838232 is a novel HIV-1 maturation inhibitor (MI) that is being developed for the treatment of HIV-1 infection in combination with other antiretroviral therapy (ART). This study will be a 10-day monotherapy, open-label, adaptive, dose ranging, repeat-dose study. This study will be conducted in two Parts (Part A and Part B) consisting single daily doses of GSK2838232 and Cobicistat from Day 1 to Day 10. This proof of concept open-label study will be aimed to characterize the acute antiviral activity, pharmacokinetics (PK), the relationship between PK and antiviral activity, and safety of GSK2838232/cobi administered across a range of doses over 10 days in HIV-1 infected patients. A cohort of 10 subjects will be studied in Part I followed by interim (go/no-go) analysis of Part A data. On completion of an interim analysis of part A data, further cohorts of 8 subjects will then be studied in Part B in a parallel design in two or more cohorts (depending upon the data obtained in Part A). Approximately 34 HIV-1 infected treatment-naive subjects will be enrolled during the study. Subjects in both parts will have a screening visit within 30 days prior to first dose and a follow-up visit 7-14 days after the last dose. Maximum duration of study participation will be approximately 6 Weeks.
Eligibility Criteria
Inclusion Criteria
- Between 18 and 55 years of age inclusive, at the time of signing the informed consent.
- Healthy (other than HIV infection) male or female as determined by the investigator or medically qualified designee based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring, defined as no other chronic medical conditions and taking no chronic medications.
- A subject with a clinical abnormality or laboratory parameter(s) which is/are not specifically listed in the inclusion or exclusion criteria, outside the reference range for the population being studied may be included only if the investigator in consultation with the medical monitor agree and document that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures.
- A creatinine clearance >80 mL/minute as determined by Cockcroft-Gault equation creatinine clearance CLcr (mL/minute) = (140 - age) x weight (Wt) divided by (72 x serum creatinine [Scr]) (times 0.85 if female) where age is in years, Wt is in kilogram (kg), and Scr is in units of mg/decilitre (dL).
- Confirmed HIV positive; CD4+ cell count >=350 cells/millimetre (mm)^3 and plasma HIV-1 RNA >=5000 copies/mL at screening.
- No current and no prior ART.
- Body weight >=50 kg (110 pound [lbs.]) for men and >=45 kg (99 lbs) for women and body mass index (BMI) within the range 18.5-31.0 kg/meter^2 (inclusive)
- A female subject of reproductive or non-reproductive potential is eligible to participate if she is not pregnant (as confirmed by a negative serum or urine human chorionic gonadotrophin (hCG) test at screening and prior to first dose), not lactating, and at least one of the following conditions applies: females of reproductive potential may only be enrolled if they are using two forms of complementary contraception, which must include one barrier method. They will be counselled on safer sex practices; there is no definitive drug-drug interaction (DDI) information with GSK2838232 and an interaction with oral contraceptives is possible, so other (barrier, inter-uterine device etc.) methods of contraception will be required; fertile females, who have an established, long-term lifestyle of sexual abstinence, or only same sex partners, require no other means of birth control. Pre-menopausal females with one of the following: documented tubal ligation; documented hysteroscopic tubal occlusion procedure with follow-up confirmation of bilateral tubal occlusion; hysterectomy; documented bilateral oophorectomy; postmenopausal defined as 12 months of spontaneous amenorrhea in questionable cases a blood sample with simultaneous follicle stimulating hormone (FSH) and estradiol levels consistent with menopause. Females on hormone replacement therapy (HRT) must discontinue HRT to allow confirmation of post-menopausal status prior to study enrolment.
- Male subjects with female partners of child bearing potential must comply with the following contraception requirements from the time of first dose of study medication until one week after the last dose of study medication; vasectomy with documentation of azoospermia; male condom plus partner use of one of the contraceptive options as: Contraceptive sub dermal implant including a 1.5 x upper limit of normal (ULN), isolated BIL >1.5xULN is acceptable if BIL is fractionated and direct BIL 14 drinks for males or >7 drinks for females. One drink is equivalent to 12 grams (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.
- Smoking is an exclusion criteria for this study. Subject having urinary cotinine levels indicative of smoking at screening.
- Chronic marijuana or use of other elicit medications (cocaine, heroin) is an exclusion criteria.
- 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 invest
Data sourced from ClinicalTrials.gov (NCT03045861). 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.