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Phase 1 N=6 Treatment

Absorption and Elimination of Radiolabeled Daprodustat

Anaemia

Enrolled (actual)
6
Serious AEs
0.0%
Results posted
Mar 2019
Primary outcome: Primary: Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time (AUC [0-Inf]) of Total Drug-related Material (Radioactivity) in Plasma Following Administration of GSK1278863 — 6.6864; 2278.8914 Hour*nanogram equivalent per milliliter

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
[14C]-GSK1278863 solution for IV infusion (Drug); [14C]-GSK1278863 oral solution (Drug); Daprodustat 6 mg oral tablet (Drug)
Age
Adult · 30+ yrs
Sex
Male
Sponsor
GlaxoSmithKline
Primary completion
Nov 2017

Outcome Measures

OutcomeResultp-value
PRIMARY
Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time (AUC [0-Inf]) of Total Drug-related Material (Radioactivity) in Plasma Following Administration of GSK1278863
6.6864; 2278.8914
PRIMARY
AUC (0-Inf) of Total Drug-related Material (Radioactivity) in Blood Following Administration of GSK1278863
PRIMARY
AUC From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration Within a Participant Across All Treatments (AUC [0-t]) of Total Drug-related Material (Radioactivity) in Plasma Following Administration of GSK1278863
6.5252; 2206.7099
PRIMARY
AUC (0-t) of Total Drug-related Material (Radioactivity) in Blood Following Administration of GSK1278863
824.6102
PRIMARY
Maximum Observed Plasma Concentration (Cmax) of Total Drug-related Material (Radioactivity) in Plasma Following Administration of GSK1278863
3.0114; 623.9059
PRIMARY
Cmax of Total Drug-related Material (Radioactivity) in Blood Following Administration of GSK1278863
289.9998
PRIMARY
Time of Occurrence of Cmax (Tmax) of Total Drug-related Material (Radioactivity) in Plasma Following Administration of GSK1278863
0.9833; 0.7583
PRIMARY
Tmax of Total Drug-related Material (Radioactivity) in Blood Following Administration of GSK1278863
1.0000
PRIMARY
Apparent Terminal Phase Half-life (t1/2) of Total Drug-related Material (Radioactivity) in Plasma Following Administration of GSK1278863
6.7699; 61.8251
PRIMARY
T1/2 of Total Drug-related Material (Radioactivity) in Blood Following Administration of GSK1278863
PRIMARY
Volume of Distribution at Steady State (Vss) of Total Drug-related Material (Radioactivity) in Plasma Following IV Dose of GSK1278863
32.2355
PRIMARY
Vss of Total Drug-related Material (Radioactivity) in Blood Following IV Dose of GSK1278863
PRIMARY
Total Systemic Clearance (CL) of Total Drug-related Material (Radioactivity) in Plasma Following IV Dose of GSK1278863
7.4779
PRIMARY
CL of Total Drug-related Material (Radioactivity) in Blood Following IV Dose of GSK1278863
PRIMARY
Percentage of the Total Radioactive Dose Excreted in Urine Over Time Following a Single, Oral Dose of [14C]-GSK1278863
0.000; 20.450; 20.838; 21.003; 21.065; 21.065
PRIMARY
Percentage of the Total Radioactive Dose Excreted in Feces Over Time Following a Single, Oral Dose of [14C]-GSK1278863
0.000; 0.096; 22.298; 49.988; 68.312; 73.450
PRIMARY
Percentage of the Total Radioactive Dose Excreted in Urine and Feces Determined as Total Excretion Over Time
0.000; 20.530; 39.433; 70.992; 89.377; 94.177
SECONDARY
AUC (0-Inf) of GSK1278863 in Plasma Following Administration IV and Both Oral Doses
199.2552; 2.6509; 940.2011
SECONDARY
AUC(0-t) of GSK1278863 in Plasma Following Administration of IV and Both Oral Doses
198.1658; 2.6368; 938.5541
SECONDARY
Cmax of GSK1278863 in Plasma Following Administration of IV and Both Oral Doses
96.1190; 2.0058; 544.7022
SECONDARY
Tmax of GSK1278863 in Plasma Following Administration of IV and Both Oral Doses
2.1167; 0.983; 0.5000
SECONDARY
T1/2 of GSK1278863 in Plasma Following Administration of IV and Both Oral Doses
1.8786; 2.0653; 2.5037
SECONDARY
AUC (0-Inf) of GSK1278863 Metabolites in Plasma Following Administration of IV and Both Oral Doses
33.7699; 139.7713; 21.7209; 92.0554; 8.6207; 33.1332
SECONDARY
AUC(0-t) of GSK1278863 Metabolites in Plasma Following Administration of IV and Both Oral Doses
32.2574; 142.2907; 21.2933; 90.9953; 8.0798; 31.8897
SECONDARY
Cmax of GSK1278863 Metabolites in Plasma Following Administration of IV and Both Oral Doses
7.5219; 31.5278; 6.0391; 25.4542; 1.8233; 6.8139
SECONDARY
Tmax of GSK1278863 Metabolites in Plasma Following Administration of IV and Both Oral Doses
3.5000; 2.0000; 3.5000; 2.0000; 3.5000; 2.0000
SECONDARY
T1/2 of GSK1278863 Metabolites in Plasma Following Administration of IV and Both Oral Doses
1.9805; 3.1506; 1.5744; 1.8644; 2.0037; 2.2738
SECONDARY
Vss of GSK1278863 in Plasma Following IV Dose Administration
14.3387
SECONDARY
Vss of GSK1278863 Metabolites in Plasma Following IV Dose Administration
SECONDARY
CL of GSK1278863 in Plasma Following IV Dose Administration
18.8612
SECONDARY
CL of GSK1278863 Metabolites in Plasma Following IV Dose Administration
SECONDARY
Absolute Bioavailability of GSK1278863 Following Oral Dosing
0.6575; 0.6263
SECONDARY
Percent Radioactivity Recovered for Each Metabolite in Plasma Following a Single Oral Dose of [14C]-GSK1278863 at 25 mg
10.4; 14.4; 7.6; 11.8; 5.7; NA
SECONDARY
Percent Radioactivity Recovered for Each Metabolite in Urine Following a Single Oral Dose of [14C]-GSK1278863 at 25 mg
15.8; 16.0; 7.9; 5.8; 16.5; 10.4
SECONDARY
Percent Radioactivity Recovered for Each Metabolite in Feces Following a Single Oral Dose of [14C]-GSK1278863 at 25 mg
19.8; 14.1; 17.0; 6.2; 4.9; 7.7
SECONDARY
Percent Radioactivity Recovered for Each Metabolite in Duodenal Bile Following a Single Dose of [14C]-GSK1278863 50 µg IV Infusion
12.3; 20.0; 15.5; 6.3; 2.4; 11.1
SECONDARY
Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs)
2; 2; 0; 0
SECONDARY
Number of Participants With AEs at a Particular Severity
2; 2; 1; 0; 0; 0
SECONDARY
Number of Participants With Worst Case Clinical Chemistry Results Relative to Normal Range
0; 0; 6; 6; 0; 0
SECONDARY
Number of Participants With Worst Case Hematology Results Relative to Normal Range
0; 0; 6; 6; 0; 0
SECONDARY
Number of Participants With Abnormal Urinalysis Findings
0; 0
SECONDARY
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
0; 0; 0
SECONDARY
Change From Baseline in Blood Pressure
-0.17; -1.22; 5.06; -2.00; 4.22; 1.22
SECONDARY
Change From Baseline in Heart Rate
0.22; 1.67; 1.28; 3.78; 4.72
SECONDARY
Change From Baseline in Respiratory Rate
-0.67; -0.33; -1.33; -0.33; 0.00
SECONDARY
Change From Baseline in Body Temperature
0.08; 0.25; 0.07; 0.12; 0.30

Summary

Absorption, metabolism and excretion of daprodustat (GSK1278863) have been studied in previous clinical trials; however, the elimination routes and metabolic pathways of daprodustat have not been fully elucidated in humans. This is an open-label, single-center, non-randomized, 2-period, single-sequence, crossover, mass balance study in 6 healthy male participants. The aim of the study is to assess the excretion balance of daprodustat using [14C]-radiolabeled drug substance administered orally, and as an intravenous (IV) infusion, administered as a microtracer dose (concomitant with an oral, non-radiolabeled dose). Absolute bioavailability of an oral dose will also be assessed. Each participant will be involved in the study for up to 10 weeks which include a screening visit, two treatment periods (treatment periods 1 and 2), separated by about 7 days (at least 14 days between oral doses), and a follow up visit 1-2 weeks after the last assessment in treatment period 2. The primary objective of the study is to gain a better understanding of the compound's excretory and metabolic profile. This study will include sampling of duodenal bile to conduct qualitative assessment of drug metabolites in this matrix in order to characterize biliary elimination pathways.

Eligibility Criteria

Inclusion Criteria

  • Aged 30 to 55 years, inclusive, at the time of signing the informed consent.
  • Healthy, as determined by the investigator or medically qualified designee, based on a medical evaluation including medical history, physical examination, vital signs, laboratory tests, and ECG. A participant with a clinical abnormality or laboratory parameter (i.e., outside the reference range for the population being studied), which is not specifically listed in the eligibility criteria, may be included only if the investigator agrees and documents that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures.
  • Hemoglobin value at screening greater than the lower limit of the laboratory reference range and less than or equal to 16.0 gram (g) per deciliter (dL).
  • History of regular bowel movements (averaging one or more bowel movements per day).
  • Non-smoker, or ex-smoker who hasn't regularly smoked for the 6 months before screening.
  • Body weight of 50 kilogram (kg) and above, and body mass index (BMI) within the range 19.0-31 kg per meter (m)^2 (inclusive).
  • Participants must agree to use contraception as follows: participants with female partners of childbearing potential must agree to use a condom from the time of first dose of study treatment until 1 month after their last dose.
  • Capable of giving signed informed consent.
  • Willingness to give written consent to have data entered into The Over-volunteering Prevention System.

Exclusion Criteria

  • Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones). Participants with a history of cholecystectomy must be excluded.
  • Any clinically relevant abnormality identified at the screening medical assessment (physical examination/medical history), clinical laboratory tests, or 12-lead ECG.
  • Myocardial infarction or acute coronary syndrome 1.5 times upper limit of normal (ULN).
  • Bilirubin >1.5 times ULN (isolated bilirubin >1.5 times ULN is acceptable if bilirubin is fractionated and direct bilirubin 500 millisecond (msec). The QTc must be the QTcB.
  • Presence of Hepatitis B surface antigen (HBsAg) at screening or positive Hepatitis C antibody test result at screening or within 3 months before the first dose of study treatment.
  • Positive pre-study drug/alcohol screen.
  • Positive human immunodeficiency virus (HIV) antibody test.
  • Regular use of known drugs of abuse.
  • Regular alcohol consumption within 6 months prior to the study defined as an average weekly intake of >21 units. One unit is equivalent to 8 g of alcohol: a glass (approximately 240 milliliter [mL]) of beer, 1 small glass (approximately 100 mL) of wine or 1 (approximately 25 mL) measure of spirits.
  • At screening, a supine blood pressure (BP) that is persistently higher than 140/90 millimeters of mercury (mmHg) taken in triplicate, unless deemed not clinically significant by the investigator.
  • At screening, a supine mean heart rate (HR) outside the range of 40-100 beats per minute, unless deemed not clinically significant by the investigator.
  • Has had an occupation which requires monitoring for radiation exposure, nuclear medicine procedures, or excessive x-rays within the past 12 months.
  • Unable to refrain from consumption of prohibited food and drinks from 7 days before the first dose of study medication until the follow up visit.
  • Participation in the study would result in donation of blood or blood products in excess of 550 mL within a 90 day period.
  • Unwillingness or inability to follow the procedures, including the use of the Entero-Test capsule.
  • Urinary cotinine levels indicative of smoking or history or regular use of tobacco- or nicotine-containing products in the 6 months prior to screening.
  • History of drug abuse or dependence within 6 months of the study.
  • History of sensitivity to daprodustat, or their components thereof, or a history
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03239522). 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.

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