Phase 1
N=23
Effect of GSK3640254 on the Pharmacokinetics of a Combination Oral Contraceptive
HIV Infections
Bottom Line
View on ClinicalTrials.gov: NCT03984825 ↗Enrolled (actual)
23
Serious AEs
0.0%
Results posted
Aug 2020
Primary outcome: Primary: Period 1: Area Under the Plasma Concentration-time Curve From Time 0 to the End of the Dosing Interval at Steady State (AUC [0-tau]) of EE — 748.7 Hour*picograms per milliliter
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- GSK3640254 (Drug); Portia (Drug)
- Age
- Adult · 18+ yrs
- Sex
- Female
- Sponsor
- ViiV Healthcare
- Primary completion
- Aug 2019
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Period 1: Area Under the Plasma Concentration-time Curve From Time 0 to the End of the Dosing Interval at Steady State (AUC [0-tau]) of EE |
748.7 | — |
| PRIMARY Period 2: AUC (0-tau) of EE |
735.8 | — |
| PRIMARY Period 1:AUC (0-tau) of LNG |
68682.4 | — |
| PRIMARY Period 2: AUC (0-tau) of LNG |
75412.0 | — |
| PRIMARY Period 1: Maximum Observed Concentration (Cmax) and Plasma Concentration at the End of the Dosing Interval (Ctau) of EE |
70.01; 14.83 | — |
| PRIMARY Period 2: Cmax and Ctau of EE |
68.47; 15.69 | — |
| PRIMARY Period 1:Cmax and Ctau of LNG |
5806; 1870 | — |
| PRIMARY Period 2: Cmax and Ctau of LNG |
5948; 2163 | — |
| SECONDARY Period 1: Effect of GSK3640254 on PD of EE/LNG- Serum Progesterone Level |
6.103; 4.410 | — |
| SECONDARY Period 2: Effect of GSK3640254 on PD of EE/LNG- Serum Progesterone Level |
3.906; 3.618; 3.988 | — |
| SECONDARY Period 1: Absolute Values of Effect of GSK3640254 on Luteinizing Hormone (LH) and Follicle-stimulating Hormone (FSH) |
9.500; 2.747; 5.109; 2.215 | — |
| SECONDARY Period 2: Absolute Values of Effect of GSK3640254 on LH and FSH |
2.255; 1.202; 1.287; 2.162; 1.535; 1.638 | — |
| SECONDARY Period 2: AUC (0-tau) of GSK3640254 |
30.22 | — |
| SECONDARY Period 2: Cmax and Ctau of GSK3640254 |
1.780; 0.9663 | — |
| SECONDARY Period 2: Apparent Terminal Phase Half-life (t1/2) of GSK3640254 |
25.656 | — |
| SECONDARY Period 2: Time of Maximum Observed Concentration (Tmax) of GSK3640254 |
4.500 | — |
| SECONDARY Period 1: t1/2 of EE |
NA | — |
| SECONDARY Period 2: t1/2 of EE |
20.215 | — |
| SECONDARY Period 1: Tmax of EE |
2.000 | — |
| SECONDARY Period 2: Tmax of EE |
2.000 | — |
| SECONDARY Period 1: t1/2 of LNG |
NA | — |
| SECONDARY Period 2: t1/2 of LNG |
30.100 | — |
| SECONDARY Period 1: Tmax of LNG |
2.000 | — |
| SECONDARY Period 2: Tmax of LNG |
2.000 | — |
| SECONDARY Number of Participants With Non-serious Adverse Events (Non-SAEs) and Serious Adverse Events (SAE) (Treatment Period) |
5; 9; 0; 0 | — |
| SECONDARY Number of Participants With Non-SAEs and SAE (Run-in Period) |
0; 0 | — |
| SECONDARY Period 1: Change From Baseline in Clinical Chemistry Parameters: Glucose, Cholesterol, Triglycerides, Anion Gap, Calcium, Carbon Dioxide, Chloride, Phosphate, Potassium, Sodium and Blood Urea Nitrogen (BUN) |
-0.217; -0.153; -0.049; 1.3; 0.039; -1.8 | — |
| SECONDARY Period 2: Change From Baseline in Clinical Chemistry Parameters: Glucose, Cholesterol, Triglycerides, Anion Gap, Calcium, Carbon Dioxide, Chloride, Phosphate, Potassium, Sodium and BUN |
-0.141; 0.084; -0.161; 0.075; -0.008; -0.066 | — |
| SECONDARY Period 1: Change From Baseline in Clinical Chemistry Parameters: Plasma Albumin, Globulin and Protein |
-0.1; 1.0; 0.9 | — |
| SECONDARY Period 2: Change From Baseline in Clinical Chemistry Parameters: Plasma Albumin, Globulin and Protein |
-0.5; 0.1; -0.4; 0.8; -0.9; 0.9 | — |
| SECONDARY Period 1: Change From Baseline in Clinical Chemistry Parameters: Plasma Amylase and Lipase |
-0.7; 2.1 | — |
| SECONDARY Period 2: Change From Baseline in Clinical Chemistry Parameters: Plasma Amylase and Lipase |
3.2; 5.2; 1.8; 1.6 | — |
| SECONDARY Period 1: Change From Baseline in Clinical Chemistry Parameters: Plasma Creatine Kinase, Lactate Dehydrogenase, Alanine Aminotransferase (ALT), Alkaline Phosphatase (ALP), Aspartate Aminotransferase (AST) and Gamma Glutamyl Transferase (GGT) |
-3.6; 0.0; 11.5; -3.9; 3.6; 1.7 | — |
| SECONDARY Period 2: Change From Baseline in Clinical Chemistry Parameters: Plasma Creatine Kinase, Lactate Dehydrogenase, ALT, ALP, AST and GGT |
-1.6; -1.7; 4.2; 8.4; 25.7; 34.5 | — |
| SECONDARY Period 1: Change From Baseline in Clinical Chemistry Parameters: Plasma Urate, Creatinine, Total Bilirubin and Direct Bilirubin |
-18.0; 0.93; -0.57; -0.21 | — |
| SECONDARY Period 2: Change From Baseline in Clinical Chemistry Parameters: Plasma Urate, Creatinine, Total Bilirubin and Direct Bilirubin |
-45.2; -34.7; 0.52; 1.29; 0.08; 0.12 | — |
| SECONDARY Period 1: Change From Baseline in Hematology Parameters: Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets |
0.000; 0.008; -0.02; 0.086; -0.012; -0.103 | — |
| SECONDARY Period 2: Change From Baseline in Hematology Parameters: Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets |
0.001; 0.000; 0.001; -0.005; -0.43; -0.88 | — |
| SECONDARY Period 1: Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Hemoglobin |
-0.09 | — |
| SECONDARY Period 2: Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Hemoglobin |
-0.51; -0.10 | — |
| SECONDARY Period 1: Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Volume |
-0.18 | — |
| SECONDARY Period 2: Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Volume |
-0.50; 0.04 | — |
| SECONDARY Period 1: Change From Baseline in Hematology Parameter: Erythrocytes |
-0.010 | — |
| SECONDARY Period 2: Change From Baseline in Hematology Parameter: Erythrocytes |
0.106; 0.134 | — |
| SECONDARY Period 1: Change From Baseline in Hematology Parameter: Hematocrit |
-0.0014 | — |
| SECONDARY Period 2: Change From Baseline in Hematology Parameter: Hematocrit |
0.0071; 0.0118 | — |
| SECONDARY Period 1: Change From Baseline in Hematology Parameter: Hemoglobin |
-0.7 | — |
| SECONDARY Period 2: Change From Baseline in Hematology Parameter: Hemoglobin |
1.2; 3.8 | — |
| SECONDARY Period 1: Change From Baseline in Urine Concentration: Urine Specific Gravity |
0.0023 | — |
| SECONDARY Period 2: Change From Baseline in Urine Concentration: Urine Specific Gravity |
-0.0028; -0.0021 | — |
| SECONDARY Period 1: Change From Baseline in Urine Concentration: Urine Urobilinogen |
1.7666 | — |
| SECONDARY Period 2: Change From Baseline in Urine Concentration: Urine Urobilinogen |
3.0098; 0.0000 | — |
| SECONDARY Period 1: Change From Baseline in Urine Concentration: Urine Potential of Hydrogen (pH) |
-0.22 | — |
| SECONDARY Period 2: Change From Baseline in Urine Concentration: Urine pH |
0.39; 0.24 | — |
| SECONDARY Period 1: Change From Baseline in Electrocardiogram (ECG) Mean Heart Rate |
-0.8 | — |
| SECONDARY Period 2: Change From Baseline in ECG Mean Heart Rate |
2.8; -0.6; 6.7; 3.8; 1.7; 3.1 | — |
| SECONDARY Period 1: Change From Baseline in ECG Parameters: PR Interval, QRS Duration, QT Interval, Fridericia QT Correction Formula (QTcF) Interval, and Bazett QT Correction Formula (QTcB) Interval |
2.5; 0.2; -3.0; -4.1; -4.6 | — |
| SECONDARY Period 2: Change From Baseline in ECG Parameters: PR Interval, QRS Duration, QT Interval, QTcF and QTcB Interval |
0.3; 1.9; -1.9; -1.7; -0.6; -2.3 | — |
| SECONDARY Period 1: Change From Baseline in Vital Signs: Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) |
-4.3; -2.8 | — |
| SECONDARY Period 2: Change From Baseline in Vital Signs: SBP and DBP |
4.4; 1.6; 5.9; 3.0; 3.5; 6.1 | — |
| SECONDARY Period 1: Change From Baseline in Pulse Rate |
-0.2 | — |
| SECONDARY Period 2: Change From Baseline in Pulse Rate |
5.8; 1.8; 0.9 | — |
| SECONDARY Period 1: Change From Baseline in Respiratory Rate |
2.3 | — |
| SECONDARY Period 2: Change From Baseline in Respiratory Rate |
1.7; 0.6; 0.9 | — |
| SECONDARY Period 1: Change From Baseline in Temperature |
0.11 | — |
| SECONDARY Period 2: Change From Baseline in Temperature |
0.15; 0.02; 0.25 | — |
| SECONDARY Period 1: Absolute Values of Clinical Chemistry Parameters: Glucose, Cholesterol, Triglycerides, Anion Gap, Calcium, Carbon Dioxide, Chloride, Phosphate, Potassium, Sodium and BUN |
5.104; 4.887; 4.291; 4.138; 1.084; 1.035 | — |
| SECONDARY Period 2: Absolute Values of Clinical Chemistry Parameters: Glucose, Cholesterol, Triglycerides, Anion Gap, Calcium, Carbon Dioxide, Chloride, Phosphate, Potassium, Sodium and BUN |
4.921; 4.769; 4.994; 4.104; 3.857; 4.093 | — |
| SECONDARY Period 1: Absolute Values of Clinical Chemistry Parameters: Plasma Albumin, Globulin and Protein |
42.0; 42.0; 28.8; 29.8; 70.9; 71.8 | — |
| SECONDARY Period 2: Absolute Values of Clinical Chemistry Parameters: Plasma Albumin, Globulin and Protein |
41.9; 41.4; 42.0; 29.7; 29.2; 30.4 | — |
| SECONDARY Period 1: Absolute Values of Clinical Chemistry Parameters: Plasma Amylase and Lipase |
49.4; 48.7; 18.8; 20.9 | — |
| SECONDARY Period 2: Absolute Values of Clinical Chemistry Parameters: Plasma Amylase and Lipase |
47.8; 47.1; 49.2; 20.7; 20.5; 20.4 | — |
| SECONDARY Period 1: Absolute Values of Clinical Chemistry Parameters: Creatine Kinase, Lactate Dehydrogenase, ALT, ALP, AST and GGT |
74.1; 70.5; 122.7; 122.7; 12.4; 23.9 | — |
| SECONDARY Period 2: Absolute Values of Clinical Chemistry Parameters: Plasma Creatine Kinase, Lactate Dehydrogenase, ALT, ALP, AST and GGT |
70.3; 69.4; 69.3; 123.3; 125.9; 130.1 | — |
| SECONDARY Period 1: Absolute Values of Clinical Chemistry Parameters: Urate, Creatinine, Total Bilirubin and Direct Bilirubin |
260.4; 242.4; 67.75; 68.68; 8.35; 7.79 | — |
| SECONDARY Period 2: Absolute Values of Clinical Chemistry Parameters: Plasma Urate, Creatinine, Total Bilirubin and Direct Bilirubin |
240.3; 194.5; 205.1; 68.62; 66.92; 67.70 | — |
| SECONDARY Period 1: Absolute Values of Hematology Parameters: Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets |
0.038; 0.038; 0.103; 0.111; 6.23; 6.21 | — |
| SECONDARY Period 2: Absolute Values of Hematology Parameters: Basophils, Eosinophils, Leukocytes, Lymphocytes, Monocytes, Neutrophils and Platelets |
0.039; 0.039; 0.038; 0.115; 0.118; 0.112 | — |
| SECONDARY Period 1: Absolute Values of Hematology Parameter: Erythrocytes Mean Corpuscular Hemoglobin |
29.70; 29.62 | — |
| SECONDARY Period 2: Absolute Values of Hematology Parameter: Erythrocytes Mean Corpuscular Hemoglobin |
29.92; 29.72; 30.12 | — |
| SECONDARY Period 1: Absolute Values of Hematology Parameter: Erythrocytes Mean Corpuscular Volume |
87.83; 87.65 | — |
| SECONDARY Period 2: Absolute Values of Hematology Parameter: Erythrocytes Mean Corpuscular Volume |
88.16; 88.39; 88.92 | — |
| SECONDARY Period 1: Absolute Values of Hematology Parameter: Erythrocytes |
4.316; 4.306 | — |
| SECONDARY Period 2: Absolute Values of Hematology Parameter: Erythrocytes |
4.308; 4.356; 4.383 | — |
| SECONDARY Period 1: Absolute Values of Hematology Parameter: Hematocrit |
0.3783; 0.3769 | — |
| SECONDARY Period 2: Absolute Values of Hematology Parameter: Hematocrit |
0.3791; 0.3848; 0.3895 | — |
| SECONDARY Period 1: Absolute Values of Hematology Parameter: Hemoglobin |
128.0; 127.2 | — |
| SECONDARY Period 2: Absolute Values of Hematology Parameter: Hemoglobin |
128.5; 129.5; 132.1 | — |
| SECONDARY Period 1: Absolute Values of Urine Concentration: Urine Specific Gravity |
1.0136; 1.0159 | — |
| SECONDARY Period 2: Absolute Values of Urine Concentration: Urine Specific Gravity |
1.0162; 1.0134; 1.0139 | — |
| SECONDARY Period 1: Absolute Values of Urine Concentration: Urine Urobilinogen |
3.3860; 5.1526 | — |
| SECONDARY Period 2: Absolute Values of Urine Concentration: Urine Urobilinogen |
5.3209; 7.9007; 4.1827 | — |
| SECONDARY Period 1: Absolute Values of Urine Concentration: Urine pH |
6.09; 5.87 | — |
| SECONDARY Period 2: Absolute Values of Urine Concentration: Urine pH |
5.88; 6.28; 6.12 | — |
| SECONDARY Period 1: Number of Participants With Abnormal Urinalysis Parameters Using Dipstick Method. |
1; 1; 2; 1; 1; 2 | — |
| SECONDARY Period 2: Number of Participants With Abnormal Urinalysis Parameters Using Dipstick Method. |
1; 1; 1; 1; 2; 1 | — |
| SECONDARY Period 1: Absolute Values of ECG Mean Heart Rate |
67.9; 67.0 | — |
| SECONDARY Period 2: Absolute Values of ECG Mean Heart Rate |
64.6; 67.4; 64.0; 71.3; 67.9; 65.8 | — |
| SECONDARY Period 1: Absolute Values of ECG Parameters: PR Interval, QRS Duration, QT Interval, QTcF Interval, and QTcB Interval |
156.1; 158.6; 85.7; 85.9; 389.8; 386.8 | — |
| SECONDARY Period 2: Absolute Values of ECG Parameters: PR Interval, QRS Duration, QT Interval, QTcF and QTcB Interval |
159.1; 159.4; 161.0; 157.2; 158.7; 159.8 | — |
| SECONDARY Period 1: Absolute Values of Vital Signs: SBP and DBP |
115.7; 111.4; 71.9; 69.1 | — |
| SECONDARY Period 2: Absolute Values of Vital Signs: SBP and DBP |
110.0; 113.3; 110.1; 114.5; 64.6; 66.7 | — |
| SECONDARY Period 1: Absolute Values of Pulse Rate |
70.1; 70.0 | — |
| SECONDARY Period 2: Absolute Values of Pulse Rate |
69.2; 73.5; 69.4; 68.4 | — |
| SECONDARY Period 1: Absolute Values of Respiratory Rate |
13.6; 15.8 | — |
| SECONDARY Period 2: Absolute Values of Respiratory Rate |
13.2; 15.1; 14.1; 14.5 | — |
| SECONDARY Period 1: Absolute Values of Temperature |
36.66; 36.77 | — |
| SECONDARY Period 2: Absolute Values of Temperature |
36.60; 36.75; 36.59; 36.82 | — |
Summary
This is an open-label, single-sequence, 1-way drug-drug interaction study to investigate the effect of GSK3640254 on the pharmacokinetics of a combination oral contraceptive containing ethinyl estradiol (EE) and levonorgestrel (LNG). Effective contraception for women infected with human immunodeficiency virus (HIV) is important in the prevention of unplanned pregnancies. The study will consist of a screening period of 28 days, check-in (Day -4), a run-in period and a treatment period. During the run-in period, subjects will be administered Portia® (0.03 milligrams [mg] EE/0.15 mg LNG) once daily on Days -3 to -1. Subjects will then be administered Portia once daily on Days 1 to 10 of treatment period A followed by administration of Portia once daily along with GSK3640254 200 mg on Days 11 to 21 of treatment period B. The duration of the study is approximately 8 weeks, including Screening and Run-in. Portia is a registered trademark of Teva Pharmaceuticals USA.
Eligibility Criteria
Inclusion Criteria
- Subject must be 18 to 50 years of age inclusive, at the time of signing the informed consent.
- Subjects who are healthy as determined by the investigator or medically qualified designee based on a medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring (history and ECG).
- Body weight >=45.0 kilograms (kg) (99 pounds [lbs]) and body mass index (BMI) within the range 18.5 to 31.0 kilograms per meter square (kg/m^2) (inclusive).
- Contraceptive use should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
- Female subjects will be included.
- Subject must not be pregnant or breastfeeding.
- Subject is a woman of childbearing potential (WOCBP) with intact ovarian function, as determined by medical history. Subjects must use Portia for the duration of the run-in and treatment periods.
- WOCBP must have been on an acceptable form of contraceptive for at least 28 days prior to start of study intervention. Acceptable forms of contraception prior to study intervention include the following: Intrauterine device or intrauterine system; Combined estrogen and progestogen oral contraceptive; Contraceptive vaginal ring; Percutaneous contraceptive patches (if used, the patch must be removed during study participation); Bilateral tubal occlusion; Male partner sterilization with documentation of azoospermia prior to the female subject's entry into the study, and this male is the sole partner for that subject. The documentation on male sterility can come from the site personnel's review of subject's medical records, medical examination and/or semen analysis, or medical history interview provided by her or her partner.; Sexual abstinence.
- Subjects who have been on a stable regimen of an oral contraceptive for at least 3 consecutive months must be without evidence of breakthrough bleeding or spotting.
- Subjects who have been taking oral contraceptives should continue their current regimen until check-in to the clinic for the run-in period. Subjects not currently taking an oral contraceptive are eligible, provided all other eligibility criteria are met.
- Subjects may proceed to the treatment period provided the toxicity profile during the run-in period with Portia is acceptable in the opinion of the investigator.
- Subjects must agree to use an additional method of contraception from the following list of contraceptive methods for the run-in period, treatment period, and for 28 days after the last dose of study intervention: Non hormonal Intrauterine device; Bilateral tubal occlusion; Male partner sterilization with documentation of azoospermia prior to the female subject's entry into the study, and this male is the sole partner for that subject. The documentation on male sterility can come from the site personnel's review of subject's medical records, medical examination and/or semen analysis, or medical history interview provided by her or her partner.; Sexual abstinence. For the 28 days after study exit, women may resume oral contraceptives but double barrier methods (a combination of male condom with either cervical cap, diaphragm, or sponge with spermicide) must be used in addition.
- Women of childbearing potential must have a negative highly sensitive serum pregnancy test on Day -4 and Day -1.
- Additional requirements for pregnancy testing during and after study intervention as outlined in protocol.
- Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form and protocol.
Exclusion Criteria
- History of jaundice associated with taking oral contraceptives or with pregnancy.
- History of clinically significant irregular bleeding while taking oral contraceptives.
- History of past deep venous thrombosis, pulmonary embolism, stroke, transient ischemic attack, phlebitis, or migraine headaches with prolonged au
Data sourced from ClinicalTrials.gov (NCT03984825). 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.