Mode
Text Size
Log in / Sign up
Phase 1 N=23 Treatment

Effect of GSK3640254 on the Pharmacokinetics of a Combination Oral Contraceptive

HIV Infections

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

Back to search