Mode
Text Size
Log in / Sign up
Phase 1 N=19 Treatment

Linerixibat and Obeticholic Acid Drug Interaction Study in Healthy Subjects

Cholestasis

Enrolled (actual)
19
Serious AEs
2.6%
Results posted
Jul 2020
Primary outcome: Primary: Part A- Area Under the Concentration-time Curve From Time 0 to Time of the Last Quantifiable Concentration (AUC[0-t]) for Total-OCA at Steady State: OCA Arm — 2329.804 Hours*nanogram per milliliter

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
GSK2330672 (linerixibat) (Drug); Obeticholic acid (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
GlaxoSmithKline
Primary completion
Nov 2019

Outcome Measures

OutcomeResultp-value
PRIMARY
Part A- Area Under the Concentration-time Curve From Time 0 to Time of the Last Quantifiable Concentration (AUC[0-t]) for Total-OCA at Steady State: OCA Arm
2329.804
PRIMARY
Part A- AUC(0-t) for Total-OCA at Steady State: OCA + Linerixibat Arm
782.528
PRIMARY
Part A- Area Under the Concentration-time Curve From Time 0 to 24 Hour (AUC[0-24]) for Total-OCA at Steady State: OCA Arm
2349.552
PRIMARY
Part A- AUC(0-24) for Total-OCA at Steady State: OCA + Linerixibat Arm
787.007
PRIMARY
Part A- Maximum Observed Concentration (Cmax) for Total-OCA at Steady State: OCA Arm
206.409
PRIMARY
Part A- Cmax for Total-OCA at Steady State: OCA + Linerixibat Arm
83.403
PRIMARY
Part A- Average Trough Concentration (Ctrough) for Total-OCA at Steady State: OCA Arm
85.312
PRIMARY
Part A- Average Ctrough for Total-OCA at Steady State: OCA + Linerixibat Arm
21.680
PRIMARY
Part B- AUC(0-t) for Total-OCA at Steady State: OCA Arm
PRIMARY
Part B- AUC(0-t) for Total-OCA at Steady State: OCA + Linerixibat Arm
PRIMARY
Part B- AUC(0-24) for Total-OCA at Steady State: OCA Arm
PRIMARY
Part B- AUC(0-24) for Total-OCA at Steady State: OCA + Linerixibat Arm
PRIMARY
Part B- Cmax for Total-OCA at Steady State: OCA Arm
PRIMARY
Part B- Cmax for Total-OCA at Steady State: OCA + Linerixibat Arm
PRIMARY
Part B- Ctrough for Total-OCA at Steady State: OCA Arm
PRIMARY
Part B- Ctrough for Total-OCA at Steady State: OCA + Linerixibat Arm
SECONDARY
Part A- Time to Reach Maximum Observed Plasma Concentration (Tmax) for Total-OCA: OCA Arm
1.00
SECONDARY
Part A- Tmax for Total-OCA: OCA + Linerixibat Arm
3.00
SECONDARY
Part A- Assessment of Steady State Using Ctrough of Total-OCA: OCA Arm
92.1116; 95.1600; 102.5168
SECONDARY
Part A- Assessment of Steady State Using Ctrough of Total-OCA: OCA + Linerixibat Arm
30.8972; 28.8489; 26.4411; 27.8644
SECONDARY
Part A- AUC(0-t) for OCA: OCA Arm
158.337
SECONDARY
Part A- AUC(0-t) for OCA: OCA + Linerixibat Arm
127.171
SECONDARY
Part A- AUC(0-24) for OCA: OCA Arm
163.701
SECONDARY
Part A- AUC(0-24) for OCA: OCA + Linerixibat Arm
130.092
SECONDARY
Part A- Cmax for OCA: OCA Arm
50.820
SECONDARY
Part A- Cmax for OCA: OCA + Linerixibat Arm
35.495
SECONDARY
Part A- Average Ctrough for OCA: OCA Arm
2.609
SECONDARY
Part A- Average Ctrough for OCA: OCA + Linerixibat Arm
2.060
SECONDARY
Part A- Tmax for OCA: OCA Arm
0.75
SECONDARY
Part A- Tmax for OCA: OCA + Linerixibat Arm
0.88
SECONDARY
Part A- AUC(0-t) for Tauro-OCA: OCA Arm
712.567
SECONDARY
Part A- AUC(0-t) for Tauro-OCA: OCA + Linerixibat Arm
89.486
SECONDARY
Part A- AUC(0-24) for Tauro-OCA: OCA Arm
744.365
SECONDARY
Part A- AUC(0-24) for Tauro-OCA: OCA + Linerixibat Arm
89.946
SECONDARY
Part A- Cmax for Tauro-OCA: OCA Arm
62.347
SECONDARY
Part A- Cmax for Tauro-OCA: OCA + Linerixibat Arm
10.224
SECONDARY
Part A- Average Ctrough for Tauro-OCA: OCA Arm
28.014
SECONDARY
Part A- Average Ctrough for Tauro-OCA: OCA + Linerixibat Arm
2.600
SECONDARY
Part A- Tmax for Tauro-OCA: OCA Arm
2.00
SECONDARY
Part A- Tmax for Tauro-OCA: OCA + Linerixibat Arm
5.00
SECONDARY
Part A- AUC(0-t) for Glyco-OCA: OCA Arm
1741.969
SECONDARY
Part A- AUC(0-t) for Glyco-OCA: OCA + Linerixibat Arm
650.683
SECONDARY
Part A- AUC(0-24) for Glyco-OCA: OCA Arm
1757.140
SECONDARY
Part A- AUC(0-24) for Glyco-OCA: OCA + Linerixibat Arm
654.629
SECONDARY
Part A- Cmax for Glyco-OCA: OCA Arm
141.770
SECONDARY
Part A- Cmax for Glyco-OCA: OCA + Linerixibat Arm
65.633
SECONDARY
Part A- Average Ctrough for Glyco-OCA: OCA Arm
66.043
SECONDARY
Part A- Average Ctrough for Glyco-OCA: OCA + Linerixibat Arm
19.498
SECONDARY
Part A- Tmax for Glyco-OCA: OCA Arm
2.00
SECONDARY
Part A- Tmax for Glyco-OCA: OCA + Linerixibat Arm
5.00
SECONDARY
Part B- Tmax for Total-OCA: OCA Arm
SECONDARY
Part B- Tmax for Total-OCA: OCA + Linerixibat Arm
SECONDARY
Part B- AUC(0-t) for OCA: OCA Arm
SECONDARY
Part B- AUC(0-t) for OCA: OCA + Linerixibat Arm
SECONDARY
Part B- AUC(0-24) for OCA: OCA Arm
SECONDARY
Part B- AUC(0-24) for OCA: OCA + Linerixibat Arm
SECONDARY
Part B- Cmax for OCA: OCA Arm
SECONDARY
Part B- Cmax for OCA: OCA + Linerixibat Arm
SECONDARY
Part B- Ctrough for OCA: OCA Arm
SECONDARY
Part B- Ctrough for OCA: OCA + Linerixibat Arm
SECONDARY
Part B- Tmax for OCA: OCA Arm
SECONDARY
Part B- Tmax for OCA: OCA + Linerixibat Arm
SECONDARY
Part B- AUC(0-t) for Tauro-OCA: OCA Arm
SECONDARY
Part B- AUC(0-t) for Tauro-OCA: OCA + Linerixibat Arm
SECONDARY
Part B- AUC(0-24) for Tauro-OCA: OCA Arm
SECONDARY
Part B- AUC(0-24) for Tauro-OCA: OCA + Linerixibat Arm
SECONDARY
Part B- Cmax for Tauro-OCA: OCA Arm
SECONDARY
Part B- Cmax for Tauro-OCA: OCA + Linerixibat Arm
SECONDARY
Part B- Ctrough for Tauro-OCA: OCA Arm
SECONDARY
Part B- Ctrough for Tauro-OCA: OCA + Linerixibat Arm
SECONDARY
Part B- Tmax for Tauro-OCA: OCA Arm
SECONDARY
Part B- Tmax for Tauro-OCA: OCA + Linerixibat Arm
SECONDARY
Part B- AUC(0-t) for Glyco-OCA: OCA Arm
SECONDARY
Part B- AUC(0-t) for Glyco-OCA: OCA + Linerixibat Arm
SECONDARY
Part B- AUC(0-24) for Glyco-OCA: OCA Arm
SECONDARY
Part B- AUC(0-24) for Glyco-OCA: OCA + Linerixibat Arm
SECONDARY
Part B- Cmax for Glyco-OCA: OCA Arm
SECONDARY
Part B- Cmax for Glyco-OCA: OCA + Linerixibat Arm
SECONDARY
Part B- Ctrough for Glyco-OCA: OCA Arm
SECONDARY
Part B- Ctrough for Glyco-OCA: OCA + Linerixibat Arm
SECONDARY
Part B- Tmax for Glyco-OCA: OCA Arm
SECONDARY
Part B- Tmax for Glyco-OCA: OCA + Linerixibat Arm
SECONDARY
Part A- Number of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)
10; 14; 0; 1
SECONDARY
Part B- Number of Participants With Any AEs and SAEs
SECONDARY
Part A- Change From Baseline in PR Interval, QRS Duration, QT Interval, QT Interval Corrected Using Bazzet's Formula (QTcB), Corrected QT Interval Using Fredericia's Formula (QTcF): OCA Arm
-3.7; -1.2; -3.4; 4.2; 1.6
SECONDARY
Part A- Change From Baseline in PR Interval, QRS Duration, QT Interval, QTcB, QTcF: OCA + Linerixibat Arm
2.5; -2.3; -2.7; -2.9; -2.9
SECONDARY
Part B- Change From Baseline in PR Interval, QRS Duration, QT Interval, QTcB, QTcF
SECONDARY
Part A- Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP): OCA Arm
-0.9; 0.5; -4.5; 0.1
SECONDARY
Part A- Change From Baseline in SBP and DBP: OCA + Linerixibat Arm
-0.7; 0.8
SECONDARY
Part A- Change From Baseline in Pulse Rate: OCA Arm
7.2; 1.8
SECONDARY
Part A- Change From Baseline in Pulse Rate: OCA + Linerixibat Arm
-0.3
SECONDARY
Part A- Change From Baseline in Respiratory Rate: OCA Arm
0.2; 0.4
SECONDARY
Part A- Change From Baseline in Respiratory Rate: OCA + Linerixibat Arm
0.4
SECONDARY
Part A- Change From Baseline in Body Temperature: OCA Arm
0.15; 0.05
SECONDARY
Part A- Change From Baseline in Body Temperature: OCA + Linerixibat Arm
0.09
SECONDARY
Part B- Change From Baseline in SBP and DBP
SECONDARY
Part B- Change From Baseline in Pulse Rate
SECONDARY
Part B- Change From Baseline in Respiratory Rate
SECONDARY
Part B- Change From Baseline in Body Temperature
SECONDARY
Part A- Change From Baseline in Hematology Parameters: Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Platelet Count, Leukocytes: OCA Arm
-0.002; -0.013; -0.091; 0.033; 0.064; 4.3
SECONDARY
Part A- Change From Baseline in Hematology Parameters: Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Platelet Count, Leukocytes: OCA + Linerixibat Arm
0.000; 0.029; 0.169; 0.047; 0.278; -4.1
SECONDARY
Part A- Change From Baseline in Hematology Parameter: Hemoglobin: OCA Arm
0.4
SECONDARY
Part A- Change From Baseline in Hematology Parameter: Hemoglobin: OCA + Linerixibat Arm
-0.8
SECONDARY
Part A- Change From Baseline in Hematology Parameter: Hematocrit: OCA Arm
-0.0003
SECONDARY
Part A- Change From Baseline in Hematology Parameter: Hematocrit: OCA + Linerixibat Arm
-0.0054
SECONDARY
Part A- Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Hemoglobin: OCA Arm
-0.01
SECONDARY
Part A- Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Hemoglobin: OCA + Linerixibat Arm
-0.13
SECONDARY
Part A- Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Volume: OCA Arm
-0.37
SECONDARY
Part A- Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Volume: OCA + Linerixibat Arm
-1.03
SECONDARY
Part A- Change From Baseline in Hematology Parameters: Erythrocytes, Reticulocytes: OCA Arm
0.021; -0.0004
SECONDARY
Part A- Change From Baseline in Hematology Parameters: Erythrocytes, Reticulocytes: OCA + Linerixibat Arm
0.002; 0.0074
SECONDARY
Part B- Change From Baseline in Hematology Parameters: Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Platelet Count, Leukocytes
SECONDARY
Part B- Change From Baseline in Hematology Parameter: Hemoglobin
SECONDARY
Part B- Change From Baseline in Hematology Parameter: Hematocrit
SECONDARY
Part B- Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Hemoglobin
SECONDARY
Part B- Change From Baseline in Hematology Parameter: Erythrocytes Mean Corpuscular Volume
SECONDARY
Part B- Change From Baseline in Hematology Parameters: Erythrocytes, Reticulocytes
SECONDARY
Part A- Change From Baseline in Chemistry Parameters: Glucose, Calcium, Potassium, Sodium, Urea: OCA Arm
-0.09; 0.041; -0.02; -0.2; -0.0395
SECONDARY
Part A- Change From Baseline in Chemistry Parameters: Glucose, Calcium, Potassium, Sodium, Urea: OCA + Linerixibat Arm
-0.44; -0.001; 0.10; -0.9; -0.1507
SECONDARY
Part A- Change From Baseline in Chemistry Parameters: Bilirubin, Creatinine, Direct Bilirubin: OCA Arm
0.1; -2.2; 0.0001
SECONDARY
Part A- Change From Baseline in Chemistry Parameters: Bilirubin, Creatinine, Direct Bilirubin: OCA + Linerixibat Arm
1.1; 5.4; 0.3126
SECONDARY
Part A- Change From Baseline in Chemistry Parameters: Alanine Aminotransferase (ALT), Alkaline Phosphatase (ALP), Aspartate Aminotransferase (AST): OCA Arm
-2.7; 0.6; -2.2
SECONDARY
Part A- Change From Baseline in Chemistry Parameters: ALT, ALP, AST: OCA + Linerixibat Arm
9.4; 0.0; -0.9
SECONDARY
Part A- Change From Baseline in Chemistry Parameter: Protein: OCA Arm
1.5
SECONDARY
Part A- Change From Baseline in Chemistry Parameter: Protein: OCA + Linerixibat Arm
0.7
SECONDARY
Part B- Change From Baseline in Chemistry Parameters: Glucose, Calcium, Potassium, Sodium, Urea
SECONDARY
Part B- Change From Baseline in Chemistry Parameters: Bilirubin, Creatinine, Direct Bilirubin
SECONDARY
Part B- Change From Baseline in Chemistry Parameters: ALT, ALP, AST
SECONDARY
Part B- Change From Baseline in Chemistry Parameter: Protein
SECONDARY
Part A- Number of Participants With Worst Case Urinalysis Results Post-Baseline Relative to Baseline: OCA Arm
5; 0; 4; 1; 5; 0
SECONDARY
Part A- Number of Participants With Worst Case Urinalysis Results Post-Baseline Relative to Baseline: OCA + Linerixibat Arm
1; 0; 0; 1; 1; 0
SECONDARY
Part B- Number of Participants With Worst Case Urinalysis Results Post-Baseline Relative to Baseline
SECONDARY
Part A- AUC(0-t) for Linerixibat: OCA + Linerixibat Arm
230.609; 903.881
SECONDARY
Part A- Area Under the Concentration-time Curve From Time Zero to 12 Hours (AUC[0-12]) for Linerixibat: OCA + Linerixibat Arm
322.580; 1071.982
SECONDARY
Part A- Cmax for Linerixibat: OCA + Linerixibat Arm
56.927; 163.624
SECONDARY
Part A- Tmax for Linerixibat: OCA + Linerixibat Arm
3.92; 5.00
SECONDARY
Part B- AUC(0-t) for Linerixibat: OCA + Linerixibat Arm
SECONDARY
Part B- AUC(0-12) for Linerixibat: OCA + Linerixibat Arm
SECONDARY
Part B- Cmax for Linerixibat: OCA + Linerixibat Arm
SECONDARY
Part B- Tmax for Linerixibat: OCA + Linerixibat Arm

Summary

In participants with inadequate response/intolerance to ursodeoxycholic acid (UDCA) taking obeticholic acid (OCA) who experience pruritus (due to primary biliary cholangitis [PBC], OCA, or both) the addition of linerixibat to OCA therapy may be considered following marketing approval. It is therefore important to characterize any potential effect of linerixibat on the pharmacokinetics of OCA in humans at clinically relevant dosages. Accordingly, a drug-drug interaction (DDI) study with linerixibat (potential perpetrator) and OCA (potential victim) will be conducted to inform both future clinical trials with linerixibat and the potential concomitant administration of these drugs in a clinical setting. This is a single-center, one part (with optional second part) open-label, single sequence crossover, drug interaction study to investigate the effect of linerixibat on plasma concentrations of OCA and OCA conjugates in healthy participants. Approximately 19 participants will be enrolled in part A and further 19 participants in part B (if performed) in the study and will have a phone call follow-up till 7-14 days post-last linerixibat dose.

Eligibility Criteria

Inclusion Criteria

  • Between 18 and 80 years of age 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 in consultation with the GlaxoSmithKline (GSK) medical monitor and documents in the source documentation that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures or outcomes.
  • Body weight > 50 kilogram (kg) and body mass index (BMI) within the range 18.5 to 32 kg per square meter (inclusive).
  • Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and protocol.
  • Male and female- A female participant is eligible to participate if she is not pregnant not breastfeeding, and at least one of the following conditions applies; not a woman of childbearing potential (WOCBP) or a WOCBP who agrees to follow contraceptive guidance during the treatment period and until at least 4 weeks after the last dose of study treatment. The investigator is responsible for review of medical history, menstrual history, and recent sexual activity to decrease the risk for inclusion of a woman with an early undetected pregnancy.

Exclusion Criteria

  • Any active dermatologic disorder leading to or with the potential to cause pruritus or a recent history of unexplained clinically significant itching locally or generally within the prior 3 months
  • Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones) and/or confirmed hepatocellular carcinoma or biliary cancer
  • Participants with a history of cholecystectomy
  • Current symptomatic cholelithiasis or inflammatory gall bladder disease
  • Significant history of or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention; or interfering with the interpretation of data
  • Any clinically relevant abnormality identified at the screening medical assessment (physical examination/medical history) clinical laboratory tests, or 12-lead ECG
  • Current episode, recent history (within 1 month of screening visit), or chronic history of clinically significant diarrhea
  • Lymphoma, leukaemia, or any malignancy within the past 5 years except for basal cell or squamous epithelial carcinomas of the skin that have been resected with no evidence of metastatic disease for 3 years
  • Any current medical condition (e.g. psychiatric disorder, senility, dementia, or other condition), clinical or laboratory abnormality, or examination finding that the investigator considers would put the participant at unacceptable risk, which may affect study compliance or prevent understanding of the aims or investigational procedures or possible consequences of the study
  • Regular use of known drugs of abuse or history of drug abuse or dependence within 6 months of the study
  • Regular alcohol consumption within 6 months prior to the study defined as an average weekly intake of >14 units for females and >21 units for males. One unit is equivalent to 8 gram of alcohol: a glass (approximately [~] 240 milliliter [mL]) of beer, 1 small glass (~100 mL) of wine or 1 (~25 mL) measure of spirits
  • History of or regular use of tobacco- or nicotine-containing products (confirmed by smokerlyzer test) in the 3 months prior to screening.
  • Administration of any IBAT inhi
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04053023). 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