Phase 1
N=19
Linerixibat and Obeticholic Acid Drug Interaction Study in Healthy Subjects
Cholestasis
Bottom Line
View on ClinicalTrials.gov: NCT04053023 ↗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
| Outcome | Result | p-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
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.