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Phase 1 N=5 Treatment

Pharmacokinetics and Metabolism of 14 Carbon [14C]-GSK3640254

HIV Infections

Enrolled (actual)
5
Serious AEs
0.0%
Results posted
Jan 2022
Primary outcome: Primary: Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time (AUC[0-inf]) in Plasma Following Administration of Oral Dose of GSK3640254 — 41234.1841 Hours*nanogram per milliliter

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
GSK3640254 Oral tablet (Drug); [14C]-GSK3640254 intravenous infusion (Drug); [14C]-GSK3640254 powder (Drug)
Age
Adult · 30+ yrs
Sex
Male
Sponsor
ViiV Healthcare
Primary completion
Nov 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time (AUC[0-inf]) in Plasma Following Administration of Oral Dose of GSK3640254
41234.1841
PRIMARY
AUC(0-inf) of Total Radioactivity in Blood Following Administration of Oral Dose of GSK3640254
NA
PRIMARY
AUC(0-inf) in Plasma Following Administration of IV Dose of [14C]-GSK3640254
96.5532
PRIMARY
AUC(0-inf) of Total Radioactivity in Plasma Following Administration of IV Dose of [14C]-GSK3640254
105.0882
PRIMARY
AUC(0-inf) in Plasma Following Administration of Oral Dose of [14C]-GSK3640254
19026.4818
PRIMARY
AUC(0-inf) of Total Radioactivity in Plasma Following Administration of Oral Dose of [14C]-GSK3640254
23226.8511
PRIMARY
AUC(0-inf) of Total Radioactivity in Blood Following Administration of Oral Dose of [14C]-GSK3640254
NA
PRIMARY
AUC From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration (AUC[0-t]) in Plasma Following Administration of Oral Dose of GSK3640254
40816.9451
PRIMARY
AUC(0-t) of Total Radioactivity in Blood Following Administration of Oral Dose of GSK3640254
NA
PRIMARY
AUC(0-t) in Plasma Following Administration of IV Dose of [14C]-GSK3640254
93.3371
PRIMARY
AUC(0-t) of Total Radioactivity in Plasma Following Administration of IV Dose of [14C]-GSK3640254
101.8025
PRIMARY
AUC (0-t) in Plasma Following Administration of Oral Dose of [14C]-GSK3640254
18828.0326
PRIMARY
AUC(0-t) of Total Radioactivity in Plasma Following Administration of Oral Dose of [14C]-GSK3640254
22746.1486
PRIMARY
AUC(0-t) of Total Radioactivity in Blood Following Administration of Oral Dose of [14C]-GSK3640254
2395.2833
PRIMARY
Maximum Observed Concentration (Cmax) in Plasma Following Administration of Oral Dose of GSK3640254
1293.0
PRIMARY
Cmax of Total Radioactivity in Blood Following Administration of Oral Dose of GSK3640254
NA
PRIMARY
Cmax in Plasma Following Administration of IV Dose of [14C]-GSK3640254
8.435
PRIMARY
Cmax of Total Radioactivity in Plasma Following Administration of IV Dose of [14C]-GSK3640254
7.462
PRIMARY
Cmax in Plasma Following Administration of Oral Dose of [14C]-GSK3640254
628.2
PRIMARY
Cmax of Total Radioactivity in Plasma Following Administration of Oral Dose of [14C]-GSK3640254
675.312
PRIMARY
Cmax of Total Radioactivity in Blood Following Administration of Oral Dose of [14C]-GSK3640254
377.5
PRIMARY
Time of Occurrence of Cmax (Tmax) in Plasma Following Administration of Oral Dose of GSK3640254
7.00
PRIMARY
Tmax of Total Radioactivity in Blood Following Administration of Oral Dose of GSK3640254
NA
PRIMARY
Tmax in Plasma Following Administration of IV Dose of [14C]-GSK3640254
0.983
PRIMARY
Tmax of Total Radioactivity in Plasma Following Administration of IV Dose of [14C]-GSK3640254
0.983
PRIMARY
Tmax in Plasma Following Administration of Oral Dose of [14C]-GSK3640254
4.00
PRIMARY
Tmax of Total Radioactivity in Plasma Following Administration of Oral Dose of [14C]-GSK3640254
4.0000
PRIMARY
Tmax of Total Radioactivity in Blood Following Administration of Oral Dose of [14C]-GSK3640254
6.0
PRIMARY
Terminal Phase Half-life (T1/2) in Plasma Following Administration of Oral Dose of GSK3640254
24.0860
PRIMARY
T1/2 of Total Radioactivity in Blood Following Administration of Oral Dose of GSK3640254
NA
PRIMARY
T1/2 in Plasma Following Administration of IV Dose of [14C]-GSK3640254
21.6959
PRIMARY
T1/2 of Total Radioactivity in Plasma Following Administration of IV Dose of [14C]-GSK3640254
29.7527
PRIMARY
T1/2 in Plasma Following Administration of Oral Dose of [14C]-GSK3640254
24.2493
PRIMARY
T1/2 of Total Radioactivity in Plasma Following Administration of Oral Dose of [14C]-GSK3640254
30.0505
PRIMARY
T1/2 of Total Radioactivity in Blood Following Administration of Oral Dose of [14C]-GSK3640254
NA
PRIMARY
Volume of Distribution at Steady State (Vss) in Plasma Following Administration of IV Dose of [14C]-GSK3640254
28.7435
PRIMARY
Clearance (CL) in Plasma Following Administration of IV Dose of [14C]-GSK3640254
1.0357
PRIMARY
Renal Clearance (CLr) Following Administration of IV Dose of [14C]-GSK3640254
0.01992
PRIMARY
CLr Following Administration of Oral Dose of [14C]-GSK3640254
0.01465
PRIMARY
Oral Clearance (CL/F) in Plasma Following Administration of Oral Dose of GSK3640254
4.8503
PRIMARY
CL/F in Plasma Following Administration Oral Dose of [14C]-GSK3640254
4.4675
PRIMARY
Apparent Volume of Distribution (Vz/F) Following Administration of Oral Dose of GSK3640254
168.5433
PRIMARY
Vz/F Following Administration of Oral Dose of [14C]-GSK3640254
156.2909
PRIMARY
Absolute Oral Bioavailability of GSK3640254
0.2317; 0.2373
PRIMARY
Percentage of Drug Escaping First Pass Hepatic Clearance (Fh) Following Administration of [14C]-GSK3640254 IV
0.9945
PRIMARY
Percentage of Drug Absorbed (Fa) Following Administration of [14C]-GSK3640254 Oral Suspension
0.2595
PRIMARY
Percentage of Drug Escaping Gut Metabolism (Fg) Following Administration of [14C]-GSK3640254 Oral Suspension
0.8980
PRIMARY
Percentage of Total Radioactive Dose Excreted in Urine Following Administration of IV Dose of [14C]-GSK3640254
NA; 0; 1.1; 1.61; 1.76; 1.82
PRIMARY
Percentage of Total Radioactive Dose Excreted in Urine Following Administration of Oral Dose of [14C]-GSK3640254
0.00; 0.14; 0.26; 0.31; 0.33; 0.34
PRIMARY
Percentage of Total Radioactive Dose Excreted in Feces Following Administration of IV Dose of [14C]-GSK3640254
NA; 0.0855; 14.6; 41.7; 52.0; 61.1
PRIMARY
Percentage of Total Radioactive Dose Excreted in Feces Following Administration of Oral Dose of [14C]-GSK3640254
0.00; 0.38; 37.8; 62.8; 71.0; 81.9
SECONDARY
Number of Participants With Non-serious Adverse Events (AEs) and Serious AEs (SAEs)
1; 1; 0; 0
SECONDARY
Number of Participants With Worst Case Hematology Results Relative to Normal Range Post Baseline Relative to Baseline
0; 0; 5; 5; 0; 0
SECONDARY
Number of Participants With Worst Case Clinical Chemistry Results Relative to Normal Range Post Baseline Relative to Baseline
0; 0; 5; 5; 0; 0
SECONDARY
Number of Participants With Clinically Significant Urinalysis Findings
0; 0
SECONDARY
Number of Participants With Worst Case Post Baseline Abnormal 12-Lead Electrocardiogram (ECG) Findings
2; 3; 0; 0
SECONDARY
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
3.4; -0.3; 2.6; 3.0; 2.8; 3.0
SECONDARY
Change From Baseline in Pulse Rate
-3.8; -2.3; 8.2; 0.0
SECONDARY
Change From Baseline in Respiratory Rate
0.0; -1.0; 0.8; 0.8
SECONDARY
Change From Baseline in Temperature
0.28; 0.38; 0.04; 0.28; 0.24; 0.32
SECONDARY
Change From Baseline in Weight
-0.64; -1.10
SECONDARY
Total Radioactivity in Blood to Plasma Following Administration of Oral Dose of [14C]-GSK3640254
0.555; 0.480; 0.522; 0.503; 0.595

Summary

This is an open-label, single-center, single group, non-randomized, two-period, single sequence, mass balance study which will enroll 6 healthy male participants. This study will assess the pharmacokinetics, balance/excretion, and metabolism of GSK3640254 in humans using [14C]-radiolabeled drug substance administered as an intravenous (IV) infusion and via the oral route. The study will also provide an assessment of GSK3640254 absorption, metabolism and excretion following administration of a [14C]-radiolabeled oral suspension. Each participant will be involved in the study for up to 10 weeks which will include a screening period, two treatment periods (treatment Periods 1 and 2) separated by a washout of at least 13 days between oral doses, and a follow-up visit 7-14 days after the last assessment in treatment Period 2.

Eligibility Criteria

Inclusion Criteria

  • Participant must be 30 to 50 years of age inclusive, at the time of signing the informed consent.
  • Participants who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, vital signs 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.
  • 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 kilograms (kg) and above, and body mass index (BMI) within the range 19.0 to 31.0 kg/square meter (m^2) (inclusive).
  • Male participants are eligible to participate if they agree to the following during the study, including washout periods: Refrain from donating sperm and either a) be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent or b) Agree to use a male condom when having penile-vaginal intercourse with a woman of childbearing potential unless vasectomized.
  • Capable of giving signed informed consent.

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.
  • 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, or chronic history of diarrhea.
  • Lymphoma, leukemia, 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 history of significant underlying psychiatric disorder, including, but not limited to, schizophrenia, bipolar disorder with or without psychotic symptoms, other psychotic disorders, or schizotypal (personality) disorder.
  • Any history of major depressive disorder with or without suicidal features, or anxiety disorders that required medical intervention (pharmacologic or not) such as hospitalization or other inpatient treatment and/or chronic (>6 months) outpatient treatment. Participants with other conditions such as adjustment disorder or dysthymia that have required shorter term medical therapy ( 21 units. One unit is equivalent to 8 grams of alcohol: a glass (equivalent to [~]240 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 in the 3 months prior to Screening.
  • Medical history of cardiac arrhythmias, prior myocardial infarction in the past 3 months, or cardiac disease or a family or personal history of long QT syndrome.
  • QT duration corrected for heart rate by Fridericia's formula (QTcF) >450 milliseconds (msec).
  • At Screening or prior to the first dose, a supine blood pressure (BP) that is persistently higher than 140/90 millimeters of mercury (mmHg).
  • At Screening or prior to the first dose, a supine mean heart rate (HR) outside the range of 50 to 100 beats per minute (bpm). A heart rate from 100 to 110 bpm can be rechecked by ECG or vital signs within
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04507321). 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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