Phase 1
N=5
Pharmacokinetics and Metabolism of 14 Carbon [14C]-GSK3640254
HIV Infections
Bottom Line
View on ClinicalTrials.gov: NCT04507321 ↗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
| Outcome | Result | p-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
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.