Phase 1
Completed N=12
Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of GSK3915393 in Healthy Participants and to Evaluate the Interaction Between GSK3915393 and Grapefruit Juice and Itraconazole
Celiac Disease · Coeliac Disease
Source: ClinicalTrials.gov NCT04604795 ↗
Enrolled (actual)
12
Serious AEs
0.0%
Results posted
May 2023
Primary outcomePrimary: Part A: Number of Participants With All Non-serious Adverse Events (AEs) and Serious AEs (SAEs) Following Administration of Oral Dose — 1; 2; 3; 1 Participants
Summary
This is a 3-part first time into human study (FTIH) study for GSK3915393. Parts A and B of the study will evaluate the safety, tolerability and pharmacokinetics (PK) of single ascending and repeat oral doses of GSK3915393 in healthy adult participants. Part C will evaluate the impact of co-administration of GSK3915393 with grapefruit juice and itraconazole on the PK of GSK3915393.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Part A: Number of Participants With All Non-serious Adverse Events (AEs) and Serious AEs (SAEs) Following Administration of Oral Dose |
1; 2; 3; 1; 0; 0 | — |
| PRIMARY Part A: Number of Participants With Treatment-related AEs Following Administration of Oral Dose |
0; 0; 0; 0 | — |
| PRIMARY Part B: Number of Participants With All Non-serious AEs and SAEs |
3; 5; 1; 5; 0; 0 | — |
| PRIMARY Part B: Number of Participants With Treatment-related AEs |
1; 0; 0; 0 | — |
| PRIMARY Part A: Number of Participants With Worst Case Chemistry Results by Potential Clinical Importance (PCI) Criteria Post-Baseline Relative to Baseline Following Administration of Oral Dose |
0; 0; 0; 0; 9; 9 | — |
| PRIMARY Part A: Number of Participants With Worst Case Chemistry Results-creatinine by PCI Criteria Post-Baseline Relative to Baseline Following Administration of Oral Dose |
9; 9; 9; 9; 0; 0 | — |
| PRIMARY Part A: Number of Participants With Worst Case Chemistry Results-urea by PCI Criteria Post-Baseline Relative to Baseline Following Administration of Oral Dose |
9; 9; 9; 9; 0; 0 | — |
| PRIMARY Part A: Number of Participants With Worst Case Hematology Results by PCI Criteria Post-Baseline Relative to Baseline Following Administration of Oral Dose |
0; 0; 0; 0; 9; 9 | — |
| PRIMARY Part A: Number of Participants With Worst Case Vital Sign Results by PCI Criteria Post-Baseline Relative to Baseline Following Administration of Oral Dose |
0; 0; 0; 0; 9; 9 | — |
| PRIMARY Part A: Number of Participants With Worst Case Post-Baseline Abnormal Electrocardiogram (ECG) Findings Following Administration of Oral Dose |
2; 3; 1; 0; 0; 0 | — |
| PRIMARY Part A: Number of Participants With Abnormal Physical Examination Findings Following Administration of Oral Dose |
0; 0; 0; 0 | — |
| PRIMARY Part B: Number of Participants With Worst Case Chemistry Results by PCI Criteria Post-Baseline Relative to Baseline Following Administration of Repeat Oral Dose of GSK3915393 |
0; 0; 0; 0; 10; 10 | — |
| PRIMARY Part B: Number of Participants With Worst Case Chemistry Results-urea by PCI Criteria Post-Baseline Relative to Baseline Following Administration of Repeat Oral Dose of GSK3915393 |
10; 10; 9; 9; 0; 0 | — |
| PRIMARY Part B: Number of Participants With Worst Case Chemistry Results-creatinine by PCI Criteria Post-Baseline Relative to Baseline Following Administration of Repeat Oral Dose |
10; 10; 9; 9; 0; 0 | — |
| PRIMARY Part B: Number of Participants With Worst Case Hematology Results by PCI Criteria Post-Baseline Relative to Baseline Following Repeat Oral Dose of GSK3915393 |
0; 0; 0; 0; 10; 10 | — |
| PRIMARY Part B: Number of Participants With Worst Case Vital Sign Results by PCI Criteria Post-Baseline Relative to Baseline Following Repeat Oral Dose of GSK3915393 |
0; 0; 0; 0; 10; 10 | — |
| PRIMARY Part B: Number of Participants With Worst Case Post-Baseline Abnormal ECG Findings Following Repeat Oral Dose of GSK3915393 |
3; 5; 0; 1; 1; 0 | — |
| PRIMARY Part B: Number of Participants With Abnormal Physical Examination Findings Following Administration of Repeat Oral Dose of GSK3915393 |
0; 0; 0; 0 | — |
| PRIMARY Part C: Maximum Observed Plasma Drug Concentration (Cmax) Following IV Dose of GSK3915393 |
4.7220 | — |
| PRIMARY Part C: Cmax of GSK3915393 Following IV Dose of GSK3915393+ITZ |
7.8839 | — |
| PRIMARY Part C: Cmax Following Oral Dose of GSK3915393 in Combination With Water, GFJ and ITZ |
145.5638; 145.0510; 982.5433 | — |
| PRIMARY Part C: Time to Maximum Observed Plasma Drug Concentration (Tmax) Following IV Dose of GSK3915393 |
0.98 | — |
| PRIMARY Part C: Tmax of GSK3915393 Following IV Dose of GSK3915393+ITZ |
0.98 | — |
| PRIMARY Part C: Tmax of GSK3915393 Following Oral Dose of GSK3915393 in Combination With Water, GFJ and ITZ |
0.67; 1.50; 1.25 | — |
| PRIMARY Part C: Area Under Curve up to the Last Measurable Concentration (AUCLST[0-10]) Following IV Dose of GSK3915393 |
5.0061 | — |
| PRIMARY Part C: AUCLST(0-24) of GSK3915393 Following IV Dose of GSK3915393+ITZ |
13.3393 | — |
| PRIMARY Part C: AUCLST(0-24) of GSK3915393 Following Oral Dose of GSK3915393 in Combination With Water, GFJ and ITZ |
153.8368; 223.1288; 2129.2407 | — |
| PRIMARY Part C: AUC From Time Zero to Infinity (AUC[0-inf]) Following IV Dose of GSK3915393 |
5.0325 | — |
| PRIMARY Part C: AUC(0-inf) of GSK3915393 Following IV Dose of GSK3915393+ITZ |
13.4250 | — |
| PRIMARY Part C: AUC(0-inf) of GSK3915393 Following Oral Dose of GSK3915393 in Combination With Water, GFJ and ITZ |
155.5203; 225.0856; 2141.8345 | — |
| PRIMARY Part C: Apparent Terminal Half-life (t1/2) of GSK3915393 Following IV Dose of GSK3915393 |
NA | — |
| PRIMARY Part C: t1/2 of GSK3915393 Following IV Dose of GSK3915393+ITZ |
NA | — |
| PRIMARY Part C: t1/2 of GSK3915393 Following Oral Dose of GSK3915393 in Combination With Water, GFJ and ITZ |
NA; NA; NA | — |
| SECONDARY Part A: Cmax Following Single Oral Dose of GSK3915393 |
58.7910; 235.4331; 1246.2994 | — |
| SECONDARY Part A: Cmax Following Single IV Dose of GSK3915393 |
4.3979 | — |
| SECONDARY Part A: Tmax Following Single Oral Dose of GSK3915393 |
1.50; 1.52; 1.50 | — |
| SECONDARY Part A: Tmax Following IV Dose of GSK3915393 |
0.98 | — |
| SECONDARY Part A: AUCLST(0-24) Following Single Oral Dose of GSK3915393 |
113.7272; 424.6809; 2221.3816 | — |
| SECONDARY Part A: AUCLST(0-6) Following Single IV Dose of GSK3915393 |
4.4466 | — |
| SECONDARY Part A: AUC(0-inf) Following Single Oral Dose of GSK3915393 |
116.5279; 431.3298; 2235.3991 | — |
| SECONDARY Part A: AUC(0-inf) Following Single IV Dose of GSK3915393 |
4.4790 | — |
| SECONDARY Part A: t1/2 Following Single IV Dose of GSK3915393 100 mcg IV |
NA | — |
| SECONDARY Part A: Clearance (CL) Following Single IV Dose of GSK3915393 |
22.7675 | — |
| SECONDARY Part A: Volume of Distribution (Vd) Following Single IV Dose of GSK3915393 |
30.7890 | — |
| SECONDARY Part A: Absolute Bioavailability (F) Following Single Oral Dose of GSK3915393 |
0.20; 0.18; 0.29 | — |
| SECONDARY Part A: Fraction of Drug Escaping Hepatic Metabolism (FH) Following Single Oral Dose of GSK3915393 |
0.5367; 0.4617; 0.5107 | — |
| SECONDARY Part A: Product of Fraction of Drug Absorbed and Fraction of Drug Escaping Gut Metabolism (FA*FG) Following Oral Dose of GSK3915393 |
0.3062; 0.3814; 0.5563 | — |
| SECONDARY Part A: Number of Participants With All Non-serious AEs and SAEs Following Administration Administration of IV Dose of GSK3915393 |
4; 0 | — |
| SECONDARY Part A: Number of Participants With Worst Case Chemistry Results by PCI Criteria Post-Baseline Relative to Baseline Following Administration Administration of IV Dose of GSK3915393 |
0; 12; 0; 0; 12; 0 | — |
| SECONDARY Part A: Number of Participants With Worst Case Chemistry Results-creatinine by PCI Criteria Post-Baseline Relative to Baseline Following Administration Administration of IV Dose of GSK3915393 |
12; 0 | — |
| SECONDARY Part A: Number of Participants With Worst Case Chemistry Results-urea by PCI Criteria Post-Baseline Relative to Baseline Following Administration of IV Dose of GSK3915393 |
12; 0 | — |
| SECONDARY Part A: Number of Participants With Worst Case Hematology Results by PCI Criteria Post-Baseline Relative to Baseline Following Administration of IV Dose of GSK3915393 |
0; 12; 0; 0; 12; 0 | — |
| SECONDARY Part A: Number of Participants With Worst Case Vital Sign Results by PCI Criteria Post-Baseline Relative to Baseline Following IV Dose of GSK3915393 |
0; 12; 0; 0; 12; 0 | — |
| SECONDARY Part A: Number of Participants With Worst Case Post-Baseline Abnormal ECG Findings Following Administration of IV Dose of GSK3915393 |
7; 0 | — |
| SECONDARY Part A: Number of Participants With Abnormal Physical Examination Findings Following Administration of IV Dose of GSK3915393 |
— | — |
| SECONDARY Part B: Cmax(0-10) Following Dosing of GSK3915393 on Days 1 and 14 |
64.7843; 408.5572; 823.7704; 95.4416; 820.5354; 1710.7385 | — |
| SECONDARY Part B: Cmax(10-24) Following Repeat Dose 20 mg and 80 mg of GSK3915393 |
32.2127; 338.2996; 62.0235; 931.2098 | — |
| SECONDARY Part B: Cmax(10-24) Following Dose 160 mg (QD) of GSK3915393 |
NA; NA | — |
| SECONDARY Part B: Tmax(0-10) Following Dosing of GSK3915393 on Days 1 and 14 |
1.2583; 1.0167; 1.5000; 1.5000; 0.7500; 0.6833 | — |
| SECONDARY Part B: Tmax(10-24) Following Repeat Dose 20 mg BID and 80 mg BID of GSK3915393 |
2.0000; 2.0000; 2.0000; 0.6667 | — |
| SECONDARY Part B: Tmax(10-24) Following Dose 160 mg (QD) of GSK3915393 |
NA; NA | — |
| SECONDARY Part B: AUCLST(0-10) Following Dosing of GSK3915393 |
90.7283; 570.8621; 1268.9518; 173.2096; 873.9352; 1670.9421 | — |
| SECONDARY Part B: AUCLST(0-24) Following Repeat Dose 20 mg BID and 80 mg BID of GSK3915393 |
193.1524; 1242.5500; 342.1653; 1856.9207 | — |
| SECONDARY Part B: AUCLST(0-24) Following Dose of GSK3915393 160 mg (QD) |
1314.7399; 1738.3433 | — |
| SECONDARY Part B: AUC(10-24) Following Repeat Dose 20 mg BID and 80 mg BID of GSK3915393 |
115.2199; 666.5290; 189.9773; 959.7659 | — |
| SECONDARY Part B: AUC(10-24) Following Repeat Dose of GSK3915393 160 mg (QD) |
NA; NA | — |
| SECONDARY Part B: Cmax(0-10) Following First Dosing of GSK3915393 on Days 3, 5 and 7 (for Food-effect Assessment) |
125.5298; 819.8381; 1324.4415; 56.9187; 235.7608; 550.0071 | — |
| SECONDARY Part B: Tmax(0-10) Following First Dosing of GSK3915393 on Days 3, 5 and 7 (for Food-effect Assessment) |
0.6667; 1.0000; 1.0000; 1.5000; 1.5167; 3.0000 | — |
| SECONDARY Part B: AUCLST(0-10) Following First Dosing of GSK3915393 on Days 3, 5 and 7 (for Food-effect Assessment) |
115.6796; 883.5828; 1571.0637; 120.0480; 698.9908; 1320.6847 | — |
| SECONDARY Part B: Trough Concentration (Ctau) Following Dose of 20 mg BID and 80 mg BID of GSK3915393 on Day 14 |
1.8808; 3.3181 | — |
| SECONDARY Part B: Trough Concentration (Ctau) Following Dose of 160 mg of GSK3915393 on Day 14 |
2.5423 | — |
| SECONDARY Part C: Number of Participants With All Non-serious AEs and SAEs |
5; 2; 3; 2; 2; 0 | — |
| SECONDARY Part C: Number of Participants With Treatment-related AEs Following Dose of GSK3915393 |
3; 2; 1; 0; 0 | — |
| SECONDARY Part C: Number of Participants With Worst Case Chemistry Results by PCI Criteria Post-Baseline Relative to Baseline Following Dose Administration of GSK3915393 |
0; 0; 0; 0; 0; 12 | — |
| SECONDARY Part C: Number of Participants With Worst Case Chemistry Results: Creatinine by PCI Criteria Post-Baseline Relative to Baseline Following Dose Administration of GSK3915393 |
12; 11; 11; 12; 10; 0 | — |
| SECONDARY Part C: Number of Participants With Worst Case Chemistry Results: Urea by PCI Criteria Post-Baseline Relative to Baseline Following Dose Administration of GSK3915393 |
12; 11; 11; 12; 10; 0 | — |
| SECONDARY Part C: Number of Participants With Worst Case Hematology Results by PCI Criteria Post-Baseline Relative to Baseline Following Dose Administration of GSK3915393 |
0; 0; 0; 0; 0; 12 | — |
| SECONDARY Part C: Number of Participants With Worst Case Vital Sign Results by PCI Criteria Post-Baseline Relative to Baseline Following Dose Administration of GSK3915393 |
0; 0; 0; 0; 0; 12 | — |
| SECONDARY Part C: Number of Participants With Worst Case Post-Baseline Abnormal ECG Findings Following Administration of GSK3915393 |
2; 1; 1; 1; 0; 0 | — |
| SECONDARY Part C: Number of Participants With Abnormal Physical Examination Findings Following Administration of GSK3915393 |
0; 0; 0; 0; 0 | — |
| SECONDARY Part C: Fraction of Drug Escaping Hepatic Metabolism (FH) Following IV Dose of GSK3915393 |
0.6525 | — |
| SECONDARY Part C: FH Following IV Administration of GSK3915393+ITZ |
0.8717 | — |
| SECONDARY Part C: Fraction of Drug Escaping Gut Metabolism (FG) Following Oral Administration of GSK3915393+Water |
NA | — |
| SECONDARY Part C: Fraction of Drug Absorbed (FA) Following Oral Administration of GSK3915393+Water |
NA | — |
Eligibility Criteria
Inclusion Criteria
- Between 18 and 50 years of age inclusive, at the time of signing the informed consent.
- Healthy participants who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring.
- Negative coronavirus disease of 2019 (COVID-19) test on admission.
- Body weight >=40 kilograms (kg) and body mass index (BMI) within the range 18.5-29.9 kilograms per square meter (kg/m^2) (inclusive).
- Male or females: No restrictions for male participants. A female participant is eligible to participate if she is not pregnant or breastfeeding, and one of the following conditions applies: Is a woman of non-childbearing potential (WONCBP) OR Is a woman of childbearing potential (WOCBP) and using an acceptable contraceptive method from 30 days prior to first dose until follow up visit. The investigator should evaluate the potential for contraceptive method failure (e.g., noncompliance, recently initiated in relationship to the first dose of study intervention). A WOCBP must have a negative highly sensitive pregnancy test (serum) at screening and on admission to the clinical unit. 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.
- Capable of giving signed informed consent.
Exclusion Criteria
- History or current evidence of cardiovascular, respiratory, hepatic, renal, gastrointestinal (Irritable bowel syndrome [IBS], Gastroesophageal reflux disease [GERD], nausea, vomiting or dysphagia), endocrine, hematological, neurological, or psychiatric disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study treatment; or interfering with the interpretation of data.
- Current evidence of active infection.
- Participants with signs/symptoms suggestive of COVID-19 (i.e. fever, cough, etc) within the past 14 days prior to screening and admission to clinical unit.
- Participants with known COVID-19 positive contacts in the past 14 days prior to screening and admission to clinical unit.
- Any history of suicidal behavior within the past 6 months or any history of attempted suicide in a participant's lifetime.
- Alanine transaminase (ALT) >1.5 times upper limit of normal (ULN).
- Bilirubin >1.5 times ULN (isolated bilirubin >1.5 times ULN is acceptable if bilirubin is fractionated and direct bilirubin 450 milliseconds (msec) at screening.
- Any clinically relevant abnormality on the screening medical assessment, laboratory examination, or electrocardiogram.
- History of QTc prolongation, symptomatic cardiac arrhythmias or cardiac arrest.
- For Part C only, history of liver toxicity resulting from drug administration.
- For Part C only, history of intolerance to itraconazole.
- History of sensitivity to any of the study medication, or components thereof or a history of drug or other allergy that, in the opinion of the investigator or GlaxoSmithKline Medical Monitor, contraindicates their participation.
- Use of any immunosuppressive medications within 6 months prior to entry.
- Unable to refrain from the use of prescription or non-prescription drugs, including vitamins, probiotics, antacids, herbal and dietary supplements (including Saint [St] John's Wort) within 7 days (or 14 days if the drug is a potential enzyme inducer) or 5 half- lives (whichever is longer) prior to the first dose of study medication for each dosing, unless in the opinion of the Investigator and GlaxoSmithKline Medical Monitor the medication will not interfere with the study procedures or compromise participant safety. (Paracetamol is acceptable at a dose of no more than 500 milligrams [mg] at a time and no more than 2 grams [g] per day).
- Participants who have received a COVID-19 vaccine within 7 days of admission (or readmission) to the clinical unit or who are demon
Data sourced from ClinicalTrials.gov (NCT04604795). 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. Informational only — not medical advice.