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Phase 1 Completed N=12 Randomized Double-blind Treatment

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

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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