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Infections, BacterialPhase 1NCT01610388

A Study to Investigate the Safety, Tolerability and Pharmacokinetics of Oral and Intravenous GSK1322322 in Healthy Subjects

A Phase 1 study of Infections, Bacterial, run by GlaxoSmithKline at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This first time in human (FTIH) study will be the first administration of GSK1322322 as an intravenous formulation and will investigate safety, tolerability, and pharmacokinetics in healthy subjects. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Infections, Bacterial
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
61 participants
Where
1 siteUnited States
Study dates
13 Sep 2011to 26 Jan 2012
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Healthy as determined by a responsible and experienced physician, based on a medical evaluation including [medical history, physical examination, laboratory tests and ECGs. A subject with a clinical abnormality or laboratory parameters outside the reference range for the population being studied may be included at the discretion of the Investigator only if the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures.
  • Male or female between 18 and 65 years of age inclusive, at the time of signing the informed consent.
  • A female subject is eligible to participate if she is of: Non-childbearing potential defined as pre-menopausal females with a documented tubal ligation or hysterectomy; or postmenopausal defined as 12 months of spontaneous amenorrhea
  • Male subjects with female partners of child-bearing potential must agree to use one of the contraception methods listed in the protocol. This criterion must be followed from the time of the first dose of study medication until the final follow up visit.
  • Body weight greater than or equal to 50 kilograms and body mass index (BMI) between 18.5-29.9 (inclusive).
  • Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.
  • QTcB less than 450 millisecond (msec); or QTcB less than 480 msec in subjects with Bundle Branch Block on Screening ECG

Who cannot join

  • A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening
  • Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
  • Contraindications to bronchoalveolar lavage including hypercapnia greater than 50 mm Hg, refractory hypoxemia, reactive airway disease or asthma, unstable angina or acute myocardial infarction in the last 6 months, heart failure, and severe hemostatic alterations (Cohort C only).
  • A positive pre-study drug/alcohol screen.
  • A positive test for HIV antibody.
  • History of regular alcohol consumption within 6 months of the study
Show all 21Show fewer
  • The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the first dosing day in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer).
  • Exposure to more than four new chemical entities within 12 months prior to the first dosing day.
  • Use of prescription or non-prescription drugs, including vitamins, herbal and dietary supplements (including 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, and within 5 days following discontinuation of GSK1322322 (for sensitive and narrow therapeutic index CYP3A4 substrates), unless in the opinion of the Investigator and GSK Medical Monitor the medication will not interfere with the study procedures or compromise subject safety.
  • Use of antacids, H2 blockers, proton pump inhibitors, vitamins, and iron supplements within 7 days prior to the first dose of study medication and for the duration of the trial, including follow-up.
  • History of sensitivity to any of the study medications, or components thereof or a history of drug or other allergy that, in the opinion of the investigator or GSK Medical Monitor, contraindicates their participation.
  • History of sensitivity to medications used in study, ie Atropine, Midazolam, Fentanyl, Lidocaine, Codeine (Cohort C only) that, in the opinion of the investigator or GSK Medical Monitor, contraindicates their participation.
  • Where participation in the study would result in donation of blood or blood products in excess of 500 milliliters within a 56 day period.
  • Pregnant females as determined by positive [serum or urine] test at screening or prior to dosing.
  • Lactating females.
  • Unwillingness or inability to follow the procedures outlined in the protocol.
  • Subject is mentally or legally incapacitated.
  • History of sensitivity to heparin or heparin-induced thrombocytopenia.
  • Urinary cotinine levels indicative of smoking or history or regular use of tobacco- or nicotine-containing products within 6 months prior to screening.
  • Consumption of red wine, seville oranges, grapefruit or grapefruit juice [and/or pummelos, exotic citrus fruits, grapefruit hybrids or fruit juices] from 7 days prior to the first dose of study medication.
  • Exclusion criteria for screening ECG (a single repeat is allowed for eligibility determination): Heart rate: males less than 45 and greater than 100 beats per minute (bpm) and females less than 50 and greater than 100bpm. PR interval less than 120 and greater than 220msec, QRS duration less than 70 and greater than 120 msec, and QTcB greater than 450msec. Evidence of previous myocardial infarction (does not include ST segment changes associated with repolarization). Any conduction abnormality (including but not specific to left or right complete bundle branch block, AV block [2nd degree or higher], Wolf Parkinson White [WPW] syndrome), sinus pauses> 3 seconds, non-sustained or sustained ventricular tachycardia (greater than or equal to 3 consecutive ventricular ectopic beats) or any significant arrhythmia which, in the opinion of the principal investigator and GSK medical monitor, will interfere with the safety of the individual subject.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • GSK Investigational Site

    Minneapolis, Minnesota, 55404

Other trials in United States

About this study

Official title: A Randomized, Double-Blind, Placebo-Controlled Repeat Dose Escalation, First Time in Human Study to Investigate the Safety, Tolerability and Pharmacokinetics of Oral and Intravenous GSK1322322 in Healthy Subjects

This first time in human (FTIH) study will be the first administration of GSK1322322 as an intravenous formulation and will investigate safety, tolerability, and pharmacokinetics in healthy subjects. One cohort of subjects will undergo bronchoalveolar lavage (BAL) for determination of GSK1322322 concentrations in lung with simultaneous comparison to plasma concentrations to evaluate drug penetration in the lung. The study will evaluate the absolute bioavailability of an oral tablet formulation as compared to the IV formulation.In addition, Amendment 01 will enable the investigation of an improved IV formulation (GSK1322322J mesylate salt) in an additional repeat dosing cohort and the supra-therapeutic cohort.

Being tested
500mg IV GSK1322322/placebo, 1000mg oral GSK1322322/placebo, 1000mg IV GSK1322322/placebo, 1500mg oral GSK1322322/placebo dose, 1500mg IV GSK1322322/placebo
Keywords
healthy subjects, double-blind, FTIH, dose-escalation, absolute bioavailability, GSK1322322, BAL
Medical subject headings
Bacterial Infections

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 500mg IV GSK1322322/placeboDrug

    500mg IV

  • 1000mg oral GSK1322322/placeboDrug

    1000mg oral

  • 1000mg IV GSK1322322/placeboDrug

    1000mg IV

  • 1500mg oral GSK1322322/placebo doseDrug

    1500mg oral

  • 1500mg IV GSK1322322/placeboDrug

    1500mg IV

  • 2000mg IV GSK1322322J/placeboDrug

    2000mg IV

  • 3000mg IV GSK1322322J/placeboDrug

    3000mg IV

  • 1000mg IV GSK1322322J/placeboDrug

    1000mg IV

Study groups in NCT01610388
Study groupRoleWhat they receive
Cohort A1ExperimentalSingle dose 60 minute infusion of 500mg IV GSK1322322/placebo followed by BID for 4 days
Receives: Drug: 500mg IV GSK1322322/placebo
Cohort A2ExperimentalSingle dose 30 minute infusion of 500mg IV GSK1322322/placebo followed by BID for 4 days
Receives: Drug: 500mg IV GSK1322322/placebo
Cohort BExperimentalInitial single 1000mg oral GSK1322322/placebo dose, initial single dose 1000mg IV GSK1322322/placebo followed by BID for 4 days
Receives: Drug: 1000mg oral GSK1322322/placebo; Drug: 1000mg IV GSK1322322/placebo
Cohort CExperimentalInitial single 1500mg oral GSK1322322/placebo dose, initial single dose 1500mg IV GSK1322322/placebo followed by BID for 4 days
Receives: Drug: 1500mg oral GSK1322322/placebo dose; Drug: 1500mg IV GSK1322322/placebo
Cohort DExperimentalSingle dose 2000mg IV GSK1322322J/placebo
Receives: Drug: 2000mg IV GSK1322322J/placebo
Cohort EExperimentalSingle dose 3000mg IV GSK1322322J/placebo
Receives: Drug: 3000mg IV GSK1322322J/placebo
Cohort FExperimental1000mg IV GSK1322322J/placebo followed by BID for 4 days
Receives: Drug: 1000mg IV GSK1322322J/placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. GSK1322322 safety parameters including the number of subjects with adverse events (AEs)

    Measured: Cohort A up to 14 days; Cohort B and C up to 16 days

  2. GSK1322322 safety parameters including absolute values and changes over time of clinical safety laboratory assessments.

    Measured: Cohort A up to 14 days; Cohort B and C up to 16 days

  3. GSK1322322 safety parameters including the change from baseline in vital signs (blood pressure (BP) and heart rate)

    Measured: Cohort A up to 14 days; Cohort B and C up to 16 days

  4. GSK1322322 safety parameters including change from baseline in electrocardiogram (ECG) parameters

    Measured: Cohort A up to 14 days; Cohort B and C up to 16 days

  5. GSK1322322 pharmacokinetic parameters (PK) after single oral dose, area under the concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration (AUC(0-t)).

    Measured: Cohorts B and C on Day -2

  6. GSK1322322 PK parameters after single oral dose area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC(0-∞)).

    Measured: Cohorts B and C on Day -2

  7. GSK1322322 PK parameters after single oral dose aximum observed concentration (Cmax).

    Measured: Cohorts B and C on Day -2

  8. GSK1322322 PK parameters after single oral dose time of occurrence of Cmax (tmax).

    Measured: Cohorts B and C on Day -2

  9. GSK1322322 PK parameters after single oral dose mean residence time (MRTpo)

    Measured: Cohorts B and C on Day -2

  10. GSK1322322 PK parameters after single oral dose apparent clearance after oral administration (CL/F)

    Measured: Cohorts B and C on Day -2

  11. GSK1322322 PK parameters after single oral dose apparent volume of distribution after oral administration (Vz/F)

    Measured: Cohorts B and C on Day -2

  12. GSK1322322 PK parameters after single oral dose terminal phase half-life (t 1/2).

    Measured: cohort B and C on Day -2

  13. GSK1322322 PK parameters after single IV dose area under the concentration-time curve from zero (pre-dose) to some fixed nominal time (12 hours) (AUC(0-12)).

    Measured: Cohorts A, B, C, D, E on Day 1

  14. GSK1322322 PK parameters after single IV dose area under the concentration-time curve from zero (pre-dose) to some fixed nominal time (24 hours) AUC(0-24)

    Measured: Cohorts A, B, C, D, E on Day 1

  15. GSK1322322 PK parameters after single IV dose AUC(0-t)

    Measured: Cohorts A, B, C, D, E on Day 1

  16. GSK1322322 PK parameters after single IV dose AUC(0-∞).

    Measured: Cohorts A, B, C, D, E on Day 1

  17. GSK1322322 PK parameters after single IV dose Cmax

    Measured: Cohorts A, B, C, D, E on Day 1

  18. GSK1322322 PK parameters after single IV dose mean residence time intravenous (MRTiv)

    Measured: Cohort A, B, C, D, E on Day 1

  19. GSK1322322 PK parameters after single IV dose t1/2

    Measured: Cohort A, B, C, D, E on Day 1

  20. Absolute bioavailability will be determined by comparing oral AUC(0-∞) to IV AUC(0-∞)

    Measured: Cohort B and C on Day -2 and Day 1

  21. MAT of oral tablet will be determined (=MRTpo-MRTiv)

    Measured: Cohort B and C on Day -2 and Day 1

  22. After repeated IV doses, pharmacokinetic parameters including Area under the concentration-time curve over the dosing interval (AUC(0-τ))

    Measured: Cohorts A, B, C on Days 3 - 6

  23. After repeated IV doses, pharmacokinetic parameters including Cmax

    Measured: Cohorts A, B, C on Days 3 - 6

  24. After repeated IV doses, pharmacokinetic parameters including CL

    Measured: Cohorts A, B, C on Days 3 - 6

  25. GSK1322322 concentrations in BAL obtained in epithelial lining fluid (ELF) and alveolar macrophages (AM) as compared to that in plasma

    Measured: Cohort C Day 6

Secondary outcomes (9)
  1. GSK1322322 urine PK parameters: amount excreted (Ae) of unchanged GSK1322322, fraction of the dose excreted in the urine (fe) and renal clearance (CLr) following single dose IV administration from Period 2 and Period 3.

    Measured: cohort B and C on Day 1 and 2

  2. Day 6 GSK1322322 AUC(0-τ) compared to AUC(0-12) on Day 1 to evaluate the accumulation ratio following repeat IV administration of GSK1322322.

    Measured: Cohorts A, B, C Day 6 and Day 1

  3. Day 6 GSK1322322 AUC(0-τ) compared to AUC(0-∞) on Day 1 to evaluate time invariance following repeat IV administration of GSK1322322.

    Measured: Cohorts A, B, C Day 6 and Day 1

  4. GSK1322322 PK parameters: AUC(0-∞) on Day 1 and AUC(0-τ) on Day 6 following IV administration at different doses for the assessment of dose proportionality.

    Measured: Cohorts A, B, C Day1 and 6

  5. Microbiome analysis of stool prior to and after exposure to GSK1322322

    Measured: Cohort A, B,C, D, E single sample predose and single sample post dose

  6. GSK1322322J safety parameters including the number of subjects with adverse events (AEs)

    Measured: Cohort D and E up to 11 days, Cohort F up to 14 days

  7. GSK1322322J safety parameters including absolute values and changes over time of clinical safety laboratory assessments

    Measured: Cohort D and E up to 11 days; Cohort F up to 14 days

  8. GSK1322322J safety parameters including the change from baseline in vital signs (blood pressure (BP) and heart rate)

    Measured: Cohort D and E up to 11 days; Cohort F up to 14 days

  9. GSK1322322J safety parameters including change from baseline in electrocardiogram (ECG) parameters

    Measured: Cohort D and E up to 11 days: Cohort F up to 14 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 Jun 2012 (estimated)
  2. Study start13 Sep 2011
  3. Primary completion26 Jan 2012
  4. Study completion26 Jan 2012

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Other
Allocation
Randomised
Intervention model
Single group
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
61 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01610388
Sponsor's protocol ID
113376
Status last verified
Jun 2017
First submitted
31 May 2012
Last updated
12 Jun 2017
Results posted
No
Data monitoring committee
No
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Publications

  • Naderer OJ, Rodvold KA, Jones LS, Zhu JZ, Bowen CL, Chen L, Dumont E. Penetration of GSK1322322 into epithelial lining fluid and alveolar macrophages as determined by bronchoalveolar lavage. Antimicrob Agents Chemother. 2014;58(1):419-23. doi: 10.1128/AAC.01836-13. Epub 2013 Nov 4.

    PubMed 24189245

Questions about this trial

What is this clinical trial studying?

A Phase 1 study of Infections, Bacterial, run by GlaxoSmithKline at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 Jun 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

GSK1322322 safety parameters including the number of subjects with adverse events (AEs) (time frame: Cohort A up to 14 days; Cohort B and C up to 16 days). The study lists 25 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01610388, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Jun 2017.

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