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Systemic Lupus ErythematosusPhase 1JAK116439NCT01687309

A Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single and Repeat Doses of GSK2586184 and the Effect of Food and Gender

A Phase 1 study testing GSK2586184 800mg single and repeat dose, GSK2586184 single dose taken with food and GSK2586184 single dose taken without food in people with Systemic Lupus Erythematosus, run by GlaxoSmithKline at 1 site in Belgium.

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

A study to investigate the safety, tolerability, pharmacokinetics, and pharmacodynamics of single and repeat doses of 800 mg GSK2586184 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
Systemic Lupus Erythematosus
What is being tested?
GSK2586184 800mg single and repeat dose, GSK2586184 single dose taken with food and GSK2586184 single dose taken without food
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
19 participants
Where
1 siteBelgium
Study dates
30 Apr 2012to 31 Jul 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 cardiac monitoring
  • Cohort A: A female subject 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
  • Cohort B: Male subjects with female partners of child-bearing potential must agree to contraception method mandated by protocol
  • Cohort A: Subjects between 18 and 65 years of age inclusive, at the time of signing the informed consent
  • Cohort B: Subjects between 18 and 50 years of age inclusive, at the time of signing the informed consent
  • Normal creatinine clearance values at screening
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  • ALT, alkaline phosphatase and bilirubin ≤ 1.5xULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%)
  • Single QTcF < 480 msec
  • BMI within the range 18 - 30.0 kg/m2 (inclusive)
  • Subjects must be non-smokers and must not use any nicotine-containing products. A non-smoker is defined as an individual who has abstained from smoking for at least 1 year prior to screening

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)
  • A positive pre-study drug/alcohol screen
  • A positive test for HIV antibody
  • History of sensitivity to any of the study medications, Intron A or other recombinant interferons, 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 regular alcohol consumption within 6 months of the study defined as an average weekly intake of >21 units for males or >14 units for females. One unit is equivalent to 8 g of alcohol and the following can be used as a guide: a half-pint (~240 ml) of beer, 1 glass (125 ml) of wine or 1 (25 ml) measure of spirits
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  • 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)
  • The subject is unwilling to abstain from alcohol consumption from 48 hr prior to dosing until discharge from the clinic, and for 24 hr prior to all other out-patient clinic visits
  • Exposure to more than four new chemical entities within 12 months prior to the first dosing day
  • Unable to refrain from the 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, unless in the opinion of the Investigator and GSK Medical Monitor the medication will not interfere with the study procedures or compromise subject safety
  • History of malignancy, except for adequately treated non-invasive cancer of the skin (basal or squamous cell) or cervical carcinoma in situ (>2 yrs prior to dosing)
  • Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period
  • Subjects with a history of or a current thyroid disease or epilepsy
  • Subjects exposed to radiation in the 6 months, (except for X-ray/CT examinations of the extremities) prior to the first GFR assessment (Day -2) (cohort B only)

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • GSK Investigational Site

    Antwerp, 2060

Other trials in Belgium

About this study

Official title: A Study to Investigate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of GSK2586184 Following a Single Doseof 800mg and Repeat Oral Tablet Doses of 800mg b.d and the Effect of Food and Gender on the Pharmacokinetics of oralGSK2586184 in Healthy Subjects

A study to investigate the safety, tolerability, pharmacokinetics, and pharmacodynamics of single and repeat doses of 800 mg GSK2586184 in healthy subjects.

Read the detailed description

This is a study in healthy volunteers to investigate the safety, tolerability, pharmacokinetics (the body's effect on the drug) and pharmacodynamics (the drug's effect on the body) of single and repeat doses of 800 mg GSK2586184. The effect of food and gender on pharmacokinetics will also be investigated following single dosing.

The study is made up of 2 groups of healthy subjects. The first group consists of 6 female subjects who will receive a single dose of 800mg GSK2586184 (study medication) during 2 seperate sessions. One session will involve the female subjects taking the study medication with food and the other session will involve study medication being taken without food. The safety and tolerability of the study medication in female subjects and the effect of food on the pharmacokinetics of the study medication will be investigated.

The second group will consist of 12 healthy male subjects participating in 2 sessions. 8 subjects will receive study medication and 4 will receive placebo (dummy medication) during the course of the study. Neither they or their study doctor will know which one they are given. Each male subject will receive a single dose of study medication or placebo followed by 13 days of twice daily dosing of study medication or placebo. Each dose will be taken with food.The single dose results from this group of subjects will be compared to the female group to investigate the effect of gender on pharmacokinetics. The safety and pharmacokinetics of repeat dosing will be investigated. The effect of repeat dosing on kidney function and the immune system will also be investigated.

The study will take place in the SGS Clinical Pharmacology Unit in Antwerp, Belgium. A pharmaceutical company, GlaxoSmithKline, is funding the study.

Being tested
GSK2586184 800mg single and repeat dose, Placebo-to-match GSK2586184, GSK2586184 single dose taken with food, GSK2586184 single dose taken without food
Medical subject headings
Lupus Erythematosus, Systemic

What participants receive

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

  • GSK2586184 800mg single and repeat doseDrug

    GSK2586184 800mg single dose and then twice daily dosing for 13 days

  • Placebo-to-match GSK2586184Drug

    Placebo-to-match GSK2586184

  • GSK2586184 single dose taken with foodOther

    GSK2586184 single dose taken with FDA approved high fat, high calorie breakfast

  • GSK2586184 single dose taken without foodOther

    GSK2586184 single dose taken in a fasted state

Study groups in NCT01687309
Study groupRoleWhat they receive
Cohort A fed sessionOtherGSK2586184 800mg single dose with food
Receives: Other: GSK2586184 single dose taken with food
Cohort A fasted sessionOtherGSK2586184 single dose without food
Receives: Other: GSK2586184 single dose taken without food
Cohort B active study medicationActive comparatorGSK2586184 800mg single and twice daily dose for 13 days
Receives: Drug: GSK2586184 800mg single and repeat dose
Cohort B placeboPlacebo comparatorPlacebo-to-match single and twice daily dose for 13 days
Receives: Drug: Placebo-to-match GSK2586184

What is being measured

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

  1. Adverse event reporting

    Change in health of subjects

    Measured: Day 1 through to within 7-10 days after the last dose

  2. Change from baseline in clinical chemistry, hematology, urinalysis

    Change in clinical chemistry, hematology and urinalysis from baseline

    Measured: Cohort A: D-1, predose (each session), D2 (each session) and 7-10 days after the last dose. Cohort B single dose session: D-3, predose, D2. Cohort B repeat dose session: D1, D2, D5, D10, D11, D14 and within 7-10 days after last dose

  3. Change from baseline in vital signs parameters

    Change in blood pressure, heart rate and body temperature outside normal range

    Measured: Cohort A: Predose, 2h post dose, D2, within 7-10 days from last dose. Cohort B single dose session: D-3, predose, 2h post-dose, D2. Cohort B repeat dose session: predose on D1, D2, D5, D10, 2h post-dose on D1 and D10, D14, within 7-10 days post last dose

  4. Change from baseline in ECG parameters

    Change in ECG parameters outside normal range

    Measured: Cohort A: Predose, 2h post dose, D2 and within 7-10 days of last dose. Cohort B single dose session: D-3, pre-dose, 2h post-dose and D2. Cohort B repeat dose session: pre-dose, D2, D5, D10, 2h post-dose on D1, D10, D14 and within 7-10 days from last dose

  5. Plasma concentrations of GSK2586184

    Change in plasma concentrations of GSK2586184

    Measured: Cohort A: 0.25, 0.5, 1, 2, 4, 8, 12, 24 and 48h post-dose. Cohort B single dose session:0.25, 0.5, 1, 2, 4, 8, 12, 24 and 48h post-dose. Cohort B repeat dose session: D1 and D10 (predose, 0.25, 0.5, 1, 2, 4, 8 and 12h post-dose), D2, D3, D4, D5, and D11

  6. Change from baseline for 24h urine albumin, creatinine and PCR

    Change in 24h urine creatinine, albumin and PCR values outside normal range

    Measured: Cohort B repeat dose: D-1, D10 and within 7-10 days post last dose

Secondary outcomes (6)
  1. mRNA expression of IFNa and JAK pathway genes

    Change in mRNA expression profile of IFNa and JAK pathway genes

    Measured: Cohort B repeat dose: Predose, 1, 2, 4, 8 and 12h on D1 and D10. Predose, 1, 2, 4, 8, 12 and 24h post-dose on D11

  2. Vital signs as a pharmacodynamic endpoint

    Change in blood pressure, heart rate and body temperature post IFNa challenge

    Measured: Cohort B repeat dose: Predose, 4, 8, 12, 24, 28, 32, 48, 72, 100 and 120h post dose on D11

  3. Plasma levels of Neopterin and B2-microglobulin

    Change in plasma concentrations of neopterin and B2-microglobulin post IFNa challenge

    Measured: Cohort B repeat dose: Predose, 4, 8, 12, 24, 28, 32, 48, 72, 100 and 120h post dose on D11

  4. Glomerular Filtration Measurement using Cr-51 EDTA

    Change in plasma concentrations of Cr-51 EDTA and it's derived clearance

    Measured: Cohort B: 2h and 4h post Cr-51 EDTA injection on D-2 of single dose session, D8 of repeat dose session and within 7-10 days post last dose

  5. Duodenal concentrations of GSK2586184 and its metabolites and derived pharmacokinetic parameters

    Change in bile concentrations of GSK2586184 and it's metabolites

    Measured: Cohort A: D-1 to D1 predose and 2.5h post-dose to 6.5h post-dose. Cohort B single dose: D-1 to D1 predose and 2.5h post-dose to 6.5h post-dose

  6. Urine concentrations of GSK2586184 and its metabolites and derived pharmacokinetic parameters

    Change in urine concentration of GSK2586184 and it's metabolites

    Measured: Cohort A: D1 predose and for 24 hr post-dose.Cohort B single dose: D1 predose and for 24h post-dose

Timeline

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

  1. First posted18 Sep 2012 (estimated)
  2. Study start30 Apr 2012
  3. Primary completion31 Jul 2012
  4. Study completion31 Jul 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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
19 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01687309
Sponsor's protocol ID
116439
Acronym
JAK116439
Status last verified
May 2018
First submitted
10 May 2012
Last updated
25 May 2018
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing GSK2586184 800mg single and repeat dose, GSK2586184 single dose taken with food and GSK2586184 single dose taken without food in people with Systemic Lupus Erythematosus, run by GlaxoSmithKline at 1 site in Belgium.

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 10 inclusion and 14 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 25 May 2018. 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 Belgium. 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. Some participants in this study may receive a placebo. 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?

Adverse event reporting (time frame: Day 1 through to within 7-10 days after the last dose). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 25 May 2018.

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