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HIV InfectionsPhase 1NCT05776108

A Study to Assess the Food Effect and the Relative Bioavailability of the Cabotegravir (CAB) Pediatric Dispersible Tablet (DT) Formulation

A Phase 1 study testing Cabotegravir IR Formulation (reference), Cabotegravir DT Formulation (test 1) and Cabotegravir DT Formulation (test 2) in people with HIV Infections, run by ViiV Healthcare 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 study will assess the relative bioavailability of the CAB DT formulation relative to that of the CAB IR formulation and to assess the effect of food on the CAB DT formulation. Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
HIV Infections
What is being tested?
Cabotegravir IR Formulation (reference), Cabotegravir DT Formulation (test 1) and Cabotegravir DT Formulation (test 2)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteUnited States
Study dates
23 Mar 2023to 8 Jun 2023
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 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Participant must be 18 to 55 years of age inclusive, at the time of signing the informed consent form (ICF).
  • Participants who are healthy as determined by the investigator or medically qualified designee based on a medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring (history and electrocardiogram).
  • Body weight greater than or equal to (>=) 50.0 kilograms (kg) (110 pounds [lbs]) for males and >= 45 kg (99 lbs) for females and Body mass index within the range 18.5 to 31.0 kilogram per meter square (kg/m2) (inclusive) at Screening.
  • Contraceptive use should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies.
  • Female: A female participant is eligible to participate if she is not pregnant or breastfeeding and is a Women of non child bearing potential (WONCBP) OR Is a Women of child bearing potential (WOCBP) and using a contraceptive method that is highly effective (with a failure rate of less than (<)1 percent (%) per year).
  • A WOCBP must have a negative highly sensitive pregnancy test (urine or serum as required by local regulations) within 24 hours before the first dose of study intervention (i.e., Day-1 of each treatment Period)
  • 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.

Who cannot join

  • History or presence of/significant history of or current cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematologic, 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.
  • History of seizures, and participants are required to have been seizure free, off anti epileptic drugs for a minimum of 2 years and will only be considered for enrollment following discussion with the Medical Monitor
  • Abnormal blood pressure as determined by the investigator.
  • 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.
  • A pre-existing condition interfering with normal gastrointestinal anatomy or motility (e.g., gastroesophageal reflux disease, gastric ulcers, gastritis), hepatic and/or renal function, that could interfere with the absorption, metabolism, and/or excretion of the study intervention.
  • Known suspected active Coronavirus disease 2019 (COVID-19) infection OR contact with an individual with known COVID-19 , within 14 days of study enrollment
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  • Any acute laboratory abnormality at screening which, in the opinion of the investigator, should preclude participation in the study of an investigational compound.
  • Any Grade 2 to 4 laboratory abnormality at screening, with Creatine Phosphokinase and lipid abnormalities (e.g., total cholesterol, triglycerides), and ALT abnormalities, will exclude a participant from the study unless the investigator can provide a compelling explanation for the laboratory result(s) and has the assent of the sponsor.
  • A positive test result for drugs of abuse (including marijuana), alcohol, or tobacco (indicating active current smoking) at screening or before the first dose of study intervention.
  • Unable to refrain from the use of prescription or non-prescription drugs as detailed in the protocol.
  • Unwillingness to abstain from excessive consumption of any food or drink detailed in the protocol.
  • Would not be able to accommodate the blood loss during participation in the study
  • Exposure to more than 4 new chemical entities within 12 months prior to the first dosing day.
  • Current enrollment or past participation in another investigational study as detailed in the protocol.
  • Treatment with biologic agents (such as monoclonal antibodies including marketed drugs) within 3 months or 5 half-lives (whichever is longer) prior to dosing. - Current enrollment or past participation in this clinical study.
  • Positive hepatitis B and/or C test result at screening or within 3 months prior to first dose of study intervention.
  • Positive pre-study drug/alcohol screen, including Tetrahydrocannabinol
  • Positive Human immunodeficiency virus (HIV) antibody test (4th generation assay required).
  • Regular use of tobacco- or nicotine-containing products within 6 months prior to screening
  • History of regular alcohol consumption within 6 months of the study,
  • History of sensitivity, prior intolerance or hypersensitivity to any of the study interventions, or components thereof, or a history of drug or other allergy that, in the opinion of the investigator or medical monitor, contraindicates their participation.
  • Participant and/or his her family is part of sponsor, clinical site, third party personnel.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • GSK Investigational Site

    Austin, Texas, 78744

Other trials in United States

About this study

Official title: A Phase 1, Single-center, Randomized, Open-label, Single Dose, Three-period, Balanced Crossover Study to Assess the Effect of Food on the Pediatric Dispersible Tablet Formulation of Cabotegravir and to Assess the Relative Bioavailability Between the Pediatric Dispersible Tablet (DT) Formulation and Immediate Release (IR) Tablet Formulation of Cabotegravir in Healthy Adult Participants

This study will assess the relative bioavailability of the CAB DT formulation relative to that of the CAB IR formulation and to assess the effect of food on the CAB DT formulation.

Conditions
HIV Infections
Being tested
Cabotegravir IR Formulation (reference), Cabotegravir DT Formulation (test 1), Cabotegravir DT Formulation (test 2)
Keywords
Bioavailability, Cabotegravir, Dispersible tablet, Food effect, Human immunodeficiency virus, Immediate release tablet
Medical subject headings
HIV Infections, Acquired Immunodeficiency Syndrome

What participants receive

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

  • Cabotegravir IR Formulation (reference)Drug

    Cabotegravir IR Formulation (reference) will be administered.

  • Cabotegravir DT Formulation (test 1)Drug

    Cabotegravir DT Formulation (test 1) will be administered.

  • Cabotegravir DT Formulation (test 2)Drug

    Cabotegravir DT Formulation (test 2) will be administered.

Study groups in NCT05776108
Study groupRoleWhat they receive
CAB IR Formulation (reference)/CAB DT Formulation (Test 1)/CAB DT Formulation (Test 2)ExperimentalParticipants will receive CAB IR Formulation (reference) under fasted conditions in treatment period 1 followed by CAB DT Formulation (test 1) under fasted conditions in treatment period 2 followed by CAB DT Formulation (test 2) under fed conditions in treatment period 3. There will be a minimum washout period of 14 days between each treatment .
Receives: Drug: Cabotegravir IR Formulation (reference); Drug: Cabotegravir DT Formulation (test 1); Drug: Cabotegravir DT Formulation (test 2)
CAB DT Formulation (Test 1)/CAB IR Formulation (reference)/CAB DT Formulation (test 2)ExperimentalParticipants will receive CAB DT Formulation (test 1) under fasted conditions in treatment period 1 followed by CAB IR Formulation (reference) under fasted conditions in treatment period 2 followed by CAB DT Formulation (test 2) under fed conditions in treatment period 3. There will be a minimum washout period of 14 days between each treatment.
Receives: Drug: Cabotegravir IR Formulation (reference); Drug: Cabotegravir DT Formulation (test 1); Drug: Cabotegravir DT Formulation (test 2)
CAB DT Formulation (test 2)/CAB IR Formulation (reference)/CAB DT Formulation (test 1)ExperimentalParticipants will receive CAB DT Formulation (test 2) under fed conditions in treatment period 1 followed by CAB IR Formulation (reference) under fasted conditions in treatment period 2 followed by CAB DT Formulation (test 1) under fasted conditions in treatment period 3. There will be a minimum washout period of 14 days between each treatment.
Receives: Drug: Cabotegravir IR Formulation (reference); Drug: Cabotegravir DT Formulation (test 1); Drug: Cabotegravir DT Formulation (test 2)
CAB IR Formulation (reference)/CAB DT Formulation (test 2)/CAB DT Formulation (test 1)ExperimentalParticipants will receive CAB IR Formulation (reference) under fasted conditions in treatment period 1 followed by CAB DT Formulation (test 2) under fed conditions in treatment period 2 followed by CAB DT Formulation (test 1) under fasted conditions in treatment period 3. There will be a minimum washout period of 14 days between each treatment.
Receives: Drug: Cabotegravir IR Formulation (reference); Drug: Cabotegravir DT Formulation (test 1); Drug: Cabotegravir DT Formulation (test 2)
CAB DT Formulation (test 1)/CAB DT Formulation (test 2)/CAB IR Formulation (reference)ExperimentalParticipants will receive CAB DT Formulation (test 1) under fasted conditions in treatment period 1 followed by CAB DT Formulation (test 2) under fed conditions in treatment period 2 followed by CAB IR Formulation (reference) under fasted conditions in treatment period 3. There will be a minimum washout period of 14 days between each treatment.
Receives: Drug: Cabotegravir IR Formulation (reference); Drug: Cabotegravir DT Formulation (test 1); Drug: Cabotegravir DT Formulation (test 2)
CAB DT Formulation (test 2)/CAB DT Formulation (test 1)/CAB IR Formulation (reference)ExperimentalParticipants will receive CAB DT Formulation (test 2) under fed conditions in treatment period 1 followed by CAB DT Formulation (test 1) under fasted conditions in treatment period 2 followed by CAB IR Formulation (reference) under fasted conditions in treatment period 3. There will be a minimum washout period of 14 days between each treatment.
Receives: Drug: Cabotegravir IR Formulation (reference); Drug: Cabotegravir DT Formulation (test 1); Drug: Cabotegravir DT Formulation (test 2)

What is being measured

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

  1. Area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC[0-inf]) following administration of CAB DT after a high fat meal

    Measured: Up to 168 hours

  2. Area under the concentration time curve from time zero (pre-dose) extrapolated to last time of quantifiable concentration (AUC[0-last]) following administration of CAB DT after a high fat meal

    Measured: Up to 168 hours

  3. Maximum observed concentration (Cmax) following administration of CAB DT after a high fat meal

    Measured: Up to 168 hours

  4. AUC(0-inf) following administration of CAB DT in fasted state

    Measured: Up to 168 hours

  5. AUC(0-last) following administration of CAB DT in fasted state

    Measured: Up to 168 hours

  6. Cmax following administration of CAB DT in fasted state

    Measured: Up to 168 hours

  7. AUC(0-inf) following administration of CAB IR in fasted state

    Measured: Up to 168 hours

  8. AUC(0-last) following administration of CAB IR in fasted state

    Measured: Up to 168 hours

  9. Cmax following administration of CAB IR in fasted state

    Measured: Up to 168 hours

Secondary outcomes (52)
  1. Apparent terminal phase half-life (T1/2) following administration of CAB DT

    Measured: Up to 168 hours

  2. Lag time before observation of drug concentrations in sampled matrix (tlag) following administration of CAB DT

    Measured: Up to 168 hours

  3. Time of occurrence of Cmax (Tmax) following administration of CAB DT

    Measured: Up to 168 hours

  4. Area under the concentration time curve from time zero extrapolated to 72 hours post-dose AUC(0-72) following administration of CAB DT

    Measured: Up to 72 Hours

  5. Concentration at 24 hours post-dose (C24) of following administration of CAB DT

    Measured: At 24 Hours

  6. Apparent oral clearance (CL/F) following administration of CAB DT

    Measured: Up to 168 hours

  7. Apparent volume of distribution (Vz/F) following administration of CAB DT

    Measured: Up to 168 hours

  8. T1/2 following administration of CAB DT in fasted state

    Measured: Up to 168 hours

  9. Tlag following administration of CAB DT in fasted state

    Measured: Up to 168 hours

  10. Tmax following administration of CAB DT in fasted state

    Measured: Up to 168 hours

  11. AUC(0-72) following administration of CAB DT in fasted state

    Measured: Up to 72 Hours

  12. C24 following administration of CAB DT in fasted state

    Measured: At 24 Hours

  13. CL/F following administration of CAB DT in fasted state

    Measured: Up to 168 hours

  14. Vz/F following administration of CAB DT in fasted state

    Measured: Up to 168 hours

  15. T1/2 following administration of CAB IR in fasted state

    Measured: Up to 168 hours

  16. Tlag following administration of CAB IR in fasted state

    Measured: Up to 168 hours

  17. Tmax following administration of CAB IR in fasted state

    Measured: Up to 168 hours

  18. AUC(0-72) following administration of CAB IR in fasted state

    Measured: Up to 72 Hours

  19. C24 following administration of CAB IR in fasted state

    Measured: Up to 168 hours

  20. CL/F following administration of CAB IR in fasted state

    Measured: Up to 168 hours

  21. Vz/F following administration of CAB IR in fasted state

    Measured: Up to 168 hours

  22. Number of participants with Non-Serious Adverse events (AEs) and Serious adverse events (SAEs)

    Measured: Up to 6 Weeks

  23. Number of participants with AEs by severity

    Measured: Up to 6 Weeks

  24. Change from Baseline in Vital sign parameter: Oral Temperature (Degrees Celsius)

    Measured: Baseline and Up to 6 Weeks

  25. Change from Baseline in Vital sign parameter: Pulse rate (Beats per minute)

    Measured: Baseline and Up to 6 Weeks

  26. Change from Baseline in Vital sign parameter: Respiratory rate (Breaths per minute)

    Measured: Baseline and Up to 6 Weeks

  27. Change from Baseline in Vital sign parameter: Diastolic Blood Pressure (DBP) and Systolic Blood Pressure (SBP) (Millimeters of mercury)

    Measured: Baseline and Up to 6 Weeks

  28. Change from Baseline in Electrocardiogram (ECG) parameters: PR Interval, QRS Interval, QT Interval, Corrected QT interval using the Fridericia formula (QTcF) (Milliseconds)

    Measured: Baseline and Up to 6 Weeks

  29. Number of participants with maximum toxicity grade increase from Baseline in hematology, chemistry and urinalysis parameters

    Measured: Baseline and Up to 6 Weeks

  30. Change from Baseline in hematology parameters: Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils and Platelet Count (Giga cells per Liter)

    Measured: Baseline and Up to 6 Weeks

  31. Change from Baseline in hematology parameter: Red Blood Cell Count (Trillion cells per liter)

    Measured: Baseline and Up to 6 Weeks

  32. Change from Baseline in hematology parameter: Hemoglobin (Grams per liter)

    Measured: Baseline and Up to 6 Weeks

  33. Change from Baseline in hematology parameter: Hematocrit (Proportion of red blood cells in blood)

    Measured: Baseline and Up to 6 Weeks

  34. Change from Baseline in hematology parameter: Mean Corpuscular Volume (Femtoliters)

    Measured: Baseline and Up to 6 Weeks

  35. Change from Baseline in hematology parameter: Mean Corpuscular Hemoglobin (Picograms)

    Measured: Baseline and Up to 6 Weeks

  36. Change from Baseline in hematology parameter: Percentage of Reticulocytes (Percentage of reticulocytes)

    Measured: Baseline and Up to 6 Weeks

  37. Change from Baseline in chemistry parameters: Creatinine, Total and Direct Bilirubin (Micromoles per liter)

    Measured: Baseline and Up to 6 Weeks

  38. Change from Baseline in chemistry parameters: Calcium, Glucose, Potassium, Sodium, Blood urea nitrogen, Carbon dioxide (Millimoles per liter)

    Measured: Baseline and Up to 6 Weeks

  39. Change from Baseline in chemistry parameters: Alanine Aminotransferase (ALT), Alkaline Phosphatase (ALP), Aspartate Aminotransferase (AST), and Creatine phosphokinase (International units per liter)

    Measured: Baseline and Up to 6 Weeks

  40. Change from Baseline in chemistry parameters: Total Protein (Grams per liter)

    Measured: Baseline and Up to 6 Weeks

  41. Number of participants with abnormal urinalysis parameters

    Measured: Up to 6 Weeks

  42. Absolute values of hematology parameters: Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils and Platelet Count (Giga cells per Liter)

    Measured: Up to 6 Weeks

  43. Absolute values of hematology parameter: Red Blood Cell Count (Trillion cells per liter)

    Measured: Up to 6 Weeks

  44. Absolute values of hematology parameter: Hemoglobin (Grams per liter)

    Measured: Up to 6 Weeks

  45. Absolute values of hematology parameter: Hematocrit (Proportion of red blood cells in blood

    Measured: Up to 6 Weeks

  46. Absolute values of hematology parameter: Mean Corpuscular Volume (Femtoliters)

    Measured: Up to 6 Weeks

  47. Absolute values of hematology parameter: Mean Corpuscular Hemoglobin (Picograms)

    Measured: Up to 6 Weeks

  48. Absolute values of hematology parameter: Percentage of Reticulocytes (Percentage of reticulocytes)

    Measured: Up to 6 Weeks

  49. Absolute values of chemistry parameters: Creatinine, Total and Direct Bilirubin (Micromoles per liter)

    Measured: Up to 6 Weeks

  50. Absolute values of chemistry parameters: Calcium, Glucose, Potassium, Sodium, Blood urea nitrogen, Carbon dioxide (Millimoles per liter)

    Measured: Up to 6 Weeks

  51. Absolute values of chemistry parameters: ALT, ALP, AST and Creatine phosphokinase (International units per liter)

    Measured: Up to 6 Weeks

  52. Absolute values of chemistry parameters: Total Protein (Grams per liter)

    Measured: Up to 6 Weeks

Timeline

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

  1. First posted20 Mar 2023
  2. Study start23 Mar 2023
  3. Primary completion8 Jun 2023
  4. Study completion8 Jun 2023

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
Crossover
Masking
None (open label)
Enrolment
24 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05776108
Sponsor's protocol ID
219679
Status last verified
Dec 2023
First submitted
8 Mar 2023
Last updated
13 Dec 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to anonymized individual patient-level data (IPD) and related study documents of the eligible studies via the Data Sharing Portal. Details on GSK's data sharing criteria can be found at: https://www.gsk.com/en-gb/innovation/trials/data-transparency/

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Cabotegravir IR Formulation (reference), Cabotegravir DT Formulation (test 1) and Cabotegravir DT Formulation (test 2) in people with HIV Infections, run by ViiV Healthcare 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 8 inclusion and 22 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 13 Dec 2023. 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?

Area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC[0-inf]) following administration of CAB DT after a high fat meal (time frame: Up to 168 hours). The study lists 9 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 13 Dec 2023.

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