Last updated: 07/17/2024 17:24:34

A study to compare the pharmacokinetics (PK) of GSK2982772 following administration of different modified release (MR) formulations in capsule and MR tablet formulations relative to an immediate release (IR) tablet formulation and to check the PK of MR formulation in capsule following repeat doses

GSK study ID
205017
Clinicaltrials.gov ID
EudraCT ID
Not applicable
EU CT Number
Not applicable
Trial status
Study complete
Study complete
Overview
Eligibility
Locations
Study documents
Results summary
Plain language summaries
Additional information

Trial overview

Official title: A three part, non-randomized, open label study designed to assess the pharmacokinetics of GSK2982772 following administration of minitab modified release formulations in a capsule relative to an immediate release reference tablet formulation (Part A), the pharmacokinetics of escalating, repeat doses of a selected minitab modified release prototype (Part B) , and the pharmacokinetics of GSK2982772 following administration of modified release tablet formulations in the fed and fasted state (Part C) in healthy participants
Trial description: GSK2982772 is a first-in-class, highly selective, receptor-interacting protein-1 (RIP1) kinase inhibitor being developed for the treatment of inflammatory bowel disease, plaque psoriasis (PsO), rheumatoid arthritis (RA) and other disease conditions. PK data from the first time in human (FTIH) study for GSK2982772 showed that the half life of GSK2982772 was short (approximately 2 to 3 hours). A once daily (QD) formulation would be more convenient from a subject perspective and could offer the advantage of providing a flatter GSK2982772 concentration time profile. Following completion of Parts A and B, it was determined that the slowest minitab formulation provided a PK profile suitable for QD dosing but this formulation was susceptible to a food effect. This study will evaluate the pharmacokinetics of GSK2982772 following administration of different minitab MR formulations in a capsule relative to an IR reference tablet formulation, the pharmacokinetics of selected MR formulation in capsule following repeat doses for 3 days and to compare the pharmacokinetics of GSK2982772 following administration of MR tablet formulations in the fed and fasted state relative to an IR tablet formulation. The study is divided into three parts: Part A will be a non-randomized 6 periods, sequential, 6-way fixed sequence design in which up to 4 MR minitab formulations in a capsule will be evaluated. Periods 1, 2, and 3 will evaluate a slow MR release duration (nominally 24 hours), a fast MR release duration (nominally 10 hours), and IR tablet respectively. Periods 4, 5 and 6 will have flexible dose regimen and it will depend on the outcomes of Period 1 to 3. Subjects will be admitted to the clinic the previous day before dosing. Each in-patient period will consist of 3 days and 2 nights followed by a minimum washout period of 7 days between doses, for both Part A and C. In Part A and C, 16 healthy subjects will be enrolled such that at least 12 evaluable subjects complete the study. Part B will be an open-label, repeat dose study in which the selected MR minitab formulation in capsule will be evaluated. Each in-patient period will consist of 5 days and 4 nights. There will be a minimum of 7 days washout period between the last morning dose of one period and the first dose of the next period. In Part B, 10 healthy subjects will be enrolled such that at least 6 evaluable subjects complete the study. Part C of the study will be a non-randomised 6 period, sequential, fixed sequence crossover design in which MR tablet formulations will be evaluated. Periods 1 and 2 will evaluate single dose administration of a 240 milligram (mg) MR tablet and the 240 mg IR tablet (reference), respectively. Periods 3, 4, 5 and 6 will be flexible and the dosing regimen will be dependent on the outcome of Periods 1 and 2.
Primary purpose:
Treatment
Trial design:
Sequential Assignment
Masking:
None (Open Label)
Allocation:
Non-randomized
Primary outcomes:

Area under the curve from time zero to infinity (AUC[0-inf]) of GSK2982772 for MR formulation in a capsule (120 mg) in Part A

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

AUC(0-inf) of GSK2982772 for IR formulation (120 mg) in Part A

Timeframe: Pre-dose and at 0.33, 0.66, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 24 hours in Period 3

Area under the curve from time zero to the last measurable concentration (AUC[0-t]) of GSK2982772 for MR formulation in a capsule (120 mg) in Part A

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

AUC(0-t) of GSK2982772 for IR formulation (120 mg) in Part A

Timeframe: Pre-dose and at 0.33, 0.66, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 24 hours in Period 3

Area under the curve from time zero to 24 hours (AUC[0-24]) of GSK2982772 for MR formulation in a capsule (120 mg) in Part A

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

AUC(0-24) of GSK2982772 for IR formulation (120 mg) in Part A

Timeframe: Pre-dose and at 0.33, 0.66, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 24 hours in Period 3

Maximum observed concentration (Cmax) of GSK2982772 for MR formulation in a capsule (120 mg) in Part A

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

Cmax of GSK2982772 for IR formulation (120 mg) in Part A

Timeframe: Pre-dose and at 0.33, 0.66, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 24 hours in Period 3

Concentration at 24 hours post-dose (C24h) of GSK2982772 for MR formulation in a capsule (120 mg) in Part A

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

C24h of GSK2982772 for IR formulation (120 mg) in Part A

Timeframe: Pre-dose and at 0.33, 0.66, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 24 hours in Period 3

Ratio of Cmax to C24h of GSK2982772 for MR formulation in a capsule (120 mg) in Part A

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

Ratio of Cmax to C24h of GSK2982772 for IR formulation (120 mg) in Part A

Timeframe: Pre-dose and at 0.33, 0.66, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 24 hours in Period 3

Relative bioavailability (Frelformulation) based on AUC of GSK2982772 for MR formulation in a capsule (120 mg) in Part A

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

Frelformulation based on Cmax of GSK2982772 for MR formulation in a capsule (120 mg) in Part A

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

AUC(0-inf) of GSK2982772 for MR tablet (240 mg) in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

AUC(0-inf) of GSK2982772 for IR formulation (240 mg) in Part C

Timeframe: Pre-dose and at 0.33, 0.66, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 24 hours in Period 2

AUC(0-t) of GSK2982772 for MR tablet (240 mg) in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

AUC(0-t) of GSK2982772 for IR formulation (240 mg) in Part C

Timeframe: Pre-dose and at 0.33, 0.66, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 24 hours in Period 2

AUC(0-24) of GSK2982772 for MR tablet (240 mg) in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

AUC(0-24) of GSK2982772 for IR formulation (240 mg) in Part C

Timeframe: Pre-dose and at 0.33, 0.66, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 24 hours in Period 2

Cmax of GSK2982772 for MR tablet (240 mg) in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

Cmax of GSK2982772 for IR formulation (240 mg) in Part C

Timeframe: Pre-dose and at 0.33, 0.66, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 24 hours in Period 2

C24h of GSK2982772 for MR tablet (240 mg) in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

C24h of GSK2982772 for IR formulation (240 mg) in Part C

Timeframe: Pre-dose and at 0.33, 0.66, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 24 hours in Period 2

Ratio of Cmax to C24h of GSK2982772 for MR tablet (240 mg) in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

Ratio of Cmax to C24h of GSK2982772 for IR formulation (240 mg) in Part C

Timeframe: Pre-dose and at 0.33, 0.66, 1, 1.5, 2, 3, 4, 6, 8, 10, 12 and 24 hours in Period 2

Frelformulation based on AUC of GSK2982772 for MR tablet (240 mg) in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

Frelformulation based on Cmax of GSK2982772 for MR tablet (240 mg) in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

Secondary outcomes:

AUC(0-inf) of GSK2982772 for the selected MR formulation in a capsule (120 mg) after a high fat meal in Part A

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in period 4, 5 and 6

AUC(0-t) of GSK2982772 for the selected MR formulation in a capsule (120 mg) after a high fat meal in Part A

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in period 4, 5 and 6

Cmax of GSK2982772 for the selected MR formulation in a capsule (120 mg) after a high fat meal in Part A

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in period 4, 5 and 6

Time to Cmax (Tmax) of GSK2982772 for the selected MR formulation in a capsule (120 mg) after a high fat meal in Part A

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in period 4, 5 and 6

Relative bioavailability of fed versus fasted dose (FrelFE) based on AUC of GSK2982772 for the selected MR formulation in a capsule (120 mg) after a high fat meal in Part A

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in period 4, 5 and 6

FrelFE based on Cmax of GSK2982772 for the selected MR formulation in a capsule (120 mg) after a high fat meal in Part A

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in period 4, 5 and 6

AUC(0-24) of GSK2982772 for selected MR formulation following a repeated QD dose administration in Part B

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22 and 24 hours on Days 1 and 3 in each treatment period

Cmax of GSK2982772 for selected MR formulation following repeated QD dose administration in Part B

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22 and 24 hours on Days 1 and 3 in each treatment period

Tmax of GSK2982772 for selected MR formulation following repeated QD dose administration in Part B

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22 and 24 hours on Days 1 and 3 in each treatment period

Cmax of GSK2982772 following morning dose (repeated BID dosing) in Part B

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22 and 24 hours on Days 1 and 3 in each treatment period

Tmax of GSK2982772 following morning dose (repeated BID dosing) in Part B

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22 and 24 hours on Days 1 and 3 in each treatment period

Cmax of GSK2982772 after evening dose (repeated BID dosing) in Part B

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22 and 24 hours on Days 1 and 3 in each treatment period

Tmax of GSK2982772 after evening dose (repeated BID dosing)in Part B

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22 and 24 hours on Days 1 and 3 in each treatment period

AUC(0-inf) of GSK2982772 for MR tablet following a single dose administration (dose corrected) after a meal in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

AUC(0-t) of GSK2982772 for MR tablet following a single dose administration (dose corrected) after a meal in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

AUC(0-24) of GSK2982772 for MR tablet following a single dose administration (dose corrected) after a meal in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

Cmax of GSK2982772 for MR tablet following a single dose administration (dose corrected) after a meal in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

Tmax of GSK2982772 for MR tablet following a single dose administration (dose corrected) after a meal in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

FrelFE based on AUC of GSK2982772 for MR tablet following a single dose administration (dose corrected) after a meal in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

FrelFE based on Cmax of GSK2982772 for MR tablet following a single dose administration (dose corrected) after a meal in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

AUC(0-inf) of GSK2982772 for MR tablet following a single dose administration in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

AUC(0-t) of GSK2982772 for MR tablet following a single dose administration in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

AUC(0-24) of GSK2982772 for MR tablet following a single dose administration in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

Cmax of GSK2982772 for MR tablet following a single dose administration in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

C24h of GSK2982772 for MR tablet following a single dose administration in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

Ratio of Cmax to C24h of GSK2982772 for MR tablet following a single dose administration in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

Tmax of GSK2982772 for MR tablet following a single dose administration in Part C

Timeframe: Pre-dose and at 2, 4, 6, 8, 10, 12, 14, 16, 18, 20, 22, 24, 26, 28, 30 and 32 hours in each treatment period

Number of subjects with Adverse events (AEs) and Serious AEs (SAEs) in Part A

Timeframe: Up to Day 43

Number of subjects with AEs and SAEs in Part B

Timeframe: Up to Day 22

Number of subjects with AEs and SAEs in Part C

Timeframe: Up to Day 43

Number of subjects with abnormal clinical chemistry parameters in Part A

Timeframe: Up to Day 43

Number of subjects with abnormal clinical chemistry parameters in Part B

Timeframe: Up to Day 22

Number of subjects with abnormal clinical chemistry parameters in Part C

Timeframe: Up to Day 43

Number of subjects with abnormal hematology parameters in Part A

Timeframe: Up to Day 43

Number of subjects with abnormal hematology parameters in Part B

Timeframe: Up to Day 22

Number of subjects with abnormal hematology parameters in Part C

Timeframe: Up to Day 43

Number of subjects with abnormal urinalysis parameters in Part A

Timeframe: Up to Day 43

Number of subjects with abnormal urinalysis parameters in Part B

Timeframe: Up to Day 22

Number of subjects with abnormal urinalysis parameters in Part C

Timeframe: Up to Day 43

Number of subjects with abnormal systolic blood pressure (SBP) and diastolic blood pressure (DBP) in Part A

Timeframe: Up to Day 43

Number of subjects with abnormal SBP and DBP in Part B

Timeframe: Up to Day 22

Number of subjects with abnormal SBP and DBP in Part C

Timeframe: Up to Day 43

Number of subjects with abnormal heart rate in Part A

Timeframe: Up to Day 43

Number of subjects with abnormal heart rate in Part B

Timeframe: Up to Day 22

Number of subjects with abnormal heart rate in Part C

Timeframe: Up to Day 43

Number of subjects with abnormal respiratory rate in Part A

Timeframe: Up to Day 43

Number of subjects with abnormal respiratory rate in Part B

Timeframe: Up to Day 22

Number of subjects with abnormal respiratory rate in Part C

Timeframe: Up to Day 43

Number of subjects with abnormal body temperature in Part A

Timeframe: Up to Day 43

Number of subjects with abnormal body temperature in Part B

Timeframe: Up to Day 22

Number of subjects with abnormal body temperature in Part C

Timeframe: Up to Day 43

Number of subjects with Electrocardiogram (ECG) findings in Part A

Timeframe: Up to Day 43

Number of subjects with ECG findings in Part B

Timeframe: Up to Day 22

Number of subjects with ECG findings in Part C

Timeframe: Up to Day 43

Interventions:
  • Drug: GSK2982772 Modified Release
  • Drug: GSK2982772 Immediate Release
  • Enrollment:
    45
    Primary completion date:
    2018-21-11
    Observational study model:
    Not applicable
    Time perspective:
    Not applicable
    Clinical publications:
    Debra J Tompson, Mark Whitaker, Rennan Pan, Geoffrey Johnson, Teresa Fuller, Litza McKenzie, Vanessa Zann, Marcy Powell, Kathy Abbott-Banner, Simon Hawkins. Development of a Prototype, Once-Daily, Modified-Release Formulation for the Short Half-Life RIPK1 Inhibitor GSK2982772. Pharm Res. 2021; DOI: 10.1007/s11095-021-03059-z
    Medical condition
    Autoimmune Diseases
    Product
    GSK2982772
    Collaborators
    Quotient Clinical
    Study date(s)
    September 2017 to November 2018
    Type
    Interventional
    Phase
    1

    Participation criteria

    Sex
    Female & Male
    Age
    18 - 65 Years
    Accepts healthy volunteers
    Yes
    • Subject must be 18 to 65 years of age inclusive, at the time of signing the informed consent.
    • Subjects who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring.
    • History of or current cardiovascular, respiratory, hepatic, renal, gastrointestinal (GI), endocrine, hematological, or neurological 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.
    • Parts A and C only: Any history of suicidal behavior within the past 6 months or any history of attempted suicide in a subject’s lifetime.

    Trial location(s)

    Location
    Status
    Contact us
    Contact us
    Location
    GSK Investigational Site
    Nottingham, United Kingdom, NG11 6JS
    Status
    Study Complete

    Study documents

    Study report synopsis
    Available language(s): English
    Protocol
    Available language(s): English
    Statistical analysis plan
    Available language(s): English

    If you wish to request for full study report, please contact - [email protected]

    Results overview

    Results posted on ClinicalTrials.gov

    Recruitment status
    Study complete
    Actual primary completion date
    2018-21-11
    Actual study completion date
    2018-21-11

    Plain language summaries

    Plain language summaries of clinical trial results for Phase 2-4 clinical trials that were initiated on or after January 2022 will be posted by GSK within one year following study completion.

    Additional information about the trial

    Additional information
    Not applicable
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