Last updated: 07/29/2020 12:30:10

Study to evaluate safety, tolerability and pharmacokinetics of GSK2269557 to Japanese healthy subjects

GSK study ID
205759
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 single center, double-blind, randomized, placebo-controlled, parallel, single and repeat, dose-ascending study to evaluate the safety, tolerability and pharmacokinetics of GSK2269557 administered via the ELLIPTA™ dry powder inhaler to healthy Japanese subjects
Trial description: GSK2269557 is a potent and highly selective inhaled Phosphoinositide 3-Kinase (PI3K) delta inhibitor being developed as an anti-inflammatory and anti-infective agent for the treatment of inflammatory airway diseases, such as chronic obstructive pulmonary disease (COPD). The purpose of the study is to assess the safety, tolerability and pharmacokinetics (PK) of single and repeat doses of GSK2269557 administered via the ELLIPTA dry powder inhaler (DPI) to healthy Japanese subjects. This is the first time for Japanese subjects that GSK2269557 will be administered via the ELLIPTA DPI with the addition of magnesium stearate.
In each group of this study, subjects will receive a single dose of either GSK2269557 or placebo in Session 1 and receive daily dose of GSK2269557 or placebo for 10 days in Session 2. Session 1 of the next dose strength may be run in parallel with the Session 2 of the previous dose. The doses planned for the study are 200 micrograms (mcg), 500 mcg and 700 mcg. There will be at least 10 days washout between the two dosing sessions. Follow up period will start 10 days (+-1 day) after the last dose of Session 2. A total number of 36 subjects will be enrolled for the study with 27 subjects receiving a dose strength of GSK2269557 and 9 subjects will receive each dose strength of GSK2269557. ELLIPTA is a trademark of the GSK group of companies.
Primary purpose:
Treatment
Trial design:
Parallel Assignment
Masking:
Double (Participant, Investigator)
Allocation:
Randomized
Primary outcomes:

Number of subjects with any adverse event(s) (AE) and serious adverse event(s) (SAE)

Timeframe: Approximately up to 37 days

Session 1: Number of subjects having abnormal clinical laboratory parameters as a measure of safety

Timeframe: Approximately up to 4 days

Session 2: Number of subjects having abnormal clinical laboratory parameters as a measure of safety

Timeframe: Approximately up to 22 days

Session 1:Number of subjects having abnormal hematology laboratory parameters as a measure of safety

Timeframe: Approximately up to 4 days

Session 2: Number of subjects having abnormal hematology laboratory parameters as a measure of safety

Timeframe: Approximately up to 22 days

Session 1: Number of subjects having abnormal urinalysis as a measure of safety

Timeframe: Approximately up to 4 days

Session 2: Number of subjects having abnormal urinalysis as a measure of safety

Timeframe: Approximately up to 22 days

Session 1: Body temperature assessment as a safety measure

Timeframe: Approximately up to 4 days

Session 2: Body temperature assessment as a safety measure

Timeframe: Approximately up to 22 days

Session 1: Blood pressure assessment as a safety measure

Timeframe: Approximately up to 4 days

Session 2: Blood pressure assessment as a safety measure

Timeframe: Approximately up to 22 days

Session 1: Measurement of pulse rate as a safety measure

Timeframe: Approximately up to 4 days

Session 2: Measurement of pulse rate as a safety measure

Timeframe: Approximately up to 22 days

Session 1: Electrocardiogram (ECG) assessment as a measure of safety.

Timeframe: Approximately up to 4 days

Session 2: ECG assessment as a measure of safety.

Timeframe: Approximately up to 22 days

Session 1: Spirometry assessment as a safety measure

Timeframe: Approximately up to 4 days

Session 2: Spirometry assessment as a safety measure

Timeframe: Approximately up to 22 days

Session 1: Area under the plasma concentration curve (AUC) from time zero to the time of last quantifiable concentration [AUC(0-t)]

Timeframe: Pre-dose, 5, 15, 30 minutes (min), 1, 2 , 4 , 6, 12, 24, 36, 48, and 72hours (h) post-dose

Session 1: AUC from time zero to 24 hours post dose [AUC(0-24)] of GSK2269557 following a single dose administration

Timeframe: Pre-dose, 5, 15, 30 min, 1, 2 , 4 , 6, 12, 24, 36, 48, and 72h post-dose

Session 1: AUC from time zero to infinity [AUC(0-infinity)] of GSK2269557 following a single dose administration

Timeframe: Pre-dose, 5, 15, 30 min, 1, 2 , 4 , 6, 12, 24, 36, 48, and 72h post-dose

Session 2: AUC from time zero to the time of last quantifiable concentration [AUC(0-t)] of GSK2269557 following repeat dose administration

Timeframe: Day 1: pre-dose, 5 min and 24 h post-dose; Day 2: 5 min post-dose; Days 3, 4, 5, 6, 7, 8, and 9: pre-dose and 5 min post-dose; Day 10: pre-dose, and 5 min, 30 min, 1 h, 2 h, 4 h, 6 h post-dose; 24 h, 48 h, 72 h, 96 h and 120 h post-Day 10 dose

Session 2: AUC from time zero to 24 hours post dose [AUC(0-24)] of GSK2269557 following repeat dose administration

Timeframe: Day 1: pre-dose, 5 min and 24 h post-dose; Day 2: 5 min post-dose; Days 3, 4, 5, 6, 7, 8, and 9: pre-dose and 5 min post-dose; Day 10: pre-dose, and 5 min, 30 min, 1 h, 2 h, 4 h, 6 h post-dose; 24 h, 48 h, 72 h, 96 h and 120 h post-Day 10 dose

Session 2: AUC from time zero to infinity [AUC(0-infinity)] of GSK2269557 following repeat dose administration

Timeframe: Day 1: pre-dose, 5 min and 24 h post-dose; Day 2: 5 min post-dose; Days 3, 4, 5, 6, 7, 8, and 9: pre-dose and 5 min post-dose; Day 10: pre-dose, and 5 min, 30 min, 1 h, 2 h, 4 h, 6 h post-dose; 24 h, 48 h, 72 h, 96 h and 120 h post-Day 10 dose

Session 1: Trough observed plasma drug concentration (Ctrough) of GSK2269557 following a single dose administration

Timeframe: Pre-dose, 5, 15, 30 minutes (min), 1, 2 , 4 , 6, 12, 24, 36, 48, and 72h post-dose

Session 1: Maximum observed plasma concentration (Cmax) of GSK2269557 following a single dose administration

Timeframe: Pre-dose, 5, 15, 30 minutes (min), 1, 2 , 4 , 6, 12, 24, 36, 48, and 72h post-dose

Session 1: Maximum/trough observed plasma drug concentration (Cmax/Ctrough) of GSK2269557 following a single dose administration

Timeframe: Pre-dose, 5, 15, 30 minutes (min), 1, 2 , 4 , 6, 12, 24, 36, 48, and 72h post-dose

Session 2: Trough observed plasma drug concentration (Ctrough) of GSK2269557 following repeat dose administration

Timeframe: Day 1: pre-dose, 5 min and 24 h post-dose; Day 2: 5 min post-dose; Days 3, 4, 5, 6, 7, 8, and 9: pre-dose and 5 min post-dose; Day 10: pre-dose, and 5 min, 30 min, 1 h, 2 h, 4 h, 6 h post-dose; 24 h, 48 h, 72 h, 96 h and 120 h post-Day 10 dose

Session 2: Maximum observed plasma concentration (Cmax) of GSK2269557 following repeat dose administration

Timeframe: Day 1: pre-dose, 5 min and 24 h post-dose; Day 2: 5 min post-dose; Days 3, 4, 5, 6, 7, 8, and 9: pre-dose and 5 min post-dose; Day 10: pre-dose, and 5 min, 30 min, 1 h, 2 h, 4 h, 6 h post-dose; 24 h, 48 h, 72 h, 96 h and 120 h post-Day 10 dose

Session 2: Maximum/trough observed plasma drug concentration (Cmax/Ctrough) of GSK2269557 following repeat dose administration

Timeframe: Day 1: pre-dose, 5 min and 24 h post-dose; Day 2: 5 min post-dose; Days 3, 4, 5, 6, 7, 8, and 9: pre-dose and 5 min post-dose; Day 10: pre-dose, and 5 min, 30 min, 1 h, 2 h, 4 h, 6 h post-dose; 24 h, 48 h, 72 h, 96 h and 120 h post-Day 10 dose

Session 1: Time to maximum observed plasma drug concentration (Tmax) of GSK2269557 following a single dose administration

Timeframe: Pre-dose, 5, 15, 30 min, 1, 2 , 4 , 6, 12, 24, 36, 48, and 72h post-dose

Session 1: Terminal half-life (t1/2) of GSK2269557 following a single dose administration

Timeframe: Pre-dose, 5, 15, 30 min, 1, 2 , 4 , 6, 12, 24, 36, 48, and 72h post-dose

Session 2: Time to maximum observed plasma drug concentration (Tmax) of GSK2269557 following repeat dose administration

Timeframe: Day 1: pre-dose, 5 min and 24 h post-dose; Day 2: 5 min post-dose; Days 3, 4, 5, 6, 7, 8, and 9: pre-dose and 5 min post-dose; Day 10: pre-dose, and 5 min, 30 min, 1 h, 2 h, 4 h, 6 h post-dose; 24 h, 48 h, 72 h, 96 h and 120 h post-Day 10 dose

Session 2: Terminal half-life (t1/2) of GSK2269557 following repeat dose administration

Timeframe: Day 1: pre-dose, 5 min and 24 h post-dose; Day 2: 5 min post-dose; Days 3, 4, 5, 6, 7, 8, and 9: pre-dose and 5 min post-dose; Day 10: pre-dose, and 5 min, 30 min, 1 h, 2 h, 4 h, 6 h post-dose; 24 h, 48 h, 72 h, 96 h and 120 h post-Day 10 dose

Ratio of accumulation factor (Ro) of GSK2269557 following single and repeat inhalations

Timeframe: Day 1 of session 2 and day 10 of session 2

Ratio of accumulation factor (Rs) of GSK2269557 following single and repeat inhalations

Timeframe: Day 1 of session 2 and day 10 of session 2

Ratio of accumulation factor (R[Cmax]) of GSK2269557 following single and repeat inhalations

Timeframe: Day 1 of session 2 and day 10 of session 2

Ratio of accumulation factor (R[Ctrough]) of GSK2269557 following single and repeat inhalations

Timeframe: Day 1 of session 2 and day 10 of session 2

Secondary outcomes:
Not applicable
Interventions:
  • Drug: GSK2269557 ELLIPTA DPI
  • Drug: Placebo ELLIPTA DPI
  • Enrollment:
    36
    Primary completion date:
    2016-17-12
    Observational study model:
    Not applicable
    Time perspective:
    Not applicable
    Clinical publications:
    Hiroko Ino, Robert Wilson, Takumi Terao, Hirofumi Ogura, Harue Igarashi, Anthony Cahn, Yotaro Numachi. Evaluation of the safety, tolerability, and pharmacokinetics of GSK2269557 (nemiralisib) administered via dry powder inhaler to healthy Japanese subjects. Clin Pharmacol Drug Devel. 2018
    Hiroko Ino, Robert Wilson, Takumi Terao, Hirofumi Ogura, Harue Igarashi, Anthony Cahn, Yotaro Numachi.Evaluation of the safety, tolerability, and pharmacokinetics of GSK2269557 (nemiralisib) administered via dry powder inhaler to healthy Japanese subjects.Clin Pharmacol Drug Devel.2019;8(1):78-86 DOI: 10.1002/cpdd.614 PMID: 30303626
    Medical condition
    Pulmonary Disease, Chronic Obstructive
    Product
    nemiralisib
    Collaborators
    Not applicable
    Study date(s)
    October 2016 to December 2016
    Type
    Interventional
    Phase
    1

    Participation criteria

    Sex
    Male
    Age
    20 - 64 years
    Accepts healthy volunteers
    Yes
    • Inclusion Criteria
    • Participant must be 20 to 64 years of age inclusive, at the time of signing the informed consent.

    Trial location(s)

    Location
    Status
    Contact us
    Contact us
    Location
    GSK Investigational Site
    Fukuoka, Japan, 813-0017
    Status
    Study Complete

    Study documents

    Protocol
    Available language(s): English
    Scientific result summary
    Available language(s): English

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

    Results overview

    Refer to study documents

    Recruitment status
    Study complete
    Actual primary completion date
    2016-17-12
    Actual study completion date
    2016-17-12

    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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