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NCT03189589

Safety, Tolerability and Pharmacokinetics (PK) Study of GSK2269557 in Healthy Subjects

Completed Phase 1 Results posted Last updated 19 August 2019
What this trial tests

Phase 1 trial testing GSK2269557 500 µg in Pulmonary Disease, Chronic Obstructive in 12 participants. Completed in 24 July 2017.

Timeline
15 June 2017
Primary endpoint
24 July 2017
24 July 2017

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment12
Start date15 June 2017
Primary completion24 July 2017
Estimated completion24 July 2017
Sites1 location across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 18 to 75, any sex, with Pulmonary Disease, Chronic Obstructive. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Mean GSK2269557 Plasma Concentration Primary · Day 1: Pre-dose, 5 minutes post dose, 30 minutes post-dose, 2 hours post-dose, 6 hours post-dose, 12 hours post-dose; Day 2: 24 hours post-dose; Day 3: 48 hours post-dose and Day 6: 120 hours post-dose

Whole blood samples of approximately 2 milliliters were collected for measurement of plasma concentrations of GSK2269557 at the indicated time points. The pharmacokinetic parameters were calculated by standard non-compartmental analysis. Pharmacokinetic (PK) Population which comprised of all randomized participants in the Safety Population and for whom a PK sample was obtained and analyzed.

Pre-dose
GroupValue95% CI
GSK2269557 500 mcg0.0± 0.00
GSK2269557 750 mcg0.0± 0.00
5 minutes post-dose
GroupValue95% CI
GSK2269557 500 mcg2175.5± 843.68
GSK2269557 750 mcg1871.8± 985.15
30 minutes post-dose
GroupValue95% CI
GSK2269557 500 mcg480.7± 155.28
GSK2269557 750 mcg530.7± 260.82
2 hours post-dose
GroupValue95% CI
GSK2269557 500 mcg322.9± 83.85
GSK2269557 750 mcg414.6± 187.63
6 hours post-dose
GroupValue95% CI
GSK2269557 500 mcg259.7± 81.60
GSK2269557 750 mcg424.0± 186.51
12 hours post-dose
GroupValue95% CI
GSK2269557 500 mcg210.5± 52.94
GSK2269557 750 mcg319.5± 109.94
24 hours post-dose
GroupValue95% CI
GSK2269557 500 mcg171.8± 48.71
GSK2269557 750 mcg248.9± 71.92
48 hours post-dose
GroupValue95% CI
GSK2269557 500 mcg114.0± 38.31
GSK2269557 750 mcg145.2± 40.54
Area Under the Plasma Drug Concentration Versus Time Curve (AUC) From Zero to Time t (AUC [0 to t]), AUC From Zero to 24 Hours (AUC [0 to 24]) and AUC From Zero to Infinity (AUC [0 to Inf]) of GSK2269557 Primary · Day 1: Pre-dose, 5 minutes post dose, 30 minutes post-dose, 2 hours post-dose, 6 hours post-dose, 12 hours post-dose; Day 2: 24 hours post-dose; Day 3: 48 hours post-dose and Day 6: 120 hours post-dose

Blood samples were collected to evaluate the PK of GSK2269557 at the indicated time points. The PK parameters were calculated by standard non-compartmental analysis. Only those participants with data available at the specified time points were analyzed represented by n=X in the category titles.

AUC (0 to t), n=6,6
GroupValue95% CI
GSK2269557 500 mcg14032.8± 5027.09
GSK2269557 750 mcg18468.7± 7007.72
AUC (0 to 24), n=6,6
GroupValue95% CI
GSK2269557 500 mcg6000.6± 1646.07
GSK2269557 750 mcg8497.7± 3189.43
AUC (0 to inf), n=4,5
GroupValue95% CI
GSK2269557 500 mcg19291.7± 3788.10
GSK2269557 750 mcg23340.9± 6395.14
Maximum Observed Plasma Drug Concentration (Cmax) and Concentration at Trough (Ctrough) of GSK2269557 Primary · Day 1: Pre-dose, 5 minutes post dose, 30 minutes post-dose, 2 hours post-dose, 6 hours post-dose, 12 hours post-dose; Day 2: 24 hours post-dose; Day 3: 48 hours post-dose and Day 6: 120 hours post-dose

Blood samples were collected to evaluate the PK of GSK2269557 at the indicated time points. The PK parameters were calculated by standard non-compartmental analysis.

Cmax
GroupValue95% CI
GSK2269557 500 mcg2175.5± 843.68
GSK2269557 750 mcg1871.8± 985.15
Ctrough
GroupValue95% CI
GSK2269557 500 mcg171.8± 48.71
GSK2269557 750 mcg248.9± 71.92
Time to Maximum Observed Plasma Drug Concentration (Tmax) and Terminal Half-life (t1/2) Primary · Day 1: Pre-dose, 5 minutes post dose, 30 minutes post-dose, 2 hours post-dose, 6 hours post-dose, 12 hours post-dose; Day 2: 24 hours post-dose; Day 3: 48 hours post-dose and Day 6: 120 hours post-dose

Blood samples were collected to evaluate the PK of GSK2269557 at the indicated time points. The PK parameters were calculated by standard non-compartmental analysis. Only those participants with data available at the specified time points were analyzed represented by n=X in the category titles.

Tmax, n=6,6
GroupValue95% CI
GSK2269557 500 mcg0.0830.08 – 0.10
GSK2269557 750 mcg0.0830.07 – 0.083
t1/2, n=4,5
GroupValue95% CI
GSK2269557 500 mcg42.742 – 48
GSK2269557 750 mcg38.231 – 49
Number of Participants With Vital Signs of Potential Clinical Importance Secondary · Up to Day 2

Vital signs included blood pressure (systolic and diastolic blood pressure) and heart rate measurements and were assessed with the participant in a semi-supine position after 5 minutes rest. The potential clinical concern range values for vital signs were: systolic blood pressure (lower \<85 millimeters of mercury and higher \>160 millimeters of mercury), diastolic blood pressure (lower \<45 millimeters of mercury and higher \>100 millimeters of mercury) and heart rate (lower \<40 beats per minute and higher \>110 beats per minute). Number of participants with vital signs of potential clinical

GroupValue95% CI
GSK2269557 500 mcg0
GSK2269557 750 mcg0
Number of Participants With Electrocardiogram (ECG) Values of Potential Clinical Importance Secondary · Up to Day 2

Twelve-lead ECG was obtained using an ECG machine which automatically measured PR, QRS, QT and corrected QT (QTc) intervals. ECG parameters and their potential clinical importance range values were: absolute QTc interval (lower \>450 milliseconds \[msec\]), absolute PR interval (lower \<110 msec and upper \>220 msec), absolute QRS interval (lower \<75 msec and upper \>110 msec). Number of participants with electrocardiogram (ECG) values of potential clinical importance are presented.

GroupValue95% CI
GSK2269557 500 mcg0
GSK2269557 750 mcg0
Change From Baseline in Forced Vital Capacity (FVC) and Forced Expiratory Volume in 1 Second (FEV1) Secondary · Baseline and Day 1

The maximal amount of air forcefully exhaled in 1 second (FEV1) and forced vital capacity (FVC) was measured using a spirometer. Baseline was latest pre-dose assessment. Change from Baseline was calculated by subtracting Baseline values from post-dose visit values. Mean change from Baseline in FVC and FEV1 is presented.

FEV1
GroupValue95% CI
GSK2269557 500 mcg0.027± 0.0554
GSK2269557 750 mcg-0.040± 0.2060
FVC
GroupValue95% CI
GSK2269557 500 mcg0.177± 0.0836
GSK2269557 750 mcg0.065± 0.2780
Number of Participants With Hematology Abnormalities of Potential Clinical Importance Secondary · Up to Day 2

Hematology parameters and their potential clinical concern values were: Hematocrit (high flag: \>0.54 and change from Baseline: decrease of 0.075), hemoglobin (high flag: \>180 grams per Liter and change from Baseline: decrease of 25 grams per Liter), lymphocytes (low flag: \<0.8\*10\^9 cells per Liter), neutrophil count (low flag: \<1.5\*10\^9 cells per Liter), platelet count (low flag: \<100\*10\^9 cells per Liter and high flag: \>550\*10\^9 cells per Liter) and white blood cell count (low flag: \<3\*10\^9 cells per Liter and high flag: \>20\*10\^9 cells per Liter). Number of participants wi

GroupValue95% CI
GSK2269557 500 mcg0
GSK2269557 750 mcg0
Number of Participants With Clinical Chemistry Abnormalities of Potential Clinical Importance Secondary · Up to Day 2

Clinical chemistry parameters and their potential clinical concern range values were: calcium (low flag \<2 millimoles/Liter \[mmol/L\] and high flag \>2.75 mmol/L), creatinine (high flag \>44.2 micromoles/Liter increase in change from Baseline), glucose (fasting) (\<3 mmol/L and \>9 mmol/L), potassium (low flag \<3 mmol/L and high flag \>5.5 mmol/L above ULN), sodium (low flag \<130 mmol/L and high flag \>150 mmol/L). Number of participants with clinical chemistry abnormalities of potential clinical importance are presented.

GroupValue95% CI
GSK2269557 500 mcg0
GSK2269557 750 mcg0
Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE) Secondary · Up to 12 days post-dose

AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. For marketed medicinal products, this also includes failure to produce expected benefits (i.e., lack of efficacy), abuse or misuse. SAE is any untoward medical occurrence that, at any

AE
GroupValue95% CI
GSK2269557 500 mcg3
GSK2269557 750 mcg3
SAE
GroupValue95% CI
GSK2269557 500 mcg0
GSK2269557 750 mcg0

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 12 days post-dose. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

GSK2269557 500 mcg
Serious: 0/6 (0%)
Deaths: 0/6
GSK2269557 750 mcg
Serious: 0/6 (0%)
Deaths: 0/6
Other adverse events (8 terms — click to expand)

ReactionSystemGSK2269557 500 mcgGSK2269557 750 mcg
FatigueGeneral disorders
Catheter site inflammationGeneral disorders
HeadacheNervous system disorders
SomnolenceNervous system disorders
ConstipationGastrointestinal disorders
Limb injuryInjury, poisoning and procedural complications
Musculoskeletal stiffnessMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders

Data from ClinicalTrials.gov NCT03189589 adverse events section.

Sponsor's own description

GSK2269557 is being developed as an anti-inflammatory and anti-infective agent for the treatment of inflammatory airways diseases. This is the first study using a new formulation of GSK2269557 in healthy subjects and will evaluate the safety, tolerability and PK of a single dose of GSK2269557. Data derived from this study will inform on the PK profile and systemic exposure expected during Phase 2b. Approximately twelve healthy subjects will be randomized to receive a single dose of GSK2269557 750 micrograms (µg) or a single dose of GSK2269557 500 µg via the ELLIPTA® dry powder inhaler (DPI) formulated in a blend containing 0.4 percent magnesium stearate (MgSt) in 1:1 ratio. This randomized, parallel group study will be carried out in 3 phases, including screening phase, treatment phase and follow-up phase. The total study duration for each subject will be up to 6 weeks. ELLIPTA is a registered trademark of GlaxoSmithKline group of companies.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Inhaled RNA Therapeutics for Obstructive Airway Diseases: Recent Advances and Future Prospects.
    Xu Y, Thakur A, Zhang Y, Foged C. · · 2021 · cited 24× · PMID 33525500 · DOI 10.3390/pharmaceutics13020177
  2. Kinase inhibitors in the treatment of obstructive pulmonary diseases.
    Defnet AE, Hasday JD, Shapiro P. · · 2020 · cited 17× · PMID 32361678 · DOI 10.1016/j.coph.2020.03.005
  3. Safety, Tolerability, and Pharmacokinetics of a New Formulation of Nemiralisib Administered via a Dry Powder Inhaler to Healthy Individuals.
    Wilson R, Templeton A, Leemereise C, Eames R, et al · · 2019 · cited 8× · PMID 31076203 · DOI 10.1016/j.clinthera.2019.04.008

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Other recruiting trials for Pulmonary Disease, Chronic Obstructive

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