A Two-part Study to Compare a Tablet and Capsule Formulation of GSK2838232 With and Without Food, and to Assess the Safety and Drug Levels of Repeated Once-daily Doses of GSK2838232 Without Ritonavir
CompletedPhase 1Results postedLast updated 28 October 2020
What this trial tests
Phase 1 trial testing GSK2838232 100 mg tablet in Infection, Human Immunodeficiency Virus in 26 participants. Completed in 10 November 2017.
Adults 18 to 55, any sex, with Infection, Human Immunodeficiency Virus or HIV Infections. 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.
Part 1: Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time (AUC [0-infinity]) Following Administration of GSK2838232 Tablet and Capsule Formulation in Fed StatePrimary· Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours post-dose in treatment periods 1 and 2 of Part 1
Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK2838232 given as tablet and capsule formulation in fed state. Pharmacokinetic parameters were determined using standard non-compartmental methods. Pharmacokinetic Population comprised of all participants in the Safety Population who had at least 1 non-missing pharmacokinetic assessment (Non-quantifiable \[NQ\] values were considered as non-missing values).
Group
Value
95% CI
Part 1: GSK2838232 200 mg/Ritonavir Capsule Fed
4672.28
± 40.68
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fed
4437.98
± 30.83
Part 1: Maximum Observed Concentration (Cmax) Following Administration of GSK2838232 Tablet and Capsule Formulation in Fed StatePrimary· Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours post-dose in treatment periods 1 and 2 of Part 1
Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK2838232 given as tablet and capsule formulation in fed state. Pharmacokinetic parameters were determined using standard non-compartmental methods.
Group
Value
95% CI
Part 1: GSK2838232 200 mg/Ritonavir Capsule Fed
109.054
± 48.01
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fed
118.118
± 27.59
Part 1: AUC (0-infinity) Following Administration of GSK2838232 Tablet in Fasted and Fed StatePrimary· Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours post-dose in treatment periods 1, 2 and 3 of Part 1
Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK2838232 given as tablet formulation in fed and fasted state. Pharmacokinetic parameters were determined using standard non-compartmental methods.
Group
Value
95% CI
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fed
4437.98
± 30.83
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fasted
1816.27
± 36.42
Part 1: Cmax Following Administration of GSK2838232 Tablet in Fasted and Fed StatePrimary· Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours post-dose in treatment periods 1, 2 and 3 of Part 1
Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK2838232 given as tablet formulation in fed and fasted state. Pharmacokinetic parameters were determined using standard non-compartmental methods.
Group
Value
95% CI
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fed
118.118
± 27.59
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fasted
50.437
± 35.61
Part 1: Time of Occurrence of Cmax (Tmax) Following Administration of GSK2838232 Tablet in Fasted and Fed StatePrimary· Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36, 48, 72, 96, and 120 hours post-dose in treatment periods 1, 2 and 3 of Part 1
Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK2838232 given as tablet formulation in fed and fasted state. Pharmacokinetic parameters were determined using standard non-compartmental methods.
Group
Value
95% CI
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fed
5.983
2.00 – 24.03
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fasted
3.508
2.00 – 11.97
Part 2: Number of Participants With Serious Adverse Events (SAEs) and Non-SAEsPrimary· Up to 25 days
An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. SAE is defined as any untoward medical occurrence that, at any dose results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/ birth defect, is associated with liver injury or impaired liver function or any other situations as per medical or scientific judgment. Safety Popul
Any SAE
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Any non-SAE
Group
Value
95% CI
Part 2: Placebo
1
Part 2: GSK2838232 500 mg Tablet Fed
0
Part 2: Number of Participants With Worst Case Hematology Results to Potential Clinical Importance (PCI) CriteriaPrimary· Up to 25 days
Blood samples were collected from participants for analysis of following hematology parameters; hematocrit, hemoglobin, leukocytes, lymphocytes, neutrophils and platelets. PCI ranges were \< 0.075 or \>0.54 proportion of red blood cells in blood for hematocrit, \<25 or \>180 grams per liter (g/L) for hemoglobin, \< 3 or \>20 cells per liter (cells/L) for leukocytes, 0.8 x10\^9 cells/L for lymphocytes, 1.5 x10\^9 cells/L for neutrophils, and \<100 or \>550 cells/L for platelets. Participants were counted in the worst case category that their value changes to (low, within range or no change, or
Hematocrit; To Low
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Hematocrit; To within Range or No Change
Group
Value
95% CI
Part 2: Placebo
3
Part 2: GSK2838232 500 mg Tablet Fed
7
Hematocrit; To High
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Hemoglobin; To Low
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Hemoglobin; To within Range or No Change
Group
Value
95% CI
Part 2: Placebo
3
Part 2: GSK2838232 500 mg Tablet Fed
7
Hemoglobin; To High
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Leukocytes; To Low
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Leukocytes; To within Range or No Change
Group
Value
95% CI
Part 2: Placebo
3
Part 2: GSK2838232 500 mg Tablet Fed
7
Part 2: Number of Participants With Worst Case Clinical Chemistry Results to PCI CriteriaPrimary· Up to 25 days
Blood samples were collected from participants for analysis of following clinical chemistry parameters; glucose, alanine aminotransferase (ALT), albumin, alkaline phosphatase, aspartate aminotransferase (AST), bilirubin, calcium, potassium and sodium. PCI ranges were \<30 g/L for albumin, \<2 or \>2.75 millimoles per liter (mmol/L) for calcium, \<3 or \>9 mmol/L for glucose, \>=2 times Upper limit of Normal (ULN) units per liter (U/L) for ALT, \>=2 times ULN U/L for alkaline phosphatase, \>=2 times ULN U/L for AST, \>=1.5 times ULN micromoles per liter (µmol/L) for bilirubin, \<3 or \>5.5 mmol
Glucose; To Low
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Glucose; To within Range or No Change
Group
Value
95% CI
Part 2: Placebo
3
Part 2: GSK2838232 500 mg Tablet Fed
7
Glucose; To High
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
ALT; To Low
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
ALT; To within Range or No Change
Group
Value
95% CI
Part 2: Placebo
3
Part 2: GSK2838232 500 mg Tablet Fed
7
ALT; To High
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Albumin; To Low
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Albumin; To within Range or No Change
Group
Value
95% CI
Part 2: Placebo
3
Part 2: GSK2838232 500 mg Tablet Fed
7
Part 2: Number of Participants With Worst Case Urinalysis Results Relative to Normal Range CriteriaPrimary· Up to 25 days
Urine samples were collected from participants for analysis of following urinalysis parameters; specific gravity, potential of hydrogen (pH), presence of glucose, protein, occult blood, ketones in urine analyzed by dipstick method. The dipstick test gives results in a semi-quantitative manner. Urine specific gravity is a measure of the concentration of solutes in the urine and provides information on the kidney's ability to concentrate urine. The reference range is 1.002-1.030. Urine pH is an acid-base measurement. Normal urine has a slightly acid pH (5.0 - 6.0). Participants were counted in t
Glucose; To Low
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Glucose; To Normal or No Change
Group
Value
95% CI
Part 2: Placebo
3
Part 2: GSK2838232 500 mg Tablet Fed
7
Glucose; To High
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Glucose; To Abnormal
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Ketones; To Low
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Ketones; To Normal or No Change
Group
Value
95% CI
Part 2: Placebo
3
Part 2: GSK2838232 500 mg Tablet Fed
7
Ketones; To High
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Ketones; To Abnormal
Group
Value
95% CI
Part 2: Placebo
0
Part 2: GSK2838232 500 mg Tablet Fed
0
Part 2: Blood Pressure at Indicated Time PointsPrimary· Day -1; Pre-dose, 1, 4 hours on Day 1; 24 hours (Day 2); 48 hours (Day 3); 72 hours (Day 4), Days 5, 6, 7, 8, 9, 10; Pre-dose, 1, 4 , 24, 48, 72 hours on Day 11; Follow-up (Day 25)
Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured in supine position after 10 minutes rest for the participants at indicated time points.
DBP; DAY -1
Group
Value
95% CI
Part 2: Placebo
73.667
± 7.5056
Part 2: GSK2838232 500 mg Tablet Fed
73.143
± 4.7759
DBP; DAY 1, PREDOSE
Group
Value
95% CI
Part 2: Placebo
65.443
± 2.6925
Part 2: GSK2838232 500 mg Tablet Fed
72.333
± 8.1636
DBP; DAY 1, 1 Hour
Group
Value
95% CI
Part 2: Placebo
54.667
± 3.7859
Part 2: GSK2838232 500 mg Tablet Fed
64.714
± 5.8228
DBP; DAY 1, 4 Hours
Group
Value
95% CI
Part 2: Placebo
62.000
± 1.0000
Part 2: GSK2838232 500 mg Tablet Fed
63.714
± 6.7507
DBP; DAY 2, 24 Hours
Group
Value
95% CI
Part 2: Placebo
73.667
± 4.0415
Part 2: GSK2838232 500 mg Tablet Fed
73.714
± 6.0474
DBP; DAY 3, 48 Hours
Group
Value
95% CI
Part 2: Placebo
66.000
± 1.7321
Part 2: GSK2838232 500 mg Tablet Fed
68.000
± 7.3485
DBP; DAY 4, 72 Hours
Group
Value
95% CI
Part 2: Placebo
69.000
± 2.6458
Part 2: GSK2838232 500 mg Tablet Fed
65.143
± 8.3552
DBP; DAY 5
Group
Value
95% CI
Part 2: Placebo
62.333
± 4.9329
Part 2: GSK2838232 500 mg Tablet Fed
65.000
± 7.3258
Part 2: Change From Baseline in Blood PressurePrimary· Baseline (Day -1) and 1, 4 hours on Day 1; 24 hours (Day 2); 48 hours (Day 3); 72 hours (Day 4), Days 5, 6, 7, 8, 9, 10; Pre-dose, 1, 4 , 24, 48, 72 hours on Day 11; Follow-up (Day 25)
SBP and DBP were measured in supine position after 10 minutes rest for participants at indicated time points. Baseline was defined as the latest pre-dose assessment, including those from unscheduled visits. Change from Baseline was defined as any visit value minus Baseline value.
DBP; DAY 1, 1 Hour
Group
Value
95% CI
Part 2: Placebo
-10.777
± 4.6690
Part 2: GSK2838232 500 mg Tablet Fed
-7.619
± 4.9086
DBP; DAY 1, 4 Hours
Group
Value
95% CI
Part 2: Placebo
-3.443
± 3.6851
Part 2: GSK2838232 500 mg Tablet Fed
-8.619
± 9.3099
DBP; DAY 2, 24 Hours
Group
Value
95% CI
Part 2: Placebo
8.223
± 2.5455
Part 2: GSK2838232 500 mg Tablet Fed
1.381
± 5.6866
DBP; DAY 3, 48 Hours
Group
Value
95% CI
Part 2: Placebo
0.557
± 4.3485
Part 2: GSK2838232 500 mg Tablet Fed
-4.333
± 8.5244
DBP; DAY 4, 72 Hours
Group
Value
95% CI
Part 2: Placebo
3.557
± 2.2180
Part 2: GSK2838232 500 mg Tablet Fed
-7.190
± 8.9524
DBP; DAY 5
Group
Value
95% CI
Part 2: Placebo
-3.110
± 2.8366
Part 2: GSK2838232 500 mg Tablet Fed
-7.333
± 10.9039
DBP; DAY 6
Group
Value
95% CI
Part 2: Placebo
-2.777
± 3.7175
Part 2: GSK2838232 500 mg Tablet Fed
-6.190
± 7.8255
DBP; DAY 7
Group
Value
95% CI
Part 2: Placebo
-1.110
± 4.4381
Part 2: GSK2838232 500 mg Tablet Fed
-5.047
± 8.9388
Part 2: Pulse Rate at Indicated Time PointsPrimary· Day -1; Pre-dose, 1, 4 hours on Day 1; 24 hours (Day 2); 48 hours (Day 3); 72 hours (Day 4), Days 5, 6, 7, 8, 9, 10; Pre-dose, 1, 4 , 24, 48, 72 hours on Day 11; Follow-up (Day 25)
Pulse rate of participants was measured in supine position after 10 minutes rest at indicated time points.
DAY -1
Group
Value
95% CI
Part 2: Placebo
63.667
± 12.4231
Part 2: GSK2838232 500 mg Tablet Fed
64.143
± 11.7817
DAY 1, PREDOSE
Group
Value
95% CI
Part 2: Placebo
63.663
± 4.0415
Part 2: GSK2838232 500 mg Tablet Fed
63.714
± 11.3991
DAY 1, 1 Hour
Group
Value
95% CI
Part 2: Placebo
68.000
± 8.5440
Part 2: GSK2838232 500 mg Tablet Fed
72.286
± 7.5214
DAY 1, 4 Hours
Group
Value
95% CI
Part 2: Placebo
64.667
± 3.0551
Part 2: GSK2838232 500 mg Tablet Fed
66.000
± 10.1160
DAY 2, 24 Hours
Group
Value
95% CI
Part 2: Placebo
57.667
± 2.8868
Part 2: GSK2838232 500 mg Tablet Fed
58.286
± 8.7123
DAY 3, 48 Hours
Group
Value
95% CI
Part 2: Placebo
58.000
± 2.6458
Part 2: GSK2838232 500 mg Tablet Fed
59.429
± 7.9762
DAY 4, 72 Hours
Group
Value
95% CI
Part 2: Placebo
58.667
± 1.1547
Part 2: GSK2838232 500 mg Tablet Fed
58.286
± 7.7613
DAY 5
Group
Value
95% CI
Part 2: Placebo
60.667
± 2.5166
Part 2: GSK2838232 500 mg Tablet Fed
66.429
± 10.3900
Adverse events — posted to ClinicalTrials.gov
Time frame: Serious adverse events (SAEs) and Non-SAEs were collected up to 60 days in Part 1 of the study and up to 25 days in Part 2 of the study..
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
This study will be conducted in two Parts to confirm the acceptability/selection of a tablet formulation for future clinical development of GSK2838232. Part 1 of the study will assess single ritonavir (RTV)-boosted doses of a new tablet formulation given with food (containing approximately 30% fat) against the reference capsule formulation also given with food and then will assess the impact of fasted conditions on the tablet performance. In Part 2, non-boosted GSK2838232 will be given as once-daily tablet doses for 11 days in a separate group of subjects, assuming the tablet performance is considered acceptable from Part 1. Approximately 16 healthy subjects will be enrolled to provide at least 12 evaluable subjects through the three study periods in Part 1. 10 healthy subjects will be enrolled to provide at least 8 evaluable subjects through the single study period in Part 2. The maximum duration of study participation will be approximately 9 to 10 weeks for Part 1; and 8 to 9 weeks for Part 2.
Publications & conference data
No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.
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Sponsor: as reported to ClinicalTrials.gov by GlaxoSmithKline
Last refreshed: 28 October 2020
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03234036.