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NCT03234036

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

Completed Phase 1 Results posted Last 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.

Timeline
2 August 2017
Primary endpoint
10 November 2017
10 November 2017

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingdouble
Primary purposetreatment
Enrollment26
Start date2 August 2017
Primary completion10 November 2017
Estimated completion10 November 2017
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

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 State Primary · 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).

GroupValue95% CI
Part 1: GSK2838232 200 mg/Ritonavir Capsule Fed4672.28± 40.68
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fed4437.98± 30.83
Part 1: Maximum Observed Concentration (Cmax) Following Administration of GSK2838232 Tablet and Capsule Formulation in Fed State Primary · 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.

GroupValue95% CI
Part 1: GSK2838232 200 mg/Ritonavir Capsule Fed109.054± 48.01
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fed118.118± 27.59
Part 1: AUC (0-infinity) Following Administration of GSK2838232 Tablet in Fasted and Fed State Primary · 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.

GroupValue95% CI
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fed4437.98± 30.83
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fasted1816.27± 36.42
Part 1: Cmax Following Administration of GSK2838232 Tablet in Fasted and Fed State Primary · 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.

GroupValue95% CI
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fed118.118± 27.59
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fasted50.437± 35.61
Part 1: Time of Occurrence of Cmax (Tmax) Following Administration of GSK2838232 Tablet in Fasted and Fed State Primary · 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.

GroupValue95% CI
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fed5.9832.00 – 24.03
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fasted3.5082.00 – 11.97
Part 2: Number of Participants With Serious Adverse Events (SAEs) and Non-SAEs Primary · 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
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Any non-SAE
GroupValue95% CI
Part 2: Placebo1
Part 2: GSK2838232 500 mg Tablet Fed0
Part 2: Number of Participants With Worst Case Hematology Results to Potential Clinical Importance (PCI) Criteria Primary · 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
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Hematocrit; To within Range or No Change
GroupValue95% CI
Part 2: Placebo3
Part 2: GSK2838232 500 mg Tablet Fed7
Hematocrit; To High
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Hemoglobin; To Low
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Hemoglobin; To within Range or No Change
GroupValue95% CI
Part 2: Placebo3
Part 2: GSK2838232 500 mg Tablet Fed7
Hemoglobin; To High
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Leukocytes; To Low
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Leukocytes; To within Range or No Change
GroupValue95% CI
Part 2: Placebo3
Part 2: GSK2838232 500 mg Tablet Fed7
Part 2: Number of Participants With Worst Case Clinical Chemistry Results to PCI Criteria Primary · 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
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Glucose; To within Range or No Change
GroupValue95% CI
Part 2: Placebo3
Part 2: GSK2838232 500 mg Tablet Fed7
Glucose; To High
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
ALT; To Low
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
ALT; To within Range or No Change
GroupValue95% CI
Part 2: Placebo3
Part 2: GSK2838232 500 mg Tablet Fed7
ALT; To High
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Albumin; To Low
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Albumin; To within Range or No Change
GroupValue95% CI
Part 2: Placebo3
Part 2: GSK2838232 500 mg Tablet Fed7
Part 2: Number of Participants With Worst Case Urinalysis Results Relative to Normal Range Criteria Primary · 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
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Glucose; To Normal or No Change
GroupValue95% CI
Part 2: Placebo3
Part 2: GSK2838232 500 mg Tablet Fed7
Glucose; To High
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Glucose; To Abnormal
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Ketones; To Low
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Ketones; To Normal or No Change
GroupValue95% CI
Part 2: Placebo3
Part 2: GSK2838232 500 mg Tablet Fed7
Ketones; To High
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Ketones; To Abnormal
GroupValue95% CI
Part 2: Placebo0
Part 2: GSK2838232 500 mg Tablet Fed0
Part 2: Blood Pressure at Indicated Time Points Primary · 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
GroupValue95% CI
Part 2: Placebo73.667± 7.5056
Part 2: GSK2838232 500 mg Tablet Fed73.143± 4.7759
DBP; DAY 1, PREDOSE
GroupValue95% CI
Part 2: Placebo65.443± 2.6925
Part 2: GSK2838232 500 mg Tablet Fed72.333± 8.1636
DBP; DAY 1, 1 Hour
GroupValue95% CI
Part 2: Placebo54.667± 3.7859
Part 2: GSK2838232 500 mg Tablet Fed64.714± 5.8228
DBP; DAY 1, 4 Hours
GroupValue95% CI
Part 2: Placebo62.000± 1.0000
Part 2: GSK2838232 500 mg Tablet Fed63.714± 6.7507
DBP; DAY 2, 24 Hours
GroupValue95% CI
Part 2: Placebo73.667± 4.0415
Part 2: GSK2838232 500 mg Tablet Fed73.714± 6.0474
DBP; DAY 3, 48 Hours
GroupValue95% CI
Part 2: Placebo66.000± 1.7321
Part 2: GSK2838232 500 mg Tablet Fed68.000± 7.3485
DBP; DAY 4, 72 Hours
GroupValue95% CI
Part 2: Placebo69.000± 2.6458
Part 2: GSK2838232 500 mg Tablet Fed65.143± 8.3552
DBP; DAY 5
GroupValue95% CI
Part 2: Placebo62.333± 4.9329
Part 2: GSK2838232 500 mg Tablet Fed65.000± 7.3258
Part 2: Change From Baseline in Blood Pressure Primary · 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
GroupValue95% CI
Part 2: Placebo-10.777± 4.6690
Part 2: GSK2838232 500 mg Tablet Fed-7.619± 4.9086
DBP; DAY 1, 4 Hours
GroupValue95% CI
Part 2: Placebo-3.443± 3.6851
Part 2: GSK2838232 500 mg Tablet Fed-8.619± 9.3099
DBP; DAY 2, 24 Hours
GroupValue95% CI
Part 2: Placebo8.223± 2.5455
Part 2: GSK2838232 500 mg Tablet Fed1.381± 5.6866
DBP; DAY 3, 48 Hours
GroupValue95% CI
Part 2: Placebo0.557± 4.3485
Part 2: GSK2838232 500 mg Tablet Fed-4.333± 8.5244
DBP; DAY 4, 72 Hours
GroupValue95% CI
Part 2: Placebo3.557± 2.2180
Part 2: GSK2838232 500 mg Tablet Fed-7.190± 8.9524
DBP; DAY 5
GroupValue95% CI
Part 2: Placebo-3.110± 2.8366
Part 2: GSK2838232 500 mg Tablet Fed-7.333± 10.9039
DBP; DAY 6
GroupValue95% CI
Part 2: Placebo-2.777± 3.7175
Part 2: GSK2838232 500 mg Tablet Fed-6.190± 7.8255
DBP; DAY 7
GroupValue95% 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 Points Primary · 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
GroupValue95% CI
Part 2: Placebo63.667± 12.4231
Part 2: GSK2838232 500 mg Tablet Fed64.143± 11.7817
DAY 1, PREDOSE
GroupValue95% CI
Part 2: Placebo63.663± 4.0415
Part 2: GSK2838232 500 mg Tablet Fed63.714± 11.3991
DAY 1, 1 Hour
GroupValue95% CI
Part 2: Placebo68.000± 8.5440
Part 2: GSK2838232 500 mg Tablet Fed72.286± 7.5214
DAY 1, 4 Hours
GroupValue95% CI
Part 2: Placebo64.667± 3.0551
Part 2: GSK2838232 500 mg Tablet Fed66.000± 10.1160
DAY 2, 24 Hours
GroupValue95% CI
Part 2: Placebo57.667± 2.8868
Part 2: GSK2838232 500 mg Tablet Fed58.286± 8.7123
DAY 3, 48 Hours
GroupValue95% CI
Part 2: Placebo58.000± 2.6458
Part 2: GSK2838232 500 mg Tablet Fed59.429± 7.9762
DAY 4, 72 Hours
GroupValue95% CI
Part 2: Placebo58.667± 1.1547
Part 2: GSK2838232 500 mg Tablet Fed58.286± 7.7613
DAY 5
GroupValue95% CI
Part 2: Placebo60.667± 2.5166
Part 2: GSK2838232 500 mg Tablet Fed66.429± 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.

Part 1: GSK2838232 200 mg/Ritonavir Capsule Fed
Serious: 0/15 (0%)
Deaths: 0/15
Part 1: GSK2838232 200 mg/Ritonavir Tablet Fed
Serious: 0/15 (0%)
Deaths: 0/15
Part 1: GSK 200 mg/Ritonavir Tablet Fasted
Serious: 0/14 (0%)
Deaths: 0/14
Part 2: Placebo
Serious: 0/3 (0%)
Deaths: 0/3
Part 2: GSK2838232 500 mg Tablet Fed
Serious: 0/7 (0%)
Deaths: 0/7
Other adverse events (15 terms — click to expand)

ReactionSystemPart 1: GSK2838232 200 mg/…Part 1: GSK2838232 200 mg/…Part 1: GSK 200 mg/Ritonav…Part 2: PlaceboPart 2: GSK2838232 500 mg …
HeadacheNervous system disorders
Abdominal discomfortGastrointestinal disorders
Abdominal painGastrointestinal disorders
Abdominal pain lowerGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
FlatulenceGastrointestinal disorders
VomitingGastrointestinal disorders
Chest discomfortGeneral disorders
ChillsGeneral disorders
Infusion site painGeneral disorders
Skin abrasionInjury, poisoning and procedural complications
Pain in extremityMusculoskeletal and connective tissue disorders
SyncopeNervous system disorders
CoughRespiratory, thoracic and mediastinal disorders

Data from ClinicalTrials.gov NCT03234036 adverse events section.

Sponsor's own description

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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Data sources for this page

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.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing