Last reviewed · How we verify

NCT03239522

Absorption and Elimination of Radiolabeled Daprodustat

Completed Phase 1 Results posted Last updated 3 December 2019
What this trial tests

Phase 1 trial testing [14C]-GSK1278863 solution for IV infusion in Anaemia in 6 participants. Completed in 28 November 2017.

Timeline
10 October 2017
Primary endpoint
28 November 2017
28 November 2017

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment6
Start date10 October 2017
Primary completion28 November 2017
Estimated completion28 November 2017
Sites1 location across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 30 to 55, male only, with Anaemia. 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.

Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time (AUC [0-Inf]) of Total Drug-related Material (Radioactivity) in Plasma Following Administration of GSK1278863 Primary · Pre-dose, 0.5, 1, 1.25, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 1; Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 2

Plasma samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of GSK1278863 in plasma. Pharmacokinetic analysis was conducted 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
[14C]-GSK1278863 50 µg IV Infusion6.6864± 19.8
[14C]-GSK1278863 25 mg Oral Solution2278.8914± 18.2
AUC From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration Within a Participant Across All Treatments (AUC [0-t]) of Total Drug-related Material (Radioactivity) in Plasma Following Administration of GSK1278863 Primary · Pre-dose, 0.5, 1, 1.25, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 1; Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 2

Plasma samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of GSK1278863 in plasma. Pharmacokinetic analysis was conducted using standard non-compartmental methods.

GroupValue95% CI
[14C]-GSK1278863 50 µg IV Infusion6.5252± 18.9
[14C]-GSK1278863 25 mg Oral Solution2206.7099± 18.5
AUC (0-t) of Total Drug-related Material (Radioactivity) in Blood Following Administration of GSK1278863 Primary · Pre-dose, 0.5, 1, 1.25, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 1; Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 2

Blood samples were collected from participants at indicated time points after administration of study treatment to investigate the pharmacokinetics of GSK1278863 in blood. Pharmacokinetic analysis was conducted using standard non-compartmental methods. Data were not collected for blood total radioactivity concentration following administration of radiolabeled IV dose of GSK1278863 because of an error (deviation). The deviation is due to a processing error: labels for whole blood draws, and aliquots for shipment were not generated in error.

GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution824.6102± 17.2
Maximum Observed Plasma Concentration (Cmax) of Total Drug-related Material (Radioactivity) in Plasma Following Administration of GSK1278863 Primary · Pre-dose, 0.5, 1, 1.25, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 1; Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 2

Plasma samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of GSK1278863 in plasma. Pharmacokinetic analysis was conducted using standard non-compartmental methods.

GroupValue95% CI
[14C]-GSK1278863 50 µg IV Infusion3.0114± 15.8
[14C]-GSK1278863 25 mg Oral Solution623.9059± 34.8
Cmax of Total Drug-related Material (Radioactivity) in Blood Following Administration of GSK1278863 Primary · Pre-dose, 0.5, 1, 1.25, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 1; Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 2

Blood samples were collected from participants at indicated time points after administration of study treatment to investigate the pharmacokinetics of GSK1278863 in blood. Pharmacokinetic analysis was conducted using standard non-compartmental methods. Data were not collected for blood total radioactivity concentration following administration of radiolabeled IV dose of GSK1278863 because of an error (deviation). The deviation is due to a processing error: labels for whole blood draws, and aliquots for shipment were not generated in error.

GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution289.9998± 30.7
Time of Occurrence of Cmax (Tmax) of Total Drug-related Material (Radioactivity) in Plasma Following Administration of GSK1278863 Primary · Pre-dose, 0.5, 1, 1.25, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 1; Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 2

Plasma samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of GSK1278863 in plasma. Pharmacokinetic analysis was conducted using standard non-compartmental methods.

GroupValue95% CI
[14C]-GSK1278863 50 µg IV Infusion0.98330.983 – 1.250
[14C]-GSK1278863 25 mg Oral Solution0.75830.500 – 3.000
Tmax of Total Drug-related Material (Radioactivity) in Blood Following Administration of GSK1278863 Primary · Pre-dose, 0.5, 1, 1.25, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 1; Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 2

Blood samples were collected from participants at indicated time points after administration of study treatment to investigate the pharmacokinetics of GSK1278863 in blood. Pharmacokinetic analysis was conducted using standard non-compartmental methods. Data were not collected for blood total radioactivity concentration following administration of radiolabeled IV dose of GSK1278863 because of an error (deviation). The deviation is due to a processing error: labels for whole blood draws, and aliquots for shipment were not generated in error.

GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution1.00001.000 – 3.000
Apparent Terminal Phase Half-life (t1/2) of Total Drug-related Material (Radioactivity) in Plasma Following Administration of GSK1278863 Primary · Pre-dose, 0.5, 1, 1.25, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 1; Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 2

Plasma samples were collected from participants at indicated time points in each of the treatment period 1 and 2, after administration of study treatment to investigate the pharmacokinetics of GSK1278863 in plasma. Pharmacokinetic analysis was conducted using standard non-compartmental methods.

GroupValue95% CI
[14C]-GSK1278863 50 µg IV Infusion6.7699± 106.4
[14C]-GSK1278863 25 mg Oral Solution61.8251± 15.1
Volume of Distribution at Steady State (Vss) of Total Drug-related Material (Radioactivity) in Plasma Following IV Dose of GSK1278863 Primary · Pre-dose, 0.5, 1, 1.25, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 1

Plasma samples were collected from participants at indicated time points in treatment period 1, after administration of study treatment to investigate the pharmacokinetics of GSK1278863 in plasma. Pharmacokinetic analysis was conducted using standard non-compartmental methods.

GroupValue95% CI
[14C]-GSK1278863 50 µg IV Infusion32.2355± 59.1
Total Systemic Clearance (CL) of Total Drug-related Material (Radioactivity) in Plasma Following IV Dose of GSK1278863 Primary · Pre-dose, 0.5, 1, 1.25, 1.5, 2, 3, 4, 6, 8, 10, 12, 24, 36, 48, 72, 96, 120 and 144 hours post-dose in treatment period 1

Plasma samples were collected from participants at indicated time points in treatment period 1 after administration of study treatment to investigate the pharmacokinetics of GSK1278863 in plasma. Pharmacokinetic analysis was conducted using standard non-compartmental methods.

GroupValue95% CI
[14C]-GSK1278863 50 µg IV Infusion7.4779± 19.8
Percentage of the Total Radioactive Dose Excreted in Urine Over Time Following a Single, Oral Dose of [14C]-GSK1278863 Primary · Pre-dose and then over 24 hours collection periods as follows: 0-24, 24-48, 48-72, 72-96, 96-120,120-144 and 144-168 hours post-dose in treatment period 2

Urine samples were collected at the indicated time points to determine the rate and extent of excretion of total radioactivity in urine. All participants were asked to void their bladders before study treatment administration.

Pre-dose; n=6
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution0.000± 0.0000
0-24 hours; n=6
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution20.450± 2.7441
24-48 hours; n=6
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution20.838± 2.8280
48-72 hours; n=6
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution21.003± 2.8723
72-96 hours; n=6
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution21.065± 2.8744
96-120 hours; n=6
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution21.065± 2.8744
120-144 hours; n=6
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution21.065± 2.8744
144-168 hours; n=5
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution21.434± 3.0507
Percentage of the Total Radioactive Dose Excreted in Feces Over Time Following a Single, Oral Dose of [14C]-GSK1278863 Primary · Pre-dose and then over 24 hour collection periods as follows: 0-24, 24-48, 48-72, 72-96, 96-120, 120-144 and 144-168 hours post-dose in treatment period 2

Fecal samples were collected at the indicated time points to determine the rate and extent of excretion of total radioactivity in feces.

Pre-dose; n=6
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution0.000± 0.0000
0-24 hours; n=5
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution0.096± 0.1292
24-48 hours; n=5
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution22.298± 31.0164
48-72 hours; n=6
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution49.988± 25.3857
72-96 hours; n=6
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution68.312± 6.0872
96-120 hours; n=5
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution73.450± 3.1046
120-144 hours; n=5
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution74.698± 2.1027
144-168 hours; n=4
GroupValue95% CI
[14C]-GSK1278863 25 mg Oral Solution73.553± 3.6611

Adverse events — posted to ClinicalTrials.gov

Time frame: Serious adverse events (SAEs) and non-serious adverse events (Non-SAEs) were collected from the start of the study treatment up to 43 days.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

GSK1278863 6 mg Oral Tablet+[14C]-GSK1278863 50 µg IV Infusion
Serious: 0/6 (0%)
Deaths: 0/6
[14C]-GSK1278863 25 mg Oral Solution
Serious: 0/6 (0%)
Deaths: 0/6
Other adverse events (6 terms — click to expand)

ReactionSystemGSK1278863 6 mg Oral Table…[14C]-GSK1278863 25 mg Ora…
HeadacheNervous system disorders
Back painMusculoskeletal and connective tissue disorders
Decreased appetiteMetabolism and nutrition disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
MyalgiaMusculoskeletal and connective tissue disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders

Data from ClinicalTrials.gov NCT03239522 adverse events section.

Sponsor's own description

Absorption, metabolism and excretion of daprodustat (GSK1278863) have been studied in previous clinical trials; however, the elimination routes and metabolic pathways of daprodustat have not been fully elucidated in humans. This is an open-label, single-center, non-randomized, 2-period, single-sequence, crossover, mass balance study in 6 healthy male participants. The aim of the study is to assess the excretion balance of daprodustat using \[14C\]-radiolabeled drug substance administered orally, and as an intravenous (IV) infusion, administered as a microtracer dose (concomitant with an oral, non-radiolabeled dose). Absolute bioavailability of an oral dose will also be assessed. Each participant will be involved in the study for up to 10 weeks which include a screening visit, two treatment periods (treatment periods 1 and 2), separated by about 7 days (at least 14 days between oral doses), and a follow up visit 1-2 weeks after the last assessment in treatment period 2. The primary objective of the study is to gain a better understanding of the compound's excretory and metabolic profile. This study will include sampling of duodenal bile to conduct qualitative assessment of drug metabolites in this matrix in order to characterize biliary elimination pathways.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Clinical Pharmacokinetics of Daprodustat: Results of an Absorption, Distribution, and Excretion Study With Intravenous Microtracer and Concomitant Oral Doses for Bioavailability Determination.
    Mahar KM, Caltabiano S, Andrews S, Ramanjineyulu B, et al · · 2021 · cited 10× · PMID 34713596 · DOI 10.1002/cpdd.1029

Verify or expand the search:

Other recruiting trials for Anaemia

Currently open trials in the same condition.

Other GlaxoSmithKline trials

Trials by the same sponsor.

Verify against primary sources

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/NCT03239522.

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