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NCT03575962

A Study to Compare the Relative Bioavailability of Two Different Formulations of GSK3640254

Completed Phase 1 Results posted Last updated 6 September 2019
What this trial tests

Phase 1 trial testing GSK3640254 bis-hydrochloride salt capsule in HIV Infections in 14 participants. Completed in 6 August 2018.

Timeline
18 June 2018
Primary endpoint
6 August 2018
6 August 2018

Quick facts

Lead sponsorViiV Healthcare
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingnone
Primary purposetreatment
Enrollment14
Start date18 June 2018
Primary completion6 August 2018
Estimated completion6 August 2018
Sites1 location across United Kingdom

Drugs / interventions tested

Conditions studied

Sponsor

ViiV Healthcare — full company profile →

Who can join

Adults 18 to 55, any sex, with 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.

Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time (AUC[0-infinity]) of GSK3640254 Following Single Oral Dose in Healthy Participants Primary · Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48 and 72 hours post-dose in each treatment period

Blood samples were collected at designated timepoints. Pharmacokinetic (PK) parameters of GSK3640254 were calculated using non-compartmental methods. Geometric mean and percentage (%) geometric coefficient of variation have been presented.

GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt23.5666± 27.2
GSK3640254 Capsule 200 mg Mesylate Salt27.6204± 46.7
Area Under the Concentration-time Curve From Zero to Time of Last Sample Taken (AUC[0-t]) of GSK3640254 Following Single Oral Dose in Healthy Participants Primary · Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, and 72 hours post-dose in each treatment period

Blood samples were collected at designated timepoints. PK parameters of GSK3640254 were calculated using non-compartmental methods. Geometric mean and % geometric coefficient of variation have been presented. Statistical analysis of PK parameters was done using mixed effect model for evaluation of relative bioavailability (Frel). Point estimate and 90% confidence interval (CI) for the ratio of geometric least square mean of the test mesylate salt capsule to the reference Hydrochloride capsule were calculated for AUC(0-t).

GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt20.2797± 32.9
GSK3640254 Capsule 200 mg Mesylate Salt22.6494± 40.1
Maximum Observed Concentration (Cmax) of GSK3640254 Following Single Oral Dose in Healthy Participants Primary · Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, and 72 hours post-dose in each treatment period

Blood samples were collected at designated timepoints. PK parameters of GSK3640254 were calculated using non-compartmental methods. Geometric mean and % geometric coefficient of variation have been presented. Statistical analysis of PK parameters was done using mixed effect model for evaluation of Frel. Point estimate and 90% CI for the ratio of geometric least square mean of the test mesylate salt capsule to the reference Hydrochloride capsule were calculated for Cmax.

GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt0.7357± 35.7
GSK3640254 Capsule 200 mg Mesylate Salt0.8502± 40.5
Time to Reach Maximum Observed Concentration (Tmax) of GSK3640254 Following Single Oral Dose in Healthy Participants Primary · Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12, 24, 36, 48, and 72 hours post-dose in each treatment period

Blood samples were collected at designated timepoints. PK parameters of GSK3640254 were calculated using non-compartmental methods. Median and full range of Tmax have been presented.

GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt5.02 – 6
GSK3640254 Capsule 200 mg Mesylate Salt5.02 – 6
Concentration at 24 Hours Post-dose (C24h) of GSK3640254 Following Single Oral Dose in Healthy Participants Primary · Pre-dose, 0.5, 1, 1.5, 2, 3, 4, 5, 6, 8, 12 and 24 hours post-dose in each treatment period

Blood samples were collected at designated timepoints. PK parameters of GSK3640254 were calculated using non-compartmental methods. Geometric mean and % geometric coefficient of variation have been presented.

GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt0.3439± 37.9
GSK3640254 Capsule 200 mg Mesylate Salt0.3855± 45.2
Number of Participants With Non-serious Adverse Events (Non-SAEs) and Serious Adverse Events (SAEs) Secondary · 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 medicinal product, whether or not considered related to the medicinal product. SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect and other situations according to medical or scientific judgement.

Any non-SAEs
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt4
GSK3640254 Capsule 200 mg Mesylate Salt6
Any SAEs
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt0
GSK3640254 Capsule 200 mg Mesylate Salt0
Change From Baseline in Clinical Chemistry Parameters; Alanine Aminotransferase (ALT), Alkaline Phosphatase (ALP) and Aspartate Aminotransferase (AST) Secondary · Baseline (Day -1) and Day 3

Blood samples were collected to analyze the clinical chemistry parameters; ALT, ALP and AST. Day-1 was considered as Baseline. Change from Baseline was calculated by subtracting Baseline value from the post-Dose visit value. Mean and standard deviation have been presented.

ALT, Day 3, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt-1.9± 4.51
GSK3640254 Capsule 200 mg Mesylate Salt2.3± 6.84
ALP, Day 3, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt-1.2± 7.27
GSK3640254 Capsule 200 mg Mesylate Salt3.0± 5.87
AST, Day 3, n=13,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt-3.5± 3.82
GSK3640254 Capsule 200 mg Mesylate Salt-2.9± 6.55
Change From Baseline in Clinical Chemistry Parameters; Bicarbonate, Calcium, Chloride, Glucose (Fasting), Potassium, Sodium and Urea Secondary · Baseline (Day -1) and Day 3

Blood samples were collected to analyze the clinical chemistry parameters; Bicarbonate, Calcium, Chloride, Glucose (fasting), Potassium, Sodium and Urea. Day-1 was considered as Baseline. Change from Baseline was calculated by subtracting Baseline value from the post-Dose visit value. Mean and standard deviation have been presented.

Bicarbonate, Day 3, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt-3.0± 2.66
GSK3640254 Capsule 200 mg Mesylate Salt-2.6± 2.31
Calcium, Day 3, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt-0.044± 0.1019
GSK3640254 Capsule 200 mg Mesylate Salt0.033± 0.0961
Chloride, Day 3, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt-0.5± 1.61
GSK3640254 Capsule 200 mg Mesylate Salt-1.7± 1.94
Glucose (fasting), Day 3, n=12,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt-0.17± 0.444
GSK3640254 Capsule 200 mg Mesylate Salt0.04± 0.554
Potassium, Day 3, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt0.21± 0.435
GSK3640254 Capsule 200 mg Mesylate Salt0.06± 0.445
Sodium, Day 3, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt-0.9± 1.10
GSK3640254 Capsule 200 mg Mesylate Salt-1.1± 1.56
Urea, Day 3, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt-0.41± 1.634
GSK3640254 Capsule 200 mg Mesylate Salt-0.39± 0.849
Change From Baseline in Clinical Chemistry Parameters; Bilirubin, Creatinine and Direct Bilirubin Secondary · Baseline (Day -1) and Day 3

Blood samples were collected to analyze the clinical chemistry parameters; Bilirubin, Creatinine and Direct Bilirubin. Day-1 was considered as Baseline. Change from Baseline was calculated by subtracting Baseline value from the post-Dose visit value. Mean and standard deviation have been presented.

Bilirubin, Day 3, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt2.1± 3.94
GSK3640254 Capsule 200 mg Mesylate Salt-0.3± 3.81
Creatinine, Day 3, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt0.1± 7.29
GSK3640254 Capsule 200 mg Mesylate Salt-0.1± 5.74
Direct Bilirubin, Day 3, n=0,1
GroupValue95% CI
GSK3640254 Capsule 200 mg Mesylate Salt-1.0± NA
Change From Baseline in Clinical Chemistry Parameter; Protein Secondary · Baseline (Day -1) and Day 3

Blood samples were collected to analyze the clinical chemistry parameter; Protein. Day-1 was considered as Baseline. Change from Baseline was calculated by subtracting Baseline value from the post-Dose visit value. Mean and standard deviation have been presented.

GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt-0.5± 3.72
GSK3640254 Capsule 200 mg Mesylate Salt1.4± 4.03
Number of Participants With Worst Case Hematology Results by Potential Clinical Importance (PCI) Criteria Secondary · Up to 22 days

Blood samples were collected to analyze the hematology parameters; Hematocrit (Hct), Hemoglobin (Hb), Leukocytes, Lymphocytes, Neutrophils and Platelets. PCI ranges were Hct (Male and Female \[high: \>0.54 proportion of red blood cells in blood\]), Hb (Male and Female \[high: \>180 grams per liter\]), lymphocytes (low: \<0.8x10\^9 cells per liter), neutrophils (low: \<1.5x10\^9 cells per liter), platelets (low: \<100x10\^9 cells per liter and high: \>550x10\^9 cells per liter) and leukocytes (low: \<3x10\^9 cells per liter and high: \>12x10\^9 cells per liter). Participants were counted in the

Hct, To low
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt0
GSK3640254 Capsule 200 mg Mesylate Salt0
Hct, To normal or no change
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt14
GSK3640254 Capsule 200 mg Mesylate Salt14
Hct, To high
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt0
GSK3640254 Capsule 200 mg Mesylate Salt0
Hb, To low
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt0
GSK3640254 Capsule 200 mg Mesylate Salt0
Hb, To normal or no change
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt13
GSK3640254 Capsule 200 mg Mesylate Salt14
Hb, To high
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt1
GSK3640254 Capsule 200 mg Mesylate Salt0
Leukocytes, To low
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt0
GSK3640254 Capsule 200 mg Mesylate Salt0
Leukocytes, To normal or no change
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt14
GSK3640254 Capsule 200 mg Mesylate Salt13
Number of Participants With Urinalysis Results by Dipstick Method by Visit Secondary · Day -1 and Day 3

Urine samples were collected to assess urine bilirubin, urine glucose, urine ketones, urine leukocyte esterase (LE), urine nitrite, urine occult blood, urine protein, urobilinogen and monitor urine potential of hydrogen (pH). The dipstick test gave results in a semi-quantitative manner, and results for urinalysis parameters were recorded as negative, trace and positive, indicating proportional concentrations in the urine sample. All the numeric result values \>0 have been considered as "positive".

Bilirubin, Day -1, Negative, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt14
GSK3640254 Capsule 200 mg Mesylate Salt14
Bilirubin, Day -1, Trace, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt0
GSK3640254 Capsule 200 mg Mesylate Salt0
Bilirubin, Day -1, Positive, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt0
GSK3640254 Capsule 200 mg Mesylate Salt0
Bilirubin, Day 3, Negative, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt14
GSK3640254 Capsule 200 mg Mesylate Salt14
Bilirubin, Day 3, Trace, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt0
GSK3640254 Capsule 200 mg Mesylate Salt0
Bilirubin, Day 3, Positive, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt0
GSK3640254 Capsule 200 mg Mesylate Salt0
Glucose, Day -1, Negative, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt14
GSK3640254 Capsule 200 mg Mesylate Salt14
Glucose, Day -1, Trace, n=14,14
GroupValue95% CI
GSK3640254 200 mg Hydrochloride Salt0
GSK3640254 Capsule 200 mg Mesylate Salt0

Adverse events — posted to ClinicalTrials.gov

Time frame: SAEs and non-serious AEs were collected from the start of study treatment up to 25 days.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

GSK3640254 200 mg Hydrochloride Salt
Serious: 0/14 (0%)
Deaths: 0/14
GSK3640254 Capsule 200 mg Mesylate Salt
Serious: 0/14 (0%)
Deaths: 0/14
Other adverse events (7 terms — click to expand)

ReactionSystemGSK3640254 200 mg Hydrochl…GSK3640254 Capsule 200 mg …
Pain in extremityMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
Abdominal painGastrointestinal disorders
FlatulenceGastrointestinal disorders
Gingival bleedingGastrointestinal disorders
ArthralgiaMusculoskeletal and connective tissue disorders
EpistaxisRespiratory, thoracic and mediastinal disorders

Data from ClinicalTrials.gov NCT03575962 adverse events section.

Sponsor's own description

This is a first time in human (FTIH), 2-period study, to assess the relative bioavailability of a mesylate salt capsule of GSK3640254, compared to a bis- hydrochloride salt capsule of GSK3640254, in healthy subjects, administered following a moderate calorie and fat meal. The subjects will be randomized to 2 sequences, Regimen AB or Regimen BA. For Regimen AB: The Regimen A, which will include oral administration of GSK3640254 bis-hydrochloride Capsule 200 milligram (mg) (reference), which will be administered, in Period 1 and Regimen B will include GSK3640254 Mesylate salt capsule (test), 200 mg, which will be administered in Period 2. For the regimen BA, the regimen B, will be administered, in Period 1 and regimen A, in Period 2. Each of the regimens will be given orally as 2 capsules in the morning, as per randomization sequence. There will be a minimum washout of 7 days between each dose of study treatment. A total, of 14 subjects, are planned to be enrolled in the study. The maximum duration of the study from screening to follow-up is approximately 7 weeks.

Publications & conference data

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

  1. Phase I evaluation of the safety, tolerability, and pharmacokinetics of GSK3640254, a next-generation HIV-1 maturation inhibitor.
    Joshi SR, Fernando D, Igwe S, McKenzie L, et al · · 2020 · cited 24× · PMID 33200887 · DOI 10.1002/prp2.671
  2. A Phase I Evaluation of the Pharmacokinetics and Tolerability of the HIV-1 Maturation Inhibitor GSK3640254 and Tenofovir Alafenamide/Emtricitabine in Healthy Participants.
    Pene Dumitrescu T, Joshi SR, Xu J, Zhan J, et al · · 2021 · cited 13× · PMID 33753329 · DOI 10.1128/aac.02173-20
  3. Relative Bioavailability and Food Effect of GSK3640254 Tablet and Capsule Formulations in Healthy Participants.
    Johnson M, Pene Dumitrescu T, Joshi SR, Mathew A, et al · · 2022 · cited 4× · PMID 34995417 · DOI 10.1002/cpdd.1051

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