The purpose of this study is to characterize the systemic and ocular safety and tolerability, pharmacokinetics, exploratory efficacy and pharmacodynamics of 3 months of repeat administration of oral darapladib in diabetic macular edema patients with centre involvement.
This is a multi-national, multi-centre, randomised, double-masked, placebo-controlled, parallel-group study of repeat oral administration of 160 mg darapladib for 3 months in adult subjects with DME with centre involvement. Eligible subjects will be randomised in a 2:1 ratio of active treatment to placebo, with the placebo group to allow a comparison of safety between treatment arms and to minimize the open label effect that can be observed with the visual acuity endpoint. The primary aim of the study is to determine the effect of repeat doses of darapladib on the mean change from baseline of both best-corrected visual acuity (BCVA) and spectral domain OCT (SD-OCT) centre subfield. The study eye will be examined for changes over the life of the study. As this investigational treatment is systemic, the fellow eye may be examined in tandem to provide additional data.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
54
Experimental compound 160 mg dose
Placebo to match
GSK Investigational Site
Parramatta, New South Wales, Australia
GSK Investigational Site
Sydney, New South Wales, Australia
Change from baseline in Visual Acuity as measured by ETDRS BCVA
Mean change from baseline in ETDRS Best Corrected Visual Acuity (BCVA) after 3 months of treatment
Time frame: 3 months
Change from baseline in Spectral Domain Optical Coherance Tomography
Mean change from baseline in SD-OCT after 3 months of treatment
Time frame: 3 months
Changes in Retinal Anatomy
Changes in retinal anatomy as assessed by fluorescein angiography and fundus photography and SD-OCT in the study eye
Time frame: 3 months
Safety and Tolerability as assessed by change from baseline in outcome measures
Safety and tolerability as assesed by: change from baseline in blood pressure and heart rate; assessed by change from baseline in complete ophthalmic exam and visual acuity; assessed by change from baseline in clinical laboratory tests; assessed by change from baseline in the collection of adverse events
Time frame: 3 months
Changes in Pharmacodynamic LP-PLA2 enzyme inhibition
Changes over 3 months in the study of LP-PLA2 Enzyme inhibition as data permit
Time frame: 3 months
Peak plasma concentration (Cmax) of study drug
Plasma Pharmacokinetic parameters of darapladib as data permit
Time frame: 3 months
Plasma concentration versus time curve (AUC) of study drug
Plasma Pharmacokinetic parameters of darapladib as data permit
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GSK Investigational Site
East Melbourne, Victoria, Australia
GSK Investigational Site
Nedlands, Western Australia, Australia
GSK Investigational Site
Glostrup Municipality, Denmark
GSK Investigational Site
Freiburg im Breisgau, Baden-Wurttemberg, Germany
GSK Investigational Site
Ulm, Baden-Wurttemberg, Germany
GSK Investigational Site
Cologne, North Rhine-Westphalia, Germany
GSK Investigational Site
Münster, North Rhine-Westphalia, Germany
GSK Investigational Site
Leipzig, Saxony, Germany
...and 6 more locations
Time frame: 3 months