This study is the first study of losmapimod in Japanese subjects. This study will be a single-center, single blind, phase I and two part study to characterize the safety, tolerability, pharmacokinetic and pharmacodynamic profiles in healthy Japanese volunteers (male and female of non-childbearing potential). Part1 will be a single dose, randomized, three-period, placebo-controlled and dose escalation part. Each subject will participate in 3 dosing sessions, and receive, on separate days, three of four treatments of losmapimod 2.5, 7.5 and 20 mg, and the matching placebo in the fasted state after overnight fast (at least 10 hours). The design incorporates sufficient washout between treatments (at least 7 days after the previous administration), and is an efficient design for the study objectives. Part 2 will be a fixed dose and placebo-controlled part. Each subject will participate in one dosing session, and receive losmapimod 7.5 mg or the matching placebo twice daily in the fasted state for 14 days. Only subjects will be blind to the sequence and dose studied. The study will include the placebo treatment to allow a valid evaluation of adverse events attributable to treatment versus those independent of treatment. Approximately 18 subjects in each part will receive treatments of losmapimod and/or placebo in the design. The primary objective of the study is to characterize the safety and tolerability of single doses and repeat doses of losmapimod in healthy Japanese subjects. Serial pharmacokinetic samples will be collected and safety assessments will be performed following each dose.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
20
Film coated white tablet
Film coated white tablet
GSK Investigational Site
Randwick, New South Wales, Australia
Adverse events
Number of participants with adverse events as a measure of safety and tolerability (evaluated by the result of Clinical safety laboratory tests, vital signs and 12-lead ECG).
Time frame: Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
AUC(0-t)
Area under the concentration-time curve from pre-dose to last time of quantifiable concentration of losmapimod and GSK198602 (inactive metabolite) (Single dose only).
Time frame: up to 96h post dose.
AUC(0-inf)
Area under the concentration-time curve from time pre-dose extrapolated to infinite time of losmapimod and GSK198602 (Single dose only).
Time frame: up to 96h post dose.
AUC(0-tau)
Area under the concentration-time curve over the dosing interval of losmapimod and GSK198602 (Repeat dose only).
Time frame: up to 17 days post dose.
Cmax
Maximum observed concentration of losmapimod and GSK198602.
Time frame: Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
tmax
Time of occurrence of Cmax of losmapimod and GSK198602.
Time frame: Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
t1/2
Terminal phase half-life of losmapimod and GSK198602
Time frame: Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
accumulation ratios
accumulation ratios of losmapimod and GSK198602 (Repeat dose only).
Time frame: up to 17 days post dose.
hsCRP
Change from baseline in hsCRP after the oral dose of losmapimod.
Time frame: Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
phosphorylated HSP27
Change from baseline in phosphorylated HSP27 assayed following ex vivo stimulation of cells in wholeblood.
Time frame: Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
%AUCex
Percentage of AUC(0-inf) obtained by extrapolation of losmapimod and GSK198602.
Time frame: Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
tlast
Time of last quantifiable concentration of losmapimod and GSK198602.
Time frame: Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
λz
Terminal phase rate constant of losmapimod and GSK198602.
Time frame: Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
CL/F
Apparent clearance following oral dosing of losmapimod.
Time frame: Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
Vz/F
Apparent volume of distribution following oral dosing of losmapimod.
Time frame: Single dose: up to 96h post dose. Repeat dose: up to 17 days post dose.
AUC(0-inf)
Area under the concentration-time curve from time pre-dose extrapolated to infinite time of losmapimod and GSK198602 (Repeat dose only).
Time frame: up to 17 days post dose.
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