A study to investigate the safety, tolerability, pharmacokinetics, and pharmacodynamics of single and repeat doses of 800 mg GSK2586184 in healthy subjects.
This is a study in healthy volunteers to investigate the safety, tolerability, pharmacokinetics (the body's effect on the drug) and pharmacodynamics (the drug's effect on the body) of single and repeat doses of 800 mg GSK2586184. The effect of food and gender on pharmacokinetics will also be investigated following single dosing. The study is made up of 2 groups of healthy subjects. The first group consists of 6 female subjects who will receive a single dose of 800mg GSK2586184 (study medication) during 2 seperate sessions. One session will involve the female subjects taking the study medication with food and the other session will involve study medication being taken without food. The safety and tolerability of the study medication in female subjects and the effect of food on the pharmacokinetics of the study medication will be investigated. The second group will consist of 12 healthy male subjects participating in 2 sessions. 8 subjects will receive study medication and 4 will receive placebo (dummy medication) during the course of the study. Neither they or their study doctor will know which one they are given. Each male subject will receive a single dose of study medication or placebo followed by 13 days of twice daily dosing of study medication or placebo. Each dose will be taken with food.The single dose results from this group of subjects will be compared to the female group to investigate the effect of gender on pharmacokinetics. The safety and pharmacokinetics of repeat dosing will be investigated. The effect of repeat dosing on kidney function and the immune system will also be investigated. The study will take place in the SGS Clinical Pharmacology Unit in Antwerp, Belgium. A pharmaceutical company, GlaxoSmithKline, is funding the study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
19
GSK2586184 800mg single dose and then twice daily dosing for 13 days
Placebo-to-match GSK2586184
GSK2586184 single dose taken with FDA approved high fat, high calorie breakfast
GSK Investigational Site
Antwerp, Belgium
Adverse event reporting
Change in health of subjects
Time frame: Day 1 through to within 7-10 days after the last dose
Change from baseline in clinical chemistry, hematology, urinalysis
Change in clinical chemistry, hematology and urinalysis from baseline
Time frame: Cohort A: D-1, predose (each session), D2 (each session) and 7-10 days after the last dose. Cohort B single dose session: D-3, predose, D2. Cohort B repeat dose session: D1, D2, D5, D10, D11, D14 and within 7-10 days after last dose
Change from baseline in vital signs parameters
Change in blood pressure, heart rate and body temperature outside normal range
Time frame: Cohort A: Predose, 2h post dose, D2, within 7-10 days from last dose. Cohort B single dose session: D-3, predose, 2h post-dose, D2. Cohort B repeat dose session: predose on D1, D2, D5, D10, 2h post-dose on D1 and D10, D14, within 7-10 days post last dose
Change from baseline in ECG parameters
Change in ECG parameters outside normal range
Time frame: Cohort A: Predose, 2h post dose, D2 and within 7-10 days of last dose. Cohort B single dose session: D-3, pre-dose, 2h post-dose and D2. Cohort B repeat dose session: pre-dose, D2, D5, D10, 2h post-dose on D1, D10, D14 and within 7-10 days from last dose
Plasma concentrations of GSK2586184
Change in plasma concentrations of GSK2586184
Time frame: Cohort A: 0.25, 0.5, 1, 2, 4, 8, 12, 24 and 48h post-dose. Cohort B single dose session:0.25, 0.5, 1, 2, 4, 8, 12, 24 and 48h post-dose. Cohort B repeat dose session: D1 and D10 (predose, 0.25, 0.5, 1, 2, 4, 8 and 12h post-dose), D2, D3, D4, D5, and D11
Change from baseline for 24h urine albumin, creatinine and PCR
Change in 24h urine creatinine, albumin and PCR values outside normal range
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GSK2586184 single dose taken in a fasted state
Time frame: Cohort B repeat dose: D-1, D10 and within 7-10 days post last dose
mRNA expression of IFNa and JAK pathway genes
Change in mRNA expression profile of IFNa and JAK pathway genes
Time frame: Cohort B repeat dose: Predose, 1, 2, 4, 8 and 12h on D1 and D10. Predose, 1, 2, 4, 8, 12 and 24h post-dose on D11
Vital signs as a pharmacodynamic endpoint
Change in blood pressure, heart rate and body temperature post IFNa challenge
Time frame: Cohort B repeat dose: Predose, 4, 8, 12, 24, 28, 32, 48, 72, 100 and 120h post dose on D11
Plasma levels of Neopterin and B2-microglobulin
Change in plasma concentrations of neopterin and B2-microglobulin post IFNa challenge
Time frame: Cohort B repeat dose: Predose, 4, 8, 12, 24, 28, 32, 48, 72, 100 and 120h post dose on D11
Glomerular Filtration Measurement using Cr-51 EDTA
Change in plasma concentrations of Cr-51 EDTA and it's derived clearance
Time frame: Cohort B: 2h and 4h post Cr-51 EDTA injection on D-2 of single dose session, D8 of repeat dose session and within 7-10 days post last dose
Duodenal concentrations of GSK2586184 and its metabolites and derived pharmacokinetic parameters
Change in bile concentrations of GSK2586184 and it's metabolites
Time frame: Cohort A: D-1 to D1 predose and 2.5h post-dose to 6.5h post-dose. Cohort B single dose: D-1 to D1 predose and 2.5h post-dose to 6.5h post-dose
Urine concentrations of GSK2586184 and its metabolites and derived pharmacokinetic parameters
Change in urine concentration of GSK2586184 and it's metabolites
Time frame: Cohort A: D1 predose and for 24 hr post-dose.Cohort B single dose: D1 predose and for 24h post-dose