This study is the First Time in Human Study for GSK2256294 and will evaluate the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of single and repeat oral doses of GSK2256294 administered to healthy male volunteers (Cohort 1) and otherwise healthy adult male moderately obese smokers (Cohorts 2 to 4). Cohorts 1 and 2 will enrol 12 subjects each and each subject will take part in four study periods. All subjects will receive placebo regimen and three dosing regimens of GSK2256294 in a specified sequence (planned doses 2 mg, 6 mg and 18 mg in Cohort 1 and 15 mg, 40 mg and 100 mg in Cohort 2). Each study period will be followed by a Wash-out period of 7 to 14 days in Cohort 1 and up to 4 weeks in Cohort 2. During each study period subjects will be in-house from Day -1 until the 48 hours post dose assessments have been completed. Subjects will return to the unit as out-patients for remaining post-dose assessments. Subjects will then be followed for 7 to 14 days in Cohort 1 and up to 3 to 4 weeks in Cohort 2. Total duration of the study for Cohort 1 will be 98 days and for Cohort 2 it will be up to 144 days. Cohort 3 and 4 will each recruit 15 subjects. For Cohorts 3 and 4, each subject will take part in one treatment period of 18 days (Day-1 to Day 17) with dosing from Day 1 to Day 14. Subjects will then be followed for 7 to 14 days. Total duration of the study for Cohort 3 and Cohort 4 will be 67 days. Dose selection for Cohorts 3 and 4 will be based on the safety, PK profile and enzyme inhibition obtained in Cohorts 1 and 2. This study will also evaluate the evidence for a functional effect of soluble Epoxide Hydrolase (sEH) in a forearm blood flow (FBF) model.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
56
GSK2256294 capsules will be administered as once daily as single dose 2 mg, 6 mg, 15 mg in Cohort 1 and 15 mg, 40 mg, 100 mg in Cohort 2. GSK2256294 capsules will be administered once or twice daily (cohorts 3 and 4) at the dose determined from the data from Cohort 1 and 2. GSK2256294 capsules will be available in 1, 5, 25 mg dose strength.
Matching placebo will be administered once daily (cohorts 1 and 2); and once or twice daily (cohorts 3 and 4).
GSK Investigational Site
Cambridge, United Kingdom
Safety of single oral doses of GSK2256294 assessed by clinical monitoring of vital signs (Cohort 1).
Vital signs include systolic blood pressure, diastolic blood pressure, and pulse rate. Vital signs will be collected with the subject semi-supine and after they have been resting for 5 minutes.
Time frame: Up to 98 days.
Safety of single oral doses of GSK2256294 assessed by clinical monitoring of vital signs (Cohort 2).
Vital signs include systolic blood pressure, diastolic blood pressure, and pulse rate. Vital signs will be collected with the subject semi-supine and after they have been resting for 5 minutes.
Time frame: Up to 144 days.
Safety of single oral doses of GSK2256294 assessed by clinical monitoring of Electrocardiogram (Cohort 1).
12-lead electrocardiograms (ECGs) will be obtained at each time point during the study using an ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and QTcF intervals. ECGs will be obtained in the semi-supine position after the subject has been resting for at least 5 minutes.
Time frame: Up to 98 days.
Safety of single oral doses of GSK2256294 assessed by clinical monitoring of Electrocardiogram (Cohort 2).
12-lead electrocardiograms (ECGs) will be obtained at each time point during the study using an ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and QTcF intervals. ECGs will be obtained in the semi-supine position after the subject has been resting for at least 5 minutes.
Time frame: Up to 144 days.
Safety of repeat oral doses of GSK2256294 assessed by clinical monitoring of vital signs (Cohort 3 and 4).
Vital signs include systolic blood pressure, diastolic blood pressure, and pulse rate. Vital signs will be collected with the subject semi-supine and after they have been resting for 5 minutes.
Time frame: Up to 67 days
Safety of repeat oral doses of GSK2256294 assessed by clinical monitoring ECG (Cohort 3 and 4).
12-lead ECGs will be obtained at each time point during the study using an ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and QTcF intervals. ECGs will be obtained in the semi-supine position after the subject has been resting for at least 5 minutes.
Time frame: Up to 67 days.
Safety of single oral doses of GSK2256294 assessed by clinical laboratory assessments (Cohort 1 ).
Safety data will include assessments of clinical laboratory tests (hematology, clinical chemistry and urinalysis).
Time frame: Up to 98 days.
Safety of single oral doses of GSK2256294 assessed by clinical laboratory assessments (Cohort 2).
Safety data will include assessments of clinical laboratory tests (hematology, clinical chemistry and urinalysis).
Time frame: Up to 144 days.
Safety of repeat oral doses of GSK2256294 assessed by clinical laboratory assessments (Cohort 3 and 4).
Safety data will include assessments of clinical laboratory tests (hematology, clinical chemistry and urinalysis).
Time frame: Up to 67 days.
Safety of single oral doses of GSK2256294 assessed by number of participants with adverse events (Cohort 1).
Adverse events (AEs) will be recorded from the start of Study Treatment until the follow-up contact.
Time frame: Up to 98 days.
Safety of single oral doses of GSK2256294 assessed by number of participants with adverse events (Cohort 2).
AEs will be recorded from the start of Study Treatment until the follow-up contact.
Time frame: Up to 144 days.
Safety of repeat oral doses of GSK2256294 assessed by number of participants with adverse events (Cohort 3 and 4).
AEs will be recorded from the start of Study Treatment until the follow-up contact.
Time frame: Up to 67 days.
Composite of PK parameters following single dose of GSK2256294.
PK parameters include: maximum observed plasma concentration (Cmax), time to Cmax (tmax), area under the plasma concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration (AUC \[0-t\]) and from time zero extrapolated to infinite time (AUC\[0-infinity\]), apparent terminal phase half-life (t1/2). AUC (0-infinity) or area under the concentration-time curve over the dosing interval (AUC\[0-tau\]) and Cmax following single and repeat doses may be used for assessment of dose proportionality.
Time frame: PK samples will be collected at pre-dose, 0.25, 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 36, 48, 72 hours post dose in each treatment period.
Composite of PK parameters following repeat doses of GSK2256294.
PK parameters include: Cmax, tmax, (AUC \[0-t\]), (AUC \[0-infinity\]), (t1/2). AUC (0-infinity) or (AUC \[0-tau\]) and Cmax following single and repeat doses may be used for assessment of dose proportionality. Trough concentration (Ctau) samples collected on the specified days may be used to assess attainment of steady state.
Time frame: Up to Day 17 in Cohort 3 and 4
Percent inhibition of sEH enzyme activity in whole blood after single oral dose of GSK2256294 as a measure of PD effect.
Percent inhibition of soluble sEH enzyme activity in whole blood will be measured from plasma samples. GSK2256294 is a potent and reversible inhibitor of sEH and this will be evaluated to determine the PD effect of GSK2256294 on sEH enzyme activity.
Time frame: Plasma samples will be collected at pre-dose, 1, 2, 6, 8, 12, 24, 48, and 72 hours post dose in Cohort 1 and 2.
Percent inhibition of sEH enzyme activity and Leukotoxin : leukotoxin-diol ratio in plasma after repeat oral doses of GSK2256294 .
The PD inhibitory effect of repeat oral doses of GSK2256294 on sEH inhibition in the study population will be investigated via the sEH enzyme inhibition assay and the ratio of leukotoxin to leukotoxin diol data subject to data available from the study. Samples will be collected to measure sEH enzyme inhibition and the ratio of substrate to product for biomarkers: leukotoxin: leukotoxin diol ratio
Time frame: Up to Day 17 in Cohort 3 and 4
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Exposure-response relationship between the blood concentration of GSK2256294 and sEH enzyme inhibition, leukotoxin : leukotoxin-diol ratio (if data permit) following single dose of GSK2256294.
Based on the availability of data, a PK/PD model will be attempted to explain the dose response (exposure response) relationship between GSK2256294 and the various biomarkers analyzed in the study.
Time frame: Plasma samples will be collected at pre-dose, 1, 2, 6, 8, 12, 24, 48, and 72 hours post dose in cohort 1 and 2.
Exposure-response relationship between the blood concentration of GSK2256294 and sEH enzyme inhibition, leukotoxin : leukotoxin-diol ratio (if data permit) following repeat doses of GSK2256294.
Based on the availability of data, a PK/PD model will be attempted to explain the dose response (exposure response) relationship between GSK2256294 and the various biomarkers analyzed in the study.
Time frame: Up to Day 17 in cohort 3 and 4.
Change from baseline forearm blood flow relative to the preceding challenge agent, as measured by venous occlusion plethysmography.
A plethysmograph is an instrument for measuring changes in volume within an organ or whole body (usually resulting from fluctuations in the amount of blood or air it contains). It will be used to determine the effects of GSK2256294 and placebo on endothelium-dependent and independent vasodilatation.
Time frame: Baseline (screening) and Day 1 and Day 14 in Cohort 3 and 4.