This is a 3-part First Time in Human (FTIH) study to evaluate the safety, tolerability, and pharmacokinetics (PK) profile of GSK4381406 following administration of single ascending doses (Part 1), repeat ascending doses (Part 2), and repeat doses with an indomethacin challenge (Part 3) in healthy adult participants. Part 1 consists of 4 planned cohorts with up to 2 treatment periods in each and is expected to have 6 doses (but can accommodate up to 7 doses). The impact of food on PK of GSK4381406 will also be assessed. Part 2 will investigate 14 days of repeat dosing in 3 cohorts with 3 dose levels. Part 3 will evaluate the impact of repeat doses of GSK4381406 versus placebo on indomethacin induced changes in small intestinal permeability in healthy participants.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
GSK4381406 will be administered.
Placebo will be administered.
Indomethacin will be administered.
GSK Investigational Site
Cambridge, United Kingdom
Part 1 - Number of participants with adverse events (AEs) and serious adverse events (SAEs)
Time frame: Up to Day 40
Part 2 - Number of participants with adverse events (AEs) and serious adverse events (SAEs)
Time frame: Up to Day 54
Part 3 - Number of participants with adverse events (AEs) and serious adverse events (SAEs)
Time frame: Up to Day 34
Part 1 - Number of participants with clinically significant changes in hematology laboratory values
Time frame: Up to Day 40
Part 2 - Number of participants with clinically significant changes in hematology laboratory values
Time frame: Up to Day 54
Part 3 - Number of participants with clinically significant changes in hematology laboratory values
Time frame: Up to Day 34
Part 1 - Number of participants with clinically significant changes in chemistry laboratory values
Time frame: Up to Day 40
Part 2 - Number of participants with clinically significant changes in chemistry laboratory values
Time frame: Up to Day 54
Part 3 - Number of participants with clinically significant changes in chemistry laboratory values
Time frame: Up to Day 34
Part 1 - Number of participants with clinically significant changes in urinalysis
Time frame: Up to Day 40
Part 2 - Number of participants with clinically significant changes in urinalysis
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Time frame: Up to Day 54
Part 3 - Number of participants with clinically significant changes in urinalysis
Time frame: Up to Day 34
Part 1 - Number of participants with clinically significant changes in vital signs
Time frame: Up to Day 40
Part 2 - Number of participants with clinically significant changes in vital signs
Time frame: Up to Day 54
Part 3 - Number of participants with clinically significant changes in vital signs
Time frame: Up to Day 34
Part 1 - Number of participants with clinically significant changes in 12-lead Electrocardiogram (ECG) readings
Time frame: Up to Day 40
Part 2 - Number of participants with clinically significant changes in 12-lead Electrocardiogram (ECG) readings
Time frame: Up to Day 54
Part 3 - Number of participants with clinically significant changes in 12-lead Electrocardiogram (ECG) readings
Time frame: Up to Day 34
Part 1 - Area under the plasma concentration-time curve (AUC) from time zero to 24-hour post-dose [AUC(0-24)
Time frame: Up to 24 hours post dose
Part 1 - AUC from time zero to last quantifiable concentration [AUC(0-t)
Time frame: Up to Day 40
Part 1 - AUC from time zero to infinity [AUC(0-inf)
Time frame: Up to Day 40
Part 1 - Maximum observed plasma drug concentration (Cmax)
Time frame: Up to Day 40
Part 1 - Time to maximum observed plasma drug concentration (tmax)
Time frame: Up to Day 40
Part 1 - Time of last quantifiable concentration (tlast)
Time frame: Up to Day 40
Part 1 - Apparent terminal phase half-life (t½)
Time frame: Up to Day 40
Part 2 - AUC from time zero to last quantifiable concentration [AUC(0-t)
Time frame: Day 1 and Day 14
Part 2 - AUC over the dosing interval [AUC(0-tau)
Time frame: Day 1 and Day 14
Part 2 - Maximum observed plasma drug concentration (Cmax)
Time frame: Day 1 and Day 14
Part 2 - Time to maximum observed plasma drug concentration (tmax)
Time frame: Day 1 and Day 14
Part 2 - AUC from time zero to infinity [AUC(0-inf)
Time frame: Day 14 to Day 54
Part 2 - Apparent terminal phase half-life (t½)
Time frame: Day 14 to Day 54
Part 2 - Pre-dose (trough) plasma concentrations (Ctau)
Time frame: Day 1 to Day 14
Part 2 - Accumulation ratios for Cmax (R)
Time frame: Day 1 and Day 14
Part 2 - Accumulation ratios for AUC(0-tau) (Ro)
Time frame: Day 1 and Day 14
Part 1: Cohort 4 - AUC from time zero to infinity [AUC(0-inf)
Time frame: Up to Day 40
Part 1: Cohort 4 - Maximum observed plasma drug concentration (Cmax)
Time frame: Up to Day 40
Part 1: Cohort 4 - Time to maximum observed plasma drug concentration (tmax)
Time frame: Up to Day 40
Part 3 - Lactulose:rhamnose ratio over 0-5 hour in urine
Lactulose and rhamnose concentrations in urine will be collected over 0-2 hour and 2-5 hour, which will be used to derive the ratio over 0-5 hour
Time frame: At Day 1, 3, 17 and 20