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CTRI Number  CTRI/2010/091/001470 [Registered on: 22/10/2010]
Last Modified On: 26/02/2013
Post Graduate Thesis   
Type of Trial  BA/BE 
Type of Study
Modification(s)  
 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study
Modification(s)  
Study to Assess the Pharmacokinetics of GSK1278863A Co administered with a High Fat Meal or an Inhibitor of CYP2C8 (gemfibrozil) 
Scientific Title of Study
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Open Label Study to Assess the Pharmacokinetics of GSK1278863A Coadministered with a High Fat Meal or an Inhibitor of CYP2C8 (gemfibrozil) 
Trial Acronym   
Secondary IDs if Any
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Secondary ID  Identifier 
PHI113634  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
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Name  Dr Anil K 
Designation   
Affiliation   
Address  Head, Human Pharmacology Unit
Clinigene International Limited
Bangalore
KARNATAKA
560100
India 
Phone  08028082722  
Fax    
Email  anil.dr@clinigeneintl.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Anand Eswaraiah  
Designation  Head, Clinical Development and Regulatory Affairs 
Affiliation  Head, Clinical Development and Regulatory Affairs 
Address  Clinigene International Limited "Clinigene House", Tower 1, Semicon Park Electronic City, Phase II, Hosur Road, Bangalore - 560100, India
CliClinigene International Limited "Clinigene House", Tower 1, Semicon Park Electronic City, Phase II, Hosur Road, Bangalore - 560100, India
Bangalore
KARNATAKA
560100
India 
Phone  08028082728  
Fax    
Email  Anand.Eswaraiah@clinigeneintl.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Siddangouda Patil  
Designation   
Affiliation   
Address  Clinigene International Limited "Clinigene House", Tower 1, Semicon Park Electronic City, Phase II, Hosur Road, Bangalore - 560100, India
Clinigene International Limited "Clinigene House", Tower 1, Semicon Park Electronic City, Phase II, Hosur Road, Bangalore - 560100, India
Bangalore
KARNATAKA
560100
India 
Phone  08028082823  
Fax    
Email  Siddangouda.Patil@clinigeneintl.com  
 
Source of Monetary or Material Support
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Glaxo Smithkline, LLC PO Box 13398, Five More Drive, Research Triangle Park. North-Carolina 27709-3398 USA  
 
Primary Sponsor
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Name  GlaxoSmithKline  
Address  LLCPO Box 13398, Five More Drive, Research Triangle Park. North-Carolina 27709-3398USA 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor
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Name  Address 
NA   
 
Countries of Recruitment
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  India  
Sites of Study
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No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Anil K  Human Pharmacology Unit, Clinigene International Ltd.  Clinigene International Limited,Tower 1, Semicon park, Phase II, Electronics City-560100
Bangalore
KARNATAKA 
08028082771
08028082722
anil.dr@clinigeneintl.com 
 
Details of Ethics Committee
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No of Ethics Committees= 1  
Name of Committee  Approval Status 
Independent Ethics Committee Consultants "Darussalam", 598. 2nd Cross, 3rd block Koramangala , Bangalore-560034, India  Approved 
 
Regulatory Clearance Status from DCGI
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Status 
Approved/Obtained 
 
Health Condition / Problems Studied
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Health Type  Condition 
Healthy Human Volunteers  Healthy Volunteer  
 
Intervention / Comparator Agent
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Type  Name  Details 
Intervention  GSK1278863A Coadministered with a High Fat Meal or an Inhibitor of CYP2C8 (gemfibrozil), and of an OATP1B1 substrate (rosuvastatin) Co-administered with GSK1278863A  GSK1278863A 100mg, GSK1278863A 100mg + Gemfibrozil 600mg steady state, GSK1278863A 100mg + Gemfibrozil 600mg steady state, Rosuvastatin 10mg PM + GSK1278863A 100mg AM 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria
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Age From  18.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1. AST, ALT, alkaline phosphatase and bilirubin ≤ 1.5xULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%).
2. Healthy as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring. A subject with a clinical abnormality or laboratory parameters outside the reference range for the population being studied may be included only if the Investigator and the GSK Medical Monitor agree that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures. .
3. Male or female between 18 and 55 years of age inclusive, at the time of signing the informed consent.
4. A female subject is eligible to participate if she is of:
? Non-childbearing potential defined as pre-menopausal females with a documented tubal ligation or hysterectomy; or postmenopausal defined as 12 months of spontaneous amenorrhea [in questionable cases a blood sample with
simultaneous follicle stimulating hormone (FSH) > 40 MlU/ml and estradiol < 40 pg/ml (<140 pmol/L) is confirmatory]. Females on hormone replacement therapy (HRT) and whose menopausal status is in doubt will be required to use one of the contraception methods, if they wish to continue their
HRT during the study. Otherwise, they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrollment. For most forms of HRT, at least 2-4 weeks should elapse between the cessation of therapy and the blood draw; this interval depends on the type and dosage of HRT. Following confirmation of their post-menopausal status, they can resume use of HRT during the study without use of a contraceptive method.
5. Male subjects must agree to use one of the contraception methods listed in protocol. This criterion must be followed from the time of the first dose of study medication until 5 terminal half-lives post-last dose.
6. Body weight ≥ 50 kg and BMI within the range 19 ? 29.9 kg/m2 (inclusive).
7. Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.
8. QTcB or QTcF < 450 msec; or QTc < 480 msec in subjects with Bundle Branch
Block
 
 
ExclusionCriteria 
Details  1. A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody result within 3 months of screening: 2. Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones). 3. The values of hematological parameters at screening are: ? Any values outside the reference range 4. A positive pre-study drug/alcohol screen. A minimum list of drugs that will be screened for include amphetamines, barbiturates, cocaine, opiates, cannabinoids and benzodiazepines. 5. The values of the following tests at screening are: ? Serum ferritin: outside the reference range 6. A positive test for HIV antibody. 7. Clinically significant CPK >3 X ULN or deemed clinically significant by the investigator 8. Calculated creatinine clearance: < 80 mL/min 9. Subjects with a pre-exisisting condition interfering with normal gastrointestinal anatomy or motility, and/or hepatic function-that could interfere with the absorption, metabolism, and/or excretion of the study drugs. Examples of conditions that could interfere with normal gastriointestinal anatomy or motility include cholecystectomy, vagotomy, malabsorption, Crohn?s disease, ulcerative colitis, or celiac sprue. 10. History of regular alcohol consumption within 6 months of the study defined as: ? an average weekly intake of >21 units for males or >14 units for females. One unit is equivalent to 8 g of alcohol: a half-pint (~240 ml) of beer, 1 glass (125 ml) of wine or 1 (25 ml) measure of spirits. 11. The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the first dosing day in the current study: 12 weeks, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer). 12. History of peptic ulcer disease 13. History of malignancy tumor. Non-melanoma skin cancer that has been definitely removed is allowed. 14. Exposure to more than four new chemical entities within 12 months prior to the first dosing day. 15. Use of prescription or non-prescription drugs, including vitamins, herbal and dietary supplements (including St John?s Wort) within 14 days (or 14 days if the drug is a potential enzyme inducer) or 5 half-lives (whichever is longer) prior to the first dose of study medication, unless in the opinion of the Investigator and GSK Medical Monitor the medication will not interfere with the study procedures or compromise subject safety. 16. History of sensitivity to any of the study medications, or components thereof or a history of drug or other allergy that, in the opinion of the investigator or GSK Medical Monitor, contraindicates their participation. 17. Where participation in the study would result in donation of blood or blood products in excess of 500 mL within a 56 day period. 18. Pregnant females as determined by positive serum or urine hCG test at screening or prior to dosing. 19. Lactating females. 20. Unwillingness or inability to follow the procedures outlined in the protocol. 21. Subject is mentally or legally incapacitated. 22. History of sensitivity to heparin or heparin-induced thrombocytopenia. 23. Urinary cotinine levels indicative of smoking or history or regular use of tobacco- or nicotine-containing products within 6 months prior to screening. 24. Consumption of red wine, apples, star fruit, or citrus fruits/juices including blood oranges (with the exception of oranges, mandarins and lemons) from 7 days prior to the first dose of study medication, unless in the opinion of the Investigator and GSK Medical Monitor this will not interfere with the study procedures and compromise subject safety  
 
Method of Generating Random Sequence
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Not Applicable 
Method of Concealment
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Not Applicable 
Blinding/Masking
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Open Label 
Primary Outcome
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Outcome  TimePoints 
1. Plasma GSK1278863AAUC(0-∞) and Cmax.
2. Plasma rosuvastatin AUC(0-∞) and Cmax
 
GSK1278863A 48 h PK, Rosuvastatin 48 h PKb 
 
Secondary Outcome
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Outcome  TimePoints 
1. Plasma GSK1278863A AUC(0-t), tmax, and t1/2.
2. Plasma rosuvastatin AUC(0-t), tmax, and t1/2.
3. Safety and tolerability parameters, including adverse event, clinical laboratory, ECG, vital signs, and concurrent medication assessments
 
GSK1278863A 48 h PK, Rosuvastatin 48 h PK 
 
Target Sample Size
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Total Sample Size="46"
Sample Size from India="46" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
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Phase 1 
Date of First Enrollment (India)
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10/11/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
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Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
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Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
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Not Applicable 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
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GSK1278863A is a novel small molecule agent, which stimulates erythropoiesis through inhibition of EGLNs, mimicking the hypoxic state. This activity results in the accumulation of HIFα transcription factors which leads to increased transcription of HIF responsive genes including the gene responsible for the production of erythropoietin. The purpose of this study is to assess the clinical drug-drug interaction potential of GSK1278863A with medications that utilize either the OATP1B1 transporter, or are inhibitors of CYP2C8 enzyme in order to support co-administration of similar agents in later phase development. Approximately 46 subjects will be enrolled such that approximately 40 subjects complete dosing and critical assessments (20 per cohort). The objective of the PGx research (if there is a potential unexpected or unexplained variation) is to investigate a possible genetic relationship to handling or response to GSK1278863A. 
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