To Investigate the Safety, Tolerability and Pharmacodynamics of GSK2890457 in Healthy Volunteers and Subjects With Type 2 Diabetes
Status: | Completed |
---|---|
Conditions: | Obesity Weight Loss, Diabetes |
Therapuetic Areas: | Endocrinology |
Healthy: | No |
Age Range: | 18 - 70 |
Updated: | 12/15/2017 |
Start Date: | February 10, 2013 |
End Date: | September 12, 2013 |
A Double-blind [Sponsor Unblinded], Randomized, Placebo-controlled, Staggered-parallel Study to Investigate the Safety, Tolerability, and Pharmacodynamics of GSK2890457 in Healthy Volunteers and Subjects With Type 2 Diabetes
This study is the first administration of GSK2890457 in humans. The study will be conducted
in 3 parts: - Part A (conducted at a single investigative site) will determine the safety and
tolerability of GSK2890457 alone in healthy subjects during six weeks of dosing, as well as
evaluating the potential for a pharmacokinetic interaction with metformin. Part A consists of
Screening, Treatment (6 weeks) and Follow-up periods. - Part B (conducted at multiple sites)
will determine safety, tolerability, and pharmacodynamics (PD) in subjects with Type 2
diabetes (T2D) when co-dosed for six weeks with liraglutide (Victoza). Part B consists of
Screening, Run-in (1 week), Stabilization (12 weeks), Treatment (6 weeks) and Follow-up
periods. - Part C (conducted at multiple sites) will determine safety, tolerability, and PD
in subjects with T2D when co-dosed for 6 weeks with metformin. Part C consists of Screening,
Run-in (1 week), Stabilization (12 weeks), Treatment (6 weeks) and Follow-up periods.
in 3 parts: - Part A (conducted at a single investigative site) will determine the safety and
tolerability of GSK2890457 alone in healthy subjects during six weeks of dosing, as well as
evaluating the potential for a pharmacokinetic interaction with metformin. Part A consists of
Screening, Treatment (6 weeks) and Follow-up periods. - Part B (conducted at multiple sites)
will determine safety, tolerability, and pharmacodynamics (PD) in subjects with Type 2
diabetes (T2D) when co-dosed for six weeks with liraglutide (Victoza). Part B consists of
Screening, Run-in (1 week), Stabilization (12 weeks), Treatment (6 weeks) and Follow-up
periods. - Part C (conducted at multiple sites) will determine safety, tolerability, and PD
in subjects with T2D when co-dosed for 6 weeks with metformin. Part C consists of Screening,
Run-in (1 week), Stabilization (12 weeks), Treatment (6 weeks) and Follow-up periods.
Inclusion Criteria:Part A (Healthy Subjects)
- Subject able to understand and voluntarily provide the consent to participate in the
study
- 18 - 70 years of age, inclusive, at the time of signing the informed consent and Body
Mass Index (BMI) between 18.0 and 35.0 Kilogram (kg) per m^2, inclusive
- Understands and is willing, able and likely to be compliant with taking study drug and
comply with all study procedures and restrictions
- Subject is willing to consume the foods that are part of the standardized breakfast,
lunch, and dinner
- In good general health with no clinically significant and relevant abnormalities of
medical history or physical examination which includes adequate renal function,
alanine transaminase (ALT), alkaline phosphatase and bilirubin <=1.5x Upper Limit of
Normal (ULN )
- QTcF < 450 millisecond (msec); or QTcF < 480msec for subjects with right Bundle Branch
Block
- Females must be post-menopausal
- Females on hormone replacement therapy (HRT) must discontinue HRT to allow
confirmation of post-menopausal status prior to study enrollment
- Females who are > 3 months postpartum and who have undergone a surgical sterilization
procedure are eligible to participate in consultation with the GSK Medical Monitor
Parts B and C (Type 2 Diabetic Subjects)
- All the criteria mentioned in Part A except Body Mass Index (BMI) should be between
30.0 and 42.0 kg per m^2
- Diagnosis of T2D for at least 3 months, as defined by the American Diabetes
Association
- All T2D subjects must meet label recommendations for metformin
- For Part B, subjects must be willing to discontinue metformin and replace it with
daily liraglutide administered by subcutaneous injection and they must meet label
recommendations
- No personal history or family history of medullary thyroid carcinoma or Multiple
Endocrine Neoplasia syndrome type 2
Exclusion Criteria:
- History of gastrointestinal disease, current or chronic history of liver disease,
history of serious, severe or unstable physical or psychiatric illness , significant
cardiovascular disease, surgery for weight loss or gastrointestinal surgery within 3
months of screening, any documented or reported eating disorder, uncontrolled
hypertension, as evidenced by systolic pressure>160 or diastolic pressure >90 mmHg
- Positive test for HIV, Hepatitis B, or Hepatitis C at Screening
- Subjects with significant ECG abnormalities
- For subjects in Part C (continuing metformin), history of untreated pernicious anemia
or who have laboratory parameters suggestive of subclinical megaloblastic anemia
- Presence of or symptoms of an active infection
- Uncorrected Thyroid Dysfunction
- History of chronic or acute pancreatitis
- Currently dieting to lose weight including, but not limited to, participation in a
program designed to alter body weight within the last 60 days and unwilling to
maintain relatively consistent exercise patterns throughout the study
- Current or recent history (within one year of screening) of alcohol or other substance
abuse
- Unable to refrain from the use of non-prescription drugs
- Current participation in another clinical study or participation in a clinical study
involving an investigational drug within 30 days of the screening visit
- History of sensitivity to any of the study medications, or components thereof or a
history of drug or other allergy
- An employee of the sponsor or the study site or members of their immediate family.
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