| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT02829320 | Efficacy and Safety Study of GSK1278863 in Japanese Hemodialysis Subjects With Anemia Associated With Chronic Kidney Disease Who Are Not Taking Erythropoiesis Stimulating Agents | PHASE3 | COMPLETED | 28 | — | — | Aug 8, 2016 | Oct 17, 2017 | Dec 3, 2019 | 17 | Japan |
| NCT02689206 | Study to Evaluate the Efficacy, Safety and Pharmacokinetics of Three-times Weekly Dosing of GSK1278863 in Hemodialysis-dependent Subjects With Anemia Associated With Chronic Kidney Disease Who Are Switched From a Stable Dose of an Erythropoiesis-stimulating Agent | PHASE2 | COMPLETED | 103 | — | — | Feb 17, 2016 | Jan 25, 2017 | Feb 25, 2020 | 38 | United States, Canada +3 |
| NCT02019719 | Study to Evaluate the Safety, Efficacy and Pharmacokinetics of GSK1278863 in Japanese Hemodialysis-Dependent Subjects With Anemia Associated With Chronic Kidney Disease | PHASE2 | COMPLETED | 97 | — | — | Nov 5, 2013 | Aug 6, 2014 | Feb 12, 2018 | 21 | Japan |
| NCT01977482 | Evaluation of Dose Response Relationship, Safety and Efficacy of GSK1278863 in Hemodialysis-dependent Subjects With Chronic Kidney Disease Associated Anemia | PHASE2 | COMPLETED | 216 | — | — | Nov 1, 2013 | Feb 6, 2015 | Jun 8, 2018 | 107 | United States, Australia +14 |
| NCT01977573 | A Study to Evaluate Safety and Efficacy of GSK1278863 in Non-Dialysis Dependent (NDD) Subjects With Anemia Associated With Chronic Kidney Diseases (CKD) | PHASE2 | COMPLETED | 252 | — | — | Oct 31, 2013 | Jun 15, 2015 | Oct 12, 2018 | 123 | United States, Australia +13 |
| NCT01587924 | 4 Week Switch Study in Hemodialysis-dependent Subjects With Anemia Associated With Chronic Kidney Disease | PHASE2 | COMPLETED | 80 | — | — | May 23, 2012 | May 27, 2013 | Nov 14, 2017 | 62 | United States, Canada +4 |
| NCT01587898 | 4 Week Correction Study in Subjects With Anemia Associated With Chronic Kidney Disease Who Are Not Undergoing Dialysis | PHASE2 | COMPLETED | 72 | — | — | May 17, 2012 | May 7, 2013 | Nov 9, 2017 | 55 | United States, Canada +1 |
| NCT02371603 | Drug-drug Interaction Study of GSK1278863 With Pioglitazone, Rosuvastatin and Trimethoprim in Healthy Adult Volunteers | PHASE1 | COMPLETED | 70 | — | — | Feb 11, 2015 | Aug 12, 2015 | Nov 17, 2017 | 1 | United States |
| NCT02293148 | Single Dose, Pharmacokinetic, Safety, Tolerability and QTc Study of GSK1278863 in Healthy Volunteers | PHASE1 | COMPLETED | 61 | — | — | Nov 17, 2014 | Mar 10, 2015 | Jul 24, 2018 | 1 | United States |
| NCT02243306 | Study to Assess the Pharmacokinetics of GSK1278863 in Subjects With End Stage Renal Disease Undergoing Peritoneal Dialysis | PHASE1 | COMPLETED | 8 | — | — | Oct 24, 2014 | May 10, 2017 | Apr 9, 2019 | 2 | United States |
| NCT01673555 | Effects of GSK1278863A on Pulmonary Artery Pressure in Healthy Volunteers | PHASE1 | COMPLETED | 49 | — | — | May 15, 2012 | Nov 19, 2012 | Jun 9, 2017 | 1 | United States |
| NCT01376232 | Study to Assess the Pharmacokinetics of GSK1278863A Coadministered With a High Fat Meal or an Inhibitor of CYP2C8 (Gemfibrozil) | PHASE1 | COMPLETED | 23 | — | — | Nov 8, 2010 | Dec 20, 2010 | Jun 9, 2017 | 1 | India |
Blood samples were collected from participants for measurement of Hgb values. The Baseline value was the latest pre-dose assessment. Change from Baseline at Week 4 was calculated by subtracting Baseline value from the post-dose visit value. The analysis was performed on All Treated Subjects Population which comprised of all participants who received at least one dose of GSK1278863.
Blood samples were collected from participants for measurement of Hgb values. The Baseline value was the latest pre-dose assessment. Change from Baseline at Week 4 was calculated by subtracting Baseline value from the post-dose visit value. The change in Hgb at Week 4 was classified into different categories (i.e., \<=-2.0, \>-2.0 to -1.0, \>-1.0 to 0, \>0 to 1.0, \>1.0 to 2.0, and \>2 g/dL), and the number of participants in each category were summarized.
Blood samples were collected from participants for measurement of Hgb values. Baseline is the average of Hgb measured at Week -2 and Day 1 visits. Change from Baseline at Day 29 was defined as post dose value at Day 29 minus Baseline value. The analysis was performed on intent-to-treat (ITT) Population which comprised of all randomized participants who received at least one dose of study treatment, had a Baseline and at least one corresponding on treatment assessment, including Hgb.
Baseline was defined as the value on Day 1. CFB was calculated by subtracting the baseline value from the post-dose value at Week 4. To model the dose-response relationship a four-parameter Emax model was used. E0 is the expected Hgb change from Baseline for a participant receiving placebo and experiencing the average Hgb Baseline observed in the study. Emax is the expected Hgb change from Baseline for a participant receiving the highest dose above which no further increase in response can be achieved. ED50 is the dose that attains the intermediate response. Gamma is the slope parameter. Minimal Effective Dose (MED) is defined as the smallest dose that achieves a placebo-corrected change of 0.5 g/dL over Week 4. Target dose (TD) is defined as the dose that achieves a placebo-corrected 1.0 g/dL change over Week 4. Maximum Acceptable Dose (MAD) is defined as the dose that achieves a placebo-corrected 2.0 g/dL change over Week 4.
Baseline Hgb value was the average of three Hgb values taken during screening period at Week (W) -4, W-2 and Day 1. Change from Baseline in Hgb was calculated as W4 value minus the Baseline value. To model the dose-response relationship a four-parameter Emax model was used. The dose response dataset was based on all non-missing data collected up to W4. Participants (par.) who had a Week 2 Hgb measurement, but a missing Week 4 Hgb measurement were included with a change from Baseline at Week 4 value imputed as twice the change from Baseline at Week 2. E0 is the expected Hgb change from Baseline for a par. receiving placebo and experiencing the average Hgb Baseline observed in the study. Emax is the expected Hgb change from Baseline for a par. receiving the highest dose above which no further increase in response can be achieved. ED50 is the dose that attains the intermediate response. Gamma is the slope parameter. Alpha is the coefficient of the model covariate for centred Baseline.
The original Hgb Criteria for Group 1- rhEPO naive participants with a stable baseline Hgb of 8.0-10.0 g/dL (8.0-10.0 g/dL USA site only) and for Group 2- rhEPO users with a stable baseline Hgb of 9.0-10.5 g/dL (9.0-10.5 g/dL USA site only); the Hgb target range was 9.0 to 10.5 g/dL (9.0-10.5 g/dL USA site only). The study amended Hgb Criteria for Group 1- rhEPO naive participants with a stable baseline Hgb of 8.0-11.0 g/dL and Group 2- rhEPO users with a stable baseline Hgb of 9.0-11.5 g/dL; Hgb target range - 10.0 to 11.5 g/dL. Data are presented for those participants following the original criteria ("Original") and those following the amended ("Amended") criteria. The primary objective was to characterize the ability of GSK1278863 to achieve mean Hgb response within the target range.
Modeled Hgb change from Baseline over 4 weeks of treatment. Change from Baseline is the actual value of Hgb at Week 4 minus the Baseline value. For modeled change at Week 4 participants required a Baseline and two or more non missing post-baseline values. Baseline is the average of Week -2, -1 and Day 1 values. The model included fixed effects for Baseline Hgb, treatment, and treatment by day interaction. Covariate analysis for modeled Hgb change was performed. Random effects were fitted in the intercept and the slope over time.
Modeled Hgb change from baseline over 4 weeks was derived using a random coefficient mixed effects linear regression model. The model included fixed effects for baseline Hgb, treatment and a treatment by day interaction. Random effects was fitted in the intercept and the slope over time. All data up until investigational product discontinuation was included for Hgb efficacy evaluable participants; where efficacy evaluable was defined as having a baseline and at least 2 on-treatment Hgb assessments. Baseline was the average of Week -2 , Week -1 and Day 1 visits. The change from Baseline was calculated by subtracting the Baseline value from the individual post-dose visit values.
The effect of an oral dose of GSK1278863 on the pharmacokinetics of pioglitazone will be assessed using the following PK parameters: maximum observed concentration (Cmax), area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC (0-infinity)
The effect of an oral dose of GSK1278863 on the pharmacokinetics of rosuvastatin will be assessed using the following PK parameters: Cmax and AUC (0-infinity)
The effect of trimethoprim on the pharmacokinetics of GSK1278863 and six predominant metabolites (GSK2391220 \[M2\], GSK2506104 \[M3\], GSK2487818 \[M4\], GSK2506102 \[M5\], GSK2531398 \[M6\], GSK2531401 \[M13\]) will be assessed using the following PK parameters: Cmax and AUC (0-infinity)
Plasma concentrations of GSK1278863 and its metabolites (GSK2391220 \[M2\], GSK2506104 \[M3\], GSK2487818 \[M4\], GSK2506102 \[M5\], GSK2531398 \[M6\], and GSK2531401 \[M13\]) and derived pharmacokinetic parameters including maximum observed concentration (Cmax), Time of occurrence of Cmax (tmax), Area under the concentration-time curve (AUC)
Change from baseline in QTcF interval at each time-point (average of at least three 12-lead Holter ECG replicates per time-point (Pre-dose, Day 1 \[0.25h, 0.5h, 1h, 2h, 3h, 4h, 5h, 6h, 8h, 12h, 18h\] and 24h) for 75 and 500 mg dose of GSK1278863 as compared with time-matched placebo
12-lead ECGs will be obtained at each time-point
Vital Signs includes. temperature, systolic and diastolic blood pressure (BP) and pulse
An AE is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product
Clinical Laboratory Tests includes Hematology, Clinical Chemistry and Urinalysis
Serial blood samples were collected from participants at indicated time points for Pharmacokinetic (PK) analysis of GSK1278863 and its metabolites (GSK2391220, GSK2487818, GSK2506102, GSK2531398, GSK2531403 and GSK2531401). Geometric mean and geometric coefficient of variation has been presented for all metabolites. NA indicates data is not available. Geometric coefficient of variation could not be calculated for CAPD cohort due to small number of participants. PK Population comprised of participants in the 'All Subjects' Population for whom a PK sample was obtained and analyzed.
Serial blood samples were collected from participants at indicated time points for PK analysis of GSK1278863 and its metabolites (GSK2487818 and GSK2531398). Geometric mean and geometric coefficient of variation has been presented for all metabolites. NA indicates data is not available. Geometric coefficient of variation could not be calculated for CAPD cohort due to small number of participants.
Serial blood samples were collected from participants at indicated time points for PK analysis of GSK1278863 and its metabolites (GSK2391220, GSK2487818, GSK2506102, GSK2531398, GSK2531403 and GSK2531401). Geometric mean and geometric coefficient of variation has been presented for all metabolites. NA indicates data is not available. Geometric coefficient of variation could not be calculated for CAPD cohort due to small number of participants. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles).
1\. To assess the relative bioavailability GSK1278863A following single-dose administration under fasting and fed (standard high fat/calorie meal) conditions
| Arm | Type | Description |
|---|---|---|
| GSK1278863 | EXPERIMENTAL | Subjects will receive GSK1278863 once daily orally at a starting dose of 4 milligrams (mg) on Day 1, and continued until the day of Week 4. From Weeks 4 to 24, interruption of treatment or dose adjustments will be made within the maintenance dose range of 1 mg to 24 mg according to the dose adjustment algorithm to achieve and/or maintain Hgb within the target range (10.0 to 12.0 g/dL) based on the Hgb value measured every 4 weeks. Dose changes will be made every 4 weeks. Iron replacement therapy will be given according to the standard starting criteria. |
| GSK1278863 10 mg | EXPERIMENTAL | Subject will receive 10 mg of GSK1278863 three-times weekly for 4 weeks (up to 29 days). |
| GSK1278863 15 mg | EXPERIMENTAL | Subject will receive 15 mg of GSK1278863 three-times weekly for 4 weeks (up to 29 days). |
| GSK1278863 25 mg | EXPERIMENTAL | Subject will receive 25 mg of GSK1278863 three-times weekly for 4 weeks (up to 29 days). |
| GSK1278863 30 mg | EXPERIMENTAL | Subject will receive 30 mg of GSK1278863 three-times weekly for 4 weeks (up to 29 days). |
| Placebo | PLACEBO_COMPARATOR | Subject will receive GSK1278863 matching placebo three-times weekly for 4 weeks (up to 29 days). |
| GSK1278863 4 milligrams (mg) | EXPERIMENTAL | Subjects will receive GSK1278863 4 mg once daily for 4 weeks |
| GSK1278863 6 mg | EXPERIMENTAL | Subjects will receive GSK1278863 6 mg once daily for 4 weeks |
| GSK1278863 8 mg | EXPERIMENTAL | Subjects will receive GSK1278863 8 mg once daily for 4 weeks |
| GSK1278863 4 mg | EXPERIMENTAL | Subjects will take GSK1278863 4 mg blinded once daily (OD) orally for 4 weeks with a glass of water. From Week 4, study medication will continue to be administered OD and the dose will be adjusted based on Hgb levels dose every 4 weeks till Week 24. |
| GSK1278863 12 mg | EXPERIMENTAL | Subjects will take GSK1278863 12 mg blinded OD orally for 4 weeks with a glass of water. From Week 4, study medication will continue to be administered OD and the dose will be adjusted based on Hgb levels dose every 4 weeks till Week 24. |
| Control | ACTIVE_COMPARATOR | Subjects will take GSK1278863 matching placebo blinded OD orally for 4 weeks with a glass of water. From Week 4, rhEPO will be administered and the dose will be adjusted based on Hgb levels dose every 4 weeks till Week 24. |
| 0.5 mg GSK1278863 | EXPERIMENTAL | once daily |
| 2 mg GSK1278863 | EXPERIMENTAL | once daily |
| 5 mg GSK1278863 | EXPERIMENTAL | once daily |
| rhEPO | ACTIVE_COMPARATOR | as required |
| 0.5mg GSK1278863 | EXPERIMENTAL | Once daily |
| 2mg GSK1278863 | EXPERIMENTAL | Once daily |
| 5mg GSK1278863 | EXPERIMENTAL | Once daily |
| Part A: GSK1278863, pioglitazone and rosuvastatin | EXPERIMENTAL | Subjects will receive single, oral 15 milligram (mg) pioglitazone, 10 mg rosuvastatin and 25 mg dose of GSK1278863 (Treatment A) or 15 mg pioglitazone and 10 mg rosuvastatin (Treatment B) on Day 1 and a 25 mg dose of GSK1278863 alone on Day 2 in two treatment periods as per treatment sequence AB or BA. The 2 treatment periods will be separated by a wash out period of approximately 7 days |
| Part B: GSK1278863 and trimethoprim | EXPERIMENTAL | Subjects will receive a single, oral 25 mg dose of GSK1278863 on Day 1 and Day 6 morning. The subjects will also receive 200 mg dose of trimethoprim twice daily from Day 3 to 6, with Day 6 dosing being concomitant with morning dosing of GSK1278863 |
| GSK1278863 (Part A) | EXPERIMENTAL | All subjects will receive a single, oral 500 mg dose of GSK1278863 on Day 1 administered as 5 x 100 mg tablets of GSK1278863. Additional doses/cohorts may be added depending upon the emerging safety, tolerability, pharmacokinetic and/or pharmacodynamics findings at the 500 mg dose level in Part A |
| GSK1278863 (75 mg/500 mg)/Moxifloxacin 400 mg/Placebo (Part B) | EXPERIMENTAL | Subjects will be assigned to one of four treatment sequences (A-1 x Moxifloxacin placebo tablet, 3 x 25 mg tablets of GSK1278863, 2 x GSK1278863 matched placebo; B-1 x Moxifloxacin placebo tablet, 5 x 100 mg tablets of GSK1278863; C-1 x Moxifloxacin placebo tablet, 5 x GSK1278863 matched placebo tablets; D-1 x 400 mg Moxifloxacin tablet, 5 x GSK1278863 matched placebo tablets) (ABDC, BCAD, CDBA, DACB) in accordance with the randomization schedule |
| Cohort 1 | EXPERIMENTAL | Subjects on continuous ambulatory peritoneal dialysis (CAPD) will receive 5 mg of GSK1278863 orally, once daily for 14 days. |
| Cohort 2 | EXPERIMENTAL | Subjects on automated peritoneal dialysis (APD) will receive 5 mg of GSK1278863 orally, once daily for 14 days |
| GSK1278863 5mg | EXPERIMENTAL | GSK1278863 5mg |
| GSK1278863 100mg | EXPERIMENTAL | GSK1278863 100mg |
| GSK1278863 + food | EXPERIMENTAL | 100 mg of GSK1278863 given with a high fat meal |
| GSK1278863 + Gemfibrozil | EXPERIMENTAL | GSK1278863A 100mg + Gemfibrozil 600mg steady state |
| Name | Type | Description |
|---|---|---|
| GSK1278863 | DRUG | GSK1278863 will be provided as round, standard biconvex, white film coated tablets containing 1 mg, 2 mg, 4 mg or 6 mg of GSK1278863 as active ingredient. |
| Iron | DRUG | Subjects will receive supplemental iron therapy if ferritin is \<=100 ng/mL and TSAT is \<=20%. The investigator (or subinvestigator) will choose the route of administration and dose of prescription iron. |
| GSK1278863 matching Placebo | DRUG | GSK1278863 matching placebo will be supplied as a round, biconvex, 10 mm white film coated tablet. |
| Placebo | DRUG | Film coated tablets of GSK1278863 matching placebo for oral administration. |
| rhEPO | DRUG | rhEPO will be procured from local market |
| GSK1278863 25 mg Tablet | DRUG | A round, biconvex, white film coated tablet to be taken orally in the fasted state in the morning |
| Pioglitazone 15 mg Tablet | DRUG | White to off-white, round, convex, non scored tablet with "ACTOS" on one side, and "15" on the other, to be taken orally in the fasted state in the morning |
| Rosuvastatin 10 mg Tablet | DRUG | Pink, round, biconvex, coated tablets. Debossed "CRESTOR" and "10" on one side, to be taken orally in the fasted state in the morning |
| Trimethoprim 100 mg Tablet | DRUG | White, round, scored, convex tablet, debossed "93" above the score and debossed "2159" below the score on one side and plain on the other, to be taken orally as two tablets once in the morning and once in the evening |
| GSK1278863 75 mg | DRUG | A round, biconvex, white film coated tablet available in two doses (25 and 100 mg) |
| GSK1278863 500 mg | DRUG | A round, biconvex, white film coated tablet available in two doses (25 and 100 mg) |
| Moxifloxacin 400 mg | DRUG | Oblong, dull red, film-coated, convex tablets with M400 on one side |
| Placebo matching GSK1278863 | DRUG | A round, biconvex, white film coated tablet as matching placebo for GSK1278863 |
| Placebo matching Moxifloxacin | DRUG | Capsule shaped white film coated tablet as matching placebo for Moxifloxacin |
| GSK1278863 + food | DRUG | High Fat meal + 100 mg GSK1278863 |
| Gemfibrozil | DRUG | 600 mg Gemfibrozil |
Inclusion Criteria: * Age (at the time of informed consent): \>=20 years * Dialysis: Patients on hemodialysis (HD) or hemodiafiltration (HDF) * Use of any erythropoiesis stimulating agent (ESA): Newly started dialysis (Dialysis newly started \<12 weeks before screening): Patients not using ESAs aft...