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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/show/NCT01047397




Registration number
NCT01047397
Ethics application status
Date submitted
11/01/2010
Date registered
12/01/2010
Date last updated
11/11/2013

Titles & IDs
Public title
Repeat Dose Safety and Efficacy Study for Compound to Treat Anemia
Scientific title
A Phase IIa, Randomized, Single-Blind, Placebo-Controlled, Parallel-Group Study to Evaluate the Safety, Pharmacokinetics, and Efficacy of 28-day Repeat Oral Doses of GSK1278863A in Anemic Pre-dialysis and Hemodialysis-dependent Patients
Secondary ID [1] 0 0
PHI112844
Secondary ID [2] 0 0
112844
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Kidney Disease 0 0
Condition category
Condition code
Renal and Urogenital 0 0 0 0
Kidney disease

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - 1278863A
Treatment: Drugs - Placebo

Experimental: Group 1 - Active Drug

Placebo Comparator: Group 2 - Placebo


Treatment: Drugs: 1278863A
25mg, 50mg, 100mg

Treatment: Drugs: Placebo
matching placebo

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Rate of response for increase from baseline of hemoglobin levels
Timepoint [1] 0 0
Pre-dose, Day 1, Day 15, Day 22, Follow-up
Primary outcome [2] 0 0
Adverse Events reporting
Timepoint [2] 0 0
throughout study
Primary outcome [3] 0 0
Safety Labs (Chemistry)
Timepoint [3] 0 0
Screening, Day 1, 4, 8, 15, 22, 29, 36, 57
Primary outcome [4] 0 0
Safety Labs (Hematology)
Timepoint [4] 0 0
Screening, Day 1, 4, 8, 15, 22, 29, 36, 57
Primary outcome [5] 0 0
Safety Labs (Urinalysis)
Timepoint [5] 0 0
Screening, Day 1, 4, 8, 15, 22, 29, 36, 57
Primary outcome [6] 0 0
Vital Signs (blood pressure and heart rate)
Timepoint [6] 0 0
Screening, Day 1, 4, 8, 15, 22, 29, 36, 57
Primary outcome [7] 0 0
ECG
Timepoint [7] 0 0
Screening, Day 1, 4, 8, 15, 22, 29, 36, 57
Secondary outcome [1] 0 0
AUC (0-8), Cmax, tmax, t½
Timepoint [1] 0 0
Day 1, 15, 22
Secondary outcome [2] 0 0
Actual values and change from baseline for erythropoietin, absolute and percent reticulocytes, hematocrit, and total RBCs
Timepoint [2] 0 0
Day 1, 15, 22, Folllow-up
Secondary outcome [3] 0 0
Actual values and change from baseline for VEGF, hepcidin, TIBC
Timepoint [3] 0 0
Day 1, 15, 22, Follow-up
Secondary outcome [4] 0 0
Actual values and change from baseline for transferrin saturation, serum iron, serum ferritin
Timepoint [4] 0 0
Screening, Day 1, 15, 29, 57
Secondary outcome [5] 0 0
Actual value and change from baseline for fetal hemoglobin
Timepoint [5] 0 0
Day 1, 29, 57

Eligibility
Key inclusion criteria
1. Male or female between 18 and 85 years of age inclusive, at the time of signing the
informed consent.

2. A male or female is eligible to enroll and participate in this study if he/she:

1. (Part 1) has Moderate to Severe Renal Impairment (equivalent to NKF KDOQI Stage 3
or 4, not receiving dialysis) as determined by estimated Glomerular Filtration
Rate (eGFR) calculated by the abbreviated MDRD equation, and not expected to go
on dialysis until = 8 weeks after first administration of investigational
product. Stage 5, non-dialysis patients with eGFR of 10 15 mL/min per 1.73 m2
will also be eligible for Part 1 on a case-by-case basis.

2. (Part 2) has Severe Renal Impairment and has been on stable hemodialysis
treatment for 1 month prior to Screening (subjects with planned transition to
hemodialysis) or 3 months prior to Screening (subjects emergently placed on
hemodialysis). These subjects are equivalent to NKF KDOQI Stage 5.

3. otherwise healthy or considered clinically stable with respect to underlying
renal impairment and with respect to underlying/chronic disease as determined by
a responsible and experienced physician, based on a medical evaluation including
medical history, physical examination, laboratory tests and cardiac monitoring.

4. has clinical laboratory test results that are considered clinically stable in the
opinion of the principal investigator, especially if the clinical abnormality or
laboratory parameter is deemed associated with the patient's underlying renal
impairment.

3. Meets the following erythropoiesis stimulating agent (ESA) criteria:

1. The patient is ESA naïve OR

2. If the patient has a scheduled ESA interval which is = 7 days, ESA treatment must
be discontinued for at least 7 days OR

3. If the patient has a scheduled ESA interval which is > 7 days, ESA treatment must
be discontinued for at least that scheduled interval length (eg discontinued = 14
days for a scheduled 14 day ESA interval) AND The patient will not resume ESA
treatment until completion of the Follow-up Visit (Day 57).

4. Has a hemoglobin value:

1. For ESA naïve patients: =11.0 g/dL

2. For patients receiving ongoing ESA treatment: =11.5 g/dL at Screening with a re
check value of =11.0 g/dL after appropriate ESA discontinuation according to
Inclusion 3 and prior to commencing study drug dosing.

5. 5. Has serum ferritin at Screening:

1. =40 µg/L with the absence of microcytic or hypochromic RBCs (regardless of
transferrin saturation %) OR

2. 25-39 µg/L with transferrin saturation % =20% (fraction saturation =0.20) and the
absence of microcytic or hypochromic RBCs

6. Has Vitamin B12 and folate above the lower limit of normal at Screening

7. A female patient is eligible to participate if she is:

1. of childbearing potential, and must agree to use one of the contraception methods
in Section 8.1.1. This criterion must be followed from the time of Screening
until completion of the Follow-up Visit (Day 57) OR

2. 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 in Section 8.1.1 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 will
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.

8. Male patients must agree to use one of the contraception methods listed in Section
8.1.2. This criterion must be followed from the time of the first dose of study drug
until completion of the Follow-up Visit (Day 57).

9. Body weight = 45 kg

10. QTcB or QTcF < 450 msec; or QTc < 480 msec in patients with bundle branch block. These
should be based on an average of triplicate values obtained at Screening.

11. Capable of giving written informed consent, which includes compliance with the
requirements and restrictions listed in the consent form.
Minimum age
18 Years
Maximum age
85 Years
Gender
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
1. A positive pre-study Hepatitis B surface antigen or positive Hepatitis C antibody
result within 3 months prior to Screening and one of the following:

- evidence of autoimmune anemia

- prior anti-viral therapy

- evidence of liver damage

2. A positive test for HIV antibody.

3. A pre-study drug screen that is positive due to drug use not associated with a current
medication prescription. A minimum list of drugs that will be screened for include
amphetamines, barbiturates, cocaine, opiates, cannabinoids and benzodiazepines.

4. A value at Screening is greater than 1.5 times the upper limit of reference range for
AST, ALT, or direct bilirubin.

5. Hemolysis/hemolytic anemia or active bleeding/blood loss

6. Androgen therapy within 8 weeks prior to first dose of study drug (Day 1).

7. Red blood cell transfusion within 90 days prior to first dose of study drug (Day 1).

8. 8. Iron replacement therapy:

1. Intravenous iron replacement therapy within 30 days prior to the first dose of
study drug on Day 1 until completion of the Follow-up Visit (Day 57).

2. Oral iron replacement therapy started or discontinued within 30 days prior to
Screening. (Patients currently receiving oral iron replacement therapy which was
initiated at least 30 days prior to Screening, will be allowed to continue their
oral iron replacement therapy during the study and should not discontinue the
therapy until after completion of all study drug doses and Day 29 assessments.)

9. History of thrombosis defined as deep vein thrombosis, stroke, pulmonary embolism or
other thrombosis related condition within 1 year prior to Screening.

10. Known active decompensated hyperparathyroidism or history of bone marrow fibrosis.

11. Systemic hematologic disease, including, but not limited to sickle cell disease,
hemosiderosis, hemochromatosis, myelodysplastic syndrome, hematologic malignancy,
myeloma

12. Post-renal transplantation patients with functioning transplant. (Failed transplant
subjects back on hemodialysis are eligible).

13. Acute peptic ulcer disease or history of chronic rectal bleeding.

14. History of malignancy tumor within 5 years prior to Screening or are receiving
medication for cancer. Non-melanoma skin cancer within the past 5 years that has been
definitively removed is allowed.

15. Patients with a pre-existing 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 gastrointestinal anatomy or motility include gastrointestinal
bypass surgery, partial or total gastrectomy, small bowel resection, vagotomy,
malabsorption, Crohn's disease, ulcerative colitis, or celiac sprue. Examples of
conditions that could interfere with hepatic function include Gilberts syndrome.

16. Active infection or acute inflammatory disease as determined by clinical assessment.

17. Class III heart failure with evidence of recent progression (worsening dyspnea,
hospitalization within 2-3 months for symptoms, etc), or Class IV heart failure, as
defined by the New York Heart Association (NYHA) functional classification system.

18. Uncontrolled hypertension (diastolic BP >100 mmHg or systolic BP >160 mmHg at
Screening)

19. Myocardial infarction or acute coronary syndrome within 1 year prior to Screening.

20. History of seizure disorder.

21. Proliferative choroidal or retinal disease, such as neovascular age-related macular
degeneration or proliferative diabetic retinopathy that is likely to require treatment
(intraocular injections or laser photocoagulation) during the study.

22. Pregnant females as determined by positive serum or urine hCG test at Screening or
prior to the first dose of study drug (Day 1).

23. Lactating females.

24. History of drug abuse or dependence within 6 months prior to Screening.

25. Unwillingness or inability to follow the procedures, or lifestyle and/or dietary
restrictions outlined in the protocol.

26. Use of prescription drugs within 7 days prior to first dose of study drug (Day 1)
until after completion of all study drug doses and Day 29 assessments:

- which are know to be inhibitors of CYP 2C8 OR

- which are known to be both CYP 2C8 and OATP1B1 substrates OR

- which rely mainly on OATP1B1/1B3 for hepatic clearance as described in Section 9
of the protocol.

27. Use of prescription drugs within 14 days prior to first dose of study drug (Day 1)
until completion of all study drug doses and Day 29 assessments, which are known to be
inducers of CYP 2C8, as described in Section 9 of the protocol.

28. Use of non-prescription drugs, including vitamins, herbal and dietary supplements
(including St John's Wort) within 7 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 drug
(Day 1) through the Follow-up Visit (Day 57), unless in the opinion of the
Investigator the medication will not interfere with the study procedures or compromise
patient safety and GSK Medical Monitor concurs.

29. History of sensitivity to any of the study drugs, 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.

30. History of sensitivity to heparin or heparin-induced thrombocytopenia. (if the
clinical site uses heparin to maintain intravenous cannula patency)

31. The patient has participated in a clinical trial and has received an experimental
investigational product within the following time period prior to the first dosing day
in the current study: 30 days, 5 half-lives or twice the duration of the biological
effect of the investigational product (whichever is longer).

32. Exposure to more than four experimental investigational products within 12 months
prior to the first dose of study drug (Day 1).

33. Patient is mentally or legally incapacitated.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s


Intervention assignment
Parallel
Other design features
Phase
Phase 2
Type of endpoint(s)
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
Recruitment hospital [1] 0 0
GSK Investigational Site - Camperdown
Recruitment hospital [2] 0 0
GSK Investigational Site - Gosford
Recruitment hospital [3] 0 0
GSK Investigational Site - St. Leonards
Recruitment hospital [4] 0 0
GSK Investigational Site - Herston
Recruitment hospital [5] 0 0
GSK Investigational Site - Box Hill
Recruitment hospital [6] 0 0
GSK Investigational Site - Reservoir
Recruitment postcode(s) [1] 0 0
2050 - Camperdown
Recruitment postcode(s) [2] 0 0
2250 - Gosford
Recruitment postcode(s) [3] 0 0
2065 - St. Leonards
Recruitment postcode(s) [4] 0 0
4029 - Herston
Recruitment postcode(s) [5] 0 0
3128 - Box Hill
Recruitment postcode(s) [6] 0 0
3073 - Reservoir
Recruitment outside Australia
Country [1] 0 0
India
State/province [1] 0 0
Bangalore
Country [2] 0 0
India
State/province [2] 0 0
Hyderabad
Country [3] 0 0
India
State/province [3] 0 0
Kalapet Pondicherry
Country [4] 0 0
India
State/province [4] 0 0
Mumbai
Country [5] 0 0
India
State/province [5] 0 0
New Delhi
Country [6] 0 0
India
State/province [6] 0 0
Vishakha Patnam
Country [7] 0 0
New Zealand
State/province [7] 0 0
Auckland
Country [8] 0 0
New Zealand
State/province [8] 0 0
Christchurch
Country [9] 0 0
Russian Federation
State/province [9] 0 0
Ekaterinburg
Country [10] 0 0
Russian Federation
State/province [10] 0 0
Moscow
Country [11] 0 0
Russian Federation
State/province [11] 0 0
Nizhny Novgorod
Country [12] 0 0
Russian Federation
State/province [12] 0 0
Perm
Country [13] 0 0
Russian Federation
State/province [13] 0 0
Saratov
Country [14] 0 0
Russian Federation
State/province [14] 0 0
Smolensk
Country [15] 0 0
Russian Federation
State/province [15] 0 0
St-Petersburg
Country [16] 0 0
Russian Federation
State/province [16] 0 0
St. Petersburg
Country [17] 0 0
Russian Federation
State/province [17] 0 0
Volzhsky
Country [18] 0 0
Russian Federation
State/province [18] 0 0
Yaroslavl

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
GlaxoSmithKline
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
The purpose of this study is to characterize the safety and efficacy of repeat doses of
compound 1278863A in subjects with anemia.
Trial website
https://clinicaltrials.gov/show/NCT01047397
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
GSK Clinical Trials
Address 0 0
GlaxoSmithKline
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Summary results
Other publications