Investigating The Pharmacokinetics Of An Inhaled Dose Of A New Corticosteroid In Patients With Impaired Liver Function
Study Details
Study Description
Brief Summary
The proposed study is designed to investigate the pharmacokinetics, pharmacodynamics (as measured by serum cortisol) and safety of GW685698X in subjects with moderate hepatic impairment and in healthy subjects following a single oral inhaled dose of GW685698X. From the study results it should be possible to assess if there is an altered Risk: Benefit in patients with moderate hepatic impairment
Condition or Disease | Intervention/Treatment | Phase |
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Phase 1 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: Healthy subjects Subjects with normal liver function test will be administered a single oral inhaled dose of 400 micrograms (mcg) GW685698X in the morning of the study day. Each healthy subject will be matched as closely as possible for age, gender, bodyweight and race to a subject with impaired liver function. |
Drug: GW685698X
GW685698X will be available as dry white powder to be inhaled via DISKUS containing cellobiose octaacetate (COA) blended with lactose.
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Experimental: Subjects with hepatic impairment Subjects with Child Pugh B hepatic dysfunction will be administered a single oral inhaled dose of 400 mcg GW685698X in the morning of the study day. |
Drug: GW685698X
GW685698X will be available as dry white powder to be inhaled via DISKUS containing cellobiose octaacetate (COA) blended with lactose.
|
Outcome Measures
Primary Outcome Measures
- To investigate how impaired liver function affects the movement of single dose inhaled drug GW685698X within the body. Blood exposure levels in patients and matched control patients compared by taking blood samples after dosing [Up to Day 13]
Secondary Outcome Measures
- Effect of GW685698X on serum cortisol by calculating weighted mean in blood over 24 hrs. Safety and tolerability of GW685698X in patients with impaired liver function from blood samples during dosing (clearance/distribution) and monitoring vital signs [Up to Day 13]
Eligibility Criteria
Criteria
Inclusion:
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Are aged between 18-70 years, inclusive.
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If Female, you must be incapable of becoming pregnant.
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Show FEV1 of more than 70% of the predicted normal at screening.
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Are able to correctly use a DISKUS at the screening visit.
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Have Body Mass Index within the range of 19-33 kg/m2 inclusive.
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Do not show a positive pre-study urine drug screen.
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Do not show a positive pre-study blood alcohol test.
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Demonstrate a clinically normal 12-lead ECG at screening.
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Do not show a positive blood test for HIV.
If you are a Healthy Volunteer you must also:
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Have no significant abnormality on clinical examination.
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Have Liver Function Tests within the reference range at screening.
If you are a Patient Volunteer you must:
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Have moderate hepatic impairment
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Have no significant abnormality on clinical examination apart from hepatic impairment.
Exclusion:
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Suffered an upper respiratory infection in the 4 weeks before the screening visit.
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Suffered a lower respiratory infection in the 6 weeks before the screening visit.
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Taken oral corticosteroids in the 8 weeks before the screening visit.
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Taken inhaled, intranasal or topical steroids in the 4 weeks before the screening visit.
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A prolonged heartbeat (QTc interval >470msec).
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High blood pressure (systolic >160mmHg or diastolic >90mmHg) or as defined by the Investigator.
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Known sensitivity to corticosteroids.
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A history of lactose intolerance.
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A history of severe milk protein allergy.
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Donated blood in the last 3 months, or more than 1500mL (1000mL if female) in the last 12 months (including the amount taken for this study).
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Participated in a clinical trial within the last 3 months where you are/were exposed to a drug or device.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- GlaxoSmithKline
Investigators
- Study Director: GSK Clinical Trials, GlaxoSmithKline
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- FFA10013