ClinicalTrials.gg
CompletedNCT03315559Updated Mar 13, 2020Results posted

Absorption & Elimination of Radiolabelled GSK2269557

A Phase 1 interventional study of [14C]-GSK2269557 IV infusion and GSK2269557 via DPI in Pulmonary Disease, Chronic Obstructive, sponsored by GlaxoSmithKline. Completed at 1 site in United Kingdom. Open to male participants aged 30 Years to 55 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-03-13.

Sponsored by GlaxoSmithKline · Phase 1, Interventional, and Treatment

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Phase
Phase 1
Study type
Interventional
Enrollment
6
Allocation
Non-randomized
Ages
30 Years to 55 Years
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 10 studies testing nemiralisib in Pulmonary Disease, Chronic Obstructive — none open to participants now, none under way, none of them phase 3. Nemiralisib · Pulmonary Disease, Chronic Obstructive.

Enrollment
10th of 10
6 · median 40
Started
2017
with 1 other
Phase 1
6 of 10
none open now
Registered
9th of 10
by date
Lead sponsor
10 of 10
GlaxoSmithKline

Among the 10 studies testing nemiralisib in Pulmonary Disease, Chronic Obstructive, this one is the 10th largest by enrollment, is one of 2 that started in 2017, is one of 6 in phase 1, and was the 9th registered.

Pulmonary Disease, Chronic Obstructive

5,522 studies on the registry are indexed under Pulmonary Disease, Chronic Obstructive; 857 are open to participants now.

Browse Pulmonary Disease, Chronic Obstructive studies →

Open to participants now

None of the 10 studies testing nemiralisib in Pulmonary Disease, Chronic Obstructive is open now. The open studies under Pulmonary Disease, Chronic Obstructive, anywhere →

About nemiralisib

No approval found in the FDA or EMA files read. How studies give it is on its page →

Who these studies take

Of the 557 Pulmonary Disease, Chronic Obstructive studies recruiting now, 306 (55%) set no upper age limit and 82 (15%) stop at 75 or younger; 29 take children under 18; 89 take healthy volunteers.

This study: 30 Years to 55 Years · male · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Download CSVNarrow it in search →With an account: the 10 studies testing nemiralisib in Pulmonary Disease, Chronic Obstructive as a file.
02

Study summary

GSK2269557 is being developed as an anti-inflammatory agent for the treatment of chronic obstructive pulmonary disease (COPD) and other inflammatory lung diseases such as asthma. This study is designed to investigate the recovery, excretion, and pharmacokinetics (PK) of (14 Carbon [C])-GSK2269557 administered as a single intravenous (IV) dose (concomitant with an inhaled non-radiolabelled dose) and as a single oral dose in 6 healthy male subjects. Subjects will receive [14C] radiolabelled GSK2269557 administered as IV infusion, with a nonradiolabelled dose of GSK2269557 via dry powder inhaler (DPI) in treatment period 1 and a single dose of [14C]-GSK2269557, administered as an oral solution in treatment period 2. There will be a washout period of at least 14 days after inhaled and IV dosing before subjects takes part in treatment period 2. The IV microtracer dose of GSK2269557 will be administered concomitant to an inhaled non-radiolabelled dose to ensure that the pharmacokinetics represent a clinically relevant dose. The total study duration will be up to 11 weeks, including a screening visit, 2 treatment periods and a follow-up visit.

03

Conditions studied

  • Pulmonary Disease, Chronic Obstructive

Keywords

  • GSK2269557
  • Pharmacokinetics
  • Radiolabel
  • Healthy
  • Excretion
  • Bioavailability
04

Who can participate

Ages eligible
30 Years to 55 Years
Sexes eligible
Male
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subject must be 30 to 55 years of age inclusive, at the time of signing the .
  • Subjects who are overtly healthy as determined by the investigator or medically qualified designee based on a medical evaluation including medical history, physical examination, vital signs, laboratory tests, and cardiac monitoring; A subject with a clinical abnormality or laboratory parameter(s) which is/are not specifically listed in the inclusion or exclusion criteria, outside the reference range for the population being studied may be included only if the investigator agrees and documents that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures.
  • A history of regular bowel movements (averaging one or more bowel movements per day).
  • Body weight >= 50 kilograms (Kg) and (BMI) within the range 19.0-31.0 kg per meter square (kg/m\^2) (inclusive).
  • Male subjects will be included.
  • Subjects with female partners of must agree to use during the treatment period, from the time of first dose of study medication until follow-up, and refrain from donating sperm during this period.
  • Capable of giving signed informed consent.

Exclusion criteria

Exclusion Criteria:

  • (ALT) > 1.5x (ULN).
  • > 1.5xULN (isolated bilirubin > 1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin \< 35%).
  • Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
  • Mean duration corrected for heart rate by Fridericia's formula (QTCF) > 450 milliseconds (msec).
  • Any abnormality identified at the screening medical assessment (physical examination/medical history), clinical laboratory tests, or 12-lead .
  • A pre-existing condition(s) interfering with normal gastrointestinal (GI) anatomy or motility, including constipation, malabsorption or other GI dysfunction which may interfere with the absorption, distribution, metabolism or elimination of the study drug. Subjects with a history of cholecystectomy must be excluded.
  • At screening, a supine or semi-supine BP that is persistently higher (triplicate measurements at least 2 minutes apart than 140/90 millimeters of mercury (mmHg).
  • At screening, a supine or semi-supine mean heart rate (HR) outside the range 40-90 beats per minute (BPM).
  • Subject is mentally or legally incapacitated.
  • A history of respiratory disease (example given [e.g.] history of asthma) in the last 10 years.
  • Use of prescription or 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) before the first dose of study medication, unless in the opinion of the investigator and GlaxoSmithKline (GSK) Medical Monitor the medication will not interfere with the study procedures or compromise subject safety.
  • Need of Paracetamol or Acetaminophen, at doses of > 2 grams (g)/day. Other concomitant medication may be considered on a case by case basis by the GSK Medical Monitor.
  • The subject has participated in a clinical trial and has received an product (IP) within 3 months before their first dose in the current study.
  • Participation in a clinical trial involving administration of 14C-labelled compound(s) within the last 12 months. A subject's previous effective dose will be reviewed by the medical investigator to ensure there is no risk of contamination/carryover into the current study.
  • Presence of surface antigen (HBsAg), or positive antibody test result at screening.
  • Positive Hepatitis C ribonucleic acid (RNA) test result at screening or within 3 months prior to first dose of study treatment.
  • A positive test for (HIV) antibody.
  • A positive pre-study drug/alcohol screen.
  • Exposure to more than four new chemical entities within 12 months before the subject's first dose.
  • Subjects have received a total body radiation dose of greater than 5.0 micro sievert (mSv) (upper limit of World Health Organization [WHO] category II) or exposure to significant radiation (e.g. serial x-ray or computed tomography [CT] scans, barium meal etc) in the 12 months before this study.
  • An occupation which requires monitoring for radiation exposure, nuclear medicine procedures or excessive x-rays within the past 12 months.
  • Participation in the study would result in donation of blood or blood products in excess of 500 milliliters (mL) within a 90 day period.
  • Unwillingness or known inability to follow the procedures outlined in the protocol, including the use of the Enterotest capsule.
  • History of regular alcohol consumption within 6 months of the study, defined as an average weekly intake of >21 units. One unit is equivalent to 8 g of alcohol: a halfpint (approximately 240 mL) of beer, 1 glass (125 mL) of wine or 1 (25 mL) measure of spirits.
  • Urinary cotinine levels indicative of smoking; current smoker; or ex-smokers who gave up less than 6 months ago or who have a history of more than 10 pack-years. Pack-years = cigarettes per day x number of years smoked/20
Terms in these criteria, in plain language(14)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
6 participants (actual)

Study arms

  • Experimental
    Subjects receiving GSK2269557 in treatment period 1

    Eligible subjects will receive IV infusion of \[14C\] radiolabelled GSK2269557 with a single dose of 10 micrograms (µg) administered as single microtracer, concomitantly with an inhaled nonradiolabelled 1000 µg dose of GSK2269557. There will be a washout of at least 14 days after inhaled and IV dosing before subjects receive treatment 2.

    Drug: [14C]-GSK2269557 IV infusion · Drug: GSK2269557 via DPI · Drug: [14C]-GSK2269557 oral solution

  • Experimental
    Subjects receiving GSK2269557 in treatment period 2

    Eligible subjects will receive \[14C\]-GSK2269557 with a single dose of 800 µg, administered as an oral solution.

    Drug: [14C]-GSK2269557 IV infusion · Drug: GSK2269557 via DPI · Drug: [14C]-GSK2269557 oral solution

Interventions

  • The \[14C\]-GSK2269557 solution will be available in dosing strength of 10 µg, administered as single dose IV infusion over 15 minutes. It will be prepared by dissolving a hemisuccinate salt (GSK2269557T) in normal saline.

  • GSK2269557 DPI will be available with dosing strength of 1000 µg, administered as oral inhalation intended to inhale twice. It will be prepared by blending GSK2269557 hemisuccinate salt (GSK2269557H) with lactose and magnesium stearate.

  • The \[14C\]-GSK2269557 solution will be available with dosing strength of 800 µg, administered as single dose orally. It will be prepared by dissolving \[14C\]-GSK2269557 hemisuccinate salt (GSK2269557T) in water.

06

What researchers measure

Primary outcomes

  1. Area Under Concentration-time Curve (AUC) From Time 0 (Pre-dose) to Infinite Time (0 to Inf) and AUC From Time 0 (Pre-dose) to Last Time of Quantifiable Concentration (0 to t) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 1

    Blood samples were collected at indicated time points for pharmacokinetic analysis. Pharmacokinetic (PK) Population comprised of participants in the APE Population who received at least one dose of study treatment and for whom a PK sample was obtained and analyzed. Only those participants available at the specified time points were analyzed represented by n=X in the category titles.

    Time frame: Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion

  2. AUC From Time Zero (Pre-dose) Extrapolated to Infinite Time (0 to Inf) and AUC From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration (0 to t) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 2

    Blood samples were collected at indicated time points for pharmacokinetic analysis. Only those participants available at the specified time points were analyzed represented by n=X in the category titles. NA indicates that data is not available as single participant was analyzed.

    Time frame: Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose

  3. Maximum Observed Concentration (Cmax) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 1

    Blood samples were collected at indicated time points for pharmacokinetic analysis.

    Time frame: Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion

  4. Cmax of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 2

    Blood samples were collected at indicated time points for pharmacokinetic analysis.

    Time frame: Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose

  5. Time of Occurrence of Cmax (Tmax) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 1

    Blood samples were collected at indicated time points for pharmacokinetic analysis.

    Time frame: Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion

  6. Tmax of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 2

    Blood samples were collected at indicated time points for pharmacokinetic analysis.

    Time frame: Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose

  7. Terminal Phase Half-life (t1/2) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 1

    Blood samples were collected at indicated time points for pharmacokinetic analysis.

    Time frame: Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion

  8. Terminal Phase Half-life (t1/2) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 2

    Blood samples were collected at indicated time points for pharmacokinetic analysis. NA indicates that data is not available as single participant was analyzed.

    Time frame: Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose

  9. Urinary and Faecal Cumulative Excretion as a Percentage of the Total Radioactive Dose Administered Over Time for Treatment Period 1

    Urine samples and fecal samples were collected to measure total radiolabeled drug-related material excreted in urine and feces respectively.

    Time frame: Up to 168 hours

  10. Urinary and Fecal Cumulative Excretion as a Percentage of the Total Radioactive Dose Administered Over Time for Treatment Period 2

    Urine samples and fecal samples were collected to measure total radiolabeled drug-related material excreted in urine and feces respectively. Only those participants available at the specified time points were analyzed represented by n=X in the category titles.

    Time frame: Up to 336 hours

Secondary outcomes

  1. AUC (0 to Inf) and AUC (0 to t) of Parent GSK2269557 and [14C]-GSK2269557 in Plasma for Treatment Period 1

    Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS, whereas GSK2269557 describes the parent GSK2269557 concentration derived via LC/MS. Only those participants available at the specified time points were analyzed represented by n=X in the category titles.

    Time frame: Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion

  2. AUC (0 to Inf) and AUC (0 to t) of [14C]-GSK2269557 in Plasma for Treatment Period 2

    Blood samples were collected at indicated time points for pharmacokinetic analysis. Only those participants with data available at the specified time points were analyzed represented by n=X in the category titles. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS.

    Time frame: Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose

  3. Cmax of Parent GSK2269557 and [14C]-GSK2269557 in Plasma for Treatment Period 1

    Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS, whereas GSK2269557 describes the parent GSK2269557 concentration derived via LC/MS.

    Time frame: Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion

  4. Cmax of [14C]-GSK2269557 in Plasma for Treatment Period 2

    Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS.

    Time frame: Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose

  5. Tmax of Parent GSK2269557 and [14C]-GSK2269557 in Plasma for Treatment Period 1

    Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS, whereas GSK2269557 describes the parent GSK2269557 concentration derived via LC/MS.

    Time frame: Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion

  6. Tmax of [14C]-GSK2269557 in Plasma for Treatment Period 2

    Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS.

    Time frame: Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose

  7. t1/2 of Parent GSK2269557 and [14C]-GSK2269557 in Plasma for Treatment Period 1

    Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS, whereas GSK2269557 describes the parent GSK2269557 concentration derived via LC/MS. Only those participants available at the indicated time points were analyzed represented by n=X in the category titles.

    Time frame: Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion

  8. t1/2 of [14C]-GSK2269557 in Plasma for Treatment Period 2

    Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS.

    Time frame: Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose

  9. Volume of Distribution of Parent [14C]-GSK2269557 After IV Dose Only in Plasma

    Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS.

    Time frame: Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion

  10. Clearance of Parent [14C]-GSK2269557 After IV Dose Only in Plasma

    Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS.

    Time frame: Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion

  11. Inhaled Absolute Bioavailability (F) for Treatment Period 1

    Absolute bioavailability (F) was estimated for the inhaled doses for each participant and is reported. Only those participants available at the specified time points were analyzed represented by n=X in the category titles.

    Time frame: Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion

  12. Oral Absolute Bioavailability (F) for Treatment Period 2

    Absolute bioavailability (F) was estimated for the oral doses for each participant and is reported. Only those participants available at the specified time points were analyzed represented by n=X in the category titles.

    Time frame: Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose

  13. Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)

    AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with use of a medicinal product (MP), whether or not considered related to MP. AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with use of MP. SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect or is medically significant or all events of possible drug induced liver injury with hyperbilirubinemia.

    Time frame: Up to 11 weeks

  14. Number of Participants With Hematology Parameters of Potential Clinical Concern

    Hematology parameters included basophils, eosinophils, erythrocytes, monocytes, hematocrit, hemoglobin, lymphocytes, neutrophil count, platelet count and white blood cells. Number of participants with hematology parameters of potential clinical concern are presented.

    Time frame: Up to 11 weeks

  15. Number of Participants With Clinical Chemistry Parameters of Potential Clinical Concern

    Clinical chemistry parameters included alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, bilirubin, chloride, cholesterol, gamma glutamyl transferase, globulin, protein, triglycerides, urate, albumin, calcium, creatinine, glucose, phosphorous, potassium, urea and sodium. Number of participants with clinical chemistry parameters of potential clinical concern are presented.

    Time frame: Up to 11 weeks

  16. Number of Participants With Clinically Significant Urinalysis Findings

    Urine samples were collected to detect the presence of bilirubin, glucose, ketones, leukocyte esterase, nitrite, occult blood, protein and urobilinogen. Urinalysis also included measurement of specific gravity and pH. Number of participants with clinically significant urinalysis findings are presented.

    Time frame: Up to 168 hours

  17. Number of Participants With Electrocardiogram Findings of Clinical Significance

    Twelve-lead electrocardiogram was measured in a supine or semi-supine position after 5 minutes rest. Number of participants with electrocardiogram findings of clinical significance are presented.

    Time frame: Up to 11 weeks

  18. Number of Participants With Vital Signs of Potential Clinical Concern

    Vital signs were measured in a supine or semi-supine position after 5 minutes rest and included temperature, systolic and diastolic blood pressure and pulse and respiratory rate. Number of participants with vital signs of potential clinical concern are reported.

    Time frame: Up to 11 weeks

07

Results

Posted Mar 20, 2019

Participant flow

The study was conducted at a single center in the United Kingdom from 14-November-2017 to 22-December-2017.

Treatment Period 1 (8 Days)
Participant flow — Treatment Period 1 (8 Days)
MilestoneAll Study Participants
Started6
Completed6
Not completed0
Washout Period (14 Days)
Participant flow — Washout Period (14 Days)
MilestoneAll Study Participants
Started6
Completed6
Not completed0
Treatment Period 2 (15 Days)
Participant flow — Treatment Period 2 (15 Days)
MilestoneAll Study Participants
Started6
Completed6
Not completed0

Outcome measures

PrimaryArea Under Concentration-time Curve (AUC) From Time 0 (Pre-dose) to Infinite Time (0 to Inf) and AUC From Time 0 (Pre-dose) to Last Time of Quantifiable Concentration (0 to t) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 1

Blood samples were collected at indicated time points for pharmacokinetic analysis. Pharmacokinetic (PK) Population comprised of participants in the APE Population who received at least one dose of study treatment and for whom a PK sample was obtained and analyzed. Only those participants available at the specified time points were analyzed represented by n=X in the category titles.

Time frame:
Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion
Reported as:
Geometric mean · Hour*picogram Equivalent per millilitre
Area Under Concentration-time Curve (AUC) From Time 0 (Pre-dose) to Infinite Time (0 to Inf) and AUC From Time 0 (Pre-dose) to Last Time of Quantifiable Concentration (0 to t) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 1
Hour*picogram Equivalent per millilitreNemi IH + 14C-Nemi IV
AUC (0 to inf), n=3812.8550 ± 8.17885
AUC (0 to t), n=6770.3316 ± 17.70272
PrimaryAUC From Time Zero (Pre-dose) Extrapolated to Infinite Time (0 to Inf) and AUC From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration (0 to t) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 2

Blood samples were collected at indicated time points for pharmacokinetic analysis. Only those participants available at the specified time points were analyzed represented by n=X in the category titles. NA indicates that data is not available as single participant was analyzed.

Time frame:
Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose
Reported as:
Geometric mean · Hour*picogram Equivalent per millilitre
AUC From Time Zero (Pre-dose) Extrapolated to Infinite Time (0 to Inf) and AUC From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration (0 to t) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 2
Hour*picogram Equivalent per millilitre14C-Nemi Oral
AUC (0 to inf), n=134749.40 ± NA
AUC (0 to t), n=631730.13 ± 35.715
PrimaryMaximum Observed Concentration (Cmax) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 1

Blood samples were collected at indicated time points for pharmacokinetic analysis.

Time frame:
Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion
Reported as:
Geometric mean · Picogram Equivalent per milliliter
Maximum Observed Concentration (Cmax) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 1
Picogram Equivalent per milliliterNemi IH + 14C-Nemi IV
Maximum Observed Concentration (Cmax) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 1204.4057 ± 52.32698
PrimaryCmax of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 2

Blood samples were collected at indicated time points for pharmacokinetic analysis.

Time frame:
Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose
Reported as:
Geometric mean · Picogram Equivalent per milliliter
Cmax of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 2
Picogram Equivalent per milliliter14C-Nemi Oral
Cmax of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 2703.5192 ± 24.43331
PrimaryTime of Occurrence of Cmax (Tmax) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 1

Blood samples were collected at indicated time points for pharmacokinetic analysis.

Time frame:
Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion
Reported as:
Median · Hours
Time of Occurrence of Cmax (Tmax) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 1
HoursNemi IH + 14C-Nemi IV
Time of Occurrence of Cmax (Tmax) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 10.2333 (0.2333 to 0.2333)
PrimaryTmax of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 2

Blood samples were collected at indicated time points for pharmacokinetic analysis.

Time frame:
Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose
Reported as:
Median · Hours
Tmax of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 2
Hours14C-Nemi Oral
Tmax of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 27.0000 (2.000 to 8.017)
PrimaryTerminal Phase Half-life (t1/2) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 1

Blood samples were collected at indicated time points for pharmacokinetic analysis.

Time frame:
Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion
Reported as:
Geometric mean · Hours
Terminal Phase Half-life (t1/2) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 1
HoursNemi IH + 14C-Nemi IV
Terminal Phase Half-life (t1/2) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 156.9152 ± 7.69827
PrimaryTerminal Phase Half-life (t1/2) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 2

Blood samples were collected at indicated time points for pharmacokinetic analysis. NA indicates that data is not available as single participant was analyzed.

Time frame:
Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose
Reported as:
Geometric mean · Hours
Terminal Phase Half-life (t1/2) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 2
Hours14C-Nemi Oral
Terminal Phase Half-life (t1/2) of Total Drug-related Material (Radioactivity) in Plasma for Treatment Period 239.6279 ± NA
PrimaryUrinary and Faecal Cumulative Excretion as a Percentage of the Total Radioactive Dose Administered Over Time for Treatment Period 1

Urine samples and fecal samples were collected to measure total radiolabeled drug-related material excreted in urine and feces respectively.

Time frame:
Up to 168 hours
Reported as:
Mean · Percentage of dose excreted
Urinary and Faecal Cumulative Excretion as a Percentage of the Total Radioactive Dose Administered Over Time for Treatment Period 1
Percentage of dose excretedNemi IH + 14C-Nemi IV
Fe Feces, 0 to 24 hour0.3961 ± 0.83271
Fe Feces, 24 to 48 hour2.1998 ± 3.77158
Fe Feces, 48 to 72 hour18.1265 ± 12.97670
Fe Feces, 72 to 96 hour28.0481 ± 18.22334
Fe Feces, 96 to 120 hour33.7465 ± 19.02044
Fe Feces, 120 to 144 hour45.2398 ± 14.63248
Fe Feces, 144 to 168 hour51.6981 ± 15.46780
Fe Urine, 0 to 6 hour2.1567 ± 0.83754
Fe Urine, 6 to 24 hour5.1183 ± 1.53825
Fe Urine, 24 to 48 hour7.6850 ± 2.04159
Fe Urine, 48 to 72 hour9.3483 ± 2.26387
Fe Urine, 72 to 96 hour10.7150 ± 2.46640
Fe Urine, 96 to 120 hour11.6400 ± 2.52790
Fe Urine, 120 to 144 hour12.3607 ± 2.56693
Fe Urine, 144 to 168 hour12.9205 ± 2.57056
Fe Total (Urine+Feces), 0 to 24 hour5.5145 ± 1.30554
Fe Total (Urine+Feces), 24 to 48 hour9.8848 ± 3.03062
Fe Total (Urine+Feces), 48 to 72 hour27.4748 ± 13.02973
Fe Total (Urine+Feces), 72 to 96 hour38.7631 ± 18.40877
Fe Total (Urine+Feces), 96 to 120 hour45.3865 ± 19.01459
Fe Total (Urine+Feces), 120 to 144 hour57.6005 ± 14.46954
Fe Total (Urine+Feces), 144 to 168 hour64.6186 ± 15.25339
PrimaryUrinary and Fecal Cumulative Excretion as a Percentage of the Total Radioactive Dose Administered Over Time for Treatment Period 2

Urine samples and fecal samples were collected to measure total radiolabeled drug-related material excreted in urine and feces respectively. Only those participants available at the specified time points were analyzed represented by n=X in the category titles.

Time frame:
Up to 336 hours
Reported as:
Mean · Percentage of dose excreted
Urinary and Fecal Cumulative Excretion as a Percentage of the Total Radioactive Dose Administered Over Time for Treatment Period 2
Percentage of dose excreted14C-Nemi Oral
Fe Feces, 0 to 24 hour; n=63.81330 ± 7.16484
Fe Feces, 24 to 48 hour; n=614.6367 ± 21.64607
Fe Feces, 48 to 72 hour; n=640.9583 ± 28.48392
Fe Feces, 72 to 96 hour; n=648.8217 ± 29.60581
Fe Feces, 96 to 120 hour; n=660.7617 ± 18.24192
Fe Feces, 120 to 144 hour; n=664.1667 ± 19.65337
Fe Feces, 144 to 168 hour; n=672.4217 ± 6.66365
Fe Feces, 168 to 192 hour; n=675.1117 ± 5.29605
Fe Feces, 192 to 216 hour; n=677.0917 ± 4.59090
Fe Feces, 216 to 240 hour; n=677.5933 ± 4.12513
Fe Feces, 240 to 264 hour; n=678.7917 ± 3.82906
Fe Feces, 264 to 288 hour; n=578.6820 ± 4.07492
Fe Feces, 288 to 312 hour; n=380.9500 ± 3.78747
Fe Feces, 312 to 336 hour; n=381.1500 ± 3.57979
Fe Urine, 0 to 6 hour; n=60.3867 ± 0.09668
Fe Urine, 6 to 24 hour; n=61.7017 ± 0.42995
Fe Urine, 24 to 48 hour; n=62.7183 ± 0.73249
Fe Urine, 48 to 72 hour; n=63.4250 ± 0.89063
Fe Urine, 72 to 96 hour; n=63.9600 ± 0.97980
Fe Urine, 96 to 120 hour; n=64.3617 ± 1.02918
Fe Urine, 120 to 144 hour; n=64.6717 ± 1.09549
Fe Urine, 144 to 168 hour; n=64.9217 ± 1.12583
Fe Urine, 168 to 192 hour; n=65.1383 ± 1.16426
Fe Urine, 192 to 216 hour; n=65.2950 ± 1.16156
Fe Urine, 216 to 240 hour; n=65.4700 ± 1.20854
Fe Urine, 240 to 264 hour; n=65.5617 ± 1.24856
Fe Urine, 264 to 288 hour; n=55.4760 ± 1.35858
Fe Urine, 288 to 312 hour; n=35.7800 ± 1.43293
Fe Urine, 312 to 336 hour; n=35.8133 ± 1.45590
Fe Total (Urine+Feces), 0 to 24 hour; n=65.5150 ± 7.01205
Fe Total (Urine+Feces), 24 to 48 hour; n=617.3550 ± 21.303
Fe Total (Urine+Feces), 48 to 72 hour; n=644.3833 ± 28.28365
Fe Total (Urine+Feces), 72 to 96 hour; n=652.7817 ± 29.36619
Fe Total (Urine+Feces), 96 to 120 hour; n=665.1233 ± 17.8525
Fe Total (Urine+Feces), 120 to 144 hour; n=668.8383 ± 19.24589
Fe Total (Urine+Feces), 144 to 168 hour; n=677.3433 ± 6.27302
Fe Total (Urine+Feces), 168 to 192 hour; n=680.2500 ± 4.74848
Fe Total (Urine+Feces), 192 to 216 hour; n=682.3867 ± 3.98209
Fe Total (Urine+Feces), 216 to 240 hour; n=683.0633 ± 3.3933
Fe Total (Urine+Feces), 240 to 264 hour; n=684.3533 ± 3.17528
Fe Total (Urine+Feces), 264 to 288 hour; n=584.158 ± 3.25412
Fe Total (Urine+Feces), 288 to 312 hour; n=386.7300 ± 2.44851
Fe Total (Urine+Feces), 312 to 336 hour; n=386.9633 ± 2.16207
SecondaryAUC (0 to Inf) and AUC (0 to t) of Parent GSK2269557 and [14C]-GSK2269557 in Plasma for Treatment Period 1

Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS, whereas GSK2269557 describes the parent GSK2269557 concentration derived via LC/MS. Only those participants available at the specified time points were analyzed represented by n=X in the category titles.

Time frame:
Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion
Reported as:
Geometric mean · Hour*picogram per milliliter
AUC (0 to Inf) and AUC (0 to t) of Parent GSK2269557 and [14C]-GSK2269557 in Plasma for Treatment Period 1
Hour*picogram per milliliterNemi IH + 14C-Nemi IV
GSK2269557: AUC (0 to inf), n=633374.56 ± 33.190
GSK2269557: AUC (0 to t), n=628425.82 ± 34.474
[14C]-GSK2269557: AUC (0 to inf), n=4750.5798 ± 48.27760
[14C]-GSK2269557: AUC (0 to t), n=6546.4731 ± 45.31868
SecondaryAUC (0 to Inf) and AUC (0 to t) of [14C]-GSK2269557 in Plasma for Treatment Period 2

Blood samples were collected at indicated time points for pharmacokinetic analysis. Only those participants with data available at the specified time points were analyzed represented by n=X in the category titles. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS.

Time frame:
Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose
Reported as:
Geometric mean · Hour*picogram per milliliter
AUC (0 to Inf) and AUC (0 to t) of [14C]-GSK2269557 in Plasma for Treatment Period 2
Hour*picogram per milliliter14C-Nemi Oral
AUC (0 to inf), n=425107.96 ± 46.310
AUC (0 to t), n=616913.06 ± 53.841
SecondaryCmax of Parent GSK2269557 and [14C]-GSK2269557 in Plasma for Treatment Period 1

Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS, whereas GSK2269557 describes the parent GSK2269557 concentration derived via LC/MS.

Time frame:
Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion
Reported as:
Geometric mean · Picograms per milliliter
Cmax of Parent GSK2269557 and [14C]-GSK2269557 in Plasma for Treatment Period 1
Picograms per milliliterNemi IH + 14C-Nemi IV
GSK22695575258.98 ± 62.819
[14C]-GSK2269557205.6264 ± 57.91419
SecondaryCmax of [14C]-GSK2269557 in Plasma for Treatment Period 2

Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS.

Time frame:
Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose
Reported as:
Geometric mean · Picograms per milliliter
Cmax of [14C]-GSK2269557 in Plasma for Treatment Period 2
Picograms per milliliter14C-Nemi Oral
Cmax of [14C]-GSK2269557 in Plasma for Treatment Period 2398.8822 ± 27.81929
SecondaryTmax of Parent GSK2269557 and [14C]-GSK2269557 in Plasma for Treatment Period 1

Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS, whereas GSK2269557 describes the parent GSK2269557 concentration derived via LC/MS.

Time frame:
Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion
Reported as:
Median · Hours
Tmax of Parent GSK2269557 and [14C]-GSK2269557 in Plasma for Treatment Period 1
HoursNemi IH + 14C-Nemi IV
GSK22695570.0333 (0.017 to 0.050)
[14C]-GSK22695570.2333 (0.2333 to 0.2333)
SecondaryTmax of [14C]-GSK2269557 in Plasma for Treatment Period 2

Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS.

Time frame:
Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose
Reported as:
Median · Hours
Tmax of [14C]-GSK2269557 in Plasma for Treatment Period 2
Hours14C-Nemi Oral
Tmax of [14C]-GSK2269557 in Plasma for Treatment Period 26.0000 (2.000 to 8.000)
Secondaryt1/2 of Parent GSK2269557 and [14C]-GSK2269557 in Plasma for Treatment Period 1

Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS, whereas GSK2269557 describes the parent GSK2269557 concentration derived via LC/MS. Only those participants available at the indicated time points were analyzed represented by n=X in the category titles.

Time frame:
Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion
Reported as:
Geometric mean · Hours
t1/2 of Parent GSK2269557 and [14C]-GSK2269557 in Plasma for Treatment Period 1
HoursNemi IH + 14C-Nemi IV
GSK226955758.4408 ± 16.84150
[14C]-GSK226955754.7223 ± 35.98970
Secondaryt1/2 of [14C]-GSK2269557 in Plasma for Treatment Period 2

Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS.

Time frame:
Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose
Reported as:
Geometric mean · Hours
t1/2 of [14C]-GSK2269557 in Plasma for Treatment Period 2
Hours14C-Nemi Oral
t1/2 of [14C]-GSK2269557 in Plasma for Treatment Period 250.8028 ± 40.16665
SecondaryVolume of Distribution of Parent [14C]-GSK2269557 After IV Dose Only in Plasma

Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS.

Time frame:
Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion
Reported as:
Geometric mean · Liters
Volume of Distribution of Parent [14C]-GSK2269557 After IV Dose Only in Plasma
LitersNemi IH + 14C-Nemi IV
Vss727.7102 ± 11.24581
Vz851.4423 ± 13.98220
SecondaryClearance of Parent [14C]-GSK2269557 After IV Dose Only in Plasma

Blood samples were collected at indicated time points for pharmacokinetic analysis. For measured concentrations of GSK2269557 in blood plasma, the nomenclature \[14C\]-GSK2269557 describes the parent GSK2269557 concentration derived via analysis by LC+AMS.

Time frame:
Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion
Reported as:
Geometric mean · Liters per hour
Clearance of Parent [14C]-GSK2269557 After IV Dose Only in Plasma
Liters per hourNemi IH + 14C-Nemi IV
Clearance of Parent [14C]-GSK2269557 After IV Dose Only in Plasma10.7849 ± 46.70161
SecondaryInhaled Absolute Bioavailability (F) for Treatment Period 1

Absolute bioavailability (F) was estimated for the inhaled doses for each participant and is reported. Only those participants available at the specified time points were analyzed represented by n=X in the category titles.

Time frame:
Pre-dose and at 0 hour (post inhalation and pre-IV infusion), at the end of infusion and at 0.33, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 12, 16, 24, 48, 72, 96 and 168 hours after the start of infusion
Reported as:
Geometric mean · Fraction of drug
Inhaled Absolute Bioavailability (F) for Treatment Period 1
Fraction of drugNemi IH + 14C-Nemi IV
Inhaled F (0 to inf); n=40.3807 ± 19.65374
Inhaled F (0 to t); n=60.4213 ± 21.84410
SecondaryOral Absolute Bioavailability (F) for Treatment Period 2

Absolute bioavailability (F) was estimated for the oral doses for each participant and is reported. Only those participants available at the specified time points were analyzed represented by n=X in the category titles.

Time frame:
Pre-dose and at 0.25, 0.5, 0.75, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 48, 72, 96 and 168 h post-dose
Reported as:
Geometric mean · Fraction of drug
Oral Absolute Bioavailability (F) for Treatment Period 2
Fraction of drug14C-Nemi Oral
Oral F (0 to inf); n=40.3515 ± 3.35095
Oral F (0 to t); n=60.3261 ± 12.77892
SecondaryNumber of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)

AE is any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with use of a medicinal product (MP), whether or not considered related to MP. AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with use of MP. SAE is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect or is medically significant or all events of possible drug induced liver injury with hyperbilirubinemia.

Time frame:
Up to 11 weeks
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)
ParticipantsNemi IH + 14C-Nemi IV14C-Nemi Oral
AE01
SAE00
SecondaryNumber of Participants With Hematology Parameters of Potential Clinical Concern

Hematology parameters included basophils, eosinophils, erythrocytes, monocytes, hematocrit, hemoglobin, lymphocytes, neutrophil count, platelet count and white blood cells. Number of participants with hematology parameters of potential clinical concern are presented.

Time frame:
Up to 11 weeks
Reported as:
Count of participants · Participants
Number of Participants With Hematology Parameters of Potential Clinical Concern
ParticipantsNemi IH + 14C-Nemi IV14C-Nemi Oral
Number of Participants With Hematology Parameters of Potential Clinical Concern21
SecondaryNumber of Participants With Clinical Chemistry Parameters of Potential Clinical Concern

Clinical chemistry parameters included alanine aminotransferase, alkaline phosphatase, aspartate aminotransferase, bilirubin, chloride, cholesterol, gamma glutamyl transferase, globulin, protein, triglycerides, urate, albumin, calcium, creatinine, glucose, phosphorous, potassium, urea and sodium. Number of participants with clinical chemistry parameters of potential clinical concern are presented.

Time frame:
Up to 11 weeks
Reported as:
Count of participants · Participants
Number of Participants With Clinical Chemistry Parameters of Potential Clinical Concern
ParticipantsNemi IH + 14C-Nemi IV14C-Nemi Oral
Number of Participants With Clinical Chemistry Parameters of Potential Clinical Concern00
SecondaryNumber of Participants With Clinically Significant Urinalysis Findings

Urine samples were collected to detect the presence of bilirubin, glucose, ketones, leukocyte esterase, nitrite, occult blood, protein and urobilinogen. Urinalysis also included measurement of specific gravity and pH. Number of participants with clinically significant urinalysis findings are presented.

Time frame:
Up to 168 hours
Reported as:
Count of participants · Participants
Number of Participants With Clinically Significant Urinalysis Findings
ParticipantsNemi IH + 14C-Nemi IV14C-Nemi Oral
Number of Participants With Clinically Significant Urinalysis Findings00
SecondaryNumber of Participants With Electrocardiogram Findings of Clinical Significance

Twelve-lead electrocardiogram was measured in a supine or semi-supine position after 5 minutes rest. Number of participants with electrocardiogram findings of clinical significance are presented.

Time frame:
Up to 11 weeks
Reported as:
Count of participants · Participants
Number of Participants With Electrocardiogram Findings of Clinical Significance
ParticipantsNemi IH + 14C-Nemi IV14C-Nemi Oral
Number of Participants With Electrocardiogram Findings of Clinical Significance00
SecondaryNumber of Participants With Vital Signs of Potential Clinical Concern

Vital signs were measured in a supine or semi-supine position after 5 minutes rest and included temperature, systolic and diastolic blood pressure and pulse and respiratory rate. Number of participants with vital signs of potential clinical concern are reported.

Time frame:
Up to 11 weeks
Reported as:
Count of participants · Participants
Number of Participants With Vital Signs of Potential Clinical Concern
ParticipantsNemi IH + 14C-Nemi IV14C-Nemi Oral
High respiratory rate10
Low temperature10

Adverse events

Collected over Serious and non serious adverse events were evaluated up to 11 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Nemi IH + 14C-Nemi IV0/6 (0%)0/6 (0%)0/6 (0%)
14C-Nemi Oral0/6 (0%)0/6 (0%)1/6 (16.7%)
Most frequent other events
Most frequent other events
EventNemi IH + 14C-Nemi IV14C-Nemi Oral
MalaiseGeneral disorders0/61/6
HeadacheNervous system disorders0/61/6

Baseline characteristics

Age, Continuous
Age, Continuous(Years)All Study Participants
Mean43.3 ± 10.03
Sex: Female, Male
Sex: Female, Male(Participants)All Study Participants
Female0
Male6
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Count of participants)All Study Participants
African American/African Heritage2
White - White/Caucasian/European Heritage4
08

Study locations

1 site
  • GSK Investigational Site
    London, NW10 7EW, United Kingdom
09

References and documents

Publications

  • Harrell AW, Wilson R, Man YL, Riddell K, Jarvis E, Young G, Chambers R, Crossman L, Georgiou A, Pereira A, Kenworthy D, Beaumont C, Marotti M, Wilkes D, Hessel EM, Fahy WA. An Innovative Approach to Characterize Clinical ADME and Pharmacokinetics of the Inhaled Drug Nemiralisib Using an Intravenous Microtracer Combined with an Inhaled Dose and an Oral Radiolabel Dose in Healthy Male Subjects. Drug Metab Dispos. 2019 Dec;47(12):1457-1468. doi: 10.1124/dmd.119.088344. Epub 2019 Oct 24. PubMed 31649125 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — IPD for this study will be made available via the Clinical Study Data Request site.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: IPD is available via the Clinical Study Data Request site (click on the link provided below)

Access criteria: Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.

Data sharing details ↗ · clinicalstudydatarequest.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2017 to primary completion in Dec 2017, 1 month.

Results were first posted in Mar 2019, 1 year 2 months after primary completion.

Of 158 industry-sponsored phase 1 interventional studies under Pulmonary Disease, Chronic Obstructive, half reached primary completion within 4 months of starting (the median), counting those still running; a quarter within 2 and three quarters within 9. This study's 1 month is below that.

Counting every sponsor, half of 176 studies reached it within 4 months; a quarter within 2 and three quarters within 11.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 17, 2017
First posted
Oct 20, 2017
StartActual
Nov 14, 2017
Primary completionActual
Dec 22, 2017
CompletionActual
Dec 22, 2017
Results first posted
Mar 20, 2019
Last update
Mar 13, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 13, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03315559
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Oct 20, 2017
Start date
Nov 14, 2017
Primary completion
Dec 22, 2017
Completion
Dec 22, 2017
Results posted
Mar 20, 2019
Last update
Mar 13, 2020

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Nemiralisib

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