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    Clinical Trial Results:
    A Phase II, Randomized, Multicenter, Dose-Ranging Study in Adult Subjects Evaluating the Efficacy, Safety, and Tolerability of Single Doses of GSK2140944 in the Treatment of Uncomplicated Urogenital Gonorrhea Caused by Neisseria Gonorrhoeae

    Summary
    EudraCT number
    2015-005120-26
    Trial protocol
    GB  
    Global end of trial date
    02 Aug 2016

    Results information
    Results version number
    v2(current)
    This version publication date
    16 Jun 2017
    First version publication date
    02 Mar 2017
    Other versions
    v1
    Version creation reason

    Trial information

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    Trial identification
    Sponsor protocol code
    116576
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    GlaxoSmithKline
    Sponsor organisation address
    980 Great West Road, Brentford, Middlesex, United Kingdom,
    Public contact
    GSK Response Center, GlaxoSmithKline, 1 866-435-7343,
    Scientific contact
    GSK Response Center, GlaxoSmithKline, 1 866-435-7343,
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    02 Nov 2016
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    02 Aug 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To demonstrate the effectiveness of single oral doses of GSK2140944 to treat adult subjects with uncomplicated urogenital gonorrhea caused by N. gonorrhoeae
    Protection of trial subjects
    Not applicable
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    15 Apr 2015
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United Kingdom: 2
    Country: Number of subjects enrolled
    United States: 104
    Worldwide total number of subjects
    106
    EEA total number of subjects
    2
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    105
    From 65 to 84 years
    1
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    This was a phase II, randomized, multicenter, open-label, dose ranging study evaluating the efficacy, safety and tolerability of gepotidacin therapy in participants with uncomplicated urogenital gonorrhea. The study duration was approximately 1 week with 2 planned study visits: Baseline (Day 1, pre-dose) and Test-of-Cure (TOC) (Day 4 to 8) visit.

    Pre-assignment
    Screening details
    A total of 106 participants (par.) were randomized to receive GSK2140944 1500 milligrams (mg) or GSK2140944 3000 mg, of which 105 participants received any dose of study treatment and 1 par. was unable to swallow the capsule; therefore, did not receive study drug.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    GSK2140944 1500 mg
    Arm description
    Participants were randomized to receive oral dose of GSK2140944 1500 mg (3 immediate-release capsules of 500 mg each) with food and 240 milliliters (mL) of water. Additional 100 mL of water was given to assist in swallowing a large number of capsules. Participants who tested positive for chlamydia trachomatis at the Baseline visit, received a single 1 gram dose of azithromycin or local standard of care at the TOC visit.
    Arm type
    Experimental

    Investigational medicinal product name
    GSK2140944 1500 mg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    GSK2140944 1500 mg (3 immediate-release capsules of 500 mg each), orally dosed with food and 240 mL of water, additionally 100 mL of water was given to assist in swallowing a large number of capsules.

    Arm title
    GSK2140944 3000 mg
    Arm description
    Participants were randomized to receive oral dose of GSK2140944 3000 mg (6 immediate-release capsules of 500 mg each) with food and 240 mL of water. Additional 100 mL of water was given to assist in swallowing a large number of capsules. Participants who tested positive for chlamydia trachomatis at the Baseline visit, received a single 1 gram dose of azithromycin or local standard of care at the TOC visit.
    Arm type
    Experimental

    Investigational medicinal product name
    GSK2140944 3000 mg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, hard
    Routes of administration
    Oral use
    Dosage and administration details
    GSK2140944 3000 mg (6 immediate-release capsules of 500 mg each), orally dosed with food and 240 mL of water, additionally 100 mL of water was given to assist in swallowing a large number of capsules.

    Number of subjects in period 1
    GSK2140944 1500 mg GSK2140944 3000 mg
    Started
    53
    53
    Completed
    52
    53
    Not completed
    1
    0
         Could not swallow pills
    1
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    GSK2140944 1500 mg
    Reporting group description
    Participants were randomized to receive oral dose of GSK2140944 1500 mg (3 immediate-release capsules of 500 mg each) with food and 240 milliliters (mL) of water. Additional 100 mL of water was given to assist in swallowing a large number of capsules. Participants who tested positive for chlamydia trachomatis at the Baseline visit, received a single 1 gram dose of azithromycin or local standard of care at the TOC visit.

    Reporting group title
    GSK2140944 3000 mg
    Reporting group description
    Participants were randomized to receive oral dose of GSK2140944 3000 mg (6 immediate-release capsules of 500 mg each) with food and 240 mL of water. Additional 100 mL of water was given to assist in swallowing a large number of capsules. Participants who tested positive for chlamydia trachomatis at the Baseline visit, received a single 1 gram dose of azithromycin or local standard of care at the TOC visit.

    Reporting group values
    GSK2140944 1500 mg GSK2140944 3000 mg Total
    Number of subjects
    53 53
    Age categorical
    Units: Subjects
    Age continuous
    Age continuous description
    Units: years
        arithmetic mean (standard deviation)
    34.1 ( 11.45 ) 32.4 ( 11.33 ) -
    Gender categorical
    Gender categorical description
    Units: Subjects
        Female
    3 2 5
        Male
    50 51 101
    Race/Ethnicity, Customized
    Units: Subjects
        African American/African Heritage (Heri.)
    22 25 47
        American Indian or Alaska Native
    1 1 2
        Central/South Asian Heritage
    0 1 1
        Japanese/East Asian Heri. /South East Asian Heri.
    1 0 1
        Native Hawaiian or other Pacific Islander
    0 1 1
        White
    24 21 45
        White & African American/African Heritage
    0 1 1
        Unknown
    5 3 8

    End points

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    End points reporting groups
    Reporting group title
    GSK2140944 1500 mg
    Reporting group description
    Participants were randomized to receive oral dose of GSK2140944 1500 mg (3 immediate-release capsules of 500 mg each) with food and 240 milliliters (mL) of water. Additional 100 mL of water was given to assist in swallowing a large number of capsules. Participants who tested positive for chlamydia trachomatis at the Baseline visit, received a single 1 gram dose of azithromycin or local standard of care at the TOC visit.

    Reporting group title
    GSK2140944 3000 mg
    Reporting group description
    Participants were randomized to receive oral dose of GSK2140944 3000 mg (6 immediate-release capsules of 500 mg each) with food and 240 mL of water. Additional 100 mL of water was given to assist in swallowing a large number of capsules. Participants who tested positive for chlamydia trachomatis at the Baseline visit, received a single 1 gram dose of azithromycin or local standard of care at the TOC visit.

    Primary: Number of participants with culture-confirmed bacterial eradication of urogenital neisseria gonorrhoeae at the Test-of-Cure visit

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    End point title
    Number of participants with culture-confirmed bacterial eradication of urogenital neisseria gonorrhoeae at the Test-of-Cure visit
    End point description
    Pre-treatment urogenital, pharyngeal, and rectal swab specimens were obtained for bacteriological culture for neisseria (N.) gonorrhoeae at the Baseline visit. Test- of-Cure was defined by infection site (that is urogenital and, as appropriate, rectal and/or pharyngeal) as culture confirmed bacterial eradication of N. gonorrhoeae observed 3 to 7 days post-treatment. Pre-treatment urogenital specimens were obtained for nucleic acid amplification test (NAAT) assay to detect the presence of N. gonorrhoeae and chlamydia trachomatis at the Baseline visit. Only participants who had a pre-therapy N. gonorrhoeae isolate recovered from their urogenital specimen were evaluated. Microbiologically evaluable (ME) Population comprised of all randomized participants who had N. gonorrhoeae isolated from Baseline cultures of urogenital swab specimens, received any dose of gepotidacin, and returned for their TOC visit.
    End point type
    Primary
    End point timeframe
    Baseline (Day 1, pre-dose) and Test-of-Cure visit (Day 4 to 8)
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    30 [1]
    39 [2]
    Units: Participants
    29
    37
    Notes
    [1] - ME Population
    [2] - ME Population
    Statistical analysis title
    Statistical analysis 2
    Statistical analysis description
    GSK2140944 3000 mg
    Comparison groups
    GSK2140944 1500 mg v GSK2140944 3000 mg
    Number of subjects included in analysis
    69
    Analysis specification
    Pre-specified
    Analysis type
    [3]
    Method
    Parameter type
    Microbio Response Urogenital Gonorrhea
    Point estimate
    95
    Confidence interval
         level
    95%
         sides
    1-sided
         lower limit
    84.7
         upper limit
    -
    Notes
    [3] - Confidence interval has been presented for each Reporting Group
    Statistical analysis title
    Statistical analysis 1
    Statistical analysis description
    GSK2140944 1500 mg
    Comparison groups
    GSK2140944 1500 mg v GSK2140944 3000 mg
    Number of subjects included in analysis
    69
    Analysis specification
    Pre-specified
    Analysis type
    [4]
    Method
    Parameter type
    Microbio Response Urogenital Gonorrhea
    Point estimate
    97
    Confidence interval
         level
    95%
         sides
    1-sided
         lower limit
    85.1
         upper limit
    -
    Notes
    [4] - Confidence interval has been presented for each Reporting Group

    Secondary: Number of participants with any adverse event (AE) or serious adverse event (SAE)

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    End point title
    Number of participants with any adverse event (AE) or serious adverse event (SAE)
    End point description
    An AE is any untoward medical occurrence in a clinical investigation participants, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment or all events of possible drug-induced liver injury with hyperbilirubinaemia (defined as alanine aminotransferase [ALT] >=3 times upper limit of normal [ULN] and bilirubin >=2 times ULN [>35 percent direct] [or ALT >=3 times ULN and international normalization ratio INR>1.5, if INR is measured]. Safety Population: comprised of all randomized participants who received any dose of study medication.
    End point type
    Secondary
    End point timeframe
    From start of the study treatment until Test-of-Cure visit (Day 4 to 8)
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    52 [5]
    53 [6]
    Units: Participants
        Any SAE
    0
    0
        Any AE
    27
    34
    Notes
    [5] - Safety Population
    [6] - Safety Population
    No statistical analyses for this end point

    Secondary: Change from Baseline in systolic and diastolic blood pressure (BP) at the indicated time points

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    End point title
    Change from Baseline in systolic and diastolic blood pressure (BP) at the indicated time points
    End point description
    BP was measured in semi-supine position after 5 minutes rest. It was recorded at Baseline visit, 2 hour post-dose visit for participants enrolled under orignal protocol, 0.5 hour post-dose for participants enrolled under protocol amendment 1 and up to TOC visit (Day 4 to 8).Vital sign measurements were obtained prior to any scheduled blood collection visit on the same assessment day. Baseline was defined as the study assessment on Day 1 (pre-dose). Change from Baseline was calculated as TOC visit value minus value at Baseline. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit (Day 1) and Day 4 to Day 8
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    52 [7]
    53 [8]
    Units: Millimeter of mercury (mmHg)
    arithmetic mean (standard deviation)
        Systolic BP, Day 1, 2 hr post-dose, n=47, 48
    0.4 ( 11.61 )
    1.3 ( 11.97 )
        Systolic BP, Day 4 to 8, n=52, 53
    -2.8 ( 13.11 )
    0.5 ( 11.73 )
        Diastolic BP, Day 1, 2 hr post-dose, n=47, 48
    0.1 ( 7.61 )
    -0.9 ( 8.4 )
        Diastolic BP, Day 4 to 8, n=52, 53
    -2.3 ( 8.73 )
    -2.2 ( 9.86 )
    Notes
    [7] - Safety Population
    [8] - Safety Population
    No statistical analyses for this end point

    Secondary: Change from Baseline in pulse rate at the indicated time points

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    End point title
    Change from Baseline in pulse rate at the indicated time points
    End point description
    Pulse rate was measured in semi-supine position after 5 minutes rest. It was recorded at Baseline visit, 2 hour post-dose visit for participants enrolled under orignal protocol, 0.5 hour post-dose for participants enrolled under protocol amendement 1 and up to TOC visit (Day 4 to 8). Vital sign measurements were obtained prior to any scheduled blood collection visit on the same assessment day. Baseline was defined as the study assessment on Day 1 (pre-dose). Change from Baseline was calculated as TOC visit value minus value at Baseline. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit (Day 1) and Day 4 to Day 8
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    52 [9]
    53 [10]
    Units: Beats per minute
    arithmetic mean (standard deviation)
        Pulse rate Day 1, 2 hr post-dose, n=47, 48
    -0.3 ( 12.2 )
    -1.4 ( 8.72 )
        Pulse rate, Day 4 to 8, n=52, 53
    1.1 ( 11.92 )
    2.2 ( 14.12 )
    Notes
    [9] - Safety Population
    [10] - Safety Population
    No statistical analyses for this end point

    Secondary: Change from Baseline in temperature at the indicated time points

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    End point title
    Change from Baseline in temperature at the indicated time points
    End point description
    Temperature was measured in semi-supine position after 5 minutes rest. It was recorded at Baseline visit, 2 hour post-dose visit for participants enrolled under orignal protocol, 0.5 hour post-dose for participants enrolled under protocol amendement 1 and up to TOC visit (Day 4 to 8). Vital sign measurements were obtained prior to any scheduled blood collection visit on the same assessment day. Baseline was defined as the study assessment on Day 1 (pre-dose). Change from Baseline was calculated as TOC visit value minus value at Baseline. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit (Day 1) and Day 4 to Day 8
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    52 [11]
    53 [12]
    Units: Celsius
    arithmetic mean (standard deviation)
        Temperature, Day 1, 2 hr post-dose, n=47, 48
    -0.126 ( 0.4327 )
    -0.052 ( 0.3664 )
        Temperature, Day 4 to 8, n=52, 53
    -0.121 ( 0.4953 )
    -0.088 ( 0.3742 )
    Notes
    [11] - Safety Population
    [12] - Safety Population
    No statistical analyses for this end point

    Secondary: Change from Baseline in respiratory rate at the indicated time points

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    End point title
    Change from Baseline in respiratory rate at the indicated time points
    End point description
    Respiratory rate was measured in semi-supine position after 5 minutes rest. It was recorded at Baseline visit, 2 hour post-dose visit for participants enrolled under orignal protocol, 0.5 hour post-dose for participants enrolled under protocol amendement 1 and up to TOC visit (Day 4 to 8). Vital sign measurements was obtained prior to any scheduled blood collection visit on the same assessment day. Baseline was defined as the study assessment on Day 1 (pre-dose). Change from Baseline was calculated as TOC Visit value minus value at Baseline. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit (Day 1) and Day 4 to Day 8
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    52 [13]
    53 [14]
    Units: Breaths per minute
    arithmetic mean (standard deviation)
        Respiratory rate, Day 1, 2 hr post-dose, n=47, 48
    -0.1 ( 1.39 )
    -0.3 ( 1.51 )
        Respiratory rate, Day 4 to 8, n=52, 53
    0.1 ( 1.66 )
    -0.1 ( 1.61 )
    Notes
    [13] - Safety Population
    [14] - Safety Population
    No statistical analyses for this end point

    Secondary: Number of participants with abnormal electrocardiogram (ECG) findings

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    End point title
    Number of participants with abnormal electrocardiogram (ECG) findings
    End point description
    A single 12-lead ECGs were obtained at the Baseline, 2 hour post-dose, and at the TOC (Day 4 to 8) visit using an ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and corrected QT (QTc) intervals. ECG was obtained prior to any vital sign measurements or blood draws scheduled on the same assessment day. For participants enrolled under protocol amendment 1, ECG was measured at Baseline visit Day 1 (pre-dose) only. ECG assessments were presented as abnormal-clinically significant (CS) and abnormal-not clinically significant (NCS) at the indicated time points. Only those participants available at the specified time points were analyzed (represented by n=X , X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit and up to Day 8
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    52 [15]
    53 [16]
    Units: Participants
        Abnormal-NCS, pre-dose Day 1, n=52, 53
    14
    12
        Abnormal-CS, pre-dose Day 1, n=52, 53
    0
    0
        Abnormal-NCS, Day 1, 2 hr post, n=37, 36
    8
    9
        Abnormal-CS, Day 1, 2 hr post, n=37, 36
    0
    0
        Abnormal-NCS, Day 4 to 8, n=37, 35
    7
    11
        Abnormal-CS, Day 4 to 8, n=37, 35
    0
    0
    Notes
    [15] - Safety Population
    [16] - Safety Population
    No statistical analyses for this end point

    Secondary: Number of participants with abnormal physical examination finding

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    End point title
    Number of participants with abnormal physical examination finding
    End point description
    Physical examination of respiratory, cardiovascular, abdomen, gastrointestinal, urogenital systems, pharyngeal and rectal examinations with collections of microbiology specimen was performed at the Baseline and TOC (Day 4 to 8) visit. Baseline was defined as the study assessment on Day 1 (pre-dose). Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit and Test-of-Cure visit (Day 4 to 8)
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    52 [17]
    53 [18]
    Units: Participants
        Abdomen, Baseline, n=50, 53
    2
    0
        Abdomen, TOC, n=51, 52
    0
    0
        Cardiovascular, Baseline, n=52, 53
    1
    1
        Cardiovascular, TOC, n=51, 53
    0
    0
        Gastrointestinal, Baseline, n=49, 52
    1
    0
        Gastrointestinal, TOC, n=50, 51
    2
    0
        Pharyngeal, Baseline, n=51, 51
    1
    4
        Pharyngeal, TOC, n=51, 52
    0
    0
        Rectal examination, Baseline, n=46,46
    2
    4
        Rectal examination, TOC, n=41,42
    1
    2
        Respiratory, Baseline, n=52, 53
    1
    0
        Respiratory, TOC, n=52, 53
    0
    0
        Urogenital, Baseline, n=52, 53
    49
    47
        Urogenital, TOC, n=52, 51
    5
    6
    Notes
    [17] - Safety Population
    [18] - Safety Population
    No statistical analyses for this end point

    Secondary: Change from Baseline in hemoglobin, protein and albumin at Test-of-Cure visit (Day 4 to 8)

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    End point title
    Change from Baseline in hemoglobin, protein and albumin at Test-of-Cure visit (Day 4 to 8)
    End point description
    Blood samples were collected at Baseline Day 1 (pre-dose) and at TOC visit (Day 4 to 8) to evaluate hemoglobin, total protein and albumin. Baseline was defined as the study assessment on Day 1 (pre-dose). Change from Baseline was calculated as value obtained at TOC visit minus value at Baseline. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit and Test-of-Cure visit (Day 4 to 8)
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    52 [19]
    53 [20]
    Units: Gram (G)/Liter (L)
    arithmetic mean (standard deviation)
        Hemoglobin, n=46, 53
    -3 ( 6.89 )
    -3.9 ( 8.79 )
        Albumin, n=52, 53
    -0.5 ( 2.1 )
    -0.8 ( 2.51 )
        Protein, n=52, 53
    -1.1 ( 3.62 )
    -2 ( 4.01 )
    Notes
    [19] - Safety Population
    [20] - Safety Population
    No statistical analyses for this end point

    Secondary: Change from Baseline in hematocrit at Test-of-Cure visit (Day 4 to 8)

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    End point title
    Change from Baseline in hematocrit at Test-of-Cure visit (Day 4 to 8)
    End point description
    Blood samples were collected at Baseline Day 1 (pre-dose) and at TOC visit (Day 4 to 8) to evaluate hematocrit. Baseline was defined as the study assessment on Day 1 (pre-dose). Change from Baseline was calculated as value obtained at TOC visit minus value at Baseline. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit and Test-of-Cure visit (Day 4 to 8)
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    46 [21]
    53 [22]
    Units: Proportion of Blood
        arithmetic mean (standard deviation)
    -0.0117 ( 0.02213 )
    -0.0155 ( 0.03166 )
    Notes
    [21] - Safety Population
    [22] - Safety Population
    No statistical analyses for this end point

    Secondary: Change from Baseline in lymphocyte, monocyte, neutrophil basophil, eosinophil, leukocyte and platelet count at Test-of-Cure visit (Day 4 to 8)

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    End point title
    Change from Baseline in lymphocyte, monocyte, neutrophil basophil, eosinophil, leukocyte and platelet count at Test-of-Cure visit (Day 4 to 8)
    End point description
    Blood samples were collected at Baseline Day 1 (pre-dose) and at TOC visit (Day 4 to 8) to evaluate neutrophil, lymphocyte, basophil, eosinophil, monocyte, leukocyte and platelet count. Baseline was defined as the study assessment on Day 1 (pre-dose). Change from Baseline was calculated as value obtained at TOC visit minus value at Baseline. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit and Test-of-Cure visit (Day 4 to 8)
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    52 [23]
    53 [24]
    Units: 10^9 cells/L
    arithmetic mean (standard deviation)
        Lymphocytes, n=46, 52
    0.141 ( 0.5437 )
    0.053 ( 0.6846 )
        Monocytes, n=46, 52
    -0.013 ( 0.1339 )
    0.026 ( 0.1377 )
        Neutrophils , n=46, 52
    -0.834 ( 1.7564 )
    -0.598 ( 1.9185 )
        Platelets, n=45, 53
    6.4 ( 35.63 )
    -5.8 ( 26.41 )
        Basophils, n=46, 52
    -0.001 ( 0.0146 )
    0.002 ( 0.0155 )
        Eosinophils, n=46, 52
    0.023 ( 0.1147 )
    0.027 ( 0.1187 )
        Leukocytes, n=46, 52
    -0.69 ( 1.692 )
    -0.49 ( 1.947 )
    Notes
    [23] - Safety Population
    [24] - Safety Population
    No statistical analyses for this end point

    Secondary: Change from Baseline in bilirubin, direct bilirubin and creatinine at Test-of-Cure visit (Day 4 to 8)

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    End point title
    Change from Baseline in bilirubin, direct bilirubin and creatinine at Test-of-Cure visit (Day 4 to 8)
    End point description
    Blood samples were collected at Baseline Day 1 (pre-dose) and at TOC visit (Day 4 to 8) to evaluate bilirubin, direct bilirubin and creatinine. Baseline was defined as the study assessment on Day 1 (pre-dose). Change from Baseline was calculated as value obtained at TOC visit minus value at Baseline. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit and Test-of-Cure visit (Day 4 to 8)
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    52 [25]
    53 [26]
    Units: Micromole (UMOL)/ L
    arithmetic mean (standard deviation)
        Bilirubin, n=52, 53
    -1.4 ( 5.42 )
    0.4 ( 4.01 )
        Direct bilirubin, n=52, 53
    -0.2 ( 1.11 )
    0.2 ( 1.45 )
        Creatinine, n=52, 53
    1.38 ( 9.989 )
    2.01 ( 7.737 )
    Notes
    [25] - Safety Population
    [26] - Safety Population
    No statistical analyses for this end point

    Secondary: Change from Baseline in alanine aminotransferase, aspartate aminotransferase and alkaline phosphatase at Test-of-Cure visit (Day 4 to 8)

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    End point title
    Change from Baseline in alanine aminotransferase, aspartate aminotransferase and alkaline phosphatase at Test-of-Cure visit (Day 4 to 8)
    End point description
    Blood samples were collected at Baseline Day 1.(pre-dose) and at TOC visit (Day 4 to 8) to evaluate alanine aminotransferase, aspartate aminotransferase and alkaline phosphatase. Baseline was defined as the study assessment on Day 1 (pre-dose). Change from Baseline was calculated as value obtained at TOC visit minus value at Baseline. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit and Test-of-Cure visit (Day 4 to 8)
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    52 [27]
    53 [28]
    Units: International units (IU)/ L
    arithmetic mean (standard deviation)
        Alanine Aminotransferase, n=52, 53
    1.2 ( 7.24 )
    1.8 ( 8.41 )
        Aspartate Aminotransferase, n=52, 53
    2 ( 7.69 )
    2.5 ( 8.69 )
        Alkaline Phosphatase, n=52, 53
    -1.8 ( 6.73 )
    -2.2 ( 6.26 )
    Notes
    [27] - Safety Population
    [28] - Safety Population
    No statistical analyses for this end point

    Secondary: Change from Baseline in chloride, calcium, glucose, potassium, sodium and urea at Test-of-Cure visit (Day 4 to 8)

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    End point title
    Change from Baseline in chloride, calcium, glucose, potassium, sodium and urea at Test-of-Cure visit (Day 4 to 8)
    End point description
    Blood samples were collected at Baseline Day 1.(pre-dose) and at TOC visit (Day 4 to 8) to evaluate chloride, calcium, glucose, potassium, sodium and urea (blood urea nitrogen). Baseline was defined as the study assessment on Day 1 (pre-dose). Change from Baseline was calculated as value obtained at TOC visit minus value at Baseline. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit and Test-of-Cure visit (Day 4 to 8)
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    52 [29]
    53 [30]
    Units: Millimole (MMOL)/L
    arithmetic mean (standard deviation)
        Chloride, n=52, 53
    0.7 ( 2.02 )
    0.3 ( 1.92 )
        Calcium, n=52, 53
    -0.017 ( 0.0869 )
    -0.047 ( 0.0874 )
        Glucose, n=52, 53
    -0.18 ( 1.184 )
    -0.02 ( 0.959 )
        Potassium, n=52, 53
    0.04 ( 0.359 )
    -0.01 ( 0.355 )
        Sodium, n=52, 53
    0.1 ( 2.28 )
    -0.1 ( 1.95 )
        Urea, n=52, 53
    0.07 ( 1.098 )
    0.04 ( 1.228 )
    Notes
    [29] - Safety Population
    [30] - Safety Population
    No statistical analyses for this end point

    Secondary: Change from Baseline in erythrocytes at Test-of-Cure visit (Day 4 to 8)

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    End point title
    Change from Baseline in erythrocytes at Test-of-Cure visit (Day 4 to 8)
    End point description
    Blood samples were collected at Baseline Day 1 (pre-dose) and at TOC visit (Day 4 to 8) to evaluate erythrocytes (red blood cell count). Baseline was defined as the study assessment on Day 1 (pre-dose). Change from Baseline was calculated as value obtained at TOC visit minus value at Baseline. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit and Test-of-Cure visit (Day 4 to 8)
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    46 [31]
    53 [32]
    Units: 10^12/L
        arithmetic mean (standard deviation)
    -0.1 ( 0.227 )
    -0.15 ( 0.338 )
    Notes
    [31] - Safety Population
    [32] - Safety Population
    No statistical analyses for this end point

    Secondary: Change from Baseline in erythrocytes mean corpuscular hemoglobin at Test-of-Cure visit (Day 4 to 8)

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    End point title
    Change from Baseline in erythrocytes mean corpuscular hemoglobin at Test-of-Cure visit (Day 4 to 8)
    End point description
    Blood samples were collected at Baseline Day 1 (pre-dose) and at TOC visit (Day 4 to 8) to evaluate erythrocytes mean corpuscular hemoglobin. Baseline was defined as the study assessment on Day 1 (pre-dose). Change from Baseline was calculated as value obtained at TOC Visit minus value at Baseline. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit and Test-of-Cure visit (Day 4 to 8)
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    46 [33]
    53 [34]
    Units: Picograms
        arithmetic mean (standard deviation)
    0.08 ( 0.457 )
    0.12 ( 0.461 )
    Notes
    [33] - Safety Population
    [34] - Safety Population
    No statistical analyses for this end point

    Secondary: Change from Baseline in erythrocytes mean corpuscular volume at Test-of-Cure visit (Day 4 to 8)

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    End point title
    Change from Baseline in erythrocytes mean corpuscular volume at Test-of-Cure visit (Day 4 to 8)
    End point description
    Blood samples were collected at Baseline Day 1 (pre-dose) and at TOC visit (Day 4 to 8) to evaluate erythrocytes mean corpuscular volume. Baseline was defined as the study assessment on Day 1 (pre-dose). Change from Baseline was calculated as value obtained at TOC Visit minus value at Baseline. Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit and Test-of-Cure visit (Day 4 to 8)
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    46 [35]
    53 [36]
    Units: Femtoliters
        arithmetic mean (standard deviation)
    -0.3 ( 1.85 )
    -0.2 ( 1.71 )
    Notes
    [35] - Safety Population
    [36] - Safety Population
    No statistical analyses for this end point

    Secondary: Number of participants with abnormal urinalysis dipstick results

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    End point title
    Number of participants with abnormal urinalysis dipstick results
    End point description
    Dipstick urinalysis was done for glucose, ketones, occult blood, protein, potential hydrogen (pH) and specific gravity at Baseline visit Day 1 (pre-dose) and Test-of-Cure visit (Day 4 to 8). Results were presented as negative (normal) or other findings reported only if observed under microscopic examination trace, 1+, 2+, 3+, 4+ and 5+ glucose, ketones, occult blood and protein. pH results were categorized as per their pH values. Baseline was defined as the study assessment on Day 1 (pre-dose). Only those participants available at the specified time points were analyzed (represented by n=X, X in the category titles).
    End point type
    Secondary
    End point timeframe
    Baseline visit and Test-of-Cure visit (Day 4 to 8)
    End point values
    GSK2140944 1500 mg GSK2140944 3000 mg
    Number of subjects analysed
    52 [37]
    53 [38]
    Units: Participants
        Glucose, pre-dose, Day 1, negative, n=50, 53
    48
    53
        Glucose, pre-dose, Day 1, trace, n=50, 53
    1
    0
        Glucose, pre-dose, Day 1, 1+, n=50, 53
    0
    0
        Glucose, pre-dose, Day 1, 2+, n=50, 53
    0
    0
        Glucose, pre-dose, Day 1, 3+, n=50, 53
    1
    0
        Glucose, pre-dose, Day 1, 4+, n=50, 53
    0
    0
        Glucose, pre-dose, Day 1, 5+, n=50, 53
    0
    0
        Glucose, Day 4 to 8, negative, n=48, 53
    47
    53
        Glucose, Day 4 to 8, trace, n=48, 53
    0
    0
        Glucose, Day 4 to 8, 1+, n=48, 53
    0
    0
        Glucose, Day 4 to 8, 2+, n=48, 53
    0
    0
        Glucose, Day 4 to 8, 3+, n=48, 53
    1
    0
        Glucose, Day 4 to 8, 4+, n=48, 53
    0
    0
        Glucose, Day 4 to 8, 5+, n=48, 53
    0
    0
        Ketones, pre-dose, Day 1, negative, n=50, 53
    48
    49
        Ketones, pre-dose, Day 1, trace, n=50, 53
    2
    3
        Ketones, pre-dose, Day 1, 1+, n=50, 53
    0
    1
        Ketones, pre-dose, Day 1, 2+, n=50, 53
    0
    0
        Ketones, pre-dose, Day 1, 3+, n=50, 53
    0
    0
        Ketones, pre-dose, Day 1, 4+, n=50, 53
    0
    0
        Ketones, pre-dose, Day 1, 5+, n=50, 53
    0
    0
        Ketones, Day 4 to 8, negative, n=48, 53
    45
    48
        Ketones, Day 4 to 8, trace, n=48, 53
    3
    4
        Ketones, Day 4 to 8, 1+, n=48, 53
    0
    1
        Ketones, Day 4 to 8, 2+, n=48, 53
    0
    0
        Ketones, Day 4 to 8, 3+, n=48, 53
    0
    0
        Ketones, Day 4 to 8, 4+, n=48, 53
    0
    0
        Ketones, Day 4 to 8, 5+, n=48, 53
    0
    0
        Occult blood, pre-dose, Day 1, negative, n=50, 53
    35
    42
        Occult blood, pre-dose, Day 1, trace, n=50, 53
    6
    4
        Occult blood, pre-dose, Day 1, 1+, n=50, 53
    6
    7
        Occult blood, pre-dose, Day 1, 2+, n=50, 53
    2
    0
        Occult blood, pre-dose, Day 1, 3+, n=50, 53
    1
    0
        Occult blood, pre-dose, Day 1, 4+, n=50, 53
    0
    0
        Occult blood, pre-dose, Day 1, 5+, n=50, 53
    0
    0
        Occult blood, Day 4 to 8, negative, n=48, 53
    45
    49
        Occult blood, Day 4 to 8, trace, n=48, 53
    0
    0
        Occult blood, Day 4 to 8, 1+, n=48, 53
    1
    1
        Occult blood, Day 4 to 8, 2+, n=48, 53
    2
    0
        Occult blood, Day 4 to 8, 3+, n=48, 53
    0
    3
        Occult blood, Day 4 to 8, 4+, n=48, 53
    0
    0
        Occult blood, Day 4 to 8, 5+, n=48, 53
    0
    0
        Protein, pre-dose, Day 1, negative, n=50, 53
    37
    39
        Protein, pre-dose, Day 1, trace, n=50, 53
    8
    9
        Protein, pre-dose, Day 1, 1+, n=50, 53
    4
    5
        Protein, pre-dose, Day 1, 2+, n=50, 53
    1
    0
        Protein, pre-dose, Day 1, 3+, n=50, 53
    0
    0
        Protein, pre-dose, Day 1, 4+, n=50, 53
    0
    0
        Protein, pre-dose, Day 1, 5+, n=50, 53
    0
    0
        Protein, Day 4 to 8, negative, n=48, 53
    42
    43
        Protein, Day 4 to 8, trace, n=48, 53
    4
    7
        Protein, Day 4 to 8, 1+, n=48, 53
    2
    2
        Protein, Day 4 to 8, 2+, n=48, 53
    0
    1
        Protein, Day 4 to 8, 3+, n=48, 53
    0
    0
        Protein, Day 4 to 8, 4+, n=48, 53
    0
    0
        Protein, Day 4 to 8, 5+, n=48, 53
    0
    0
        pH, pre-dose, Day 1, pH 5, n=50, 53
    2
    1
        pH, pre-dose, Day 1, pH 5.5, n=50, 53
    5
    8
        pH, pre-dose, Day 1, pH 6, n=50, 53
    13
    8
        pH, pre-dose, Day 1, pH 6.5, n=50, 53
    12
    14
        pH, pre-dose, Day 1, pH 7, n=50, 53
    12
    14
        pH, pre-dose, Day 1,pH 7.5 ,n=50, 53
    4
    7
        pH, pre-dose, Day 1, pH 8, n=50, 53
    2
    1
        pH, Day 4 to 8, pH 5, n=48, 53
    0
    0
        pH, Day 4 to 8, pH 5.5, n=48, 53
    10
    11
        pH, Day 4 to 8, pH 6, n=48, 53
    13
    15
        pH, Day 4 to 8, pH 6.5, n=48, 53
    9
    14
        pH, Day 4 to 8, pH 7, n=48, 53
    10
    7
        pH, Day 4 to 8, pH 7.5, n=48, 53
    5
    3
        pH, Day 4 to 8, pH 8, n=48, 53
    1
    3
    Notes
    [37] - Safety Population
    [38] - Safety Population
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    On-treatment serious adverse events (SAEs) and non-serious adverse events (AEs) were collected from start of the study treatment (Day1) until Test-of-Cure visit (Day 4 to 8).
    Adverse event reporting additional description
    On-treatment SAEs and non-serious (AEs) are reported for Safety Population which comprised of all randomized participants who received any dose of study medication.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    19.1
    Reporting groups
    Reporting group title
    GSK2140944 1500 mg
    Reporting group description
    Participants were randomized to receive oral dose of GSK2140944 1500 mg (3 immediate-release capsules of 500 mg each) with food and 240 milliliters (mL) of water. Additional 100 mL of water was given to assist in swallowing a large number of capsules. Participants who tested positive for chlamydia trachomatis at the Baseline visit, received a single 1 gram dose of azithromycin or local standard of care at the TOC visit.

    Reporting group title
    GSK2140944 3000 mg
    Reporting group description
    Participants were randomized to receive oral dose of GSK2140944 3000 mg (6 immediate-release capsules of 500 mg each) with food and 240 mL of water. Additional 100 mL of water was given to assist in swallowing a large number of capsules. Participants who tested positive for chlamydia trachomatis at the Baseline visit, received a single 1 gram dose of azithromycin or local standard of care at the TOC visit.

    Serious adverse events
    GSK2140944 1500 mg GSK2140944 3000 mg
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 52 (0.00%)
    0 / 53 (0.00%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    GSK2140944 1500 mg GSK2140944 3000 mg
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    22 / 52 (42.31%)
    28 / 53 (52.83%)
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    1 / 52 (1.92%)
    6 / 53 (11.32%)
         occurrences all number
    1
    6
    Somnolence
         subjects affected / exposed
    0 / 52 (0.00%)
    3 / 53 (5.66%)
         occurrences all number
    0
    3
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    3 / 52 (5.77%)
    5 / 53 (9.43%)
         occurrences all number
    3
    6
    Feeling hot
         subjects affected / exposed
    1 / 52 (1.92%)
    4 / 53 (7.55%)
         occurrences all number
    1
    4
    Gastrointestinal disorders
    Abdominal discomfort
         subjects affected / exposed
    4 / 52 (7.69%)
    2 / 53 (3.77%)
         occurrences all number
    4
    3
    Abdominal pain
         subjects affected / exposed
    6 / 52 (11.54%)
    10 / 53 (18.87%)
         occurrences all number
    6
    11
    Diarrhoea
         subjects affected / exposed
    9 / 52 (17.31%)
    19 / 53 (35.85%)
         occurrences all number
    10
    21
    Eructation
         subjects affected / exposed
    1 / 52 (1.92%)
    3 / 53 (5.66%)
         occurrences all number
    1
    3
    Faeces soft
         subjects affected / exposed
    1 / 52 (1.92%)
    3 / 53 (5.66%)
         occurrences all number
    1
    4
    Flatulence
         subjects affected / exposed
    14 / 52 (26.92%)
    10 / 53 (18.87%)
         occurrences all number
    17
    10
    Nausea
         subjects affected / exposed
    3 / 52 (5.77%)
    11 / 53 (20.75%)
         occurrences all number
    3
    13
    Skin and subcutaneous tissue disorders
    Hyperhidrosis
         subjects affected / exposed
    1 / 52 (1.92%)
    6 / 53 (11.32%)
         occurrences all number
    1
    6

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    04 Apr 2016
    Added optional interim analyses for success or futility. Removed the 2-hour post-dose ECG, vital sign measurements, and PK requirements and removed the ECG at the Test-of-Cure (Day 4 to 8) visit. Incorporated Protocol Administration Letters 1, 2, 3, and 4.Clarified that treatment for Chlamydia trachomatis at the Test-of-Cure (Day 4 to 8) visit should be administered after all study procedures have been completed. Clarified that the laboratory manual, in addition to the study procedures manual, provides instructions for sample collection, processing, and shipment. Updated medical monitor information. Updated the list of authors. Updated the investigator’s brochure (IB) document number and added IB supplement 1 reference. Updated formatting and stylistic inconsistencies and minor administrative edits.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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