Evidence map›Paper›PMID 26465780›Full record

ArticlePloS one2015

Single and Multiple Dose Pharmacokinetics, Pharmacodynamics and Safety of the Novel Lipoprotein-Associated Phospholipase A2 Enzyme Inhibitor Darapladib in Healthy Chinese Subjects: An Open Label Phase-1 Clinical Trial.

Chaoying Hu, Debra Tompson, Mindy Magee, Qian Chen, Yan Mei Liu, Wenjing Zhu, Hongxin Zhao, Annette S Gross, Yun Liu

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02000804 (A Study to Evaluate the Pharmacokinetics, Pharmacodynamics and Safety of 160 mg Enteric-coated Micronised Free Base Darapladib in Healthy Chinese Subjects.), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02000804 phase1completednot on this map

A Study to Evaluate the Pharmacokinetics, Pharmacodynamics and Safety of 160 mg Enteric-coated Micronised Free Base Darapladib in Healthy Chinese Subjects.

TypeinterventionalSponsorGlaxoSmithKlineRan2013 to 2014Enrolled24ConditionsAtherosclerosisArmsdarapladib 160mg
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Chaoying HuPhase I Clinical Research Unit, Shanghai Xuhui Central Hospital, Shanghai, China.
Debra TompsonClinical Pharmacology Modeling and Simulation, GSK Medicines Research Centre, Stevenage, United Kingdom.
Mindy MageeClinical Pharmacology Modeling and Simulation, GlaxoSmithKline, King of Prussia, Pennsylvania, United States of America.
Qian ChenPhase I Clinical Research Unit, Shanghai Xuhui Central Hospital, Shanghai, China.
Yan Mei LiuPhase I Clinical Research Unit, Shanghai Xuhui Central Hospital, Shanghai, China.
Wenjing ZhuChina Medicine Development, GlaxoSmithKline (China) R&D Company Limited, Shanghai, China.
Hongxin ZhaoChina Medicine Development, GlaxoSmithKline (China) R&D Company Limited, Shanghai, China.
Annette S GrossEthnopharmacology, GlaxoSmithKline, Sydney, Australia.
Yun LiuPhase I Clinical Research Unit, Shanghai Xuhui Central Hospital, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesDarapladib is a lipoprotein-associated phospholipase A2 (Lp-PLA2) inhibitor. This study evaluated the pharmacokinetics, pharmacodynamics and safety of darapladib in healthy Chinese subjects.

methodsTwenty-four subjects received darapladib 160 mg orally, approximately 1 hour after a standard breakfast, as a single dose and once daily for 28 days. Non-compartmental methods were used to determine the single and multiple dose pharmacokinetics of darapladib and its metabolite SB-553253. Repeat dose Lp-PLA2 activity and safety were evaluated.

resultsSystemic exposure (AUC(0-T), Cmax geometric mean (CVb%)) of darapladib was higher after multiple-dosing (519 ng.h/mL (33.3%), 34.4 ng/mL (49.9%)) compared to single-dose administration (153 ng.h/mL (69.0%), 17.9 ng/mL (55.2%). The steady-state accumulation ratio was less than unity (Rs = 0.80), indicating time-dependent pharmacokinetics of darapladib. Darapladib steady-state was reached by Day 14 of once daily dosing. Systemic exposure to SB-553253 was lower than darapladib with median (SB-553253: darapladib) ratios for AUC(0-τ) of 0.0786 for single dose and 0.0532 for multiple dose administration. On Day 28, pre-dose and maximum inhibition of Lp-PLA2 activity was approximately 70% and 75% relative to the baseline value, respectively and was dependent of darapladib concentration. The most common adverse events (≥ 21% subjects) were abnormal faeces, abnormal urine odour, diarrhoea and nasopharyngitis.

conclusionDarapladib 160 mg single and repeat doses were profiled in healthy Chinese subjects. Single dose systemic exposure to darapladib in healthy Chinese subjects was consistent with that observed previously in Western subjects whereas steady-state systemic exposure was approximately 65% higher in Chinese than Western subjects. The Lp-PLA2 activity and adverse event profile were similar in healthy Chinese and previous reports in Western subjects. Ethnic-specific dose adjustment of darapladib is not considered necessary for the Chinese population.

trial registrationClinicalTrials.gov NCT02000804.

Indexed as

1-Alkyl-2-acetylglycerophosphocholine EsteraseAdultAsian PeopleBenzaldehydesBiphenyl CompoundsChinaDiethylaminesDose-Response Relationship, DrugDrug Administration ScheduleEnzyme InhibitorsFemaleHealthy VolunteersHumansMaleOximesPyrimidinones1-Alkyl-2-acetylglycerophosphocholine EsteraseBenzaldehydesBiphenyl CompoundsdarapladibDiethylaminesEnzyme InhibitorsOximesPyrimidinonesSulfides

Identifiers

PMID26465780
PMCPMC4605839

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.