Evidence map›Paper›PMID 33200887›Full record

Trial reportPharmacology research & perspectives2020

Phase I evaluation of the safety, tolerability, and pharmacokinetics of GSK3640254, a next-generation HIV-1 maturation inhibitor.

Samit R Joshi, Disala Fernando, Stephanie Igwe, Litza McKenzie, Anu S Krishnatry, Fiona Halliday, Joyce Zhan, Thomas J Greene, Jianfeng Xu, Geraldine Ferron-Brady and 2 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Pharmacology research & perspectives, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 20% of its field
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.

NCT03231943 phase1completednot on this map

A Double-Blind (Sponsor Unblinded), Randomized, Placebo-Controlled, Single and Repeated Dose Escalation Study to Investigate the Safety, Tolerability and Pharmacokinetics of GSK3640254 in Healthy Participants

TypeinterventionalSponsorViiV HealthcareRan2017 to 2018Enrolled78ConditionsInfection, Human Immunodeficiency Virus, HIV InfectionsArmsGSK3640254, Placebo
NCT03575962 phase1completednot on this map

A Single Centre, 2-period, Randomized, Open-label Phase 1 Study to Assess the Relative Bioavailability of a Mesylate Salt Capsule of GSK3640254 Compared to a Hydrochloride Salt Capsule in Healthy Participants

TypeinterventionalSponsorViiV HealthcareRan2018 to 2018Enrolled14ConditionsHIV InfectionsArmsGSK3640254 bis-hydrochloride salt capsule, GSK3640254 Mesylate Salt Capsule
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

12 authors at 5 institutions in 3 countries.

Samit R JoshiViiV Healthcare, Branford, CT, USA.ORCID 0000-0002-1332-5918
Disala FernandoGlaxoSmithKline Clinical Unit Cambridge, Cambridge, UK.
Stephanie IgweGlaxoSmithKline Clinical Unit Cambridge, Cambridge, UK.
Litza McKenzieQuotient Sciences, Nottingham, UK.
Anu S KrishnatryGlaxoSmithKline, Upper Providence, PA, USA.
Fiona HallidayGlaxoSmithKline, Stockley Park, UK.
Joyce ZhanGlaxoSmithKline, Upper Providence, PA, USA.
Thomas J GreeneGlaxoSmithKline, Upper Providence, PA, USA.
Jianfeng XuGlaxoSmithKline, Upper Providence, PA, USA.
Geraldine Ferron-BradyGlaxoSmithKline, Upper Providence, PA, USA.
Max LatailladeViiV Healthcare, Branford, CT, USA.
Sherene MinViiV Healthcare, Research Triangle Park, NC, USA.
Providence College · USGlaxoSmithKline (United Kingdom) · GBViiV Healthcare (Spain) · ESQuotient Clinical (United Kingdom) · GBTriangle · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite advances in HIV-1 management with antiretroviral therapy, drug resistance and toxicities with multidrug regimens can result in treatment failure. Hence, there is a continuing demand for antiretroviral agents (ARVs) with novel mechanisms of action. Maturation inhibitors inhibit HIV-1 replication via a unique mechanism of action and can be combined with other ARVs. Two phase I randomized clinical trials were conducted for a maturation inhibitor, GSK3640254, to determine safety, pharmacokinetics (NCT03231943), and relative bioavailability (NCT03575962) in healthy adults. The first trial was conducted in two parts. Part 1 was conducted in a two-cohort, interlocking, eight-period fashion in 20 participants with single ascending doses of GSK3640254 (1-700 mg) or placebo. In Part 2, 58 participants were randomized to receive GSK3640254 (n = 44) or placebo (n = 14). Four participants reported adverse events (AEs) leading to study discontinuation, with one adverse drug reaction (maculopapular rash). There was no relationship between frequency or severity of AEs and dose. Pharmacokinetic assessments showed that GSK3640254 was slowly absorbed, with time to maximum concentration (tmax) occurring between 3.5 and 4 hours and half-life of ~24 hours. In the relative bioavailability study of GSK3640254 mesylate salt vs bis-hydrochloride salt capsules in 14 healthy adults, the mesylate salt performed slightly better than the bis-hydrochloride formulation (12%-16% increase in area under the concentration-time curve and maximum concentration); tmax (5 hours) was similar between the formulations. Initial pharmacokinetic and safety data from these healthy-participant studies informed further development of GSK3640254 for once-daily dosing for the treatment of HIV-1 infection.

Indexed as

AdolescentAdultAnti-Retroviral AgentsCohort StudiesCross-Over StudiesDose-Response Relationship, DrugDouble-Blind MethodDrug Administration ScheduleFemaleHIV-1HIV InfectionsHumansMaleMiddle AgedSuccinatesTriterpenesAnti-Retroviral AgentsHIV-1 maturation inhibitor EP39SuccinatesTriterpenesbioavailabilityclinical studyfirst-time-in-humanhealthy participantsHIV-1 infectionpharmacokineticssafety

Identifiers

PMID33200887
PMCPMC7670640
OpenAlexW3103549888

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.