Skip to main content
OpenTrials
Completed

NCT Number: NCT01849003

Study of the Effect of GS-6615 in Subjects With LQT-3

This mechanism of action study is to evaluate the effect of oral GS-6615 on the QTc interval in participants with Long QT-3 syndrome. This study will be performed in six cohorts of participants in a sequential manner, four single-dose cohorts followed by two multiple-dose cohorts. Duration of treatment for the single-dose cohorts and multiple-dose cohorts will be 1 day and 7 days, respectively. Participants will be confined at the study center from check-in until completion of assessments at discharge.

Participants will be continuously monitored using real-time telemetry throughout the in-clinic confinement. Physical examinations including vital signs, laboratory analysis, electrocardiograms (ECGs), Holter recordings and echocardiography (ECHO) will be performed at defined time points throughout the study period. Assessment of adverse events and concomitant medications will continue throughout the duration of the study.

Completed

Looking for future studies?

Notify Me

Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

University of Rochester Medical Center/Strong Memorial Hospital

Rochester, New York, 14620, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Males and females between ages 18-65 years (inclusive) at time of screening
  • Documented LQT-3 genotype with one of the following mutations: delta KPQ, R1623Q, N1325S, E1784K, S1787N, D1790G, G1631D, 1795insD, delF1617, R1644H, L409P, F2004L, I1768V, T1304M, A1330T, or F1596I3.
  • QTc > 480 msec in lead V5 at screening
  • Weight of at least 50 kg with body mass index (BMI) between 18 and 30 kg/m^2 (inclusive)
  • Females of childbearing potential must have a negative serum pregnancy test at screening and check-in
  • Females of childbearing potential must agree to utilize protocol recommended highly effective contraception methods from three weeks prior to the single dose of study drug and for 30 days following the single dose of study drug

a. Females who utilize hormonal contraceptive as one of their birth control methods must have used the same method for at least 3 months prior to study dosing

  • Males must agree to utilize a protocol recommended highly effective method of contraception during heterosexual intercourse throughout the study period and for 90 days following last dose of study drug. Periodic abstinence and withdrawal are not acceptable methods of contraception
  • Males must refrain from sperm donation from Day -2 through completion of the study and continuing for at least 90 days from the date of last dose of study drug
  • Willing and able to comply with the requirements of the protocol and directions from the clinic staff
  • Willing to avoid consumption of grapefruit, grapefruit juice and Seville oranges within 2 weeks prior to the single dose of study drug until discharge from the clinic
  • Willing to avoid consumption of nicotine (including nicotine gum) and alcoholic beverages within 2 weeks prior to the single dose of study drug until discharge from the clinic
  • Understand and willing to sign informed consent

Exclusion criteria

  • Ongoing or history of any medical or surgical condition that, in the judgment of the Investigator, might jeopardize the individual's safety or interfere with the absorption, distribution, metabolism or excretion of the study drug
  • History of meningitis or encephalitis, seizures, migraines, tremors, myoclonic jerks, sleep disorder, anxiety, syncope, head injuries or a family history of seizures
  • Any abnormal electrocardiographic (ECG) findings (except QTc > 460 msec) at screening judged to be clinically significant by the investigator
  • Any abnormal laboratory value or physical examination finding at screening or check-in that is judged by the investigator as clinically significant
  • History of positive serology test for HIV, or hepatitis B or C
  • Positive urine drug test for ethanol, barbiturates, cocaine, opiates, or amphetamines at screening or check-in
  • Positive urine cotinine test at check-in
  • Current treatment with drugs affecting the QT interval
  • Current treatment with sodium-channel blockers, eg, flecainide and mexiletine
  • Current treatment with strong or moderate inhibitors or inducers of cytochrome P450 (CYP)3A4 and 1A2
  • Prior treatment with ranolazine within 7 days prior to study drug administration
  • Use of systemic prescription medications or over-the-counter (OTC) medication, including multivitamins, and dietary and herbal supplement within 2 weeks or 5 times the terminal half-lives of the medication (whichever is longer) prior to the single dose of study drug, and for the duration of the study
  • Use of any experimental or investigational drug or device within 30 days prior to the single dose of study drug or 5 half-lives of the drug, whichever is longer
  • Females who are pregnant or lactating
  • History of drug or alcohol abuse within 12 months prior to initial dosing of study drug
  • Psychosocial or addictive disorders that would interfere with ability to give informed consent or could compromise compliance with the protocol

Treatment and study plan

GS-6615

Drug

GS-6615 tablet(s) administered orally

Primary outcomes

  1. Changes in QTc intervals (Fridericia formula)

    Time frame: Baseline through Day 7

    Changes in QTc intervals (Fridericia formula; QTcF) from the time-matched ECG in the primary lead V5. In case QT cannot be measured in lead V5, lead II will be designated as the primary lead

    • Change from the time-matched ECG on Day -1 to Day 1 for Cohorts 1-4
    • Change from the time-matched ECG average of Day -1 and Day -2 to Days 1-7 for Cohort 5 and 6

Secondary outcomes

  1. Incidence of Adverse Events (AEs)

    Time frame: Baseline through Day 22

  2. Changes in ECHO parameters

    Time frame: Baseline through Day 7

    ECHO parameters relevant for measurement of diastolic function will be assessed.

  3. Area under the plasma concentration-time curve (AUC) from time 0 to the last quantifiable concentration of GS-6615

    Time frame: Baseline through Day 12

  4. Maximum observed plasma concentration (Cmax) of GS-6615

    Time frame: Baseline through Day 12

  5. Time to maximum observed concentration (Tmax) of GS-6615

    Time frame: Baseline through Day 12

  6. Changes in ECG parameters

    Time frame: Baseline through Day 12

    ECG parameters assessed will include PR, RR, QRS, and QT.

    • PR: electrocardiographic interval occurring between the onset of the P wave and the QRS complex representing time for atrial and ventricular depolarization, respectively
    • RR: electrocardiographic interval representing the time measurement between the R wave of one heartbeat and the R wave of the preceding heartbeat
    • QRS: electrocardiographic deflection between the beginning of the Q wave and termination of the S wave representing time for ventricular depolarization
    • QT: electrocardiographic interval between the beginning of the Q wave and termination of the T wave representing the time for both ventricular depolarization and repolarization to occur
  7. Changes in QTc interval (Bazett [QTcB])

    Time frame: Baseline through Day 7

    Changes in QTcB from the time-matched ECG in the primary lead V5. In case QT cannot be measured in lead V5, lead II will be designated as the primary lead

    • Change from the time-matched ECG on Day -1 to Day 1 for Cohorts 1-4
    • Change from the time-matched ECG average of Day -1 and Day -2 to Days 1-7 for Cohort 5 and 6

Sponsors and collaborators

Lead sponsor

Gilead Sciences

Industry

Registry information

Official study title

An Open-label Study to Evaluate the Effect of Single Dose GS-6615 on QT, Safety and Tolerability in Subjects With Long QT-3 Syndrome

Important dates

Study start
2013
Primary completion
2014
Study completion
2014
First posted
May 8, 2013
Registry last updated
Nov 17, 2014

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.