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Study to Investigate the Safety and Clinical Activity of GSK3326595 and Other Agents to Treat Myelodysplastic Syndrome (MDS) and Acute Myeloid Leukemia (AML)

A Phase I/II Study to Investigate the Safety and Clinical Activity of GSK3326595 and Other Agents in Participants With Myelodysplastic Syndrome and Acute Myeloid Leukaemia

Status
Terminated
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03614728
Enrollment
30
Registered
2018-08-03
Start date
2018-10-16
Completion date
2022-01-11
Last updated
2023-02-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Neoplasms

Keywords

Acute myeloid leukemia, Myelodysplastic syndrome, Chronic myelomonocytic leukemia, GSK3326595, 5-Azacitidine

Brief summary

This study will evaluate the safety, tolerability, and clinical activity of GSK3326595 in participants with relapsed and refractory MDS, chronic myelomonocytic leukemia (CMML), and AML. The study will be conducted in 2 parts: Part 1 will determine the clinical benefit rate (CBR) of GSK3326595 in monotherapy and Part 2 will be expanded to study GSK3326595 in combination with 5-Azacitidine which will be composed of a dose escalation phase followed by dose expansion cohort of GSK3326595.

Interventions

GSK3326595 will be administered.

5-Azacitidine will be administered.

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

This is an open-label, multicenter, multi-part study.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Males and females greater than or equal to (\>=)18 years of age (at the time consent is obtained). * Diagnosis of MDS, CMML or AML * Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1 or 2 * Adequate organ function * A woman of childbearing potential (WOCBP) must have a negative highly sensitive serum pregnancy test within 7 days before the first dose of study intervention.

Exclusion criteria

* History of, or known, central nervous system (CNS) involvement * Prior solid organ transplantation * Known allergies, hypersensitivity, or intolerance to GSK3326595 or 5-Azacitidine or its excipient * Prior therapy with any Protein arginine methyl transferase 5 (PRMT5) inhibitor * History of a second malignancy, excluding non-melanoma skin cell cancer, within the last three years * Active severe or uncontrolled infection * History of optic nerve neuropathy or neuritis. * History of sensitivity to any of the study medications, or components thereof, or a history of drug or other allergy that, in the opinion of the investigator or Medical Monitor, contraindicates their participation.

Design outcomes

Primary

MeasureTime frameDescription
Part 1: Percentage of Participants With Clinical Benefit Rate (CBR)Up to 30.8 monthsCBR is defined as the percentage of participants achieving a complete remission (CR), complete marrow remission (mCR), partial remission (PR), stable disease (SD) lasting at least 8 weeks, or hematologic improvement (HI), per International Working Group (IWG) criteria, where CR=Bone marrow:\<=5 percent(%) myeloblasts with normal maturation of all cell lines; PR=Bone marrow blasts decreased by \>=50% over pre-treatment but still \>5%; mCR=Bone marrow: \<=5% myeloblasts and decrease by \>=50% over pre-treatment; SD= Failure to achieve at least PR, but no evidence of progression \>8 weeks; HI=Erythroid (E): hemoglobin increase of \>1.5 grams per deciliter (g/dL), HI-Platelet: increase of \>30,000/milliliter (mL) (starting with \>20,000/mL) and increase from \<20,000/mL to \>20,000/mL by \>100%; HI-Neutrophil: increase of \>100% and \>500/microliter. Percentage values are rounded off.
Part 2: Number of Participants With Non-serious Treatment-emergent Adverse Events (Non-STEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)Up to 3 years and 2 monthsAn adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. An serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose; results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect or any other situation according to medical or scientific judgement. Treatment emergent adverse event (TEAE) is any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment. Number of participants with non-STEAEs and STEAEs were planned to be assessed.
Part 2: Number of Participants With AEs by SeverityUp to 3 years and 2 monthsAn AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. Number of participants with AEs by severity were planned to be assessed.
Part 2: Number of Participants With Dose Limiting Toxicities (DLTs)Up to 28 daysAn event is considered to be a DLT if the event occurs within the first 28 days of treatment meeting one of the following criteria of toxicity, Hematologic: Grade 4 or greater treatment-emergent neutropenia, anemia, or thrombocytopenia, lasting for \>=14 days in the absence of Investigational Product, that cannot be attributed to underlying disease as described in National Cancer Institute- Common Toxicity Criteria for Adverse Events (NCI-CTCAE) version 4; Non-hematologic: Hepatic toxicity that meets Liver Stopping Criteria, Grade 3 nausea, vomiting or diarrhea that does not improve within 72 hours despite appropriate supportive treatments, Grade 4 or greater nausea, vomiting, or diarrhea of any duration, Any other Grade 3 or greater clinically significant non-hematologic toxicity; Other: Inability to receive all planned doses, dose interruption and Grade 2 or higher toxicity. Number of participants with DLTs were planned to be assessed.
Part 2: Number of Participants With AEs Leading to Dose Interruptions, Dose Reductions and Treatment Discontinuation Due to AEsUp to 3 years and 2 monthsNumber of participants with AEs leading to dose interruptions, dose reductions and treatment discontinuation due to AEs were planned to be assessed.

Secondary

MeasureTime frameDescription
Part 1: Progression Free SurvivalUp to 30.8 monthsProgression free survival is defined as time from first dose to disease progression, as defined by IWG criteria, or death due to any cause, whichever occurs earlier. Progressive Disease (PD) is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study.
Part 1: Maximum Observed Plasma Concentration (Cmax) of GSK3326595 Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 1: Cmax of GSK3326595 Following Administration of Repeat DoseDay 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 1: Time of Maximum Concentration Observed (Tmax) of GSK3326595 Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 1: Tmax of GSK3326595 Following Administration of Repeat DoseDay 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 1: Apparent Terminal Phase Half-life (t1/2) of GSK3326595 Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 1: t1/2 of GSK3326595 Following Administration of Repeat DoseDay 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 1: Area Under Concentration-time Curve From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration Within Participant Across All Treatments (AUC[0-t]) of GSK3326595 Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 1: AUC(0-t) of GSK3326595 Following Administration of Repeat DoseDay 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 1: AUC From 0 Hours to the Time of Next Dosing (AUC[0-tau]) of GSK3326595Day 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 1: Area Under the Concentration-time Curve From Time Zero to Infinity (AUC[0-inf]) of GSK3326595 Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 1: AUC(0-inf) of GSK3326595 Following Administration of Repeat DoseDay 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 1: Oral Clearance (CL/F) of GSK3326595 Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 1: CL/F of GSK3326595 Following Administration of Repeat DoseDay 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 1: Time Invariance Following Administration of GSK3326595Days1and15:Pre-dose(within 1hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hour(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour),24hours(+/-2hour)post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595. Time invariance was calculated as the ratio of AUC(0-24) on Day 15 divided by AUC(0-infinity) on Day 1 for GSK3326595.
Part 1: Accumulation Ratio Following Administration of GSK3326595Days1and15:Pre-dose(within 1hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hour(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour),24hours(+/-2hour)post-doseBlood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595. Accumulation ratio was calculated as the ratio of AUC(0-24) on Day 15 divided by AUC(0-24) on Day 1 for GSK3326595.
Part 2: Complete Remission (CR) RateUp to 3 years and 2 monthsComplete remission rate is defined as percentage of participants achieving a CR per IWG criteria.
Part 2: Cmax of GSK3326595 Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 2: Cmax of GSK3326595 Following Administration of Repeat DoseDay 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 2: Cmax of 5-Azacitidine Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 2: Cmax of 5-Azacitidine Following Administration of Repeat DoseDay 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 2: Tmax of GSK3326595 Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 2: Tmax of GSK3326595 Following Administration of Repeat DoseDay 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 2: Tmax of 5-Azacitidine Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 2: Tmax of 5-Azacitidine Following Administration of Repeat DoseDay 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 2: t1/2 of GSK3326595 Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 2: t1/2 of GSK3326595 Following Administration of Repeat DoseDay 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 2: t1/2 of 5-Azacitidine Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 2: t1/2 of 5-Azacitidine Following Administration of Repeat DoseDay 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 2: AUC(0-t) of GSK3326595 Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 2: AUC(0-t) of GSK3326595 Following Administration of Repeat DoseDay 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 2: AUC(0-t) of 5-Azacitidine Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 2: AUC(0-t) of 5-Azacitidine Following Administration of Repeat DoseDay 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 2: AUC(0-inf) of GSK3326595 Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 2: AUC(0-inf) of GSK3326595 Following Administration of Repeat DoseDay 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 2: AUC(0-inf) of 5-Azacitidine Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 2: AUC(0-inf) of 5-Azacitidine Following Administration of Repeat DoseDay 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 2: AUC(0-tau) Following Administration of GSK3326595Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 2: AUC(0-tau) Following Administration of 5-AzacitidineDay 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 2: CL/F of GSK3326595 Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 2: CL/F of GSK3326595 Following Administration of Repeat DoseDay 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 2: CL/F of 5-Azacitidine Following Administration of Single DoseDay 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 2: CL/F of 5-Azacitidine Following Administration of Repeat DoseDay 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 2: Time Invariance Following Administration of GSK3326595Days 1 and 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour)post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 2: Time Invariance Following Administration of 5-AzacitidineDays 1 and 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 1: Overall SurvivalUp to 30.8 monthsOverall survival is defined as time from first dose to death due to any cause.
Part 2: Accumulation Ratio Following Administration of 5-AzacitidineDays 1 and 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.
Part 2: Overall Response RateUp to 3 years and 2 monthsOverall response rate is defined as the percentage of participants achieving a CR, mCR, or PR, per IWG criteria.
Part 2: Accumulation Ratio Following Administration of GSK3326595Day 1 and 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-doseBlood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.
Part 1: Number of Participants With Common Non-STEAEs and STEAEsUp to 30.8 monthsAn AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. An SAE is defined as any untoward medical occurrence that, at any dose; results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect or any other situation according to medical or scientific judgement. TEAE is any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment. TEAEs which were not serious, were considered as non-STEAEs.
Part 1: Number of Participants With AEs by SeverityUp to 30.8 monthsAn AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. Severity of each AE was reported during the study and was assigned a grade according to the NCI-CTCAE. AEs severity were graded as: Grade 1=mild; Grade 2=moderate; Grade 3=severe or medically significant but not immediately life-threatening; Grade 4=life-threatening consequences and Grade 5=death related to AE.
Part 1: Number of Participants With DLTsUp to 28 daysAn event is considered to be a DLT if the event occurs within the first 28 days of treatment meeting one of the following criteria of toxicity, Hematologic: Grade 4 or greater treatment-emergent neutropenia, anemia, or thrombocytopenia, lasting for \>=14 days in the absence of Investigational Product, that cannot be attributed to underlying disease as described in NCI-CTCAE version 4; Non-hematologic: Hepatic toxicity that meets Liver Stopping Criteria, Grade 3 nausea, vomiting or diarrhea that does not improve within 72 hours despite appropriate supportive treatments, Grade 4 or greater nausea, vomiting, or diarrhea of any duration, Any other Grade 3 or greater clinically significant non-hematologic toxicity; Other: Inability to receive all planned doses, dose interruption and Grade 2 or higher toxicity.
Part 1: Overall Response RateUp to 30.8 monthsOverall response rate is defined as the percentage of participants achieving a CR, mCR, or PR, per IWG criteria, where CR=Bone marrow: \<=5% myeloblasts with normal maturation of all cell lines; PR=Bone marrow blasts decreased by \>=50% over pre-treatment but still \>5%; mCR= Bone marrow: ≤ 5% myeloblasts and decrease by \>=50% over pre-treatment. Percentage values are rounded off.

Countries

Canada, United States

Participant flow

Recruitment details

This was a 2-part study in participants with myeloid malignancies. Part 1 determined the clinical activity of GSK3326595 as monotherapy. Part 2 composed of a dose escalation and dose expansion cohorts to evaluate safety and clinical activity of GSK3326595 in combination with 5-Azacitidine

Pre-assignment details

A total 30 participants were enrolled in Part 1. Part 2 was terminated early following a review of clinical data collected across the GSK3326595 clinical development program. Hence, no participants were enrolled in Part 2. The decision to terminate the study was not related to new safety concerns or to a change in the benefit risk profile of GSK3326595 .

Participants by arm

ArmCount
Part 1: GSK3326595 400 mg
Participants received GSK3326595 400 milligram (mg), tablets, orally, once daily until progression, unacceptable toxicity, or withdrawal of consent during Part 1 of the study.
13
Part 1: GSK3326595 300 mg
Participants received GSK3326595 300 mg, tablets, orally, once daily until progression, unacceptable toxicity, or withdrawal of consent during Part 1 of the study.
17
Part 2-Dose Escalation: GSK3326595+5-Azacitidine
Participants were planned to receive GSK3326595 in combination with 5-Azacitidine in dose escalation cohort during Part 2 of the study.
0
Part 2-Dose Expansion: GSK3326595+5-Azacitidine
Participants were planned to receive GSK3326595 in combination with 5-Azacitidine in dose expansion cohort during Part 2 of the study.
0
Total30

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003
Part 1 (Up to 30.8 Months)Physician Decision0100
Part 1 (Up to 30.8 Months)Study Terminated By Sponsor1000

Baseline characteristics

CharacteristicPart 1: GSK3326595 400 mgPart 1: GSK3326595 300 mgTotal
Age, Continuous70.2 Years
STANDARD_DEVIATION 9.25
72.8 Years
STANDARD_DEVIATION 9.61
71.7 Years
STANDARD_DEVIATION 9.38
Race/Ethnicity, Customized
Asian - East Asian Heritage
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Black or African American
3 Participants0 Participants3 Participants
Race/Ethnicity, Customized
Mixed Race
0 Participants1 Participants1 Participants
Race/Ethnicity, Customized
Unknown
0 Participants2 Participants2 Participants
Race/Ethnicity, Customized
White - Arabic/North African Heritage
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
White - White/Caucasian/European Heritage
8 Participants14 Participants22 Participants
Sex: Female, Male
Female
3 Participants4 Participants7 Participants
Sex: Female, Male
Male
10 Participants13 Participants23 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
11 / 1314 / 17
other
Total, other adverse events
12 / 1317 / 17
serious
Total, serious adverse events
11 / 1312 / 17

Outcome results

Primary

Part 1: Percentage of Participants With Clinical Benefit Rate (CBR)

CBR is defined as the percentage of participants achieving a complete remission (CR), complete marrow remission (mCR), partial remission (PR), stable disease (SD) lasting at least 8 weeks, or hematologic improvement (HI), per International Working Group (IWG) criteria, where CR=Bone marrow:\<=5 percent(%) myeloblasts with normal maturation of all cell lines; PR=Bone marrow blasts decreased by \>=50% over pre-treatment but still \>5%; mCR=Bone marrow: \<=5% myeloblasts and decrease by \>=50% over pre-treatment; SD= Failure to achieve at least PR, but no evidence of progression \>8 weeks; HI=Erythroid (E): hemoglobin increase of \>1.5 grams per deciliter (g/dL), HI-Platelet: increase of \>30,000/milliliter (mL) (starting with \>20,000/mL) and increase from \<20,000/mL to \>20,000/mL by \>100%; HI-Neutrophil: increase of \>100% and \>500/microliter. Percentage values are rounded off.

Time frame: Up to 30.8 months

Population: All Treated Population consisted of all participants who received at least one dose of GSK3326595 as monotherapy or at least one dose of both combination drugs as combination treatment.

ArmMeasureValue (NUMBER)
Part 1: GSK3326595 400 mgPart 1: Percentage of Participants With Clinical Benefit Rate (CBR)15 Percentage of Participants
Part 1: GSK3326595 300 mgPart 1: Percentage of Participants With Clinical Benefit Rate (CBR)18 Percentage of Participants
Primary

Part 2: Number of Participants With AEs by Severity

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. Number of participants with AEs by severity were planned to be assessed.

Time frame: Up to 3 years and 2 months

Population: All Treated Population. Data was not collected as no participants were enrolled in Part 2.

Primary

Part 2: Number of Participants With AEs Leading to Dose Interruptions, Dose Reductions and Treatment Discontinuation Due to AEs

Number of participants with AEs leading to dose interruptions, dose reductions and treatment discontinuation due to AEs were planned to be assessed.

Time frame: Up to 3 years and 2 months

Population: All Treated Population. Data was not collected as no participants were enrolled in Part 2.

Primary

Part 2: Number of Participants With Dose Limiting Toxicities (DLTs)

An event is considered to be a DLT if the event occurs within the first 28 days of treatment meeting one of the following criteria of toxicity, Hematologic: Grade 4 or greater treatment-emergent neutropenia, anemia, or thrombocytopenia, lasting for \>=14 days in the absence of Investigational Product, that cannot be attributed to underlying disease as described in National Cancer Institute- Common Toxicity Criteria for Adverse Events (NCI-CTCAE) version 4; Non-hematologic: Hepatic toxicity that meets Liver Stopping Criteria, Grade 3 nausea, vomiting or diarrhea that does not improve within 72 hours despite appropriate supportive treatments, Grade 4 or greater nausea, vomiting, or diarrhea of any duration, Any other Grade 3 or greater clinically significant non-hematologic toxicity; Other: Inability to receive all planned doses, dose interruption and Grade 2 or higher toxicity. Number of participants with DLTs were planned to be assessed.

Time frame: Up to 28 days

Population: DLT Evaluable Population is defined as participants who received at least 75 percent (%) of the planned doses of GSK3326595 and all seven planned doses of 5-Azacitidine (Part 2) within the 28-day DLT observation period or those who have had a DLT. Data was not collected as no participants were enrolled in Part 2.

Primary

Part 2: Number of Participants With Non-serious Treatment-emergent Adverse Events (Non-STEAEs) and Serious Treatment Emergent Adverse Events (STEAEs)

An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. An serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose; results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect or any other situation according to medical or scientific judgement. Treatment emergent adverse event (TEAE) is any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment. Number of participants with non-STEAEs and STEAEs were planned to be assessed.

Time frame: Up to 3 years and 2 months

Population: All Treated Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 1: Accumulation Ratio Following Administration of GSK3326595

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595. Accumulation ratio was calculated as the ratio of AUC(0-24) on Day 15 divided by AUC(0-24) on Day 1 for GSK3326595.

Time frame: Days1and15:Pre-dose(within 1hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hour(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour),24hours(+/-2hour)post-dose

Population: PK Population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1: GSK3326595 400 mgPart 1: Accumulation Ratio Following Administration of GSK33265951.3814 RatioGeometric Coefficient of Variation 53.17
Part 1: GSK3326595 300 mgPart 1: Accumulation Ratio Following Administration of GSK33265951.0774 RatioGeometric Coefficient of Variation 41.113
Secondary

Part 1: Apparent Terminal Phase Half-life (t1/2) of GSK3326595 Following Administration of Single Dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1: GSK3326595 400 mgPart 1: Apparent Terminal Phase Half-life (t1/2) of GSK3326595 Following Administration of Single Dose5.0755 HoursGeometric Coefficient of Variation 45.248
Part 1: GSK3326595 300 mgPart 1: Apparent Terminal Phase Half-life (t1/2) of GSK3326595 Following Administration of Single Dose6.7688 HoursGeometric Coefficient of Variation 52.542
Secondary

Part 1: Area Under Concentration-time Curve From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration Within Participant Across All Treatments (AUC[0-t]) of GSK3326595 Following Administration of Single Dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1: GSK3326595 400 mgPart 1: Area Under Concentration-time Curve From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration Within Participant Across All Treatments (AUC[0-t]) of GSK3326595 Following Administration of Single Dose6667.4570 Hours*nanogram per milliliterGeometric Coefficient of Variation 56.989
Part 1: GSK3326595 300 mgPart 1: Area Under Concentration-time Curve From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration Within Participant Across All Treatments (AUC[0-t]) of GSK3326595 Following Administration of Single Dose5189.2734 Hours*nanogram per milliliterGeometric Coefficient of Variation 58.269
Secondary

Part 1: Area Under the Concentration-time Curve From Time Zero to Infinity (AUC[0-inf]) of GSK3326595 Following Administration of Single Dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1: GSK3326595 400 mgPart 1: Area Under the Concentration-time Curve From Time Zero to Infinity (AUC[0-inf]) of GSK3326595 Following Administration of Single Dose7128.4358 Hours*nanogram per milliliterGeometric Coefficient of Variation 54.648
Part 1: GSK3326595 300 mgPart 1: Area Under the Concentration-time Curve From Time Zero to Infinity (AUC[0-inf]) of GSK3326595 Following Administration of Single Dose6572.8527 Hours*nanogram per milliliterGeometric Coefficient of Variation 52.385
Secondary

Part 1: AUC(0-inf) of GSK3326595 Following Administration of Repeat Dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1: GSK3326595 400 mgPart 1: AUC(0-inf) of GSK3326595 Following Administration of Repeat Dose9202.5641 Hours*nanogram per milliliterGeometric Coefficient of Variation 70.085
Part 1: GSK3326595 300 mgPart 1: AUC(0-inf) of GSK3326595 Following Administration of Repeat Dose6397.0840 Hours*nanogram per milliliterGeometric Coefficient of Variation 57.093
Secondary

Part 1: AUC(0-t) of GSK3326595 Following Administration of Repeat Dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1: GSK3326595 400 mgPart 1: AUC(0-t) of GSK3326595 Following Administration of Repeat Dose5750.5167 Hours*nanogram per milliliterGeometric Coefficient of Variation 211.317
Part 1: GSK3326595 300 mgPart 1: AUC(0-t) of GSK3326595 Following Administration of Repeat Dose5651.2792 Hours*nanogram per milliliterGeometric Coefficient of Variation 49.506
Secondary

Part 1: AUC From 0 Hours to the Time of Next Dosing (AUC[0-tau]) of GSK3326595

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1: GSK3326595 400 mgPart 1: AUC From 0 Hours to the Time of Next Dosing (AUC[0-tau]) of GSK33265958460 Hours*nanogram per milliliterGeometric Coefficient of Variation 65.8
Part 1: GSK3326595 300 mgPart 1: AUC From 0 Hours to the Time of Next Dosing (AUC[0-tau]) of GSK33265955830 Hours*nanogram per milliliterGeometric Coefficient of Variation 45
Secondary

Part 1: CL/F of GSK3326595 Following Administration of Repeat Dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1: GSK3326595 400 mgPart 1: CL/F of GSK3326595 Following Administration of Repeat Dose47.2832 Liter per hourGeometric Coefficient of Variation 65.777
Part 1: GSK3326595 300 mgPart 1: CL/F of GSK3326595 Following Administration of Repeat Dose51.4710 Liter per hourGeometric Coefficient of Variation 45.01
Secondary

Part 1: Cmax of GSK3326595 Following Administration of Repeat Dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1: GSK3326595 400 mgPart 1: Cmax of GSK3326595 Following Administration of Repeat Dose1125.4 Nanogram per milliliterGeometric Coefficient of Variation 95
Part 1: GSK3326595 300 mgPart 1: Cmax of GSK3326595 Following Administration of Repeat Dose889.7 Nanogram per milliliterGeometric Coefficient of Variation 38
Secondary

Part 1: Maximum Observed Plasma Concentration (Cmax) of GSK3326595 Following Administration of Single Dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: Pharmacokinetic (PK) Population consisted of all participants from the All Treated Population for whom a PK sample was obtained and analyzed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1: GSK3326595 400 mgPart 1: Maximum Observed Plasma Concentration (Cmax) of GSK3326595 Following Administration of Single Dose1322.8 Nanogram per milliliterGeometric Coefficient of Variation 50
Part 1: GSK3326595 300 mgPart 1: Maximum Observed Plasma Concentration (Cmax) of GSK3326595 Following Administration of Single Dose960.4 Nanogram per milliliterGeometric Coefficient of Variation 61
Secondary

Part 1: Number of Participants With AEs by Severity

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. Severity of each AE was reported during the study and was assigned a grade according to the NCI-CTCAE. AEs severity were graded as: Grade 1=mild; Grade 2=moderate; Grade 3=severe or medically significant but not immediately life-threatening; Grade 4=life-threatening consequences and Grade 5=death related to AE.

Time frame: Up to 30.8 months

Population: All Treated Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part 1: GSK3326595 400 mgPart 1: Number of Participants With AEs by SeverityGrade 21 Participants
Part 1: GSK3326595 400 mgPart 1: Number of Participants With AEs by SeverityGrade 45 Participants
Part 1: GSK3326595 400 mgPart 1: Number of Participants With AEs by SeverityGrade 10 Participants
Part 1: GSK3326595 400 mgPart 1: Number of Participants With AEs by SeverityGrade 57 Participants
Part 1: GSK3326595 400 mgPart 1: Number of Participants With AEs by SeverityGrade 30 Participants
Part 1: GSK3326595 300 mgPart 1: Number of Participants With AEs by SeverityGrade 55 Participants
Part 1: GSK3326595 300 mgPart 1: Number of Participants With AEs by SeverityGrade 10 Participants
Part 1: GSK3326595 300 mgPart 1: Number of Participants With AEs by SeverityGrade 20 Participants
Part 1: GSK3326595 300 mgPart 1: Number of Participants With AEs by SeverityGrade 36 Participants
Part 1: GSK3326595 300 mgPart 1: Number of Participants With AEs by SeverityGrade 46 Participants
Secondary

Part 1: Number of Participants With Common Non-STEAEs and STEAEs

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. An SAE is defined as any untoward medical occurrence that, at any dose; results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect or any other situation according to medical or scientific judgement. TEAE is any event that was not present prior to the initiation of study treatment or any event already present that worsens in either intensity or frequency following exposure to study treatment. TEAEs which were not serious, were considered as non-STEAEs.

Time frame: Up to 30.8 months

Population: All Treated Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part 1: GSK3326595 400 mgPart 1: Number of Participants With Common Non-STEAEs and STEAEsCommon non-STEAEs12 Participants
Part 1: GSK3326595 400 mgPart 1: Number of Participants With Common Non-STEAEs and STEAEsSTEAEs11 Participants
Part 1: GSK3326595 300 mgPart 1: Number of Participants With Common Non-STEAEs and STEAEsCommon non-STEAEs17 Participants
Part 1: GSK3326595 300 mgPart 1: Number of Participants With Common Non-STEAEs and STEAEsSTEAEs12 Participants
Secondary

Part 1: Number of Participants With DLTs

An event is considered to be a DLT if the event occurs within the first 28 days of treatment meeting one of the following criteria of toxicity, Hematologic: Grade 4 or greater treatment-emergent neutropenia, anemia, or thrombocytopenia, lasting for \>=14 days in the absence of Investigational Product, that cannot be attributed to underlying disease as described in NCI-CTCAE version 4; Non-hematologic: Hepatic toxicity that meets Liver Stopping Criteria, Grade 3 nausea, vomiting or diarrhea that does not improve within 72 hours despite appropriate supportive treatments, Grade 4 or greater nausea, vomiting, or diarrhea of any duration, Any other Grade 3 or greater clinically significant non-hematologic toxicity; Other: Inability to receive all planned doses, dose interruption and Grade 2 or higher toxicity.

Time frame: Up to 28 days

Population: DLT Evaluable Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1: GSK3326595 400 mgPart 1: Number of Participants With DLTs0 Participants
Part 1: GSK3326595 300 mgPart 1: Number of Participants With DLTs0 Participants
Secondary

Part 1: Oral Clearance (CL/F) of GSK3326595 Following Administration of Single Dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1: GSK3326595 400 mgPart 1: Oral Clearance (CL/F) of GSK3326595 Following Administration of Single Dose56.1133 Liter per hourGeometric Coefficient of Variation 54.648
Part 1: GSK3326595 300 mgPart 1: Oral Clearance (CL/F) of GSK3326595 Following Administration of Single Dose45.6423 Liter per hourGeometric Coefficient of Variation 52.385
Secondary

Part 1: Overall Response Rate

Overall response rate is defined as the percentage of participants achieving a CR, mCR, or PR, per IWG criteria, where CR=Bone marrow: \<=5% myeloblasts with normal maturation of all cell lines; PR=Bone marrow blasts decreased by \>=50% over pre-treatment but still \>5%; mCR= Bone marrow: ≤ 5% myeloblasts and decrease by \>=50% over pre-treatment. Percentage values are rounded off.

Time frame: Up to 30.8 months

Population: All Treated Population.

ArmMeasureValue (NUMBER)
Part 1: GSK3326595 400 mgPart 1: Overall Response Rate0 Percentage of Participants
Part 1: GSK3326595 300 mgPart 1: Overall Response Rate6 Percentage of Participants
Secondary

Part 1: Overall Survival

Overall survival is defined as time from first dose to death due to any cause.

Time frame: Up to 30.8 months

Population: All Treated Population.

ArmMeasureValue (MEDIAN)
Part 1: GSK3326595 400 mgPart 1: Overall Survival2.69 Months
Part 1: GSK3326595 300 mgPart 1: Overall Survival2.96 Months
Secondary

Part 1: Progression Free Survival

Progression free survival is defined as time from first dose to disease progression, as defined by IWG criteria, or death due to any cause, whichever occurs earlier. Progressive Disease (PD) is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study.

Time frame: Up to 30.8 months

Population: All Treated Population.

ArmMeasureValue (MEDIAN)
Part 1: GSK3326595 400 mgPart 1: Progression Free Survival0.99 Months
Part 1: GSK3326595 300 mgPart 1: Progression Free Survival0.99 Months
Secondary

Part 1: t1/2 of GSK3326595 Following Administration of Repeat Dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1: GSK3326595 400 mgPart 1: t1/2 of GSK3326595 Following Administration of Repeat Dose6.2694 HoursGeometric Coefficient of Variation 47.757
Part 1: GSK3326595 300 mgPart 1: t1/2 of GSK3326595 Following Administration of Repeat Dose6.8437 HoursGeometric Coefficient of Variation 67.132
Secondary

Part 1: Time Invariance Following Administration of GSK3326595

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595. Time invariance was calculated as the ratio of AUC(0-24) on Day 15 divided by AUC(0-infinity) on Day 1 for GSK3326595.

Time frame: Days1and15:Pre-dose(within 1hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hour(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour),24hours(+/-2hour)post-dose

Population: PK Population. Only those participants with data available at the specified time points were analyzed.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Part 1: GSK3326595 400 mgPart 1: Time Invariance Following Administration of GSK33265951.3032 RatioGeometric Coefficient of Variation 46.471
Part 1: GSK3326595 300 mgPart 1: Time Invariance Following Administration of GSK33265950.9485 RatioGeometric Coefficient of Variation 57.938
Secondary

Part 1: Time of Maximum Concentration Observed (Tmax) of GSK3326595 Following Administration of Single Dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population

ArmMeasureValue (MEDIAN)
Part 1: GSK3326595 400 mgPart 1: Time of Maximum Concentration Observed (Tmax) of GSK3326595 Following Administration of Single Dose2.0000 Hours
Part 1: GSK3326595 300 mgPart 1: Time of Maximum Concentration Observed (Tmax) of GSK3326595 Following Administration of Single Dose2.1667 Hours
Secondary

Part 1: Tmax of GSK3326595 Following Administration of Repeat Dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureValue (MEDIAN)
Part 1: GSK3326595 400 mgPart 1: Tmax of GSK3326595 Following Administration of Repeat Dose2.9833 Hours
Part 1: GSK3326595 300 mgPart 1: Tmax of GSK3326595 Following Administration of Repeat Dose2.9500 Hours
Secondary

Part 2: Accumulation Ratio Following Administration of 5-Azacitidine

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Days 1 and 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: Accumulation Ratio Following Administration of GSK3326595

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 1 and 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: AUC(0-inf) of 5-Azacitidine Following Administration of Repeat Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: AUC(0-inf) of 5-Azacitidine Following Administration of Single Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: AUC(0-inf) of GSK3326595 Following Administration of Repeat Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: AUC(0-inf) of GSK3326595 Following Administration of Single Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: AUC(0-tau) Following Administration of 5-Azacitidine

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: AUC(0-tau) Following Administration of GSK3326595

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: AUC(0-t) of 5-Azacitidine Following Administration of Repeat Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: AUC(0-t) of 5-Azacitidine Following Administration of Single Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: AUC(0-t) of GSK3326595 Following Administration of Repeat Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: AUC(0-t) of GSK3326595 Following Administration of Single Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: CL/F of 5-Azacitidine Following Administration of Repeat Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: CL/F of 5-Azacitidine Following Administration of Single Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: CL/F of GSK3326595 Following Administration of Repeat Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: CL/F of GSK3326595 Following Administration of Single Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: Cmax of 5-Azacitidine Following Administration of Repeat Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: Cmax of 5-Azacitidine Following Administration of Single Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: Cmax of GSK3326595 Following Administration of Repeat Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: Cmax of GSK3326595 Following Administration of Single Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: Complete Remission (CR) Rate

Complete remission rate is defined as percentage of participants achieving a CR per IWG criteria.

Time frame: Up to 3 years and 2 months

Population: All Treated Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: Overall Response Rate

Overall response rate is defined as the percentage of participants achieving a CR, mCR, or PR, per IWG criteria.

Time frame: Up to 3 years and 2 months

Population: All Treated Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: t1/2 of 5-Azacitidine Following Administration of Repeat Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: t1/2 of 5-Azacitidine Following Administration of Single Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: t1/2 of GSK3326595 Following Administration of Repeat Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: t1/2 of GSK3326595 Following Administration of Single Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: Time Invariance Following Administration of 5-Azacitidine

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Days 1 and 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: Time Invariance Following Administration of GSK3326595

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Days 1 and 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour)post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: Tmax of 5-Azacitidine Following Administration of Repeat Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: Tmax of 5-Azacitidine Following Administration of Single Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: Tmax of GSK3326595 Following Administration of Repeat Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 8:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Secondary

Part 2: Tmax of GSK3326595 Following Administration of Single Dose

Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595.

Time frame: Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Population: PK Population. Data was not collected as no participants were enrolled in Part 2.

Source: ClinicalTrials.gov · Data processed: Feb 20, 2026