Neoplasms
Conditions
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
Study design
Intervention model description
This is an open-label, multicenter, multi-part study.
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Part 1: Percentage of Participants With Clinical Benefit Rate (CBR) | Up to 30.8 months | 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. |
| 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 months | 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. |
| Part 2: Number of Participants With AEs by Severity | Up to 3 years and 2 months | 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. |
| Part 2: Number of Participants With Dose Limiting Toxicities (DLTs) | Up to 28 days | 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. |
| Part 2: Number of Participants With AEs Leading to Dose Interruptions, Dose Reductions and Treatment Discontinuation Due to AEs | Up to 3 years and 2 months | Number of participants with AEs leading to dose interruptions, dose reductions and treatment discontinuation due to AEs were planned to be assessed. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Part 1: Progression Free Survival | Up to 30.8 months | 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. |
| Part 1: Maximum Observed Plasma Concentration (Cmax) of GSK3326595 Following Administration of Single Dose | 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 | Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595. |
| Part 1: Cmax of GSK3326595 Following Administration of Repeat Dose | 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 | Blood 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 Dose | 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 | Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595. |
| Part 1: Tmax of GSK3326595 Following Administration of Repeat Dose | 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 | Blood 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 Dose | 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 | Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595. |
| Part 1: t1/2 of GSK3326595 Following Administration of Repeat Dose | 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 | Blood 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 Dose | 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 | Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595. |
| Part 1: AUC(0-t) of GSK3326595 Following Administration of Repeat Dose | 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 | Blood 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 GSK3326595 | 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 | Blood 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 Dose | 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 | Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595. |
| Part 1: AUC(0-inf) of GSK3326595 Following Administration of Repeat Dose | 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 | Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595. |
| Part 1: Oral Clearance (CL/F) of GSK3326595 Following Administration of Single Dose | 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 | Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595. |
| Part 1: CL/F of GSK3326595 Following Administration of Repeat Dose | 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 | Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595. |
| Part 1: Time Invariance Following Administration of GSK3326595 | 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 | 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. |
| Part 1: Accumulation Ratio Following Administration of GSK3326595 | 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 | 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. |
| Part 2: Complete Remission (CR) Rate | Up to 3 years and 2 months | Complete remission rate is defined as percentage of participants achieving a CR per IWG criteria. |
| Part 2: Cmax of GSK3326595 Following Administration of Single Dose | 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 | Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595. |
| Part 2: Cmax of GSK3326595 Following Administration of Repeat Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595. |
| Part 2: Tmax of GSK3326595 Following Administration of Repeat Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine. |
| Part 2: AUC(0-tau) Following Administration of GSK3326595 | 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 | Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595. |
| Part 2: AUC(0-tau) Following Administration of 5-Azacitidine | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood 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 Dose | 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 | Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine. |
| Part 2: Time Invariance Following Administration of GSK3326595 | 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 | Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of GSK3326595. |
| Part 2: Time Invariance Following Administration of 5-Azacitidine | 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 | Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine. |
| Part 1: Overall Survival | Up to 30.8 months | Overall survival is defined as time from first dose to death due to any cause. |
| Part 2: Accumulation Ratio Following Administration of 5-Azacitidine | 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 | Blood samples were planned to be collected at indicated time points for pharmacokinetic analysis of 5-Azacitidine. |
| Part 2: Overall Response Rate | Up to 3 years and 2 months | Overall 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 GSK3326595 | 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 | Blood 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 STEAEs | Up to 30.8 months | 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. |
| Part 1: Number of Participants With AEs by Severity | Up to 30.8 months | 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. |
| Part 1: Number of Participants With DLTs | Up to 28 days | 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. |
| Part 1: Overall Response Rate | Up to 30.8 months | 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. |
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
| Arm | Count |
|---|---|
| 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 |
| Total | 30 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 |
|---|---|---|---|---|---|
| Part 1 (Up to 30.8 Months) | Physician Decision | 0 | 1 | 0 | 0 |
| Part 1 (Up to 30.8 Months) | Study Terminated By Sponsor | 1 | 0 | 0 | 0 |
Baseline characteristics
| Characteristic | Part 1: GSK3326595 400 mg | Part 1: GSK3326595 300 mg | Total |
|---|---|---|---|
| Age, Continuous | 70.2 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 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized Black or African American | 3 Participants | 0 Participants | 3 Participants |
| Race/Ethnicity, Customized Mixed Race | 0 Participants | 1 Participants | 1 Participants |
| Race/Ethnicity, Customized Unknown | 0 Participants | 2 Participants | 2 Participants |
| Race/Ethnicity, Customized White - Arabic/North African Heritage | 1 Participants | 0 Participants | 1 Participants |
| Race/Ethnicity, Customized White - White/Caucasian/European Heritage | 8 Participants | 14 Participants | 22 Participants |
| Sex: Female, Male Female | 3 Participants | 4 Participants | 7 Participants |
| Sex: Female, Male Male | 10 Participants | 13 Participants | 23 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 11 / 13 | 14 / 17 |
| other Total, other adverse events | 12 / 13 | 17 / 17 |
| serious Total, serious adverse events | 11 / 13 | 12 / 17 |
Outcome results
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Percentage of Participants With Clinical Benefit Rate (CBR) | 15 Percentage of Participants |
| Part 1: GSK3326595 300 mg | Part 1: Percentage of Participants With Clinical Benefit Rate (CBR) | 18 Percentage of Participants |
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.
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.
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.
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.
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Accumulation Ratio Following Administration of GSK3326595 | 1.3814 Ratio | Geometric Coefficient of Variation 53.17 |
| Part 1: GSK3326595 300 mg | Part 1: Accumulation Ratio Following Administration of GSK3326595 | 1.0774 Ratio | Geometric Coefficient of Variation 41.113 |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Apparent Terminal Phase Half-life (t1/2) of GSK3326595 Following Administration of Single Dose | 5.0755 Hours | Geometric Coefficient of Variation 45.248 |
| Part 1: GSK3326595 300 mg | Part 1: Apparent Terminal Phase Half-life (t1/2) of GSK3326595 Following Administration of Single Dose | 6.7688 Hours | Geometric Coefficient of Variation 52.542 |
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
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | 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 | 6667.4570 Hours*nanogram per milliliter | Geometric Coefficient of Variation 56.989 |
| Part 1: GSK3326595 300 mg | 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 | 5189.2734 Hours*nanogram per milliliter | Geometric Coefficient of Variation 58.269 |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Area Under the Concentration-time Curve From Time Zero to Infinity (AUC[0-inf]) of GSK3326595 Following Administration of Single Dose | 7128.4358 Hours*nanogram per milliliter | Geometric Coefficient of Variation 54.648 |
| Part 1: GSK3326595 300 mg | Part 1: Area Under the Concentration-time Curve From Time Zero to Infinity (AUC[0-inf]) of GSK3326595 Following Administration of Single Dose | 6572.8527 Hours*nanogram per milliliter | Geometric Coefficient of Variation 52.385 |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: AUC(0-inf) of GSK3326595 Following Administration of Repeat Dose | 9202.5641 Hours*nanogram per milliliter | Geometric Coefficient of Variation 70.085 |
| Part 1: GSK3326595 300 mg | Part 1: AUC(0-inf) of GSK3326595 Following Administration of Repeat Dose | 6397.0840 Hours*nanogram per milliliter | Geometric Coefficient of Variation 57.093 |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: AUC(0-t) of GSK3326595 Following Administration of Repeat Dose | 5750.5167 Hours*nanogram per milliliter | Geometric Coefficient of Variation 211.317 |
| Part 1: GSK3326595 300 mg | Part 1: AUC(0-t) of GSK3326595 Following Administration of Repeat Dose | 5651.2792 Hours*nanogram per milliliter | Geometric Coefficient of Variation 49.506 |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: AUC From 0 Hours to the Time of Next Dosing (AUC[0-tau]) of GSK3326595 | 8460 Hours*nanogram per milliliter | Geometric Coefficient of Variation 65.8 |
| Part 1: GSK3326595 300 mg | Part 1: AUC From 0 Hours to the Time of Next Dosing (AUC[0-tau]) of GSK3326595 | 5830 Hours*nanogram per milliliter | Geometric Coefficient of Variation 45 |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: CL/F of GSK3326595 Following Administration of Repeat Dose | 47.2832 Liter per hour | Geometric Coefficient of Variation 65.777 |
| Part 1: GSK3326595 300 mg | Part 1: CL/F of GSK3326595 Following Administration of Repeat Dose | 51.4710 Liter per hour | Geometric Coefficient of Variation 45.01 |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Cmax of GSK3326595 Following Administration of Repeat Dose | 1125.4 Nanogram per milliliter | Geometric Coefficient of Variation 95 |
| Part 1: GSK3326595 300 mg | Part 1: Cmax of GSK3326595 Following Administration of Repeat Dose | 889.7 Nanogram per milliliter | Geometric Coefficient of Variation 38 |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Maximum Observed Plasma Concentration (Cmax) of GSK3326595 Following Administration of Single Dose | 1322.8 Nanogram per milliliter | Geometric Coefficient of Variation 50 |
| Part 1: GSK3326595 300 mg | Part 1: Maximum Observed Plasma Concentration (Cmax) of GSK3326595 Following Administration of Single Dose | 960.4 Nanogram per milliliter | Geometric Coefficient of Variation 61 |
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
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Number of Participants With AEs by Severity | Grade 2 | 1 Participants |
| Part 1: GSK3326595 400 mg | Part 1: Number of Participants With AEs by Severity | Grade 4 | 5 Participants |
| Part 1: GSK3326595 400 mg | Part 1: Number of Participants With AEs by Severity | Grade 1 | 0 Participants |
| Part 1: GSK3326595 400 mg | Part 1: Number of Participants With AEs by Severity | Grade 5 | 7 Participants |
| Part 1: GSK3326595 400 mg | Part 1: Number of Participants With AEs by Severity | Grade 3 | 0 Participants |
| Part 1: GSK3326595 300 mg | Part 1: Number of Participants With AEs by Severity | Grade 5 | 5 Participants |
| Part 1: GSK3326595 300 mg | Part 1: Number of Participants With AEs by Severity | Grade 1 | 0 Participants |
| Part 1: GSK3326595 300 mg | Part 1: Number of Participants With AEs by Severity | Grade 2 | 0 Participants |
| Part 1: GSK3326595 300 mg | Part 1: Number of Participants With AEs by Severity | Grade 3 | 6 Participants |
| Part 1: GSK3326595 300 mg | Part 1: Number of Participants With AEs by Severity | Grade 4 | 6 Participants |
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
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Number of Participants With Common Non-STEAEs and STEAEs | Common non-STEAEs | 12 Participants |
| Part 1: GSK3326595 400 mg | Part 1: Number of Participants With Common Non-STEAEs and STEAEs | STEAEs | 11 Participants |
| Part 1: GSK3326595 300 mg | Part 1: Number of Participants With Common Non-STEAEs and STEAEs | Common non-STEAEs | 17 Participants |
| Part 1: GSK3326595 300 mg | Part 1: Number of Participants With Common Non-STEAEs and STEAEs | STEAEs | 12 Participants |
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.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Number of Participants With DLTs | 0 Participants |
| Part 1: GSK3326595 300 mg | Part 1: Number of Participants With DLTs | 0 Participants |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Oral Clearance (CL/F) of GSK3326595 Following Administration of Single Dose | 56.1133 Liter per hour | Geometric Coefficient of Variation 54.648 |
| Part 1: GSK3326595 300 mg | Part 1: Oral Clearance (CL/F) of GSK3326595 Following Administration of Single Dose | 45.6423 Liter per hour | Geometric Coefficient of Variation 52.385 |
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.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Overall Response Rate | 0 Percentage of Participants |
| Part 1: GSK3326595 300 mg | Part 1: Overall Response Rate | 6 Percentage of Participants |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Overall Survival | 2.69 Months |
| Part 1: GSK3326595 300 mg | Part 1: Overall Survival | 2.96 Months |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Progression Free Survival | 0.99 Months |
| Part 1: GSK3326595 300 mg | Part 1: Progression Free Survival | 0.99 Months |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: t1/2 of GSK3326595 Following Administration of Repeat Dose | 6.2694 Hours | Geometric Coefficient of Variation 47.757 |
| Part 1: GSK3326595 300 mg | Part 1: t1/2 of GSK3326595 Following Administration of Repeat Dose | 6.8437 Hours | Geometric Coefficient of Variation 67.132 |
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.
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Time Invariance Following Administration of GSK3326595 | 1.3032 Ratio | Geometric Coefficient of Variation 46.471 |
| Part 1: GSK3326595 300 mg | Part 1: Time Invariance Following Administration of GSK3326595 | 0.9485 Ratio | Geometric Coefficient of Variation 57.938 |
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
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Time of Maximum Concentration Observed (Tmax) of GSK3326595 Following Administration of Single Dose | 2.0000 Hours |
| Part 1: GSK3326595 300 mg | Part 1: Time of Maximum Concentration Observed (Tmax) of GSK3326595 Following Administration of Single Dose | 2.1667 Hours |
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.
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Part 1: GSK3326595 400 mg | Part 1: Tmax of GSK3326595 Following Administration of Repeat Dose | 2.9833 Hours |
| Part 1: GSK3326595 300 mg | Part 1: Tmax of GSK3326595 Following Administration of Repeat Dose | 2.9500 Hours |
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.