PMID- 17923489 OWN - NLM STAT- MEDLINE DCOM- 20080424 LR - 20211020 IS - 0066-4804 (Print) IS - 1098-6596 (Electronic) IS - 0066-4804 (Linking) VI - 51 IP - 12 DP - 2007 Dec TI - Safety and pharmacokinetics of GSK364735, a human immunodeficiency virus type 1 integrase inhibitor, following single and repeated administration in healthy adult subjects. PG - 4284-9 AB - GSK364735 is a human immunodeficiency virus (HIV) integrase strand transfer inhibitor with potent in vitro antiviral activity. This study was a double-blind, randomized, placebo-controlled, dose escalation, phase I study to assess single- and repeated-dose safety, tolerability, pharmacokinetics (PK), and food effect of GSK364735 in healthy subjects. In part A, three alternating cohorts of 10 subjects (8 receiving the active drug and 2 receiving a placebo) received single doses of 50 to 400 mg while fasting or 200 mg and 400 mg coadministered with food. In part B, five cohorts received repeated doses of 100 to 600 mg daily coadministered with food for 8 days. Safety was assessed throughout the study. Serial blood samples were analyzed for GSK364735 plasma concentrations using a validated high-performance liquid chromatography-tandem mass spectrometry assay. PK parameters were estimated using noncompartmental methods. Seventy-nine (30 in part A and 49 in part B) subjects were enrolled and received GSK364735 or placebo. GSK364735 was readily absorbed following oral dose administration, with the maximum concentration achieved between 0.75 to 5.0 h postdose. GSK364735 exposure increased less than dose proportionally, demonstrated wide variability, and appeared to reach a plateau at 100- to 200-mg doses. Food increased GSK364735 exposure by 28 to 91%. GSK364735 was safe and well tolerated after single- and repeated-dose administration. No serious or severe adverse events (AEs) or AEs leading to withdrawal and few drug-related AEs were reported. Despite solubility-limited absorption, GSK364735 exceeded therapeutic trough concentrations for the majority of doses studied. The PK and safety profile supported the continued investigation of GSK364735 in HIV-infected subjects. FAU - Reddy, Y Sunila AU - Reddy YS AD - GlaxoSmithKline, 5 Moore Dr., Research Triangle Park, NC 27709, USA. FAU - Min, Sherene S AU - Min SS FAU - Borland, Julie AU - Borland J FAU - Song, Ivy AU - Song I FAU - Lin, Jiang AU - Lin J FAU - Palleja, Sandra AU - Palleja S FAU - Symonds, William T AU - Symonds WT LA - eng PT - Clinical Trial, Phase I PT - Journal Article PT - Randomized Controlled Trial DEP - 20071008 PL - United States TA - Antimicrob Agents Chemother JT - Antimicrobial agents and chemotherapy JID - 0315061 RN - 0 (HIV Integrase Inhibitors) SB - IM MH - Adolescent MH - Adult MH - Area Under Curve MH - Cohort Studies MH - Dizziness/chemically induced MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Female MH - Food MH - HIV Integrase Inhibitors/administration & dosage/adverse effects/*pharmacokinetics MH - HIV-1/*drug effects MH - Headache/chemically induced MH - Humans MH - Male MH - Middle Aged PMC - PMC2167967 EDAT- 2007/10/10 09:00 MHDA- 2008/04/25 09:00 PMCR- 2008/04/01 CRDT- 2007/10/10 09:00 PHST- 2007/10/10 09:00 [pubmed] PHST- 2008/04/25 09:00 [medline] PHST- 2007/10/10 09:00 [entrez] PHST- 2008/04/01 00:00 [pmc-release] AID - AAC.00716-07 [pii] AID - 0716-07 [pii] AID - 10.1128/AAC.00716-07 [doi] PST - ppublish SO - Antimicrob Agents Chemother. 2007 Dec;51(12):4284-9. doi: 10.1128/AAC.00716-07. Epub 2007 Oct 8.