PMID- 24504700 OWN - NLM STAT- MEDLINE DCOM- 20160531 LR - 20220408 IS - 2107-0180 (Electronic) IS - 0378-7966 (Print) IS - 0378-7966 (Linking) VI - 39 IP - 3 DP - 2014 Sep TI - The pharmacokinetics of conventional and bioenhanced tablet formulations of danirixin (GSK1325756) following oral administration in healthy, elderly, human volunteers. PG - 173-81 LID - 10.1007/s13318-014-0179-8 [doi] AB - Danirixin (GSK1325756) is a small, high-affinity, selective and reversible CXCR2 antagonist in development for treatment of chronic obstructive pulmonary disease. The objective of the study was to evaluate the relative bioavailability, including the inter-subject variability, of a conventional immediate-release (IR) formulation and two prototype bioenhanced formulations of danirixin during gastric acid suppression in a healthy, elderly population. A single-centre, crossover study in healthy male and female volunteers aged 65-80 years was conducted. Subjects were randomised to receive danirixin 50 mg IR in the fed and fasted states and danirixin 50 mg Bioenhanced Formulation 1 and 2 in the fasted state. All subjects also received omeprazole 20 mg each morning beginning 4 days prior to the first treatment period and continuing through danirixin dosing in the final treatment period. Twenty subjects were randomised and completed the study. Bioenhanced Formulation 2 in the fasted state demonstrated the highest adjusted geometric means for AUC(0-t), AUC(0-inf), AUC(0-24) and C max. Danirixin IR demonstrated adjusted means that were higher in the fed state compared with the fasted state. For all formulations tested, there was substantial inter-subject variability (CVb >100 % for all formulations). The overall incidences of adverse events (AEs) were 10 % for danirixin IR (both in the fed and fasted states) and 15-20 % for the bioenhanced formulations. The majority of AEs were mild in intensity. There were no serious AEs. Concomitant use of omeprazole resulted in large inter-subject variability in the exposure to danirixin. Bioenhanced formulation strategies could not overcome the effect of omeprazole on exposure and variability between subjects. FAU - Miller, Bruce E AU - Miller BE AD - Clinical Discovery, Respiratory Therapy Area Unit, GlaxoSmithKline R&D, 709 Swedeland Road, King of Prussia, PA, 19406, USA, bruce.e.miller@gsk.com. FAU - Smart, Kevin AU - Smart K FAU - Mistry, Sunil AU - Mistry S FAU - Ambery, Claire L AU - Ambery CL FAU - Bloomer, Jackie C AU - Bloomer JC FAU - Connolly, Paul AU - Connolly P FAU - Sanderson, Dominic AU - Sanderson D FAU - Shreeves, Trevor AU - Shreeves T FAU - Smith, Rachel AU - Smith R FAU - Lazaar, Aili L AU - Lazaar AL LA - eng PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20140207 PL - France TA - Eur J Drug Metab Pharmacokinet JT - European journal of drug metabolism and pharmacokinetics JID - 7608491 RN - 0 (Piperidines) RN - 0 (Proton Pump Inhibitors) RN - 0 (Respiratory System Agents) RN - 0 (Sulfones) RN - 0 (Tablets) RN - KG60484QX9 (Omeprazole) RN - R318PGH5VP (danirixin) SB - IM MH - Administration, Oral MH - Age Factors MH - Aged MH - Biological Availability MH - Chemistry, Pharmaceutical MH - Cross-Over Studies MH - Drug Interactions MH - England MH - Fasting/blood MH - Female MH - Healthy Volunteers MH - Humans MH - Hydrogen-Ion Concentration MH - Male MH - Omeprazole/administration & dosage MH - Piperidines/*administration & dosage/adverse effects/blood/chemistry/*pharmacokinetics MH - Postprandial Period MH - Proton Pump Inhibitors/administration & dosage MH - Respiratory System Agents/*administration & dosage/adverse effects/blood/chemistry/*pharmacokinetics MH - Solubility MH - Sulfones/*administration & dosage/adverse effects/blood/chemistry/*pharmacokinetics MH - Tablets PMC - PMC4142138 EDAT- 2014/02/08 06:00 MHDA- 2016/06/01 06:00 PMCR- 2014/02/07 CRDT- 2014/02/08 06:00 PHST- 2013/06/18 00:00 [received] PHST- 2014/01/22 00:00 [accepted] PHST- 2014/02/08 06:00 [entrez] PHST- 2014/02/08 06:00 [pubmed] PHST- 2016/06/01 06:00 [medline] PHST- 2014/02/07 00:00 [pmc-release] AID - 179 [pii] AID - 10.1007/s13318-014-0179-8 [doi] PST - ppublish SO - Eur J Drug Metab Pharmacokinet. 2014 Sep;39(3):173-81. doi: 10.1007/s13318-014-0179-8. Epub 2014 Feb 7.