PMID- 28449232 OWN - NLM STAT- MEDLINE DCOM- 20180604 LR - 20240326 IS - 1365-2125 (Electronic) IS - 0306-5251 (Print) IS - 0306-5251 (Linking) VI - 83 IP - 10 DP - 2017 Oct TI - Safety, pharmacokinetics and pharmacological effects of the selective androgen receptor modulator, GSK2881078, in healthy men and postmenopausal women. PG - 2179-2194 LID - 10.1111/bcp.13316 [doi] AB - AIM: Selective androgen receptor modulators (SARMs) induce anabolic effects on muscle without the adverse effects of androgenic steroids. In this first-in-human study, we report the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics of the SARM GSK2881078. METHODS: In Part A, healthy young men (n = 10) received a single dose of study drug (0 mg, 0.05 mg, 0.1 mg, 0.2 mg GSK2881078 or matching-placebo). In Part B, repeat-dose cohorts in men (n = 65) were 0.05 mg, 0.2 mg then 0.08 mg, 0.24 mg, 0.48 mg, 0.75 mg, or placebo; in women (n = 24) they were 0.24 mg, 0.35 mg, or placebo (7 days for 0.5 mg, 14 days for other doses). RESULTS: PK analysis showed dose-proportional increases in exposure and a long >100-h half-life. No significant effects on vital signs, electrocardiograms, cardiac telemetry or standard clinical laboratory studies were observed. A dose-response effect was observed on lowering both high-density lipoprotein and sex hormone-binding globulin. In females at 0.35 mg, differences from placebo were -0.518 (95% confidence interval: -0.703, -0.334) mmol l(-1) and -39.1 (-48.5, -29.7) nmol l(-1) , respectively. Women showed greater sensitivity to these parameters at lower doses than men. Drug-related adverse events (AEs) were mild. One woman developed a drug rash and was withdrawn. Two men had elevated creatine phosphokinase after physical exertion during follow-up. A serious AE occurred in a subject on placebo. CONCLUSIONS: These data demonstrate pharmacodynamic effects with acceptable tolerability and support further clinical evaluation of this SARM. CI - (c) 2017 The British Pharmacological Society. FAU - Clark, Richard V AU - Clark RV AD - Muscle Metabolism Discovery Performance Unit, GlaxoSmithKline, Research Triangle Park, NC, USA. FAU - Walker, Ann C AU - Walker AC AD - Muscle Metabolism Discovery Performance Unit, GlaxoSmithKline, Research Triangle Park, NC, USA. FAU - Andrews, Susan AU - Andrews S AD - Muscle Metabolism Discovery Performance Unit, GlaxoSmithKline, Research Triangle Park, NC, USA. FAU - Turnbull, Philip AU - Turnbull P AD - Receptos, a wholly owned Subsidiary of Celgene, San Diego, CA, USA. FAU - Wald, Jeffrey A AU - Wald JA AD - qPharmetra, LLC, Cary, NC, USA. FAU - Magee, Mindy H AU - Magee MH AD - Clinical Pharmacology Modeling and Simulation, GlaxoSmithKline, King of Prussia, PA, USA. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20170610 PL - England TA - Br J Clin Pharmacol JT - British journal of clinical pharmacology JID - 7503323 RN - 0 (AR protein, human) RN - 0 (Anabolic Agents) RN - 0 (Indoles) RN - 0 (Lipoproteins, HDL) RN - 0 (Placebos) RN - 0 (Receptors, Androgen) RN - 0 (Sex Hormone-Binding Globulin) RN - 47M5ZXU844 (GSK2881078) SB - IM CIN - Br J Clin Pharmacol. 2017 Oct;83(10):2131-2133. PMID: 28621446 CIN - Br J Clin Pharmacol. 2017 Dec;83(12 ):2599-2601. PMID: 28755533 MH - Administration, Oral MH - Adult MH - Aged MH - Anabolic Agents/adverse effects/pharmacokinetics/*pharmacology MH - Cross-Over Studies MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Electrocardiography MH - Female MH - Half-Life MH - Healthy Volunteers MH - Heart/drug effects MH - Humans MH - Indoles/adverse effects/pharmacokinetics/*pharmacology MH - Lipoproteins, HDL/blood MH - Male MH - Middle Aged MH - Muscle Strength/*drug effects MH - Placebos MH - Postmenopause MH - Receptors, Androgen/*metabolism MH - Sex Factors MH - Sex Hormone-Binding Globulin/analysis MH - Young Adult PMC - PMC5595940 OTO - NOTNLM OT - biomarkers OT - drug development OT - pharmacodynamics OT - pharmacokinetics EDAT- 2017/04/28 06:00 MHDA- 2018/06/05 06:00 PMCR- 2018/10/01 CRDT- 2017/04/28 06:00 PHST- 2016/09/22 00:00 [received] PHST- 2017/03/10 00:00 [revised] PHST- 2017/04/04 00:00 [accepted] PHST- 2017/04/28 06:00 [pubmed] PHST- 2018/06/05 06:00 [medline] PHST- 2017/04/28 06:00 [entrez] PHST- 2018/10/01 00:00 [pmc-release] AID - BCP13316 [pii] AID - 10.1111/bcp.13316 [doi] PST - ppublish SO - Br J Clin Pharmacol. 2017 Oct;83(10):2179-2194. doi: 10.1111/bcp.13316. Epub 2017 Jun 10.