Linerixibat and Ocaliva drug interaction study in healthy participants

  • Research type

    Research Study

  • Full title

    An open-label, single sequence crossover, drug interaction study to investigate the effect of linerixibat (GSK2330672) on plasma concentrations of obeticholic acid and conjugates in healthy participants

  • IRAS ID

    268307

  • Contact name

    Ciara Gorey

  • Contact email

    ciara.x.gorey@gsk.com

  • Sponsor organisation

    GlaxoSmithKline

  • Eudract number

    2019-001581-15

  • Duration of Study in the UK

    0 years, 11 months, 19 days

  • Research summary

    GlaxoSmithKline (GSK) is developing a new medicine (linerixibat) to treat cholestatic pruritus (itch) in patients with Primary Biliary Cholangitis (PBC), a type of rare liver disease. Normally, the liver releases a liquid called bile, which helps digest fat and remove waste from the body. In PBC, the body mistakenly attacks the bile ducts, which causes bile to build up and damage the liver. If untreated, it can lead to liver failure and death.
    Linerixibat reduces bile in the body, which is thought to be the cause of the itch. However, linerixibat does not treat PBC, so it is intended for use with other PBC treatments.
    Ocaliva® (OCA) is approved to treat PBC when other treatments fail or cannot be tolerated. Itch is common in PBC patients and a known side effect of taking OCA.
    This study is the first time linerixibat and OCA will be given together and aims to assess the effect linerixibat may have on levels of OCA in the blood, when the drugs are taken together.
    This study will be conducted in healthy volunteers in two parts:
    • Part A: Approximately 19 participants will be dosed OCA once daily from day 1 to 37, and twice daily doses of linerixibat from day 20 to 38. Participants will stay in the clinical unit for two days initially, home dose OCA for 15 days, and return to the unit for the final 21 days.
    • Optional Part B: Number of participants and study design will remain the same as Part A. Participants will be dosed OCA and linerixibat once daily from day 1 to 37, with an intended 12-hour gap between dosing the different drugs.
    The study is sponsored by GSK and will be conducted in a Medicines and Health Care Products Regulatory Agency (MHRA) accredited unit in the UK.

  • REC name

    London - Brent Research Ethics Committee

  • REC reference

    19/LO/1196

  • Date of REC Opinion

    30 Jul 2019

  • REC opinion

    Favourable Opinion