Study to Evaluate the Safety, Tolerability, and Pharmacokinetics of GSK3915393 in Healthy Participants and to Evaluate the Interaction Between GSK3915393 and Grapefruit Juice and Itraconazole
Condition: Celiac Disease; Coeliac Disease
MeSH terms: Celiac Disease
Intervention: GSK3915393 Capsules; GSK3915393 Solution for Infusion; Placebo capsules; Itraconazole; Water; Grape fruit juice
Intervention description: GSK3915393 capsules will be given orally.; GSK3915393 solution for infusion will be administered intravenously.; Placebo matching GSK3915393 capsules will be given orally.; Participants will be administered with GSK3915393 along with ITZ orally; Participants will be administered with GSK3915393 along with water orally; Participants will be administered with GSK3915393 along with GFJ orally
Intervention MeSH terms: Itraconazole
Phase: Phase 1
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Crossover Assignment
Intervention model description: This is a 3-part study. Parts A and C will have a 5 period crossover design Part B will be conducted as a parallel group dose escalation study.
Masking: Double (Participant, Investigator)
Masking description: Parts A and B will be double blind and Part C will be open label.
Enrollment: 65.0
Sex: All
Minimum age: 18 Years
Maximum age: 50 Years
Healthy volunteers: Accepts Healthy Volunteers
Keywords: Celiac disease; Itraconazole; Grape fruit juice; GSK3915393; Healthy Participants; Pharmacokinetics; First time into human

Summary:

      This is a 3-part first time into human study (FTIH) study for GSK3915393. Parts A and B of
      the study will evaluate the safety, tolerability and pharmacokinetics (PK) of single
      ascending and repeat oral doses of GSK3915393 in healthy adult participants. Part C will
      evaluate the impact of co-administration of GSK3915393 with grapefruit juice and itraconazole
      on the PK of GSK3915393.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Between 18 and 50 years of age inclusive, at the time of signing the informed consent.

          -  Healthy participants who are overtly healthy as determined by medical evaluation
             including medical history, physical examination, laboratory tests, and cardiac
             monitoring.

          -  Negative coronavirus disease of 2019 (COVID-19) test on admission.

          -  Body weight >=40 kilograms (kg) and body mass index (BMI) within the range 18.5-29.9
             kilograms per square meter (kg/m^2) (inclusive).

          -  Male or females: No restrictions for male participants. A female participant is
             eligible to participate if she is not pregnant or breastfeeding, and one of the
             following conditions applies: Is a woman of non-childbearing potential (WONCBP) OR Is
             a woman of childbearing potential (WOCBP) and using an acceptable contraceptive method
             from 30 days prior to first dose until follow up visit. The investigator should
             evaluate the potential for contraceptive method failure (e.g., noncompliance, recently
             initiated in relationship to the first dose of study intervention). A WOCBP must have
             a negative highly sensitive pregnancy test (serum) at screening and on admission to
             the clinical unit. The investigator is responsible for review of medical history,
             menstrual history, and recent sexual activity to decrease the risk for inclusion of a
             woman with an early undetected pregnancy.

          -  Capable of giving signed informed consent.

        Exclusion Criteria:

          -  History or current evidence of cardiovascular, respiratory, hepatic, renal,
             gastrointestinal (Irritable bowel syndrome [IBS], Gastroesophageal reflux disease
             [GERD], nausea, vomiting or dysphagia), endocrine, hematological, neurological, or
             psychiatric disorders capable of significantly altering the absorption, metabolism, or
             elimination of drugs; constituting a risk when taking the study treatment; or
             interfering with the interpretation of data.

          -  Current evidence of active infection.

          -  Participants with signs/symptoms suggestive of COVID-19 (i.e. fever, cough, etc)
             within the past 14 days prior to screening and admission to clinical unit.

          -  Participants with known COVID-19 positive contacts in the past 14 days prior to
             screening and admission to clinical unit.

          -  Any history of suicidal behavior within the past 6 months or any history of attempted
             suicide in a participant's lifetime.

          -  Alanine transaminase (ALT) >1.5 times upper limit of normal (ULN).

          -  Bilirubin >1.5 times ULN (isolated bilirubin >1.5 times ULN is acceptable if bilirubin
             is fractionated and direct bilirubin <35 percent).

          -  Current or chronic history of liver disease or known hepatic or biliary abnormalities
             (with the exception of Gilbert's syndrome or asymptomatic gallstones).

          -  History of gastrointestinal (GI) surgery (with exception of appendectomy).

          -  Average QT interval corrected using Fridericia's formula (QTcF) >450 milliseconds
             (msec) at screening.

          -  Any clinically relevant abnormality on the screening medical assessment, laboratory
             examination, or electrocardiogram.

          -  History of QTc prolongation, symptomatic cardiac arrhythmias or cardiac arrest.

          -  For Part C only, history of liver toxicity resulting from drug administration.

          -  For Part C only, history of intolerance to itraconazole.

          -  History of sensitivity to any of the study medication, or components thereof or a
             history of drug or other allergy that, in the opinion of the investigator or
             GlaxoSmithKline Medical Monitor, contraindicates their participation.

          -  Use of any immunosuppressive medications within 6 months prior to entry.

          -  Unable to refrain from the use of prescription or non-prescription drugs, including
             vitamins, probiotics, antacids, herbal and dietary supplements (including Saint [St]
             John's Wort) within 7 days (or 14 days if the drug is a potential enzyme inducer) or 5
             half- lives (whichever is longer) prior to the first dose of study medication for each
             dosing, unless in the opinion of the Investigator and GlaxoSmithKline Medical Monitor
             the medication will not interfere with the study procedures or compromise participant
             safety. (Paracetamol is acceptable at a dose of no more than 500 milligrams [mg] at a
             time and no more than 2 grams [g] per day).

          -  Participants who have received a COVID-19 vaccine within 7 days of admission (or
             readmission) to the clinical unit or who are demonstrating signs/symptoms attributed
             to a COVID-19 vaccination that occurred greater than 7 days earlier.

          -  Recent donation of blood or blood products such that participation in the study would
             result in loss of blood in excess of 500 milliliter (mL) within 56 days.

          -  The participant has participated in a clinical trial and has received an
             investigational product within the following time period prior to the first dosing day
             in the current study: 30 days, 5 half-lives or twice the duration of the biological
             effect of the investigational product (whichever is longer).

          -  Exposure to more than 4 investigational medicinal products within 12 months prior to
             the first dosing day.

          -  Unwillingness or inability to follow the procedures outlined in the protocol or any
             other type of medical research within 30 days of randomization.

          -  Presence of hepatitis B surface antigen (HBsAg) at screening or within 3 months prior
             to first dose of study treatment.

          -  Positive hepatitis C antibody test result at screening or within 3 months prior to
             first dose of study treatment.

          -  Positive Hepatitis C ribonucleic acid (RNA) test result at screening or within 3
             months prior to first dose of study treatment.

          -  A positive pre-study drug/alcohol screen.

          -  Positive human immunodeficiency virus (HIV) antibody test.

          -  History of drug abuse (as defined by the current version of the Diagnostic and
             Statistical Manual [DSM]) within 2 years before dosing, or a positive drug screen
             reflecting consumption of illicit drugs.

          -  Regular alcohol consumption within 6 months prior to screening: An average weekly
             intake of >21 units for males or >14 units for females. One unit is equivalent to 8 g
             of alcohol: a half-pint (approximately 240 mL) of beer, 1 glass (125 mL) of wine or 1
             (25 mL) measure of spirits.

          -  Urinary cotinine levels indicative of smoking or use of tobacco or nicotine-containing
             products (e.g. nicotine patches or vaporizing devices) at screening or on admission to
             the unit.