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Trial ยท NCT04493931

Drug-drug Interaction Study of Gepotidacin

NCT04493931, Phase 1, Completed, GlaxoSmithKline; results first posted 2022-03-04

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Drug-drug Interaction Study of Gepotidacin. Trials, record NCT04493931. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04493931

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Drug-drug Interaction Study of Gepotidacin
NCT number
NCT04493931
Status
Completed
Phases
Phase 1
Enrollment
64 participants, actual
Lead sponsor
GlaxoSmithKline
Conditions
Infections, Bacterial
Interventions
Gepotidacin, Cimetidine, Rifampicin, Midazolam, Digoxin, Placebo matching to gepotidacin
First posted
2020-07-30
Last updated
2022-03-04
Results first posted
2022-03-04

Source ClinicalTrials.gov

Registered outcomes139

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryCohort 1: Maximum Observed Concentration (Cmax) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2
Blood samples were collected at indicated time points. Pharmacokinetic analysis of gepotidacin was conducted using standard non-compartmental analysis. Analysis was performed using a linear mixed-effect model with treatment as a fixed effect and participant as a random effect. Geometric least square (LS) mean and 90 percent (%) confidence interval (CI) of the geometric LS means have been presented.
PrimaryCohort 1: Time to Reach Maximum Observed Concentration (Tmax) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2Blood samples were collected at indicated time points. Pharmacokinetic analysis of gepotidacin was conducted using standard non-compartmental analysis.
PrimaryCohort 1: Terminal Phase Half-life (t1/2) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2
Blood samples were collected at indicated time points. Pharmacokinetic analysis of gepotidacin was conducted using standard non-compartmental analysis. Analysis was performed using a linear mixed-effect model with treatment as a fixed effect and participant as a random effect. Geometric LS mean and 90% CI of the geometric LS means have been presented.
PrimaryCohort 1: Area Under the Concentration-time Curve From Time 0 (Pre-dose) to the Time of the Last Quantifiable Concentration (AUC [0-t]) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2
Blood samples were collected at indicated time points. Pharmacokinetic analysis of gepotidacin was conducted using standard non-compartmental analysis. Analysis was performed using a linear mixed-effect model with treatment as a fixed effect and participant as a random effect. Geometric LS mean and 90% CI of the geometric LS means have been presented.
PrimaryCohort 1: AUC From Time 0 (Pre-dose) Extrapolated to Infinite Time (AUC[0-infinity]) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2
Blood samples were collected at indicated time points. Pharmacokinetic analysis of gepotidacin was conducted using standard non-compartmental analysis. Analysis was performed using a linear mixed-effect model with treatment as a fixed effect and participant as a random effect. Geometric LS mean and 90% CI of the geometric LS means have been presented.
PrimaryCohort 2: Cmax of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2
Blood samples were collected at indicated time points. Pharmacokinetic analysis of gepotidacin was conducted using standard non-compartmental analysis. Analysis was performed using a linear mixed-effect model with treatment as a fixed effect and participant as a random effect. Geometric LS mean and 90% CI of the geometric LS means have been presented.
PrimaryCohort 2: Lag Time Before Observation of Drug Concentrations (Tlag) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2Blood samples were collected at indicated time points. Pharmacokinetic analysis of gepotidacin was conducted using standard non-compartmental analysis.
PrimaryCohort 2: Tmax of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2Blood samples were collected at indicated time points. Pharmacokinetic analysis of gepotidacin was conducted using standard non-compartmental analysis.
PrimaryCohort 2: AUC(0-t) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2
Blood samples were collected at indicated time points. Pharmacokinetic analysis of gepotidacin was conducted using standard non-compartmental analysis. Analysis was performed using a linear mixed-effect model with treatment as a fixed effect and participant as a random effect. Geometric LS mean and 90% CI of the geometric LS means have been presented.
PrimaryCohort 2: AUC(0-infinity) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2
Blood samples were collected at indicated time points. Pharmacokinetic analysis of gepotidacin was conducted using standard non-compartmental analysis. Analysis was performed using a linear mixed-effect model with treatment as a fixed effect and participant as a random effect. Geometric LS mean and 90 % CI of the geometric LS means have been presented.

Outcomes139

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYCohort 1: Maximum Observed Concentration (Cmax) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2
Pharmacokinetic Parameter Population comprised of all participants in the Pharmacokinetic Population (received at least 1 dose of study intervention and had at least 1 non-missing plasma or urine pharmacokinetic concentration) who received study intervention for whom valid and evaluable plasma or urine pharmacokinetic parameters were derived.
Micrograms per milliliterGEOMETRIC_LEAST_SQUARES_MEAN
PRIMARYCohort 1: Time to Reach Maximum Observed Concentration (Tmax) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2Pharmacokinetic Parameter PopulationHoursMEDIAN
PRIMARYCohort 1: Terminal Phase Half-life (t1/2) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2Pharmacokinetic Parameter PopulationHoursGEOMETRIC_LEAST_SQUARES_MEAN
PRIMARYCohort 1: Area Under the Concentration-time Curve From Time 0 (Pre-dose) to the Time of the Last Quantifiable Concentration (AUC [0-t]) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2Pharmacokinetic Parameter PopulationHours*micrograms per milliliterGEOMETRIC_LEAST_SQUARES_MEAN
PRIMARYCohort 1: AUC From Time 0 (Pre-dose) Extrapolated to Infinite Time (AUC[0-infinity]) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2Pharmacokinetic Parameter PopulationHours* micrograms per milliliterGEOMETRIC_LEAST_SQUARES_MEAN
PRIMARYCohort 2: Cmax of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2Pharmacokinetic Parameter PopulationMicrograms per milliliterGEOMETRIC_LEAST_SQUARES_MEAN
PRIMARYCohort 2: Lag Time Before Observation of Drug Concentrations (Tlag) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2Pharmacokinetic Parameter PopulationHoursMEDIAN
PRIMARYCohort 2: Tmax of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2Pharmacokinetic Parameter PopulationHoursMEDIAN
PRIMARYCohort 2: AUC(0-t) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2Pharmacokinetic Parameter PopulationHours*micrograms per milliliterGEOMETRIC_LEAST_SQUARES_MEAN
PRIMARYCohort 2: AUC(0-infinity) of Gepotidacin in PlasmaPre-dose, 30 minutes, 1 Hour, 1 Hour 30 minutes, 2 Hour, 2 Hours 30 minutes, 3 Hours, 4 Hours, 6 Hours, 8 Hours, 12 Hours, 24 Hours, 36 Hours, 48 Hours Post-dose in each Treatment Periods 1 and 2Pharmacokinetic Parameter PopulationHours*micrograms per milliliterGEOMETRIC_LEAST_SQUARES_MEAN

Results by group1,440

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Cohort 1: Maximum Observed Concentration (Cmax) of Gepotidacin in PlasmaCohort 1: Gepotidacin 1500 mg4.81790% Confidence Interval 4.006 to 5.793Micrograms per milliliter
Cohort 1: Maximum Observed Concentration (Cmax) of Gepotidacin in PlasmaCohort 1: Gepotidacin 1500 mg + Cimetidine 400 mg4.54890% Confidence Interval 3.756 to 5.506Micrograms per milliliter
Cohort 1: Time to Reach Maximum Observed Concentration (Tmax) of Gepotidacin in PlasmaCohort 1: Gepotidacin 1500 mg2.500Full Range 1.00 to 4.00Hours
Cohort 1: Time to Reach Maximum Observed Concentration (Tmax) of Gepotidacin in PlasmaCohort 1: Gepotidacin 1500 mg + Cimetidine 400 mg2.500Full Range 1.00 to 4.00Hours
Cohort 1: Terminal Phase Half-life (t1/2) of Gepotidacin in PlasmaCohort 1: Gepotidacin 1500 mg11.34490% Confidence Interval 10.282 to 12.516Hours
Cohort 1: Terminal Phase Half-life (t1/2) of Gepotidacin in PlasmaCohort 1: Gepotidacin 1500 mg + Cimetidine 400 mg12.41590% Confidence Interval 11.207 to 13.754Hours
Cohort 1: Area Under the Concentration-time Curve From Time 0 (Pre-dose) to the Time of the Last Quantifiable Concentration (AUC [0-t]) of Gepotidacin in PlasmaCohort 1: Gepotidacin 1500 mg20.390% Confidence Interval 17.7 to 23.3Hours*micrograms per milliliter
Cohort 1: Area Under the Concentration-time Curve From Time 0 (Pre-dose) to the Time of the Last Quantifiable Concentration (AUC [0-t]) of Gepotidacin in PlasmaCohort 1: Gepotidacin 1500 mg + Cimetidine 400 mg23.490% Confidence Interval 20.4 to 26.9Hours*micrograms per milliliter
Cohort 1: AUC From Time 0 (Pre-dose) Extrapolated to Infinite Time (AUC[0-infinity]) of Gepotidacin in PlasmaCohort 1: Gepotidacin 1500 mg20.690% Confidence Interval 18.0 to 23.6Hours* micrograms per milliliter
Cohort 1: AUC From Time 0 (Pre-dose) Extrapolated to Infinite Time (AUC[0-infinity]) of Gepotidacin in PlasmaCohort 1: Gepotidacin 1500 mg + Cimetidine 400 mg23.990% Confidence Interval 20.8 to 27.4Hours* micrograms per milliliter

Participant flow378

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Cohort1:Treatment Period 1(Up to 3 Days)STARTEDCohort 1: Gepotidacin 1500 mg/Cimetidine + Gepotidacin 1500 mg14
Cohort1:Treatment Period 1(Up to 3 Days)STARTEDCohort 2: Gepotidacin 1500 mg/Gepotidacin 1500 mg + Rifampicin0
Cohort1:Treatment Period 1(Up to 3 Days)STARTEDCohort 3: Digoxin+Midazolam/Gepotidacin 3000 mg + Digoxin + Midazolam0
Cohort1:Treatment Period 1(Up to 3 Days)STARTEDCohort 3: Gepotidacin 3000 mg + Digoxin + Midazolam/Digoxin+Midazolam0
Cohort1:Treatment Period 1(Up to 3 Days)STARTEDCohort 4:Gepotidacin 1500 mg Fed/Gepotidacin 1500 mg Fasted/Gepotidacin 3000 mg Fed0
Cohort1:Treatment Period 1(Up to 3 Days)STARTEDCohort 4:Gepotidacin 1500 mg Fasted/Gepotidacin 1500 mg Fed/Gepotidacin 3000 mg Fed0
Cohort1:Treatment Period 1(Up to 3 Days)STARTEDCohort 4: Placebo Fed/ Placebo Fasted/ Placebo Fed0
Cohort1:Treatment Period 1(Up to 3 Days)COMPLETEDCohort 1: Gepotidacin 1500 mg/Cimetidine + Gepotidacin 1500 mg13
Cohort1:Treatment Period 1(Up to 3 Days)COMPLETEDCohort 2: Gepotidacin 1500 mg/Gepotidacin 1500 mg + Rifampicin0
Cohort1:Treatment Period 1(Up to 3 Days)COMPLETEDCohort 3: Digoxin+Midazolam/Gepotidacin 3000 mg + Digoxin + Midazolam0

Adverse events44

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersCohort 1: Gepotidacin 1500 mg0140
otherDiarrhoeaGastrointestinal disordersCohort 1: Gepotidacin 1500 mg + Cimetidine 400 mg0130
otherDiarrhoeaGastrointestinal disordersCohort 2: Period 1: Gepotidacin 1500 mg2172
otherDiarrhoeaGastrointestinal disordersCohort 2: Period 2 (Days 1 to 7) Rifampicin 600 mg0170
otherDiarrhoeaGastrointestinal disordersCohort 2: Period 2 (Days 8 to 9) Gepotidacin 1500 mg + Rifampicin 600 mg2142
otherDiarrhoeaGastrointestinal disordersCohort 3: Digoxin 0.5 mg + Midazolam 2 mg0190
otherDiarrhoeaGastrointestinal disordersCohort 3:Gepotidacin 3000 mg + Digoxin 0.5 mg + Midazolam 2 mg6186
otherDiarrhoeaGastrointestinal disordersCohort 4: Placebo030
otherDiarrhoeaGastrointestinal disordersCohort 4: Gepotidacin 1500 mg Fed0110
otherDiarrhoeaGastrointestinal disordersCohort 4: Gepotidacin 1500 mg Fasted0110

Adverse event totals33

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1: Gepotidacin 1500 mg014
Total, all-cause mortalityCohort 1: Gepotidacin 1500 mg + Cimetidine 400 mg013
Total, all-cause mortalityCohort 2: Period 1: Gepotidacin 1500 mg017
Total, all-cause mortalityCohort 2: Period 2 (Days 1 to 7) Rifampicin 600 mg017
Total, all-cause mortalityCohort 2: Period 2 (Days 8 to 9) Gepotidacin 1500 mg + Rifampicin 600 mg014
Total, all-cause mortalityCohort 3: Digoxin 0.5 mg + Midazolam 2 mg019
Total, all-cause mortalityCohort 3:Gepotidacin 3000 mg + Digoxin 0.5 mg + Midazolam 2 mg018
Total, all-cause mortalityCohort 4: Placebo03
Total, all-cause mortalityCohort 4: Gepotidacin 1500 mg Fed011
Total, all-cause mortalityCohort 4: Gepotidacin 1500 mg Fasted011

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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