Phase 1 clinical study of eltrombopag, an oral, nonpeptide thrombopoietin receptor agonist.

Abstract

Eltrombopag (SB-497 115) is a first-in-class, oral, small-molecule, nonpeptide agonist of the thrombopoietin receptor (TpoR), being developed as a treatment for thrombocytopenia of various etiologies. In this phase 1 placebo-controlled clinical trial in 73 healthy male subjects, eltrombopag was administered as once-daily oral capsules for 10 days at doses of 5, 10, 25, 30, 50, and 75 mg. The pharmacokinetics of eltrombopag were dose dependent and linear, and eltrombopag increased platelet counts in a dose-dependent manner. There were no apparent differences in the incidence or severity of adverse events in subjects receiving active or placebo study medication. These observations indicate that eltrombopag is a once-daily, oral TpoR agonist with demonstrated thrombopoietic activity in human subjects, encouraging further studies in patients with thrombocytopenia.

• Authors: Julian M Jenkins, Daphne Williams, Yanli Deng, Joanne Uhl, Valerie Kitchen, David Collins, Connie L Erickson-Miller
• Journal: Blood (Blood) Vol. 109 Issue 11 Pg. 4739-41 (Jun 01 2007) ISSN: 0006-4971 [Print] United States
• PMID: 17327409 (Publication Type: Clinical Trial, Phase I, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)

Chemical References

• Benzoates
• Hydrazines
• Placebos
• Pyrazoles
• Receptors, Thrombopoietin
• eltrombopag

Topics

• Administration, Oral
• Adult
• Benzoates (pharmacokinetics, therapeutic use)
• Blood Platelets (drug effects)
• Dose-Response Relationship, Drug
• Humans
• Hydrazines (pharmacokinetics, therapeutic use)
• Male
• Placebos
• Platelet Count
• Pyrazoles (pharmacokinetics, therapeutic use)
• Receptors, Thrombopoietin (agonists)
• Thrombocytopenia (drug therapy)
• Thrombopoiesis
• Time Factors