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Phase 2 Completed N=44 Randomized Triple-blind Treatment

An Investigation Of The Interaction Of GSK961081 With Inhaled Beta-Agonist And Anti-Muscarinic Drugs.

Pulmonary Disease, Chronic Obstructive
Source: ClinicalTrials.gov NCT00674817 ↗
Enrolled (actual)
44
Serious AEs
0.8%
Results posted
Mar 2017
Primary outcomePrimary: Maximal Change in Forced Expiratory Volume in One Second (FEV1) From Baseline (Pre-dose on Day 1) in Combination With Short Acting Bronchodialator (Salbutamol or Ipratropium Bromide) at 1h,12h and 24h. — 0.111; 0.113; 0.087; 0.111 Liters — p==0.020

Summary

GSK961081 is a potent dual pharmacophore that demonstrates both antimuscarinic and beta-agonist pharmacology in preclinical studies, both pharmacologies being of long duration. If reproduced in man, GSK961081 has the potential to deliver a medicine that can be given once daily. The bronchodilatation after inhalation of single doses of GSK961081 alone and in the presence of the short acting beta agonist salbutamol and the short acting muscarinic antagonist, ipratropium bromide will be measured in this study. Any residual bronchodilatation post-inhalation of GSK961081 and demonstrated by addition of salbutamol or ipratropium bromide may provide an indirect assessment of the beta-agonist and antimuscarinic components of GSK961081

Outcome Measures

OutcomeResultp-value
PRIMARY
Maximal Change in Forced Expiratory Volume in One Second (FEV1) From Baseline (Pre-dose on Day 1) in Combination With Short Acting Bronchodialator (Salbutamol or Ipratropium Bromide) at 1h,12h and 24h.
0.111; 0.113; 0.087; 0.111; 0.072; 0.094 =0.020 sig
SECONDARY
Maximal Change in Forced Vital Capacity (FVC) in One Second From Pre-dose in Combination With Short Acting Bronchodialator (Salbutamol or Ipratropium Bromide) at 1h, 12h and 24h.
0.169; 0.281; 0.167; 0.207; 0.234; 0.229 =0.856
SECONDARY
Number of Participants With Adverse Events and Serious Adverse Events
13; 13; 15; 9; 6; 11
SECONDARY
Number of Participants With Laboratory Abnormalities of Potential Clinical Concern (PCC)
0; 1; 0; 0; 0; 0
SECONDARY
Change From Baseline (Pre-dose on Day 1) in Systolic and Diastolic Blood Pressure up to 27 Hours
-1.33; 3.10; 0.61; -1.73; -0.13; -0.33
SECONDARY
Mean Change From Baseline (Pre-dose on Day 1) in Heart Rate Over 27 Hours
-2.56; -1.37; -3.90; -2.27; -3.55; -3.10
SECONDARY
Number of Participants With Maximum Change From Baseline 12-LED Electrocardiogram (ECG) Findings
26; 31; 35; 33; 36; 31
SECONDARY
Maximum Change From Baseline (Pre-dose on Day 1) in QTc (F) in Supine Position From 0 to 4 Hours After Dosing
14.34; 14.98; 12.31; 11.99; 10.60; 13.22
SECONDARY
Maximum Change From Baseline (Pre-dose on Day 1) in QTc (F) in Supine Position From 0 to 27 Hours After Dosing
19.70; 19.53; 17.41; 17.45; 15.14; 18.60
SECONDARY
Weighted Mean Change From Baseline (Pre-dose on Day 1) in QTc(F) in Supine Position From 0 to 4 Hours
5.42; 7.53; 4.59; 6.23; 4.17; 8.18
SECONDARY
Maximum Change From Baseline (Pre-dose on Day 1) in QTc(B) in Supine Position From 0 to 4 Hours and 0 to 27 Hours
16.70; 19.51; 9.19; 10.77; 6.50; 11.65
SECONDARY
Weighted Mean Change From Baseline (Pre-dose on Day 1) in QTc(B) in Supine Position From 0 to 4 Hours
5.27; 9.08; 0.08; 4.44; 0.07; 6.12
SECONDARY
Maximum Change From Baseline (Pre-dose on Day 1) in Supine Heart Rate From 0 to 4 Hours and From 0 to 27 Hours.
7.51; 7.90; 2.18; 3.17; 0.92; 0.92
SECONDARY
Weighted Mean Change From Baseline (Pre-dose on Day 1) in Heart Rate in Supine Position From 0 to 4 Hours
0.52; 1.77; -2.93; -1.27; -3.57; -2.21
SECONDARY
Maximum Change From Baseline (Pre-dose on Day 1) in Supine Systolic Blood Pressure (SBP) Over 4 and 27 Hours and Weighted Mean Change From Baseline in Supine SBP Over 4 Hours
5.61; 8.06; 8.05; 5.55; 7.45; 7.74
SECONDARY
Minimum Change From Baseline (Pre-dose on Day 1) in Supine Diastolic Blood Pressure (DBP) Over 4 and 27 Hours and Weighted Mean Change From Baseline in Supine DBP Over 4 Hours
-5.53; -5.76; -3.26; -5.49; -4.96; -4.42
SECONDARY
Maximum Change From Baseline (Pre-dose on Day 1) in Glucose Over 4 and 27 Hours and Weighted Mean Change From Baseline in Glucose Over 4 Hours
0.66; 0.53; 0.52; 0.53; 0.13; 0.22
SECONDARY
Minimum Change From Baseline (Pre-dose on Day 1) in Potassium Over 4 and 27 Hours and Weighted Mean Change From Baseline in Potassium Over 4 Hours
-0.42; -0.44; -0.25; -0.39; -0.25; -0.36
SECONDARY
Time to Maximum Change From Baseline (Pre-dose on Day 1) for QTc(B), QTc(F), Heart Rate, Systolic BP, Glucose in Supine Position and Time to Minimum Change From Baseline for Potassium and Diastolic BP in Supine Position
1.850; 1.850; 1.517; 1.517; 1.567; 1.567
SECONDARY
Area Under Plasma Concentration Time Curve (AUC) of GSK961081 to the Last Quantifiable Concentration
NA; 233.93; NA; 216.22; NA; 229.51
SECONDARY
Maximum Plasma Concentration (Cmax) of GSK961081 Over Period Determined Directly From the Concentration-time Data
66.93; 169.05; 70.77; 153.59; 70.52; 176.92
SECONDARY
Time to Maximum Plasma Concentration (Tmax) of GSK961081 Over Period Determined Directly From the Concentration-time Data
0.920; 0.930; 0.925; 0.920; 0.920; 0.920
SECONDARY
Time to Last Quantifiable Plasma Concentration (Tlast) of GSK961081 Over Period Determined Directly From the Concentration-time Data
0.960; 2.000; 1.930; 3.920; 1.920; 2.050

Eligibility Criteria

Inclusion Criteria

  • Subject is male or female (of non-child bearing potential) ≥ 40 years of age and ≤ 75 years of age.
  • Non- child bearing potential is defined as physiologically incapable of becoming pregnant, including females who are post-menopausal (more than 2 years without menses with appropriate clinical history i.e. age, history of vasomotor symptoms-estradiol and FSH levels may be checked if indicated) and females who are surgically sterile (hysterectomy, tubal ligation or bilateral oophorectomy).
  • Subject diagnosed with COPD in accordance with ATS/ERS guidelines (as per protocol).
  • Subject is a smoker or an ex-smoker with a history of at least 10 pack years (1 pack year = 20 cigarettes smoked per day for 1 year or equivalent)
  • Subject has FEV1/FVC 12 % and > 150 mL within 2 hours following inhalation of 80 µg ipratopium bromide (Atrovent MDI via spacer) at the screening visit
  • Or: a documented increase in FEV1 of >12 % and > 150 mL within 2 hours following inhalation of 80 µg ipratopium bromide within 6 months of screening and an increase in FEV1 of > 6 % and > 100 mL within 2h following inhalation of 80 µg ipratopium bromide (Atrovent MDI via spacer) at the screening visit (in order to allow for potential fluctuations in the response to ipratropium bromide in patients known to be responders to ipratropium bromide)
  • Response to salbutamol defined as:
  • Either an increase in FEV1 of > 12 % and > 150 mL within 2 hours following inhalation of 400 µg salbutamol MDI (via spacer) at the screening visit
  • Or: a documented increase in FEV1 of >12 % and > 150 mL within 2 hours following inhalation of 400 µg salbutamol MDI within 6 months of screening and an increase in FEV1 of > 6 % and >100 mL within 2h following inhalation of 400 µg salbutamol MDI (via spacer) at the screening visit (in order to allow for potential fluctuations in the response to salbutamol in patients known to be responders to salbutamol)
  • Body mass index (BMI) within the range 18-35 kg/m2
  • Subject is able and willing to give written informed consent to take part in the study.
  • Subject is available to complete all study assessments

Exclusion Criteria

  • Subjects who have a past or present disease, which as judged by the Investigator and medical monitor may affect the outcome of the study or the safety of the subject
  • Subjects with clinically relevant findings on laboratory safety tests. Subjects with laboratory values outside the reference range may be include in the study if the Investigator and medical monitor agree that these findings would not put the subject at risk or interfere with the objectives of the study
  • Women who are pregnant or lactating
  • An unwillingness of subjects to abstain from sexual intercourse with pregnant or lactating women; or an unwillingness of the subject to use a condom/spermicide in addition to having their female partner use another form of contraception such as IUD, diaphragm with spermicide, oral contraceptives, injectable progesterone, subdermal implants or tubal ligation if the woman could become pregnant from the time of the first dose study medication until 90 days post-dose
  • The subject has a positive urine drugs of abuse screen. A minimum list of drugs that will be screened for include amphetamines, barbituates, cocaine, opiates, cannabinoids and benzodiazepines.
  • A history, or suspected history, of alcohol abuse within the 6 months before the screening visit.
  • A positive test for hepatitis C antibody, hepatitis B surface antigen, or HIV.
  • The subject has participated in a clinical study with another New Chemical Entity within the past 2 months or participated in a clinical study with any other drug during the previous month.
  • The subject has donated a unit of blood within the 56 days of dosing or intends to donate within 56 days after completing the study.
  • Subject has an FEV1 1000 µg FP (or equivalent) a day of inhaled corticosteroid or has changed dose within the 6 weeks before screening or
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00674817). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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