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Phase 2 Completed N=45 Randomized Double-blind Treatment

Safety, Tolerability and Clinical Effect of Danirixin in Adults With Influenza

Virus Diseases
Source: ClinicalTrials.gov NCT02469298 ↗
Enrolled (actual)
45
Serious AEs
2.2%
Results posted
Aug 2017
Primary outcomePrimary: Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE) — 3; 4; 7; 0 Participants

Summary

Study 201682 is a Phase IIa, randomized, double blind, placebo-controlled four arm outpatient study evaluating the safety, tolerability and clinical effect of danirixin or danirixin + oseltamivir combination in comparison to placebo or oseltamivir twice daily for 5 days in otherwise healthy adults with laboratory confirmed influenza infection. Danirixin is a selective and reversible C-X-C Chemokine Receptor 2 (CXCR2) antagonist that inhibits neutrophil transmigration and activation to areas of inflammation. The study endpoints are intended to test the hypothesis that inhibition of neutrophil activation by approximately 50-60% (as previously measured by cluster of differentiation [CD11b] expression in response to chemokine [C-X-C motif] ligand 1 [CXCL1] stimulation ex vivo in human studies) will not impact safety parameters or worsen clinical manifestations of disease, disease-related events of interest, or viral load, and may possibly improve these parameters when administered within 48 hours of symptom onset. The aim of this exploratory study is to obtain data on the safety, tolerability and clinical effect of GSK1325756 (danirixin [DNX]) alone or in combination with oseltamivir (OSV) in otherwise healthy adults with acute, uncomplicated influenza prior to future evaluation in hospitalized patients with complicated influenza. The primary objective is to assess safety and tolerability of DNX with and without a neuraminidase inhibitor through the evaluation of AEs, SAEs, clinical laboratory tests, vital signs, and electrocardiogram (ECG) parameters. Safety assessments will also include an assessment of disease related events (DREs) of interest and associated antibiotic use. The Influenza Intensity and Impact Questionnaire (FluiiQ™) will be used in the study to document patient reported outcomes (PROs). The screening visit in Australia will be composed of a pre-screen for influenza infection with an influenza rapid antigen test followed by a screen for the remaining eligibility criteria for those subjects with a positive result on the influenza rapid antigen test. FluiiQ is trademark owned by Measured Solutions for Health Private Limited.

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)
3; 4; 7; 0; 1; 0
PRIMARY
Change From Baseline in Hematology Parameters-Basophils, Eosinophils, Lymphocytes, Monocytes, Total Neutrophils (Total Absolute Neutrophil Count [Total ANC]), Platelet Count and White Blood Cell (WBC) Count
-0.011; -0.002; -0.008; -0.008; -0.009; 0.017
PRIMARY
Change From Baseline in Hematology Parameters- Hemoglobin
0.0; 2.2; -4.4; -8.8; -1.3; 0.4
PRIMARY
Change From Baseline in Hematology Parameters- Hematocrit
-0.0051; 0.0050; -0.0126; -0.0294; -0.0056; -0.0029
PRIMARY
Change From Baseline in Hematology Parameters- Mean Corpuscle Hemoglobin (MCH)
0.03; -0.23; -0.21; 0.06; -0.11; -0.19
PRIMARY
Change From Baseline in Hematology Parameters- Mean Corpuscle Volume (MCV)
-0.9; -0.8; -0.4; -0.2; -0.7; -1.3
PRIMARY
Change From Baseline in Hematology Parameters- Red Blood Cell (RBC) Count and Reticulocytes Count
-0.01; 0.13; -0.11; -0.32; -0.01; 0.06
PRIMARY
Change From Baseline in Clinical Chemistry Parameters- Albumin and Total Protein
-1.9; -1.7; -2.3; -3.0; -1.8; -1.0
PRIMARY
Change From Baseline in Clinical Chemistry- Alkaline Phosphatase (ALP), Alanine Amino Transferase (ALT), Aspartate Amino Transferase (AST) and Gamma Glutamyl Transferase (GGT)
-5.0; -5.0; -4.5; -7.2; -5.4; -1.9
PRIMARY
Change From Baseline in Clinical Chemistry Parameters- Direct Bilirubin, Total Bilirubin, Creatinine and Uric Acid
-0.3; 0.0; -0.5; 0.2; -0.5; -0.6
PRIMARY
Change From Baseline in Clinical Chemistry Parameters- Calcium, Carbon Dioxide (CO2) Content/ Bicarbonate, Glucose, Potassium, Sodium and Urea/Blood Urea Nitrogen (BUN)
-0.036; 0.020; -0.046; -0.092; -0.029; 0.019
PRIMARY
Change From Baseline in Urinalysis Parameters- Urine pH
0.00; 0.21; 0.20; 0.40; 0.27; 0.14
PRIMARY
Change From Baseline in Urinalysis Parameters- Urine Specific Gravity
-0.0001; -0.0004; -0.0038; -0.0076; -0.0045; 0.0013
PRIMARY
Number of Participants With Maximum Post-baseline Urine Dipstick Abnormalities- Urine Occult Blood (Dipstick)
2; 1; 1; 1; 1; 1
PRIMARY
Number of Participants With Maximum Post-baseline Urine Dipstick Abnormalities- Urine Glucose (Dipstick)
0; 1; 0; 1; 0; 0
PRIMARY
Number of Participants With Maximum Post-baseline Urine Dipstick Abnormalities- Urine Protein (Dipstick)
3; 0; 3; 1; 0; 0
PRIMARY
Change From Baseline in Vital Signs- Diastolic Blood Pressure (DBP) and Systolic Blood Pressure (SBP)
-2.1; -0.7; -1.1; -4.2; 0.3; -1.1
PRIMARY
Change From Baseline in Vital Signs- Heart Rate (HR)
3.93; -8.00; -8.87; -1.20; -2.60; -10.29
PRIMARY
Change From Baseline in Vital Signs- Respiration Rate (RR)
-0.1; 0.0; -0.5; 1.4; -0.5; 0.0
PRIMARY
Change From Baseline in Vital Signs- Temperature
-0.20; -1.11; -0.57; -0.08; -0.75; -1.34
PRIMARY
Change From Baseline in Vital Signs- Percent Oxygen in Blood (POB)
-1.7; 1.1; 0.1; 0.4; -0.7; -0.4
PRIMARY
Change From Baseline in Electrocardiogram (ECG) Parameters
-5.8; 49.4; 83.0; 39.2; 58.2; 76.9
PRIMARY
Number of Participants With Disease Related Events (DREs) of Interest
2; 0; 1; 0
PRIMARY
Number of Participants With DRE of Interest-associated Antibiotic Use
0; 0; 1; 0
SECONDARY
Time to Resolution of Fever Over Time Post Initiation of Treatment
119.833; 98.092; 54.425; 76.167
SECONDARY
Number of Afebrile Participants Over Time Post Initiation of Treatment
0; 0; 0; 0; 1; 0
SECONDARY
Number of Participants Who Used Relief Medication
12; 7; 15; 7; 12; 5
SECONDARY
Number of Hospital Admissions Due to Influenza Infection
0; 0; 0; 0
SECONDARY
Change From Baseline in Influenza Viral Load as Measured by Quantitative Reverse Transcription-polymerase Chain Reaction (qRT-PCR) From Nasopharyngeal Swabs on Day 3, Day 5, Day 8 and Day 14
-0.897; -1.415; -1.620; -1.904; -1.912; -2.812
SECONDARY
Number of Participants With no Detectable Influenza Viral RNA by qRT-PCR From Nasopharyngeal Swabs on Baseline (Day 1), Day 3, Day 5, Day 8 and Day 14
0; 0; 0; 0; 0; 0
SECONDARY
Total Dose of Relief Medication
5000.00; 9000.00; 5500.00; 3000.00; 150.00; 390.00
SECONDARY
Change From Baseline in Influenza Viral Load as Measured by Quantitative Virus Culture From Nasopharyngeal Swabs on Day 3, Day 5, Day 8 and Day 14
-1.810; -0.753; -1.943; -2.304; -2.534; -2.172
SECONDARY
Number of Participants With no Detectable Influenza Viral RNA by Quantitative Virus Culture From Nasopharyngeal Swabs on Baseline (Day 1), Day 3, Day 5, Day 8 and Day 14
1; 0; 0; 2; 5; 2

Eligibility Criteria

Inclusion Criteria

  • Between 18 and 64 years of age inclusive, at the time of signing the informed consent;
  • Onset of influenza-like illness symptoms within 48 hours prior to study enrollment. Onset of symptoms is defined as the time when the subject's temperature was measured as elevated (>=38.0°C [>=100.4°F]) OR the time when the subject first experienced at least one symptom (cough, sore throat, nasal congestion, headache, feeling feverish, body aches and pains, or fatigue);
  • Subjects have an oral temperature >=38.0°C (>=100.4°F) at screening visit or history of feeling feverish within the 24 hours prior to screening visit;
  • At least one respiratory symptom (cough, sore throat, nasal congestion) and at least one systemic symptom (headache, body aches and pain, fatigue) due to influenza infection;
  • A positive influenza rapid antigen test;
  • Body weight >60 Kilogram (kg) for men and >45 kg for women; and Body Mass Index (BMI) between 19 to 35 kilogram per meters squared (kg/m^2), inclusive;
  • Male or Female subjects could be eligible if :

Male subjects with female partners of child-bearing potential must comply with the following contraception requirements from the time of first dose of study medication until at least 36 hours (five half-lives) of study medication after the last dose of study medication:

Vasectomy with documentation of azoospermia; Male condom plus partner use of one of the following contraceptive options: Contraceptive subdermal implant; Intrauterine device or intrauterine system; Oral Contraceptive, either combined or progestogen alone; Injectable progestogen; Contraceptive vaginal ring ; Percutaneous contraceptive patches; This is an all-inclusive list of those methods that meet the following GlaxoSmithKline (GSK) definition of highly effective: having a failure rate of less than 1% per year when used consistently and correctly and, when applicable, in accordance with the product label. For non-product methods (e.g., male sterility), the investigator determines what is consistent and correct use. The GSK definition is based on the definition provided by the International Conference on Harmonisation (ICH). The investigator is responsible for ensuring that subjects understand how to properly use these methods of contraception;

  • Female subject: is eligible to participate if she is not pregnant (as confirmed by a negative urine human chorionic gonadotrophin [hCG] test), not lactating, and at least one of the following conditions applies

Non-reproductive potential defined as:

Pre-menopausal females with one of the following: documented Tubal ligation; Documented Hysteroscopic tubal occlusion procedure with follow-up confirmation of bilateral tubal occlusion; Hysterectomy; Documented Bilateral oophorectomy; Postmenopausal defined as 12 months of spontaneous amenorrhea (in questionable cases a blood sample with simultaneous follicle stimulating hormone [FSH] and estradiol levels consistent with menopause). Females on hormone replacement therapy (HRT) and whose menopausal status is in doubt will be required to use one of the highly effective contraception methods if they wish to continue their HRT during the study.

Reproductive potential agrees to follow one of the options listed below in the GSK Modified List of Highly Effective Methods for Avoiding Pregnancy in Females of Reproductive Potential (FRP) requirements from the time of screening, during dosing, and until at least 36 hrs after the last dose of study medication and completion of the follow-up visit.

GSK List of Highly Effective Methods for Avoiding Pregnancy in Females of Reproductive Potential (FRP) meeting GSK criteria of highly effective: having a failure rate of less than 1% per year when used consistently and correctly and, when applicable, in accordance with the product label. This list does not apply to FRP with same sex partners, when this is their preferred and usual lifestyle or for subjects who are and will continue to be abstin

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02469298). 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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