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Phase 2 Completed N=227 Randomized Double-blind Treatment

A Dose-Finding Study of GSK2894512 Cream in Subjects With Plaque Psoriasis

Source: ClinicalTrials.gov NCT02564042 ↗
Enrolled (actual)
227
Serious AEs
3.1%
Results posted
Nov 2017
Primary outcomePrimary: Percentage of Participants Who Have a Physician Global Assessment (PGA) Score of 0 or 1 at Week 12 and a Minimum 2-grade Improvement in PGA Score From Baseline to Week 12 — 65; 56; 46; 36 Percentage of participants

Summary

This study will evaluate the efficacy and safety of two concentrations (0.5 percent [%] and 1%) and two application frequencies (once a day and twice a day) of GSK2894512 cream for the topical treatment in subjects with plaque psoriasis. Results from this study will be considered when selecting the most appropriate concentration of GSK2894512 cream and dosing frequency in future clinical safety and efficacy studies. This is a multicenter (United States, Canada, and Japan), randomized, double-blind (sponsor-unblind), vehicle-controlled, 6-arm, parallel-group, dose-finding study. Two concentrations of GSK2894512 cream (0.5% and 1%) and a vehicle control cream will be equally randomized and evaluated following application to all psoriasis lesions (except on the scalp) once daily (evening) or twice daily (morning and evening) for 12 weeks. This study will consist of 3 periods: up to 4 weeks screening, 12 weeks double-blind treatment, and 4 weeks post-treatment follow-up. The total duration of subject participation will be approximately 16 to 20 weeks. Approximately 270 adult males and females subjects with plaque psoriasis will be screened in order to have at least 228 randomized subjects (38 subjects for each of the 6 treatment groups) and approximately 204 evaluable subjects overall. Approximately 30 subjects will be randomized in Japan to achieve at least 24 evaluable Japanese subjects.

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants Who Have a Physician Global Assessment (PGA) Score of 0 or 1 at Week 12 and a Minimum 2-grade Improvement in PGA Score From Baseline to Week 12
65; 56; 46; 36; 11; 5
SECONDARY
Percentage of Participants With >=75 Percent Improvement in Psoriasis Area and Severity Index (PASI) From Baseline to Each Study Visit
0; 3; 0; 0; 0; 0
SECONDARY
Percentage of Participants With a Minimum 2 Grade Improvement in PGA Score From Baseline to Each Study Visit
0; 0; 6; 0; 4; 0
SECONDARY
Percentage of Participants With a PGA Score of 0 or 1 at Each Study Visit
0; 9; 3; 0; 4; 0
SECONDARY
Mean Change in Percent of BSA Affected With Psoriasis From Baseline to Each Study Visit
-0.53; -0.30; -0.35; 0.02; -0.05; 0.01
SECONDARY
Mean Change in PASI Score From Baseline to Each Study Visit
-2.22; -1.73; -1.11; -1.33; -0.85; -0.28
SECONDARY
PGA Scores at Each Study Visit
2.9; 2.7; 3.0; 2.9; 3.0; 2.8
SECONDARY
Mean Change in PGA Score From Baseline to Each Study Visit
-0.3; -0.3; -0.3; -0.3; -0.1; -0.1
SECONDARY
Mean Change in Individual Target Lesion Grading Scores From Baseline to Each Study Visit
-0.7; -0.7; -0.4; -0.6; -0.5; -0.3
SECONDARY
Mean Change in Weekly Average Itch/Pruritus Numeric Rating Scale (NRS) From Baseline to Each Study Visit
-0.66; -0.17; -1.00; -0.32; -1.31; -0.63
SECONDARY
Percentage of Participants Who Achieved a PGA Score of 0 or 1 and a Minimum 2 Grade Improvement From Baseline to Each Study Visit
0; 0; 3; 0; 4; 0
SECONDARY
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs
26; 20; 22; 17; 9; 10
SECONDARY
Number of Participants With Reported Local Tolerability Scores
19; 17; 18; 26; 19; 26
SECONDARY
Change From Baseline in Albumin and Protein Level
-0.9; -1.1; -0.9; -1.1; -0.9; -0.6
SECONDARY
Change From Baseline in Alkaline Phosphatase (Alk Phos), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), and Gamma Glutamyl Transferase (GGT) Levels.
-0.6; -0.9; -0.7; -2.9; 0.7; -2.1
SECONDARY
Change From Baseline in Direct Bilirubin (Bil), Bilirubin (Bil), Creatinine and Urate.
-0.2; -0.4; 0.0; -0.1; -0.1; 0.0
SECONDARY
Change From Baseline in Calcium, Chloride, Carbon Dioxide (CO2), Glucose, Potassium, Sodium and Urea Levels
-0.036; -0.036; -0.041; -0.036; -0.048; -0.006
SECONDARY
Change From Baseline in Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Platelets and Leukocyte Count
0.004; -0.005; -0.005; 0.006; 0.003; 0.003
SECONDARY
Change From Baseline in Hematocrit Levels
0.0029; -0.0036; -0.0002; -0.0038; -0.0063; 0.0011
SECONDARY
Change From Baseline in Hemoglobin (Hgb) Level and Erythrocyte Mean Corpuscular Hgb Concentration (MCHC)
0.3; -1.6; -1.4; -0.6; -1.3; 0.1
SECONDARY
Change From Baseline in Erythrocyte Mean Corpuscular Hemoglobin Level
0.10; 0.05; -0.08; 0.11; -0.10; -0.01
SECONDARY
Change From Baseline in Erythrocyte Mean Corpuscular Volume
0.7; 0.6; 0.6; 0.1; -0.5; 0.2
SECONDARY
Change From Baseline in Erythrocyte Count
-0.01; -0.06; -0.04; -0.05; -0.03; 0.01
SECONDARY
Number of Participants With Chemistry Data of Potential Clinical Importance
0; 0; 0; 0; 0; 0
SECONDARY
Number of Participants With Hematology Data of Clinical Importance
0; 0; 0; 2; 0; 0
SECONDARY
Change From Baseline in Immunoglobulin (Ig) A, IgG and IgM Levels
-0.035; -0.138; -0.153; -0.024; 0.125; 0.006
SECONDARY
Number of Participants With Ig Data Outside the Reference Range
2; 1; 3; 4; 2; 2
SECONDARY
Number of Participants With Immunophenotyping Data Outside the Reference Range
5; 5; 5; 7; 11; 1
SECONDARY
Change From Baseline in Immunophenotype Data
-0.0182; 0.0318; -0.0261; -0.0184; -0.0241; -0.0109
SECONDARY
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
-1.4; -0.8; 1.6; 2.1; 1.4; 1.1
SECONDARY
Change From Baseline in Pulse Rate
0.5; -0.4; 1.7; -0.1; -0.0; -0.6
SECONDARY
Change From Baseline in Temperature
0.01; -0.00; -0.03; 0.07; -0.03; -0.03
SECONDARY
Number of Participants With Vital Signs of Clinical Importance
0; 2; 0; 1; 1; 0
SECONDARY
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
5; 8; 6; 4; 6; 5

Eligibility Criteria

Inclusion Criteria

  • Male or female between 18 to 65 years of age inclusive, at the time of signing the informed consent.
  • Confirmed clinical diagnosis of chronic stable plaque psoriasis for >=6 months.
  • Body surface area involvement >=1% and =2 at Baseline.
  • One target plaque located on the trunk or proximal parts of extremities (excluding knees, elbows, and intertriginous areas) that is at least 3 (centimetre) cm х 3 cm in size at Screening and Baseline with a severity representative of the subject's overall disease.
  • A female subject is eligible to participate if she is not pregnant (as confirmed by a negative urine human chorionic gonadotrophin test), not lactating, and at least one of the following conditions applies: Non-reproductive potential defined as: 1) Pre-menopausal females with one of the following procedures documented: tubal ligation; hysteroscopic tubal occlusion procedure with follow-up confirmation of bilateral tubal occlusion; hysterectomy; bilateral oophorectomy. 2) Post-menopausal defined as 12 months of spontaneous amenorrhea (in questionable cases a blood sample with simultaneous follicle stimulating hormone and estradiol levels consistent with menopause and falling into the central laboratory's postmenopausal reference range is confirmatory). Females on hormone replacement therapy (HRT) and whose menopausal status is in doubt are required to use one of the highly effective contraception methods if they wish to continue their HRT during the study. Otherwise, they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrolment; Reproductive potential and agrees to follow one of the options listed in the modified list of highly effective methods for avoiding pregnancy in females of reproductive potential from 30 days prior to the first dose of study medication and until (at least five terminal half-lives OR until any continuing pharmacologic effect has ended, whichever is longer) after the last dose of study medication and completion of the follow-up visit.

Exclusion Criteria

  • Any sign of infection of any of the psoriatic lesions.
  • A history or ongoing serious illness or medical, physical, or psychiatric condition(s) that, in the investigator's opinion, may interfere with the subject's completion of the study.
  • Known hypersensitivity to the study treatment excipients, or a history of drug or other allergy that, in the opinion of the investigator, contraindicates participation.
  • Current or chronic history of liver disease, known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones), presence of hepatitis B surface antigen, or positive hepatitis C antibody test result within 3 months of screening.
  • Liver function tests: alanine aminotransferase >=2x upper limit of normal (ULN); alkaline phosphatase and bilirubin >1.5xULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin =450 milliseconds (msec) or QTc >=480 msec for subjects with bundle branch block.

NOTES: The QTc is the QT interval corrected for heart rate according to Fridericia's formula (QTcF), with machine over-read. The QTc should be based on a single ECG obtained over a brief recording period. If QTc is outside of the threshold value, triplicate ECGs may be performed with the QTc values averaged.

  • Ultraviolet (UV) light therapy or prolonged exposure to natural or artificial sources of UV radiation (eg, sunlight or tanning booth) within 4 weeks prior to the baseline visit and/or intention to have such exposure during the study, which is thought by the investigator to potentially impact the subject's psoriasis.
  • Used any of the following treatments within the indicated washout period before the baseline visit: 1) 12 weeks or 5 half-lives (whichever is longer) - biologic agents (eg, 24 weeks for alefacept, 12 weeks for etanercept, 15 weeks for ustekinumab); 2) 12 weeks - oral retinoids (eg, acitretin or isotretinoi
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02564042). 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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