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Phase 2 N=247 Randomized Double-blind Treatment

A Dose-Finding Study of GSK2894512 Cream in Subjects With Atopic Dermatitis (AD)

Dermatitis, Atopic

Enrolled (actual)
247
Serious AEs
0.4%
Results posted
Nov 2017
Primary outcome: Primary: Percentage of Participants Who Have an Investigator Global Assessment (IGA) Score of Clear or Almost Clear (0 or 1) at Week 12 and a Minimum 2 Grade Improvement in IGA Score From Baseline to Week 12 for Intent to Treat (ITT) Population — 58; 51; 50; 40 Percentage of participant

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
GSK2894512 1% Cream (Drug); GSK2894512 0.5% Cream (Drug); Vehicle cream (Drug)
Age
Pediatric, Adult, Older Adult · 12+ yrs
Sex
All
Sponsor
GlaxoSmithKline
Primary completion
Jan 2017

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants Who Have an Investigator Global Assessment (IGA) Score of Clear or Almost Clear (0 or 1) at Week 12 and a Minimum 2 Grade Improvement in IGA Score From Baseline to Week 12 for Intent to Treat (ITT) Population
58; 51; 50; 40; 36; 44
SECONDARY
Mean Change From Baseline in Weekly Average of Daily Itch/Pruritus (Numeric Rating Scale [NRS]) Score
-3.06; -3.10; -3.52; -3.39; -0.95; -3.50
SECONDARY
Mean Percent Change From Baseline in Weekly Average of Daily Itch/Pruritus NRS Score
-64.69; -58.34; -60.39; -61.40; -29.16; -55.62
SECONDARY
Percentage of Participants Who Achieve a Minimum 3- Point Improvement in Itch/Pruritus (NRS) From Baseline to Each Study Visit
24; 9; 9; 16; 8; 12
SECONDARY
Mean Change From Baseline in Eczema Area and Severity Index (EASI) Score
-2.58; -3.83; -3.22; -2.51; -1.84; -1.06
SECONDARY
Mean Percent Change From Baseline in EASI Score
-23.83; -34.76; -24.19; -25.81; -16.79; -7.51
SECONDARY
Percentage of Participants With a Minimum 2-grade Improvement in IGA Score From Baseline to Each Visit
5; 7; 0; 3; 5; 6
SECONDARY
Percentage of Participants With an IGA Score of 0 or 1 at Each Visit
5; 5; 0; 3; 3; 3
SECONDARY
Percentage of Participants With >=50 Percent Improvement From Baseline in EASI
32; 39; 13; 22; 11; 13
SECONDARY
Percentage of Participants With >=75 Percent Improvement From Baseline in EASI
5; 12; 0; 5; 0; 6
SECONDARY
Mean Change From Baseline in Total Severity Score (TSS)
-1.8; -2.7; -2.1; -1.8; -1.9; -0.9
SECONDARY
Mean Percent Change From Baseline in TSS
-23.5; -33.7; -25.8; -22.6; -22.0; -9.8
SECONDARY
Mean Change From Baseline in Individual Signs of TSS
-0.6; -0.8; -0.4; -0.4; -0.4; -0.2
SECONDARY
Mean Percent Change From Baseline in Individual Signs of TSS
-25.9; -35.4; -17.1; -19.9; -19.3; -8.9
SECONDARY
Mean Change From Baseline in Body Surface Area (Percent BSA)
-2.37; -3.57; -2.44; -1.52; -0.33; -0.25
SECONDARY
Mean Change From Baseline in IGA Score
-0.5; -0.6; -0.3; -0.4; -0.3; -0.4
SECONDARY
Percentage of Participants Who Have an IGA Score of Clear or Almost Clear (0 or 1) and a Minimum 2 Grade Improvement in IGA Score From Baseline to Each Study Visit
5; 5; 0; 3; 3; 3
SECONDARY
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs
28; 22; 20; 23; 19; 15
SECONDARY
Number of Participants With Reported Tolerability Score of 0 to 4 Over Time
19; 25; 25; 21; 15; 22
SECONDARY
Change From Baseline in Albumin and Total Protein
-1.2; -1.3; -2.2; -1.4; -1.2; -1.2
SECONDARY
Change From Baseline in Alkaline Phosphatase (Alk.Phosph.), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST) and Gamma Glutamyl Transferase (GGT)
3.7; -1.7; 3.7; -2.3; -2.3; -2.0
SECONDARY
Change From Baseline in Direct and Total Bilirubin, Creatinine and Urate
-0.1; -0.3; -0.5; -0.1; 0.0; -0.3
SECONDARY
Change From Baseline in Calcium, Chloride, Carbon Dioxide (CO2), Glucose, Potassium, Sodium, Blood Urea Nitrogen (BUN)
-0.042; -0.037; -0.067; -0.022; -0.024; -0.027
SECONDARY
Number of Participants With Chemistry Data of Potential Clinical Importance
0; 0; 0; 0; 0; 0
SECONDARY
Change From Baseline in Basophils, Eosinophils, Lymphocytes, Monocytes, Neutrophils, Platelet, Leukocytes Count
-0.006; -0.001; -0.000; -0.002; -0.004; 0.000
SECONDARY
Change From Baseline in Hematocrit Levels
-0.0054; -0.0132; -0.0138; -0.0116; -0.0014; -0.0095
SECONDARY
Change From Baseline in Hemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC)
-1.8; -3.8; -4.3; -2.8; -0.9; -3.0
SECONDARY
Change From Baseline in Mean Corpuscle Hemoglobin (MCH)
0.05; 0.09; 0.06; 0.19; 0.04; 0.05
SECONDARY
Change From Baseline in Mean Corpuscle Volume (MCV)
0.2; -0.2; -0.1; -0.1; 0.5; 0.1
SECONDARY
Change From Baseline in Erythrocyte Count
-0.06; -0.16; -0.15; -0.12; -0.03; -0.12
SECONDARY
Number of Participants With Hematology Data of Potential Clinical Importance
0; 0; 0; 0; 0; 0
SECONDARY
Change From Baseline in Total T Lymphocytes (Lympho), B Lympho, Natural Killer (NK) Lymphocytes and Treg (Foxp3) Levels
0.0394; 0.0407; 0.0068; 0.0174; -0.0217; 0.0406
SECONDARY
Number of Participants With Immunopheotyping Data Outside the Reference Range
0; 0; 5; 2; 1; 2
SECONDARY
Change From Baseline in Immunoglobin (Ig) A, IgG and IgM Levels
-0.016; -0.103; -0.079; -0.026; -0.046; -0.045
SECONDARY
Number of Participants With Immunoglobulin Data Outside the Reference Range
2; 3; 2; 1; 4; 2
SECONDARY
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
-1.6; -2.3; -2.3; -1.9; 0.8; -0.7
SECONDARY
Change From Baseline in Pulse Rate
5.8; 2.5; 0.8; -0.4; 0.4; -0.4
SECONDARY
Change From Baseline in Temperature
0.013; -0.056; 0.015; -0.006; -0.053; -0.024
SECONDARY
Number of Participants With Vital Signs of Potential Clinical Importance
0; 0; 0; 0; 0; 1
SECONDARY
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
8; 6; 4; 5; 5; 5

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 adolescent and adult subjects with atopic dermatitis. Results from this study will be considered when selecting the most appropriate concentration of GSK2894512 cream and application frequency in future clinical studies. This is a multicenter (United States, Canada, and Japan), randomized, double-blind (sponsor-unblind), vehicle-controlled, 6-arm, parallel-group, dose-finding study in adolescent and adult subjects with atopic dermatitis. Two concentrations of GSK2894512 cream (0.5% and 1%) and a vehicle control cream will be equally randomized and evaluated following application to all atopic dermatitis 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 adolescent and adult males and females subjects with atopic dermatitis 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.

Eligibility Criteria

Inclusion Criteria

  • Male or female between 12 and 65 years of age inclusive, at the time of signing the informed consent
  • Diagnosis of atopic dermatitis according to Hanifin and Rajka criteria and having active inflammation.
  • Body surface area involvement >=5% and =3 at Baseline.
  • At least one target lesion that measure at least 3 centimetre (cm) х 3 cm in size at Screening and Baseline and must be representative of the subject's disease state, but not located on the hands, feet, or genitalia.
  • 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 after the last dose of study medication and completion of the follow-up visit.

Exclusion Criteria

  • Unstable course of atopic dermatitis (spontaneously improving or rapidly deteriorating) as determined by the investigator over the previous 4 weeks prior to Baseline.
  • Concurrent conditions and history of other diseases: 1) Immunocompromized (eg, lymphoma, acquired immunodeficiency syndrome, Wiskott-Aldrich Syndrome) or have a history of malignant disease within 5 years before the baseline visit; 2) Chronic or acute infection requiring treatment with systemic antibiotics, antivirals, antiparasitics, antiprotozoals, or antifungals within 4 weeks before the baseline visit; 3) Active acute bacterial, fungal, or viral (eg, herpes simplex, herpes zoster, chicken pox) skin infection within 1 week before the baseline visit; 4) Any other concomitant skin disorder (eg, generalized erythroderma such as Netherton's Syndrome, or psoriasis); pigmentation, or extensive scarring that in the opinion of the investigator may interfere with the evaluation of AD lesions or compromise subject safety; 5) Presence of AD lesions only on the hands or feet without prior history of involvement of other classical areas of involvement such as the face or the folds; 6) Other types of eczema.
  • 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 study treatment excipients.
  • 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 (HBsAg), or positive hepatitis C antibody test result within 3 months of screening.
  • Liver function tests: alanine aminotransferase (ALT) >=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 hea

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02564055). 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.

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