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Phase 2 Completed N=50 Randomized Double-blind Treatment

A Study to Investigate the Efficacy, Safety, and Tolerability of Repeat Doses of Inhaled GSK2269557 in Adults With Persistent, Uncontrolled Asthma

Pulmonary Disease, Chronic Obstructive
Source: ClinicalTrials.gov NCT02567708 ↗
Enrolled (actual)
50
Serious AEs
0.0%
Results posted
Aug 2018
Primary outcomePrimary: Change From Baseline in Trough Forced Expiratory Volume in One Second (FEV1) at Day 28 in Intent-To-Treat (ITT) Population — 0.027; 0.035 Liters — p=0.57

Summary

This study is a multi-centre, randomised, double-blind, placebo-controlled (with rescue medication), two period crossover study in subjects with persistent uncontrolled asthma, currently not treated with an inhaled corticosteroid (ICS) or long acting beta 2 agonist (LABA). This study is the first administration of GSK2269557 to asthmatic subjects, and the aims of the study are to investigate the efficacy, safety, tolerability, and pharmacokinetics of four weeks of treatment with orally inhaled GSK2269557 1000 microgram (mcg) in subjects with persistent uncontrolled asthma. In a sub-study, biological mediators will be measured from induced sputum and blood. Approximately 50 subjects will be randomised into the study (including approximately 16 subjects in the sputum sub-study). Each subject will complete two treatment periods: subjects will be randomised to receive GSK2269557 1000 mcg in one treatment period, and matching placebo in the other treatment period. Each treatment will be administered once daily for 28 days (+/- 2 days) via the DISKUS™ dry powder inhaler (DPI). The study will consist of a Screening Visit; a Run-in Period (approximately 2 weeks in duration); two 28-day Treatment Periods (each with 4 clinic visits); a 4-week Washout Period (between the Treatment Periods); and a Follow-up Visit. The total duration of the study for each subject will be approximately 16 weeks. DISKUS is a registered trademark of the GlaxoSmithKline group of companies.

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in Trough Forced Expiratory Volume in One Second (FEV1) at Day 28 in Intent-To-Treat (ITT) Population
0.027; 0.035 0.57
PRIMARY
Change From Baseline in Trough Forced Expiratory Volume in One Second (FEV1) at Day 28 in Per Protocol (PP) Population
0.029; 0.042 0.61
SECONDARY
Weighted Mean (0-4 Hours) FEV1 at Day 28
2.672; 2.722 0.731
SECONDARY
Change From Baseline in Trough FEV1 at Day 7 and Day 14
0.012; 0.003; 0.016; 0.040 0.44
SECONDARY
Change From Baseline in Forced Vital Capacity (FVC) at Day 7, Day 14 and Day 28
0.036; 0.015; -0.002; 0.038; 0.017; 0.054 0.35
SECONDARY
Change From Baseline in FEV1/FVC at Day 7, Day 14 and Day 28
-0.956; -0.855; -0.456; -0.444; -0.691; -0.791 0.56
SECONDARY
Change From Baseline in Asthma Control Test (ACT) Score at Day 28
1.4; 1.9 0.81
SECONDARY
Change From Baseline in Daily FEV1 Averaged Over the Treatment Period
0.000; 0.065; 0.013; 0.115
SECONDARY
Change From Baseline in Daily Peak Expiratory Flow (PEF) Averaged Over the Treatment Period
-4.8; 14.2; 9.8; 29.8
SECONDARY
Change From Baseline in Trough Fractional Exhaled Nitric Oxide (FeNO) at Day 7, Day 14 and Day 28
1.03; 0.91; 0.99; 0.95; 1.03; 1.03 0.97
SECONDARY
Mean Number of Inhalations Per Day of Rescue Medication (Salbutamol) Over the Treatment Period
3.0; 2.7
SECONDARY
Percentage of Rescue Free Days Over the Treatment Period
49.5; 47.3
SECONDARY
Number of Participants With On-treatment Serious Adverse Events (SAEs) and Non-serious Adverse Events (AEs)
13; 19; 0; 0
SECONDARY
Number of Participants With Abnormal Values of Clinical Chemistry Parameters
0; 0; 0; 0; 0; 0
SECONDARY
Number of Participants With Abnormal Values of Hematology Parameters
0; 0; 0; 0; 0; 0
SECONDARY
Number of Participants With Abnormal Vital Sign Values
0; 0; 0; 0; 0; 0
SECONDARY
Number of Participants With Abnormal Electrocardiogram (ECG) Findings
2; 5; 0; 0; 1; 4
SECONDARY
Plasma Concentration of GSK2269557
555.7; 520.7; 649.2; 1188.8; 1170.8

Eligibility Criteria

Inclusion Criteria

  • Between 18 and 70 years of age inclusive, at the time of signing the informed consent.
  • Documented history of bronchial asthma, first diagnosed at least 6 months prior to the screening visit and currently being treated only with an intermittent short acting beta 2 agonist (SABA) or other non-corticosteroid controllers. Non corticosteroid controllers (e.g. leukotriene receptor antagonists [LTRAs]) must be discontinued from Screening until the end of Treatment Period 2.
  • Able to replace current SABA treatment with salbutamol metered dose inhaler (MDI) at Screening for use as needed for the duration of the study. Judged capable of withholding salbutamol for at least 4 hours prior to FEV1 assessments.
  • No use of an ICS or LABA for at least 12 weeks prior to first dose of study medication.
  • A best pre-bronchodilator FEV1 >=60 percent (%) of the predicted normal value at screening.
  • FEV1 increase by >=12% and >=200 milliliter (mL) over baseline value within 10-40 minutes of inhalation of 400 mcg salbutamol MDI (a spacer device may be used if required).
  • Positive skin prick test to common aero-allergen(s) at screening (not historical).
  • Sputum sub-study only: Able to produce >100 milligram (mg) of sputum at screening or during the run-in period.
  • Body weight >=45 kilogram (kg) and body mass index (BMI) within the range 18-32 kilogram per meter square (kg/m^2) (inclusive).
  • Male subject: Male subjects with female partners of child bearing potential must comply with the following contraception requirements from the first dose of study medication until completion of the follow-up visit.
  • Vasectomy with documentation of azoospermia.
  • Male condom plus partner use of one of the contraceptive options below:

Contraceptive subdermal implant with a 2x upper limit of normal (ULN) and bilirubin >1.5xULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin 450 millisecond (msec) or QTc >480 msec in subjects with bundle branch block.

  • Other laboratory abnormalities or concurrent diseases/clinical: clinically significant laboratory abnormality, uncontrolled condition or disease state that, in the opinion of the investigator (in consultation with the GSK Medical Monitor, if required), would put the safety of the subject at risk through study participation or would confound the interpretation of the efficacy results if the condition/disease exacerbated during the study.
  • Use of any of the prohibited medications listed in the protocol.
  • Current smokers or subjects with a history of smoking within 6 months of screening, or with a total pack year history of >5 pack years.
  • History of regular alcohol consumption within 6 months of the study defined as an average weekly intake of >21 units for males or >14 units for females. One unit is equivalent to 8 gram (g) of alcohol: a half-pint (approximately 240 mL) of beer, 1 glass (125 mL) of wine or 1 (25 mL) measure of spirits.
  • History of sensitivity to any of the study medications, or components thereof (including lactose) or a history of drug or other allergy (including a milk protein allergy) that, in the opinion of the investigator or Medical Monitor, contraindicates their participation.
  • Sputum sub-study only: History of sensitivity to the induced sputum procedure.
  • Presence of hepatitis B surface antigen (HBsAg), positive hepatitis C antibody test result at screening or within 3 months prior to first dose of study medication.
  • Where participation in the study would result in donation of blood or blood products in excess of 500 mL within 56 days.
  • The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the first dose of study medication in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer).
  • Exposure to more than 4 investigational medicinal products wi
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02567708). 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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