Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of Repeat Doses of GSK2982772 in Subjects With Psoriasis
Source: ClinicalTrials.gov NCT02776033 ↗Summary
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Serious Adverse Events (SAEs) and Non-SAEs |
0; 1; 1; 8; 21; 16 | — |
| PRIMARY Number of Participants With Worst-case Post-Baseline Clinical Chemistry Results by Potential Clinical Importance (PCI) Criteria |
0; 0; 0; 18; 22; 24 | — |
| PRIMARY Number of Participants With Worst-case Post-Baseline Hematology Results by PCI Criteria |
0; 0; 0; 18; 23; 22 | — |
| PRIMARY Change From Baseline in Urine Potential of Hydrogen (pH) |
0.69; -0.02; -0.11; 0.56; 0.14; -0.16 | — |
| PRIMARY Change From Baseline in Urine Specific Gravity |
-0.0043; -0.0020; 0.0014; -0.0029; -0.0028; 0.0022 | — |
| PRIMARY Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) |
4.5; 4.7; 2.9; 2.0; -1.0; -1.0 | — |
| PRIMARY Change From Baseline in Heart Rate |
2.8; 4.9; 2.3; 1.5; 0.8; 1.9 | — |
| PRIMARY Change From Baseline in Respiratory Rate |
-0.8; -0.4; 0.3; 0.2; -0.6; -0.5 | — |
| PRIMARY Change From Baseline in Body Temperature |
0.12; -0.11; 0.03; 0.09; -0.04; 0.17 | — |
| PRIMARY Number of Participants With Any Time Post-Baseline Results for Electrocardiogram Findings |
7; 8; 7; 11; 15; 17 | — |
| SECONDARY Plasma Concentrations of GSK2982772 at Days 43 and 85 |
16.905; 70.422; 73.928; 82.694 | — |
| SECONDARY Post-dose Plasma Concentrations of GSK2982772 on Days 1 and 43 |
702.547; 681.675; 656.409; 664.417; 262.377; 249.583 | — |
| SECONDARY Adjusted Mean Percentage Change in Histopathological Scoring of Psoriatic Lesional Biopsy Following Administration of GSK2982772 |
0.4; -9.8; -45.5; -46.6; -29.7; 4.5 | — |
| SECONDARY Adjusted Mean Percentage Change in Histopathological Scoring of Psoriatic Lesional Biopsy: Epidermis Thickness |
-0.8; -5.7; -22.9; -30.0 | — |
| SECONDARY Number of Participants With Changes in Keratin 16 (K16) Histopathological Scoring in Psoriatic Lesional Biopsies |
0; 0; 2; 0; 7; 6 | — |
| SECONDARY Messenger Ribonucleic Acid (mRNA) Expression of Inflammatory Gene Transcripts in Psoriatic Lesional Biopsies Following Administration of GSK2982772 |
7535938.32; 7224169.85; 6855132.73; 7502338.81; 7467009.88; 5426422.73 | — |
| SECONDARY Percentage Change From Baseline Psoriatic Lesion Severity Sum (PLSS) Scores in the Index Lesion Following Administration of GSK2982772 |
-0.4; -9.6; -6.7; -7.8; -8.7; -18.7 | — |
| SECONDARY Actual PLSS Scores in the Index Psoriatic Lesion Following Administration of GSK2982772 |
6.9; 8.5; 8.1; 7.5; 6.8; 7.4 | — |
Eligibility Criteria
Inclusion Criteria
- Between 18 and 75 years of age inclusive, at the time of signing the informed consent.
- Subjects who do not have any medical conditions, other than active plaque-type psoriasis, that in the opinion of the Investigator put the subject at unacceptable risk or interfere with study assessments or integrity of the data. All medical conditions must be stable for the duration of the study.
- Presence of active chronic plaque-type psoriasis as determined by the Investigator for at least 6 months (confirmed by the subject or medical record) before first dose of study treatment (Day 1).
- Subject has psoriasis plaques involving Body Surface Area >=3% assessed at screening and before dosing on Day 1.
- Physician Global Assessment >=3.
- Subject must agree to avoid prolonged exposure to natural sunlight, tanning beds or phototherapy devices for the duration of the study
- Subject has at least two stable plaques assessed at screening and before dosing on Day 1:
Both must be of a suitable size (>=3 centimeter [cm] by 3 cm) and one in a site suitable for repeat biopsy, and one in a site suitable for index lesion PLSS scoring.
Both plaques must have a PLSS lesional score >=2 for the induration component (moderate or above), >=1 for erythema and scaling with a total score of >=5.
The biopsy lesion must not be on the face, groin, scalp, knees, elbows, or on the palmar/plantar surfaces of the hands/feet, and must be shielded from natural light with clothing.
- Subject is naive to any biologic therapies for psoriasis, OR has had previous exposure to a single anti- TNF biologic agent in the context of a previous clinical trial. The anti-TNF biologic agent must have been discontinued more than 8 weeks prior to screening visit (12 Weeks or 5 half lives whichever is longer from first dose).
- A body mass index within the range of 18.5-35 kilogram per meter square (kg)/m^2 (inclusive).
- Male and Female subjects:
Males: Male subjects with female partners of child bearing potential must comply with the pre specified contraception requirements.
Females: A female subject is eligible to participate if she is not pregnant (as confirmed by a negative serum or urine human chorionic gonadotropin test), not lactating, and is either of non-reproductive potential or reproductive potential. If of reproductive potential, then the subject should agree to follow one of the options listed per GSK Modified List of Highly Effective Methods for Avoiding Pregnancy in Females of Reproductive Potential from 30 days prior to the first dose and until 30 days after the last dose of study medication The Investigator is responsible for ensuring that subjects understand how to properly use these methods of contraception.
- Capable of giving signed informed consent
Exclusion Criteria
- Subjects with clinically overt concurrent psoriatic arthritis who are receiving chronic disease-modifying anti-rheumatic medications therapy (other than non-steroidal anti-inflammatory drug), as judged by the Investigator.
- Has nonplaque forms of psoriasis (e.g. erythrodermic, guttate, or pustular), as judged by the Investigator.
- Has current drug-induced psoriasis (e.g., a new onset of psoriasis or an exacerbation from beta blockers, calcium channel blockers, or lithium).
- Subject with current history of Suicidal Ideation Behaviour as measured using the Columbia Suicide Severity Rating Scale or a history of attempted suicide.
- An active infection, or a history of infections as follows:
Hospitalization for treatment of infection within 60 days before first dose (Day 1).
Currently on any suppressive therapy for a chronic infection (such as pneumocystis, cytomegalovirus, herpes simplex virus, herpes zoster and atypical mycobacteria).
Use of parenteral (intravenous or intramuscular) antibiotics (antibacterials, antivirals, antifungals, or antiparasitic agents) within 60 days before first dose.
A history of opportunistic infections within 1 year of screening (e
Data sourced from ClinicalTrials.gov (NCT02776033). 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.