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Phase 2 Completed N=65 Randomized Double-blind Treatment

Safety, Tolerability, Pharmacokinetics, Pharmacodynamics, and Efficacy of Repeat Doses of GSK2982772 in Subjects With Psoriasis

Source: ClinicalTrials.gov NCT02776033 ↗
Enrolled (actual)
65
Serious AEs
3.1%
Results posted
Aug 2019
Primary outcomePrimary: Number of Participants With Serious Adverse Events (SAEs) and Non-SAEs — 0; 1; 1; 8 Participants

Summary

This is the first study with GSK2982772, a receptor-interacting protein-1 (RIP1) kinase inhibitor, in subjects with active plaque-type psoriasis (PsO). The primary objective will be to investigate the safety and tolerability of repeat oral doses of GSK2982772 60 milligram (mg) twice daily (BID) for 84 days in Cohort 1 and 60 mg thrice daily (TID) for 84 days in Cohort 2. In addition, a number of experimental and clinical endpoints will be employed to obtain information on the pharmacokinetics, pharmacodynamics, and efficacy in subjects with active PsO. There will be two Cohorts of subjects. In Cohort 1 after a screening period of up to 30 days, approximately 30 subjects will be randomized to receive either GSK2982772 60 mg BID or placebo for 84 days (12 Weeks), followed by a follow-up period (28 days). In Cohort 2 after a screening period of up to 30 days, approximately 24 subjects will be randomized to receive either GSK2982772 60 mg TID or placebo for 84 days (12 Weeks), followed by a follow-up period (28 days). The total duration of participation is approximately 20 Weeks from screening to the last study visit.

Outcome Measures

OutcomeResultp-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

View full record on ClinicalTrials.gov →

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.

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