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Phase 2 Completed N=8 Randomized Double-blind Treatment

A Study of GSK2981278 Ointment in Subjects With Plaque Psoriasis

Source: ClinicalTrials.gov NCT03004846 ↗
Enrolled (actual)
8
Serious AEs
0.0%
Results posted
Apr 2019
Primary outcomePrimary: Number of Participants With On-treatment Serious Adverse Events (SAEs) and Non-SAEs: Part A — 1; 0 Participants

Summary

GSK2981278 is an inverse agonist of retinoic acid receptor-related orphan receptor (ROR) gamma. The aim of this study is to evaluate the safety, tolerability, clinical effect, and systemic exposure potential of topically applied GSK2981278 ointment in subjects with plaque psoriasis by treating all plaques on the body for 8 weeks. This single-center study will be conducted in two parts. Part A will be an open-label, single arm study and part B will be a double-blind, randomized, 2-arm, parallel-group, vehicle-controlled study. In Part A, 8 adult subjects and in Part B, 18 adult subjects with chronic stable plaque psoriasis will be enrolled. Total duration of study will be approximately 14 weeks. The results of this study will provide preliminary information about safety and efficacy of the drug and will help in providing the guidance for further development strategy.

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With On-treatment Serious Adverse Events (SAEs) and Non-SAEs: Part A
1; 0
PRIMARY
Number of Participants With Application Site Tolerability Assessment Score During Treatment Period: Part A
8; 0; 0; 0; 0; 8
PRIMARY
Number of Participants With Negative Urinalysis Results: Part A
8; 8; 8; 8; 8; 8
PRIMARY
Change From Baseline in Potential of Hydrogen (pH) of Urine: Part A
0.1; -0.1; -0.1
PRIMARY
Change From Baseline in Specific Gravity of Urine: Part A
0.0019; 0.0019; 0.0025
PRIMARY
Change From Baseline in Blood Urea Nitrogen (BUN), Glucose, Potassium, Sodium and Calcium Levels: Part A
-0.2678; -0.3570; 0.4909; 0.041632; 0.104081; 0.298366
PRIMARY
Change From Baseline in Creatinine, Total and Direct Bilirubin Levels: Part A
-5.8565; -3.8675; -3.7570; 1.425; 1.995; -0.342
PRIMARY
Change From Baseline in Aspartate Aminotransferase (AST), Alanine Aminotransferase (ALT) and Alkaline Phosphatase Levels: Part A
1.3; -0.3; -0.3; 2.8; 0.6; 2.0
PRIMARY
Change From Baseline in Protein and Albumin Levels: Part A
1.9; -1.4; 1.8; 1.4; 1.3; 1.0
PRIMARY
Change From Baseline in Platelet, Leukocyte, Neutrophils, Lymphocytes, Monocytes, Eosinophils and Basophils Levels: Part A
-3.6; -1.0; 0.1; 0.76; 0.42; 0.35
PRIMARY
Change From Baseline in Erythrocyte Levels: Part A
0.013; 0.055; 0.061
PRIMARY
Change From Baseline in Hemoglobin Levels: Part A
1.3; 2.6; 1.5
PRIMARY
Change From Baseline in Hematocrit Levels: Part A
0.0040; 0.0090; 0.0076
PRIMARY
Change From Baseline in Mean Corpuscular Volume (MCV) Levels: Part A
0.46; 0.86; 0.34
PRIMARY
Change From Baseline in Mean Corpuscular Hemoglobin (MCH) Levels: Part A
0.16; 0.21; -0.06
PRIMARY
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) Levels: Part A
-1.9; -2.5; -2.5; 0.0; 1.3; 0.6
PRIMARY
Change From Baseline in Pulse Rate Levels: Part A
3.3; 0.3; 1.3
PRIMARY
Change From Baseline in Electrocardiogram (ECG) Parameters Including Single RR Heart Rate: Part A
-2.5; -3.5
PRIMARY
Change From Baseline in ECG Parameters Including PR Interval, QRS Duration, QT Interval, Corrected QT Interval Using Bazett's Formula (QTcB) and RR Interval: Part A
-0.5; 7.3; -0.5; -0.3; 12.8; 9.0
PRIMARY
Plasma Concentration of GSK2981278 at Nominal Time: Part A
0.00; 151.89; 281.54; 171.38; 610.73; 192.06
PRIMARY
Number of Participants With SAEs and Non-SAEs: Part B
PRIMARY
Number of Participants With Application Site Tolerability Assessment Score During Treatment Period: Part B
PRIMARY
Number of Participants With Change in Clinical Chemistry Toxicity Grade From Baseline: Part B
PRIMARY
Number of Participants With Change in Hematology Toxicity Grade From Baseline: Part B
PRIMARY
Number of Participants With Critical Changes in Values of Vital Signs in Response to Drug: Part B
PRIMARY
Number of Participants With Abnormal Findings for ECG Parameters: Part B
PRIMARY
Mean Percent Change in TPSS From Baseline to Week 8: Part B
PRIMARY
Mean Percent Change in PGA Score From Baseline to Week 8: Part B
PRIMARY
Mean Percent Change in PASI From Baseline to Week 8: Part B
SECONDARY
Mean Percent Change From Baseline in Target Plaque Severity Score (TPSS): Part A
-6.5; -3.0; -4.3
SECONDARY
Mean Percent Change From Baseline in Physician's Global Assessment (PGA) Score: Part A
-3.1; -3.1; 0.0
SECONDARY
Mean Percent Change From Baseline in Psoriasis Area and Severity Index (PASI) Score: Part A
-3.98; -0.27; 4.26

Eligibility Criteria

Inclusion Criteria

  • 18 years of age and above, at the time of signing the informed consent.
  • Subjects with clinical diagnosis of stable plaque psoriasis for more than or equal to 6 months, as confirmed by the investigator.
  • BSA involvement more than or equal to 5 percent and less than or equal to 15 percent, excluding face and intertriginous areas, at Screening and Baseline. The area of psoriasis involvement may include up to 2 percent of total BSA on the scalp with only sparse terminal hair and/or vellus hair.
  • A PGA score of greater than or equal to 2 at Baseline.
  • One target plaque located on the trunk or proximal parts of extremities (excluding scalp, knees, and elbows) that is at least 9 Centimeter ^2 in size at Screening and Baseline with a TPSS greater than or equal to 5 and induration sub score greater than or equal to 2.
  • Male subjects with female partners of child bearing potential must comply with the following contraception requirements from the time of first dose of study medication until 2 weeks after the last dose of study medication: a) Vasectomy with documentation of azoospermia. The documentation on male sterility can come from the site personnel's: review of subject's medical records, medical examination and/or semen analysis, or medical history interview. B) Male condom. The allowed method of contraception is only effective when used consistently, correctly and in accordance with the product label. The investigator is responsible for ensuring that subjects understand how to properly use these methods of contraception.
  • Female of non-reproductive potential (FNRP) is eligible to participate in this study if she meets at least one of the following conditions: a) Females with one of the following procedures documented and no plans to utilize assisted reproductive techniques (e.g., in vitro fertilization or donor embryo transfer): bilateral tubal ligation or salpingectomy, hysteroscopic tubal occlusion procedure with follow-up confirmation of bilateral tubal occlusion, hysterectomy, bilateral Oophorectomy (surgical menopause); b) Post-menopausal women including Females 60 years of age or older, A practical definition accepts menopause after 1 year without menses with an appropriate clinical profile, e.g., age appropriate, more than 45 years, in the absence of hormone replacement therapy (HRT) or medical suppression of the menstrual cycle (e.g., leuprolide treatment). In questionable cases for women less than 60 years of age, a blood sample with simultaneous follicle stimulating hormone and estradiol falling into the central laboratory's post-menopausal reference range is confirmatory (these levels need to be adjusted for specific laboratories/assays. Females fewer than 60 years of age, who are on HRT and wish to continue, and whose menopausal status is in doubt, should not be enrolled in this study. Otherwise, they must discontinue HRT to allow confirmation of post-menopausal status prior to study enrolment. For most forms of HRT, at least 2 to 4 weeks will elapse between the cessation of therapy and the blood draw; this interval depends on the type and dosage of HRT. Following confirmation of their post-menopausal status, they can enroll into the study and resume use of HRT.
  • Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the consent form and in this protocol.

Exclusion Criteria

  • Psoriasis other than plaque variant (i.e. acute psoriasis guttate, psoriasis punctata, psoriasis erythroderma or pustular psoriasis).
  • Current evidence of another ongoing or any acute cutaneous infection, history of repeated or chronic significant skin infections (unless irrelevant in the opinion of the investigator, i.e. onychomycosis, labial herpes or other minor diagnosis).
  • Clinically-relevant skin disease or other skin pathologies, that may, in the opinion of the investigator, contraindicate participation or interfere with skin evaluations.
  • ALT
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03004846). 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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