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Phase 2 Completed N=96 Randomized Double-blind Treatment

Study to Evaluate the Safety and Efficacy of 13 Weeks of the Selective Androgen Receptor Modulator (SARM) GSK2881078 in Chronic Obstructive Pulmonary Disease (COPD)

Source: ClinicalTrials.gov NCT03359473 ↗
Enrolled (actual)
96
Serious AEs
5.2%
Results posted
Jul 2020
Primary outcomePrimary: Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) — 3.0; 2.1; -2.1; 3.1 Millimeters of mercury

Summary

Impaired physical function and muscle dysfunction are a major consequence of COPD, which may be associated with increased mortality, poor quality of life and increased health care use. This is a randomized, placebo-controlled, double-blind, parallel group study to evaluate the safety and tolerability of GSK2881078, an SARM over 13 weeks of dosing in older male subjects and post-menopausal female subjects with COPD and muscle weakness. This study will also assess the effect of GSK2881078 on physical strength and function after 13 weeks of treatment. Approximately 100 subjects with COPD and muscle weakness will be randomized into two cohorts of 50 male subjects and 50 female subjects. Within each cohort, subjects will be randomized to receive GSK2881078 or placebo in a ratio of 1:1. All subjects will participate in a standardized home exercise program, which will consist of daily walking, along with several resistance or weight-bearing exercises, such as bicep curls, upright rows, step ups and a sit-to-stand maneuver. The study will consist of a screening/Baseline period of up to 30 days, a 13-week treatment period and a post-treatment follow-up period of 6 weeks.

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
3.0; 2.1; -2.1; 3.1; 3.7; -0.1
PRIMARY
Change From Baseline in Heart Rate
-0.7; 3.3; 1.7; -0.4; 2.2; 2.1
PRIMARY
Change From Baseline in PR Interval, QRS Duration, QT Interval, QT Interval Corrected for Heart Rate by Fridericia's Formula (QTcF) and QT Interval Corrected for Heart Rate by Bazett's Formula (QTcB)
-1.303; -0.377; -2.455; -2.875; -0.061; -4.717
PRIMARY
Number of Participants With Grade Increase Post-Baseline Relative to Baseline in Hematology Parameters
0; 0; 0; 0; 0; 0
PRIMARY
Number of Participants With Grade Increase Post-Baseline Relative to Baseline in Clinical Chemistry Parameters
0; 1; 0; 1; 0; 0
PRIMARY
Change From Baseline in Urinalysis Parameter; Specific Gravity: Placebo-Female Participants
0.0030; 0.0020; -0.0006
PRIMARY
Change From Baseline in Urinalysis Parameter; Specific Gravity: GSK2881078 1.0 mg- Female Participants
0.000; 0.0049
PRIMARY
Change From Baseline in Urinalysis Parameter; Specific Gravity: Male Participants
-0.0080; 0.0040; 0.0017; 0.0018
PRIMARY
Change From Baseline in Urinalysis Parameter; Potential of Hydrogen (pH): Placebo- Female Participants
0.0000; -0.5000; 0.0000
PRIMARY
Change From Baseline in Urinalysis Parameter; pH: GSK2881078 1.0 mg- Female Participants
1.0000; -0.1111
PRIMARY
Change From Baseline in Urinalysis Parameter; pH: Male Participants
1.0000; 0.5000; -0.1579; 0.3000
PRIMARY
Number of Participants With Urinalysis Dipstick Results Post-Baseline Relative to Baseline
0; 0; 1; 0; 0; 0
PRIMARY
Number of Participants With Serious Adverse Events (SAEs) and Non-serious Adverse Events
15; 18; 13; 17; 1; 2
PRIMARY
Percentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 28
4.82; 9.34; 1.55; 9.35
PRIMARY
Percentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 56
0.08; 16.78; 5.73; 11.07
PRIMARY
Percentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 90
12.76; 17.93; 7.15; 14.17
PRIMARY
Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 28
4.2; 10.0; 3.0; 16.5
PRIMARY
Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 56
0.6; 21.3; 8.3; 15.7
PRIMARY
Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 90
12.3; 20.3; 14.2; 26.0
SECONDARY
Change From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 28
-0.240; 0.642; 0.055; 0.346
SECONDARY
Change From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 56
-0.134; 0.848; -0.464; 0.663
SECONDARY
Change From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 90
-0.434; 0.946; -0.225; 0.899
SECONDARY
Change From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 28
-0.017; 1.150; 0.075; 0.998
SECONDARY
Change From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 56
-0.564; 1.522; -0.373; 1.327
SECONDARY
Change From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 90
-0.531; 1.577; -0.424; 1.689
SECONDARY
Change From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 28
0.3; 0.4; 0.2; 0.3
SECONDARY
Change From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 56
0.4; 0.4; 0.1; 0.4
SECONDARY
Change From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 90
0.3; 0.5; 0.4; 0.5
SECONDARY
Change From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 28
-0.644; -1.196; -0.464; -0.537
SECONDARY
Change From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 56
-1.207; -2.023; -0.323; -0.160
SECONDARY
Change From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 90
-1.070; -2.030; 1.144; -0.793
SECONDARY
Change From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 28
-0.236; -0.277; -0.167; -0.110
SECONDARY
Change From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 56
0.010; -0.276; -0.093; -0.284
SECONDARY
Change From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 90
-0.043; -0.055; -0.130; -0.360
SECONDARY
Change From Baseline in Constant Work Rate (CWR) Duration From Endurance Shuttle Walking Test
-6.5; 4.6; 105.1; -44.2
SECONDARY
Change From Baseline in Peak Performance From Incremental Shuttle Walking Test
-10.5; -17.2; -7.5; -42.3
SECONDARY
Change From Baseline in Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) Score at Day 56
-0.8; -1.2; -0.4; -1.0
SECONDARY
Change From Baseline in Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) Score at Day 90
-1.3; -2.2; -1.4; 0.8
SECONDARY
Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Difficulty Score at Day 56
3.7; -1.1; 1.3; -0.8
SECONDARY
Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Difficulty Score at Day 90
2.0; -2.9; 2.8; -1.2
SECONDARY
Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Amount Score at Day 56
3.3; 0.2; 2.5; 2.3
SECONDARY
Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Amount Score at Day 90
-0.2; 3.8; -0.8; 2.7
SECONDARY
Change From Baseline in Participant Reported Outcome (PRO)Active Total Score at Day 56
3.7; -0.5; 2.1; 0.5
SECONDARY
Change From Baseline in Participant Reported Outcome (PRO)Active Total Score at Day 90
1.3; 0.3; 1.2; 0.5
SECONDARY
Change From Baseline in Steps Per Day (Physical Activity Measure) as Assessed Via an Accelerometer
285.19; 389.58; 120.41; -17.40; -246.45; 786.21
SECONDARY
Change From Baseline in Vector Magnitude Unit Per Wear Time (Physical Activity Measure) as Assessed Via an Accelerometer
9.19; -4.83; 56.42; 71.98; -6.60; 0.40
SECONDARY
Number of Participants With Participant Global Impression of Change (PGIC) Score Over Time
0; 0; 0; 0; 0; 0
SECONDARY
Number of Participants With Participant Global Rating of Severity (PGRS) Score Over Time
2; 0; 0; 2; 9; 13
SECONDARY
Change From Baseline in St. George Respiratory Questionnaire (SGRQ) for COPD (SGRQ-c) Total Score
-3.9; -0.9; -1.7; 0.4
SECONDARY
Change From Baseline in SGRQ-c Symptoms Score
-4.0; -1.4; -3.5; -4.0
SECONDARY
Change From Baseline in SGRQ-c Activity Score
-5.4; -3.4; 1.2; 1.6
SECONDARY
Change From Baseline in SGRQ-c Impact Score
-2.8; 0.6; -2.7; 0.8
SECONDARY
Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)
-0.000; -0.028; 0.012; -0.016; 0.002; -0.024
SECONDARY
Change From Baseline in Sniff Nasal Inspiratory Pressure (SnIP)
-6.0; 3.4; 0.7; -0.8; -0.7; -0.4
SECONDARY
Clearance (CL) of GSK2881078 Following Oral Dose in Participants
0.393; 0.476
SECONDARY
Volume of Distribution at Steady State (Vss) of GSK2881078 Following Oral Dose in Participants
39.4; 48.3

Eligibility Criteria

Inclusion Criteria

  • Subject must be 50 to 75 years of age inclusive, at the time of signing the informed consent.
  • Male and/or female subjects will be included. a) A male subject with a partner who is a woman of child bearing potential (WOCPB) must agree to use contraception during the treatment period and until at least 5 half-lives of study medication have passed after the last ingested dose [125 days, corresponding to time needed to eliminate study treatment for both genotoxic and teratogenic study treatments plus an additional 90 days (a spermatogenesis cycle) for study treatments with genotoxic potential] after the last dose of study treatment and refrain from donating sperm during this period. b) A female subject is eligible to participate if she is post-menopausal and not a WOCBP.
  • Confirmed diagnosis of COPD in accordance with the American Thoracic Society (ATS)/European Respiratory Society (ERS) criteria with a post-bronchodilator FEV1/forced vital capacity (FVC) =1 and =10 pack years (1 pack year =20 cigarettes smoked per day for 1 year or equivalent). Former smokers are defined as those who have stopped smoking for at least 6 months prior to Baseline.
  • Subjects must be able to read and write in the language used for the provided electronic diary and be able to operate an electronic device to a level that allows them to complete an electronic diary on a daily basis.
  • Subjects participating in a structured exercise program must be willing to convert their current exercise program to the home exercise program used in this study.
  • Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and protocol.

Exclusion Criteria

  • Subjects with a history of myocardial infarction, angina, congestive heart failure exacerbation, hospitalization for cardiac etiology, stroke or transient ischemic attack in the past 12 months.
  • Neurologic, musculoskeletal, osteoarthritis, or any other condition that in the opinion of the investigator limits subject's ability to complete study physical assessments.
  • Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
  • Subjects with a history of cholecystectomy.
  • Subjects with a history of malignancy that is not in complete remission for at least 2 years or 1 year for non-melanoma skin carcinoma.
  • Subjects with a family history of early onset prostate cancer or familial prostate cancer (multiple family members).
  • Diseases known to cause malabsorption of protein or energy, such as inflammatory bowel disease, celiac disease, pancreatic insufficiency, etc.
  • Current or planned administration of cholestyramine or strong oral or injectable cytochrome P-450 isoenzyme 3A4 (CYP3A4) inducers.
  • Current or planned use of any prescription drugs known to affect muscle mass, including androgen supplements, anti-androgens (such as luteinizing hormone-releasing hormone [LHRH] agonists), anti-estrogens (tamoxifen, etc.), recombinant growth hormone, megesterol, etc.
  • Use of oral steroids concurrently or within 4 weeks preceding the screening visit.
  • The subject has participated in a clinical trial and has received an investigational product within the following time-period prior to randomization in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer).
  • Subjects with values outside the specified ranges for the following Key Clinical Laboratory Tests must be excluded from the study: a) Renal function: Glomerular Filtration Rate (GFR) 7.5%. c) ALT >2 times upper limit of normal (ULN) and bilirubin >1.5 times ULN (isolated bilirubin >1.5 times ULN is acceptable if bilirubin is fractionated and direct bilirubin 4.0 nanograms per milliliter (ng/mL).
  • Presence of hepatitis B surface antigen (HBsAg), positive hepatitis C antibo
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03359473). 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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