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Phase 1 Completed N=97 Randomized Double-blind Treatment

A Safety, Tolerability, Pharmacokinetics (PK) and Target Engagement (TE) Study of GSK3858279 in Healthy Participants and Evaluation of the Efficacy of Repeat Doses in Participants With Osteoarthritis (OA)

Pain, Inflammatory
Source: ClinicalTrials.gov NCT03485365 ↗
Enrolled (actual)
97
Serious AEs
0.0%
Results posted
Mar 2024
Primary outcomePrimary: Part A: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) — 2; 2; 4; 6 Participants

Summary

This study is the first administration of GSK3858279 in humans and will be conducted in two parts: Part A will consist of a single ascending dose escalation design to evaluate safety, tolerability, PK, TE and immunogenicity of either a single intravenous (IV) or a single subcutaneous (SC) dose. Approximately 48 healthy participants will be enrolled in 6 cohorts and randomized to 3:1 ratio (GSK3858279 or placebo). Part B will evaluate safety, tolerability, efficacy (pain), PK, TE and immunogenicity after repeat SC dosing. Approximately 50 OA participants will be randomized in a parallel group design to receive either GSK3858279 or placebo in a 1:1 ratio.

Outcome Measures

OutcomeResultp-value
PRIMARY
Part A: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
2; 2; 4; 6; 6; 6
PRIMARY
Part B: Number of Participants With Treatment Emergent Adverse Events and Serious Adverse Events
21; 15; 0; 0
PRIMARY
Part A: Number of Participants With Clinically Significant Changes in Hematology, Clinical Chemistry Laboratory Parameters and Urinalysis
0; 0; 0; 0; 0; 0
PRIMARY
Part B: Number of Participants With Clinically Significant Changes in Hematology, Clinical Chemistry Laboratory Parameters and Urinalysis
0; 0; 0; 0; 0; 0
PRIMARY
Part A: Number of Participants With Clinically Significant Changes in Electrocardiogram Findings
0; 0; 0; 0; 0; 0
PRIMARY
Part B: Number of Participants With Clinically Significant Changes in Electrocardiogram Findings
0; 0
PRIMARY
Part A: Number of Participants With Clinically Significant Changes in Vital Signs
0; 0; 0; 0; 0; 0
PRIMARY
Part B: Number of Participants With Clinically Significant Changes in Vital Signs
0; 0
PRIMARY
Part B: Change From Baseline in Knee Pain as Assessed by Average of Daily Pain Numeric Rating Scale at Week 8
-2.82; -1.62
PRIMARY
Part B: Change From Baseline in Worst Knee Pain Intensity as Assessed by Numeric Rating Scale at Week 8
-2.89; -1.58
SECONDARY
Part A: Serum Concentrations of GSK3858279 Following a Single IV Dose
SECONDARY
Part A: Serum Concentrations of GSK3858279 Following a Single SC Dose
SECONDARY
Part B: Serum Concentration of GSK3858279 Following Repeat SC Dose
SECONDARY
Part A: Area Under the Time-Concentration Curve (AUC) Over the Dosing Interval (0-tau) (AUC[0-tau]) Following a Single IV Dose of GSK3858279
SECONDARY
Part A: AUC From Zero to Time t (0-t) (AUC[0-t]) Following a Single IV Dose of GSK3858279
SECONDARY
Part A: AUC From Zero to Infinity (0-infinity) (AUC[0-infinity]) Following a Single IV Dose of GSK3858279
SECONDARY
Part A: AUC(0-tau) Following a Single SC Dose of GSK3858279
SECONDARY
Part A: AUC From Zero to Time t (0-t) (AUC[0-t]) Following a Single SC Dose of GSK3858279
SECONDARY
Part A: AUC From Zero to Infinity (0-infinity) (AUC[0-infinity]) Following a Single SC Dose of GSK3858279
SECONDARY
Part B: AUC(0-tau) Following a Repeat SC Dose of GSK3858279
SECONDARY
Part B: AUC(0-t) Following a Repeat SC Dose of GSK3858279
SECONDARY
Part B: AUC(0-infinity) Following a Repeat SC Dose of GSK3858279
SECONDARY
Part A: Maximum Concentration (Cmax) After a Single IV Dose of GSK3858279
SECONDARY
Part A: Maximum Concentration (Cmax) After a Single SC Dose of GSK3858279
SECONDARY
Part B: Cmax After Repeat SC Dose of GSK3858279
SECONDARY
Part A: Half-life (t1/2) Following a Single IV Dose of GSK3858279
SECONDARY
Part A: Half-life (t1/2) Following a Single SC Dose of GSK3858279
SECONDARY
Part B: t1/2 Following a Repeat SC Dose of GSK3858279
SECONDARY
Part A: Clearance (CL) Following a Single IV Dose of GSK3858279
SECONDARY
Part A: Clearance (CL) Following a Single SC Dose of GSK3858279
SECONDARY
Part B: CL Following a Repeat SC Dose of GSK3858279
SECONDARY
Part A: Volume of Distribution at Steady State (Vss) Following a Single IV Dose of GSK3858279
SECONDARY
Part A: Volume of Distribution at Steady State (Vss) Following a Single SC Dose of GSK3858279
SECONDARY
Part B: Vss Following a Repeat SC Dose of GSK3858279
SECONDARY
Part A: Volume of Distribution (V) Following a Single IV Dose of GSK3858279
SECONDARY
Part A: Volume of Distribution (V) Following a Single SC Dose of GSK3858279
SECONDARY
Part B: Volume of Distribution (V) Following a Repeat SC Dose of GSK3858279
SECONDARY
Part A: Free Chemokine Ligand 17 (CCL17) Levels in Serum Following Single IV Dose of GSK3858279
SECONDARY
Part A: CCL17 Levels in Serum Following Single SC Dose of GSK3858279
SECONDARY
Part B: Free CCL17 Levels in Serum Following Repeat SC Dose of GSK3858279
SECONDARY
Part A: Total CCL17 Levels in Serum Following Single IV Dose of GSK3858279
SECONDARY
Part A: Total CCL17 Levels in Serum Following Single SC Dose of GSK3858279
SECONDARY
Part B: Total CCL17 Levels in Serum Following Repeat SC Dose of GSK3858279

Eligibility Criteria

Inclusion Criteria

For Part A:

  • Participants between 18 and 65 years of age inclusive, at the time of signing the informed consent.
  • Volunteers who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, and cardiac monitoring.
  • Body weight within the range 50 to 100 kilogram (kg) and body mass index (BMI) within the range 18 to 32 kilogram per meter square (kg/m^2) (inclusive).
  • Male participants are eligible to participate if they agree to the following for at least 28 weeks after the dose of study intervention: Refrain from donating sperm PLUS either be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent OR must agree to use contraception/barrier as detailed below: agree to use a male condom and should also be advised of the benefit for a female partner to use a highly effective method of contraception as a condom may break or leak when having sexual intercourse with a woman of childbearing potential who is not currently pregnant.
  • A female participant is eligible to participate if she is of non-reproductive potential.
  • Capable of giving signed informed consent.

For Part B:

  • Age between 40 and 75 years of age inclusive, at the time of signing the informed consent.
  • OA of the index knee as defined by symptomatic for >=6 months with a clinical diagnosis of OA as per American College of Rheumatology (ACR) clinical diagnosis criteria.
  • Average of daily pain score >=4 and =2 on X-ray obtained during screening. In addition, for participants with bilateral Knee OA, the index knee is determined at Baseline as the participant reported most painful knee over the 4 weeks prior to Baseline.
  • A history of insufficient pain relief from, or inability to tolerate, or contraindication to, oral Non-steroidal anti-inflammatory drugs (NSAIDs).
  • A participant must be willing and able to understand and participate in all scheduled evaluations and to complete all required tests and procedures including the use of patient diaries. This will be judged by the Investigator during the screening period.
  • BMI within the range 19-34.9 kg/m^2 (inclusive)
  • Male participants are eligible to participate if they agree to the following for at least 28 weeks after the dose of study intervention: refrain from donating sperm PLUS either: Be abstinent from heterosexual or homosexual intercourse as their preferred and usual lifestyle (abstinent on a long term and persistent basis) and agree to remain abstinent or must agree to use contraception/barrier as detailed: Agree to use a male condom and should also be advised of the benefit for a female partner to use a highly effective method of contraception as a condom may break or leak when having sexual intercourse with a woman of childbearing potential who is not currently pregnant.
  • A female participant is eligible to participate if she is of non-reproductive potential.
  • Capable of giving signed informed consent.

Exclusion Criteria

For Part A:

  • History or presence of cardiovascular, respiratory, hepatic, renal, gastrointestinal, endocrine, hematological, or neurological disorders capable of significantly altering the absorption, metabolism, or elimination of drugs; constituting a risk when taking the study intervention; or interfering with the interpretation of data.
  • Personal or family history of cardiomyopathy.
  • Abnormal blood pressure at screening as determined by the investigator.
  • History of symptomatic herpes zoster.
  • Evidence of active or latent tuberculosis (TB) as documented by medical history, examination, and TB testing with a positive (not indeterminate) QuantiFERON test.
  • Significant allergies to humanized monoclonal antibodies as per principal investigator's and GlaxoSmithKline (GSK) medical monitor's judgments.
  • History or evidence of clinically significant multiple or severe drug allergies, intoleranc
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03485365). 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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