Mode
Text Size
Log in / Sign up
Phase 2 N=76 Randomized Treatment

An Early Bactericidal Activity, Safety and Tolerability of GSK3036656 in Subjects With Drug-sensitive Pulmonary Tuberculosis

Tuberculosis

Enrolled (actual)
76
Serious AEs
0.0%
Results posted
Oct 2023
Primary outcome: Primary: Change in log10 Colony Forming Units (CFU) Per (/) Milliliter (mL) of Direct Respiratory Sputum Samples From Baseline to Day 14 — -0.199; -0.017; -0.092; -0.092 Log10CFU/mL

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
GSK3036656 (Drug); Rifafour e-275 (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
GlaxoSmithKline
Primary completion
Dec 2021

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in log10 Colony Forming Units (CFU) Per (/) Milliliter (mL) of Direct Respiratory Sputum Samples From Baseline to Day 14
-0.199; -0.017; -0.092; -0.092; -0.138
SECONDARY
Change in log10 CFU/mL of Direct Respiratory Sputum Samples From Baseline to Day 2
-0.598; 0.250; -0.153; -0.055; -0.040
SECONDARY
Change in log10 CFU Per mL of Direct Respiratory Sputum Samples From Day 2 to Day 14
-0.162; -0.037; -0.080; -0.086; -0.129
SECONDARY
Change in log10 Time to Sputum Culture Positivity (TTP) From Baseline to Day 14
0.025; 0.000; 0.015; 0.021; 0.022
SECONDARY
Change in log10 TTP From Baseline to Day 2
0.105; -0.003; 0.021; 0.032; 0.066
SECONDARY
Change in log10 TTP From Day 2 to Day 14
0.017; 0.001; 0.013; 0.017; 0.016
SECONDARY
Area Under the Plasma Drug Concentration Versus Time Curve From Time Zero to Last Time of Quantifiable Concentration (AUC[0-t]) Following Once Daily Dosing of GSK3036656
281.8; 1495.6; 4493.8; 11505.6
SECONDARY
Area Under the Plasma Concentration Time Curve From Zero to 24 Hours (AUC[0-24]) Following Once Daily Dosing of GSK3036656
282.1; 1497.1; 4493.9; 11540.0
SECONDARY
Maximum Observed Plasma Drug Concentration (Cmax) Following Once Daily Dosing of GSK3036656
16.93; 94.60; 291.41; 705.24
SECONDARY
Time to Reach Cmax (Tmax) Following Once Daily Dosing of GSK3036656
1.500; 2.492; 1.000; 2.000
SECONDARY
Number of Participants With Non-serious Adverse Events (Non-SAEs) and Serious Adverse Events (SAEs)
14; 7; 14; 15; 9; 0
SECONDARY
Change From Baseline in Hematology Parameters: Basophils, Eosinophils, Lymphocytes, Monocytes, Total Neutrophils, Platelet Count
-0.006; -0.009; -0.018; -0.003; -0.005; 0.086
SECONDARY
Change From Baseline in Hematology Parameter: Hemoglobin
-3.4; -2.9; 0.0; 1.7; -4.6
SECONDARY
Change From Baseline in Hematology Parameter: Hematocrit
-0.012; -0.008; 0.003; 0.007; -0.018
SECONDARY
Change From Baseline in Hematology Parameter: Red Blood Cells Count
-0.130; -0.091; 0.016; 0.059; -0.216
SECONDARY
Change From Baseline in Hematology Parameter: Mean Corpuscular Volume
0.2; -0.3; 0.1; 0.5; 0.0
SECONDARY
Change From Baseline in Hematology Parameter: Mean Corpuscle Hemoglobin
0.2; -0.1; -0.1; 0.1; 0.3
SECONDARY
Change From Baseline in Hematology Parameter: Reticulocytes
0.0045; 0.0035; 0.0041; 0.0055; 0.0025
SECONDARY
Change From Baseline in Chemistry Parameters: Glucose, Calcium, Chloride, Potassium, Sodium, Blood Urea Nitrogen
-0.29; 0.05; 0.17; -0.30; -0.86; 0.021
SECONDARY
Change From Baseline in Chemistry Parameters: Lactate Dehydrogenase (LDH), Alanine Aminotransferase (ALT), Alkaline Phosphatase (ALP), Aspartate Aminotransferase (AST), Gamma-glutamyl Transferase (GGT)
-56.3; -52.8; -18.3; -26.5; -8.5; -20.6
SECONDARY
Change From Baseline in Chemistry Parameters: Creatinine, Indirect Bilirubin, Direct Bilirubin and Total Bilirubin
0.6; 2.8; 3.1; 1.5; 0.6; -1.2
SECONDARY
Change From Baseline in Chemistry Parameter: Total Protein
-1.7; -1.0; -1.3; 2.2; -4.2
SECONDARY
Number of Participants With Worst-Case Urinalysis Results Post-Baseline Relative to Baseline by Dipstick Method
15; 9; 16; 14; 9; 3
SECONDARY
Number of Participants With Worst Case Vital Sign Results by Potential Clinical Importance (PCI) Criteria Post-Baseline Relative to Baseline
1; 1; 0; 1; 0; 17
SECONDARY
Number of Participants With Worst Case Post-Baseline Abnormal Electrocardiogram (ECG) Findings
13; 5; 12; 12; 10; 0
SECONDARY
Change From Baseline in QT Interval Corrected Using Fridericia's Formula (QTcF)
6.4; 11.3; -1.8; 9.5; 4.0

Summary

Tuberculosis remains a concerning health problem, with Mycobacterium Tuberculosis (MTB) now causing more deaths than acquired immune deficiency syndrome (AIDS). GSK3036656 is a compound with a novel mechanism of action under development for the treatment of tuberculosis. It suppresses protein synthesis in MTB by selectively inhibiting the enzyme Leucyl t-ribose nucleic acid (RNA) synthetase. Thus, this study will investigate the early bactericidal activity, safety and tolerability of GSK3036656 in up to four sequential cohorts of subjects with rifampicin-susceptible tuberculosis. The primary objective of this dose-escalation study is to establish the anti-tuberculosis effect of GSK3036656 on serial colony forming units (CFU) counts of MTB in sputum over 14 days of therapy. Subjects in each cohort will be randomized in 3:1 ratio to one of two treatments: either GSK3036656 or standard-of-care (RIFAFOUR® e-275) regimen. The approximate duration of the study for an individual subject will be 5 weeks, including 1 week of screening, 2 weeks of treatment period and another 2 weeks of final follow-up visit. RIFAFOUR e-275 is a registered trademark of Sanofi-Aventis.

Eligibility Criteria

Inclusion Criteria

  • Subjects must be 18 to 65 years of age inclusive, at the time of signing the informed consent.
  • In addition, subjects recruited into cohorts that are planned to undergo fluorodeoxyglucose (FDG) positron emission tomography/ Computed Tomography (PET/CT) must be >=25 years of age, at the time of signing the informed consent.
  • New episode of untreated, rifampicin-susceptible pulmonary tuberculosis.
  • A chest X-ray picture which in the opinion of the Investigator is consistent with tuberculosis.
  • At least one sputum sample positive on direct microscopy for acid-fast bacilli (at least 1+ on the International Union Against Tuberculosis and Lung Disease/ World Health Organization [IUATLD/WHO] scale) or molecular test (Xpert MTB/ rifampicin) with result of either medium or high positive for MTB: Ability to produce an adequate volume of sputum as estimated from an overnight sputum collection sample (estimated 10 milliliter or more); estimated from a spot sputum sample at screening; confirmed at the first overnight collection; if less than 10 milliliter is collected overnight this may be repeated once.
  • Normal echocardiogram or echocardiogram with normal left ventricular function with at most trace to mild valvular regurgitation and no valvular stenosis.
  • Within the normal range for the assay for troponin and b-type natriuretic peptide at screening.
  • Body weight (in light clothing and with no shoes) between 40 and 90 kilograms, inclusive, at screening.
  • Male or female of non-childbearing potential will be included in the study. A male subject with female partners of child-bearing potential must agree to use contraception during the treatment period and for at least 6 weeks, corresponding to time needed to eliminate study treatment plus an additional 90 days (a spermatogenesis cycle) for study treatments with teratogenic potential after the last dose of study treatment and refrain from donating sperm during this period. A female subject is eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies: Pre-menopausal females with one of the following; documented tubal ligation; documented hysteroscopic tubal occlusion procedure with follow-up confirmation of bilateral tubal occlusion or documented bilateral salpingectomy; hysterectomy; documented Bilateral Oophorectomy. Postmenopausal will be defined as 12 months of spontaneous amenorrhea without an alternative medical cause. Post-menopausal status will be confirmed by a simultaneous follicle-stimulating hormone and estradiol levels test.
  • Capable of giving signed informed consent.

Exclusion Criteria

  • Evidence of a clinically significant (as judged by the Investigator) condition or abnormality (other than the indication being studied) that might compromise safety or the interpretation of trial efficacy or safety endpoints.
  • Poor general condition where any delay in treatment cannot be tolerated per discretion of the Investigator.
  • A previous episode of treated tuberculosis less than 3 years ago.
  • Clinically significant evidence of extrathoracic tuberculosis (miliary tuberculosis, abdominal tuberculosis, urogenital tuberculosis, osteoarthritic tuberculosis, tuberculosis meningitis), as judged by the Investigator.
  • Corrected QT Interval > 450 milliseconds.
  • History of allergy to any of the trial investigational product/s or related substances as confirmed by the clinical judgement of the Investigator.
  • History of photosensitivity.
  • Known or suspected, current or history of within the past 2 years, alcohol or drug abuse, that is, in the opinion of the Investigator, sufficient to compromise the safety or cooperation of the subject.
  • HIV infected subjects: having a cluster of differentiation 4+ (CD4+) count 1.5 times upper limit of normal [ULN]); hemoglobin =3.0 times ULN); alanine aminotransferase grade 3 (>=3.0 times ULN); activated partial thromboplastin time grade 3 (>=2.5 times ULN); inter
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03557281). 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.

Back to search