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GS-6615

Phase 1

Long QT Syndrome | Small molecule | Other |Gilead Sciences, Inc.|Last Updated: May 20, 2015

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials2
Total Enrollment84
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02365532Effect of Oral GS-6615 on Dofetilide-Induced QT Prolongation, Safety, and Tolerability in Healthy AdultsPHASE1 COMPLETED 60Feb 1, 2015May 1, 2015May 20, 20151 United States
NCT01849003Study of the Effect of GS-6615 in Subjects With LQT-3PHASE1 COMPLETED 24May 1, 2013Nov 1, 2014Nov 17, 20141 United States
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Study Endpoints
Primary Endpoints
Change in daytime QT interval corrected for heart rate using the Fridericia formula (QTcF)
Up to 6 days
Pharmacokinetic (PK) profiles of GS-6615 and dofetilide
Predose and postdose on Days -2 through Day 4

This endpoint will measure the plasma PK profiles of GS-6615 and dofetilide. PK parameters that will be measured include Cmax, Tmax, AUC\_0-24, and AUC\_0-tlast.

Changes in QTc intervals (Fridericia formula)
Baseline through Day 7

Changes in QTc intervals (Fridericia formula; QTcF) from the time-matched ECG in the primary lead V5. In case QT cannot be measured in lead V5, lead II will be designated as the primary lead * Change from the time-matched ECG on Day -1 to Day 1 for Cohorts 1-4 * Change from the time-matched ECG average of Day -1 and Day -2 to Days 1-7 for Cohort 5 and 6

Secondary Endpoints
Incidence of adverse events, clinical laboratory test results, vital sign measurements, and electrocardiogram (ECG) data
Up to 6 days
Incidence of Adverse Events (AEs)
Baseline through Day 22
Changes in ECHO parameters
Baseline through Day 7
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Placebo to match GS-6615PLACEBO_COMPARATORPlacebo to match GS-6615 + dofetilide or placebo to match dofetilide twice daily
GS-6615EXPERIMENTALGS-6615 or placebo to match GS-6615 + dofetilide or placebo to match dofetilide twice daily
Cohort 1EXPERIMENTALParticipants will receive a single 10 mg dose of GS-6615.
Cohort 2EXPERIMENTALParticipants will receive a single 20 mg dose of GS-6615.
Cohort 3EXPERIMENTALParticipants will receive a single 30 mg dose of GS-6615.
Cohort 4EXPERIMENTALParticipants will receive a single 60 mg dose of GS-6615.
Cohort 5EXPERIMENTALParticipants will receive single doses of GS-6615 as follows: * Day 1: 20 mg (loading dose) * Day 2: 40 mg (loading dose) * Days 3-7: 6 mg (maintenance dose) once daily If a participant has a QTcF value of ≤ 420 msec on 2 consecutive time points after the 20 mg dose on Day 1, the participant will receive the maintenance dose of 6 mg on Day 2.
Cohort 6EXPERIMENTALParticipants will receive single doses of GS-6615 as follows: * Day 1: 50 mg (loading dose) * Day 2-3: 10 mg once daily * Days 4-7: 20 mg once daily
Interventions
NameTypeDescription
GS-6615DRUGGS-6615 tablets administered orally
Placebo to match GS-6615DRUGPlacebo to match GS-6615 tablets administered orally
Placebo to match dofetilideDRUGPlacebo to match dofetilide capsules administered orally
DofetilideDRUGDofetilide 500 μg capsules administered orally according to the current prescribing information
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Eligibility Criteria
Age Range18 Years — 40 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Must, in the opinion of the investigator, be in good health based upon medical history and physical examination, including vital signs * Have a calculated body mass index (BMI) from 18 to 30 kg/m\^2, inclusive, at study screening * Have either a normal 12-lead electrocardiogra...

Countries:United States
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