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Tirabrutinib

Phase 1

Rheumatoid Arthritis | Small molecule | Immunology |Gilead Sciences, Inc.|Last Updated: Sep 9, 2020

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-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment42
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02626026Study to Evaluate Safety and Pharmacokinetics of GS-4059 (Tirabrutinib) in Healthy Volunteers and Participants With Rheumatoid Arthritis (RA)PHASE1 COMPLETED 42Jan 26, 2016Sep 1, 2016Sep 9, 20209 United States
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Study Endpoints
Primary Endpoints
Part A: Percentage of Participants Who Experienced Treatment-Emergent Adverse Events (TEAEs)
First dose date up to last dose (maximum: 7 days) plus 30 days

An adverse event (AE) is any untoward medical occurrence in a clinical study participant administered a medicinal product, which does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Treatment-emergent adverse events (TEAEs) were defined as 1 or both of the following: Any AEs with an onset date on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug and/or Any AEs leading to premature discontinuation of study drug.

Part A: Percentage of Participants With Treatment-Emergent Laboratory Abnormalities
First dose date up to last dose (maximum: 7 days) plus 30 days

A treatment-emergent laboratory abnormality was defined as an increase of at least 1 abnormality grade from the predose assessment after the first dose of study drug and within 30 days after last study drug administration. Laboratory abnormalities without clinical significance were not recorded as AEs or serious AEs. Treatment-emergent laboratory abnormalities were graded per Common Terminology Criteria for Adverse Events (CTCAE), version 4.03 where 0 = none, 1 = mild, 2 = moderate, 3 = severe, 4 = potentially life threatening.

Part A: Percentage of Participants With 12-Lead Electrocardiogram (ECG) Abnormalities
First dose date up to last dose (maximum: 7 days) plus 30 days
Part A: Cmax: Maximum Observed Plasma Concentration of Tirabrutinib
Cohorts 1 and 2, Day 1: 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, and 24 hours postdose; Day 7: 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 36, 48, 60, 72, 96, and 120 hours postdose

Cmax is maximum observed concentration of drug in plasma.

Part A: Clast: Last Observed Quantifiable Plasma Concentration of Tirabrutinib
Cohorts 1 and 2, Day 1: 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, and 24 hours postdose; Day 7: 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 36, 48, 60, 72, 96, and 120 hours postdose

Clast is the last observed concentration of drug in plasma.

Part A: Tmax: Time (Observed Time Point) of Cmax of Tirabrutinib
Cohorts 1 and 2, Day 1: 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, and 24 hours postdose; Day 7: 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 36, 48, 60, 72, 96, and 120 hours postdose

Tmax is the time observed for the Cmax of tirabrutinib.

Part A: Tlast: Time (Observed Time Point) of Clast of Tirabrutinib
Cohorts 1 and 2, Day 1: 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, and 24 hours postdose; Day 7: 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 36, 48, 60, 72, 96, and 120 hours postdose

Tlast is the time observed for the Clast of tirabrutinib.

Part A: AUCtau: Area Under the Plasma Concentration (AUC) Versus Time Curve Over the Dosing Interval of Tirabrutinib
Cohorts 1 and 2, Day 7: 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 36, 48, 60, 72, 96, and 120 hours postdose relative to the morning dose

AUC is concentration of drug over time (area under the plasma concentration versus time curve).

Part A: AUClast: AUC Versus Time Curve From Time Zero to the Last Quantifiable Concentration of Tirabrutinib
Cohorts 1 and 2, Day 1: 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, and 24 hours postdose; Day 7: 0 (predose), 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 18, 24, 36, 48, 60, 72, 96, and 120 hours postdose

AUC is concentration of drug over time (area under the plasma concentration versus time curve).

Part B: Percentage of Participants Who Experienced TEAEs
First dose date up to last dose (maximum: 29 days) plus 30 days

An AE is any untoward medical occurrence in a clinical study participant administered a medicinal product, which does not necessarily have a causal relationship with the treatment. An AE can therefore be any unfavorable and/or unintended sign, symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. TEAEs were defined as 1 or both of the following: Any AEs with an onset date on or after the study drug start date and no later than 30 days after permanent discontinuation of study drug and/or Any AEs leading to premature discontinuation of study drug.

Part B: Percentage of Participants With Treatment-Emergent Laboratory Abnormalities
First dose date up to last dose (maximum: 29 days) plus 30 days

A treatment-emergent laboratory abnormality was defined as an increase of at least 1 abnormality grade from the predose assessment after the first dose of study drug and within 30 days after last study drug administration. Laboratory abnormalities without clinical significance were not recorded as AEs or serious AEs. Treatment-emergent laboratory abnormalities were graded per CTCAE, version 4.03 where 0 = none, 1 = mild, 2 = moderate, 3 = severe, 4 = potentially life threatening.

Part B: Percentage of Participants With 12-Lead ECG Abnormalities
First dose date up to last dose (maximum: 29 days) plus 30 days
Secondary Endpoints
Part A: Change From Baseline in Percent Inhibition of CD63 Basophils at Days 1, 3, 5 and 7
Days 1 and 7: Predose and 2, 6, 12, 24 hours postdose; Days 3 and 5: Predose and 2 hours postdose
Part A: Change From Baseline in Percent Bruton's Tyrosine Kinase (BTK) Occupancy at Days 1, 3, 5 and 7
Day 1: Predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 18, 24 hours postdose; Days 3 and 5: Predose and 2 hours postdose; Day 7: Predose and 0.5, 1, 2, 3, 4, 6, 8, 12, 18, 24, 36, 48, 60, 72, 96, 120 hours postdose
Part B: Change From Baseline in Disease Activity Score for 28 Joint Counts (DAS28) Using C-Reactive Protein (CRP) at Weeks 2, 4 and Posttreatment Week 4
Baseline; Weeks 2, 4 and Posttreatment Week 4
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort 1, Part A: Tirabrutinib 20 mg QDEXPERIMENTALTirabrutinib 20 mg capsules orally once daily (QD) in the morning for 1 week.
Cohort 1, Part A: PlaceboPLACEBO_COMPARATORPlacebo to match tirabrutinib capsules orally QD in the morning for 1 week.
Cohort 2, Part A: Tirabrutinib 10 mg BIDEXPERIMENTALTirabrutinib 10 mg capsules orally twice daily (BID) (morning and approximately 12 hours later) for 7 days. On Day 7, only morning dose was administered.
Cohort 2, Part A: PlaceboPLACEBO_COMPARATORPlacebo to match tirabrutinib capsules orally BID (morning and approximately 12 hours later) for 7 days. On Day 7, only morning dose was administered.
Part B: Tirabrutinib 20 mg QDEXPERIMENTALTirabrutinib 20 mg capsules orally QD for 4 weeks.
Part B: PlaceboPLACEBO_COMPARATORPlacebo to match tirabrutinib capsules orally QD for 4 weeks.
Interventions
NameTypeDescription
TirabrutinibDRUGCapsules administered orally.
PlaceboDRUGCapsules administered orally.
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersYes
Study Sites9

Inclusion Criteria Part A * Be a nonsmoker * Have a calculated body mass index (BMI) from 19 to 30 kg/m\^2, inclusive, at screening * Have a creatinine clearance (CrCl) ≥ 90 mL/min (using the Cockcroft-Gault method based on serum creatinine and actual body weight as measured at screening * Females...

Countries:United States
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