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darapladib

Phase 3

Atherosclerosis | Small molecule | Cardiovascular |GSK plc|Last Updated: Aug 10, 2017

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-BlindCONTROLLEDDMCBiomarker
Total Trials11
Total Enrollment16,091
FDA Designations
No designations recorded
Clinical Trials (11)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00799903The Stabilization of Atherosclerotic Plaque by Initiation of Darapladib Therapy TrialPHASE3 COMPLETED 15,828Dec 1, 2008Oct 17, 2013Aug 10, 2017650 United States, Argentina +37
NCT02058641Effect of Darapladib on Cantharidin-Induced Inflammatory Blisters in Subjects With Type 2 Diabetes Mellitus (T2DM)PHASE1 COMPLETED 9Feb 26, 2014Aug 18, 2014May 15, 20171 United Kingdom
NCT02000804Darapladib China PKPHASE1 COMPLETED 24Oct 23, 2013Jan 4, 2014May 15, 20171 China
NCT01873339Pharmacokinetic Interaction of Darapladib and CYP 3A4 in Healthy SubjectsPHASE1 COMPLETED 26Jun 19, 2013Sep 12, 2013May 15, 20171 United States
NCT01852565Study to Determine the Effect of Repeated Administration of Diltiazem on the Pharmacokinetics of Darapladib (Sb-480848).PHASE1 COMPLETED 36May 14, 2013Sep 30, 2013Jul 13, 20171 United States
NCT01751074To Estimate the Potential Effects of Repeat Doses of Darapladib on the Pharmacokinetics (PK) of Rosuvastatin as Well as Evaluating Safety and Tolerability in Healthy VolunteersPHASE1 COMPLETED 18Dec 17, 2012Mar 14, 2013Jul 26, 20171 United States
NCT01711723A Study to Assess the Pharmacokinetics, Safety and Tolerability of Repeat Oral Doses of Darapladib (SB-480848) in Subjects With Severe Renal ImpairmentPHASE1 COMPLETED 16Oct 29, 2012Mar 25, 2013Jul 26, 20172 United States
NCT01154114Study to Evaluate Darapladib in Moderately Hepatically Impaired SubjectsPHASE1 COMPLETED 24Jul 1, 2010Oct 15, 2010Jul 26, 20172 United States
NCT00743860A Healthy Volunteer Pharmacokinetic Study of Single and Repeat Doses of SB-480848PHASE1 COMPLETED 20Sep 1, 2008Dec 1, 2008Nov 16, 20161 United States
NCT00551317A Study Investigating the Concentrations of Darapladib in Blood and the Safety of This Compound in Healthy Japanese MenPHASE1 COMPLETED 18Jul 1, 2007Sep 1, 2007Dec 5, 20161 United States
NCT00411073Study Of The Effects Of SB 480848 (Darapladib) On The Electrical Conduction Of The HeartPHASE1 COMPLETED 72Dec 1, 2006 -Oct 28, 20161 United States
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Study Endpoints
Primary Endpoints
Number of Participants With First Occurrence of Any Component of the Composite of Major Adverse Cardiovascular Events (Cardiovascular [CV] Death, Non-fatal Myocardial Infarction [MI] or Non-fatal Stroke) During the Time Period for Follow-up of CV Events
From randomization until the End-of-Treatment visit or the last date on which endpoints were able to be assessed (up to 4.25 years/average of 3.51 years)

CV death=death due to a CV cause, which included but was not limited to deaths resulting from stroke, arrhythmia, sudden death (witnessed/unwitnessed), MI, heart failure, pulmonary embolism, peripheral arterial disease, or complications of a CV procedure. Deaths not clearly attributable to non-CV causes are considered to be CV deaths. Acute MI=evidence of myocardial necrosis in a clinical setting consistent with myocardial ischemia. Prior MI diagnosed post-randomization (e.g., silent MI)=the development of new pathological Q waves with/without symptoms OR imaging evidence of a region of loss of viable myocardium that is thinned and fails to contract, in the absence of a non-ischemic cause (pre-event imaging data required for verification of new abnormality), OR pathological findings of a healed/healing MI. Stroke=presence of a new focal neurologic deficit thought to be of vascular origin, with signs/symptoms lasting \>24 hours or results in death (in \<24 hours).

Macrophage cell count and surface expression of markers of M1 and M2 polarization in blister fluid
Up to 6 weeks

To assess the effect of an 11 day course of once daily darapladib EC 160 mg on the number and phenotype (M1/M2 polarization) of macrophages isolated from blisters on subjects with type 2 diabetes mellitus (blisters induced by exposure to cantharidin for 48 hours). Biomarkers may include, but not be limited to: Cluster of differentiation (CD)11b, CD14, CD16, CD33, CD40, CD64, CD68, CD86, CD163, CD206, C-C chemokine receptor type 2 (CCR2), CX3 chemokine receptor 1 (CX3CR1)

Adverse event
Up to 12 weeks

An AE is any untoward medical occurrence in a patient or clinical investigation Subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

12-lead ECG
Up to 12 weeks

12-lead ECGs will be obtained at designated timepoint during the study, using an ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and QTc intervals.

Vital sign measurement
Up to 12 weeks

Systolic and diastolic blood pressure and pulse rate

clinical laboratory examination
Up to 12 weeks

Hematology, clinical chemistry, urinalysis and additional parameters to be tested

AUC0-t for darapladib
Up to 12 weeks

Area under the concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration

AUC 0-∞ for Darapdlib
Up to 12 weeks

Area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time

Cmax for darapladib
Up to 12 weeks

Area under the concentration-time curve from time zero (pre-dose) extrapolated to infinite time

Rcmax for darapladib
Up to 12 weeks

Accumulation ratios Cmax accumulation ratio

Ro for darapladib
Up to 12 weeks

Accumulation ratios Cmax accumulation ratio

Nursing/physician observation
Up to 12 weeks

The physical examination will include assessments of the skin, lungs, cardiovascular system, and abdomen (liver and spleen).

Maximum concentration (Cmax), and area under the time-concentration curve (AUC[0-inf]) of midazolam at Day 1and 14
Day 1 and 14

The effects of repeat oral dosing of darapladib (160mg enteric coated \[EC\] tablet once daily \[QD\]) on the pharmacokinetic parameters - Cmax and AUC(0-infinity\[inf\]) of a single oral dose of midazolam (5 mg) will be evaluated

AUC(0-24h) of darapladib
Up to 32 days. (PK samples will be collected on Days 8, 9, 26 and 27 at predose. Day 10 and Day 28 predose and at 0.5, 1, 2, 3, 4, 6, 9, 12, 18, 24, 32, 48, 72, and 96 hours post-dose)

The area under the concentrations-time curve (AUC0-24) from the time of administration of darapladib up to 24 h after administration.

Cmax of darapladib
Up to 32 days. (PK samples will be collected on Days 8, 9, 26 and 27 at predose. Day 10 and Day 28 predose and at 0.5, 1, 2, 3, 4, 6, 9, 12, 18, 24, 32, 48, 72, and 96 hours post-dose)

The maximum concentration (Cmax) was obtained directly from the measured concentration-time curves.

Single dose PK of Rosuvastatin assessed by AUC (0-infinity) or AUC (0-t) when co-administered with darapladib and when administered alone.
09 days. Blood samples will be collected on Day 1 to 5 (pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 hours [hrs] post dose) and on Day 15 to 18 (pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, and 24, 36, 48, 72, and 96 hrs post dose).

To evaluate the single dose PK of Rosuvastatin, area under the concentration-time curve from time zero extrapolated to infinite time (AUC \[0-infinity\]) or area under the concentration-time curve from time zero to last time of quantifiable concentration (AUC \[0-t\]) will be assessed.

Single dose PK of Rosuvastatin assessed by Cmax when co-administered with darapladib and when administered alone.
09 days. Blood samples will be collected on Day 1 to 5 (pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 hours [hrs] post dose) and on Day 15 to 18 (pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, and 24, 36, 48, 72, and 96 hrs post dose).

To evaluate the single dose PK of Rosuvastatin, maximum observed concentration (Cmax) will be assessed.

Single dose PK of Rosuvastatin assessed by Tmax and T1/2 (as data permit) when co-administered with darapladib and when administered alone.
09 days. Blood samples will be collected on Day 1 to 5 (pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 24, 36, 48, 72, 96 hours [hrs] post dose) and on Day 15 to 18 (pre-dose, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, and 24, 36, 48, 72, and 96 hrs post dose).

To evaluate the single dose PK of Rosuvastatin, time of occurrence of Cmax (Tmax), and terminal phase half-life (T1/2) will be assessed.

AUC (0-τ) for darapladib and as data permit for metabolites M4, M3, and M10
On scheduled intervals on Day 10

The PK parameter area under the concentration-time curve over the dosing interval (AUC (0-τ)) will be derived from the plasma concentration-time data.

Cmax for darapladib and as data permit for metabolite s M4, M3, and M10
On scheduled intervals on Day 10

The PK parameter maximum observed concentration (Cmax) will be derived from the plasma concentration-time data.

Pharmacokinetic endpoints will include darapladib AUC (0-τ), Cmax and Tmax. Metabolites pharmacokinetic parameters AUC (0-τ), Cmax and Tmax will be evaluated as data permit.
After 10 days of repeat dosing
Clinical safety data (spontaneous AE reporting, vital signs, nursing/physician observation, and clinical laboratory tests) will be the primary safety endpoint
Over 10 days of repeat dosing
The primary PK endpoints will include AUC and Cmax of darapladib and its metabolites (M10, M3 and M4) following single and repeat oral doses. Metabolite to parent AUC and Cmax ratio for each metabolite will be calculated as data permit.
following single and 28 day repeat dose
Clinical safety data (spontaneous AE reporting, vital signs, nursing/physician observation, and clinical laboratory tests) will be the primary safety endpoint.
throughout study
- Safety/tolerability of single oral doses of darapladib
4, 24 and 96h post-dose
- Primary Pharmacokinetic parameters of single oral doses of darapladib
pre-dose, 0,5, 1, 2, 3, 4, 6, 9 12, 16, 24, 48, 72h post-dose
Change in QTc interval as compared to placebo and moxifloxacin
throughout the study
Secondary Endpoints
Number of Participants With First Occurrence of Any Event in the Composite of Major Coronary Events (Coronary Heart Disease [CHD] Death, Non-fatal MI, or Urgent Coronary Revascularization [CR] for MI) During the Time Period for Follow-up (FU) of CV Events
From randomization until the End-of-Treatment visit or the last date on which endpoints were able to be assessed (up to 4.25 years/average of 3.51 years)
Number of Participants With First Occurrence of Any Event in the Composite of Total Coronary Events (CHD Death, Non-fatal MI, Hospitalization for Unstable Angina, or Any Coronary Revascularization Procedure) During Time Period for FU of CV Events
From randomization until the End-of-Treatment visit or the last date on which endpoints were able to be assessed (up to 4.25 years/average of 3.51 years)
Number of Participants With CV Death During the Time Period for Follow-up of CV Events
From randomization until the End-of-Treatment visit or the last date on which endpoints were able to be assessed (up to 4.25 years/average of 3.51 years)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
DarapladibEXPERIMENTALSingle daily oral tablet
PlaceboPLACEBO_COMPARATORSingle daily oral tablet
Part AEXPERIMENTALPart A will consist of 2 sessions. In Session 1, 3 blisters will be induced by a challenging agent (cantharidin solution 0.2 %, with 5 microliter administered topically) in T2DM subjects on Day 1. Blisters will be harvested 48 (+/-2) hour (hr) post induction. In Session 2, the same subjects will be administered darapladib EC tablet 160 mg orally, once daily for 11 days. On Day 10, 3 blisters will be induced by cantharidin. Blisters will be harvested 48 (+/-2) hr post induction.
Part BEXPERIMENTALIn Part B, healthy subjects will be enrolled and will follow the same dosing procedure as in Part A. The decision to initiate Part B will be made by the GSK study team based on an evaluation of data from Part A.
darapladib 160mgEXPERIMENTALdrug
Darapladib+Diltizem ArmEXPERIMENTALEach subject will receive darapladib EC tablet 160 mg once daily for 10 days followed by darapladib EC tablet 160 mg once daily + diltiazem 240mg once daily for 14 days and then diltiazem 240mg once daily alone for three days
Renal Impaired GroupEXPERIMENTALSubjects with renal impairment received darapladip 160 mg daily for 10 consecutive days.
Healthy Control GroupEXPERIMENTALHealthy volunteers matching with renal impairment subjects for gender, age and BMI; received darapladip 160 mg daily for 10 consecutive days.
moderate hepatic impaired subjectsEXPERIMENTALMale and female subjects with moderate hepatic impairment defined by a Child-Pugh score of 7-9 will be included. The subjects will be administered 40 mg oral doses of darapladib (SB-480848) enteric-coated tablets daily for 10 consecutive days.
normal healthy volunteersEXPERIMENTALHealthy male and female subjects will be included and will be matched as closely as possible to the group of moderate hepatic impairment subjects for gender, age and body mass index. Each subject will receive daily 40 mg oral doses of darapladib (SB-480848) enteric-coated tablets for 10 consecutive days.
Single doseEXPERIMENTALsingle oral dose
Repeat DoseEXPERIMENTAL28 day repeat dose
Interventions
NameTypeDescription
DarapladibDRUGLp-PLA2 inhibitor administered in addition to standard therapy
PlaceboDRUGPlacebo administered in addition to standard therapy
darapladib 160mgDRUGdrug
MidazolamDRUGThe subjects will receive a single oral dose of midazolam 5 mg on Day 1, 3 and14. It is provided as syrup. Each mL of syrup contains midazolam hydrochloride equivalent to 2 mg midazolam
DiltiazemDRUGExtended release, Blue capsule imprinted with cardizem CD and 240mg on one end, 240 mg, Oral/repeat dose/17 days
Rosuvastatin 10 mgDRUGEnteric coated tablet will be administered orally as a single dose once in Treatment Period 1 (Day 1) and Treatment Period 2 (Day 15).
Darapladib 160 mgDRUGEnteric coated tablet will be administered orally as once daily for 14 days in Treatment Period 2 only (Day 5 to Day 18).
Darapladib (SB480848)DRUG -
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites650

Inclusion Criteria: * Men or women at least 18 years old. Women must be post-menopausal or using a highly effective method for avoidance of pregnancy. * Current treatment with statin therapy unless the study doctor determines statins are not appropriate for the subject. * Chronic coronary heart dis...

Countries:United StatesArgentinaAustraliaBelgiumBrazilBulgariaCanadaChileChinaCzechiaDenmarkEstoniaFranceGermanyGreeceHong KongHungaryIndiaItalyJapanMexicoNetherlandsNew ZealandNorwayPakistanPeruPhilippinesPolandRomaniaRussiaSlovakiaSouth AfricaSouth KoreaSpainSwedenTaiwanThailandUkraineUnited Kingdom
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