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GR270773 - Phospholipid emulsion

Phase 2

Sepsis | Small molecule | Infectious Disease |GSK plc|Last Updated: Sep 25, 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
RandomizedCONTROLLEDBiomarker
Total Trials2
Total Enrollment1,431
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00089986GR270773 In The Treatment Of Suspected Or Confirmed Gram-Negative Severe Sepsis In AdultsPHASE2 COMPLETED 1,415Sep 1, 2004Apr 15, 2007Aug 21, 2017390 United States, Argentina +32
NCT00158769A Study To Compare The Effects Of The Infusion Of A Sepsis Drug Between Healthy Adults And Adults With Damaged LiversPHASE1 COMPLETED 16Mar 31, 2005Oct 26, 2005Sep 25, 20171 Slovakia
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Study Endpoints
Primary Endpoints
Percentage of Participants With 28-Day All Cause Mortality
Day 1 (post-infusion) up to Day 28 Follow-up

Mortality was assessed by the number of participants who died between days 1 and 28. A summary of death details was given which included whether the participant died between days 1 and 28, whether the death was related sepsis, cause of death, the source of the information, and whether the cause of death was verified by a death record. Participants who had withdrawn from study and all study assessments and for whom survival at day 28 could not be confirmed was treated as deaths for the primary endpoint. The difference in all-cause 28-day mortality rates for each treatment group versus the placebo group in the ITT Population was calculated as placebo - treatment.

Compare drug concentrations in the blood between patients with impaired liver function and normal healthy adults, after 72 hours. Determine whether administration of study drug alters the lipid make-up of healthy adults in any way.
Up to Day 16
Secondary Endpoints
Number of Participants With New Onset Organ Failure, Regardless of Cause, Occurring During the 28 Days Post Enrollment in an Organ Not in Failure at Enrolment
Baseline (Day 1, pre-infusion) up to Day 28 Follow-up
Number of Participants With New Onset Organ Failure of Respiratory Failure, Cardiovascular Failure, Renal Failure and Coagulopathy, Regardless of Cause, Occurring During the 28 Days Post Enrollment in an Organ Not in Failure at Enrollment
Baseline (Day 1, pre-infusion) up to Day 28 Follow up
Assessment of Safety/Tolerability by Determining the Number of Participants With Any Adverse Events (AE), Serious Adverse Events (SAE) and Fatal SAE
Day 1 (pre-infusion) up to Day 28 Follow-up
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Study Design & Arms
AllocationRANDOMIZED
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Subjects with moderate hepatic impairmentEXPERIMENTALSubjects with moderate hepatic impairment as defined by a Child-Pugh score of 7-9 will be included. Subjects will be given GR270773 as a loading infusion of 25 milligram per kilogram per hour (mg/kg/hr) for 2 hours followed by a maintenance infusion of 5 mg/kg/hr for 70 hours.
Healthy subjectsEXPERIMENTALSubjects will be matched as closely as possible to the group of moderate hepatic subjects for gender, age and body mass index (BMI). Subjects will be administered 25 mg/kg/hr GR270773 as a loading dose for 2 hours followed by a maintenance infusion of 5 mg/kg/hr for 70 hours. Following a washout period of 21 days, the subjects will then receive a loading dose of 75 mg/kg/hr for 2 hours followed by a maintenance dose of 12.5 mg/kg/hr of GR270773 for 70 hours.
Interventions
NameTypeDescription
Intravenous GR270773- Phospholipid EmulsionDRUG -
PlaceboOTHER -
Intravenous GR270773 - Phospholipid emulsionDRUGGR270773 (lipid emulsion) is a sterile, white to off-white, semi-translucent liquid for intravenous injection.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites390

Inclusion criteria: * Receiving parenteral antibiotic therapy for a suspected or confirmed Gram-negative infection. * Have at least one new hypoperfusion abnormality or at least one new onset organ failure resulting from the current septic episode. * Must be available and able to receive the first ...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaChileCzechiaEstoniaFinlandFranceGermanyGreeceHong KongHungaryIndiaIsraelLatviaMalaysiaNetherlandsNew ZealandPortugalPuerto RicoRomaniaRussiaSloveniaSouth AfricaSouth KoreaSpainSwedenTaiwanThailandUnited KingdomSlovakia
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