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GSK189075

Phase 4

Diabetes Mellitus, Type 1 | Small molecule | Metabolic |GSK plc|Trials Updated: Dec 6, 2017

GSK189075 development status

Highest phase Phase 4 (NCT00703846)
Phase scored for GSKPhase 2
Registered trials 62 across 23 sponsors since Aug 2001

GSK189075 target and mechanism

ModalitySmall molecule

Also known as GSK189075 oral tablets, Brevicon, ketoconazole

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials13
Total Enrollment928

FDA Designations

No designations recorded

GSK189075 clinical trials

GSK189075 · 13 trials · 5 indications

Phase 2 4Phase 1 9
NCT00575159A Study to Assess the Safety of Single Doses of GSK189075 in Subjects With Type 1 Diabetes MellitusDiabetes Mellitus, Type 1
COMPLETED10 Analytics
NCT00495469Dose-Ranging Study In Subjects With Type 2 Diabetes Mellitus Who Are Treatment-NaiveDiabetes Mellitus, Type 2
COMPLETED250 Analytics
NCT00500331Dose-Ranging Study in Treatment Naive Type 2 Diabetes Mellitus(T2DM)Diabetes Mellitus, Type 2
COMPLETED334 Analytics
NCT00291356GSK189075, GW869682 Or Placebo In Type 2 Diabetic PatientsDiabetes Mellitus, Type 2
COMPLETED45 Analytics
PHASE2COMPLETED
A Study to Assess the Safety of Single Doses of GSK189075 in Subjects With Type 1 Diabetes Mellitus
Diabetes Mellitus, Type 1Unlock trial analytics
PHASE2COMPLETED
Dose-Ranging Study In Subjects With Type 2 Diabetes Mellitus Who Are Treatment-Naive
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE2COMPLETED
Dose-Ranging Study in Treatment Naive Type 2 Diabetes Mellitus(T2DM)
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE2COMPLETED
GSK189075, GW869682 Or Placebo In Type 2 Diabetic Patients
Diabetes Mellitus, Type 2Unlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With All Adverse Events (AE) and Serious Adverse Events (SAE)
Up to 6 months

Data for number of participants who presented one or more adverse events (serious or non serious) was reported. An AE was defined as any untoward medical occurrence (MO) in a participant temporally associated with the use of a medicinal product (MP), whether or not considered related to the MP and can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with its use. The SAE was any untoward MO that, at any dose, results in death, life threatening, persistent or significant disability/incapacity, results in or prolongs inpatient hospitalization, congenital abnormality or birth defect, that may not be immediately life-threatening or result in death or hospitalization but may jeopardize the participant or may require medical or surgical intervention to prevent one of the other outcomes listed in this definition.

Number of Participants With Hypoglycemia Episodes/Events
Day 1 of each treatment period

A hypoglycemic event was defined as symptoms of hypoglycemia confirmed by a blood glucose value below normal limits \[less than 3.89 millimoles per liter (mmol/L)\] or 70 milligrams per deciliter (mg/dL). Symptoms of hypoglycemia without confirmed blood glucose values were reported as AEs instead of hypoglycemic events. Number of participants with hypoglycemic events were reported.

Change From Baseline Vital Signs: Systolic and Diastolic Blood Pressure (SBP and DBP)
Day 1 of each treatment period

SBP and DBP were obtained during each treatment period at the indicated time points. Measurements were made with the participant lying semi-recumbent having rested in this position for at least 10 minute before the initial reading.

Change From Baseline Vital Signs: Heart Rate
Day 1 of each treatment period

Heart rate was obtained during each treatment period at indicated time points. Measurements were made with the participants lying semi-recumbent having rested in this position for at least 10 minutes before the initial reading.

Number of Participants With Abnormal Electrocardiogram (ECG) Findings
Day 1 of each treatment period

Standard semi-recumbent 12-lead ECG was obtained after the participant rested for a minimum of 10 minutes (If questionable abnormality was noted on the ECG, 2 more measurements were allowed to provide an average of 3 measurements). Number of participants with abnormal ECG were reported.

Number of Participants With Abnormal Clinical Chemistry Data
Day 1 of each treatment period

Clinical Chemistry data for parameters: Alanine Amino Transferase (ALT), Albumin, Alkaline Phosphatase (ALP), Aspartate Amino Transferase (AST), Bicarbonate, Calcium, Chloride, Creatine Kinase, Creatinine, Gamma Glutamyl Transferase (GGT), Glucose, Lactate Dehydrogenase, Magnesium, Phosphorus, Potassium, Total Bilirubin, Sodium, Total protein, triglycerides and urea/BUN was reported. Data for number of participants with abnormal clinical Chemistry data was presented.

Number of Participants With Abnormal Hematology Data
Day 1 of each treatment period

Data for abnormal Hematology parameters: Basophils, Eosinophils, Hematocrit, Hemoglobin, Lymphocytes, Mean Corpuscle Hemoglobin (MCH), Mean Corpuscle Volume (MCV), Monocytes, Platelet count, Red Blood Cell (RBC), Reticulocytes, Total Neutrophils, White Blood Cell (WBC) were reported. Data for number of participants with abnormal Hematology were reported.

Summary of Urine Osmolality
Day 1 (pre dose) of each treatment period

Urine sample was collected at screening, Day -2 (18:00h) and Day 1 (7:45h) for determination of urine osmolality which was measured in Millimole per kilogram (mmol/kg).

Mean Creatinine Clearance
Up to 24 hours post dose of each treatment period.

Creatinine clearance was calculated and reported in Milliliters per minute (mL/min) on Day 1 of each period for each collection interval 0-4, 4-8, 8-12, 12-16 and 16-24 hour, as well as the combined intervals of 0-12 and 0-24 hour. For urine measurements, participants were instructed to void within 30 minutes before administration of study medication.

Summary of Fluid Balance
Up to 24 hours post dose of each treatment period.

On Day 1, fluid intake, urine volume and number of micturations were recorded over the intervals for each of the following dosing periods: 0-4h, 4-8h, 8-12h, 12-16h and 16-24h. From these measures, fluid balance was calculated over the 24-hour period. Fluid Balance=total fluid intake minus total urine volume. The 0-24h amounts of total Fluid Intake, total urine output, and fluid balance were calculated by adding the amounts collected during these time intervals.

Mean of Derived Plasma Glucose Parameters
Up to 24 hours post dose of each treatment period.

The plasma measurements at specified time points on Day 1 were collected. Derived plasma glucose parameters were presented.

Mean Change From Baseline in Hemoglobin A1c (Glycosylated Hemoglobin) (HbA1c) at Week 12
Baseline (Week 0) and at Week 12

The blood samples were collected at Baseline, Week 4, Week 8 and at Week 12 (or early withdrawal). Baseline was defined as the period immediately preceding treatment with study medication (Week 0). For participants with missing Baseline assessment, the last pre-therapy value prior to the Baseline visit was used as the Baseline value. Change from Baseline was the value at Week 12 minus Baseline value. The primary analysis was performed on the Intent-to-Treat (ITT) Population with Last observation carried forward (LOCF). Adjusted mean is presented as least square (LS) mean.

Change From Baseline (Week 0) in Glycosylated Hemoglobin (HbA1c) (%) at Week 12
Baseline (Week 0) and Week 12

Fasted blood samples for HbA1c were collected at Baseline and Week 12. Participants were required to fast for at least 8 hours prior to laboratory samples and were told not to take the morning dose of study medication on these visit days and to refrain from eating until instructed to do so by study personnel in the clinic. When the participant had not fasted, the participant was rescheduled to return to the clinic to have a fasted sample taken. Baseline was Week 0. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values. Only those participants with a value at Baseline and at Week 12 (after Last Observation Carried Forward \[LOCF\]) were used for this analysis. Adjusted mean is presented as least square mean.

Safety and tolerability: side effects and relevant changes in blood pressure, heart rate and ECG measurements, blood and urine measurements, the amount of fluid taken in and excreted, and kidney function will be monitored over course of study.
Blood samples and urine samples
on Day 14
Blood samples:
collected over 24-hour period after each different form of GSK189075 given to measure amount of drug in blood
Urine:
collected over 24-hour period after dosing with each form to measure amount of urine produced & amount of sugar in urine
Clinical laboratory tests, ECGs, physical exam & adverse events:
screening, in-clinic stays, outpatient clinic visits & follow up visit (approximately 50 days)
Home diary of blood sugar results, adverse events and drug dosing.
throughout the study (approximately 50 days)
Continuous holter monitor & ECG each treatment period:
Days 1 & 3
drug & metabolite plasma levels
at 0.25, 0.50, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, & 24 hours after dosing
Clinical laboratory tests, ECGs, adverse events
screening, Day -1 - 3 all periods, follow up
Oral contraceptive pill (OC) drug levels
over 24h starting on Day 14
blood hormone levels
on Days 1, 11-14, & 21 of Periods 1 (OC alone) & 3 (OC plus GSK study drug). Period 2 is GSK drug study alone.
Plasma blood samples for GSK189075 at Day 1 Session 1, Days 5 & 6 Session 3
at Day 1 Session 1, Days 5 & 6 Session 3 urine collections for volume
urine collections for volume, glucose, & creatinine at Day 1 Session 1, Days 5 & 6 Session 3.
at Day 1 Session 1, Days 5 & 6 Session 3.
Blood concentrations of metformin when given with GSK189075 in T2DM subjects over 3-day course Lab tests, changes in blood pressure and heart rate and heart activity on EKG machine

Secondary Endpoints

Incremental Adjusted Weighted Means of Plasma Glucose AUC(0-4) and AUC(0-10) on Day 1
Up to 24 hours post dose of each treatment period.
Urinary Glucose Excretion (UGE) for Timed Subintervals up to 24 Hours Post Dose (0-24 H)
Up to 24 hours post dose of each treatment period
Percent of Filtered Glucose in the Urine.
Up to 24 hours post dose of each treatment period.
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm aEXPERIMENTALGSK189075
Arm bPLACEBO_COMPARATORPlacebo
GSK189075EXPERIMENTALParticipants will receive GSK189075 for 12 weeks
PlaceboPLACEBO_COMPARATORParticipants will receive GSK189075 matching Placebo for 12 weeks
Arm 1EXPERIMENTALGSK189075
Arm 2PLACEBO_COMPARATORPlacebo
Arm 3OTHERpioglitazone (active control)
Subjects receiving treatment sequence 1EXPERIMENTALEligible subjects will receive treatment A in period 1, treatment B in period 2 and treatment C in period 3. A= Bupropion SR + GSK189075 placebo, B= Bupropion SR placebo + GSK189075 and C= Bupropion SR + GSK189075
Subjects receiving treatment sequence 2EXPERIMENTALEligible subjects will receive treatment B in period 1, treatment C in period 2 and treatment A in period 3. A= Bupropion SR + GSK189075 placebo, B= Bupropion SR placebo + GSK189075 and C= Bupropion SR + GSK189075
Subjects receiving treatment sequence 3EXPERIMENTALEligible subjects will receive treatment C in period 1, treatment A in period 2 and treatment B in period 3. A= Bupropion SR + GSK189075 placebo, B= Bupropion SR placebo + GSK189075 and C= Bupropion SR + GSK189075
Subjects receiving treatment sequence 4EXPERIMENTALEligible subjects will receive treatment A in period 1, treatment C in period 2 and treatment B in period 3. A= Bupropion SR + GSK189075 placebo, B= Bupropion SR placebo + GSK189075 and C= Bupropion SR + GSK189075
Subjects receiving treatment sequence 5EXPERIMENTALEligible subjects will receive treatment B in period 1, treatment A in period 2 and treatment C in period 3. A= Bupropion SR + GSK189075 placebo, B= Bupropion SR placebo + GSK189075 and C= Bupropion SR + GSK189075
Subjects receiving treatment sequence 6EXPERIMENTALEligible subjects will receive treatment A in period 1, treatment C in period 2 and treatment B in period 3. A= Bupropion SR + GSK189075 placebo, B= Bupropion SR placebo + GSK189075 and C= Bupropion SR + GSK189075
Subjects receiving treatment PPLACEBO_COMPARATOREligible subjects will receive placebo twice daily along with metformin twice daily for 13 days.
Subjects receiving treatment AEXPERIMENTALEligible subjects will receive GSK189075 500 milligrams twice daily along with metformin twice daily for 13 days.
Subjects receiving treatment BEXPERIMENTALEligible subjects will receive GSK189075 750 milligrams twice daily along with metformin twice daily for 13 days.
Mild renal impairmnentOTHER -
moderate renal impairmentOTHER -
Normal renal functionOTHER -
BreviconOTHEROral contraceptive used to determine pharmacokinetics when given with GSK189075 to look for interaction.

Interventions

NameTypeDescription
GSK189075DRUGinvestigational drug
placeboDRUGplacebo comparator
pioglitazoneDRUGActive Control
GSK189075 oral tabletsDRUG -
GW869682 oral tabletsDRUG -
BupropionDRUGBupropion will be available as sustained release film-coated tablets with a dose of 150 milligrams administered orally.
GSK189075 (Modified and immediate release formulations)DRUG -
MetforminDRUGMetformin will be available as an immediate release oral tablet with dosing strengths of 500 milligrams and 850 milligrams.
BreviconDRUGGiven with GSK189075 to determine if GSK189075 exerts an effect on GSK189075 PK.
ketoconazoleDRUG -
metformin tabletsDRUG -
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Adult male/female, 18 to 55 years old * Diagnosis of type 1 diabetes mellitus for at least 6 months; and using a continuous insulin pump * Willing and able to follow all study-related instructions provided by the site staff. * Willing to provide signed informed consent. Exclu...

Countries:United StatesCanadaCzechiaEstoniaGermanyGreeceIndiaLithuaniaMexicoNew ZealandPolandPuerto RicoRomaniaRussiaSouth AfricaUkraineArgentinaBulgariaChileCosta RicaHungaryLatviaPeru
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Frequently asked questions about GSK189075

What is GSK189075?

GSK189075 is an investigational oral small molecule developed by GSK plc for metabolic disease. It has been studied in type 1 and type 2 diabetes mellitus. It is not an approved therapy and remains in clinical development, with Phase 2 reached. It is also known as GSK189075 oral tablets, including modified and immediate release formulations.

What is GSK189075 used for in diabetes?

GSK189075 has been studied for the treatment of type 1 diabetes mellitus and type 2 diabetes mellitus. Its clinical program includes trials in both conditions, such as NCT00575159 in type 1 diabetes and NCT00625859 in type 2 diabetes. It is investigational and not approved for any use.

Who makes GSK189075?

GSK189075 is developed by GSK plc, which trades under the ticker GSK. The company sponsored the clinical trials of the drug, including studies in healthy volunteers and in patients with type 1 or type 2 diabetes mellitus.

What phase is GSK189075 in?

GSK189075 has reached Phase 2 in clinical development. Its trial record includes Phase 1 and Phase 2 studies, all of which are completed, and no trials are currently active. It is an investigational drug and has not been approved by the FDA.

What clinical trials is GSK189075 in?

GSK189075 has been evaluated in 12 completed clinical trials with a total enrollment of 918 participants. These include NCT00625859, NCT00575159, NCT00559884, and NCT00532610. The studies were randomized, double-blind, and placebo-controlled, and covered type 1 and type 2 diabetes mellitus.

Is GSK189075 the same as GSK189075 oral tablets?

Yes. GSK189075 oral tablets is another name for GSK189075, and the drug has also been described as GSK189075 modified and immediate release formulations. These refer to the same investigational compound developed by GSK plc for diabetes mellitus.