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GSK2190915

Phase 2

Asthma | Small molecule | Respiratory |GSK plc|Last Updated: Sep 19, 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-BlindACTIVE_CONTROLLEDBiomarker
Total Trials7
Total Enrollment204
FDA Designations
No designations recorded
Clinical Trials (7)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01471665GSK2190915 Neutrophilic Asthma StudyPHASE2 COMPLETED 14Jun 1, 2011May 1, 2012Nov 22, 20161 United Kingdom
NCT00812929A Clinical Trial to Test a Study Drug in Volunteers Who Develop Asthma Following ExercisePHASE2 COMPLETED 47Dec 1, 2008Jul 15, 2009Sep 19, 20176 United States
NCT00748306Study in Mild Asthmatic PatientsPHASE2 COMPLETED 19Dec 1, 2008Sep 1, 2009Oct 12, 20164 Netherlands, United Kingdom
NCT00812773Study to Evaluate GSK2190915 in Subjects With Mild AsthmaPHASE2 COMPLETED 17Dec 1, 2008Jul 1, 2009Oct 12, 20163 United Kingdom
NCT01411111A Repeat Dose Study to Investigate the Interaction of GSK2190915 on the Pharmacokinetics of RosuvastatinPHASE1 COMPLETED 28Jan 6, 2011Feb 23, 2011Jul 25, 20171 United Kingdom
NCT00955383GSK2190915 Safety and Pharmacokinetic Study in Healthy Japanese SubjectsPHASE1 COMPLETED 12Aug 14, 2009Oct 12, 2009Jun 14, 20171 Germany
NCT02224521GSK2190915A - Bioavailability StudyPHASE1 COMPLETED 67Apr 20, 2009Jun 8, 2010Jun 14, 20171 United Kingdom
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Study Endpoints
Primary Endpoints
The numbers of neutrophils in induced sputum in asthmatic subjects (average of absolute and percentage count on Visit 4 and Visit 5)
13 - 16 days post treatment with 100mg GSK2190915 or placebo once daily

Pharmacodynamics

Maximal Percentage Change From Pre-exercise Baseline Forced Expiratory Volume in 1 Second (FEV1) to the Minimum FEV1 Collected Within 60 Minutes Following the Exercise Challenge at 24 Hours Post Dose
Baseline (pre dose) and 60 minutes following the exercise challenge at 24 hours post dose of each treatment period.

FEV1 was recorded in triplicate, with participant encouraged to inhale fully despite any presence of chest tightness. For FEV1, a pre-challenge Baseline was defined for each challenge time point as maximum of triplicate measurements performed prior to challenge. The maximal percentage change within 60 minutes following exercise challenge was derived by taking minimum (i.e., most negative) percentage change in FEV1 over 5, 10, 15, 30, 45 and 60 minutes post challenge. Percent change FEV1 = 100\*(FEV1 - Pre-challenge FEV1)/ Pre-challenge FEV1. If the exercise challenge was not completed successfully (i.e. heart rate maintained at \>=80% of the predicted value for 6 minutes), FEV1 maximal percent change (0-60)was set to be missing. Analysis was performed using a mixed effects model, including period, treatment and covariates for predose FEV1. Estimates and 95% confidence intervals for treatment difference between each active dose and placebo for each challenge time point were calculated.

Change in FEV1% from 0-2 hrs
0-2 hours
Early Asthmatic Response
0-2 hours after allergen challenge on Day 3 of each treatment period.
Maximum Concentration (Cmax) of rosuvastatin
On 7 and 14 days post- first dose
Area Under the Curve(0-τ) of rosuvastatin
On 7 and 14 days post first dose
Clinical monitoring of blood pressure, pulse rate, ECG, physical examinations and laboratory safety data, as well as reporting of AEs.
One month following first dose.
Composite of plasma pharmacokinetic (PK) parameters of GSK2190915 in Cohort 1, 2 and 3
PK samples will be collected at pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 10, 12, 24, 48 and 72 hours post dose in each period up to 36 days

PK parameters including area under the plasma concentration-time curve from time zero (pre-dose) extrapolated to infinite time (AUC \[0-∞\]), Area under the concentration-time curve from time zero (pre-dose) to last time of quantifiable concentration within a subject across all treatments (AUC\[0-t\]), concentrations at 24h post dose (C24), maximum plasma concentration (Cmax), time to maximum plasma concentration (Tmax), terminal half-life (t1/2) and oral clearance (CL/F) for Cohort 1, 2, 3 will be measured.

Composite of PK parameters in Cohort 4
Up to 12 days

PK parameters including area under the plasma concentration-time curve over the dosing interval (AUC \[0-tau\]), trough C24, Cmax, Tmax, and accumulation for Cohort 4 will be measured.

Composite of PK parameters in Cohort 5 and 6
PK samples will be collected at pre-dose, 0.5, 1, 2, 3, 4, 6, 8, 12, 24, 48, and 72 hours post dose in each period up to 36 days

PK parameters including AUC (0-∞), AUC (0-t), C24, Cmax, Tmax, t1/2 and CL/F for Cohort 5 and 6 will be measured.

Secondary Endpoints
The levels of LTE4 in urine, LTB4-glucuronide in urine and LTB4 in sputum supernatant in asthmatic subjects
Over 13 - 16 days post treatment with 100mg GSK2190915 or placebo once daily
The levels of high sensitive C-reactive protein (hsCRP) and other biomarkers (for example IL-17) in blood in asthmatic subjects
Over 13 - 16 days post treatment with 100mg GSK2190915 or placebo once daily
Changes in symptoms in asthmatic subjects compared to placebo using the asthma control questionnaire
Over 13 - 16 days post treatment with 100mg GSK2190915 or placebo once daily
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
GSK2190915 100mgEXPERIMENTALThis is a crossover study so patients will receive 100mg of GSK2190915 once daily for up to 16 days followed by a wash out period of at least 14 days before they cross over onto the placebo arm of the study.
PlaceboPLACEBO_COMPARATORThis is a crossover study so patients will receive placebo once daily for up to 16 days followed by a wash out period of at least 14 days before they cross over onto the GSK2190915 100mg arm of the study.
GSK2190915 10 mgEXPERIMENTAL -
GSK2190915 50 mgEXPERIMENTAL -
GSK2190915 100 mgEXPERIMENTAL -
GSK2190915 200 mgEXPERIMENTAL -
GSK2190915EXPERIMENTALIntervention
3 day repeat doseEXPERIMENTAL -
Rosuvastatin foll by GSK2190915 30mg + rosuvastatinACTIVE_COMPARATORSubjects will be orally administered rosuvastatin 10 mg/day for 7 days in treatment period 1. The subjects will then receive rosuvastatin 10 mg/day in combination with GSK2190915 30 mg/day for 7 days in treatment period 2A.
Rosuvastatin foll by GSK2190915 100mg + rosuvastatinACTIVE_COMPARATORSubjects will be orally administered rosuvastatin 10 mg/day for 7 days in treatment period 1. The subjects will then receive rosuvastatin 10 mg/day in combination with GSK2190915 100 mg/day for 7 days in treatment period 2B.
Cohort 1EXPERIMENTALSubjects will be assigned to any of the 4 dosage regimen (A, B, C, D) in four periods. A= GSK2190915 Solution, 50mg single dose, fasted; B = GSK2190915 Capsule Formulation A, 50mg single dose (1 x 50mg capsule), fasted; C= GSK2190915 Capsule Formulation B, 50mg single dose (1 x 50mg capsule), fasted; D= GSK2190915 Capsule Formulation C, 50mg single dose (1 x 50mg capsule), fasted.
Cohort 2EXPERIMENTALThe selected formulation will be dosed with GSK2190915 capsule formulation at 20mg (fasted), 100mg (fasted), 100mg (fed) and 200mg (fasted).
Cohort 3EXPERIMENTALCohort 3 will be a 4-way complete crossover study with single doses of 20mg and 200mg of up to two capsule formulations taken forward from cohort 2 in 10 healthy adult subjects in the fasted state.
Cohort 4EXPERIMENTALThe regimen for Cohort 4 will be either the highest dose (200mg) of the capsule formulation (A, B or C) taken forward from the previous cohorts or the solution formulation (200mg).
Cohort 5EXPERIMENTALSubjects will take milled and micronised tablet formulations of GSK2190915 in the fasted state in periods 1 and 2, and will take milled and micronised tablet formulations of GS2190915 in the fed state in periods 3 and 4.
Cohort 6EXPERIMENTALTablet formulations (milled and micronised, different to the Cohort 5 formulations) of GSK2190915 will be dosed in the fasted and fed (after a light breakfast) states.
Interventions
NameTypeDescription
GSK2190915 100mgDRUGGSK2190915 is a high affinity 5-lipoxygenase-activating protein (FLAP) inhibitor. Dosing will occur once daily for up to 16 days.
PlaceboDRUGPlacebo will be administered once daily for up to 16 days.
GSK2190915DRUGThis study will assess FEV1 at various intervals following exercise challenge in subjects who have been administered a single dose of 10 mg, 50 mg, 100 mg, or 200 mg GSK2190915, compared to a placebo control.
GSK2190915 - 100mcgDRUGGSK2190915 is a high affinity 5-lipoxygenase-activating protein (FLAP) inhibitor
Rosuvastatin 10 mgDRUGdays 1-14
GSK2190915 30mgDRUG1x30mg tablet, days 8-14
GSK2190915 Solution.DRUGAqueous Solution, 10mg/mL.
GSK2190915 Granule Capsule (A)DRUGGSK2190915A granule filled in to Gelatin capsules
GSK2190915 Semi-solid Lipid Capsule (B)DRUGGSK2190915A dispersed in a lipid vehicle and filled in to HPMC capsules
GSK2190915 Liquid Lipid Capsule (C)DRUGGSK2190915A dissolved in lipid vehicle milled and filled in to Gelatin capsules
GSK2190915 Milled TabletDRUGGSK2190915A granule is blended, compressed into tablets and aqueous film coated
GSK2190915 Micronised TabletDRUGGSK2190915A granule is blended, compressed into tablets and aqueous film coated
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) \< 2xUpper limit of normal (ULN); alkaline phosphatase and bilirubin ≤ 1.5xULN (isolated bilirubin \>1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin \<35%). * Males and females ages 18 ...

Countries:United KingdomUnited StatesNetherlandsGermany
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