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GSK2256294

Phase 1

Pulmonary Disease, Chronic Obstructive | Small molecule | Other |GSK plc|Last Updated: May 9, 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-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials3
Total Enrollment114
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02262689To Evaluate Effects of GSK2256294 on Pulmonary Artery Pressure in Healthy Volunteers Under Normoxic and Hypoxic ConditionsPHASE1 COMPLETED 30Jan 8, 2015Apr 24, 2015May 9, 20171 United States
NCT02006537A Study to Investigate the Safety and Pharmacokinetics of a Single Dose of GSK2256294 in Healthy Young Males and Elderly SubjectsPHASE1 COMPLETED 28Jan 31, 2014May 27, 2014May 9, 20171 United States
NCT01762774A Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single Doses of GSK2256294 in Healthy Volunteers, and Single and Repeat Doses of GSK2256294 in Adult Male Moderately Obese SmokersPHASE1 COMPLETED 56Jan 16, 2013May 1, 2014May 9, 20171 United Kingdom
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Study Endpoints
Primary Endpoints
Change from baseline of PASP under hypoxic conditions
Day 1 and Day 7

PASP is an indicator of cardiac hemodynamic status and is non-invasively estimated by echocardiography. Change from baseline in PASP under hypoxic conditions following 7 days of GSK2256294 15 milligrams (mg) once daily. Change from baseline was calculated as the Day 7 value minus the Day1 value.

Cohort 2: PK profiles of a single oral dose of GSK2256294
Pre-dose, 15 minutes (min), 30 min, 1 hour (h), 1.5 h, 2 h, 3 h, 4 h, 6 h, 8 h, 12 h (Day 1) and 24 h (Day 2), 48 h (Day 3) and 72 h (Day 4)

PK parameters including area under the concentration-time curve (AUC) and maximum blood concentrations (Cmax), half life (T1/2), time to Cmax (Tmax) following a single oral dose of GSK2256294 administered under fed and fasted conditions in healthy elderly male and female subjects will be estimated

Cohort 2: Electrocardiogram (ECG) as a measure of safety and tolerability
Screening, Pre-dose, 30 min, 2 h, 4 h, 6 h and at follow-up

Twelve-lead ECGs will be obtained as a measure of safety and tolerability

Cohort 2: Adverse events (AEs ) as a measure of safety and tolerability
From the start of study treatment and until approximately 2 weeks after the final dose
Cohort 2: Vital signs as a measure of safety and tolerability
Screening, Pre-dose, 30 min, 2 h, 4 h, 6 h and at follow-up

Vital sign measurements will include systolic and diastolic blood pressure (BP) and pulse rate

Cohort 2: Laboratory assessments as a measure of safety and tolerability
Screening and follow-up. In addition, clinical chemistry will also be done at 12 h (Day 1) and 24 h (Day 2)

Clinical laboratory assessments will include haematology, clinical chemistry, urinalysis and other screening tests

Safety of single oral doses of GSK2256294 assessed by clinical monitoring of vital signs (Cohort 1).
Up to 98 days.

Vital signs include systolic blood pressure, diastolic blood pressure, and pulse rate. Vital signs will be collected with the subject semi-supine and after they have been resting for 5 minutes.

Safety of single oral doses of GSK2256294 assessed by clinical monitoring of vital signs (Cohort 2).
Up to 144 days.

Vital signs include systolic blood pressure, diastolic blood pressure, and pulse rate. Vital signs will be collected with the subject semi-supine and after they have been resting for 5 minutes.

Safety of single oral doses of GSK2256294 assessed by clinical monitoring of Electrocardiogram (Cohort 1).
Up to 98 days.

12-lead electrocardiograms (ECGs) will be obtained at each time point during the study using an ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and QTcF intervals. ECGs will be obtained in the semi-supine position after the subject has been resting for at least 5 minutes.

Safety of single oral doses of GSK2256294 assessed by clinical monitoring of Electrocardiogram (Cohort 2).
Up to 144 days.

12-lead electrocardiograms (ECGs) will be obtained at each time point during the study using an ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and QTcF intervals. ECGs will be obtained in the semi-supine position after the subject has been resting for at least 5 minutes.

Safety of repeat oral doses of GSK2256294 assessed by clinical monitoring of vital signs (Cohort 3 and 4).
Up to 67 days

Vital signs include systolic blood pressure, diastolic blood pressure, and pulse rate. Vital signs will be collected with the subject semi-supine and after they have been resting for 5 minutes.

Safety of repeat oral doses of GSK2256294 assessed by clinical monitoring ECG (Cohort 3 and 4).
Up to 67 days.

12-lead ECGs will be obtained at each time point during the study using an ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and QTcF intervals. ECGs will be obtained in the semi-supine position after the subject has been resting for at least 5 minutes.

Safety of single oral doses of GSK2256294 assessed by clinical laboratory assessments (Cohort 1 ).
Up to 98 days.

Safety data will include assessments of clinical laboratory tests (hematology, clinical chemistry and urinalysis).

Safety of single oral doses of GSK2256294 assessed by clinical laboratory assessments (Cohort 2).
Up to 144 days.

Safety data will include assessments of clinical laboratory tests (hematology, clinical chemistry and urinalysis).

Safety of repeat oral doses of GSK2256294 assessed by clinical laboratory assessments (Cohort 3 and 4).
Up to 67 days.

Safety data will include assessments of clinical laboratory tests (hematology, clinical chemistry and urinalysis).

Safety of single oral doses of GSK2256294 assessed by number of participants with adverse events (Cohort 1).
Up to 98 days.

Adverse events (AEs) will be recorded from the start of Study Treatment until the follow-up contact.

Safety of single oral doses of GSK2256294 assessed by number of participants with adverse events (Cohort 2).
Up to 144 days.

AEs will be recorded from the start of Study Treatment until the follow-up contact.

Safety of repeat oral doses of GSK2256294 assessed by number of participants with adverse events (Cohort 3 and 4).
Up to 67 days.

AEs will be recorded from the start of Study Treatment until the follow-up contact.

Secondary Endpoints
Change from baseline of PASP under normoxic conditions
Day 1 and Day 7
Number of subjects with Adverse events (AEs)
Up to Day 32
Assessment of 12-lead electrocardiogram (ECG)
Up to Day 32
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
GSK2256294 15 mgEXPERIMENTALRandomised subjects will be instructed to take three capsules of GSK2256294 15 mg, each morning for 7 days. Subjects will undergo echocardiography under normoxic and hypoxic conditions on Day 1 pre-dose and on Day 7 post-dose.
PlaceboPLACEBO_COMPARATORRandomised subjects will be instructed to take three capsules of matching placebo, each morning for 7 days. Subjects will undergo echocardiography under normoxic and hypoxic conditions on Day 1 pre-dose and on Day 7 post-dose.
Cohort 1EXPERIMENTALCohort 1 will enrol 8 healthy male volunteers, who will receive a single 10 mg dose of GSK225694 in the fasted state.
Cohort 2EXPERIMENTALCohort 2 will enrol 20 healthy elderly male and female volunteers (10 males and 10 females), who will receive a single 10 mg dose of GSK225694 in the fasted or fed state according to the randomization schedule.
Cohort 3EXPERIMENTALObese adult male smoker subjects in Cohort 3 will receive single or twice daily dose of GSK2256294 or placebo for 14 days. Dose selection for Cohort 3 will be based on the safety, PK profile and enzyme inhibition obtained in cohorts 1 and 2.
Cohort 4EXPERIMENTALObese adult male smoker subjects in Cohort 4 will receive single or twice daily dose of GSK2256294 or placebo for 14 days. Dose selection for Cohort 4 will be based on the safety, PK profile and enzyme inhibition obtained in cohorts 1 and 2 as well as safety and PK profile obtained in cohort 3.
Interventions
NameTypeDescription
GSK2256294DRUGGSK2256294 will be supplied as gelatin capsule to be administered orally with the unit dose 5 mg / dose level 15 mg
PlaceboDRUGMatched Placebo will be supplied as gelatin capsule to be administered orally
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Eligibility Criteria
Age Range18 Years — 65 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * AGE: Between 18 and 65 years of age inclusive, at the time of signing the informed consent * Screening echocardiogram of at least good quality, without clinically significant abnormalities, and with mild-moderate tricuspid regurgitation sufficient for the reliable estimation o...

Countries:United StatesUnited Kingdom
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