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GSK233705

Phase 2

Pulmonary Disease, Chronic Obstructive | Small molecule | Respiratory |GSK plc|Last Updated: Sep 1, 2020

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials9
Total Enrollment794

FDA Designations

No designations recorded

Clinical trial landscape

GSK233705 · 9 trials · 1 indication

Phase 2 3Phase 1 6
NCT00749411Safety and Tolerability of Repeat Dosing of GSK233705/GW642444 in COPDPulmonary Disease, Chronic Obstructive
COMPLETED61 Analytics
NCT00676052Dose-Ranging Study Of GSK233705B In Subjects With Chronic Obstructive Pulmonary Disease (COPD)Pulmonary Disease, Chronic Obstructive
COMPLETED576 Analytics
NCT00376714Safety And Tolerability Study In Patients With Chronic Obstructive Pulmonary DiseasePulmonary Disease, Chronic Obstructive
COMPLETED45 Analytics
PHASE2COMPLETED
Safety and Tolerability of Repeat Dosing of GSK233705/GW642444 in COPD
Pulmonary Disease, Chronic ObstructiveUnlock trial analytics
PHASE2COMPLETED
Dose-Ranging Study Of GSK233705B In Subjects With Chronic Obstructive Pulmonary Disease (COPD)
Pulmonary Disease, Chronic ObstructiveUnlock trial analytics
PHASE2COMPLETED
Safety And Tolerability Study In Patients With Chronic Obstructive Pulmonary Disease
Pulmonary Disease, Chronic ObstructiveUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Weighted Mean Pulse Rate Over (0-4 Hours) at Day 28.
Baseline (Pre-dose, Day 1) and Day 28

Baseline was the most recent result taken on or before pre-dose (Day 1). The analysis was performed using a Repeated Measures Model. This model used all available weighted mean pulse rate values recorded. Change from Baseline was calculated as (Change from Baseline = Assessment value - Baseline value).

Change From Baseline in Trough Forced Expiratory Volume in 1 Second (FEV1) at Day 29
Baseline (pre-dose Day 1) and Day 29

The trough FEV1 is defined as the mean of the FEV1 values obtained 23 and 24 hours after dosing on Day 28. The Baseline FEV1 is the mean of the two assessments made 30 minutes pre-dose and immediately pre-dose \[time 0\] on Day 1. Change from Baseline was calculated by subtracting the post-baseline assessment value from the Baseline value.

Adverse events Blood pressure Heart rate 12-lead ECG Holter monitoring Lead II ECG monitoring Lung function Clinical laboratory safety tests.
Heart rate
24 hours
Systolic and diastolic blood pressure
24 hours
12 lead ECG
24 hours
Lung Function
24 hours
Clinical laboratory safety tests
24 hours
Adverse events
Duration of study
Safety:adverse events, vital sign, ECGs, and clinical laboratory test
PK:Cmax, tmax and AUC(0-t)
General safety endpoints: measured over 24 hours post dose for all 4 dose periods, heart rate, systolic and diastolic blood pressure, 12- lead ECG and lung function and clinical laboratory safety tests. Adverse events over whole study.
Up to Day 2
Safety and tolerability of GSK233705: lead II monitoring out to 8 hours post dose,
out to 8 hours post dose
measurement of heart rate, blood pressure and ECG, Holter monitoring and laboratory data out to 24 hours and
out to 24 hours
review of adverse events ongoing through out study.
through out study.
General safety and tolerability endpoints: adverse events, blood pressure, heart rate, 12-lead electrocardiogram (ECG), Holter and Lead II ECG monitoring, lung function (FEV1, FVC) and clinical laboratory safety tests over 24 hours.
over 24 hours.
Adverse events, blood pressure, heart rate, 12-lead electrocardiogram (ECG), Holter and Lead II ECG monitoring, ECG, lung function and clinical laboratory safety tests.
Up to Week 12

Secondary Endpoints

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
On-treatment; from treatment start until one day after treatment stop (Up to Day 29)
Change From Baseline in Weighted Mean for 0 to 24 Hours Serial FEV1 on Day 1 to 2 and 28 to 29
Baseline (pre-dose Day 1) and Days 1 to 2, Days 28 to 29
Change From Baseline in Weighted Mean for 0 to 24 Hours Forced Vital Capacity (FVC) on Day 1 to 2 and 28 to 29
Baseline (pre-dose Day 1) and Days 1 to 2, Days 28 to 29
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm 1EXPERIMENTAL -
Arm 2PLACEBO_COMPARATOR -
Arm 3EXPERIMENTALGSK233705 50mcg
Arm 4EXPERIMENTALGSK233705 100mcg
Arm 5EXPERIMENTALGSK233705 200mcg
Arm 6PLACEBO_COMPARATORPlacebo
Long acting muscarinic receptor antagonist (LAMA)EXPERIMENTALInhaled Long acting muscarinic receptor antagonist (LAMA which is in development as a treatment for Chronic Obstructive Pulmonary Disease.
Long acting Beta 2 agonist (LABA)EXPERIMENTALInhaled Long Acting Beta 2 agonist (LABA) which is in development as a treatment for Chronic Obstructive Pulmonary Disease.
LAMA with LABAEXPERIMENTALInhaled Long Acting Muscarinic receptor Antagonist (LAMA) and a inhaled Long Acting Beta 2 Agonist (LABA), both in development for treatment of Chronic Obstructive Pulmonary Disease and taken in combination.
PlaceboPLACEBO_COMPARATORMatching placebo, no intervention.
LAMAEXPERIMENTALAfter randomization subject will inhale either GSK233705 50, 100 or 200 microgram once daily for 7 days.
Period 1EXPERIMENTALSubjects will receive first placebo, then GSK233705, GW642444 and combination of GSK233705 and GW642444
Period 2EXPERIMENTALSubjects will receive first combination of GSK233705 and GW642444, then placebo, GSK233705 and GW642444
Period 3EXPERIMENTALSubjects will receive first GSK233705, then GW642444, combination of GSK233705 and GW642444 and later placebo
Period 4EXPERIMENTALSubjects will receive first GW642444, then combination of GSK233705 and GW642444, placebo, and later GSK233705
Subjects receiving GSK233705EXPERIMENTALEach subject will receive one or more ascending doses given as a constant rate IV infusion over 30 minutes and a single oral dose of 250 microgram GSK233705 solution. IV doses will include 30, 70, 110 microgram of GSK233705 at specified time points.
Subjects receiving treatment sequence 1EXPERIMENTALEligible subjects will receive treatment sequence 1; GSK233705 20 micrograms, GSK233705 100 micrograms, tiotropium and placebo.
Subjects receiving treatment sequence 2EXPERIMENTALEligible subjects will receive treatment sequence 2; GSK233705 20 micrograms, Placebo, GSK233705 50 micrograms and tiotropium.
Subjects receiving treatment sequence 3EXPERIMENTALEligible subjects will receive treatment sequence 3; GSK233705 20 micrograms, tiotropium, Placebo and GSK233705 50 micrograms.
Subjects receiving treatment sequence 4EXPERIMENTALEligible subjects will receive treatment sequence 4; GSK233705 20 micrograms, placebo, tiotropium and GSK233705 50 micrograms.
Subjects receiving treatment sequence 5EXPERIMENTALEligible subjects will receive treatment sequence 5; Placebo, tiotropium, GSK233705 20 micrograms and GSK233705 50 micrograms.
Subjects receiving treatment sequence 6EXPERIMENTALEligible subjects will receive treatment sequence 6; Placebo, GSK233705 20 micrograms, GSK233705 50 micrograms and tiotropium.
Subjects receiving treatment sequence 7EXPERIMENTALEligible subjects will receive treatment sequence 7; tiotropium, GSK233705 20 micrograms, GSK233705 50 micrograms and Placebo.
Subjects receiving treatment sequence 8EXPERIMENTALEligible subjects will receive treatment sequence 8; tiotropium, GSK233705 20 micrograms, Placebo and GSK233705 50 micrograms.
Subjects receiving treatment sequence 9EXPERIMENTALEligible subjects will receive treatment sequence 9; GSK233705 20 micrograms, tiotropium, GSK233705 50 micrograms and Placebo.
Subjects receiving treatment sequence 10EXPERIMENTALEligible subjects will receive treatment sequence 10; GSK233705 20 micrograms, GSK233705 100 micrograms, Placebo and tiotropium.
Subjects receiving treatment sequence 11EXPERIMENTALEligible subjects will receive treatment sequence 11; Placebo, GSK233705 20 micrograms, tiotropium, and GSK233705 50 micrograms.
Subjects receiving treatment sequence 12EXPERIMENTALEligible subjects will receive treatment sequence 12; Tiotropium, Placebo, GSK233705 20 micrograms and GSK233705 50 micrograms.
Subjects receiving treatment sequence 13EXPERIMENTALEligible subjects will receive treatment sequence 13; Placebo, GSK233705 20 micrograms, GSK233705 50 micrograms and GSK233705 100 micrograms.
Subjects receiving treatment sequence 14EXPERIMENTALEligible subjects will receive treatment sequence 14; GSK233705 20 micrograms, placebo, GSK233705 50 micrograms and GSK233705 100 micrograms.
Subjects receiving treatment sequence 15EXPERIMENTALEligible subjects will receive treatment sequence 15; GSK233705 20 micrograms, GSK233705 100 micrograms, Placebo and GSK233705 50 micrograms.
Subjects receiving treatment sequence 16EXPERIMENTALEligible subjects will receive treatment sequence 16; GSK233705 20 micrograms, GSK233705 100 micrograms, GSK233705 50 micrograms and Placebo.

Interventions

NameTypeDescription
PlaceboDRUGmatching placebo
GSK233705/GW642444DRUGThe combination of the long-acting muscarinic antagonist GSK233705 and the long acting beta agonist GW642444 in a single inhaler.
GSK233705 12.5mcgDRUGOnce daily via dry powder inhaler
GSK233705 25mcgDRUGonce daily via dry powder inhaler
GSK233705 50mcgDRUGOnce daily via dry powder inhaler
GSK233705 100mcgDRUGOnce daily via dry powder inhaler
GSK233705 200mcgDRUGOnce daily via dry powder inhaler
GSK233705DRUG -
GSK233705 and GW642444DRUGInhaled Long acting muscarinic receptor antagonist (LAMA) and a inhaled Long acting Beta 2 agonist (LABA) both in development as treatment for Chronic Obstructive Pulmonary Disease, taken in combination.
GW642444DRUGInhaled Long acting Beta 2 agonist (LABA)
TiotropiumDRUGTiotropium will be given orally as overfoiled strips of 5 capsules, each containing 18 micrograms of tiotropium (as bromide monohydrate) administered via a HandiHaler device.
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Eligibility Criteria

Age Range40 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites12

Inclusion Criteria: * male and females 40 to 80 years of age (inclusive) * COPD diagnosis * Current or previous smokers with a cigarette smoking history of at least 10 pack- * Post-albuterol FEV1/FVC of 0.70 or less * Post-albuterol FEV1 of 35% to 80% (inclusive) Exclusion Criteria: * Pregnant or...

Countries:United StatesArgentinaBulgariaCanadaChileGermanyHungaryNetherlandsPhilippinesRomaniaSouth AfricaSouth KoreaThailandUnited KingdomBelgiumSwedenJapan
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Frequently asked questions about GSK233705

What is GSK233705 used for?

GSK233705 is an investigational small molecule being developed for chronic obstructive pulmonary disease (COPD). It is in Phase 2 clinical development, though all nine completed trials to date have been Phase 1 studies. The drug is administered via inhalation and has been studied in both healthy volunteers and COPD patients.

Who makes GSK233705?

GSK233705 is being developed by GSK plc, a global biopharma company listed on the London Stock Exchange under the ticker GSK. The company has sponsored nine clinical trials of the drug, all of which are now completed, with a total enrollment of 794 participants across multiple countries.

What phase is GSK233705 in?

GSK233705 is in Phase 2 clinical development for chronic obstructive pulmonary disease. However, all nine clinical trials listed for the drug are Phase 1 studies that have been completed. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is GSK233705 in?

GSK233705 has been studied in nine completed clinical trials, including NCT00279019, a safety study with tiotropium in COPD patients in Germany, and NCT00453687, a safety and tolerability study in healthy male volunteers in the United States. Other trials include NCT00783003 and NCT00964405, which assessed safety and pharmacokinetics in healthy subjects.

Is GSK233705 the same as GW642444?

No, GSK233705 and GW642444 are different investigational drugs. They were studied together in a Phase 1 trial (NCT00783003) that assessed the safety and pharmacokinetics of inhaled doses of both compounds in healthy subjects in the United Kingdom. GSK233705 is being developed for COPD, while GW642444 is a separate molecule.