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GSK2339345

Phase 2

Cough | Small molecule | Other |GSK plc|Last Updated: Jul 26, 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-BlindCONTROLLEDBiomarker
Total Trials3
Total Enrollment83
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01899768GSK2339345 Hypertussive Challenge StudyPHASE2 COMPLETED 16Nov 1, 2013Oct 1, 2014Apr 5, 20172 United Kingdom
NCT01587716A Study to Investigate the Safety, Tolerability and Pharmacokinetics of GSK2339345.PHASE1 COMPLETED 36Apr 23, 2012Jul 30, 2012Jul 26, 20171 United Kingdom
NCT01494636The Safety, Tolerability, PK and PD of GSK2339345 in Healthy SubjectsPHASE1 COMPLETED 31Oct 17, 2011Mar 15, 2012Jun 20, 20171 United Kingdom
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Study Endpoints
Primary Endpoints
Total Cough Count Over 8 Hours at Visits 1, 2 and 3 (Part A)
Up to 8 hours post-dose at Visits 1, 2 and 3 (Part A)

Total cough count (8 hours \[hr\] of recording) was conducted at Visits 1, 2 and 3. Coughs were counted by a cough monitor fitted to the participants for 8 hr post Dose 1. The cough count was calculated as the sum of two four hour cough count totals, with the first four hours starting from the time of the first dose and the second four hours starting at the time of the second dose. The cough counts were sum-up by the treatments received by the participants. Number of coughs in 8 hr period was loge transformed and used for the analysis. Values were imputed pro-rata if 8 hr epoch was less than 8 hr. Mean of the total cough counts recorded post dose of every treatment i.e. placebo or GSK2339345 1000mcg was reported.

Total Cough Count Excluding Transient Coughs Over 8 Hours at Visits 1, 2 and 3 (Part A)
Up to 8 hours post-dose at Visits 1, 2 and 3 (Part A)

Total cough count (8 hr of recording) was conducted at Visits 1, 2 and 3. Coughs were counted by a cough monitor fitted to the participants for 8 hr post Dose 1. The cough count was calculated as the sum of two four hour cough count totals, with the first 4-hrs starting from the time of the first dose and the second four hours starting at the time of the second dose. The cough counts were sum-up by the treatments received by the participants. Transient cough was the total number of coughs experienced in the two mins from the start of the first inhalation of a dose. Number of coughs excluding transient cough in 8 hr period was loge transformed and used for the analysis. Values were imputed pro-rata if 8 hr epoch was less than 8 hr. Mean of the total cough counts excluding transient cough recorded post dose of every treatment i.e. placebo or GSK2339345 1000 mcg was reported.

Safety parameters: AEs, vital signs, ECG, body temperature and laboratory assessments, including haematology, clinical biochemistry and cardiac troponin.
Approximately 5 weeks from first dose to the follow-up visit.

To assess the safety and tolerability of single and repeat inhaled doses of GSK2339345 administered by an aqueous droplet inhaler.

Assessment of oropharyngeal sensation perturbation via a 4 point scale.
Approximately 5 weeks from first dose to the follow-up visit.

To assess the changes in oropharyngeal sensation caused by single and repeat inhaled doses of GSK2339345 administered by an aqueous droplet inhaler.

Change in oropharyngeal sensation
Dosing to 1 hour post dose

Measured by 4 point scale, fingertip electrode assessment, sensation to water temperature, adverse events, water swallow test and assessment of gag reflex

Adverse events (AEs) for all study participants
Dosing to 24 hours post dose

Measurement of types of AEs reported, severity and relationship to study drug

Assessment of vital signs for all study participants
Screening to follow-up

Triplicate measurements will be taken at screening and pre-dose, single measurements at all other timepoints

Holter ECG measurement for all study participants
Screening (Part A and Part B)

24 hour Holter ECG will be taken at screening

12-lead ECG measurements for all study participants
Screening to follow-up

Triplicate measurements will be taken at screening and pre-dose, single measurements at all other timepoints

Body temperature for all study participants
Screening, pre-dose, 30 mins post dose, 4 hours post dose, 8 hours post dose and follow-up in each dosing session
Safety laboratory assessments for all study participants
Part A: Screening, pre-dose, 24 hours post dose and follow-up in each dosing session. Part B: Screening, pre-dose and 8 hours post dose on Day 1, 0 hours and 8 hours post dose on Day 2, follow-up

To include haematology and clinical biochemistry assessments

Cardiac troponin measurements for all study participants
Part B only: Screening, pre-dose and 24 hours post dose on Day 1
Secondary Endpoints
Number of Participants With Any Adverse Events (AEs) and Any Serious Adverse Events (SAEs)
From the start of study treatment and until the follow-up contact (up to 8 Weeks)
Mean Systolic Blood Pressure and Diastolic Blood Pressure at the Indicated Time Points in Parts A, B and C
Pre-dose, 5 min, 15 min (only in Part A), 30 min, and 1 hr post each dose administered in Parts A, B and C (up to 8 weeks)
Mean Heart Rate at the Indicated Time Points in Parts A, B and C
Pre-dose, 5 min, 15 min (only in Part A), 30 min, and 1 hr after each dose administered in Parts A, B and C (up to 8 weeks)
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part AEXPERIMENTALSubjects will receive treatment A (placebo) or treatment B (GSK2339345) in 3 visits of part A (one treatment per visit) in one of the following four sequences: ABA, ABB, BAA, and BAB.
Part BEXPERIMENTALSubjects will receive treatment A or treatment B in 2 visits of part B (one treatment per visit) in one of the following two sequences: AB and BA. Subjects will then orally inhale 10 microliter (mcL) of a capsaicin solution of strength ranging from 0.49 micromolar (mcM) to 1000 mcM, which will be administered using a breath activated dosimeter approximately 5 minutes post-dosing with treatment A or B at Visits 4 and 5.
Part CEXPERIMENTALSubjects will receive treatment A or treatment B in 2 visits of part C (one treatment per visit) in one of the following two sequences: AB and BA. Subjects will then orally inhale 10 mcL of a citric acid solution of strength ranging from 0.03 to 4.0 M, which will be administered using a breath activated dosimeter approximately 5 minutes post-dosing with treatment A or B at Visits 6 and 7.
1. Inhaled GSK2339345/Placebo Single Dose (Cohort 1)EXPERIMENTALadministered three ascending doses of GSK2339345 or placebo as a solution via an aqueous droplet inhaler over four treatment periods, with at least 5 days washout between doses
2. Inhaled GSK2339345/Placebo Repeat Dose (Cohort 2)EXPERIMENTALadministered a dose of GSK2339345 or placebo, four times a day on two consecutive days. Each subject will receive either GSK2339345 or matching placebo as a solution administered via an aqueous droplet inhaler
GSK2339345 (solution) (part A)EXPERIMENTALPart A
GSK2339345/ Placebo/ Lidocaine (nebulised) (part B)EXPERIMENTALPart B
Interventions
NameTypeDescription
GSK2339345DRUGClear colorless solution in clear glass vial for oral inhalation via aqueous droplet inhaler with unit dose strength of 1000 microgram (mcg) inhaled in two actuations.
PlaceboDRUGClear colorless solution of 0.9% sodium chloride for oral inhalation via aqueous droplet inhaler inhaled in two actuations.
GSK2339345 (Inhaled) Single DoseDRUG250, 1000 and 2000 microgram (proposed doses)
Placebo (Inhaled) Single DoseOTHERInhaled 0.9% sodium chloride solution
GSK2339345 (Inhaled) Repeat DoseDRUG2000 microgram (proposed dose) administered 4 times a day for two consecutive days
Placebo (Inhaled) Repeat DoseOTHERInhaled 0.9% sodium cholride solution
GSK2339345 (solution)DRUG3, 6, 15, 30, 60 and 120 micrograms (proposed doses). 2 alternating cohorts of 6 subjects. Each subject to receive 3 ascending doses with washout of at least 48 hours between doses. Rinse, Gargle and Spit.
GSK2339345 (nebulised)DRUG25, 100, 250, 1000 and 2000 micrograms (proposed doses). Subjects randomised to receive three ascending doses (with each dose given on two consecutive days). Washout of at least 6 days between treatment periods. Nebulised.
Placebo (0.9% sodium chloride solution)DRUGAdministered on Day 1 of one of the treatment periods in part B. Randomised. Nebulised.
LidocaineDRUG40mg dose. Administered on Day 2 of one of the treatment periods in part B. Randomised. Nebulised.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria * Chronic Idiopathic Cough patients according to the criteria listed below, determined by a responsible and experienced physician, based on a medical evaluation: Idiopathic cough defined as chronic cough resistant to treatment targeted at potential triggers. Chronic cough defined...

Countries:United Kingdom
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