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GSK2398852

Phase 1

Amyloidosis | Small molecule | Other |GSK plc|Last Updated: Jul 24, 2018

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
CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment25
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01777243A Study to Evaluate the Safety of GSK2398852 When Co-administered With GSK2315698 in Patients With Systemic AmyloidosisPHASE1 COMPLETED 25May 13, 2013Dec 22, 2015Jul 24, 20182 United Kingdom
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Study Endpoints
Primary Endpoints
Safety of GSK2398852 as assessed by number of subjects with AEs in Part A and in Part B
Continuous throughout the study

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

Safety of GSK2398852 as assessed by clinical laboratory tests in Part A and in Part B
At scheduled intervals upto Day 42 in each Part.

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

Safety of GSK2398852 as assessed by vital signs measurements in Part A and in Part B
At scheduled intervals upto Day 42 in each Part.

Safety data will include measurements of vital signs (semi supine systolic and diastolic blood pressure, pulse rate and temperature measured orally).

Safety of GSK2398852 as assessed by ECG readings in Part A and in Part B
At scheduled intervals upto Day 42 in each Part.

Safety data will include single 12-lead electrocardiogram (ECG) readings obtained at each timepoint during the study using an ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and QTc intervals.

PK profile of GSK2315698 and GSK2398852 in Part A and in Part B
In Part A and Part B on Day -2, Day 1 (pre-dose, 1 hour [hr], 2 hr, 3 hr, 4 hr, 8 hr, 12 hr), Day 2, Day 3, Day 4, Day 6, Day 14, Day 21, Day 42

Pharmacokinetic (PK) profile GSK2315698 and GSK2398852 was performed to evaluate PK of single doses of GSK2398852 and GSK2315698 when co-administered.

Dose response of single doses of GSK2398852 when co-administered with GSK2315698 in Part B
Baseline, Day 6, Day 14 and Day 42 in Part B.

The main measure of dose response will be determined by information from part A (and Part A extension if required). The options are: -Volume of distribution of gadolinium in the spleen as a measure of amyloid load (EqMRI); and -Liver histology examination for presence of giant cells, activation of macrophages, and amyloid clearance.

Secondary Endpoints
SAP concentrations measurement
Baseline, Day -3, Day -2, Day -1, Day 42 in each Part.
Measurement of anti-drug antibodies before and after treatment with GSK2398852
Day 1 pre-dose, Day 21, Day 42 in each Part.
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part A ArmEXPERIMENTALTwo subjects in Part A will receive starting dose level of GSK2398852 as 5 milligram (mg) \[approximately equivalent to 0.1 mg/kilogram (kg)\]. The next escalation dose levels in two subjects each are proposed as 1 mg/kg, 3 mg/kg, 10 mg/kg and 30 mg/kg. GSK2315698 will be administered at variable dosed until the concentration of the SAP mAb has fallen below 100 ng/mL.
Part B ArmEXPERIMENTALThe precise selection of numbers of subjects and dose levels in Part B will be informed by the results from Part A.
Interventions
NameTypeDescription
GSK2398852DRUGUnit dose strength: 100 mg/mL provided as 1 mL solution per vial. GSK2398852 dosage levels variable with the proposed starting dose level of GSK2398852 as 5 mg \[approximately equivalent to 0.1 mg/ kg\]. The next escalation dose levels are proposed as 1 mg/kg, 3 mg/kg, 10 mg/kg and 30 mg/kg.
GSK2315698DRUGUnit dose strength: 200 mg/mL stock to be diluted. GSK2315698 will be administered at variable dosed until the concentration of the serum amyloid P component monoclonal antibody (SAP mAb) has fallen below 100 ng/mL.
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Eligibility Criteria
Age Range18 Years — 70 Years
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Subject has been medically diagnosed with systemic amyloidosis and falls into one of the patient groups (small to moderate amyloid load involving the spleen for Part A; moderate to large amyloid load involving the spleen (to a moderate/large extent) for Part A (following agree...

Countries:United Kingdom
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