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GSK249320

Phase 2

Ischaemic Attack, Transient | Small molecule | Other |GSK plc|Last Updated: Nov 17, 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
RandomizedPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment42
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00833989Safety Escalating Repeat IV, in Stroke PatientsPHASE2 COMPLETED 42Jul 8, 2009Jan 31, 2011Nov 17, 201715 United States, Canada +1
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Study Endpoints
Primary Endpoints
Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)
Up to 112 days

AE was defined as any untoward medical occurrence in a participant temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE include AEs those result in death, a life-threatening AE, inpatient hospitalization or prolongation of existing hospitalization, a persistent or significant incapacity or substantial disruption of the ability to conduct normal functions, or a congenital anomaly/birth defect. Important medical events that may not result in death, be life-threatening, or require hospitalization may be considered serious when, based upon appropriate medical judgment, they may jeopardize the participant and may require medical or surgical intervention to prevent one of the outcomes listed in this definition.

Number of Participants With Vital Signs Changes of Potential Clinical Importance
Up to 112 days

The potential clinical importance ranges (low and high) of the vital sign parameters were for systolic blood pressure (SBP) (\<85 and \>200 millimeter of mercury \[mmHg\]), diastolic blood pressure (DBP) (\<45 and \>110 mmHg) and heart rate (HR) (\<40 and \>110 beats per minute). Only those parameters for which at least one value of potential clinical importance was reported are summarized. The number of participants with potential clinical important vital parameter findings at any visit were reported.

Number of Participants With Electrocardiogram (ECG) Values Outside Range of Potential Clinical Importance
Up to 112 days

Single 12-lead ECGs was obtained. The standard ECG criteria of potential clinical importance were uncorrected QT interval \<300 and \>600 milliseconds (msec), absolute QTc interval \>500 msec, increase from Baseline QTc \>60 msec, RR Interval \<90 and \>2000 msec, PR Interval \<110 and \>220 msec, QRS Interval \<75 and \>110 msec. The number of participants with potentially clinically significant ECG abnormality were reported.

Number of Participants With Nerve Conduction Testing (NCT) Values
Day 5 and 30 and at early withdrawal

NCT (electrode placement technique) of sensory and motor function was performed on the unaffected side (i.e., side that is not affected by the stroke) by appropriately qualified personnel at specified visits (Day 5 and 30 and at early withdrawal). Qualified technician performed the testing; however the same neurologist interpreted the NCT data within a single participant. Both upper and lower extremity nerves were tested and the data was recorded. Number of participants with normal and abnormal NCT data were reported.

Number of Participants With White Matter Changes and Demyelination Assessed by Magnetic Resonance Imaging (MRI)
Up to Day 60

Whole brain MRI scans were performed by appropriately qualified personnel at those specified visits (Day 1, 10 and 60 or at early withdrawal \[if participant withdrew from study before Day 60 MRI\]). Required pulse sequences of diffusion weighted imaging (DWI), T1, and T2 FLAIR was performed to measure lesion volume and to look for the presence of any new acute inflammatory lesions. The investigator or other medically qualified study team member evaluated the Day 10 and 60 scans for any new abnormalities or clinically significant worsening. Digital data for each MRI was sent to a central MRI laboratory for an over-read of the MRI scan and calculation of the lesion volume. Number of participants with change in white matter and demyelination on Day 10 compared to Day 1, Day 60 compared to Day 1 and Day 60 compared to Day 10 were reported.

Number of Participants With Abnormal Clinical Chemistry Parameters
Up to Day 112

The clinical chemistry parameters analyzed were albumin, calcium, creatinine, glucose, potassium, sodium, total CO2, alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase, and total bilirubin. Only those parameters for which at least one abnormal value was reported are summarized. The number of participants with abnormal clinical chemistry findings at specified visit were reported.

Number of Participants With Abnormal Hematological Parameters
Up to Day 112

The clinical chemistry parameters analyzed were white blood cell count, neutrophil count, hemoglobin, platelet count, lymphocytes. Only those parameters for which at least one abnormal value was reported are summarized. The number of participants with abnormal hematology findings at specified visit were reported.

Secondary Endpoints
Number of Participants With Positive Antibodies to GSK249320
Day 1, 5, 10, 30, 60, 90 and 112
Mean Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time (AUC 0-inf) and Area Under the Concentration-time Curve From Time Zero (Pre-dose) to Last Time of Quantifiable Concentration (AUC0-t)
Day 1 (Pre-dose, 1, 3, 6, 12 and 24 hour) and Day 10 (Pre-dose, 1, 3 hour)
Mean Maximum Observed Concentration (Cmax) and Last Observed Quantifiable Concentration (Ct)
Day 1 (Pre-dose, 1, 3, 6, 12 and 24 hour) and Day 10 (Pre-dose, 1, 3 hour)
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeOTHER
Treatment Arms
ArmTypeDescription
PLACEBOPLACEBO_COMPARATOR -
ACTIVEEXPERIMENTAL -
Interventions
NameTypeDescription
GSK249320DRUGI.V. infusion
PLACEBODRUGPlacebo
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Eligibility Criteria
Age Range18 Years — 90 Years
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion Criteria: * Have a confirmed diagnosis of stroke * Stroke onset must be within the last 24-72 hours. * Have a stroke that is either: * radiologically confirmed to be ischaemic and supratentorial. The diameter of the ischemic lesion is \>15mm in any singlle direction or the volume is \>4cc...

Countries:United StatesCanadaGermany
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