Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
GSK256073 · 4 trials · 3 indications
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, may jeopardize the participant or require medical or surgical intervention to prevent one of the other outcomes listed in the definition above, or is an event of possible drug-induced liver injury.
Mean of triplicate measurements at each time point was considered for the summary. Baseline was defined as pre-dose of Day 1 visit. Change from Baseline was calculated by subtracting the Baseline values from the corresponding post-treatment values. It was assessed on Baseline, Day 1 (12 hours), Day 2 (pre-dose and 12 hours), Week 3, 6 (pre-dose and 12 hours), 9 and 12.
Mean of triplicate measurements at each time point was considered for the summary. Baseline was defined as pre-dose of Day 1 visit. Change from Baseline was calculated by subtracting the Baseline values from the corresponding post-treatment values. It was assessed on Baseline (pre-dose Day 1), Day 1 (12 hours), Day 2, Week 3, 6, 9 and 12.
Single 12-lead ECGs were obtained at each time point during the study using an ECG machine that automatically calculated the heart rate and measured PR, QRS, QT, and QTc intervals. It was assessed at Baseline (pre-dose Day 1), Day 2, Week 3, Week 6 and 12. Participants with normal, abnormal not clinically significant and abnormal clinically significant ECG were presented.
Clinical chemistry parameters included blood urea nitrogen (BUN), potassium, aspartate aminotransferase (AST), total bilirubin, direct bilirubin, creatinine, chloride, alanine aminotransferase (ALT), uric acid, fasting glucose, total carbon dioxide, gamma glutamyltransferase (GGT), albumin, sodium, calcium, alkaline phosphatase (ALP), total protein, creatine phosphokinase (CPK) and fasting lipid panel including total cholesterol, triglycerides, high density lipoprotein (HDL) cholesterol and low density lipoprotein (LDL) cholesterol. It was assessed on Baseline (pre-dose Day 1), Week 3 and 12. Data for parameters with high and low of PCI is provided.
Hematology parameters included platelet, red blood cell (RBC) count, mean corpuscular volume (MCV), neutrophils, white blood cell (WBC) count (absolute), mean corpuscular hemoglobin (MCH), lymphocytes, reticulocyte count, mean corpuscular hemoglobin concentration (MCHC), monocytes, hemoglobin, eosinophils, hematocrit and basophils. It was assessed on Baseline (pre-dose Day 1) and 12. Data for parameters with high and low of PCI is provided.
Urinalysis parameters included glucose, protein, blood and ketones by dipstick. It was assessed on Baseline (Day -1) and 12. Urine glucose was measured as grams per deciliter (G/dL).
Blood samples for analysis of HbA1c were collected at Baseline (Day -1), Day 41, Week 9 and Week 12. Change from Baseline was calculated by subtracting the Baseline values from the corresponding post-treatment values. Baseline was defined as Day -1 visit. Statistics is provided for least square mean at Week 12.
The potential PK/PD relationship was to be assessed by plotting GSK256073 AUCs against HDLc. The PK/PD model that was to be used for the simulations in the study design was to be refined with the Part A observed AUC exposures and HDLc levels. However, the study was stopped for futility at the end of Part A due to lack of a compelling PK/PD relationship between GSK256073 and lipid effects that would predict success in achieving significant HDLc raising.
| Arm | Type | Description |
|---|---|---|
| GSK256073 1mg bid | EXPERIMENTAL | GSK256073 1mg capsule taken orally twice a day |
| GSK256073 2mg qd | EXPERIMENTAL | GSK256073 2 x 1mg capsule taken orally once a day |
| GSK256073 5mg bid | EXPERIMENTAL | GSK256073 5mg capsule taken orally twice a day |
| GSK256073 10mg qd | EXPERIMENTAL | GSK256073 2 x 5mg capsule taken orally once a day |
| GSK256073 10mg bid | EXPERIMENTAL | GSK256073 10mg capsule taken orally twice a day |
| GSK256073 20mg qd | EXPERIMENTAL | GSK256073 2x 10mg capsule taken orally once a day |
| GSK256073 25mg bid | EXPERIMENTAL | GSK256073 25mg capsule taken orally twice a day |
| GSK256073 50mg qd | EXPERIMENTAL | GSK256073 2x 25mg capsule taken orally once a day |
| Placebo | PLACEBO_COMPARATOR | Matching placebo capsules taken orally either once a day or twice a day |
| Sitagliptin 100mg qd | ACTIVE_COMPARATOR | Commercially available Sitagliptin 100mg capsules taken once a day |
| Part A Treatment A | EXPERIMENTAL | 5 mg of GSK256073 |
| Part A Treatment B | EXPERIMENTAL | 50 mg of GSK256073 |
| Part A Treatment C | EXPERIMENTAL | 150 mg of GSK256073 |
| Part A Treatment D | PLACEBO_COMPARATOR | placebo |
| Part B Treatment A | PLACEBO_COMPARATOR | placebo |
| Part B Treatment B | ACTIVE_COMPARATOR | 1500 mg Niaspan |
| Part B Treatment C | EXPERIMENTAL | x mg dose of GSK256073 based on data from Part A |
| Part B Treatment D | EXPERIMENTAL | optional dose of GSK256073 based on data from Part A |
| 5mg BID | OTHER | Subjects will receive 1 x 5mg tablet and 1 placebo tablet in the morning, and 1 x 5mg tablet and 1 placebo tablet in the evening on Day 1 and Day 2. |
| 10mg QD | OTHER | Subjects will receive 2 x 5mg tablets in the morning and 2 placebo tablets in the evening on Day 1 and Day 2. |
| 25mg BID | OTHER | Subjects will receive 1 x 25mg tablet and 1 placebo tablet in the morning, and 1 x 25mg tablet and 1 placebo tablet in the evening on Day 1 and Day 2. |
| 50mg QD | OTHER | Subjects will receive 2 x 25mg tablets in the morning and 2 placebo tablets in the evening on Day 1 and Day 2. |
| fixed sequence | OTHER | fixed sequence (14 days fasted followed by 14 days either high fat or standard meal |
| Name | Type | Description |
|---|---|---|
| GSK256073 1mg | DRUG | GSK256073 1mg capsule |
| GSK256073 5mg | DRUG | GSK256073 5mg capsule |
| GSK256073 10mg | DRUG | GSK256073 10mg capsule |
| GSK256073 25mg | DRUG | GSK256073 25mg capsule |
| Placebo | DRUG | placebo capsule |
| Sitagliptin 100mg | DRUG | Sitagliptin 100mg capsule |
| GSK256073 | DRUG | 5 mg for 8 weeks |
| Niaspan | DRUG | 1500 mg for 8 weeks |
Inclusion Criteria: * A diagnosis of T2DM as determined by a responsible physician based on a medical evaluation including medical history, physical examination, and laboratory tests, with onset at least 6 months prior to Screening. Subjects may be entered if they have stable hypertension or dyslip...
GSK256073 was studied for the treatment of type 2 diabetes mellitus and dyslipidemias. Clinical trials evaluated it in adults with type 2 diabetes, including patients already receiving metformin, and in patients with dyslipidemia. It is an investigational small molecule and is not an approved therapy.
GSK256073 is an HM74A receptor agonist. By activating the HM74A receptor, it was designed to lower glucose and non-esterified fatty acid (NEFA) levels, which are metabolic measures relevant to type 2 diabetes and dyslipidemia. Trials assessed its effects on glucose and NEFA levels in patients with type 2 diabetes.
GSK256073 is developed by GSK plc, which trades under the ticker GSK. GSK sponsored the clinical trial program for the compound, including studies in type 2 diabetes and dyslipidemia conducted in the United States, France, Spain, and the United Kingdom.
GSK256073 reached Phase 2 clinical development. Two Phase 2 trials were completed, one in type 2 diabetes patients on metformin and one in patients with dyslipidemia. It is an investigational agent and has not been approved for any indication.
GSK256073 has been studied in completed trials including NCT01376323, a Phase 2 study in type 2 diabetes patients treated with metformin, and NCT00903617, a Phase 2 study in patients with dyslipidemia. Earlier Phase 1 studies included NCT01147861 and NCT00808093. No trials are currently active.