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GSK256073

Phase 2

Diabetes Mellitus, Type 2 | Small molecule | Metabolic |GSK plc|Last Updated: Dec 5, 2019

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials2
Total Enrollment131

FDA Designations

No designations recorded

Clinical trial landscape

GSK256073 · 4 trials · 3 indications

Phase 2 2Phase 1 2
NCT01376323A Study of GSK256073 in Subjects With Type 2 Diabetes Mellitus Who Are Being Treated With MetforminDiabetes Mellitus, Type 2
COMPLETED92 Analytics
NCT00903617Study to Test GSK256073 in Patients With DyslipidemiaDyslipidaemias
COMPLETED80 Analytics
PHASE2COMPLETED
A Study of GSK256073 in Subjects With Type 2 Diabetes Mellitus Who Are Being Treated With Metformin
Diabetes Mellitus, Type 2Unlock trial analytics
PHASE2COMPLETED
Study to Test GSK256073 in Patients With Dyslipidemia
DyslipidaemiasUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)
Up to Week 12

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.

Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Baseline (pre-dose Day 1) and up to Week 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, Day 1 (12 hours), Day 2 (pre-dose and 12 hours), Week 3, 6 (pre-dose and 12 hours), 9 and 12.

Change From Baseline in Heart Rate
Baseline (pre-dose Day 1) and up to Week 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.

Number of Participants With Abnormal Electrocardiograms (ECGs) Findings
Up to Week 20

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.

Number of Participants With Clinical Chemistry Abnormalities of Potential Clinical Importance (PCI)
Up to Week 12

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.

Number of Participants With Hematology Abnormalities of Potential Clinical Importance (PCI)
Up to Week 12

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.

Number of Participants With Abnormal Urinalysis: Glucose, Protein, Blood and Ketones by Dipstick
Up to Week 12

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).

Change From Baseline in Glycated Hemoglobin (HbA1c) at Week 12
Baseline (Day -1) and up to Week 12

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 GSK256073 Area Under Concentration-time Curve (AUC) and High Density Lipoprotein Cholesterol (HDLc) Data to Evolve the Exposure-response Pharmacokinetic/Pharmacodynamic (PK/PD) Relationship for Changes in HDLc Levels
Week 2, 4, 6 and 8

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.

Weighted mean AUC for glucose
24 hours
1. AUC0-inf, Cmax, and Ctrough (Ct) under fasting conditions
throughout study
2. AUC0-inf, Cmax, and Ctrough (Ct) under fed conditions
throughout the study

Secondary Endpoints

Change From Baseline in 12 Hour Non-esterified Fatty Acids (NEFA) and Glucose Weighted Mean Concentration Value at Day 2 and at Week 6
Baseline (Day 1) and up to Week 6
GSK256073 AUC and HbA1c at Week 12 Was Evaluated to Establish the Exposure-response Pharmacokinetic/Pharmacodynamic (PK/PD) Relationship
Up to Week 12
Change From Baseline in Fasting Plasma Glucose at Week 12
Baseline (Day 1) and up to Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
GSK256073 1mg bidEXPERIMENTALGSK256073 1mg capsule taken orally twice a day
GSK256073 2mg qdEXPERIMENTALGSK256073 2 x 1mg capsule taken orally once a day
GSK256073 5mg bidEXPERIMENTALGSK256073 5mg capsule taken orally twice a day
GSK256073 10mg qdEXPERIMENTALGSK256073 2 x 5mg capsule taken orally once a day
GSK256073 10mg bidEXPERIMENTALGSK256073 10mg capsule taken orally twice a day
GSK256073 20mg qdEXPERIMENTALGSK256073 2x 10mg capsule taken orally once a day
GSK256073 25mg bidEXPERIMENTALGSK256073 25mg capsule taken orally twice a day
GSK256073 50mg qdEXPERIMENTALGSK256073 2x 25mg capsule taken orally once a day
PlaceboPLACEBO_COMPARATORMatching placebo capsules taken orally either once a day or twice a day
Sitagliptin 100mg qdACTIVE_COMPARATORCommercially available Sitagliptin 100mg capsules taken once a day
Part A Treatment AEXPERIMENTAL5 mg of GSK256073
Part A Treatment BEXPERIMENTAL50 mg of GSK256073
Part A Treatment CEXPERIMENTAL150 mg of GSK256073
Part A Treatment DPLACEBO_COMPARATORplacebo
Part B Treatment APLACEBO_COMPARATORplacebo
Part B Treatment BACTIVE_COMPARATOR1500 mg Niaspan
Part B Treatment CEXPERIMENTALx mg dose of GSK256073 based on data from Part A
Part B Treatment DEXPERIMENTALoptional dose of GSK256073 based on data from Part A
5mg BIDOTHERSubjects 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 QDOTHERSubjects will receive 2 x 5mg tablets in the morning and 2 placebo tablets in the evening on Day 1 and Day 2.
25mg BIDOTHERSubjects 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 QDOTHERSubjects will receive 2 x 25mg tablets in the morning and 2 placebo tablets in the evening on Day 1 and Day 2.
fixed sequenceOTHERfixed sequence (14 days fasted followed by 14 days either high fat or standard meal

Interventions

NameTypeDescription
GSK256073 1mgDRUGGSK256073 1mg capsule
GSK256073 5mgDRUGGSK256073 5mg capsule
GSK256073 10mgDRUGGSK256073 10mg capsule
GSK256073 25mgDRUGGSK256073 25mg capsule
PlaceboDRUGplacebo capsule
Sitagliptin 100mgDRUGSitagliptin 100mg capsule
GSK256073DRUG5 mg for 8 weeks
NiaspanDRUG1500 mg for 8 weeks
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Eligibility Criteria

Age Range20 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites15

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...

Countries:United StatesFranceSpainUnited Kingdom
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Frequently asked questions about GSK256073

What is GSK256073 used for?

GSK256073 is an investigational small molecule being developed for dyslipidaemias and Type 2 diabetes mellitus. It has been studied in clinical trials for these metabolic conditions, though it is not approved and remains in clinical development.

What does GSK256073 target?

GSK256073 is an HM74A receptor agonist, as described in a Phase 1 trial title. It targets the HM74A receptor, which is involved in metabolic regulation. The drug is being studied for its effects on glucose and non-esterified fatty acid levels in Type 2 diabetics.

Who makes GSK256073?

GSK256073 is developed by GSK plc, a pharmaceutical company listed on the stock exchange under the ticker GSK. The company has sponsored clinical trials of the drug in the United States and other countries.

What phase is GSK256073 in?

GSK256073 has completed Phase 2 clinical trials. It is an investigational drug and has not been approved by regulatory authorities. The development program includes completed Phase 1 and Phase 2 studies in dyslipidaemias and Type 2 diabetes.

What clinical trials is GSK256073 in?

GSK256073 has been studied in four completed trials: NCT00808093 (Phase 1, healthy subjects), NCT00903617 (Phase 2, dyslipidemia), NCT01147861 (Phase 1, Type 2 diabetics), and NCT01376323 (Phase 2, Type 2 diabetics on metformin). All trials are completed.

Is GSK256073 the same as HM74A receptor agonist?

GSK256073 is an HM74A receptor agonist, meaning it activates the HM74A receptor. This mechanism is described in a clinical trial title. The drug is being investigated for its potential effects on lipid and glucose metabolism in metabolic diseases.