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GSK2585823

Phase 3

Acne Vulgaris | Small molecule | Dermatology |GSK plc|Last Updated: Apr 27, 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
RandomizedPLACEBO_CONTROLLEDBiomarker
Total Trials3
Total Enrollment832
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01445301Study STF115287, a Clinical Confirmation Study of GSK2585823 in the Treatment of Acne Vulgaris in Japanese SubjectsPHASE3 COMPLETED 800Sep 27, 2011Aug 2, 2012Apr 27, 201826 Japan
NCT01527123A Study to Evaluate the Pharmacokinetics of Benzoic Acid and Hippuric Acid After Topical Administration of GSK2585823 in Japanese Subjects With Acne VulgarisPHASE1 COMPLETED 12Feb 28, 2012Jun 1, 2012Jul 26, 20171 Japan
NCT01428466Japanese Phase 1 Study of GSK2585823PHASE1 COMPLETED 20Nov 18, 2010Feb 15, 2011Aug 4, 20171 Japan
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Study Endpoints
Primary Endpoints
Absolute Change From Baseline to Week 12 in Total Lesion Counts.
Baseline (Day 1) and Week 12

The investigator (or subinvestigator) counted all inflammatory lesions (papules, pustules, and nodular lesions) and non-inflammatory lesions (open and closed comedones) on the face at each study visit. An open comedone was an open, widely dilated follicle with black-colored sebum, due to melanin and oxidation, and keratinous material that forms a plug, thereby obstructing the pilosebaceous duct. A closed comedone was a closed follicle filled with impacted sebum covered by keratin that has a whitish color. A papule was a small, raised, red, dome-shaped palpable lesion. A pustule was a raised, dome-shaped palpable lesion containing yellow fluid (pus). A nodule might be a raised or deep-seated, dome-shaped palpable lesion of at least 5 millimeters in diameter. Day 1 was Baseline and change from baseline was calculated by subtracting the Baseline value from post-randomization value at Week 12.

Comparison of plasma benzoic acid and hippuric acid pharmacokinetics between pre-application and post-application (7-days repeat) of GSK2585823
Participants will be followed up to 7 days after the last application, an expected average of 15 days

Blood PK sampling time frame: 0, 0.5, 1, 1.5, 2, 3, 4, 6, 9,12hours post-dose (Day 1 and Day 8). Parameters: Maximum observed concentration(Cmax),Time of occurrence of Cmax (tmax), Area under the concentration-time curve from time zero (pre-dose) extrapolated to last time (AUC0-last), Area under the concentration-time curve from time zero (pre-dose) to 12 hours of quantifiable concentration within a subject across all treatments (AUC0-12) and Terminal phase half-life (t1/2,) for both benzoic acid and hippuric acid, after multiple application of GSK2585823, if calculable

Dermal irritancy (simple patch test)
Participants will be followed for the duration of hospital stay, an expected average of 22 days.
Photo allergy and toxicity (Photo patch test)
Participants will be followed for the duration of hospital stay, an expected average of 22 days.
Secondary Endpoints
Absolute Change From Baseline to Weeks 1, 2, 4, and 8 in Total Lesion Counts
Baseline (Day 1) and Weeks 1, 2, 4, and 8
Absolute Change From Baseline to Weeks 1, 2, 4, 8, and 12 in Inflammatory and Non-inflammatory Lesion Counts
Baseline (Day 1) and Weeks 1, 2, 4, 8, and 12
Percent Change From Baseline to Weeks 1, 2, 4, 8, and 12 in Total, Inflammatory, and Non- Inflammatory Lesion Counts
Baseline (Day 1) and Weeks 1, 2, 4, 8, and 12
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
GSK2585823(CLDM 1%-BPO 3% gel) once dailyEXPERIMENTALSubjects will apply in a quantity sufficient to cover the entire face (including the forehead, nose, cheeks, and chin). Also, the dose regimen will be once daily in the evening/bedtime.
GSK2585823(CLDM 1%-BPO 3% gel) twice dailyEXPERIMENTALSubjects will apply in a quantity sufficient to cover the entire face (including the forehead, nose, cheeks, and chin). Also, the dose regimen will be twice daily in the morning and evening/bedtime.
CLDM 1% gel twice dailyACTIVE_COMPARATORSubjects will apply in a quantity sufficient to cover the entire face (including the forehead, nose, cheeks, and chin). Also, the dose regimen will be twice daily in the morning and evening/bedtime.
GSK2585823EXPERIMENTALExternal Preparation
Benzoic peroxide 3%ACTIVE_COMPARATORexternal preparation
Benzoic peroxide 5%ACTIVE_COMPARATORexternal preparation
VehiclePLACEBO_COMPARATORexternal preparation
Interventions
NameTypeDescription
GSK2585823(CLDM 1%-BPO 3% gel)DRUGTopical gel in 1 g containing clindamycin 10 mg and benzoyl peroxide 30 mg
CLDM 1% gel twice dailyDRUGTopical gel containing clindamycin 10 mg/1 g gel
GSK2585823DRUGCLDM1%/BPO3%
Benzoyl peroxide 3%DRUGBenzoyl peroxide 3%
Benzoyl peroxide 5%DRUGBenzoyl peroxide 5%
VehicleOTHERplacebo
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Eligibility Criteria
Age Range12 Years — 45 Years
SexALL
Healthy VolunteersNo
Study Sites26

Inclusion Criteria: * Male or female subjects 12 to 45 years (inclusive) of age in good general health. * Subjects must have both on the face: A) A minimum of 17 but not more than 60 inflammatory lesions (papules/pustules), including nasal lesions. And B) A minimum of 20 but not more than 150 non...

Countries:Japan
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