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GSK2586881

Phase 2

Hypertension, Pulmonary | Small molecule | Cardiovascular |GSK plc|Trials Updated: Apr 21, 2020

GSK2586881 development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Dec 2016

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials2
Total Enrollment67

FDA Designations

No designations recorded

GSK2586881 clinical trials

GSK2586881 · 2 trials · 2 indications

Phase 2 2
NCT03177603A Dose-escalation Study in Subjects With Pulmonary Arterial Hypertension (PAH)Hypertension, Pulmonary
COMPLETED23 Analytics
NCT01597635The Safety, Tolerability, PK and PD of GSK2586881 in Patients With Acute Lung InjuryLung Injury, Acute
COMPLETED44 Analytics
PHASE2COMPLETED
A Dose-escalation Study in Subjects With Pulmonary Arterial Hypertension (PAH)
Hypertension, PulmonaryUnlock trial analytics
PHASE2COMPLETED
The Safety, Tolerability, PK and PD of GSK2586881 in Patients With Acute Lung Injury
Lung Injury, AcuteUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Pulmonary Vascular Resistance (PVR)
Baseline (Day 1, Pre-dose); 1 hour, 2 hours and 4 hours post-dose (Day 1)

PVR is the resistance generated by pulmonary circulation. Pulmonary arterial catheters were placed in participants and PVR values were recorded from the right heart catheterization. Baseline was defined as the latest pre-dose assessment (Day 1) with a non-missing value, including those from unscheduled visits. Change from Baseline was measured as ratio of post-dose visit value to Baseline value.

Change From Baseline in Cardiac Output (CO)
Baseline (Day 1, Pre-dose); 1 hour, 2 hours and 4 hours post-dose (Day 1)

CO is the amount of blood pumped by the heart per minute. Pulmonary arterial catheters were placed in participants and CO values were recorded from the right heart catheterization. Baseline was defined as the latest pre-dose assessment (Day 1) with a non-missing value, including those from unscheduled visits. Change from Baseline was measured as ratio of post-dose visit value to Baseline value.

Change From Baseline in Mean Pulmonary Artery Pressure (mPAP)
Baseline (Day 1, Pre-dose); 1 hour, 2 hours and 4 hours post-dose (Day 1)

The pulmonary artery pressure is a measure of the blood pressure found in the main pulmonary artery. Pulmonary arterial catheters were placed in participants and mPAP values were recorded from the right heart catheterization. Baseline was defined as the latest pre-dose assessment (Day 1) with a non-missing value, including those from unscheduled visits. Change from Baseline was measured as ratio of post-dose visit value to Baseline value.

Heart Rate Assessments Upto Day 7 (Part B)
Up to Day 7

Vital sign included heart rate. Assessments were performed at Pre-dose, 0.5 hours, 2 hours, 6 hours and 12 hours on Day 1, 0 hours on Day 2 at 0 hours, 0.5 hours, 2 hours, 6 hours, 12 hours, 18 hours and 24 hours on Day 3 and at follow-up on Day 7.

Diastolic and Systolic Blood Pressure Assessments Upto Day 7 (Part B)
Up to Day 7

Vital sign included systolic blood pressure and diastolic blood pressure. Assessments were performed at Pre-dose, 0.5 hours, 2 hours, 6 hours and 12 hours on Day 1, 0 hours on Day 2 at 0 hours, 0.5 hours, 2 hours, 6 hours, 12 hours, 18 hours and 24 hours on Day 3 and at follow-up on Day 7.

Electrocardiogram (ECG) Parameters, Including PR, QRS, QT, and QTCU and RR Intervals Upto Day 7 (Part B)
Up to Day 7

Single 12-lead ECGs were obtained using an ECG machine that automatically calculated the heart rate and measured PR, QRS, QT, and QTCU and RR intervals. Assessments were performed at Pre-dose on Day 1, at 12 hours on Day 3 and at follow-up Day 7.

Hematology Parameters Basophils, Eosinophil, Lymphocytes, Monocytes, Total Neutrophils, Platelet Count and White Blood Cell Count Upto Day 7 (Part B)
Up to Day 7

Hematology parameters included basophils, eosinophil, lymphocytes, monocytes, total neutrophils, platelet count and white blood cell count. Assessments were performed at Pre-dose on Day 1, at 12 hours on Day 3 and at follow-up Day 7.

Hematology Parameters Red Blood Cell Count and Reticulocyte Count Assessment Upto Day 7 (Part B)
Up to Day 7

Hematology parameters included red blood cell count and reticulocyte count. Assessments were performed at Pre-dose on Day 1, at 12 hours on Day 3 and at follow-up Day 7.

Hematology Parameter Hemoglobin and Mean Corpuscle Hemoglobin Concentration (MCHC) Assessment Upto Day 7 (Part B)
Up to Day 7

Hematology parameters included hemoglobin and MCHC. Assessments were performed at Pre-dose on Day 1, at 12 hours on Day 3 and at follow-up Day 7.

Hematology Parameter Mean Corpuscle Volume (MCV) Assessment Upto Day 7 (Part B)
Up to Day 7

Hematology parameter included MCV. Assessments were performed at Pre-dose on Day 1, at 12 hours on Day 3 and at follow-up Day 7.

Hematology Parameter Mean Corpuscle Hemoglobin (MCH) Assessment Upto Day 7 (Part B)
Up to Day 7

Hematology parameter included MCH. Assessments were performed at Pre-dose on Day 1, at 12 hours on Day 3 and at follow-up Day 7.

Hematology Parameter Hematocrit Assessment Upto Day 7 (Part B)
Up to Day 7

Hematology parameter included hematocrit. Assessments were performed at Pre-dose on Day 1, at 12 hours on Day 3 and at follow-up Day 7.

Clinical Chemistry Parameters Calcium, Chloride, Carbon Dioxide, Glucose, Potassium, Sodium, Urea/Blood Urea Nitrogen Assessment Upto Day 7 (Part B)
Up to Day 7

Clinical chemistry parameters included calcium, chloride, carbon dioxide, glucose, potassium, sodium, Urea/Blood urea nitrogen. Assessments were performed at Pre-dose on Day 1, at 12 hours on Day 3 and at follow-up Day 7.

Clinical Chemistry Parameters Direct Bilirubin, Total Bilirubin, Creatinine and Uric Acid Assessment Upto Day 7 (Part B)
Up to Day 7

Clinical chemistry parameters included direct bilirubin, total bilirubin, creatinine and uric acid. Assessments were performed at Pre-dose on Day 1, at 12 hours on Day 3 and at follow-up Day 7.

Clinical Chemistry Parameters Alkaline Phosphatase, Asparatate Amino Transferase, Alanine Amino Transferase, Gamma Glutamyl Transferase Assessment Upto Day 7 (Part B)
Up to Day 7

Clinical chemistry parameters included alkaline phosphatase, asparatate amino transferase, alanine amino transferase, gamma glutamyl transferase. Assessments were performed at Pre-dose on Day 1, at 12 hours on Day 3 and at follow-up Day 7.

Clinical Chemistry Parameters Albumin and Total Protein Assessment Upto Day 7 (Part B)
Up to Day 7

Clinical chemistry parameters included albumin and total protein. Assessments were performed at Pre-dose on Day 1, at 12 hours on Day 3 and at follow-up Day 7.

Number of Participant With Adverse Event (AE) and Serious Adverse Event (SAE) Assessment Upto Day 7 (Part A)
Up to Day 7

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.

Number of Par With AE and Serious Adverse Event (SAE) Assessment Upto Day 7 (Part B)
Up to Day 7

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.

Secondary Endpoints

Number of Participants With Non-serious Adverse Events (AEs)
Up to Day 28
Number of Participants With Serious Adverse Events (SAEs)
Up to Day 28
Change From Baseline in Clinical Chemistry Parameters: Alkaline Phosphatase, Alanine Amino Transferase and Aspartate Amino Transferase
Baseline (Day 1, Pre-dose), 24 hours post-dose (Day 1) and one sample between Day 7 to Day 14 (follow up visit)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
GSK2586881 - 0.1 mg/kgEXPERIMENTALEligible subjects will receive a single dose of 0.1 mg/kg GSK2586881. Dose escalation up to maximum dose of 0.8 mg/kg will occur after 4 subjects have been dosed per cohort and review of safety, tolerability, PK and hemodynamic data up to 24 hours post dose has taken place.
GSK2586881 - 0.2 mg/kgEXPERIMENTALEligible subjects will receive a single dose 0.2 mg/kg of GSK2586881 IV infusion. Dose escalation up to maximum dose of 0.8 mg/kg will occur after 4 subjects have been dosed per cohort and review of safety, tolerability, PK and hemodynamic data up to 24 hours post dose has taken place.
GSK2586881 - 0.4 mg/kgEXPERIMENTALEligible subjects will receive a single dose of 0.4 mg/kg of GSK2586881 IV infusion. Dose escalation up to maximum dose of 0.8 mg/kg will occur after 4 subjects have been dosed per cohort and review of safety, tolerability, PK and hemodynamic data up to 24 hours post dose has taken place.
GSK2586881 - 0.8 mg/kgEXPERIMENTALEligible subjects will receive single dose of 0.8 mg/kg of GSK2586881 IV infusion. Dose escalation will occur after 4 subjects have been dosed per cohort and review of safety, tolerability, PK and hemodynamic data up to 24 hours post dose has taken place.
Part AEXPERIMENTAL4 increasing doses of GSK2586881 given over 2 days
Part BEXPERIMENTALRepeat Medium-High dose of GSK2586881 (or placebo) over 3 days

Interventions

NameTypeDescription
GSK2586881DRUGGSK2586881 is a clear colorless liquid for IV infusion over 3- 5 minutes and will be administered a maximum dose of 0.8 mg/kg.
Dose 1 GSK2586881DRUGLow dose GSK2586881 administered intravenously
Dose 2 GSK2586881DRUGMedium dose GSK2586881 administered intravenously
Dose 3 GSK2586881DRUGMedium-High dose GSK2586881 administered intravenously
Dose 4 GSK2586881DRUGHigh dose GSK2586881 administered intravenously
Placebo (saline)DRUGAdministered intravenously to match intervention
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo
Study Sites8

Inclusion Criteria * Subjects must be between 18-75 years of age (inclusive), at the time of signing the informed consent. * Documented diagnosis of PAH, defined as mPAP \> 25 millimeter of mercury (mmHg) and pulmonary wedge pressure (PWP) \<= 15. * Idiopathic PAH (IPAH), Hereditary PAH (HPAH), or ...

Countries:United StatesGermanySpainCanada
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Frequently asked questions about GSK2586881

What is GSK2586881 used for?

GSK2586881 is an investigational small molecule being studied for acute lung injury and pulmonary arterial hypertension. It is in Phase 2 clinical development and has not been approved by the FDA. The drug is being developed by GSK plc.

What does GSK2586881 target?

GSK2586881 is a small molecule being studied in respiratory conditions. Its specific molecular target has not been disclosed in available clinical trial information. The drug is being evaluated for its effects in patients with acute lung injury and pulmonary arterial hypertension.

Who makes GSK2586881?

GSK2586881 is being developed by GSK plc, a global biopharmaceutical company listed on the London Stock Exchange under the ticker GSK. The company is conducting clinical trials to evaluate the drug's safety and efficacy in respiratory conditions.

What phase is GSK2586881 in?

GSK2586881 is in Phase 2 clinical development. Two Phase 2 trials have been completed, one in acute lung injury and one in pulmonary arterial hypertension. The drug is investigational and has not received regulatory approval.

What clinical trials is GSK2586881 in?

GSK2586881 has been studied in two completed Phase 2 trials. NCT01597635 evaluated the drug in 44 patients with acute lung injury in the United States and Canada. NCT03177603 was a dose-escalation study in 23 patients with pulmonary arterial hypertension in the United States, Germany, and Spain.

Is GSK2586881 the same as another drug?

GSK2586881 is the code name for this investigational compound. No alternative brand names have been reported in clinical trial records. The drug is being studied under this identifier in trials for acute lung injury and pulmonary arterial hypertension.