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GSK2878175

Phase 1

Hepatitis C, Chronic | Small molecule | Infectious Disease |GSK plc|Last Updated: Jul 24, 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
RandomizedCONTROLLEDBiomarker
Total Trials2
Total Enrollment84
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02014571Study to Assess the Safety, Pharmacokinetics, and Antiviral Activity of Repeat Doses of GSK2878175 in Subjects With Chronic Hepatitis C.PHASE1 COMPLETED 37Dec 26, 2013Jan 15, 2015Jul 24, 20181 Puerto Rico
NCT01879462A First Time in Human Study to Investigate the Safety, Tolerability and Pharmacokinetics of Single & Repeat Escalating Doses of GSK2878175 in Healthy SubjectsPHASE1 COMPLETED 47Jun 14, 2013Jan 10, 2014Jul 24, 20181 Australia
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Study Endpoints
Primary Endpoints
Safety as assessed by the collection of adverse events (AEs).
Screening to 14 days post last-dose

AEs will be collected from the start of Study Treatment and until 14 days post last-dose (at follow up).

Safety as assessed by hematology, clinical chemistry, urinalysis, vital signs, electrocardiogram (ECG) intervals, ECG rhythm telemetry, pulmonary function tests, respiratory rate and lung auscultation.
Pre-dose to 14 days post last-dose

Absolute values and changes over time of hematology, clinical chemistry, urinalysis, vital signs (blood pressure \[BP\], FSH/Estradiol (Women), Urine β-hCG (Women) temperature, and heart rate), 12 LED ECG, and Holter monitoring, ECG intervals, ECG rhythm, and telemetry will be measured. Telemetry is the continuous monitoring of a subject's heart rate and rhythm from a remote location. Pulmonary function testing includes a group of tests that measure how well the lung is functioning.

Composite of PK parameters (Day 1) following repeat dose administration of GSK2878175.
Pre Dose, 0.5hr, 1.5hr, 4hr, 6hr, 12hr

PK parameters include: AUC (0-24), Tmax, Cmax,C24, t1/2, tlag, CL/F for Day 1

Composite of PK parameters (Day 2) following repeat dose administration of GSK2878175.
Day 2 Pre Doseand Post Day 1 Dose at 24hr, 24.5hr, 25.5hr, 28hr, 30hr, 33hr, 36hr, 48hr, 72hr, 96hr, 144hr, 192hr, 240hr and 360hr

PK parameters include: AUC (0-t), Ct, Cmax, tmax, t1/2, CL/F for Day 2.

Antiviral activity as assessed by HCV RNA viral load.
Baseline, 24 hr, 48 hr, and 72 hr

HCV RNA viral load reduction from baseline at the 24 hr, 48 hr, and 72 hr timepoints during dosing of GSK2878175 in HCV subjects

Antiviral activity as assessed by HCV RNA maximum change.
Pre-dose to 14 days post last-dose.

HCV RNA change from baseline to nadir (maximum change) in CHC subjects.

Antiviral activity as assessed by Time course of HCV viral load.
Baseline, Day1, Day 2, Day 3, Day 4, Day 5, Day 7, Day 9, Day 11, and Day 16 (Follow Up Visit)

Time course of HCV viral load at baseline, during, and after dosing with GSK2878175.

Secondary Endpoints
Viral quasi-species population.
Pre Dose and 12hr on Day 1 and at 24hr, 30hr, 36hr, 48hr, 72hr, 96hr, 144hr, 192hr, 240hr and 360hr Post 1st Dose
IL28B rs12979860 status on GSK2878175 pharmacokinetics.
Day 1 Pre Dose.
Exposure-response relationships for various safety parameters, if appropriate.
Pre-dose to 14 days post last-dose
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Study Design & Arms
AllocationRANDOMIZED
MaskingSINGLE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Cohort AEXPERIMENTALEight subjects will be randomized to receive either 10 mg of GSK2878175 active treatment (4 HCV genotype 1a \[GT1a\] and 2 HCV genotype 1b \[GT1b\]) or matching placebo (1 GT1a and 1 GT1b) daily for 2 days fasted.
Cohort BEXPERIMENTALEight subjects will be randomized to receive either 30 mg of GSK2878175 active treatment (4 GT1a and 2 GT1b) or matching placebo (1 GT1a and 1 GT1b) daily for 2 days fasted.
Cohort CEXPERIMENTALEight subjects will be randomized to receive either GSK2878175 active treatment (4 GT1a and 2 GT1b) or matching placebo (1 GT1a and 1 GT1b) daily for 2 days fasted.
Cohort DEXPERIMENTALTwenty subjects will be randomized to receive either 60 mg of GSK2878175 active treatment (6 GT2, 6 GT3, 3 GT4) or matching placebo (2 GT2, 2 GT3, 1 GT4).
Cohort EEXPERIMENTALSubjects in this cohort will receive placebo and GSK2878175 100 mg single dose or placebo for 7 days in fasted state, (with 1:4 ratio of placebo to active treatment).
Cohort FEXPERIMENTALSubjects in this cohort will receive placebo and GSK2878175 200 mg single dose or placebo for 7 days in fasted state, (with 1:4 ratio of placebo to active treatment).
Interventions
NameTypeDescription
GSK2878175DRUGRound tablets (5.0mg) given once daily repeated (to 2 days), oral dose.
PlaceboDRUGRound tablets (5.0mg) given once daily repeated (to 2 days), oral dose visually matching GSK2878175.
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Eligibility Criteria
Age Range18 Years — 60 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Has chronic genotype 1 (subtypes 1a or 1b) or genotype 2 or genotype 3 or genotype 4 (as assessed by VERSANT® HCV Genotype assay 2.0 (LiPA); VERSANT is a registered trademark of the Siemens Healthcare company.) HCV infection documented by at least 1 measurement of serum HCV RN...

Countries:Puerto RicoAustralia
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