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GSK2894512

Phase 1

Dermatitis, Atopic | Small molecule | Dermatology |GSK plc|Last Updated: Jul 18, 2017

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 Enrollment37
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02637206Skin Irritation Study of GSK2894512 CreamPHASE1 COMPLETED 26Oct 27, 2015Dec 2, 2015Jul 18, 20171 Japan
NCT02466152Pharmacokinetic Study of Topical GSK2894512 CreamPHASE1 COMPLETED 11May 28, 2015Oct 27, 2015May 9, 20171 Canada
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Study Endpoints
Primary Endpoints
Part 1-Positive rate of skin irritability as assessed by simple-patch test following single application of GSK2894512 cream
Up to Day 4

Each test site for the simple-patch test will be evaluated at 30 minutes (min) and 24 hours (hrs) after removal of medication (48.5 hr and 72 hrs after application, respectively) based on the following criteria proposed by the patch test study group in Japan: no reaction (-); weak erythema (+-); erythema (+); erythema + edema (++); erythema + edema + papules, or vesicles (+++); bullae (++++). Except no reaction (-) and weak erythema (+-), rest all findings from simple-patch test will be considered as positive.

Part 1-Positive rate of photo-urticaria reaction as assessed by photo patch test following single application of GSK2894512 cream
Day 2

For the photo-patch test, 4 test patches (right back) will be removed 24 hrs after application and the test sites will be exposed to 6.0 joule per square centimeter of ultraviolet A. Each test site will be evaluated at 30 minutes from the irradiation to determine whether there is photo-urticaria or not (i.e positive or negative).

Part 1-Positive rate of photo-toxicity as assessed by photo patch test following single application of GSK2894512 cream
Up to Day 4

Post photo-urticaria evaluation, the test sites will be re-covered with empty patches, that will be removed at 24 hrs after removal of medication. The test sites will be evaluated at 30 min and 24 hrs after empty patches removal (48.5 and 72 hrs after application, respectively). Assessment Criteria includes: no reaction or similar to the non irradiation site (-); Slightly stronger than the non irradiation site (+-);Definitely stronger than the non irradiation site (+); 2 ranks stronger than the non irradiation site according to the criteria in Japan (++); 3 ranks stronger than the non irradiation site according to the criteria in Japan (+++). Test results of more than or equal to +- will be considered as positive.

Part 2- Positive rate of Skin irritability following repeat application of GSK2894512 cream
Day 1 to Day 8

Each test site will be evaluated at 30 min after removal of medication based on the following criteria proposed by the patch test study group in Japan: no reaction (-); weak erythema (+-); erythema (+); erythema + edema (++); erythema + edema + papules, or vesicles (+++); bullae (++++). Except no reaction (-) and weak erythema (+-), rest all findings from simple-patch test will be considered as positive.

Part 2- Skin observation (subjective symptom)
Day 1 to Day 7

At each application site 2 hours following application of study drugs, skin observation (subjective symptom) from application to judgement (2 hours) will be heard from subjects. Symptoms will be recorded as a score ranging from 0-4, where 0=Normal, no discomfort; 1=an awareness, but no discomfort and no intervention required; 2=a noticeable discomfort that causes intermittent awareness; 3=a noticeable discomfort that causes intermittent awareness and interferes occasionally with normal daily activities; 4=a definite continuous discomfort that interferes with normal daily activities.

Composite of pharmacokinetic (PK) parameters
On Day 1 at pre-dose, 1 hour (h), 2h, 4h, 8h, 10h, 12h, 14h, 16h; On Days 2, 3, 4, 7 and 14 at Pre-dose; On Day 21 at pre-dose, 1h, 2h, 4h, 8h, 10h, 12h; On Day 22 at 0h

PK parameters include plasma concentrations of GSK2894512, maximum observed plasma concentration (Cmax), time to Cmax (tmax), area under the plasma concentration-time curve (AUC) to last measurable concentration \[AUC(0-t)\], AUC through 24 hours \[AUC(0-24)\] and AUC per dosing interval \[AUC(0-tau)\], apparent terminal phase half-life following the last dose (t1/2); steady-state trough concentrations (Ctau), accumulation ratio (Ro), as data allows.

Number of subjects with adverse events (AEs)
Up to Day 22

An AE is any untoward medical occurrence in a clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product temporally associated with the use of a medicinal product

Safety as assessed by Vital signs
Up to Day 22

Vital signs will include height (only at baseline) and weight (only at baseline and Day 22), temperature, systolic and diastolic blood pressure and pulse rate

Safety as assessed by electrocardiogram (ECG) parameters
Up to Day 22

Triplicate 12-lead ECGs will be obtained at each time-point during the study using an ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and corrected QT (QTc) intervals.

Safety as assessed by abbreviated physical examination parameters
Baseline and Day 22

Physical examination will include assessments of the skin, lungs, cardiovascular system, and abdomen (liver and spleen).

Safety as assessed by clinical laboratory assessments
Baseline, Day 7, 14 and Day 22

Clinical laboratory assessments will include hematology, clinical chemistry, urinalysis parameters

Local tolerability as assessed by degree of local irritation
Baseline , Days 1, 2, 3, 4, 7, 14, 21 and 22

The application sites will be assessed for presence and overall degree of irritation

Secondary Endpoints
Part 1: Number of subject with adverse events
From Day 1 to Day 8
Part 2: Number of subject with adverse events
From Day 1 to Day 15
Part 1:Safety as assessed by systolic and diastolic blood pressure measurements
Day -1 to Day 8
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1 (Single Application)EXPERIMENTALAll subjects will have two sets (left and right) of 4 semi-occlusive test patches applied to randomized test sites on their upper backs on Day 1. Test patches on left back will be for simple-patch test and those on right back will be for photo-patch test. Each set will consist of approximately 150 micro liter (0.15 mL) of the following study treatments: GSK2894512 0.5% cream, GSK2894512 1% cream, placebo (cream vehicle without the active ingredient) and an empty patch. The test patches will be applied for 24 hrs (photo-patch test) or 48 hrs (simple-patch test).
Part 2 (Repeat Application)EXPERIMENTALAll subjects will have repeat applications of GSK2894512 0.5%, 1% cream and placebo twice a day for 7 days on both side (left and right, 3 in total) of their upper back (approximately 5 centimeter (cm) in diameter \>10 cm away from another application area) under non-occlusive conditions and covered with gauze using adhesive. GSK2894512 0.5% and 1% cream and placebo will be randomized according to the randomization code in the same manner as Part 1.
GSK2894512 2.0% CohortEXPERIMENTALSubjects will apply a thin layer of GSK2894512 2.0% topical cream twice daily (morning and evening) for 20 days and only in morning on day 21, to all affected skin areas (15-35% BSA) identified at baseline, excluding the scalp and around the eyes
GSK2894512 1.0% CohortEXPERIMENTALSubjects will apply a thin layer of GSK2894512 1.0% topical cream twice daily (morning and evening) for 20 days and only in morning on day 21, to all affected skin areas (15-35% BSA) identified at baseline, excluding the scalp and around the eyes
Interventions
NameTypeDescription
GSK2894512 CreamDRUGGSK2894512 cream supplied will be white to off-white cream packaged in 28-gram laminate tubes of 2 concentrations: 0.5% and 1%, to be applied topically.
Vehicle CreamDRUGVehicle Cream (placebo cream without active ingredient) supplied will be white to off-white cream packaged in 28-gram laminate tubes, to be applied topically.
Empty PatchDRUGEmpty patches without any ingredients will be used as negative control.
GSK2894512 Topical CreamDRUGGSK2894512 will be supplied as white to off-white topical cream in doses of 2.0% (20 milligrams/gram \[mg/g\]) and 1.0% (10 mg/g)
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Eligibility Criteria
Age Range20 Years — 64 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Japanese males and females aged between 20 and 64 years of age inclusive, at the time of signing the informed consent. * Healthy as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, laboratory ...

Countries:JapanCanada
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