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GSK2981710

Phase 1

Alzheimer's Disease | Small molecule | Neurology |GSK plc|Last Updated: May 9, 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
RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment116
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01702480Effects of Triglycerides on Age-Related Cognitive Function Decline in Older SubjectsPHASE1 COMPLETED 116Nov 5, 2012Jul 3, 2015May 9, 20171 United Kingdom
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Study Endpoints
Primary Endpoints
Part 1: Plasma BHB elevation time course of GSK2981710
Baseline (Day 0 pre dose) and Day 1 post dose (per 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4.5, 5.5, 6, 6.5, 7, 7.5 and 8 hrs) of each of the 4 treatment periods.

To select the dose of GSK2981710 that achieves the best PK profile, the duration of maximum elevation of beta-hydroxybutrate (BHB) will be measured.

Part 1: Area under the time concentration curve (AUC) of GSK2981710
Baseline (Day 0 pre dose) and Day 1 post dose (per 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4.5, 5.5, 6, 6.5, 7, 7.5 and 8 hrs) of each of the 4 treatment periods.

To select the dose of GSK2981710 that achieves the best PK profile the AUC of GSK2981710 will be measured.

Part 1: Maximum concentration (Cmax) of GSK2981710
Baseline (Day 0 pre dose) and Day 1 post dose (per 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4.5, 5.5, 6, 6.5, 7, 7.5 and 8 hrs) of each of the 4 treatment periods.

To select the dose of GSK2981710 that achieves the best PK profile the Cmax of GSK2981710 will be measured.

Part 2: Change from Baseline in performance on CANTAB Paired Associates Learning task
Baseline (Day 0) and Day 1 (post dose) and Day 15 (post dose) of both treatment periods.

To measure acute (after single dose) and chronic (after two weeks daily dosing) effects of GSK2981710 on cognition and neural function Cambridge Neuropsychological Test Automated Battery (CANTAB) will be used. This test assesses visual memory and new learning

Part 2: Change from Baseline in performance on CANTAB Verbal Recognition Memory task
Baseline (Day 0) and Day 1 (post dose) and Day 15 (post dose) of both treatment periods.

To measure acute (after single dose) and chronic (after two weeks daily dosing) effects of GSK2981710 on cognition and neural function CANTAB will be used. This test assesses the participant's ability to recall as many of the words as possible immediately following the presentation of list of words.

Part 2: Change from Baseline in performance on CANTAB Spatial Working Memory (SWM) task
Baseline (Day 0) and Day 1 (post dose) and Day 15 (post dose) of both treatment periods.

To measure acute (after single dose) and chronic (after two weeks daily dosing) effects of GSK2981710 on cognition and neural function CANTAB will be used. This test assesses the participant's ability to retain spatial information and to manipulate remembered items in working memory.

Part 2: Change from Baseline in performance on CANTAB Rapid Visual Processing task
Baseline (Day 0) and Day 1 (post dose) and Day 15 (post dose) of both treatment periods.

To measure acute (after single dose) and chronic (after two weeks daily dosing) effects of GSK2981710 on cognition and neural function CANTAB will be used. This test assesses continuous performance and visual sustained attention.

Part 2: Change from Baseline in performance on CANTAB Reaction Time task
Baseline (Day 0) and Day 1 (post dose) and Day 15 (post dose) of both treatment periods.

To measure acute (after single dose) and chronic (after two weeks daily dosing) effects of GSK2981710 on cognition and neural function CANTAB will be used. This test measures of attention, and combines simple reaction time and choice reaction time elements

Part 2: Change from Baseline in performance on Source Memory Task
Baseline (Day 0) and Day 1 (post dose) and Day 15 (post dose) of both treatment periods.

This test measures the participant's ability to recognize objects previously presented on a computer screen, and more importantly, to recall the spatial location of those objects.

Secondary Endpoints
Part 1 and 2: Safety and tolerability of GSK2981710 as assessed by number of subjects with adverse events (AE)s
Part 1: 3 weeks; Part 2: 8 weeks
Part 1 and 2: Safety and tolerability of GSK2981710 as assessed by change from Baseline in ECG readings
Part 1: Baseline and 3 to 5 days post last dose in each of the 4 treatment periods.
Part 1 and 2: Safety and tolerability of GSK2981710 as assessed by change from Baseline in laboratory values
Part 1: Baseline and 3 to 5 days post last dose in each of the 4 treatment periods.
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1: GSK2981710 10 gram (g)EXPERIMENTALEight subjects will receive single dose of GSK2981710 in the form of 10 g medium-chain triglycerides (MCT) powder daily for 14 days.
Part 1: GSK2981710 20 gEXPERIMENTALEight subjects will receive single dose of GSK2981710 in the form of 20 g MCT powder daily for 14 days.
Part 1: GSK2981710 30 gEXPERIMENTALEight subjects will receive single dose of GSK2981710 in the form of 30 g MCT powder daily for 14 days.
Part 1: GSK2981710 40 gEXPERIMENTALEight subjects will receive single dose of GSK2981710 in the form of 40 g MCT powder daily for 14 days.
Part 1: PlaceboPLACEBO_COMPARATOREight subjects will receive single dose of matching placebo daily for 14 days.
Part 2: GSK2981710 (dose to be decided from Part 1)EXPERIMENTALThe subjects will receive single dose of GSK2981710 in the form of MCT powder (dose to be decided from Part 1) daily for 14 days.
Part 2: PlaceboPLACEBO_COMPARATORThe subjects will receive single dose of matching placebo daily for 14 days..
Interventions
NameTypeDescription
GSK2981710DRUGWill be available as 10 g medium-chain triglycerides (MCT) powder sachet that will be mixed with 125 - 250 milliliters (ml) water in a shaker and taken within 15 minutes of completion of breakfast
PlaceboDRUGWill be available as matching powder that will be mixed with 125 - 250 milliliters (ml) water in a shaker and taken within 15 minutes of completion of breakfast
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Eligibility Criteria
Age Range55 Years — 80 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Male or female individuals between the ages of 55 years and 80 years inclusive. * A female subject is eligible to participate if she is of: Non-childbearing potential defined as pre-menopausal females with a documented tubal ligation or hysterectomy; or postmenopausal defined ...

Countries:United Kingdom
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