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GSK3008348 Nebuliser

Phase 1

Idiopathic Pulmonary Fibrosis | Small molecule | Respiratory |GSK plc|Last Updated: May 1, 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-BlindCONTROLLEDBiomarker
Total Trials1
Total Enrollment40
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02612051First Time in Human (FTIH) Study of GSK3008348 in Healthy Volunteers and Idiopathic Pulmonary Fibrosis PatientsPHASE1 COMPLETED 40Dec 4, 2015Jun 2, 2016May 1, 20171 United Kingdom
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Study Endpoints
Primary Endpoints
Part A: Number of participants with adverse events (AE) as a measure of safety and tolerability
Up to Day 33

An AE is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. AE will be collected from the start of study treatment until the final follow-up visit.

Part A: Temperature as a measure of safety and tolerability
Up to Day 33
Part A: Systolic and diastolic blood pressure as a measure of safety and tolerability
Up to Day 33
Part A: Pulse rate and respiratory rate as a measure of safety and tolerability
Up to Day 33
Part A: Peripheral capillary oxygen saturation (SpO2) levels as a measure of safety and tolerability
Up to Day 33

SpO2 levels are estimates of the amount of oxygen in the blood. SpO2 will be measured by pulse oximetry.

Part A: ECG and Telemetry as a measure of safety and tolerability
Up to Day 21

12-lead ECG and cardiac telemetry will be performed.

Part A: FEV1 and FVC as a measure of safety and tolerability
Up to Day 33

Forced expiratory volume in 1 second (FEV1) is the volume of air that can forcibly be blown out in one second, after full inspiration. Forced vital capacity (FVC) is the volume of air that can forcibly be blown out after full inspiration. Lung function test will be performed to obtain FEV1 and FVC .

Part A: DLCO as a measure of safety and tolerability
Up to Day 20

Diffusing capacity (DLCO) is the carbon monoxide uptake from a single inspiration in a standard time (usually 10 seconds). Lung function test will be performed to obtain DLCO.

Part A: Taste questionnaire for taste of nebulised GSK3008348 as a measure of safety and tolerability
Up to Day 19

Subjects will be required to complete a taste questionnaire following dosing.

Part A: Composite of hematology laboratory tests as a measure of safety and tolerability
Up to Day 33

Hematology laboratory tests will include platelet count, red blood cell count, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, neutrophils, lymphocytes, monocytes, eosinophils and basophils.

Part A: Composite of clinical chemistry laboratory tests as a measure of safety and tolerability
Up to Day 33

Clinical chemistry laboratory tests will include urea, creatinine, glucose non-fasted, creatinine phosphokinase, potassium, sodium, calcium, aspartate aminotransferase alanine transaminase,total and direct bilirubin, total protein, alkaline phosphatise and albumin.

Part A: Composite of urinalysis laboratory tests as a measure of safety and tolerability
Up to Day 33

Urinalysis laboratory tests will include specific gravity, pH, glucose, protein, blood and ketones by dipstick, microscopic examination (if blood or protein is abnormal).

Part B: AE as a measure of safety and tolerability
Up to Day 43

An AE is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. AE will be collected from the start of study treatment until the final follow-up visit.

Part B: Temperature as a measure of safety and tolerability
Up to Day 43
Part B: Systolic and diastolic blood pressure as a measure of safety and tolerability
Up to Day 43
Part B: Pulse rate and respiratory rate as a measure of safety and tolerability
Up to Day 43
Part B: SpO2 levels as a measure of safety and tolerability
Up to Day 43

SpO2 levels are estimates of the amount of oxygen in the blood. SpO2 will be measured by pulse oximetry.

Part B: ECG and Telemetry as a measure of safety and tolerability
Up to Day 31

12-lead ECG and cardiac telemetry will be performed.

Part B: FEV1 and FVC as a measure of safety and tolerability
Up to Day 43

FEV1 is the volume of air that can forcibly be blown out in one second, after full inspiration. FVC is the volume of air that can forcibly be blown out after full inspiration. Lung function test will be performed to obtain FEV1 and FVC .

Part B: DLCO as a measure of safety and tolerability
Up to Day 30

DLCO is the carbon monoxide uptake from a single inspiration in a standard time (usually 10 seconds). Lung function test will be performed to obtain DLCO.

Part B: Taste questionnaire for taste of nebulised GSK3008348 as a measure of safety and tolerability
Up to Day 29

Subjects will be required to complete a taste questionnaire following dosing.

Part B: Changes in volume of distribution [VT]) at approximately 1 hour post-dose compared to pre-dose of [18F]-FBA-A20FMDV2 in the lung
Baseline (from Day 15), Up to Day 30

Positron Emission Tomography (PET) scan and a sample of blood will be taken simultaneously for measurement of \[18F\]-FBA-A20FMDV2 concentration. The blood volume in tissue will be determined by dividing the tissue tracer concentration by the blood value. Changes in the uptake of \[18F\]-FBA-A20FMDV2 in the lung will be calculated.

Part B: Composite of hematology laboratory tests as a measure of safety and tolerability
Up to Day 30

Hematology laboratory tests will include platelet count, red blood cell count, hemoglobin, hematocrit, mean corpuscular volume, mean corpuscular hemoglobin, neutrophils, lymphocytes, monocytes, eosinophils and basophils.

Part B: Composite of clinical chemistry laboratory tests as a measure of safety and tolerability
Up to Day 30

Clinical chemistry laboratory tests will include urea, creatinine, glucose fasted, creatinine phosphokinase, potassium, sodium, calcium, aspartate aminotransferase alanine transaminase, total and direct bilirubin, total protein, alkaline phosphatise and albumin.

Part B: Composite of urinalysis laboratory tests as a measure of safety and tolerability
Up to Day 30

Urinalysis laboratory tests will include specific gravity, pH, glucose, protein, blood and ketones by dipstick, microscopic examination (if blood or protein is abnormal)

Part C: Changes in VT at various time points post-dose compared to pre-dose of [18F]-FBA-A20FMDV2 in the lung
Baseline (from Day 1), Up to Day 29

PET scan and a sample of blood will be taken simultaneously for measurement of \[18F\]-FBA-A20FMDV2 concentration. The blood volume in tissue will be determined by dividing the tissue tracer concentration by the blood value. Changes in the uptake of \[18F\]-FBA-A20FMDV2 in the lung will be calculated.

Secondary Endpoints
Part A: Area under the curve (AUC) following single doses of GSK3008348
Blood samples will be collected at pre-dose and at 5, 10, 15, 30 minutes (mins), 1, 2, 3, 4, 6, 8, 12 hours (Day 1) and 24 hours (Day 2) post-dose of each treatment period
Part A: Cmax following single doses of GSK3008348
Blood samples will be collected at pre-dose and at 5, 10, 15, 30 mins, 1, 2, 3, 4, 6, 8, 12 hours (Day 1) and 24 hours (Day 2) post-dose of each treatment period
Part A: Tmax and t½ following single doses of GSK3008348
Blood samples will be collected at pre-dose and at 5, 10, 15, 30 mins, 1, 2, 3, 4, 6, 8, 12 hours (Day 1) and 24 hours (Day 2) post-dose of each treatment period
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part A, Cohort 1: GSK3008348 1-3000 mcg/PlaceboEXPERIMENTALHealthy subjects will receive single 3 ascending doses of GSK3008348 (ranging from 1 to 3000 microgram \[mcg\]) and matching placebo by nebulisation in one of the four treatment period according to randomization. There will be washout period of at least 6 days between the doses. Actual doses may involve either an increase or a decrease in the planned dose as well as a repeat of the previous.
Part A, Cohort 2: GSK3008348 1-3000 mcg/PlaceboEXPERIMENTALHealthy subjects will receive single 3 ascending doses of GSK3008348 (ranging from 1 to 3000 microgram \[mcg\]) and matching placebo by nebulisation in one of the four treatment period according to randomization. There will be washout period of at least 6 days between the doses. Actual doses may involve either an increase or a decrease in the planned dose as well as a repeat of the previous.
Part A, Cohort 3: GSK3008348 1-3000 mcg/PlaceboEXPERIMENTALHealthy subjects will receive single 3 ascending doses of GSK3008348 (ranging from 1 to 3000 microgram \[mcg\]) and matching placebo by nebulisation in one of the four treatment period according to randomization. There will be washout period of at least 6 days between the doses. Actual doses may involve either an increase or a decrease in the planned dose as well as a repeat of the previous.
Part B, Cohort 4: GSK3008348/Placebo, IPF, Period 2 PET ScanEXPERIMENTALIPF subject will receive single dose of GSK3008348 (safe and tolerated dose as per cohort 1 to 3) or Placebo in two treatment periods according to randomization. There will be washout period of 6 to 28 days between the doses. Subjects will receive up to three microdose administrations of \[18F\]-FBA-A20FMDV2 for the PET scanning in period 2.
Part B, Cohort 5: GSK3008348/Placebo, IPF, Period 2 PET ScanEXPERIMENTALIPF subject will receive single dose of GSK3008348 (safe and tolerated dose as per cohort 1 to 3) or Placebo in two treatment periods according to randomization. There will be washout period of 6 to 28 days between the doses. Subjects will receive up to three microdose administrations of \[18F\]-FBA-A20FMDV2 for the PET scanning in period 2.
Part B, Cohort 6: GSK3008348/Placebo, IPF, Period 2 PET ScanEXPERIMENTALIPF subject will receive single dose of GSK3008348 (safe and tolerated dose as per cohort 1 to 3) or Placebo in two treatment periods according to randomization. There will be washout period of 6 to 28 days between the doses. Subjects will receive up to three microdose administrations of \[18F\]-FBA-A20FMDV2 for the PET scanning in period 2.
Part B, Cohort 7: GSK3008348/Placebo, IPF, Period 2 PET ScanEXPERIMENTALIPF subject will receive single dose of GSK3008348 (safe and tolerated dose as per cohort 1 to 3) or Placebo in two treatment periods according to randomization. There will be washout period of 6 to 28 days between the doses. Subjects will receive up to three microdose administrations of \[18F\]-FBA-A20FMDV2 for the PET scanning in period 2.
Part C, Cohort 8: GSK3008348, IPF, PET ScanEXPERIMENTALIPF subject will receive single dose of GSK3008348 (safe and tolerated dose as per Part B) in two treatment periods. There will be washout period of 6 to 14 days between the doses. Subjects will receive up to three microdose administrations of \[18F\]-FBA-A20FMDV2 for the PET scanning in both periods.
Interventions
NameTypeDescription
GSK3008348 Nebuliser solutionDRUGNebuliser solution formulated at 5000 mcg/mL with 5% mannitol, citric acid, sodium citrate and water for injection, pH adjusted using Hydrochloric acid or Sodium hydroxide to the target pH 5.4 +/- 0.4. 4 ml of diluted dose of appropriate concentration will be administered by nebulisation.
Placebo Nebuliser solutionDRUG5% mannitol nebuliser solution. 4 ml of solution will be administered by nebulisation
GSK26346763: ([18F]-FBA-A20FMDV2) IV infusionRADIATIONFormulated in 0.9% saline. The maximum amount of radioactivity injected during each PET scan will be 150 Megabecquerel (MBq) and maximum mass of \[18F\]-FBA-A20FMDV2 administered across all three administrations will be 100 mcg. Intravenous bolus infusion of 20 ml will be administered over about 30 seconds.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: Part A: \- Male and female subjects \>= 18 years at the time of signing the consent form. Parts B and C : \- Male subjects \>= 45 years and female subjects \>= 55 years at the time of signing the consent form. Part A: * Healthy as determined by the investigator or medically...

Countries:United Kingdom
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