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GSK3326595

Phase 1

Neoplasms | Small molecule | Oncology |GSK plc|Last Updated: Mar 10, 2025

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
CONTROLLEDBiomarker
Total Trials1
Total Enrollment297
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02783300An Open-label, Dose Escalation Study to Investigate the Safety, Pharmacokinetics, Pharmacodynamics and Clinical Activity of GSK3326595 in Participants With Solid Tumors and Non-Hodgkin's LymphomaPHASE1 COMPLETED 297Aug 30, 2016Aug 30, 2023Mar 10, 202515 United States, Canada +2
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Study Endpoints
Primary Endpoints
Part 1: Number of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)
Up to 30 months

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. SAE is defined as any untoward medical occurrence that, at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent disability/incapacity, or is a congenital anomaly/birth defect, other situations which involved medical or scientific judgment or is associated with liver injury and impaired liver function. SAEs are subset of AEs. A summary of number of participants with any AEs and SAEs is presented. AEs were coded using the Medical Dictionary for Regulatory Affairs (MedDRA dictionary).

Part 1: Number of Participants Withdrawn Due to AEs
Up to 30 months

The data for number of participants withdrawn due to AEs have been presented.

Part 1: Number of Participants With Dose Limiting Toxicities (DLTs)
Up to 21 days

DLT is considered to be clinically relevant AE by investigator if it met at least one of the criteria: Grade(G)3 neutropenia for \>=5 days/G4 neutropenia of any duration, G3 or greater febrile neutropenia, G4 or greater anemia of any duration and thrombocytopenia, or G3 thrombocytopenia with bleeding, Alanine aminotransferase (ALT) \>3x upper limit of normal (ULN)+bilirubin, \>=2xULN or ALT between 3-5 X ULN with bilirubin \< 2Xuln but with hepatitis symptoms/rash, G3 nausea/vomiting/diarrhea that does not improve within 72 hour, G4 or greater nausea/vomiting/diarrhea, G3 or greater hypertension, G3 or greater clinically significant non-hematologic toxicity per National Cancer Institute -- Common Terminology Criteria for Adverse Events (NCICTCAE), Inability to receive at least 80% of scheduled doses in the DLT observation period due to toxicity, G2 or higher toxicity that occurs beyond 21 days which in the judgment of the investigator and GSK Medical Monitor was considered to be a DLT.

Part 1: Number of Participants With Dose Modifications of GSK3326595
Up to 30 months

The number of participants who experienced any dose modifications (interruptions and reductions) of GSK3326595 have been presented.

Part 1: Number of Participants With Worst Case Change From Baseline in Clinical Chemistry Parameters
Baseline (Day 1) and up to 30 months

Blood samples were collected for evaluation of clinical chemistry parameters. The summaries of worst-case change from Baseline with respect to normal range have been presented for only those laboratory tests that are gradable by Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. The number of participants with decreases to low, changes to normal or no changes from Baseline, and increases to high values have been presented. Participants were counted twice if the participants have values that changed 'To Low' and 'To High', so the percentages may not add to 100%.

Part 1: Number of Participants With Worst Case Change From Baseline in Hematology Parameters
Baseline (Day 1) and up to 30 months

Blood samples were collected for evaluation of hematology parameters. The summaries of worst-case change from Baseline with respect to normal range have been presented for only those laboratory tests that are gradable by CTCAE v5.0. The number of participants with decreases to low, changes to normal or no changes from Baseline, and increases to high values have been presented. Participants were counted twice if the participants have values that changed 'To Low' and 'To High', so the percentages may not add to 100%.

Part 1: Number of Participants With Worst Case Change From Baseline in Coagulation Parameters
Baseline (Day 1) and up to 30 months

Blood samples were collected for evaluation of coagulation parameters. The summaries of worst-case change from Baseline with respect to normal range have been presented for only those laboratory tests that are gradable by CTCAE v4.0. The number of participants with decreases to low, changes to normal or no changes from Baseline, and increases to high values have been presented. Participants were counted twice if the participants have values that changed 'To Low' and 'To High', so the percentages may not add to 100%.

Part 1: Number of Participants With Worst Case Change From Baseline in Urinalysis Parameters
Baseline (Day 1) and up to 30 months

Urine samples were collected for evaluation of urinalysis parameters. The summaries of worst-case change from Baseline with respect to normal range have been presented for only those laboratory tests that are gradable by CTCAE v5.0. The number of participants with no change or change to negative and change to positive have been presented.

Part 1: Changes From Baseline in Urine Potential of Hydrogen (pH)
Baseline (Day 1) and up to week 132

Urine samples were collected from participants to assess urine pH levels.

Part 1: Changes From Baseline in Urine Specific Gravity
Baseline (Day 1) and up to week 132

Urine samples were collected from participants to assess urine specific gravity.

Part 1: Number of Participants With Maximum Grade Worst Case Increase Post-baseline Relative to Baseline in Vital Signs
Baseline (Day 1) and up to 30 months

The abnormal vital sign ranges are: Heart Rate:- Low (\<60 beats per minute (bpm)), Normal (\>=60 bpm to \<=100 bpm), High (\>100 bpm); Temperature:- Low (\<=35 degree Celsius (°C)), Normal (\>35 °C and \<38 °C), High (\>=38 °C); Systolic Blood Pressure:- Low (\<90 millimeter of mercury (mmHg)), Normal (\>=90 mmHg to \<120 mmHg), High (\>=120 mmHg); Diastolic Blood Pressure:- Low (\<60 mmHg), Normal (\>=60 mmHg to \<80 mmHg), High (\>=80 mmHg). Participants were counted in the worst-case category and their value changes to (low, normal or high), unless there is no change in their category. Participants whose value category was unchanged (e.g., High to High), or whose value became normal, are recorded in the "To Normal or No Change" category. Participants were counted twice if the participants have values that changed 'To Low' and 'To High', so the percentages may not add to 100%.

Part 3: Number of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)
Up to 10 months

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study treatment, whether or not considered related to the study treatment. SAE is defined as any untoward medical occurrence that, at any dose resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent disability/incapacity, or was a congenital anomaly/birth defect, other situations which involve medical or scientific judgment or is associated with liver injury and impaired liver function. SAEs are subset of AEs. A summary of number of participants with any AEs and SAEs is presented. AEs were coded using the MedDRA dictionary.

Part 3: Number of Participants Withdrawn Due to AEs
Up to 10 months

The data for number of participants withdrawn due to AEs have been presented.

Part 3: Number of Participants With Dose Modifications of GSK3326595 and Pembrolizumab
Up to 10 months

The number of participants who experienced any dose modifications (interruptions and reductions) of GSK3326595 and pembrolizumab have been presented.

Part 3: Number of Participants With Worst Case Change From Baseline in Clinical Chemistry Parameters
Baseline (Day 1) and up to 10 months

Blood samples were collected for evaluation of clinical chemistry parameters. The summaries of worst case change from Baseline with respect to normal range have been presented for only those laboratory tests that are gradable by CTCAE v5.0. The number of participants with decreases to low, changes to normal or no changes from Baseline, and increases to high values have been presented.

Part 3: Number of Participants With Worst Case Change From Baseline in Hematology Parameters
Baseline (Day 1) and up to 10 months

Blood samples were collected for evaluation of hematology parameters. The summaries of worst case change from Baseline with respect to normal range have been presented for only those laboratory tests that are gradable by CTCAE v5.0. The number of participants with decreases to low, changes to normal or no changes from Baseline, and increases to high values have been presented.

Part 3: Number of Participants With Worst Case Change From Baseline in Coagulation Parameters
Baseline (Day 1) and up to 10 months

Blood samples were collected for evaluation of coagulation parameters. The summaries of worst case change from Baseline with respect to normal range have been presented for only those laboratory tests that are gradable by CTCAE v5.0. The number of participants with 'decreases to low', 'changes to normal' or 'no changes from Baseline', and 'increases to high' values have been presented.

Part 3: Number of Participants With Worst Case Change From Baseline in Urinalysis Parameters
Baseline (Day 1) and up to 10 months

Urine samples were collected for evaluation of urinalysis parameters. The summaries of worst case change from Baseline with respect to normal range have been presented for only those laboratory tests that are gradable by CTCAE v5.0. The number of participants with no change or change to negative and change to positive values have been presented.

Part 3: Changes From Baseline in Urine Potential of Hydrogen (pH)
Baseline (Day 1) and up to Week 42

Urine samples were collected from participants to assess urine pH levels.

Part 3: Changes From Baseline in Urine Specific Gravity
Baseline (Day 1) and up to Week 42

Urine samples were collected from participants to assess urine specific gravity.

Part 3: Number of Participants With Maximum Worst-case Increase Post-baseline Relative to Baseline in Vital Signs
Baseline (Day 1) and up to 10 months

The abnormal vital sign ranges are: Heart Rate:- Low \[\<60 bpm\], Normal (\>=60 bpm to \<=100 bpm), High (\>100 bpm); Temperature:- Low (\<=35 C), Normal (\>35 C and \<38 C), High (\>=38 C); Systolic Blood Pressure:- Low (\<90 mmHg), Normal (\>=90 mmHg to \<120 mmHg), High (\>=120 mmHg); Diastolic Blood Pressure:- Low (\<60 mmHg), Normal (\>=60 mmHg to \<80 mmHg), High (\>=80 mmHg). Participants were counted in the maximum worst case increase category that their value changes to (low, normal or high), unless there is no change in their category. Participants whose value category was unchanged (e.g., High to High), or whose value became normal, are recorded in the "To Normal or No Change" category. Participants were counted twice if the participants have values that changed 'To Low' and 'To High', so the percentages may not add to 100%.

Secondary Endpoints
Part 2: Number of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)
Up to 42 months
Part 2: Number of Participants Withdrawn Due to AEs
Up to 42 months
Part 2: Number of Participants With Dose Modifications of GSK3326595
Up to 42 months
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part 1: Dose Escalation, Food effect and Relative Bioavailability of Capsule formulation to TabletEXPERIMENTALParticipants will receive escalating doses of GSK3326595 until the maximum tolerated dose level is reached. The recommended phase 2 dose (RP2D) will be determined. Participants will be dosed in a fed (high-fat, high-calorie meal) and fasted state to determine the effect of food on bioavailability of GSK3326595, and will be dosed with tablet and capsule to compare two formulations of GSK3326595 (capsule versus tablet).
Part 2: Disease-Specific Expansion cohortEXPERIMENTALParticipants with triple-negative breast cancer (TNBC), metastatic transitional cell carcinoma of the urinary system (mTCC), Grade IV anaplastic astrocytoma (glioblastoma multiforme \[GBM\]), non-Hodgkin's lymphoma (NHL), adenoid cystic carcinoma (ACC), hormone receptor-positive adenocarcinoma of the breast (ER+BC), human papillomavirus (HPV)-positive solid tumors of any histology, and p53-wild type non-small cell lung cancer (NSCLC) will be administered GSK3326595 at the recommended phase 2 dose (RP2D) as determined in Part 1.
Part 3: GSK3326595 in combination with pembrolizumabEXPERIMENTALParticipants with selected solid tumors will be administered GSK3326595 in combination with pembrolizumab as part of this dose determination study.
Interventions
NameTypeDescription
GSK3326595DRUGGSK3326595 will be administered with and without food, in tablet and capsule formulation.
PembrolizumabDRUGPembrolizumab will be administered.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion criteria: * Males and females greater than or equal to (\>=)18 years of age (at the time consent is obtained) * Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1 or 2 * Diagnosis of non-resectable or metastatic solid malignancy (as defined in the protocol) or NH...

Countries:United StatesCanadaFranceNetherlands
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