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GSK356278

Phase 1

Depressive Disorder and Anxiety Disorders | Small molecule | Psychiatry |GSK plc|Last Updated: Jul 27, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment20

FDA Designations

No designations recorded

Clinical trial landscape

GSK356278 · 3 trials · 2 indications

Phase 1 3
NCT01573819A Repeat Dose Study in Healthy Volunteers Investigating Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of GSK356278Huntington Disease
COMPLETED36 Analytics
NCT01602900Healthy Volunteer Positron Emission Tomography (PET) Brain Occupancy Study of a Phosphodiesterase 4 (PDE4) Inhibitor in Huntington's DiseaseHuntington Disease
COMPLETED8 Analytics
NCT01031186First Time in Human StudyDepressive Disorder and Anxiety Disorders
COMPLETED20 Analytics
PHASE1COMPLETED
A Repeat Dose Study in Healthy Volunteers Investigating Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of GSK356278
Huntington DiseaseUnlock trial analytics
PHASE1COMPLETED
Healthy Volunteer Positron Emission Tomography (PET) Brain Occupancy Study of a Phosphodiesterase 4 (PDE4) Inhibitor in Huntington's Disease
Huntington DiseaseUnlock trial analytics
PHASE1COMPLETED
First Time in Human Study
Depressive Disorder and Anxiety DisordersUnlock trial analytics

Study Endpoints

Primary Endpoints

Composite (or Profile) of Pharmacokinetics
Cohort 1 for 288 hours post dose; Cohort 2 for 384 hours post dose; Cohort 3 single dose session for 72 hours; Cohort 3 repeat dose session for 744 hours post dose.

The primary pharmacokinetic endpoints following oral administration are: peak plasma concentration (Cmax), time of peak plasma concentration (tmax), area under the plasma concentration-time curve over the dose interval , and area under the plasma concentration-time curve from time-zero extrapolated to infinite time, accumulation ratio (Ro), terminal half-life (t½ ), apparent oral clearance (CL/F) and trough concentration.

Safety and tolerability parameters including change from baseline measures for vital signs
Cohort 1 for 15 days post dose; Cohort 2 for 19 days post dose; Cohort 3 single dose session for 4 days post dose; Cohort 3 repeat dose for 33 days post dose.
Safety and tolerability parameters including change from baseline for 12-lead ECGs
Cohort 1 for 15 days post dose; Cohort 2 for 19 days post dose; Cohort 3 single dose session for 4 days post dose; Cohort 3 repeat dose for 33 days post dose.
Safety and tolerability parameters including change from baseline for telemetry ECGs
Cohort 1 for 8 hours 30 minutes on Day 1 and Day 10; Cohort 2 for 8 hours 30 minutes on Day 1 and Day 14; Cohort 3 single dose session for 8 hours 30 minutes on Day 1; Cohort 3 repeat dose for 8 hours 30 minutes on Day 1 on Day28.
Safety and tolerability parameters including change from baseline for clinical laboratory tests
Cohort 1 for up to 28 days; Cohort 2 for up to 32 days; Cohort 3 single dose for 2 days; Cohort 3 repeat dose for up to 46 days

hematology, chemistry, liver function enzymes, troponin, B-type natriuretic peptide, inflammatory markers (Haptoglobin, fibrinogen, CRP, IL-6) and urinalysis

Safety and tolerability parameters including change from baseline for clinical lab tests
Cohort 1 for 11 days; Cohort 2 for 15 days; Cohort 3 single dose for 2 days; Cohort 3 repeat dose for 29 days

Inflammatory markers (Haptoglobin, fibrinogen, CRP, IL-6)

Safety and tolerability parameters including change from baseline for echocardiography
Cohort 1 for 12 days; Cohort 2 for 16 days; Cohort 3 repeat dose for 30 days
Safety and tolerability parameters including change from baseline for Bond and Lader VAS
Cohort 1 for 10 days; Cohort 2 for 14 days; Cohort 3 single dose for 2-3 hours post dose on Day 1; Cohort 3 repeat dose for 28 days
Safety and tolerability parameters including change from baseline for Columbia Suicide Severity Rating Scale (C-SSRS)
Cohort 1 for 14 days; Cohort 2 for 18 days; Cohort 3 repeat dose for 32 days
Safety and tolerability parameters including change from baseline for Rhodes Index of Nausea, Vomiting and Retching
Cohort 1 for 11 days; Cohort 2 for 15 days; Cohort 3 single dose for 2 days; Cohort 3 repeat dose for 28 days
Safety and tolerability parameters including change from baseline in the collection of adverse events
Cohort 1 for 14 days; Cohort 2 for up to 32 days; Cohort 3 single dose for 4 days; Cohort 3 repeat dose for up to 46 days
Positron Gamma-ray emmision & voxel counts
60 minutes

Brain regions of interest and associated radionuclitide-activity

systemic plasma concentration
24 hours

serial sampling: GSK356278 concentration expressed as mass per unit of volume

To assess safety and tolerability of single escalating oral doses of GSK356278 in healthy male volunteers
72 hours

Secondary Endpoints

Pharmacodynamic parameters including change from baseline for electroencephalography
Cohort 2 for 13 days Cohort 3 repeat dose for 25 days
Pharmacodynamic parameters including change from baseline for cognition test
Cohort 2 for 12 days Cohort 3 repeat dose for 26 days
Pharmacodynamic parameters including change from baseline for plasma Brain-derived neurotrophic factor
Cohort 1 for 11 days; Cohort 2 for 15 days; Cohort 3 single dose session for 2 days; Cohort 3 repeat dose session for 29 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingSINGLE
ModelPARALLEL
PurposeBASIC_SCIENCE

Treatment Arms

ArmTypeDescription
Cohort 1EXPERIMENTALA dose of 2mg per day for 10 days
Cohort 2EXPERIMENTALA dose of Xmg for 14 days. the dose will be determined from Cohort 1 not to exceed 14 mg
Cohort 3EXPERIMENTALa single dose of Ymg with a wash out of 7 days followed by 28 days of repeat dosing. The dose (Ymg) will be determined from cohort 1 and 2 not to exceed 14 mg.
GSK356278EXPERIMENTALInvestigational drug
Cohort 1, Session 1EXPERIMENTALIn Dosing Session 1, the subjects will be administered 0.5 mg GSK356278 and placebo in a fasted state.
Cohort 1, Session 2EXPERIMENTALIn Dosing Session 2, the subjects will be administered GSK356278 (0.5 mg and 1.5 mg) and placebo in a fasted state.
Cohort 1, Session 3EXPERIMENTALIn Dosing Session 3, the subjects will be administered GSK356278 (1.5 mg and 4 mg) and placebo in a fasted state.
Cohort 1, Session 4EXPERIMENTALIn Dosing Session 4, the subjects will be administered GSK356278 (4 mg and 8 mg) and placebo in a fasted state.
Cohort 1, Session 5EXPERIMENTALIn Dosing Session 5, the subjects will be administered GSK356278 8 mg and placebo in a fasted state.
Cohort 2, Session 1EXPERIMENTALIn Dosing Session 1, the subjects will be administered 8 mg GSK356278 and placebo in a fasted state.
Cohort 2, Session 2EXPERIMENTALIn Dosing Session 2, the subjects will be administered GSK356278 (8 mg and 16 mg) and placebo in a fasted state.
Cohort 2, Session 3EXPERIMENTALIn Dosing Session 3, the subjects will be administered GSK356278 (16 mg and 30 mg) and placebo in a fasted state.
Cohort 2, Session 4EXPERIMENTALIn Dosing Session 4, the subjects will be administered GSK356278 (30 mg and 50 mg) and placebo in a fasted state.
Cohort 2, Session 5EXPERIMENTALIn Dosing Session 5, the subjects will be administered GSK356278 50 mg and placebo in a fasted state. The subjects will undergo food assessment session in Session 5 incase they experience nausea. In food assessment session, the subjects will receive a dose of GSK356278 after a standard breakfast.

Interventions

NameTypeDescription
GSK356278DRUGCohort 1: A dose of 2mg per day for 10 days; Cohort 2: A dose of Xmg for 14 days. the dose will be determined from Cohort 1 not to exceed 14 mg; Cohort 3: a single dose of Ymg with a wash out of 7 days followed by 28 days of repeat dosing. The dose (Ymg) will be determined from cohort 1 and 2 not to exceed 14 mg.
PlaceboDRUGCohort 1, a placebo per day for 10 days Cohort 2, a placebo per day for 14 days Cohort 3, a single placebo with a wash out of 7 days followed by 28 days of repeat dosing of a placebo per day.
RolipramDRUGChallenge Agent
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * AST, ALT, alkaline phosphatase and bilirubin less than and equal to 1.5xULN (isolated bilirubin greater than 1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin less than 35%). * Healthy as determined by a responsible and experienced physician, based on a m...

Countries:NetherlandsUnited KingdomAustralia
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Frequently asked questions about GSK356278

What is GSK356278 used for?

GSK356278 is an investigational small molecule being studied for depressive disorder, anxiety disorders, and Huntington disease. It is in Phase 1 clinical development and has not been approved by regulatory authorities.

What does GSK356278 target?

GSK356278 is a phosphodiesterase 4 (PDE4) inhibitor, as indicated by a positron emission tomography (PET) brain occupancy study. It is being investigated for its effects on the central nervous system in conditions like Huntington disease.

Who makes GSK356278?

GSK356278 is being developed by GSK plc, a biopharmaceutical company listed on the stock exchange under the ticker GSK.

What phase is GSK356278 in?

GSK356278 is in Phase 1 clinical development. All three of its clinical trials have been completed, and the drug remains investigational, meaning it is not yet approved for any use.

What clinical trials is GSK356278 in?

GSK356278 has been studied in three completed Phase 1 trials: NCT01031186, a first-time-in-human study in healthy volunteers; NCT01573819, a repeat-dose study in healthy volunteers; and NCT01602900, a PET brain occupancy study. These trials focused on depressive disorder, anxiety disorders, and Huntington disease.