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GSK573719/vilanterol

Phase 3

Pulmonary Disease, Chronic Obstructive | Small molecule | Other |GSK plc|Last Updated: Mar 9, 2018

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 Trials21
Total Enrollment5,669
FDA Designations
No designations recorded
Clinical Trials (21)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01702363Long-term Safety Study for GSK573719 in JapanesePHASE3 COMPLETED 131Aug 1, 2012Dec 1, 2013Jan 9, 201720 Japan
NCT01636713A 24-week Study to Evaluate the Efficacy and Safety of GSK573719/GW642444 125/25 mcg and 62.5/25mcg Inhalation Powder Compared With Placebo in Subjects With COPDPHASE3 COMPLETED 581Jul 1, 2012Oct 1, 2013Jan 9, 201744 China, Philippines +3
NCT01376388Long-term Safety Study for GSK573719/GW642444 in JapanesePHASE3 COMPLETED 131Aug 1, 2011Dec 1, 2012Jan 9, 201723 Japan
NCT01387230Evaluate the Efficacy and Safety of GSK573719 Delivered Via a Novel Dry Powder Inhaler in Subjects With COPDPHASE3 COMPLETED 206Jul 1, 2011Feb 13, 2012Nov 9, 201727 United States, Germany +1
NCT01323660An Exercise Endurance Study to Evaluate the Effects of Treatment of Chronic Obstructive Pulmonary Disease (COPD) Patients With a Dual Bronchodilator: GSK573719/GW642444.Study BPHASE3 COMPLETED 307Mar 16, 2011Jul 16, 2012Feb 15, 201853 United States, Canada +5
NCT01313637A 24-week Evaluation of GSK573719/Vilanterol (125/25mcg) and Components in COPDPHASE3 COMPLETED 1,493Mar 1, 2011Apr 19, 2012Jan 29, 2018157 United States, Belgium +12
NCT0131690024-week Trial Comparing GSK573719/GW642444 With GW642444 and With Tiotropium in Chronic Obstructive Pulmonary DiseasePHASE3 COMPLETED 846Mar 1, 2011Apr 24, 2012Jan 24, 201897 United States, France +8
NCT01328444An Exercise Endurance Study to Evaluate the Effects of Treatment of Chronic Obstructive Pulmonary Disease (COPD) Patients With a Dual Bronchodilator: GSK573719/GW642444. Study APHASE3 COMPLETED 349Mar 1, 2011Jun 14, 2012Oct 11, 201731 United States, Bulgaria +4
NCT0131691324-week Trial Comparing GSK573719/GW642444 With GSK573719 and With Tiotropium in Chronic Obstructive Pulmonary DiseasePHASE3 COMPLETED 872Mar 1, 2011Apr 1, 2012Apr 4, 2017100 United States, Argentina +8
NCT01372410A Randomized, Double Blind, Placebo Controlled, Incomplete Block, Crossover, Dose Ranging Study to Evaluate the Dose Response of GSK573719 Administered Once or Twice Daily Over 7 Days in Patients With Chronic Obstructive Pulmonary Disease (COPD)PHASE2 COMPLETED 163Jul 1, 2011Oct 27, 2011Nov 8, 201713 United States
NCT0103096528-day Repeat Dose Study of GSK573719PHASE2 COMPLETED 285Dec 15, 2009Jul 4, 2010Mar 9, 201820 United States, Estonia +2
NCT00732472A Study to Assess the Safety and Tolerability of Once Daily Inhaled Doses of GSK573719 Made With Magnesium Stearate in Subjects With Chronic Obstructive Pulmonary Disease(COPD)for 7 DaysPHASE2 COMPLETED 37Oct 1, 2008Aug 1, 2009Nov 23, 20167 United Kingdom
NCT00515502Safety Study Using GSK573719 And Tiotropium In Patients With Chronic Obstructive Pulmonary DiseasePHASE2 COMPLETED 24Jun 21, 2007Nov 6, 2007Aug 22, 20173 Germany
NCT01571999Study to Assess the Safety and PK of GSK573719 and GSK573719/GW642444(VI) Combination in Healthy Subjects and Subjects With Severe Renal ImpairmentPHASE1 COMPLETED 17Mar 29, 2012Jun 22, 2012Jul 25, 20172 Czechia, Hungary
NCT01577680A Study to Assess the Effects of GSK573719/VI Combination and GSK573719 Monotherapy in Subjects With Moderate Hepatic Impairment and Matched Healthy VolunteersPHASE1 COMPLETED 18Mar 5, 2012Jun 29, 2012Jul 25, 20172 Hungary, Slovakia
NCT01521377QTc Study GSK573719+GW642444PHASE1 COMPLETED 100Dec 19, 2011Jun 5, 2012Jun 12, 20171 United Kingdom
NCT01521390Assessment of Lung Function After Single Inhalations of a Bronchodilator From 2 Configurations a Dry Powder Inhaler.PHASE1 COMPLETED 15Oct 12, 2011Dec 16, 2011Jun 20, 20171 Germany
NCT01110018GSK573719 IV Enabling StudyPHASE1 COMPLETED 10Apr 28, 2010Jun 9, 2010Jun 27, 20171 United Kingdom
NCT01128634Pharmacokinetic and Safety of GSK573719 and GW642444 Administered Individually and Concurrently, With Verapamilin in Healthy SubjectsPHASE1 COMPLETED 32Mar 4, 2010Apr 26, 2010Jun 14, 20171 United Kingdom
NCT00976144Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Effects of GSK573719 (LAMA) and GW642444 (LABA)Administered Individually and Concurrently in Healthy Japanese SubjectsPHASE1 COMPLETED 16Jul 29, 2009Sep 22, 2009Jun 27, 20171 Australia
NCT00475436A Single Centre Randomized Study Evaluating The Safety And Tolerability Of GSK573719 In Healthy VolunteersPHASE1 COMPLETED 36May 14, 2007Sep 18, 2007Aug 4, 20171 Germany
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Number of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE) Throughout the Treatment Period
From the first dose of study medication up to 52 weeks

An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of the study medication, whether or not considered related to the study medication. An AE can be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the study medication. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability or incapacity, or is a congenital anomaly or birth defect, or may require medical or surgical intervention to prevent one of the other outcomes listed in this definition, or is an event of possible drug-induced liver injury. Medical or scientific judgment was exercised in deciding whether reporting was appropriate in other situations.

Number of Participants With AEs Classified by the Indicated Maximum Grade Severity Throughout the Treatment Period
From the first dose of study medication up to 52 weeks

An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of the study medication, whether or not considered related to the study medication. An AE can be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the study medication. AEs were classified according to intensity based upon the investigators' clinical judgment. The intensity was categorized as: mild (an event that is easily tolerated by the participant, causing minimal discomfort and not interfering with everyday activities); moderate (an event that is sufficiently discomforting to interfere with normal everyday activities); or severe (an event that prevents normal everyday activities).

Change From Baseline (BL) in Trough Forced Expiratory Volume in One Second (FEV1) on Day 169 (Week 24)
Baseline and Day 169

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 measurements were taken electronically by spirometry on Days 2, 28, 56, 84, 112, 168, and 169. Baseline is defined as the mean of the assessments made 30 minutes pre-dose and 5 minutes pre-dose on Treatment Day 1. Trough FEV1 is defined as the mean of the FEV1 values obtained at 23 and 24 hours after the previous morning's dosing (ie., trough FEV1 on Day 169 is the mean of the FEV1 values obtained 23 and 24 hours after the morning dosing on Day 168). Change from Baseline at a particular visit was calculated as the trough FEV1at that visit minus Baseline. Analysis was performed using a repeated measures model with covariates of treatment, Baseline, smoking status, country/region, day, day by Baseline and day by treatment interactions. par.=participants.

Number of Participants With Any Adverse Event (AE) and Any Serious Adverse Event (SAE) Throughout the Treatment Period
52 weeks

An AE is defined as any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, may jeopardize the participant or may require medical or surgical intervention to prevent one of the other outcomes listed in this definition, or is an event of possible drug-induced liver injury. Refer to the general AE/SAE module for a list of AEs (occuring at a frequency threshold of \>=5%) and SAEs.

Number of Participants With AEs Classified by the Indicated Maximum Grade Throughout the Treatment Period
52 weeks

An AE is defined as any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. AEs were classified according to intensity based upon the investigators' clinical judgment. The intensity was categorized as: mild (an event that is easily tolerated by the participant, causing minimal discomfort and not interfering with everyday activities); moderate (an event that is sufficiently discomforting to interfere with normal everyday activities); or severe (an event that prevents normal everyday activities).

Change From Baseline (BL) in Trough Forced Expiratory Volume in One Second (FEV1) on Day 85
Baseline and Day 85

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 measurements were taken electronically by spirometry on Days 2, 14, 28, 56, 84, and 85. Baseline is defined as the mean of the assessments made 30 minutes pre-dose and 5 minutes pre-dose on Treatment Day 1. Trough FEV1 is defined as the mean of the FEV1 values obtained at 23 and 24 hours after the previous morning's dosing (ie., trough FEV1 on Day 85 is the mean of the FEV1 values obtained 23 and 24 hours after the morning dosing on Day 84). Change from Baseline was calculated as the trough FEV1 minus the Baseline. Analysis was performed using a repeated measures model with covariates of treatment, Baseline , smoking status, center group, day, and day by Baseline and day by treatment interactions.

Change From Baseline in Exercise Endurance Time Post-dose at Week 12 of Each Treatment Period
Week 12 of each treatment period (up to Study Week 30)

Exercise endurance time (EET) post-dose at Week 12 is defined as the EET obtained 3 hours after dosing at Week 12. EET was measured using the externally paced field walking test called the endurance shuttle walk test (ESWT). Analysis performed using a repeated measures model with covariates of period walking speed, mean walking speed, period, treatment, visit, smoking status, center group, visit by period walking speed, visit by mean walking speed and visit by treatment interactions. The model used all available 3-hour post-dose change from baseline EET values recorded on Day 2, Week 6 and Week 12. Baseline was the EET assessment obtained prior to dosing on Day 1 of each period. The mean walking speed for each participant is the mean of the levels used for the ESWT in each of the two treatment periods. The period walking speed for each participant and treatment period is the difference between the level for that participant and period and the mean walking speed for that participant.

Change From Baseline in Trough Forced Expiratory Volume in One Second (FEV1) at Week 12 of Each Treatment Period
Week 12 of each treatment period (up to Study Week 30)

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 measurements were taken electronically by spirometry on Day 2, Week 6 and Week 12. Baseline is the FEV1 value recorded pre-dose on Day 1 of each treatment period, mean Baseline is the mean of the Baselines for each participant, and period Baseline is the difference between the Baseline and the mean Baseline in each treatment period for each participant. Clinic visit trough (pre-bronchodilator and pre-dose) FEV1 at Week 12 (Treatment Day 85) is defined as the FEV1 value obtained 24 hours after dosing on Treatment Day 84. Analysis performed using a repeated measures model with covariates of period Baseline, mean Baseline, period, treatment, visit, smoking status, center group, visit by period Baseline, visit by mean Baseline and visit by treatment interactions.

Change From Baseline in Clinic Visit Trough Forced Expiratory Volume in One Second (FEV1) at Day 169
Baseline and Day 169

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 measurements were taken electronically by spirometry on Days 2, 28, 56, 84, 112, 168, and 169. Baseline is defined as the mean of the assessments made 30 minutes pre-dose and 5 minutes pre-dose on Treatment Day 1. Trough FEV1 is defined as the mean of the FEV1 values obtained at 23 and 24 hours after the previous morning's dosing (i.e., trough FEV1 on Day 169 is the mean of the FEV1 values obtained 23 and 24 hours after the morning dosing on Day 168). Change from Baseline at a particular visit was calculated as the trough FEV1 at that visit minus Baseline. Analysis was performed using a repeated measures model with covariates of treatment, Baseline, smoking status, center group, day, and day by Baseline and day by treatment interactions. ITT=Intent-to-Treat.

Final Dose-response Model for Trough Forced Expiratory Volume in One Second (FEV1)
Day 7 and Day 8 of each treatment period (up to Study Day 50)

The trough FEV1 data for both the once-daily (QD) and twice-daily (BID) UMEC doses were included in a parametric analysis in order to evaluate trough FEV1dose response. The Day 8 dataset and a pooled dataset for Day 7 and Day 8 were analyzed separately and reported. The rationale for pooling Day 7 and Day 8 (post-hoc analysis) was to ensure informative interpretation of FEV1 response as a function of dose given the repeated measures for trough FEV1 response within each participant on different days. The fixed-effects parameters of the dose response model include Emax (the maximum predicted FEV1 response), ED50 (potency), and S0 (estimated Baseline FEV1). FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Data for Emax and S0 are reported in this table. mITT=Modified Intent-to-Treat; par.=participants; BL=Baseline.

Final Dose-response Model for Trough FEV1 for ED50 (Potency) Parameter
Day 7 and Day 8 of each treatment period (up to Study Day 50)

The trough FEV1 data for both the once-daily (QD) and twice-daily (BID) UMEC doses were included in a parametric analysis in order to evaluate dose response. Both a Day 8 dataset and a pooled dataset for Day 7 and Day 8 were analyzed and reported. The rationale for pooling Day 7 and Day 8 (post-hoc analysis) was to ensure informative interpretation of FEV1 response as a function of dose given the repeated measures for trough FEV1 response within each participant on different days. ED50 is defined as the potency and is the dose that yields 50% of Emax (maximum predicted FEV1 response). FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second.

Final Dose-response Model Parameter β-FEV1MB-S0 for Trough FEV1
Day 7 and Day 8 of each treatment period (up to Study Day 50)

The trough FEV1 data for both the once-daily (QD) and twice-daily (BID) UMEC doses were included in a parametric analysis in order to evaluate dose response. Both a Day 8 dataset and a pooled dataset for Day 7 and Day 8 were analyzed and reported. The rationale for pooling Day 7 and Day 8 (post-hoc analysis) was to ensure informative interpretation of FEV1 response as a function of dose given the repeated measures for trough FEV1 response within each participant on different days. β-FEV1MB-S0 is defined as the covariate (Baseline trough FEV1) effect on the mean Baseline trough FEV1 estimate (S0). FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second.

Change From Baseline in Trough Forced Expiratory Volume in One Second (FEV1) on Day 8 of Each Treatment Period
Baseline and Day 8 of each treatment period (up to Study Day 50)

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Treatment Day 8 is defined as the value obtained 24 hours after the morning dose administered on Day 7. Analysis was performed using a mixed model with covariates of mean Baseline, period Baseline, treatment, and period as fixed effects and participant as a random effect. Baseline is the FEV1 value recorded pre-dose on Day 1 of each treatment period, mean Baseline is the mean of the Baselines for each participant, and period Baseline is the difference between the Baseline and the mean Baseline in each treatment period for each particiapant. Change from Baseline for each treatment period is the trough FEV1 at Day 8 minus the Baseline value for that treatment period.

Change From Baseline in Trough Forced Expiratory Volume in One Second (FEV1) at Day 29
Baseline and Day 29

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Treatment Day 29 is defined as the mean of the FEV1 values obtained at 23 and 24 hours after dosing on Day 28. Baseline is defined as the mean of the FEV1 values obtained at 30 minutes and immediately pre-dose on Day 1. Change from Baseline is defined as the difference between trough on Day 29 and Baseline. Analysis was performed using a repeated measures model with covariates of Baseline (BL), country, sex, age, treatment, smoking status, day, day by Baseline interaction, and day by treatment interaction.

Number of Participants With Any On-treatment Adverse Event (AE) or Any On-treatment Serious Adverse Event (SAE)
From start of treatment to study day 12

An AE is defined as any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An on-treatment adverse event is defined as an event that occurred between the start of investigational product and follow-up contact. Refer to the general SAE/non-serious AE module for a complete list of AEs reported in the study. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect.

Mean Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) on Days 1 and 7
Day 1 (pre-dose and 15 minutes [min], 45 min, 1.5 hours [hr], 4 hr, and 8 hr post-dose) and Day 7 (pre-dose and 15 min, 45 min, 1.5 hr, 4 hr, 8 hr, and 24 hr post-dose)

Blood pressure was measured in a semi-recumbent position at approximately 45 degrees after the participant was kept at rest for at least 5 minutes. SBP and DBP were obtained at pre-dose and 15 min, 45 min, 1.5 hr, 4 hr, and 8 hr post-dose (PD) on Day 1 and at pre-dose and 15 min, 45 min, 1.5 hr, 4 hr, 8 hr, and 24 hr PD on Day 7.

Mean Heart Rate (HR) on Days 1 and 7
Day 1 (pre-dose and 15 minutes [min], 45 min, 1.5 hours [hr], 4 hr, and 8 hr post-dose) and Day 7 (pre-dose and 15 min, 45 min, 1.5 hr, 4 hr, 8 hr, and 24 hr post-dose)

HR was measured in a semi-recumbent position at approximately 45 degrees after the participant was kept at rest for at least 5 minutes. HR was obtained at pre-dose and 15 min, 45 min, 1.5 hr, 4 hr, and 8 hr post-dose (PD) on Day 1 and at pre-dose and 15 min, 45 min, 1.5 hr, 4 hr, 8 hr, and 24 hr PD on Day 7.

Maximum and Weighted Mean (0-4 Hour) Heart Rate at Days 1 and 7
Day 1 and Day 7

Maximum heart rate (Max HR) and weighted mean (WM) from 0-4 hour on Days 1 and 7 were derived. Max HR (0-4 h) is defined as the maximum heart rate attained within 0-4 h. The weighted mean HR (0-4 h) was derived by calculating the area under the curve, and then dividing the value by the relevant time interval. Each of the maximum and weighted mean (0-4h) endpoints for heart rate, was statistically analyzed using a mixed effects model. The terms treatment, baseline, day and any relevant interactions were considered in the model. Least squares means are adjusted for treatment, Baseline, day, treatment by Baseline and Baseline by day interaction, where Baseline is defined as the mean of the three pre-dose assessments.

Number of Participants With the Indicated 12-lead Electrocardiogram (ECG) Values on Days 1 and 7
Day 1 (pre-dose and 15 min, 45 min, 1.5 hr, 4 hr, and 8 hr post-dose) and Day 7 (pre-dose and 15 min, 45 min, 1.5 hr, 4 hr, 8 hr, and 24 hr)

The number of participants with normal (NL), abnormal not clinically significant (Abn NCS), and abnormal clinically significant (Abn CS) ECG findings, as well as those with unavailable results (NA) at pre-dose (PD1, PD2, PD3), and 15 min, 45 min, 1.5 hr, 4 hr, and 8 hr post-dose (PD) on Day 1 and at pre-dose (PD1, PD2, PD3), and 15 min, 45 min, 1.5 hr, 4 hr, 8 hr, and 24 hr post-dose on Day 7 are reported. The following are of potential clinical importance: absolute QTc interval \>450 milliseconds (msec); increase from Baseline QTc \>60 msec; PR interval \<110 and \>220 msec; QRS interval \<75 and \>110 msec. Clinical significance was based on the medical and scientific judgement of the investigator or qualified designee.

Number of Participants With Abnormal 24-hour Holter Findings at Screening and Day 7
Screening and Day 7

Twenty-four hour Holter ECG values were obtained at Screening and on Day 7. During the Screening procedure and study, standard Holter monitors were used (in order to exclude participants with underlying cardiac arrhythmogenicity). During the treatment periods, Holter monitors were only switched on immediately prior to dosing (up to 15 minutes pre-dose) so as to capture Holter ECG data from the 24 hour period following dosing. The following summary data were transcribed into the Case Report Form: Maximum and mean (0 to24 hour) heart rate; normal and aberrant beats and arrhythmias. Analysis of the Holter tapes was arranged by GlaxoSmithKline.The number of participants with normal (NL), abnormal not clinically significant (Abn NCS), and abnormal clinically significant (Abn CS) ECG findings, as well as those with unavailable results (NA) at Screening and Day 7, are reported. Clinical significance was based on the medical and scientific judgement of the investigator or qualified designee.

Maximum and Mean (0-24 Hour) Heart Rate From Holter Monitoring on Day 7
Day 7

Maximum heart rate (Max HR) and mean HR from 0-24 hour Holter monitoring on treatment Day 7 were derived. The analysis was adjusted for treatment and Baseline, where Baseline is defined as the corresponding summary measure (i.e., mean heart rate \[0-24 hours\] or maximum heart rate \[0-24 hours\]) from screening records.

Mean Forced Expiratory Volume in One Second (FEV1) at Screening and on Days 1 and 7
Screening, Day 1, and Day 7

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. FEV1 was measured at Screening, pre-dose, and 4 hours (hr) post-dose on Day 1 and Day 7. FEV1 tests were repeated until three technically acceptable measurements were made.

Total Number of Salbutamol Doses Taken Over the 7 -Day Study Period
Day 1 to Day 7

The total number of salbutamol doses taken per day was recorded by the participants in their dairy card over the entire 7-day treatment period. Diaries were reviewed by the Investigator when participants were admitted to the unit on Day 1, Day 7, and Day 8. Salbutamol was given as rescue medication, defined as a quick-relief or fast-acting medication that is given in addition to the investigational drug or placebo that can alleviate symptoms due to disease or lack of efficacy of the study treatment.

Albumin, Total Protein, Hemoglobin, and Mean Corpuscle Hemoglobin Concentration (MCHC) Values on Day 1 and Day 7
Day 1 and Day 7

Blood samples were collected for the measurement of albumin, total protein, hemoglobin, and MCHC values pre-dose on Day 1 and Day 7.

Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), and Gamma Glutamyl Transferase (GGT) Values on Day1 and Day 7
Day 1 and Day 7

Blood samples were collected for the measurement of ALP, ALT, AST, and GGT Pre-dose on Day 1 and Day 7.

Direct Bilirubin, Total Bilirubin, and Creatinine Values on Day 1 and Day 7
Day 1 and Day 7

Blood samples were collected for the measurement of direct bilirubin, total bilirubin, and creatinine at pre-dose on Day 1 and Day 7.

Calcium, Glucose, Potassium, Sodium, and Urea/Blood Urea Nitrogen (BUN) Values on Day 1 and Day 7
Day 1 and Day 7

Blood samples were collected for the measurement of calcium, glucose, potassium, sodium, and urea/BUN pre-dose on Day 1 and Day 7.

Basophil, Eosinophil, Lymphocyte, Monocyte, Total Neutrophil (ANC: Absolute Neutrophil Count), Platelet, and White Blood Cell (WBC) Count Values on Day 1 and Day 7
Day 1 and Day 7

Blood samples were collected for the measurement of basophils, eosinophils, lymphocytes, monocytes, total neutrophils (ANC), platelets, and white blood cell (WBC) count pre-dose on Day 1 and Day 7.

Mean Corpuscle Hemoglobin (MCH) Values on Day 1 and Day 7
Day 1 and Day 7

Blood samples were collected for the measurement of MCH pre-dose on Day 1 and Day 7.

Mean Corpuscle Volume (MCV) Values on Day 1 and Day 7
Day 1 and Day 7

Blood samples were collected for the measurement of MCV pre-dose on Day 1 and Day 7.

Number of Participants With Any Adverse Event (AE) or Any Serious Adverse Event (SAE)
From Day 1 of Treatment Period 1until Follow-up (up to 10 weeks)

An AE is defined as any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of a medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, may jeopardize the participant or may require medical or surgical intervention to prevent one of the other outcomes listed in this definition, or is an event of possible drug-induced liver injury. Refer to the general AE/SAE module for a list of AEs and SAEs.

Maximum (0-4 Hours) Heart Rate on Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Resting heart rate was measured at pre-dose and 15 minutes (min), 45min, 1.5 hour (h) 4 h, 8 h, and 24 h post-dose of each treatment period and the maximum value for heart rate (0-4hours) was derived at rest. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Weighted Mean (0-4 Hours) Heart Rate at Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Resting heart rate was measured at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the weighted mean value for heart rate (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Maximum (0-4 Hours) Systolic Blood Pressure at Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Resting systolic blood pressure was measured at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the maximum value for systolic blood pressure (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Weighted Mean (0-4 Hours) Systolic Blood Pressure at Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Resting systolic blood pressure was measured at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the weighted mean value for systolic blood pressure (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Maximum (0-4 Hours) Diastolic Blood Pressure at Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Resting diastolic blood pressure was measured at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the maximum value for diastolic blood pressure (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Weighted Mean (0-4 Hours) Diastolic Blood Pressure at Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Resting diastolic blood pressure was measured at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the weighted mean value for diastolic blood pressure (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Maximum (0-4 Hours) QTcB at Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Twelve-lead ECGs (electrocardiograms) were performed to measure QT interval corrected according to Bazzet's formula (QTcB) at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the maximum value for QTcB (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Weighted Mean (0-4 Hours) QTcB at Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Twelve-lead ECGs were performed to measure QTcB at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the weighted mean value for QTcB (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Maximum (0-4 Hours) QTcF at Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Twelve-lead ECGs were performed to measure QT interval corrected according to Fredericia's formula (QTcF) at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the maximum value for QTcF (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Weighted Mean (0-4 Hours) QTcF at Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Twelve-lead ECGs were performed to measure QTcF at pre-dose and 15 minutes (min), 45 min, 1.5 hours (h), 4 h, 8 h and 24 h post-dose of each treatment period and the weighted mean value for QTcF (0-4 hours) was derived. Baseline is the mean of the 3 pre-dose measurements for each period. Participant level Baseline is the mean of the Baselines for each participant and period level Baseline is the difference between the Baseline and the participant level Baseline in each treatment period for each participant. Analysis was performed using a mixed model with participant level Baseline, period level Baseline, period and treatment group were fitted as fixed effects and participant as a random effect.

Maximum (0-24 Hours) Heart Rate as Measured From Holter Monitoring at Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Twenty-four hour Holter monitoring was conducted to measure heart rate for the 24-hour period following dosing at each treatment period and the maximum value for heart rate (0-24 hours) was derived. Analysis was performed using a mixed model of period and treatment group fitted as fixed effects and participant as a random effect.

Mean (0-24 Hours) Heart Rate as Measured From Holter Monitoring at Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Twenty-four-hour Holter monitoring was conducted to measure heart rate for the 24-h period following dosing of each treatment period and the mean value for heart rate (0-24 hours) was derived. Analysis was performed using a mixed model of period and treatment group fitted as fixed effects and participant as a random effect.

Basophils, Eosinophils, Lymphocytes, Monocytes, and Total Neutrophils Values at the Indicated Time Points on Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Blood samples were collected for the measurement of basophils, eosinophils, lymphocytes, monocytes, and total neutrophils at pre-dose and 24 hour (h) post-dose of each treatment period.

Hemoglobin, Mean Corpuscle Hemoglobin Concentration (MCHC), Albumin and Total Protein Values at the Indicated Time Points on Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Blood samples were collected for the measurement of hemoglobin, MCHC, albumin and total protein at pre-dose and 24 hour (h) post-dose of each treatment period.

Hematocrit Values at the Indicated Time Points on Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Blood samples were collected for the measurement of hematocrit at pre-dose and 24 hour (h) post-dose of each treatment period.

Mean Corpuscle Hemoglobin Values at the Indicated Time Points on Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Blood samples were collected for the measurement of the mean corpuscle hemoglobin at pre-dose and 24 hour (h) post-dose of each treatment period.

Mean Corpuscle Volume Values at the Indicated Time Points on Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Blood samples were collected for the measurement of the mean corpuscle volume at pre-dose and 24 hour (h) post-dose of each treatment period.

Red Blood Cells Count Values at the Indicated Time Points on Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Blood samples were collected for the measurement of the red blood cells count at pre-dose and 24 hour (h) post-dose of each treatment period.

Platelets Count and White Blood Cells (WBC) Count Values at the Indicated Time Points on Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Blood samples were collected for the measurement of platelets count and WBC count at pre-dose and 24 hour (h) post-dose of each treatment period.

Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT), Aspartate Aminotransferase (AST), Creatine Phosphokinase (CPK), and Gamma Glutamyl Transferase (GGT) Values at the Indicated Time Points on Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Blood samples were collected for the measurement of ALP, ALT, AST, CPK, and GGT at pre-dose and 24 hour (h) post-dose of each treatment period.

Total Bilirubin, Creatinine and Uric Acid Values at the Indicated Time Points on Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Blood samples were collected for the measurement of total bilirubin, creatinine, and uric acid at pre-dose and 24 hour (h) post-dose of each treatment period.

Calcium, Bicarbonate, Chloride, Glucose, Inorganic Phosphorus (IP), Potassium, Sodium, and Urea Values at the Indicated Time Points on Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

Blood samples were collected for the measurement of the calcium, bicarbonate, chloride, glucose, IP, potassium, sodium, and urea at pre-dose and 24 hour (h) post-dose of each treatment period.

Forced Expiratory Volume in 1 Second (FEV1) and Forced Vital Capacity (FVC) at the Indicated Time Points on Day 1 of Each Treatment Period
Day 1 of each treatment period (up to Study Day 46)

FEV1 and FVC are measures of lung function. FEV1 is defined as the maximal amount of air that can be forcefully exhaled in one second. FVC is defined as the amount of air that can be forcibly exhaled from the lungs after taking the deepest breath possible. FEV1 and FVC measurements were taken at pre-dose and 1 hour (h), 2 h, 6 h, 9 h, 12 h and 24 h post-dose of each treatment period.

GSK573719 and vilanterol plasma pharmacokinetic parameters
Treatment Period 1 and 2: pre-dose, 5 mins, 15 mins, 30 mins, 1hr, 2hrs, 4hrs, 8hrs, 12hrs, 16hrs, 24hrs

Including AUC(0-t), AUC(0-t'), Cmax, tmax, AUC(0-24), AUC(0-infinity), tlast, t1/2

GSK573719 and vilanterol pharmacokinetics
Treatment Period 1: Pre-dose, 5 mins, 15 mins, 30 mins, 1 hr, 2 hrs, 4 hrs, 8 hrs, 12 hrs, 16 hrs, 24 hrs

Including AUC(0-t), AUC(0-t'), Cmax, tmax, AUC(0-24), AUC(0-infinity), tlast, t1/2 (following single dose administration)

GSK573719 pharmacokinetics
Treatment Period 2 (Day 1 and 7): Pre-dose, 5 mins, 15 mins, 30 mins, 1 hr, 2hrs, 4 hrs, 8 hrs, 12hrs, 16 hrs, 24 hrs (and 36 hrs on Day 7 only)

Including AUC(0-t), AUC(0-t'), Cmax, tmax, AUC(0-24), AUC(0-infinity), tlast, t1/2 (following single and repeat dose administration)

Change from baseline in QTcF Interval with GSK573719/ Vilanterol 125/25mcg
Screening, Day 1, and Day 10

To estimate the effect of GSK573719/ Vilanterol 125/25mcg on the QTcF interval as compared with placebo after 10 days dosing.

Change from baseline in QTcF Interval with GSK573719 500 mcg
Screening, Day 1, and Day 10

To estimate the effect of GSK573719 500 mcg (four times the highest combination dose being evaluated in Phase III trials) on the QTcF interval as compared with placebo after 10 days dosing.

Weighted mean and maximal change from baseline in sGaw
serial over 24 hr for each treatment period

measured by plethysmography, for each inhaled dose from one strip configuration as compared with two strip

Safety and tolerability of GSK573719
Study duration (5 weeks)
Pharmacokinetic parameters of plasma and urine
15 days
adverse events, cardiac and ECG parameters, vital signs, lung function and clinical laboratory safety assessments
From dosing to 24hr post-dose
General safety and tolerability endpoints: adverse events, blood pressure, heart rate, 12-lead ECG, Holter and Lead II ECG monitoring, lung function and clinical laboratory safety tests throughout the study
throughout the study
Secondary Endpoints
Basophil, Eosinophil, Lymphocyte, Monocyte, and Total Neutrophil Values at Baseline (BL) (Week -2), Week 12, Week 24, Week 36, Week 52, the Withdrawal (WD) Visit, Week 24/WD, and Week 52/WD
BL (Screening Visit: Week -2), Week 12, Week 24, Week 36, Week 52, WD Visit, Week 24/WD Visit, and Week 52/WD Visit
Eosinophil Values, Total Neutrophil Values, Platelet Count, and White Blood Cell (WBC) Count at BL (Week -2), Week 12, Week 24, Week 36, Week 52, the Withdrawal (WD) Visit, Week 24/WD, and Week 52/WD
BL (Screening Visit: Week -2), Week 12, Week 24, Week 36, Week 52, WD Visit, Week 24/WD, and Week 52/WD
Hemoglobin, Albumin, and Total Protein Values at BL (Week -2), Week 12, Week 24, Week 36, Week 52, the Withdrawal (WD) Visit, Week 24/WD, and Week 52/WD
BL (Screening Visit: Week -2), Week 12, Week 24, Week 36, Week 52, WD Visit, Week 24/WD, and Week 52/WD
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
GSK573719EXPERIMENTAL125mcg
GSK573719/VI 62.5/25EXPERIMENTALInhalation via Novel Dry Powder Inhaler Once a day
GSK573719/VI 125/25EXPERIMENTALInhalation via Novel Dry Powder Inhaler Once a day
PlaceboPLACEBO_COMPARATORInhalation via Novel Dry Powder Inhaler Once a day
GSK573719/GW642444EXPERIMENTAL125/25mcg
GSK573719/GW642444 125/25EXPERIMENTAL125mcg/25mcg nDPI
GSK573719/GW642444 62.5/25EXPERIMENTAL62.5mcg/25mcg nDPI
GSK573719/ 125EXPERIMENTAL125mcg nDPI
GSK573719 62.5EXPERIMENTAL62.5mcg nDPI
GW642444 25EXPERIMENTAL25mcg nDPI
GW642444EXPERIMENTAL25mcg
tiotropium bromideACTIVE_COMPARATOR18 mcg once-daily
GSK 573719 + GW642444 125/25EXPERIMENTAL125mcg/25mcg nDPI
GSK 573719 +GW642444 62.5/25EXPERIMENTAL62.5mcg/25mcg nDPI
GSK 573719 125EXPERIMENTAL125mcg nDPI
GSK 573719 62.5EXPERIMENTAL62.5 mcg nDPI
GW 642444 25EXPERIMENTAL25mcg nDPI
PlbPLACEBO_COMPARATORPlb nDPI
TiotropiumACTIVE_COMPARATOR18 mcg, inhaled long acting muscarinic antagonist
GSK573719 125mcgEXPERIMENTAL125mcg once-daily via novel dry powder inhaler
GSK573719 250mcgEXPERIMENTAL250mcg once-daily via novel dry powder inhaler
GSK573719 500mcgEXPERIMENTAL500mcg once-daily via novel dry powder inhaler
7 day repeat doseEXPERIMENTAL7 day repeat dose
Seq 1: UMEC 250 µg, UMEC 500 µg, Tiotropium 18 µg, placeboACTIVE_COMPARATORParticipants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: umeclidinium bromide (UMEC) 250 micrograms (µg), UMEC 500 µg, Tiotropium 18 µg and placebo. Treatment periods were seperated by a washout period of at least 14 days.
Seq 2: UMEC 250 µg, UMEC 500 µg, UMEC 1000 µg, placeboACTIVE_COMPARATORParticipants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, UMEC 500 µg, UMEC 1000 µg and placebo. Treatment periods were seperated by a washout period of at least 14 days.
Seq 3: UMEC 250 µg, placebo, UMEC 500 µg, UMEC 1000 µgACTIVE_COMPARATORParticipants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, placebo, UMEC 500 µg and UMEC 1000 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 4: UMEC 250 µg, UMEC 500 µg, placebo, UMEC 1000 µgACTIVE_COMPARATORParticipants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, UMEC 500 µg, placebo and UMEC 1000 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 5: Placebo, UMEC 250 µg, UMEC 500 µg, UMEC 1000 µgACTIVE_COMPARATORParticipants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Placebo, UMEC 250 µg, UMEC 500 µg and UMEC 1000 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 6: UMEC 250 µg, placebo, Tiotropium 18 µg, UMEC 500 µgACTIVE_COMPARATORParticipants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, placebo, Tiotropium 18 µg and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 7: Placebo, Tiotropium 18 µg, UMEC 250 µg, UMEC 500 µgACTIVE_COMPARATORParticipants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Placebo, Tiotropium 18 µg, UMEC 250 µg and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 8: Tiotropium 18 µg, placebo, UMEC 250 µg, UMEC 500 µgACTIVE_COMPARATORParticipants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Tiotropium 18 µg, placebo, UMEC 250 µg and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 9: Tiotropium 18 µg, UMEC 250 µg, UMEC 500 µg, placeboACTIVE_COMPARATORParticipants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Tiotropium 18 µg, UMEC 250 µg, UMEC 500 µg and placebo. Treatment periods were seperated by a washout period of at least 14 days.
Seq 10: Tiotropium 18 µg, UMEC 250 µg, placebo, UMEC 500 µgACTIVE_COMPARATORParticipants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Tiotropium 18 µg, UMEC 250 µg, placebo and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 11: Placebo, UMEC 250 µg, Tiotropium 18 µg, UMEC 500 µgACTIVE_COMPARATORParticipants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: Placebo, UMEC 250 µg, Tiotropium 18 µg and UMEC 500 µg. Treatment periods were seperated by a washout period of at least 14 days.
Seq 12: UMEC 250 µg, placebo, UMEC 500 µg, Tiotropium 18 µgACTIVE_COMPARATORParticipants received single doses of 4 treatments, over 4 treatment periods, in the following sequence: UMEC 250 µg, placebo, UMEC 500 µg and Tiotropium 18 µg. Treatment periods were seperated by a washout period of at least 14 days.
Severe renally impaired subjectsEXPERIMENTALApproximately 9 subjects will complete each treatment arm
Matched healthy volunteersEXPERIMENTALMatched to the severe renal impairment subjects based on gender, ethnicity, body mass index (±15%) and age (±5 years). Approximately 9 subjects will complete each treatment arm
Moderate Hepatic ImpairmentEXPERIMENTALApproximately 9 subjects will complete each of these treatment arms
Moxifloxacin PositiveACTIVE_COMPARATORSingle inhalation from matching placebo dry powder inhaler once daily on days 1-10. Single dose oral tablet moxifloxacin (400mg) on day 10.
GSK573719 Supra-therapeutic doseEXPERIMENTALSingle inhalation from GSK573719 (500 microgram) dry powder inhaler once daily on days 1-10. Single dose placebo oral moxifloxacin.
GSK573719/Vilanterol Therapeutic doseEXPERIMENTALSingle inhalation from GSK573719/Vilanterol (125/25 microgram) dry powder inhaler once daily on days 1-10. Single dose placebo oral tablet moxifloxacin on day 10.
GSK573719/Vilanterol Supra-therapeutic doseEXPERIMENTALSingle inhalation from GSK573719/Vilanterol (500/100 microgram) dry powder inhaler once daily on days 1-10. Single dose placebo oral tablet moxifloxacin on day 10.
Treatment ArmOTHERSubjects receive one inhalation from each intervention
Period 1ACTIVE_COMPARATOR20μg intravenous infusion administered over 30 minutes
Period 2ACTIVE_COMPARATOR1000μg Oral dose
Period 3ACTIVE_COMPARATOR50μg Intravenous infusion administered over 30 minutes
Period 4ACTIVE_COMPARATOR1000μg Inhaled dose
Period 5ACTIVE_COMPARATOR100μg Intravenous infusion administered over 30 minutes
GSK573719, GW642444, GSK573719+GW642444, placeboEXPERIMENTALThis is a four-way cross-over study. Subjects, healthy volunteers, will receive a single dose of GSK573719 (500ug), GW642444 (50ug), GSK573719 (500ug)+GW642444 (50ug) administered concurrently, or placebo at each of the four treatment periods. There is a minimum wash-out period of seven days between doses. On enrolment into the study, subjects will be assigned to one of four treatment sequences which are based on a Williams design in accordance with the randomization schedule generated by GSK prior to study start.
Arm 1EXPERIMENTAL -
Interventions
NameTypeDescription
GSK573719DRUGGSK573719 inhalation powder inhaled orally once daily for 52 weeks.
GSK573719/VI 62.5/25DRUGInhalation via Novel Dry Powder Inhaler Once a day
GSK573719/VI 125/25DRUGInhalation via Novel Dry Powder Inhaler Once a day
PlaceboDRUGInhalation via Novel Dry Powder Inhaler Once a day
GSK573719/GW642444 Inhalation PowderDRUGGSK573719/GW642444 inhalation powder inhaled orally once daily for 52 weeks.
GSK573719/GW642444 125/25DRUG125mcg/ 25mcg QID (Once daily , inhaled)
GSK573719/GW642444 62.5/25DRUG62.5mcg/25mcg QID
GSK573719 125DRUG125mcg QID
GSK573719 62.5DRUG62.5mcg QID
GW642444 25DRUG25mcg QID
GSK573719/GW642444 125/25mcgDRUG125/25mcg
GSK573719 125mcgDRUG125mcg
GW642444 25mcgDRUG25mcg
Placebo onlyDRUGPlacebo
GW642444DRUG25 mcg once-daily
tiotropium bromideDRUG18 mcg once-daily
GSK 573719 +GW642444 125/25DRUG125mcg/ 25mcg
GSK573719 + GW642444 62.5/25DRUG62.5mcg/25mcg
GSK 573719 125DRUG125mcg
GSK 573719 62.5DRUG62.5mcg
PlbDRUGComparator
TiotropiumDRUG18 mcg once daily
GSK573719 250mcgDRUG250mcg once-daily
GSK573719 500mcgDRUG500mcg once-daily
Inhaled GSK573719DRUGAll subjects will receive a single dose of GSK573719 (125mcg) in treatment period 1
Inhaled GSK573719/vilanterolDRUGAll subjects will receive a single dose of GSK573719 (125mcg)/vilanterol (25mcg) in treatment period 2
Placebo MoxifloxacinDRUGSingle dose placebo oral tablet Moxifloxacin
MoxifloxacinDRUGSingle oral dose tablet Moxifloxacin (400mg)
GSK573719/Vilanterol 125/25mcgDRUGSingle inhalation from GSK573719/Vilanterol 125/25mcg DPI once daily
GSK573719/Vilanterol 500/100mcgDRUGSingle inhalation from GSK573719/Vilanterol 500/100mcg DPI once daily
Placebo DPIDRUGSingle Inhalation from matching Placebo DPI once daily
GSK573719 62.5 mcg (one strip)DRUGGSK573719 62.5 mcg delivered by 1 strip configuration of novel dry powder inhaler
GSK573719 62.5 mcg(two strips)DRUGGSK573719 62.5 mcg delivered by 2 strip configuration of novel dry powder inhaler
GSK573719 125 mcg (one strip)DRUGGSK573719 125 mcg delivered by 1 strip configuration of novel dry powder inhaler
GSK573719 125 mcg(two strips)DRUGGSK573719 125 mcg delivered by 2 strip configuration of novel dry powder inhaler
GSK573719 (SOLUTION)DRUG20μg /mL solution for IV and Oral dosing
GSK573719 (INHALATION POWDER)DRUG500μg inhalation powder delivered via Novel Dry Powder Inhaler. GSK573719 1000μg per dose (2x 500μg strips in device).
GW573719/GW573719DRUG13 days dosing with GSK573719/GW573719, once daily dosing from day 1 to 13, concurrent dosing with verapamil from day 9 to 13.
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Eligibility Criteria
Age Range40 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites20

Inclusion Criteria: * Outpatient. * A signed and dated written informed consent prior to study participation. * Japanese subjects 40 years of age or older at Visit 1. * Male or female subjects. A female is eligible if she is of: Non-child bearing potential or Child bearing potential agrees to one o...

Countries:JapanChinaPhilippinesSouth KoreaTaiwanThailandUnited StatesGermanyCanadaCzechiaDenmarkSouth AfricaUkraineUnited KingdomBelgiumEstoniaFranceHungaryNetherlandsNorwaySlovakiaSwedenItalyMexicoPeruPolandRomaniaRussiaBulgariaArgentinaAustraliaChile
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