| NCT ID | Title | Phase | Status | Enrollment | Velocity | Design | Start | Completion | Last Updated | Sites | Countries |
|---|---|---|---|---|---|---|---|---|---|---|---|
| NCT01702363 | Long-term Safety Study for GSK573719 in Japanese | PHASE3 | COMPLETED | 131 | — | — | Aug 1, 2012 | Dec 1, 2013 | Jan 9, 2017 | 20 | Japan |
| NCT01636713 | A 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 COPD | PHASE3 | COMPLETED | 581 | — | — | Jul 1, 2012 | Oct 1, 2013 | Jan 9, 2017 | 44 | China, Philippines +3 |
| NCT01376388 | Long-term Safety Study for GSK573719/GW642444 in Japanese | PHASE3 | COMPLETED | 131 | — | — | Aug 1, 2011 | Dec 1, 2012 | Jan 9, 2017 | 23 | Japan |
| NCT01387230 | Evaluate the Efficacy and Safety of GSK573719 Delivered Via a Novel Dry Powder Inhaler in Subjects With COPD | PHASE3 | COMPLETED | 206 | — | — | Jul 1, 2011 | Feb 13, 2012 | Nov 9, 2017 | 27 | United States, Germany +1 |
| NCT01323660 | An Exercise Endurance Study to Evaluate the Effects of Treatment of Chronic Obstructive Pulmonary Disease (COPD) Patients With a Dual Bronchodilator: GSK573719/GW642444.Study B | PHASE3 | COMPLETED | 307 | — | — | Mar 16, 2011 | Jul 16, 2012 | Feb 15, 2018 | 53 | United States, Canada +5 |
| NCT01313637 | A 24-week Evaluation of GSK573719/Vilanterol (125/25mcg) and Components in COPD | PHASE3 | COMPLETED | 1,493 | — | — | Mar 1, 2011 | Apr 19, 2012 | Jan 29, 2018 | 157 | United States, Belgium +12 |
| NCT01316900 | 24-week Trial Comparing GSK573719/GW642444 With GW642444 and With Tiotropium in Chronic Obstructive Pulmonary Disease | PHASE3 | COMPLETED | 846 | — | — | Mar 1, 2011 | Apr 24, 2012 | Jan 24, 2018 | 97 | United States, France +8 |
| NCT01328444 | An Exercise Endurance Study to Evaluate the Effects of Treatment of Chronic Obstructive Pulmonary Disease (COPD) Patients With a Dual Bronchodilator: GSK573719/GW642444. Study A | PHASE3 | COMPLETED | 349 | — | — | Mar 1, 2011 | Jun 14, 2012 | Oct 11, 2017 | 31 | United States, Bulgaria +4 |
| NCT01316913 | 24-week Trial Comparing GSK573719/GW642444 With GSK573719 and With Tiotropium in Chronic Obstructive Pulmonary Disease | PHASE3 | COMPLETED | 872 | — | — | Mar 1, 2011 | Apr 1, 2012 | Apr 4, 2017 | 100 | United States, Argentina +8 |
| NCT01372410 | A 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 | 163 | — | — | Jul 1, 2011 | Oct 27, 2011 | Nov 8, 2017 | 13 | United States |
| NCT01030965 | 28-day Repeat Dose Study of GSK573719 | PHASE2 | COMPLETED | 285 | — | — | Dec 15, 2009 | Jul 4, 2010 | Mar 9, 2018 | 20 | United States, Estonia +2 |
| NCT00732472 | A 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 Days | PHASE2 | COMPLETED | 37 | — | — | Oct 1, 2008 | Aug 1, 2009 | Nov 23, 2016 | 7 | United Kingdom |
| NCT00515502 | Safety Study Using GSK573719 And Tiotropium In Patients With Chronic Obstructive Pulmonary Disease | PHASE2 | COMPLETED | 24 | — | — | Jun 21, 2007 | Nov 6, 2007 | Aug 22, 2017 | 3 | Germany |
| NCT01571999 | Study to Assess the Safety and PK of GSK573719 and GSK573719/GW642444(VI) Combination in Healthy Subjects and Subjects With Severe Renal Impairment | PHASE1 | COMPLETED | 17 | — | — | Mar 29, 2012 | Jun 22, 2012 | Jul 25, 2017 | 2 | Czechia, Hungary |
| NCT01577680 | A Study to Assess the Effects of GSK573719/VI Combination and GSK573719 Monotherapy in Subjects With Moderate Hepatic Impairment and Matched Healthy Volunteers | PHASE1 | COMPLETED | 18 | — | — | Mar 5, 2012 | Jun 29, 2012 | Jul 25, 2017 | 2 | Hungary, Slovakia |
| NCT01521377 | QTc Study GSK573719+GW642444 | PHASE1 | COMPLETED | 100 | — | — | Dec 19, 2011 | Jun 5, 2012 | Jun 12, 2017 | 1 | United Kingdom |
| NCT01521390 | Assessment of Lung Function After Single Inhalations of a Bronchodilator From 2 Configurations a Dry Powder Inhaler. | PHASE1 | COMPLETED | 15 | — | — | Oct 12, 2011 | Dec 16, 2011 | Jun 20, 2017 | 1 | Germany |
| NCT01110018 | GSK573719 IV Enabling Study | PHASE1 | COMPLETED | 10 | — | — | Apr 28, 2010 | Jun 9, 2010 | Jun 27, 2017 | 1 | United Kingdom |
| NCT01128634 | Pharmacokinetic and Safety of GSK573719 and GW642444 Administered Individually and Concurrently, With Verapamilin in Healthy Subjects | PHASE1 | COMPLETED | 32 | — | — | Mar 4, 2010 | Apr 26, 2010 | Jun 14, 2017 | 1 | United Kingdom |
| NCT00976144 | Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Effects of GSK573719 (LAMA) and GW642444 (LABA)Administered Individually and Concurrently in Healthy Japanese Subjects | PHASE1 | COMPLETED | 16 | — | — | Jul 29, 2009 | Sep 22, 2009 | Jun 27, 2017 | 1 | Australia |
| NCT00475436 | A Single Centre Randomized Study Evaluating The Safety And Tolerability Of GSK573719 In Healthy Volunteers | PHASE1 | COMPLETED | 36 | — | — | May 14, 2007 | Sep 18, 2007 | Aug 4, 2017 | 1 | Germany |
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.
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).
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.
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.
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).
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
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 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.
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.
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.
Blood samples were collected for the measurement of albumin, total protein, hemoglobin, and MCHC values pre-dose on 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.
Blood samples were collected for the measurement of direct bilirubin, total bilirubin, and creatinine at pre-dose on 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.
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.
Blood samples were collected for the measurement of MCH pre-dose on Day 1 and Day 7.
Blood samples were collected for the measurement of MCV pre-dose on Day 1 and Day 7.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
Blood samples were collected for the measurement of hematocrit at pre-dose and 24 hour (h) post-dose of each treatment period.
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.
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.
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.
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.
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.
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.
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.
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.
Including AUC(0-t), AUC(0-t'), Cmax, tmax, AUC(0-24), AUC(0-infinity), tlast, t1/2
Including AUC(0-t), AUC(0-t'), Cmax, tmax, AUC(0-24), AUC(0-infinity), tlast, t1/2 (following single dose administration)
Including AUC(0-t), AUC(0-t'), Cmax, tmax, AUC(0-24), AUC(0-infinity), tlast, t1/2 (following single and repeat dose administration)
To estimate the effect of GSK573719/ Vilanterol 125/25mcg on the QTcF interval as compared with placebo after 10 days dosing.
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.
measured by plethysmography, for each inhaled dose from one strip configuration as compared with two strip
| Arm | Type | Description |
|---|---|---|
| GSK573719 | EXPERIMENTAL | 125mcg |
| GSK573719/VI 62.5/25 | EXPERIMENTAL | Inhalation via Novel Dry Powder Inhaler Once a day |
| GSK573719/VI 125/25 | EXPERIMENTAL | Inhalation via Novel Dry Powder Inhaler Once a day |
| Placebo | PLACEBO_COMPARATOR | Inhalation via Novel Dry Powder Inhaler Once a day |
| GSK573719/GW642444 | EXPERIMENTAL | 125/25mcg |
| GSK573719/GW642444 125/25 | EXPERIMENTAL | 125mcg/25mcg nDPI |
| GSK573719/GW642444 62.5/25 | EXPERIMENTAL | 62.5mcg/25mcg nDPI |
| GSK573719/ 125 | EXPERIMENTAL | 125mcg nDPI |
| GSK573719 62.5 | EXPERIMENTAL | 62.5mcg nDPI |
| GW642444 25 | EXPERIMENTAL | 25mcg nDPI |
| GW642444 | EXPERIMENTAL | 25mcg |
| tiotropium bromide | ACTIVE_COMPARATOR | 18 mcg once-daily |
| GSK 573719 + GW642444 125/25 | EXPERIMENTAL | 125mcg/25mcg nDPI |
| GSK 573719 +GW642444 62.5/25 | EXPERIMENTAL | 62.5mcg/25mcg nDPI |
| GSK 573719 125 | EXPERIMENTAL | 125mcg nDPI |
| GSK 573719 62.5 | EXPERIMENTAL | 62.5 mcg nDPI |
| GW 642444 25 | EXPERIMENTAL | 25mcg nDPI |
| Plb | PLACEBO_COMPARATOR | Plb nDPI |
| Tiotropium | ACTIVE_COMPARATOR | 18 mcg, inhaled long acting muscarinic antagonist |
| GSK573719 125mcg | EXPERIMENTAL | 125mcg once-daily via novel dry powder inhaler |
| GSK573719 250mcg | EXPERIMENTAL | 250mcg once-daily via novel dry powder inhaler |
| GSK573719 500mcg | EXPERIMENTAL | 500mcg once-daily via novel dry powder inhaler |
| 7 day repeat dose | EXPERIMENTAL | 7 day repeat dose |
| Seq 1: UMEC 250 µg, UMEC 500 µg, Tiotropium 18 µg, placebo | ACTIVE_COMPARATOR | Participants 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, placebo | ACTIVE_COMPARATOR | Participants 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 µg | ACTIVE_COMPARATOR | Participants 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 µg | ACTIVE_COMPARATOR | Participants 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 µg | ACTIVE_COMPARATOR | Participants 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 µg | ACTIVE_COMPARATOR | Participants 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 µg | ACTIVE_COMPARATOR | Participants 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 µg | ACTIVE_COMPARATOR | Participants 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, placebo | ACTIVE_COMPARATOR | Participants 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 µg | ACTIVE_COMPARATOR | Participants 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 µg | ACTIVE_COMPARATOR | Participants 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 µg | ACTIVE_COMPARATOR | Participants 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 subjects | EXPERIMENTAL | Approximately 9 subjects will complete each treatment arm |
| Matched healthy volunteers | EXPERIMENTAL | Matched 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 Impairment | EXPERIMENTAL | Approximately 9 subjects will complete each of these treatment arms |
| Moxifloxacin Positive | ACTIVE_COMPARATOR | Single 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 dose | EXPERIMENTAL | Single inhalation from GSK573719 (500 microgram) dry powder inhaler once daily on days 1-10. Single dose placebo oral moxifloxacin. |
| GSK573719/Vilanterol Therapeutic dose | EXPERIMENTAL | Single 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 dose | EXPERIMENTAL | Single 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 Arm | OTHER | Subjects receive one inhalation from each intervention |
| Period 1 | ACTIVE_COMPARATOR | 20μg intravenous infusion administered over 30 minutes |
| Period 2 | ACTIVE_COMPARATOR | 1000μg Oral dose |
| Period 3 | ACTIVE_COMPARATOR | 50μg Intravenous infusion administered over 30 minutes |
| Period 4 | ACTIVE_COMPARATOR | 1000μg Inhaled dose |
| Period 5 | ACTIVE_COMPARATOR | 100μg Intravenous infusion administered over 30 minutes |
| GSK573719, GW642444, GSK573719+GW642444, placebo | EXPERIMENTAL | This 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 1 | EXPERIMENTAL | - |
| Name | Type | Description |
|---|---|---|
| GSK573719 | DRUG | GSK573719 inhalation powder inhaled orally once daily for 52 weeks. |
| GSK573719/VI 62.5/25 | DRUG | Inhalation via Novel Dry Powder Inhaler Once a day |
| GSK573719/VI 125/25 | DRUG | Inhalation via Novel Dry Powder Inhaler Once a day |
| Placebo | DRUG | Inhalation via Novel Dry Powder Inhaler Once a day |
| GSK573719/GW642444 Inhalation Powder | DRUG | GSK573719/GW642444 inhalation powder inhaled orally once daily for 52 weeks. |
| GSK573719/GW642444 125/25 | DRUG | 125mcg/ 25mcg QID (Once daily , inhaled) |
| GSK573719/GW642444 62.5/25 | DRUG | 62.5mcg/25mcg QID |
| GSK573719 125 | DRUG | 125mcg QID |
| GSK573719 62.5 | DRUG | 62.5mcg QID |
| GW642444 25 | DRUG | 25mcg QID |
| GSK573719/GW642444 125/25mcg | DRUG | 125/25mcg |
| GSK573719 125mcg | DRUG | 125mcg |
| GW642444 25mcg | DRUG | 25mcg |
| Placebo only | DRUG | Placebo |
| GW642444 | DRUG | 25 mcg once-daily |
| tiotropium bromide | DRUG | 18 mcg once-daily |
| GSK 573719 +GW642444 125/25 | DRUG | 125mcg/ 25mcg |
| GSK573719 + GW642444 62.5/25 | DRUG | 62.5mcg/25mcg |
| GSK 573719 125 | DRUG | 125mcg |
| GSK 573719 62.5 | DRUG | 62.5mcg |
| Plb | DRUG | Comparator |
| Tiotropium | DRUG | 18 mcg once daily |
| GSK573719 250mcg | DRUG | 250mcg once-daily |
| GSK573719 500mcg | DRUG | 500mcg once-daily |
| Inhaled GSK573719 | DRUG | All subjects will receive a single dose of GSK573719 (125mcg) in treatment period 1 |
| Inhaled GSK573719/vilanterol | DRUG | All subjects will receive a single dose of GSK573719 (125mcg)/vilanterol (25mcg) in treatment period 2 |
| Placebo Moxifloxacin | DRUG | Single dose placebo oral tablet Moxifloxacin |
| Moxifloxacin | DRUG | Single oral dose tablet Moxifloxacin (400mg) |
| GSK573719/Vilanterol 125/25mcg | DRUG | Single inhalation from GSK573719/Vilanterol 125/25mcg DPI once daily |
| GSK573719/Vilanterol 500/100mcg | DRUG | Single inhalation from GSK573719/Vilanterol 500/100mcg DPI once daily |
| Placebo DPI | DRUG | Single Inhalation from matching Placebo DPI once daily |
| GSK573719 62.5 mcg (one strip) | DRUG | GSK573719 62.5 mcg delivered by 1 strip configuration of novel dry powder inhaler |
| GSK573719 62.5 mcg(two strips) | DRUG | GSK573719 62.5 mcg delivered by 2 strip configuration of novel dry powder inhaler |
| GSK573719 125 mcg (one strip) | DRUG | GSK573719 125 mcg delivered by 1 strip configuration of novel dry powder inhaler |
| GSK573719 125 mcg(two strips) | DRUG | GSK573719 125 mcg delivered by 2 strip configuration of novel dry powder inhaler |
| GSK573719 (SOLUTION) | DRUG | 20μg /mL solution for IV and Oral dosing |
| GSK573719 (INHALATION POWDER) | DRUG | 500μg inhalation powder delivered via Novel Dry Powder Inhaler. GSK573719 1000μg per dose (2x 500μg strips in device). |
| GW573719/GW573719 | DRUG | 13 days dosing with GSK573719/GW573719, once daily dosing from day 1 to 13, concurrent dosing with verapamil from day 9 to 13. |
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...