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GW786034,

Phase 2

Carcinoma, Renal Cell | Small molecule | Oncology |GSK plc|Last Updated: Nov 17, 2017

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment434
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00244764GW786034 In Subjects With Locally Recurrent Or Metastatic Clear Cell Renal Cell CarcinomaPHASE2 COMPLETED 225Oct 1, 2005Sep 1, 2013Mar 27, 201745 United States, Australia +6
NCT00256880Pazopanib (GW786034) In Subjects With Relapsed Or Refractory Multiple MyelomaPHASE2 COMPLETED 100Jan 1, 2005Dec 1, 2005Jan 18, 20178 United States, Australia
NCT00478725Part A: Radiolabel Study With GW786034 Part B: Single Dose of GW786034PHASE1 COMPLETED 10Jul 18, 2007Jul 1, 2008Nov 17, 20172 United States
NCT00401583A Study To Test The Effect Of GW786034 (Pazopanib) On P450 EnzymesPHASE1 COMPLETED 24Jul 28, 2006Feb 20, 2008Nov 13, 20172 United States, Singapore
NCT00158782Study Of Safety And Tolerability Of GW786034 Given With Lapatinib In Cancer PatientsPHASE1 COMPLETED 75Sep 28, 2004Aug 21, 2007Nov 17, 20172 United States, Netherlands
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Study Endpoints
Primary Endpoints
Overall Response by RECIST Criteria
Baseline to Response (up to 2.40 years). Assessments occurred at Week 12 and every 8 weeks thereafter.

The overall response is the number of participants who experience a confirmed complete (CR) or partial response (PR) of the total analysis population. Per the Response Evaluation Criteria In Solid Tumors (RECIST): CR = all detectable tumor has disappeared, PR = a \>=30% decrease in the sum of the longest dimensions of the target lesions taking as a reference the baseline sum, Progressive disease (PD) = a \>=20% increase in target lesions, Stable Disease = small changes that do not meet previously given criteria.

Stable Disease at 12 Weeks - Interim Analysis of First 60 Participants
Week 12

The protocol called for an interim analysis of the first 60 participants to determine their status at Week 12, and to determine the number of participants with stable disease, although all categories were reported. Stable disease is defined as a disease that has not grown enough to be called progressive disease and has not shrunk enough to be called partial/complete response.

Evaluate the safety and tolerability of GW786034 in patients with relapsed or refractory multiple myeloma (MM).
Part A: excretion of radioactivity
over 168 hrs
Part B: Plasma pazopanib, clearance (CL) and AUC(0-t), AUC(0-8),Cmax and half-life (t1/2) pazopanib and pazopanib metabolites (GSK 1268992, GSK1268997, GSK1071306 and GW700201)
over 48 hrs
To investigate the potential of GW786034 to inhibit or induce various CYP450 enzymes.
throughout the study
Changes in pre and post treatment lab values and monitoring/reporting AES.AE's throughout study
throughout study
Labs every wk first cycle:day 1 subsequent cycles
first cycle:day 1 subsequent cycles
Secondary Endpoints
Duration of Response
First response until progression of disease (up to 2.40 years). Assessments occurred at Week 12 and every 8 weeks thereafter.
Progression-free Survival
From the first day of treatment to the earliest date of disease progression or death due to any cause (up to 2.40 years)
Evaluate time-to-tumor progression (TTP), time to response, and duration of response. Characterize the pharmacokinetics of GW786034 in patients with MM.
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
PazopanibEXPERIMENTALAll patients receive GW786034. At week 12, some subjects will be randomized based on response (SD) and the others will remain on drug. After the interim analysis, the design was changed to an open label, single arm study with all subjects receiving pazopanib.
PlaceboPLACEBO_COMPARATORAll patients receive GW786034. At week 12, some subjects will be randomized based on response (SD) and the others will remain on drug. After the interim analysis, the design was changed to an open label, single arm study with all subjects receiving pazopanib.
Part AEXPERIMENTALAbsorption, Distribution, Metabolism and Elimination of a Single Oral \[14C\] Labeled Dose of GW786034
Part BEXPERIMENTALcharacterize the pharmacokinetics of a single IV dose of GW786034
Pazopanib receiversEXPERIMENTALDuring Days 1 and 2 subjects will be dosed with only probe drugs, and with no drugs on Days 3-5. During Days 6 to the end of the study, subjects will receive 800 mg daily pazopanib, and on Days 23-24 subjects will receive probe drugs in addition to pazopanib
Cohort 1EXPERIMENTALSubjects will receive GW786034 500 milligrams and lapatinib 750 milligrams.
Cohort 2EXPERIMENTALSubjects will receive GW786034 250 milligrams and lapatinib 750 milligrams.
Cohort 3EXPERIMENTALSubjects will receive GW786034 250 milligrams and lapatinib 1000 milligrams.
Cohort 4EXPERIMENTALSubjects will receive GW786034 500 milligrams and lapatinib 1000 milligrams.
Cohort 5EXPERIMENTALSubjects will receive GW786034 250 milligrams and lapatinib 1250 milligrams.
Cohort 6EXPERIMENTALSubjects will receive GW786034 400 milligrams and lapatinib 1250 milligrams.
Cohort 7EXPERIMENTALSubjects will receive GW786034 200 milligrams and lapatinib 1500 milligrams.
Cohort 8EXPERIMENTALSubjects will receive GW786034 400 milligrams and lapatinib 1500 milligrams.
Cohort 9EXPERIMENTALSubjects will receive GW786034 400 milligrams and lapatinib 1000 milligrams.
Cohort 10EXPERIMENTALSubjects will receive GW786034 800 milligrams and lapatinib 1500 milligrams.
Interventions
NameTypeDescription
GW786034DRUGAll patients receive GW786034. At week 12, some subjects will be randomized based on response (SD) and the others will remain on drug. After the interim analysis, the design was changed to an open label, single arm study with all subjects receiving pazopanib.
PlaceboDRUGAll patients receive GW786034. At week 12, some subjects will be randomized based on response (SD) and the others will remain on drug. After the interim analysis, the design was changed to an open label, single arm study with all subjects receiving pazopanib.
GW786034, oralDRUGoral, 800 mg
GW786034, IVDRUGIV, 5 mg
GW786034, radiolabeled oralDRUGoral, 400 mg radiolabeled
GW786034 (pazopanib)DRUGPazopanib will be given as monohydrochloride, 100 and 500 mg tablets.
Probe drugsDRUGprobe drugs will be oral midazolam (3 mg), warfarin (10 mg), omeprazole (40 mg), caffeine (200 mg), and dextromethorphan (30 mg).
lapatinibDRUGLapatinib is an oral, reversible, tyrosine kinase inhibitor of both epidermal growth factor receptor-1 (ErbB1) and ErbB2.
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Eligibility Criteria
Age Range21 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites45

Inclusion criteria: * Histologically or cytologically confirmed diagnosis of Renal Cell Carcinoma of predominantly clear-cell histology (excluding chromophobe, papillary, collecting duct, and undifferentiated tumors) which is metastatic or locally recurrent * Either no prior systemic therapy or fai...

Countries:United StatesAustraliaBelgiumChinaCzechiaHong KongIsraelTaiwanSingaporeNetherlands
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