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SB-649868

Phase 2

Sleep Initiation and Maintenance Disorders | Small molecule | Other |GSK plc|Last Updated: Aug 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
RandomizedDouble-BlindCONTROLLEDBiomarker
Total Trials3
Total Enrollment136
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00426816To Evaluate The Effects Of SB-649868 (10, 30 Mg And 60 Mg) On Subjects With Primary InsomniaPHASE2 COMPLETED 48Dec 1, 2006May 1, 2007Aug 13, 201210 Germany
NCT0049572915-Day Repeated-Dose Study With SB-649868 And Its Interaction With CYP3A4 Isoenzyme In Healthy Male Subjects.PHASE1 COMPLETED 36Apr 18, 2007Aug 4, 2007Aug 8, 20171 Germany
NCT00440323Disturbed Sleep Model Study.PHASE1 COMPLETED 52Jan 5, 2007Jul 3, 2007Aug 17, 20171 United Kingdom
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Study Endpoints
Primary Endpoints
Total Sleep Time (TST), Latency to Persistent Sleep (LPS) and Wake time after sleep onset (WASO) derived from polysomongraphic (PSG) recording.
9 weeks

Statistical paramaters of sleep measured by analysis of Polysomnography during night section of subject visit. Measured for one night during each 4 study visits and twice at screening. All visits will take in total approximately 9 weeks from screening to follow-up.

-AE, Lab values and cardiovascular monitoring after the SD and 14 days RD period (15 days)
after the SD and 14 days RD period (15 days)
- SB649868 levels on days -7, 1, 4, 7 and 14 (pre-dose and post-dose)
on days -7, 1, 4, 7 and 14 (pre-dose and post-dose)
- Simvastatine and Beta-idroxy-simvastatine levels on days -10,1,4,7 and 15
on days -10,1,4,7 and 15
Total Sleep Time measured overnight across four treatment sessions (4 weeks)
4 weeks
Secondary Endpoints
Objective PSG measures of sleep continuity including: wake during sleep (WDS), wake after sleep (WAS), and number of awakenings during sleep. Objective PSG measures of sleep structure
9 weeks
Objective PSG measures of sleep structure: Non-REM sleep time, Slow-Wave Sleep (SWS) time (stage 3 and 4), Stage 2 non-REM sleep time; REM sleep time, REM activity, REM density.
9 weeks
Spectral analysis of EEG
9 weeks
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelCROSSOVER
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Crossover populationEXPERIMENTALAll study population receive placebo and doses of SB-649868 at 10mg, 30mg and 60mg in a crossover desing
Cohort 1EXPERIMENTALSubjects in Cohort 1 will be randomized to receive 5 milligram (mg) of SB-649868 or Placebo along with 10 mg of simvastatin.
Cohort 2EXPERIMENTALSubjects in Cohort 2 will be randomized to receive two or three times higher than the starting dose of SB-649868 or Placebo along with 10 mg of simvastatin.
Cohort 3EXPERIMENTALSubjects in Cohort 3 will be randomized to dose higher than that administered in Cohort 2 of SB-649868 or Placebo along with 10 mg of simvastatin.
ADBC sequenceEXPERIMENTALIn ADBC sequence A is Placebo, B is SB-649868 10 milligram (mg), C is SB-649868 30 mg, and D is Zolpidem 10 mg. Subject will receive placebo tablets, then two 5 mg tablets of SB-649868, then 25 mg and 5 mg tablet of SB-649868. There will be wash-out period of 7 days.
BACD sequenceEXPERIMENTALIn BACD sequence subject will receive SB-649868 two tablets of 5 mg each (10 mg, B), Placebo tablets (A), SB-649868 two tablets of 25 mg and 5 mg (30 mg, C), and Zolpidem 10 mg (D). There will be wash-out period of 7 days.
CBDA sequenceEXPERIMENTALIn CBDA sequence subject will receive SB-649868 two tablets of 25 mg and 5 mg (30 mg, C), SB-649868 two tablets of 5 mg each (10 mg, B), Zolpidem 10 mg (D) and Placebo tablet (A). There will be wash-out period of 7 days.
DCAB sequenceEXPERIMENTALIn DCAB sequence subject will receive Zolpidem 10 mg (D), SB-649868 two tablets of 25 mg and 5 mg (30 mg, C), Placebo tablet (A), and SB-649868 two tablets of 5 mg each (10 mg, B). There will be wash-out period of 7 days.
Interventions
NameTypeDescription
SB-649868DRUGActive compound at doses of 10mg, 30mg and 60mg
PlaceboDRUGPlacebo to match SB-649868
SimvastatinDRUGSubjects will receive Simvastatin 10 mg tablets orally.
ZolpidemDRUGZolpidem capsules will be available with dose strength of 10 mg.
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Eligibility Criteria
Age Range18 Years — 64 Years
SexMALE
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: * Male * 18-64 years of age (inclusive), * Diagnosis of primary insomnia who have had symptoms for at least three months. Exclusion Criteria: * Any clinically significant unstable medical or surgical condition (treated or untreated). * Any history of a clinically significant a...

Countries:GermanyUnited Kingdom
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