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SB-705498

Phase 2

Migraine, Acute | Small molecule | Neurology |GSK plc|Last Updated: Sep 13, 2019

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Market & Valuation

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Trial Design

RandomizedUNCONTROLLED
Total Trials1
Total Enrollment70

FDA Designations

No designations recorded

Clinical trial landscape

SB-705498 · 7 trials · 2 indications

Phase 2 5Phase 1 2
NCT01424397Intranasal SB-705498 in Allergic Rhinitis (AR) PatientsRhinitis
COMPLETED70 Analytics
NCT01476098A Study to Investigate the Effect of SB-705498 on Chronic CoughRhinitis
COMPLETED21 Analytics
NCT01424514SB705498 Proof of Concept Chamber Challenge in Subjects With Non Allergic RhinitisRhinitis
COMPLETED40 Analytics
NCT01439308Intranasal SB-705498 in Non-allergic Rhinitis PatientsRhinitis
COMPLETED40 Analytics
NCT00269022Use Of SB-705498 In The Acute Treatment Of MigraineMigraine, Acute
COMPLETED70 Analytics
PHASE2COMPLETED
Intranasal SB-705498 in Allergic Rhinitis (AR) Patients
RhinitisUnlock trial analytics
PHASE2COMPLETED
A Study to Investigate the Effect of SB-705498 on Chronic Cough
RhinitisUnlock trial analytics
PHASE2COMPLETED
SB705498 Proof of Concept Chamber Challenge in Subjects With Non Allergic Rhinitis
RhinitisUnlock trial analytics
PHASE2COMPLETED
Intranasal SB-705498 in Non-allergic Rhinitis Patients
RhinitisUnlock trial analytics
PHASE2COMPLETED
Use Of SB-705498 In The Acute Treatment Of Migraine
Migraine, AcuteUnlock trial analytics

Study Endpoints

Primary Endpoints

Mean Total Nasal Symptom Score (TNSS) and Its Individual Components on Day 8
Day 8 of each treatment period

Nasal symptoms (nasal congestion, rhinorrhoea, itching and sneezing) were scored on a scale from 0 to 3 where 0= absent symptoms, 3 = severe symptoms. TNSS was calculated as the sum of the response for all 4 individual nasal symptom scores. TNSS ranged from 0 to 12, where 0=absent symptoms, 3=severe symptoms. Higher the score, more severe the symptoms. Weighted mean (WM) of TNSS and its individual components (nasal congestion, rhinorrhoea, itching and sneezing) are presented on Day 8. Weighted mean was calculated over the time interval 0 to 4 hours after start of allergen chamber challenge by calculating the area under the curve of TNSS/component from time of the first observation to time of the last observation (AUC \[tf-t1 hours\]) using the trapezoidal rule, and then dividing by the actual relevant time interval (tf-t1) required by participant to complete the chamber challenge assessments. A Bayesian analysis was conducted to derive the posterior probability for TNSS.

Pharmacokinetic parameter of area under the plasma concentration-time curve from time zero to 4 hours AUC(0-4) and from time zero (pre-dose) to last time of quantifiable concentration AUC(0-t)- Part A
pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 10 hours post-dose

AUC(0-4) is a measure of the average amount of study drug in the blood plasma over a period of 4 hours after the dose and AUC(0-t) is a measure average amount of study drug in the blood plasma over a period of last time of quantifiable concentration. Both the parameters were calculated by standard non-compartmental analysis. Blood samples for PK analysis were obtained at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 10 hours post-dose.

Maximum observed concentration (Cmax) following 10 hour sampling of a single dose of SB-705498 - Part A
pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 10 hours post-dose Day 1

Cmax is defined as the maximum or "peak" concentration of a drug observed after its administration. Cmax is one of the parameters of particular use in estimating the bioavailability of drugs, by measuring the total amount of drug absorbed. It was calculated by standard non-compartmental analysis. Blood samples for PK analysis were obtained at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 10 hours post-dose.

Time of occurrence of Cmax (Tmax) following 10 hour sampling of a single dose of SB-705498 -Part A
pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 10 hours post-dose

Tmax is defined as the time of occurrence of Cmax. Blood samples for PK analysis were obtained at pre-dose, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 10 hours post-dose.

Capsaicin concentration required to achieve Five or more coughs (C5) following a single dose of SB-705498 at Tmax as compared to baseline- Part A
Day -1 (baseline) and Day 1 (2 hours post dose

The concentration of capsaicin required to elicit 5 coughs was analyzed. The distributional properties were investigated, and the endpoint was logged (base 2) for analysis and the difference from Day -1 (baseline) was taken (equivalent to ratio on log scale).

Capsaicin concentration required to achieve C5 following a single dose of SB-705498 or placebo- Part B
Day -1, Day 1 (2hrs and 24 hrs post dose)

The concentration of capsaicin required to elicit 5 coughs was analyzed. The distributional properties were investigated, and the endpoint was logged (base 2) for analysis and the difference from Day -1 (baseline) was taken (equivalent to ratio on log scale).

Cough Count Per 24 hour following single dose of SB-705498 as compared to placebo- Part B
Day -1 and Day 1 (2 and 24 hours)

24 hour cough count (rate/h) following single dose of SB-705498 as compared to placebo were analyzed by first log transforming the cough counts taken on Day -1 and on Day 1 of each period in the 24 hours post dose. The cough count rates were log(10) transformed.

Mean Total Symptom Score (TSS) Elicited by a 1 Hour (h) Cold Dry Air (CDA) Challenge, 1 h and 24 h on Day 14 to Compare the Effect of 14 Day Repeat Dosing of Intranasal SB-705498 12 mg With Placebo
Day 14 to Day 15 of each period (Day 14, 24 h post- dose was done on Day 15)

TSS was calculated based on a CDA challenge, done for 1 h in a controlled environmental exposure chamber which was validated for 14+/-5 degree Celsius (C), \<15% relative humidity and 5+/-3 feet per second (ft/sec) air velocity, 1 h and 24 h post dose on Day 14 (Day 15). TSS was calculated as the sum of the response for 3 components of nasal congestion, rhinorrhoea and post nasal drip. It was rated on a 4-point scale ranging from 0 to 3, where: 0=absent, 1=mild, 2=moderate, and 3=severe (symptom hard to tolerate). TSS score ranges from 0-9 with 0 representing an absence of symptoms and higher scores reflecting more severe symptoms. Weighted mean (WM) for TSS was calculated over the time interval 0 to 60 minute (m) after start of CDA challenge by calculating area under the curve (AUC) of the TSS via the linear trapezoidal method then dividing by the total duration that the participant took to complete CDA challenge assessments. WM is reported as least square (LS) mean.

Mean Individual Component of TSS of Rhinorrhoea (Runny Nose), Nasal Congestion and Post-nasal Drip Elicited by a 1 h CDA Challenge, 1 h and 24 h on Day 14 to Compare the Effect of 14 Day Repeat Dosing of Intranasal SB-705498 12 mg With Placebo
Day 14 to Day 15 of each period (Day 14, 24 h post- dose was done on Day 15)

The individual components of TSS was calculated based on a CDA challenge, done for 1 h in a controlled environmental exposure chamber which was validated for 14+/-5 degree C, \<15% relative humidity and 5+/-3 ft/sec air velocity, 1 h and 24 h post dose on Day 14 (Day 15). The individual component of TSS nasal symptoms were nasal congestion, rhinorrhoea (runny nose), and post nasal drip It was rated on a 4-point scale ranging from 0 to 3, where: 0=absent, 1=mild, 2=moderate, and 3=severe (symptom hard to tolerate). The scores of the individual components of TSS ranges from 0-3 with 0 representing an absence of symptoms and higher scores reflecting more severe symptoms. WM for TSS was calculated over the time interval 0 to 60 m after start of CDA challenge by calculating AUC of the TSS via the linear trapezoidal method then dividing by the total duration that the participant took to complete CDA challenge assessments. WM is reported as LS mean.

Assessment of total symptom score (TSS) after unilateral, incremental dose, intranasal challenge with capsaicin
0-4hours following dosing
Assessment of total Ipsilateral secretion's weight after unilateral, incremental dose, intranasal challenge with capsaicin
0-4hours following dosing
Percentage of subjects who are pain free at 2 hrs post-dose (e.g., have moderate to severe pain at baseline and no pain at 2 hrs post-dose).
Safety and tolerability (Electrocardiogram, vital signs, lab tests, AEs and nasal tolerability
Various
Symptom scores and secretion weights
up to 83 days

Secondary Endpoints

Mean TNSS and Its Individual Components From Day 4 to Day 8
pre-evening (pm) dose on Days 4, 5, 6, 7 and pre-challenge [1 hour (hr)] on Day 8 of each treatment period
Total Nasal Airflow on Day 8 Measured Using Active Anterior Rhinomanometry (AAR)
Day 8
Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) Following Repeat Doses of SB-705498 or or SB-705498 Matching Placebo
Day 8
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SB-705498EXPERIMENTALExperimental
Fluticasone PropionateACTIVE_COMPARATORActive Comparator
PlaceboPLACEBO_COMPARATORPlacebo Comparator
SB-705498+FPEXPERIMENTALExperimental
Arm 1PLACEBO_COMPARATORincremental doses capsaicin
Arm 2ACTIVE_COMPARATORincremenrtal doses casaicin
Part 1 - Arm 1EXPERIMENTALHVTs
Part 2 - Arm 3PLACEBO_COMPARATORHVTs
Part 1 - Arm 2EXPERIMENTALHVTs
Part 1 - Arm 3EXPERIMENTALHVTs
Part 1 - Arm 4EXPERIMENTALHVTs
Part 1 - Arm 5EXPERIMENTALHVTs
Part 1 - Arm 6PLACEBO_COMPARATORHVTs
Part 2 - Arm 1EXPERIMENTALHVTs
Part 2 - Arm 2EXPERIMENTALHVTs
PART 1-Visit 1-PlaceboPLACEBO_COMPARATOREligible subjects will receive matching placebo tablets
PART 1-Visit 1-CapsaicinEXPERIMENTALEligible subjects will receive incremental capsaicin doses
PART 1-Visit 2-PlaceboPLACEBO_COMPARATOREligible subjects will receive matching placebo tablets
PART 1-Visit 2-CapsaicinEXPERIMENTALEligible subjects will receive maximum capsaicin dose
PART 1-Visit 3-PlaceboPLACEBO_COMPARATOREligible subjects will receive matching placebo tablets
PART 1-Visit 3-CapsaicinEXPERIMENTALEligible subjects will receive matching placebo tablets incremental capsaicin doses
PART 2-Visit 1-PlaceboPLACEBO_COMPARATOREligible subjects will receive matching placebo tablets
PART 2-Visit 1-SB-705498EXPERIMENTALEligible subjects will receive SB-705498 tablets
PART 2-Visit 2-CapsaicinEXPERIMENTALEligible subjects will receive matching placebo tablets incremental capsaicin doses

Interventions

NameTypeDescription
SB-705498DRUG12mg intranasal
FPDRUG200ug intranasal
placeboDRUGplacebo intranasal
CaspaicinOTHERSubjects will be challenged with 0.5 µg, 5.0 µg and 50 µg intranasal dose
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: 1. Diagnosis of AR, as determined by the presence of rhinitis symptoms that last for several months per year, for more than 1 year and are not attributed to allergy, infections or nasal abnormalities. 2. TNSS score of \>=4 following screening allergen challenge chamber. 3. Posit...

Countries:AustriaUnited KingdomCanadaNetherlandsAustralia
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Frequently asked questions about SB-705498

What is SB-705498 used for?

SB-705498 is an investigational small molecule being studied for atopic dermatitis, toothache, acute migraine, and rhinitis. It has been evaluated in clinical trials for acute migraine treatment and for rhinitis, including allergic rhinitis. The drug is in Phase 2 development and remains investigational, not approved.

What does SB-705498 target?

SB-705498 is a small molecule developed by GSK plc. It has been studied in neurology and other therapeutic areas for conditions including migraine and rhinitis. The specific molecular target of SB-705498 is not disclosed in the available clinical trial information.

Who makes SB-705498?

SB-705498 is being developed by GSK plc, a global biopharma company listed on the stock exchange under the ticker GSK. The drug is an investigational small molecule in Phase 2 clinical development for multiple indications.

What phase is SB-705498 in?

SB-705498 is in Phase 2 clinical development. It has completed six clinical trials, including Phase 1 and Phase 2 studies, with no active trials currently ongoing. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is SB-705498 in?

SB-705498 has completed six clinical trials, including NCT00269022 for acute migraine, NCT00731250 and NCT00907933 for rhinitis in healthy volunteers, and NCT01424397 for allergic rhinitis. All trials are completed with no active studies currently enrolling.

Is SB-705498 the same as another drug?

SB-705498 is the primary name used in clinical trials and development records. No alternative names have been reported in the available clinical trial information. The drug is identified solely as SB-705498 across all completed studies.