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SB656933

Phase 2

Cystic Fibrosis | Small molecule | Respiratory |GSK plc|Trials Updated: Nov 17, 2017

SB656933 development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Jan 2008

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials3
Total Enrollment168

FDA Designations

No designations recorded

SB656933 clinical trials

SB656933 · 3 trials · 2 indications

Phase 2 1Phase 1 2
NCT0090320128 Day Repeat Dose in Cystic Fibrosis PatientsCystic Fibrosis
COMPLETED146 Analytics
PHASE2COMPLETED
28 Day Repeat Dose in Cystic Fibrosis Patients
Cystic FibrosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)
Up to Follow-up (up to 42 days)

AE is any untoward medical occurrence in a participant or 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. For marketed medicinal products, this also includes failure to produce expected benefits (i.e., lack of efficacy), abuse or misuse. SAE is 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 or is medically significant.

Number of Participants With Vital Signs of Potential Clinical Importance
Up to Follow-up (up to 42 days)

Vital signs included heart rate, systolic and diastolic blood pressure and body temperature. Prior to vital signs all participants rested for at least five minutes in the seated, semi-supine, or supine position. The choice of position was kept constant for the duration of the study. Any results falling outside the normal range were repeated at the discretion of the Investigator. Potential clinical concern range for systolic blood pressure: \<85 and \>160 millimeter of mercury (mmHg), for diastolic: \<45 and \>100 mmHg and heart rate: \<40 and \>110 beats per minute. Number of participants with vital signs of potential clinical importance are presented.

Number of Participants With Hematology Abnormalities of Potential Clinical Importance
Up to Follow-up (up to 42 days)

Hematology parameters were reviewed prior to participants receiving first dose of study medication. The potential clinical concern range for hematology parameters were: Red blood cell (RBC) count (low: \< 3.72 \* 10\^12/Liters (L) and high: \> 6.313 \* 10\^12/L), lymphocytes (low: \< 0.8 gigacells/L), hematocrit (low: \> 0.075 ratio change from Baseline and high: \> 0.54 ratio), mean cell hemoglobin (MCH) (low: \< 23.8 picograms (pg) and high: \> 39.6 pg), mean cell volume (MCV) (low: \<73 femtoliters (FL) and high: \>110 FL), platelet count (low: \< 100 gigacells/L and high: \> 550 gigacells/L), white blood cell (WBC) count (low: \< 3 gigacells/L and high: \> 20 gigacells/L) and eosinophils (high: \> 1 gigacells/L). Only those parameters for which at least one value of potential clinical concern was reported are summarized. Number of participants with hematology abnormalities of potential clinical importance are presented.

Number of Participants With Clinical Chemistry Abnormalities of Potential Clinical Importance
Up to Follow-up (up to 42 days)

The potential clinical concern range for clinical chemistry parameters were: glucose (low: \< 2.8 millimole \[mmol\]/L and high: \> 9.4 mmol/L), creatine kinase (high: \> 3 \* upper limit of normal units \[ULN\]/L), phosphorous, inorganic (low: \< 0.8 mmol/L and high: \> 1.6 mmol/L), total bilirubin (high: ≥ 1.5 \* ULN micromole \[μmol\]/L), uric acid (low: \< 41.636 μmol/L and high: \> 582.904 μmol/L), alkaline phosphatase (ALP) (high: ≥ 2 \* ULN international units \[IU/L\]/L), gamma glutamyl transpeptidase (GGT) (high: ≥ 110 IU/L), carbon dioxide content (low: \< 18 mmol/L and high: \> 32 mmol/L), direct bilirubin (high: \> 1.5 \* ULN μmol/L), potassium (low: \< 3.0 mmol/L and high: \> 5.5 mmol/L) and aspartate aminotransferase (AST) (high: ≥ 3\* ULN IU/L). Only those parameters for which at least one value of potential clinical concern was reported are summarized. Number of participants with clinical chemistry abnormalities of potential clinical importance.

Number of Participants With Abnormal Electrocardiogram (ECG) Findings
Up to Follow-up (up to 42 days)

Prior to ECG recordings, all participants rested for at least 5 minutes in the seated, semi-supine, or supine position. The choice of position was kept constant for the duration of the study. Participants avoided hot and cold food for at least 30 minutes prior to an ECG measurement. Any results falling outside normal range were repeated at the discretion of the Investigator. ECG Baseline values taken within 2.5 hours prior to first dose were calculated using the mean value of triplicate pre-dose readings. Triplicate readings were taken at least five minutes apart. Participants agreed to abstain from hot and cold drinks and food prior to an ECG measurement. ECG machine calculated heart rate and measured PR, QRS, QT, and QT corrected by Bazett's formula (QTcB), QT corrected by Fridericia's formula (QTcF) intervals. Number of participants with abnormal (not clinically significant \[NCS\] and clinically significant \[CS\]) electrocardiogram (ECG) findings are presented.

Number of Participants With Cystic Fibrosis (CF) Exacerbation
Day 1 to Day 42

CF is one of the most common, lethal, autosomal recessive disease characterized by airway obstruction, bronchiectasis and infection, and exocrine pancreatic insufficiency. Number of participants with CF exacerbation are presented.

-what the body does to the drug over a 17 day of dosing with 100mg of SB656933. -Safety of SB-656933: Adverse events, blood pressure, heart rate, electrocardiogram, epididymal ultrasound and lab tests
17 days
-what the body does to the drug over a 17 day of dosing with 100mg of SB656933 by taking PK samples at:
pre-dose and at 0.5,1,2,3,4,6,8,12 and 24 hours post-dose on days 1 and 14; pre-dose on Day7. Additional samples at 32, 48 and 72 hours post-dose wil
-Safety of SB-656933: Adverse events every day for entire study period: blood pressure , heart rate and temperature
taken pre-dose, 30min, 1hr, and 2hr on Day1, Day2, Day7 and Day14 (supine only);
electrocardiogram
pre-dose, 2hr and 4 hr on Day1
Blood samples
over a 48 hour time-period after single dosing with either 50mg or up tp 300mg SB656933

Secondary Endpoints

Number of Participants With Pseudomonas Aeruginosa and Staphylococcus Aureus Count in Sputum
Day 1 and Day 28
Induced Sputum Neutrophil Number
Day 28
Induced Sputum Neutrophil Percentage
Day 28
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment AEXPERIMENTAL20 mg of SB656933
Treatment BEXPERIMENTAL50 mg of SB656933
PlaceboEXPERIMENTALPlacebo
Subjects receiving SB-656933EXPERIMENTALEligible subjects will be randomized to receive once daily doses of 100 milligrams of SB- 656933 for 14 days.
Subjects receiving placeboPLACEBO_COMPARATOREligible subjects will be randomized to receive placebo for 14 days.
Cohort 1EXPERIMENTAL50 mg treatment
Cohort 2EXPERIMENTAL150 mg treatment

Interventions

NameTypeDescription
SB656933DRUG20 mg
PlaceboDRUGplacebo
SB-656933DRUGSB-656933 will be available as white film coated, round tablet and will be available in strengths of 50 milligrams, administered orally once daily.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites33

Inclusion Criteria: * Diagnosis of CF based on the following: sweat chloride \> 60 mEq/L and/or genotype with 2 identifiable mutations consistent with CF; (ΔF508 homozygote, or ΔF508 heterozygote with a second allele known to cause the disease, or two alleles known to cause a class I, II, or III mu...

Countries:United StatesCanadaFranceGermanyIsraelUnited Kingdom
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Competitive Landscape -Cystic Fibrosis 20 trials

Frequently asked questions about SB656933

What is SB656933 used for?

SB656933 was studied in cystic fibrosis and in pulmonary disease including chronic obstructive pulmonary disease. The largest trial evaluated it in adults with cystic fibrosis, while an earlier study enrolled healthy male smokers. It is an investigational small molecule and is not an approved treatment for any indication.

Who is developing SB656933?

SB656933 was developed by GSK plc, which trades on the New York Stock Exchange under the ticker GSK. The company sponsored the clinical studies of the compound in cystic fibrosis and chronic obstructive pulmonary disease. No partner or licensing arrangement for the asset is part of the public record summarized here.

What phase is SB656933 in?

SB656933 reached Phase 2 testing. The Phase 2 study was a 28 day repeat dose trial in patients with cystic fibrosis, and two earlier Phase 1 studies were also completed. The compound remains investigational and is not approved by the FDA for any use.

What clinical trials is SB656933 in?

Three completed studies are registered for SB656933. NCT00903201 was a Phase 2, 28 day repeat dose trial in 146 cystic fibrosis patients across the United States, Canada, France, Germany and Israel. NCT00615576 was a Phase 1 repeat dose study in 13 healthy male smokers in the United Kingdom, and NCT00605761 was a Phase 1 single dose cystic fibrosis study in 9 patients in the United States.

Is SB656933 the same as SB-656933?

Yes. SB656933 and SB-656933 refer to the same investigational compound from GSK. The hyphenated form appears in some study records and publications, while the unhyphenated form is also used. Both names identify the same small molecule studied in cystic fibrosis and chronic obstructive pulmonary disease.

How was SB656933 studied in cystic fibrosis?

The Phase 2 trial NCT00903201 gave 28 days of repeat dosing to 146 adults with cystic fibrosis. It was randomized, double blind and controlled, and enrolled patients aged 18 years and older in the United States, Canada, France, Germany and Israel. A separate Phase 1 study, NCT00605761, tested a single dose in 9 cystic fibrosis patients.