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firategrast

Phase 2

Multiple Sclerosis | Small molecule | Neurology |GSK plc|Trials Updated: Mar 23, 2017

firategrast development status

Highest phase Phase 2
Registered trials 1 across 1 sponsor since May 2007

firategrast target and mechanism

Molecular targetITGB1, ITGA4, ITGB7
Target classAntagonist
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment389

FDA Designations

No designations recorded

firategrast clinical trials

firategrast · 2 trials · 1 indication

Phase 2 2
NCT00469378Study Of White Blood Cells In The Cerebrospinal Fluid And Blood Of Patients With Relapsing Forms Of Multiple SclerosisMultiple Sclerosis
COMPLETED46 Analytics
NCT00395317Study Of SB-683699 Compared To Placebo In Subjects With Relapsing-Remitting Multiple Sclerosis (MS)Multiple Sclerosis
COMPLETED343 Analytics
PHASE2COMPLETED
Study Of White Blood Cells In The Cerebrospinal Fluid And Blood Of Patients With Relapsing Forms Of Multiple Sclerosis
Multiple SclerosisUnlock trial analytics
PHASE2COMPLETED
Study Of SB-683699 Compared To Placebo In Subjects With Relapsing-Remitting Multiple Sclerosis (MS)
Multiple SclerosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Assessment of total leukocytes in cerebrospinal fluid (CSF)
Baseline (Week 0), Week 24, 28 and 36

Total leukocyte count in the CSF was done at Baseline (Week 0), Week 24, Week 28 and Week 36. CSF sample data presented are results from the local clinical laboratory.

Change from Baseline in number of total leukocytes in CSF
Baseline (Week 0) and Week 24, 28 and 36

Total leukocyte count in the CSF was done at Baseline (Week 0), Week 24, Week 28 and Week 36. CSF sample data presented are results from the local clinical laboratory. Baseline was defined at Week 0. Change from Baseline is the value at indicated time points minus the Baseline value.

Assessment of total leukocytes in blood
Baseline (Week 0), Week 4, 24, 28 and 36

Total leukocyte count in the blood was done at Baseline (Week 0), Week 4, Week 24, Week 28 and Week 36. Blood sample data presented are results from the independent assessor.

Change from Baseline in number of total leukocytes in blood
Baseline (Week 0) and Week 4, 24, 28, 36

Total leukocyte count in the blood was done at Baseline (Week 0), Week 4, Week 24, Week 28 and Week 36. Blood sample data presented are results from the independent assessor. Baseline was defined at Week 0. Change from Baseline is the value at indicated time points minus the Baseline value.

Assessment of total lymphocytes in CSF
Baseline (Week 0), Week 24, 28 and 36

Total lymphocyte count in the CSF was done at Baseline (Week 0), Week 24, Week 28 and Week 36. All the data presented are based on results from independent assessor.

Change from Baseline in number of total lymphocytes in CSF
Baseline (Week 0) and Week 24, 28, 36

Total lymphocyte count in the CSF was done at Baseline (Week 0), Week 24, Week 28 and Week 36. All the data presented are based on results from independent assessor. Baseline was defined at Week 0. Change from Baseline is the value at indicated time points minus the Baseline value.

Assessment of total lymphocytes in blood
Baseline (Week 0), Week 4, 24, 28 and 36

Total lymphocyte count in the blood was done at Baseline (Week 0), Week 4, Week 24, Week 28 and Week 36. All the data presented are based on results from independent assessor.

Change from Baseline in number of total lymphocytes in blood
Baseline (Week 0) and Week 4, 24, 28, 36

Total lymphocyte count in the blood was done at Baseline (Week 0), Week 4, Week 24, Week 28 and Week 36. All the data presented are based on results from independent assessor. Baseline was defined at Week 0. Change from Baseline is the value at indicated time points minus the Baseline value.

Assessment of lymphocyte subsets in CSF (CD3+CD4+CD8+, CD19+, CD3-CD16+CD56+, CD3+CD4-CD8-)
Baseline (Week 0), Week 24, 28 and 36

The count for lymphocyte subsets CD3+CD4+CD8+ "double positives" (T-lymphocyte), CD3+CD4-CD8- "double negatives" (T-lymphocyte), CD19+ (B-lymphocyte) and CD3-CD16+CD56+ (natural killer cells) in the CSF was done at Baseline (Week 0), Week 24, Week 28 and Week 36. All the data presented are based on results from independent assessor.

Change from Baseline in number of lymphocyte subsets in CSF (CD3+CD4+CD8+, CD19+, CD3-CD16+CD56+, CD3+CD4-CD8-)
Baseline (Week 0) and Week 24, 28, 36

The count for lymphocyte subsets CD3+CD4+CD8+ "double positives" (T-lymphocyte), CD3+CD4-CD8- "double negatives" (T-lymphocyte), CD19+ (B-lymphocyte) and CD3-CD16+CD56+ (natural killer cells) in the CSF was done at Baseline (Week 0), Week 24, Week 28 and Week 36. All the data presented are based on results from independent assessor. Baseline was defined at Week 0. Change from Baseline is the value at indicated time points minus the Baseline value.

Assessment of lymphocyte subsets in blood (CD3+CD4+CD8+, CD19+, CD3-CD16+CD56+, CD3+CD4-CD8-)
Baseline (Week 0), Week 4, 24, 28 and 36

The count for lymphocyte subsets CD3+CD4+CD8+ "double positives" (T-lymphocyte), CD3+CD4-CD8- "double negatives" (T-lymphocyte), CD19+ (B-lymphocyte) and CD3-CD16+CD56+ (natural killer cells) in the blood was done at Baseline (Week 0), Week 4, Week 24, Week 28 and Week 36. All the data presented are based on results from independent assessor.

Change from Baseline in number of lymphocyte subsets in blood (CD3+CD4+CD8+, CD19+, CD3-CD16+CD56+, CD3+CD4-CD8-)
Baseline (Week 0) and Week 4, 24, 28, 36

The count for lymphocyte subsets CD3+CD4+CD8+ "double positives" (T-lymphocyte), CD3+CD4-CD8- "double negatives" (T-lymphocyte), CD19+ (B-lymphocyte) and CD3-CD16+CD56+ (natural killer cells) in the blood was done at Baseline (Week 0), Week 4, Week 24, Week 28 and Week 36. All the data presented are based on results from independent assessor. Baseline was defined at Week 0. Change from Baseline is the value at indicated time points minus the Baseline value.

Assessment of lymphocyte subset CD4 count in CSF
Baseline (Week 0), Week 24, 28 and 36

The count for CD4 cells in the CSF was done at Baseline (Week 0), Week 24, Week 28 and Week 36. All data presented are based on results from the independent assessor.

Change from Baseline in lymphocyte subset CD4 count in CSF
Baseline (Week 0) and Week 24, 28, 36

The count for CD4 cells in the CSF was done at Baseline (Week 0), Week 24, Week 28 and Week 36. All data presented are based on results from the independent assessor. Baseline was defined at Week 0. Change from Baseline is the value at indicated time points minus the Baseline value.

Assessment of lymphocyte subset CD4 count in blood
Baseline (Week 0), Week 4, 24, 28 and 36

The count for CD4 cells in the blood was done at Baseline (Week 0), Week 4, Week 24, Week 28 and Week 36. All data presented are based on results from the independent assessor.

Change from Baseline in lymphocyte subset CD4 count in blood
Baseline (Week 0) and Week 4, 24, 28, 36

The count for CD4 cells in the blood was done at Baseline (Week 0), Week 4, Week 24, Week 28 and Week 36. All data presented are based on results from the independent assessor. Baseline was defined at Week 0. Change from Baseline is the value at indicated time points minus the Baseline value.

Assessment of lymphocyte subset CD8 count in CSF
Baseline (Week 0), Week 24, 28 and 36

The count for CD8 cells in the CSF was done at Baseline (Week 0), Week 24, Week 28 and Week 36. All data presented are based on results from the independent assessor.

Change from Baseline in lymphocyte subset CD8 count in CSF
Baseline (Week 0) and Week 24, 28, 36

The count for CD8 cells in the CSF was done at Baseline (Week 0), Week 24, Week 28 and Week 36. All data presented are based on results from the independent assessor. Baseline was defined at Week 0. Change from Baseline is the value at indicated time points minus the Baseline value.

Assessment of lymphocyte subset CD8 count in blood
Baseline (Week 0), Week 4, 24, 28 and 36

The count for CD8 cells in the blood was done at Baseline (Week 0), Week 4, Week 24, Week 28 and Week 36. All data presented are based on results from the independent assessor.

Change from Baseline in lymphocyte subset CD8 count in blood
Baseline (Week 0) and Week 4, 24, 28, 36

The count for CD8 cells in the blood was done at Baseline (Week 0), Week 4, Week 24, Week 28 and Week 36. All data presented are based on results from the independent assessor. Baseline was defined at Week 0. Change from Baseline is the value at indicated time points minus the Baseline value.

Assessment of CD4:CD8 ratio in CSF
Baseline (Week 0), Week 24, 28 and 36

The count for CD4:CD8 ratio in the CSF was done at Baseline (Week 0), Week 24, Week 28 and Week 36. All data presented are based on results from the independent assessor.

Change from Baseline in CD4:CD8 ratio in CSF
Baseline (Week 0) and Week 24, 28, 36

The count for CD4:CD8 ratio in the CSF was done at Baseline (Week 0), Week 24, Week 28 and Week 36. All data presented are based on results from the independent assessor. Baseline was defined at Week 0. Change from Baseline is the value at indicated time points minus the Baseline value.

Assessment of CD4:CD8 ratio in blood
Baseline (Week 0), Week 4, 24, 28 and 36

The count for CD4:CD8 ratio in the blood was done at Baseline (Week 0), Week 4, Week 24, Week 28 and Week 36. All data presented are based on results from the independent assessor.

Change from Baseline in CD4:CD8 ratio in blood
Baseline (Week 0) and Week 4, 24, 28, 36

The count for CD4:CD8 ratio in the blood was done at Baseline (Week 0), Week 4, Week 24, Week 28 and Week 36. All data presented are based on results from the independent assessor. Baseline was defined at Week 0. Change from Baseline is the value at indicated time points minus the Baseline value.

Cumulative number of new gadolinium-enhancing lesions on monthly MRI scans during the Treatment Phase
Baseline and 24 weeks

Secondary Endpoints

Assessment of CD34+ cells in the blood
Baseline (Week 0), Week 4, 24, 28 and 36
Change from Baseline in number of CD34+ cells in the blood
Baseline (Week 0) and Week 4, 24, 28, 36
Number of participants with adverse events (AEs) and Serious adverse events (SAEs)
Up to Week 24
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
firategrastEXPERIMENTAL900 (females) or 1200 (males) mg twice daily for 24 weeks
Arm 1PLACEBO_COMPARATORplacebo (4 tablets)
Arm 2EXPERIMENTALSB-683699 150 mg bid (1 x 150mg + 3 placebo tablets)
Arm 3EXPERIMENTALSB-683699 600 mg bid (2 x 300mg + 2 placebo tablets)
Arm 4EXPERIMENTALSB-683699 900 mg bid (3 x 300 mg + 1 placebo tablet)
Arm 5EXPERIMENTALSB-683699 1200 mg bid, male subjects only (4 x 300 mg tablets)

Interventions

NameTypeDescription
firategrastDRUG900 (females) or 1200 (males) mg twice daily for 24 weeks
PlaceboOTHERplacebo tablet
Firategrast 150 mgDRUG150 mg tablet
Firategrast 300 mgDRUG300 mg tablet
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Eligibility Criteria

Age Range18 Years to 65 Years
SexALL
Healthy VolunteersNo
Study Sites10

Inclusion criteria: Specific information regarding warnings, precautions, contraindications, adverse events (AEs), and other pertinent information on the investigational product that may impact subject eligibility is provided can be found in the SB-683699 Investigators Brochure \[GlaxoSmithKline Do...

Countries:BelgiumCzechiaDenmarkNorwaySwedenAustraliaAustriaCanadaFinlandFranceGermanyItalyNetherlandsNew ZealandPolandRussiaSpainUnited Kingdom
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Frequently asked questions about firategrast

What is firategrast used for?

Firategrast was developed as a treatment for multiple sclerosis, specifically relapsing forms of the disease. It is an investigational small molecule studied in Phase 2 clinical trials and is not an approved therapy. Its clinical program focused on patients with relapsing-remitting multiple sclerosis.

What does firategrast target?

Firategrast targets the integrins ITGB1, ITGA4, and ITGB7 and acts as an antagonist of these targets. By blocking these integrin subunits, it was designed to interfere with the movement of immune cells, which is relevant to the inflammatory process in multiple sclerosis.

Who is developing firategrast?

Firategrast was developed by GSK plc, which trades under the ticker GSK. The company sponsored the Phase 2 clinical trials of the drug in multiple sclerosis.

What phase is firategrast in?

Firategrast is in Phase 2 development and is investigational. It has not been approved for any indication. Two Phase 2 trials have been completed, and no trials are currently active.

What clinical trials is firategrast in?

Firategrast has been studied in two completed Phase 2 trials: NCT00469378, which examined white blood cells in cerebrospinal fluid and blood in patients with relapsing multiple sclerosis, and NCT00395317, which compared firategrast to placebo in relapsing-remitting multiple sclerosis. Together the trials enrolled 389 participants.