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firategrast

Phase 2

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

Success Probability

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials2
Total Enrollment389

FDA Designations

No designations recorded

Clinical trial landscape

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 is an investigational small molecule being studied for the treatment of multiple sclerosis (MS). It has been evaluated in Phase 2 clinical trials in patients with relapsing-remitting multiple sclerosis and other relapsing forms of the disease. Firategrast is not approved and remains in clinical development.

What does firategrast target?

Firategrast is a small molecule that targets alpha-4 integrin, a protein involved in the migration of white blood cells into the central nervous system. By blocking this target, firategrast is intended to reduce inflammation and damage associated with multiple sclerosis. This mechanism was studied in clinical trials for relapsing forms of MS.

Who makes firategrast?

Firategrast is being developed by GSK plc, a global biopharmaceutical company listed on the London Stock Exchange under the ticker GSK. GSK sponsored the Phase 2 clinical trials of firategrast in multiple sclerosis. The drug is investigational and has not been approved by regulatory authorities.

What phase is firategrast in?

Firategrast is in Phase 2 clinical development. Two Phase 2 trials have been completed, with a total enrollment of 389 participants. Both trials were randomized, double-blind, and placebo-controlled, studying firategrast in patients with multiple sclerosis. Firategrast is not FDA approved and remains an investigational drug.

What clinical trials is firategrast in?

Firategrast has been studied in two completed Phase 2 clinical trials. NCT00395317 enrolled 343 participants with relapsing-remitting multiple sclerosis across multiple countries. NCT00469378 enrolled 46 participants with relapsing forms of multiple sclerosis to study white blood cells in cerebrospinal fluid and blood. Both trials are completed.

Is firategrast the same as SB-683699?

Firategrast is also known as SB-683699, as indicated by the clinical trial title for NCT00395317, which studied SB-683699 compared to placebo in subjects with relapsing-remitting multiple sclerosis. This alternative name may appear in scientific literature and trial registries, referring to the same investigational drug.