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oxytocin

Phase 3

Postpartum Hemorrhage | Small molecule | Hematology |GSK plc|Trials Updated: Oct 19, 2017

oxytocin development status

Highest phase Phase 3 run by University Hospitals Cleveland Medical Center (NCT03138252)
Phase scored for GSKPhase 1
Registered trials 16 across 8 sponsors since Nov 2011

oxytocin target and mechanism

Molecular targetOXTR
Target classAgonist
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment16

FDA Designations

No designations recorded

oxytocin clinical trials

oxytocin · 1 trial · 1 indication

Phase 1 1
NCT02542813Safety, Tolerability and Pharmacokinetics (PK) Study of Oxytocin (GR121619) Administered Via an Inhaled Route in Healthy Female VolunteersPostpartum Hemorrhage
COMPLETED16 Analytics
PHASE1COMPLETED
Safety, Tolerability and Pharmacokinetics (PK) Study of Oxytocin (GR121619) Administered Via an Inhaled Route in Healthy Female Volunteers
Postpartum HemorrhageUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of subjects with adverse events (AEs)
Up to 16 weeks

An AE is any untoward medical occurrence in a patient or clinical investigation subject, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Absolute values and changes over time of haematology from pre-dose values as a measure of safety and tolerability
Up to 20 weeks

Hematology assessments will be performed for the following parameters: platelet count, red blood cell (RBC) count, hemoglobin, hematocrit, white blood cells (WBC) (absolute), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), neutrophils, lymphocytes, monocytes, eosinophils, and basophils.

Absolute values and changes over time of clinical chemistry from pre-dose values as a measure of safety and tolerability
Up to 20 weeks

Clinical chemistry assessments will be performed for the following parameters: blood urea nitrogen (BUN), creatinine, glucose, potassium, sodium, calcium, aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase, total and direct bilirubin, total protein, and albumin.

Absolute values and changes over time of urinalysis from pre-dose values as a measure of safety and tolerability
Up to 20 weeks

Dipstick method will be used to measure pH, glucose, protein, blood and ketones.

Absolute values and changes over time of blood pressure from pre-dose values as a measure of safety and tolerability
Up to 20 weeks

Three readings of blood pressure will be taken at screening (single readings at all other time-points).

Absolute values and changes over time of pulse rate from pre-dose values as a measure of safety and tolerability
Up to 20 weeks

Three readings of pulse rate will be taken at screening (single readings at all other time-points).

Absolute values and changes over time of heart rate from pre-dose values as a measure of safety and tolerability
Up to 20 weeks

Absolute values and changes over time of heart rate from pre-dose values as a measure of safety and tolerability.

Absolute values and changes over time of 12-lead electrocardiogram (ECG) parameters (PR, QRS, QT, corrected QT [QTc] intervals) from pre-dose values as a measure of safety and tolerability
Up to 20 weeks

Triplicate 12-lead ECGs will be obtained screening and predose (predose IM oxytocin), and single 12-lead ECGs at all other time-points during the study using an ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and QTc intervals.

Number of subjects with adverse respiratory events as monitored by spirometry including forced expiratory volume in 1 second (FEV1.0) and pulse oximetry as a measure of specific respiratory safety
Up to 16 weeks

FEV1 is the volume exhaled during the first second of a forced expiratory maneuver started from the level of total lung capacity. Pulse oximetry is a procedure used to measure the oxygen level (or oxygen saturation) in the blood.

Plasma concentration profile for IH oxytocin
Day 1, 2, and 3 of dosing session 1, and Day 1 of dosing session 2, 3, and 4

Blood samples will be withdrawn from subjects at pre dose, 3 minutes (mins), 5 mins, 10 mins, 20 mins, 0.5h, 0.75h, 1 hour (h), 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 8 h, and 24 h (24 h post dose assessments only applicable to Dosing Session 1, Group 1 and the first 3 subjects at each new dose level \[Dosing Sessions 2 -4\]).

Plasma concentration profile for 10 IU IM oxytocin
Day 1, 2, and 3 of dosing session 1, and Day 1 of dosing session 2, 3, and 4

Blood samples will be withdrawn from subjects at pre dose, 3 mins, 5 mins, 10 mins, 20 mins, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, and 8 h.

Composite PK parameters for IH oxytocin: maximum plasma concentration (Cmax), last quantifiable concentration (Clast), time to Cmax (tmax), area under the plasma concentration-time curve (AUC) and terminal phase half-life (t1/2)
Day 1, 2, and 3 of dosing session 1, and Day 1 of dosing session 2, 3, and 4

Blood samples will be withdrawn from subjects at pre dose, 3 mins, 5 mins, 10 mins, 20 mins, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, 8 h, and 24 h (24 h post dose assessments only applicable to Dosing Session 1, Group 1 and the first 3 subjects at each new dose level \[Dosing Sessions 2 -4\]).

Composite PK parameters for 10 IU IM oxytocin: Cmax, Clast, tmax, AUC and t1/2
Day 1, 2, and 3 of dosing session 1, and Day 1 of dosing session 2, 3, and 4

Blood samples will be withdrawn from subjects at pre dose, 3 mins, 5 mins, 10 mins, 20 mins, 0.5 h, 0.75 h, 1 h, 1.5 h, 2 h, 2.5 h, 3 h, 4 h, and 8 h.

Secondary Endpoints

Composite of PK parameters: Cmax and AUC will be compared as data permit
Day 1, 2, and 3 of dosing session 1, and Day 1 of dosing session 2, 3, and 4
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Study Design & Arms

AllocationRANDOMIZED
MaskingSINGLE
ModelFACTORIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
IM oxytocin - IH placebo/IH oxytocin (50, 200, 400, 600)EXPERIMENTALSubjects will receive IM oxytocin, IH placebo/IH oxytocin at doses of 50, 200, 400, 600 mcg.
IM oxytocin - IH placebo/IH oxytocin (50)EXPERIMENTALSubjects will receive IM oxytocin and IH placebo and/or IH oxytocin at 50 mcg.

Interventions

NameTypeDescription
IM oxytocin 10 IUDRUGIM oxytocin 10 IU is a colourless and clear sterile solution in a 1 mL ampoule containing 10 IU of oxytocin, which is administered intramuscularly
IH oxytocin 50 mcgDRUGIH oxytocin 50 mcg is a powder blend for inhalation in a hard capsule containing 50 mcg of oxytocin, which is administered by oral inhalation.
IH oxytocin 200 mcgDRUGIH oxytocin 200 mcg is a powder blend for inhalation in a hard capsule containing 200 mcg of oxytocin, which is administered by oral inhalation.
IH oxytocin 400 mcgDRUGIH oxytocin 400 mcg is a powder blend for inhalation in a hard capsule containing 400 mcg of oxytocin, which is administered by oral inhalation.
IH oxytocin 600 mcgDRUGIH oxytocin 600 mcg is a powder blend for inhalation in a hard capsule containing 600 mcg of oxytocin, which is administered by oral inhalation.
PlaceboDRUGPlacebo is a powder blend for inhalation in a hard capsule containing five inactive components, which is administered by oral inhalation.
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Eligibility Criteria

Age Range18 Years to 45 Years
SexFEMALE
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Between 18 and 45 years of age inclusive, at the time of signing the informed consent. * Premenopausal women on an oestrogen-containing oral contraceptive pill (OCP) for a 12 month minimum period and to continue their current OCP schedule for the duration of the clinical study...

Countries:United Kingdom
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Frequently asked questions about oxytocin

What is oxytocin used for in postpartum hemorrhage?

Oxytocin is being developed for the prevention or treatment of postpartum hemorrhage, a condition of heavy bleeding after childbirth. The program described here is an inhaled formulation of oxytocin studied in healthy female volunteers. It is an investigational product in clinical development and is not described as approved for this use.

What does oxytocin target?

Oxytocin targets OXTR, the oxytocin receptor, and acts as an agonist at that receptor. Agonist activity at OXTR is the mechanism underlying the drug's intended effect in postpartum hemorrhage. The candidate described here is a small molecule formulation of oxytocin developed by GSK.

Who is developing oxytocin for postpartum hemorrhage?

GSK plc, which trades under the ticker GSK, is the developer of this oxytocin program. The inhaled oxytocin candidate is referred to in company materials as GR121619. GSK is a global pharmaceutical company, and this asset sits within its hematology pipeline for postpartum hemorrhage.

What phase is oxytocin in?

Oxytocin in this inhaled formulation is in Phase 1 development. The single listed trial was a Phase 1 study, and it has been completed. Because the program remains in early clinical development, it is investigational and has not been described as FDA approved for postpartum hemorrhage.

What clinical trials is oxytocin in?

One trial is listed for this oxytocin program: NCT02542813, titled a safety, tolerability and pharmacokinetics study of oxytocin (GR121619) administered via an inhaled route in healthy female volunteers. It was a completed Phase 1 trial with 16 enrolled participants, conducted in the United Kingdom, and it enrolled healthy female volunteers aged 18 years and older.