Dose Ranging Study Evaluating the Efficacy and Safety of GSK2190915 Administered Once Daily

Overview[ - collapse ][ - ]

Purpose To evaluate the efficacy, dose response and safety of four doses of GSK2190915 in tablet form (10mg, 30mg, 100mg and 300mg) administered once daily, over 8 weeks compared with placebo in adolescent and adult subjects (12 years of age and older) with persistent asthma. These data will form the basis for the selection of the optimal daily dose of GSK2190915 to be carried forward in Phase III asthma studies. The study also includes Fluticasone Propionate Inhalation Powder (100 mcg, twice daily) and Montelukast (10mg, once daily) to allow for an exploratory analysis of the efficacy of GSK2190915 versus a low dose inhaled corticosteroid and a leukotriene receptor antagonist.
ConditionAsthma
InterventionDrug: Fluticasone Propionate 100mcg BD
Drug: GSK2190915 100mg
Drug: GSK2190915 10mg
Drug: GSK2190915 300mg
Drug: GSK2190915 30mg
Drug: Montelukast 10mg
Drug: Placebo
PhasePhase 2
SponsorGlaxoSmithKline
Responsible PartyGlaxoSmithKline
ClinicalTrials.gov IdentifierNCT01147744
First ReceivedJune 17, 2010
Last UpdatedMarch 13, 2014
Last verifiedJanuary 2014

Tracking Information[ + expand ][ + ]

First Received DateJune 17, 2010
Last Updated DateMarch 13, 2014
Start DateJune 2010
Estimated Primary Completion DateOctober 2011
Current Primary Outcome MeasuresMean change from baseline to the end of the treatment period in trough AM FEV1 [Time Frame: 8 weeks] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Mean change from baseline in daily AM PEF averaged over the treatment period [Time Frame: 8 weeks] [Designated as safety issue: No]
  • Mean change from baseline in daily PM PEF averaged over the treatment period [Time Frame: 8 weeks] [Designated as safety issue: No]
  • Mean change from baseline in the percentage of symptom-free days during the treatment period [Time Frame: 8 weeks] [Designated as safety issue: No]
  • Mean change from baseline in the percentage of symptom-free nights during the treatment period [Time Frame: 8 weeks] [Designated as safety issue: No]
  • Mean change from baseline in the percentage of rescue-free days during the treatment period [Time Frame: 8 weeks] [Designated as safety issue: No]
  • Mean change from baseline in the percentage of rescue-free nights during the treatment period [Time Frame: 8 weeks] [Designated as safety issue: No]
  • Mean change from baseline in day-time symptom scores [Time Frame: 8 weeks] [Designated as safety issue: No]
  • Mean change from baseline in nighttime symptom scores [Time Frame: 8 weeks] [Designated as safety issue: No]
  • Mean change from baseline in day-time rescue SABA usage [Time Frame: 8 weeks] [Designated as safety issue: No]
  • Mean change from baseline in nighttime rescue SABA usage [Time Frame: 8 weeks] [Designated as safety issue: No]
  • Number of withdrawals due to lack of efficacy [Time Frame: 8 weeks] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleDose Ranging Study Evaluating the Efficacy and Safety of GSK2190915 Administered Once Daily
Official TitleA Randomised Double-Blind, Double-Dummy, Placebo-Controlled, Stratified, Parallel-Group, Multicentre, Dose Ranging Study to Evaluate the Efficacy and Safety of GSK2190915 Tablets Administered Once Daily, Fluticasone Propionate Inhalation Powder 100mcg Twice Daily and Montelukast 10mg Once Daily Compared With Placebo for 8 Weeks in Adolescent and Adult Subjects With Persistent Asthma While Treated With Short Acting Beta2-agonist.
Brief Summary
To evaluate the efficacy, dose response and safety of four doses of GSK2190915 in tablet
form (10mg, 30mg, 100mg and 300mg) administered once daily, over 8 weeks compared with
placebo in adolescent and adult subjects (12 years of age and older) with persistent asthma.
These data will form the basis for the selection of the optimal daily dose of GSK2190915 to
be carried forward in Phase III asthma studies. The study also includes Fluticasone
Propionate Inhalation Powder (100 mcg, twice daily) and Montelukast (10mg, once daily) to
allow for an exploratory analysis of the efficacy of GSK2190915 versus a low dose inhaled
corticosteroid and a leukotriene receptor antagonist.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 2
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
ConditionAsthma
InterventionDrug: Fluticasone Propionate 100mcg BD
Fluticasone propionate 100mcg twice daily via ACCUHALER/DISKUS
Drug: GSK2190915 100mg
GSK2190915 100mg (1 x 100mg, 1 x placebo tablets) once daily in the morning
Drug: GSK2190915 10mg
GSK2190915 10mg (1 x 10mg, 1 x placebo tablets) once daily in the morning
Drug: GSK2190915 300mg
GSK2190915 300mg (1 x 100mg, 1 x 200mg tablets) once daily in the morning
Drug: GSK2190915 30mg
GSK2190915 30mg (1 x 30mg, 1 x placebo tablets) once daily in the morning
Drug: Montelukast 10mg
Montelukast 10mg (1 x 10mg capsule) once daily in the evening
Drug: Placebo
Placebo tablets once daily in the morning, placebo capsules once daily in the evening and inhaled placebo twice daily via ACCUHALER/DISKUS
Study Arm (s)
  • Experimental: GSK2190915 10mg
    GSK2190915 10mg (1 x 10mg, 1 x placebo tablets) once daily in the morning
  • Experimental: GSK2190915 30mg
    GSK2190915 30mg (1 x 30mg, 1 x placebo tablets) once daily in the morning
  • Experimental: GSK2190915 100mg
    GSK2190915 100mg (1 x 100mg, 1 x placebo tablets) once daily in the morning
  • Experimental: GSK2190915 300mg
    GSK2190915 300mg (1 x 100mg, 1 x 200mg tablets) once daily in the morning
  • Active Comparator: Fluticasone propionate 100mcg
    Fluticasone propionate 100mcg twice daily via ACCUHALER/DISKUS
  • Active Comparator: Montelukast 10mg
    Montelukast 10mg (1 x 10mg capsule) once daily in the evening
  • Placebo Comparator: Placebo
    Placebo tablets once daily in the morning, placebo capsules once daily in the evening and inhaled placebo twice daily via ACCUHALER/DISKUS

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment700
Estimated Completion DateOctober 2011
Estimated Primary Completion DateOctober 2011
Eligibility Criteria
Inclusion Criteria:

- Type of Subject: Outpatient

- Age: ≥12 years of age

- Gender: Eligible Female (females of childbearing potential must commit to consistent
and correct use of an acceptable method of birth control)

- Asthma Diagnosis: As defined by NIH

- Severity of Disease: FEV1 50-85% predicted AND in current and former smokers a post
salbutamol/albuterol ratio >0.70

- Reversibility: ≥12% and ≥200mL in FEV1 within 30 ±15 minutes following
salbutamol/albuterol

- Current anti-asthma therapy: Using short-acting beta-agonist (SABA) for ≥3 months

- Tobacco use: Non-smoker /former smoker with ≤10 pack years or current smoker with ≤10
pack years

- QTC: QTc(F)<450msec or QTc(F)<480 for subjects with Bundle Branch Block

- Liver function: Normal liver function

- Informed Consent

Exclusion Criteria:

- History of Life-threatening asthma: Within previous 5 years

- Asthma Exacerbation: Requiring OCS within 3 months or hospitalisation within 6 months

- Respiratory Infection: Not resolved within the 4 weeks before V1 AND led to a change
in asthma management OR treatment with antibiotics OR is expected to affect the
subject's asthma status or ability to participate

- Corticosteroid Use: ICS used within 6 weeks or OCS/depot corticosteroids within 12
weeks

- OATP1B1 substrates: OATP1B1 substrates (e.g. statins, rifampicin,
bromosulphophthalein, benzylpenicillin, methotrexate) within 4 weeks

- Immunosuppressive medications: Either using or required during the study

- Liver disease: Current or chronic history

- Concurrent disease/abnormalities: Clinically significant uncontrolled disease

- Investigational medications: Participation in a study or used investigational drug
within 30 days

- Drug allergy: β-agonists, corticosteroids, constituents of inhalers

- Milk Protein Allergy: History of severe milk protein allergy

- Compliance: Factors likely to impair compliance either with regards to study
medication, procedures or attendance

- Unable or unwilling to follow instructions: Procedures, dosing directions, e-diaries
or pMDIs

- History of alcohol or drug abuse: Likely to interfere with the study

- Affiliation with Investigator's Site: Relative or employee
GenderFemale
Ages12 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesUnited States, Bulgaria, Japan, Poland, Romania, Ukraine

Administrative Information[ + expand ][ + ]

NCT Number NCT01147744
Other Study ID Numbers112186
Has Data Monitoring CommitteeNo
Information Provided ByGlaxoSmithKline
Study SponsorGlaxoSmithKline
CollaboratorsNot Provided
Investigators Study Director: GSK Clinical Trials GlaxoSmithKline
Verification DateJanuary 2014

Locations[ + expand ][ + ]

GSK Investigational Site
Birmingham, Alabama, United States, 35209
GSK Investigational Site
Huntington Beach, California, United States, 92647
GSK Investigational Site
Newport Beach, California, United States, 92663
GSK Investigational Site
San Diego, California, United States, 92123
GSK Investigational Site
Tallahassee, Florida, United States, 32308
GSK Investigational Site
Owensboro, Kentucky, United States, 42301
GSK Investigational Site
Metairie, Louisiana, United States, 70006
GSK Investigational Site
Bangor, Maine, United States, 04401
GSK Investigational Site
Ypsilanti, Michigan, United States, 48197
GSK Investigational Site
Minneapolis, Minnesota, United States, 55402
GSK Investigational Site
Columbia, Missouri, United States, 65203
GSK Investigational Site
Rolla, Missouri, United States, 65401
GSK Investigational Site
St. Louis, Missouri, United States, 63141
GSK Investigational Site
Ocean, New Jersey, United States, 07712
GSK Investigational Site
Raleigh, North Carolina, United States, 27607
GSK Investigational Site
Canton, Ohio, United States, 44718
GSK Investigational Site
Oklahoma City, Oklahoma, United States, 73103
GSK Investigational Site
Medford, Oregon, United States, 97504
GSK Investigational Site
Orangeburg, South Carolina, United States, 29118
GSK Investigational Site
San Antonio, Texas, United States, 78229
GSK Investigational Site
Waco, Texas, United States, 76712
GSK Investigational Site
Bellingham, Washington, United States, 98225
GSK Investigational Site
Pleven, Bulgaria, 5800
GSK Investigational Site
Plovdiv, Bulgaria, 4003
GSK Investigational Site
Ruse, Bulgaria, 7000
GSK Investigational Site
Sofia, Bulgaria, 1431
GSK Investigational Site
Sofia, Bulgaria, 1202
GSK Investigational Site
Sofia, Bulgaria, 1407
GSK Investigational Site
Sofia, Bulgaria, 1000
GSK Investigational Site
Stara Zagora, Bulgaria, 6000
GSK Investigational Site
Varna, Bulgaria, 9010
GSK Investigational Site
Chiba, Japan, 292-0805
GSK Investigational Site
Fukuoka, Japan, 819-0006
GSK Investigational Site
Fukuoka, Japan, 819-1102
GSK Investigational Site
Hokkaido, Japan, 062-0034
GSK Investigational Site
Hokkaido, Japan, 064-0801
GSK Investigational Site
Ibaraki, Japan, 319-1113
GSK Investigational Site
Kanagawa, Japan, 210-0852
GSK Investigational Site
Osaka, Japan, 530-0001
GSK Investigational Site
Osaka, Japan, 565-0853
GSK Investigational Site
Saitama, Japan, 343-0851
GSK Investigational Site
Tokyo, Japan, 158-0097
GSK Investigational Site
Tokyo, Japan, 103-0027
GSK Investigational Site
Tokyo, Japan, 102-0083
GSK Investigational Site
Tokyo, Japan, 154-0024
GSK Investigational Site
Tokyo, Japan, 153-0051
GSK Investigational Site
Tokyo, Japan, 190-0013
GSK Investigational Site
Tokyo, Japan, 171-0014
GSK Investigational Site
Tokyo, Japan, 130-8587
GSK Investigational Site
Tokyo, Japan, 103-0028
GSK Investigational Site
Bialystok, Poland, 15-084
GSK Investigational Site
Katowice, Poland, 40-018
GSK Investigational Site
Krakow, Poland, 31-024
GSK Investigational Site
Libiaz, Poland, 32-590
GSK Investigational Site
Lodz, Poland, 93-329
GSK Investigational Site
Poznan, Poland, 60-693
GSK Investigational Site
Tarnow, Poland, 33-100
GSK Investigational Site
Brasov, Romania, 500112
GSK Investigational Site
Bucharest, Romania, 050159
GSK Investigational Site
Bucharest, Romania, 022102
GSK Investigational Site
Bucharest, Romania, 020125
GSK Investigational Site
Cluj-Napoca, Romania, 400217
GSK Investigational Site
Cluj-Napoca, Romania, 400371
GSK Investigational Site
Deva, Romania, 330084
GSK Investigational Site
Timisoara, Romania, 300310
GSK Investigational Site
Dnipropetrovsk, Ukraine, 49051
GSK Investigational Site
Dnipropetrovsk, Ukraine, 49027
GSK Investigational Site
Dnipropetrovsk, Ukraine, 49006
GSK Investigational Site
Donetsk, Ukraine, 83099
GSK Investigational Site
Ivano-Frankivsk, Ukraine, 76018
GSK Investigational Site
Kharkiv, Ukraine, 61124
GSK Investigational Site
Kharkiv, Ukraine, 61002
GSK Investigational Site
Kharkiv, Ukraine, 61037
GSK Investigational Site
Kiev, Ukraine, 03680
GSK Investigational Site
Kyiv, Ukraine, 04201
GSK Investigational Site
Kyiv, Ukraine, 03680
GSK Investigational Site
Kyiv, Ukraine, 02232
GSK Investigational Site
Kyiv, Ukraine
GSK Investigational Site
Kyiv, Ukraine, 04107
GSK Investigational Site
Kyiv, Ukraine, 03115
GSK Investigational Site
Odesa, Ukraine, 65114
GSK Investigational Site
Simferopol, Ukraine, 95043
GSK Investigational Site
Yalta, Ukraine, 98603
GSK Investigational Site
Zaporizhia, Ukraine, 69035