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A Study to Evaluate the Safety, Tolerability, Pharmacokinetics (PK), Proof of Mechanism of GSK2618960 in Primary Sjögren's Syndrome (pSS)

6 marca 2018 zaktualizowane przez: GlaxoSmithKline

A Two Part Phase IIa Study, to Evaluate the Safety and Tolerability, Pharmacokinetics, Proof of Mechanism and Potential for Efficacy of an Anti-IL-7 Receptor-α Monoclonal Antibody (GSK2618960) in the Treatment of Primary Sjögren's Syndrome

This study aims to evaluate the safety, tolerability and PK of repeat dose administration of GSK2618960 in the treatment of pSS. The study will contain two parts, Part I will be open label and Part II will be randomized, double-blind. The minimum duration of Part I & Part II of the study will be 26 and 32 weeks respectively.

Przegląd badań

Status

Wycofane

Warunki

Interwencja / Leczenie

Typ studiów

Interwencyjne

Faza

  • Faza 2

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Lokalizacje studiów

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

18 lat do 70 lat (Dorosły, Starszy dorosły)

Akceptuje zdrowych ochotników

Nie

Płeć kwalifikująca się do nauki

Wszystko

Opis

Inclusion Criteria:

  • Part I and Part II: Male and females aged 18-70
  • Part I and Part II: pSS diagnosis according to the American-European Consensus Group Criteria
  • Part I and Part II: Documented previous biopsy evidence of salivary gland inflammation consistent with pSS and/or documented history of anti-Ro and/or anti-La antibodies
  • Part II: Has any of the following abnormalities at screening: hypergammaglobulinaemia [serum Immunoglobulin G (IgG) greater than or equal to 16 gram per liter (g/L); Presence of Rheumatoid factor (RF); Anti Nuclear Antibodies (ANA) titer greater than or equal to 320:1.
  • Stimulated whole salivary flow greater than 0.1 milliliter per minute (mL/min) at screening.
  • Symptomatic oral dryness greater than or equal to 5 out of 10 on Visual Analogue Scale (VAS) scale and/or Schirmer test less than 10 millimeter (mm) at screening.

Exclusion Criteria:

  • Part I and II: Secondary Sjögren's Syndrome
  • Part I and II: Receiving cyclophosphamide, other biologic, immunosuppressive or immunomodulatory treatments
  • Part I and II: Active infections, or history of recurrent infections
  • Part I and II: History of significant medical illness
  • Part I and II: History of lymphoma

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Leczenie
  • Przydział: Randomizowane
  • Model interwencyjny: Przydział równoległy
  • Maskowanie: Poczwórny

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Eksperymentalny: Part I & II: GSK2618960 2 milligram per kilogram (mg/kg)
GSK2618960 2mg/kg will be administered intravenously (IV) with Methotrexate (MTX)
Lek: GSK2618960 2 mg/kg
GSK2618960 solution for injection, 100mg/mL is clear to opalescent, colorless to yellow or pale brown liquid.
Lek: Methotrexate
MTX dose between 7.5 to 15 mg will be administered in tablet form once in a week till last dose of GSK2618960 to all subjects in Part I and Part II.
Komparator placebo: Part II: Placebo
Placebo will be administered IV with MTX
Lek: Methotrexate
MTX dose between 7.5 to 15 mg will be administered in tablet form once in a week till last dose of GSK2618960 to all subjects in Part I and Part II.
Lek: Placebo
Placebo solution will be administered by IV infusion.

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Number of subjects with Adverse Events (AEs): Part 1
Ramy czasowe: Up to Week 29
An AE is any untoward medical occurrence in a subject, 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.
Up to Week 29
Number of subjects with abnormal clinical chemistry values: Part 1
Ramy czasowe: Up to Week 29
Samples for clinical chemistry tests will be collected as a measure of safety
Up to Week 29
Number of subjects with abnormal hematology values: Part 1
Ramy czasowe: Up to Week 29
Samples for clinical hematology tests will be collected as a measure of safety
Up to Week 29
Number of subjects with abnormal urine analysis values: Part 1
Ramy czasowe: Up to Week 29
Samples for Urine analysis tests will be collected as a measure of safety
Up to Week 29
Number of subjects with abnormal findings of body temperature: Part 1
Ramy czasowe: Up to Week 29
Body temperature will be measured in a semi-supine position after at least a 5-minute rest.
Up to Week 29
Number of subjects with abnormal findings of blood pressure: Part 1
Ramy czasowe: Up to Week 29
Systolic blood pressure (SBP) and diastolic blood pressure (DBP) will be measured in a semi-supine position after at least a 5-minute rest.
Up to Week 29
Number of subjects with abnormal findings of pulse rate: Part 1
Ramy czasowe: Up to Week 29
Pulse rate will be measured in a semi-supine position after at least a 5-minute rest.
Up to Week 29
Number of subjects with abnormal findings of respiratory rate: Part 1
Ramy czasowe: Up to Week 29
Respiratory rate will be measured in a semi-supine position after at least a 5-minute rest.
Up to Week 29
Number of subjects with abnormal Electrocardiogram (ECG) findings: Part 1
Ramy czasowe: Up to Week 29
Triplicate 12-lead ECGs will be obtained at each time point using an ECG machine
Up to Week 29
Number of subjects with AEs: Part 2
Ramy czasowe: Up to Week 35
An AE is any untoward medical occurrence in a subject, 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.
Up to Week 35
Number of subjects with abnormal clinical chemistry values: Part 2
Ramy czasowe: Up to Week 35
Samples for clinical chemistry tests will be collected as a measure of safety
Up to Week 35
Number of subjects with abnormal hematology values: Part 2
Ramy czasowe: Up to Week 35
Samples for clinical hematology tests will be collected as a measure of safety
Up to Week 35
Number of subjects with abnormal urine analysis values: Part 2
Ramy czasowe: Up to Week 35
Samples for Urine analysis tests will be collected as a measure of safety
Up to Week 35
Number of subjects with abnormal findings of body temperature: Part 2
Ramy czasowe: Up to Week 35
Body temperature will be measured in a semi-supine position after at least a 5-minute rest.
Up to Week 35
Number of subjects with abnormal findings of blood pressure: Part 2
Ramy czasowe: Up to Week 35
SBP and DBP will be measured in a semi-supine position after at least a 5-minute rest.
Up to Week 35
Number of subjects with abnormal findings of pulse rate: Part 2
Ramy czasowe: Up to Week 35
Pulse rate will be measured in a semi-supine position after at least a 5-minute rest.
Up to Week 35
Number of subjects with abnormal findings of respiratory rate: Part 2
Ramy czasowe: Up to Week 35
Respiratory rate will be measured in a semi-supine position after at least a 5-minute rest.
Up to Week 35
Number of subjects with abnormal ECG findings: Part 2
Ramy czasowe: Up to Week 35
Triplicate 12-lead ECGs will be obtained at each time point using an ECG machine
Up to Week 35

Miary wyników drugorzędnych

Miara wyniku
Opis środka
Ramy czasowe
Plasma concentration of GSK2618960: Part 1
Ramy czasowe: Day 1: post-infusion; Day 15 and 29: pre-infusion; Day 43: Pre and post-infusion; Day 8, 22, 36, 50, 57, 71, 99 and 127
Blood samples will be collected prior to start and at the end of infusion at the indicated time points and will be analyzed for PK parameters.
Day 1: post-infusion; Day 15 and 29: pre-infusion; Day 43: Pre and post-infusion; Day 8, 22, 36, 50, 57, 71, 99 and 127
Maximum observed plasma concentration (Cmax) of GSK2618960: Part 1
Ramy czasowe: Day 1: post-infusion; Day 15 and 29: pre-infusion; Day 43: Pre and post-infusion; Day 8, 22, 36, 50, 57, 71, 99 and 127
Blood samples will be collected prior to start and at the end of infusion at the indicated time points and will be analyzed for PK parameters.
Day 1: post-infusion; Day 15 and 29: pre-infusion; Day 43: Pre and post-infusion; Day 8, 22, 36, 50, 57, 71, 99 and 127
Minimum observed plasma concentration (Cmin) of GSK2618960: Part 1
Ramy czasowe: Day 1: post-infusion; Day 15 and 29: pre-infusion; Day 43: Pre and post-infusion; Day 8, 22, 36, 50, 57, 71, 99 and 127
Blood samples will be collected prior to start and at the end of infusion at the indicated time points and will be analyzed for PK parameters.
Day 1: post-infusion; Day 15 and 29: pre-infusion; Day 43: Pre and post-infusion; Day 8, 22, 36, 50, 57, 71, 99 and 127
Area under the curve (AUC) of GSK2618960: Part 1
Ramy czasowe: Day 1: post-infusion; Day 15 and 29: pre-infusion; Day 43: Pre and post-infusion; Day 8, 22, 36, 50, 57, 71, 99 and 127
Blood samples will be collected prior to start and at the end of infusion at indicated time points and will be analyzed for PK parameters.
Day 1: post-infusion; Day 15 and 29: pre-infusion; Day 43: Pre and post-infusion; Day 8, 22, 36, 50, 57, 71, 99 and 127
Number of incidences of Anti-drug antibody (ADA) formation: Part 1
Ramy czasowe: Up to Week 29
Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.
Up to Week 29
Number of titres of ADA: Part 1
Ramy czasowe: Up to Week 29
Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.
Up to Week 29
Time to onset of ADA: Part 1
Ramy czasowe: Up to Week 29
Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.
Up to Week 29
Number of incidences of ADA neutralization: Part 1
Ramy czasowe: Up to Week 29
Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.
Up to Week 29
Plasma concentration of GSK2618960 : Part 2
Ramy czasowe: Day 1: post-infusion; Day 15, 29, 43, 57: pre-infusion; Day 71: Pre and post-infusion; Day 8, 22, 36, 50, 64, 78, 85, 113 and 169
Blood samples will be collected prior to start and at the end of infusion at the indicated time points and will be analyzed for PK parameters
Day 1: post-infusion; Day 15, 29, 43, 57: pre-infusion; Day 71: Pre and post-infusion; Day 8, 22, 36, 50, 64, 78, 85, 113 and 169
Cmax of GSK2618960: Part 2
Ramy czasowe: Day 1: post-infusion; Day 15, 29, 43, 57: pre-infusion; Day 71: Pre and post-infusion; Day 8, 22, 36, 50, 64, 78, 85, 113 and 169
Blood samples will be collected prior to start and at the end of infusion at the indicated time points and will be analyzed for PK parameters.
Day 1: post-infusion; Day 15, 29, 43, 57: pre-infusion; Day 71: Pre and post-infusion; Day 8, 22, 36, 50, 64, 78, 85, 113 and 169
Cmin of GSK2618960: Part 2
Ramy czasowe: Day 1: post-infusion; Day 15, 29, 43, 57: pre-infusion; Day 71: Pre and post-infusion; Day 8, 22, 36, 50, 64, 78, 85, 113 and 169
Blood samples will be collected prior to start and at the end of infusion at the indicated time points and will be analyzed for PK parameters.
Day 1: post-infusion; Day 15, 29, 43, 57: pre-infusion; Day 71: Pre and post-infusion; Day 8, 22, 36, 50, 64, 78, 85, 113 and 169
AUC of GSK2618960: Part 2
Ramy czasowe: Day 1: post-infusion; Day 15, 29, 43, 57: pre-infusion; Day 71: Pre and post-infusion; Day 8, 22, 36, 50, 64, 78, 85, 113 and 169
Blood samples will be collected prior to start and at the end of infusion at indicated time points and will be analyzed for PK parameters.
Day 1: post-infusion; Day 15, 29, 43, 57: pre-infusion; Day 71: Pre and post-infusion; Day 8, 22, 36, 50, 64, 78, 85, 113 and 169
Number of incidences of ADA formation: Part 2
Ramy czasowe: Up to Week 35
Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.
Up to Week 35
Number of titres of ADA: Part 2
Ramy czasowe: Up to Week 35
Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.
Up to Week 35
Time to onset of ADA: Part 2
Ramy czasowe: Up to Week 35
Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.
Up to Week 35
Number of incidences of ADA neutralization: Part 2
Ramy czasowe: Up to Week 35
Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.
Up to Week 35
Receptor occupancy (RO) on circulating T cells: Part 2
Ramy czasowe: Up to Week 35
Blood samples will be collected from subjects at indicated time points to measure IL-7R alpha occupancy levels.
Up to Week 35
Percentage inhibition of Signal transducer and activator of transcription 5 (STAT 5) phosphorylation in T cells: Part 2
Ramy czasowe: Up to Week 35
Blood samples will be collected from subjects at indicated time points to measure phosphorylation of STAT 5 in response to ex vivo IL-7 stimulation.
Up to Week 35
Change from Baseline in Focus score: Part 2
Ramy czasowe: Up to Day 29
Salivary glands for immunohistochemistry analysis will be evaluated for general appearance and total inflammatory infiltrate (focus score). Salivary gland biopsy will be performed at Baseline and blood samples will be collected at indicated time points.
Up to Day 29

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Sponsor

GlaxoSmithKline

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Rzeczywisty)

19 września 2017

Zakończenie podstawowe (Rzeczywisty)

12 października 2017

Ukończenie studiów (Oczekiwany)

12 października 2017

Daty rejestracji na studia

Pierwszy przesłany

19 czerwca 2017

Pierwszy przesłany, który spełnia kryteria kontroli jakości

1 sierpnia 2017

Pierwszy wysłany (Rzeczywisty)

4 sierpnia 2017

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

7 marca 2018

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

6 marca 2018

Ostatnia weryfikacja

1 marca 2018

Więcej informacji

Terminy związane z tym badaniem

Słowa kluczowe

Dodatkowe istotne warunki MeSH

Inne numery identyfikacyjne badania

  • 201579

Informacje o lekach i urządzeniach, dokumenty badawcze

Bada produkt leczniczy regulowany przez amerykańską FDA

Nie

Bada produkt urządzenia regulowany przez amerykańską FDA

Nie

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .

Badania kliniczne na GSK2618960 2 mg/kg

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