AzTrials
AzTrials

Pulmonary Disease, Chronic ObstructivePhase 2NCT01218126

Randomised, Double-Blind, Placebo-Controlled, Parallel-Group, Multi-centre, Dose Ranging Study to Evaluate the Efficacy and Safety of Losmapimod Tablets Administered Twice Daily Compared With Placebo for 24 Weeks in Adult Subjects With Chronic Obstructive Pulmonary Disease (COPD).

A Phase 2 study testing losmapimod in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 48 sites in 8 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Randomised, double-blind, parallel-group, multi-centre study evaluating three doses of losmapimod (2.5mg, 7.5 mg and 15 mg) twice daily (BID) versus placebo on exercise tolerance. Eligible subjects will be randomised to treatment after a one-week run-in period. The duration of the treatment period is 24 weeks. Read more about this study

Who is it for?
Ages 40 years and older
Conditions the study is for
Pulmonary Disease, Chronic Obstructive
What is being tested?
losmapimod
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
604 participants
Where
48 sitesin 8 countries
Study dates
4 Nov 2010to 21 Dec 2011
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • clinical history of COPD in accordance with the definition by the American Thoracic Society/European Respiratory Society
  • FEV1/FVC ratio of ≤0.70
  • FEV1 ≤ 80% of predicted normal
  • 6MWD < 350m
  • male or female outpatients aged ≥40 years of age
  • current or prior history of ≥10 pack-years of cigarette smoking
Show all 9Show fewer
  • aspartate transaminase (AST) or alanine transaminase (ALT) <2x Upper Limit Normal (ULN)
  • alkaline phosphatase (alk phos), and bilirubin <1.5xULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%)
  • QTc <450 msec* on baseline ECG. For subjects with baseline complete bundle branch block, the QTc must be <480msec* on baseline ECG.

Who cannot join

  • current diagnosis of asthma
  • pregnant or lactating
  • α1-antitrypsin deficiency
  • lung resection
  • chest X-ray (or CT scan) that reveals evidence of clinically significant abnormalities not believed to be due to the presence of COPD
  • exacerbation of COPD within previous 12 weeks
Show all 15Show fewer
  • treatment with roflumilast within previous 2 weeks and throughout the treatment period
  • lower respiratory tract infection that required the use of antibiotics within previous 12 weeks
  • long-term oxygen therapy (LTOT) or nocturnal oxygen therapy required for greater than 12 hours a day
  • participation in the acute phase of a Pulmonary Rehabilitation Program within 12 weeks or planned during the study
  • carcinoma that has not been in complete remission for at least 5 years
  • current or chronic history of liver disease
  • positive Hepatitis B surface antigen or positive Hepatitis C antibody
  • Body Mass Index (BMI) > 35
  • known or suspected history of alcohol or drug abuse within the last 2 years

Trial locations and contacts

48 sites in 8 countries.

48 sites in 8 countries

Germany10 sites
  • GSK Investigational Site

    Berlin, 10117

  • GSK Investigational Site

    Berlin, 13581

  • GSK Investigational Site

    Frankfurt am Main, Hesse, 60389

  • GSK Investigational Site

    Frankfurt am Main, Hesse, 60596

  • GSK Investigational Site

    Gelnhausen, Hesse, 63571

  • GSK Investigational Site

    Großhansdorf, Schleswig-Holstein, 22927

  • GSK Investigational Site

    Hamburg, 20354

  • GSK Investigational Site

    Mainz, Rhineland-Palatinate, 55131

  • GSK Investigational Site

    Potsdam, Brandenburg, 14467

  • GSK Investigational Site

    Rüsselsheim am Main, Hesse, 65428

Other trials in Germany

United States8 sites
  • GSK Investigational Site

    Birmingham, Alabama, 35294

  • GSK Investigational Site

    Charleston, South Carolina, 29406-7108

  • GSK Investigational Site

    Greenville, South Carolina, 29615

  • GSK Investigational Site

    Richmond, Virginia, 23225

  • GSK Investigational Site

    Rochester, Minnesota, 55905

  • GSK Investigational Site

    Saint Charles, Missouri, 63301

  • GSK Investigational Site

    Spartanburg, South Carolina, 29303

  • GSK Investigational Site

    Torrance, California, 90505

Other trials in United States

Argentina7 sites
  • GSK Investigational Site

    Buenos Aires, C1120AAC

  • GSK Investigational Site

    Buenos Aires, C1426ABP

  • GSK Investigational Site

    Mar del Plata, Buenos Aires, 7600

  • GSK Investigational Site

    Mendoza, 5500

  • GSK Investigational Site

    Mendoza, M5500CCG

  • GSK Investigational Site

    Rosario, Santa Fe Province, S2000DSR

  • GSK Investigational Site

    San Miguel de Tucumán, 4000

Other trials in Argentina

Norway6 sites
  • GSK Investigational Site

    Bergen, N-5021

  • GSK Investigational Site

    Follebu, 2656

  • GSK Investigational Site

    Harstad, 9480

  • GSK Investigational Site

    Levanger, 7600

  • GSK Investigational Site

    Stavanger, 4011

  • GSK Investigational Site

    Trondheim, 7030

Other trials in Norway

South Korea5 sites
  • GSK Investigational Site

    Seoul, 100-032

  • GSK Investigational Site

    Seoul, 130-702

  • GSK Investigational Site

    Seoul, 130-848

  • GSK Investigational Site

    Seoul, 134-701

  • GSK Investigational Site

    Seoul

Other trials in South Korea

Ukraine5 sites
  • GSK Investigational Site

    Donetsk, 83003

  • GSK Investigational Site

    Donetsk, 83099

  • GSK Investigational Site

    Kiev, 03680

  • GSK Investigational Site

    Kyiv, 03115

  • GSK Investigational Site

    Kyiv, 03680

Other trials in Ukraine

Czechia4 sites
  • GSK Investigational Site

    Ostrava - Poruba, 70868

  • GSK Investigational Site

    Prague, 182 00

  • GSK Investigational Site

    Tábor, 390 19

  • GSK Investigational Site

    Zlín, 762 75

Other trials in Czechia

Estonia3 sites
  • GSK Investigational Site

    Tallinn, 10138

  • GSK Investigational Site

    Tallinn, 13619

  • GSK Investigational Site

    Tartu, 51014

Other trials in Estonia

About this study

Official title: A Randomised, Double-Blind, Placebo-Controlled, Parallel-Group, Multi-centre, Dose Ranging Study to Evaluate the Efficacy and Safety of Losmapimod (GW856553) Tablets Administered Twice Daily Compared With Placebo for 24 Weeks in Adult Subjects With Chronic Obstructive Pulmonary Disease

Randomised, double-blind, parallel-group, multi-centre study evaluating three doses of losmapimod (2.5mg, 7.5 mg and 15 mg) twice daily (BID) versus placebo on exercise tolerance. Eligible subjects will be randomised to treatment after a one-week run-in period. The duration of the treatment period is 24 weeks. An estimated 1000 subjects will be screened to reach the target enrolment of approximately 600 randomised subjects.

Being tested
losmapimod, placebo
Medical subject headings
Pulmonary Disease, Chronic Obstructive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • losmapimodDrug

    comparison of different dosages of drug 2.5 mg, 7.5 mg or 15 mg

  • placeboDrug

    placebo comparison with active

Study groups in NCT01218126
Study groupRoleWhat they receive
losmapimod 2.5 mgExperimentallosmapimod 2.5 mg
Receives: Drug: losmapimod
placeboPlacebo comparatorNot described
Receives: Drug: placebo
losmapimod 7.5 mgExperimentallosmapimod 7.5 mg
Receives: Drug: losmapimod
losmapimod 15 mgExperimentallosmapimod 15 mg
Receives: Drug: losmapimod

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change From Baseline in Six Minute Walk Distance (6MWD) at Week 4, 12 and 24

    Exercise tolerance was assessed using the 6MWD. If a participant was recorded as having used supplemental oxygen or a walking aid (including sitting down then continuing walking) or a technical problem during a 6MWD then that walk was considered as invalid; otherwise the 6MWD was considered as valid. The baseline 6MWD value was defined as the longest distance walked, for a valid walk, at Visit 2. Variability between the distances walked during the first six-minute walk test (6MWD1) and the second six-minute walk test (6MWD2) being compared was defined as: Variability = [100 x (6MWD2 - 6MWD1)]/6MWD1. Change from Baseline was calculated as the endpoint value minus the Baseline value. Baseline visit was Visit 2 (Week 0).

    Measured: Baseline (Week 0) and Week 4, 12, 24

Secondary outcomes (7)
  1. Change From Baseline in Forced Expiratory Volume in 1 Sec (FEV1) at Week 4, 8, 12, 16, 20 and 24

    Pulmonary function was measured by FEV1, defined as the maximal amount of air that can be forcefully exhaled in one second. Pre and post-bronchodilator spirometry was performed by the investigator. For post-bronchodilator measurements, spirometry was performed 10-15 minutes after inhalation of 400/360 microgram (mcg) of salbutamol/albuterol. Participants were asked to withhold all bronchodilator therapy (regularly used ipratropium bromide and salbutamol/albuterol used as required) for at least 4 hours prior to spirometric testing. The change from Baseline was calculated by subtracting the Baseline value from the individual post-randomization values.Baseline visit was Visit 2 (Week 0).

    Measured: Baseline(Week 0) and Week 4, 8, 12, 16, 20 and 24

  2. Change From Baseline in Forced Vital Capacity (FVC) at Week 4, 8, 12, 16, 20 and 24

    FVC is the total amount of air exhaled during the lung function test. and post-bronchodilator spirometry was performed by the investigator. For post-bronchodilator measurements, spirometry was performed 10-15 minutes after inhalation of 400/360 microgram (mcg) of salbutamol/albuterol. Participants were asked to withhold all bronchodilator therapy (regularly used ipratropium bromide and salbutamol/albuterol used as required) for at least 4 hours prior to spirometric testing. The change from Baseline was calculated by subtracting the Baseline value from the individual post-randomization values.. Baseline visit was Visit 2 (Week 0).

    Measured: Baseline(Week 0) and Week 4, 8, 12, 16, 20 and 24

  3. Change From Baseline in St Georges Respiratory Questionnaire for COPD (SGRQ-C) at Week 12 and 24

    The SGRQ-C questionnaire had 14 questions of COPD and participant had to rate each question. These 14 questions were separated to evaluate the three components of SGRQ-C. These three components were symptom component (question 1 to 7), activity component (question 9 and 12) and impact component (question 8, 10, 11, 13 and 14). The total score is 0 to 100 with a higher score indicating greater impairment of health status. Change from Baseline was calculated as the specified time point value minus the Baseline value. Baseline visit was Visit 2 (Week 0).

    Measured: Baseline (Week 0) and Week 12, 24

  4. Change From Baseline in Inspiratory Capacity (IC), Residual Volume(RV), Total Lung Capacity(TLC) , Thoracic Gas Volume (TGV) at Functional Residual Capacity ( FRC), Slow Vital Capacity (SVC) at Week 12 and 24

    A plethysmograph is an instrument for measuring changes in volume within an organ or whole body (usually resulting from fluctuations in the amount of blood or air it contains). Plethysmography was used to assess IC, RV, TGV at FRC, SLV, and TLC. Change from Baseline was calculated as the endpoint value minus the Baseline value. Baseline visit was Visit 2 (Week 0).

    Measured: Baseline(Week 0) and Week 12, 24

  5. Least Square Mean Ratio to Baseline of Plasma Fibrinogen Over 24 Weeks

    Least square mean ratio to Baseline of plasma fibrinogen was assessed at Week 4, 8, 12, 24. Blood samples for biomarker analysis were taken at selected visits.

    Measured: Baseline (Week 0) and Week 4, 8, 12, 24

  6. Least Square Mean Ratio to Baseline of High Sensitivity C-reactive Protein (HsCRP) Over 24 Weeks

    Least square mean ratio to Baseline of HsCRP was assessed at Week 4, 8, 12, 24. Blood samples for biomarker analysis were taken at selected visits.

    Measured: Baseline (Week 0) and Week 4, 8, 12, 24

  7. Total Number of Exacerbations Over 24 Weeks

    An exacerbation of COPD is defined as a worsening of COPD symptoms requiring changes to normal treatment (other than increased use of relief salbutamol/albuterol) including antimicrobial therapy, short courses of oral steroids, other bronchodilator therapy and/or emergency treatment or hospitalization.

    Measured: Up to 24 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Oct 2010 (estimated)
  2. Study start4 Nov 2010
  3. Primary completion21 Dec 2011
  4. Study completion21 Dec 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
604 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01218126
Sponsor's protocol ID
113006
Status last verified
Jan 2018
First submitted
7 Oct 2010
Last updated
6 Feb 2018
Data monitoring committee
No
Individual data sharing
Yes: Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

Publications

  • Largajolli A, Beerahee M, Yang S. Bayesian approach to investigate a two-state mixed model of COPD exacerbations. J Pharmacokinet Pharmacodyn. 2019 Aug;46(4):371-384. doi: 10.1007/s10928-019-09643-6. Epub 2019 Jun 13.

    PubMed 31197640
  • Watz H, Barnacle H, Hartley BF, Chan R. Efficacy and safety of the p38 MAPK inhibitor losmapimod for patients with chronic obstructive pulmonary disease: a randomised, double-blind, placebo-controlled trial. Lancet Respir Med. 2014 Jan;2(1):63-72. doi: 10.1016/S2213-2600(13)70200-5. Epub 2013 Dec 5.

    PubMed 24461903

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing losmapimod in people with Pulmonary Disease, Chronic Obstructive, run by GlaxoSmithKline at 48 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Feb 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 48 sites in Germany, United States, Argentina, Norway, South Korea and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Jan 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change From Baseline in Six Minute Walk Distance (6MWD) at Week 4, 12 and 24 (time frame: Baseline (Week 0) and Week 4, 12, 24). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01218126, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Feb 2018.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in