Crohn's DiseasePhase 3SHIELD-3NCT01318993
Open-Label Extension Study of GSK1605786A
A Phase 3 study testing GSK1605786A in people with Crohn's Disease, run by GlaxoSmithKline at 244 sites in 31 countries.
Trial summary
An open-label study to evaluate the safety and effectiveness of GSK1605786A 500 mg twice daily over 108 weeks in adult subjects with Crohn's disease. Subjects completing previous GSK-sponsored studies with GSK1605786A or subjects who withdraw early from Study CCX114157 (maintenance study of GSK1605786A) due to… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Crohn's Disease
- What is being tested?
- GSK1605786A
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 399 participants
- Where
- 244 sitesin 31 countries
- Study dates
- 1 Apr 2011to 29 Oct 2013
- Phase
- Phase 3
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Previous participation in a GSK-sponsored study with GSK1605786A
- Written informed consent prior to any study-specific procedures
- Female subjects: To be eligible, females of child-bearing potential must be sexually inactive or commit to consistent and correct use of a contraceptive method of birth control with less than 1% failure rate
Who cannot join
- If female, is pregnant, has a positive pregnancy test or is breast-feeding, or is planning to become pregnant
- Subjects with known or suspected coeliac disease or a positive screening test for anti-tissue transglutaminase antibodies should have been excluded from enrolment into any induction study. Subjects in whom a diagnosis of coeliac disease is subsequently suspected should be tested for anti-tissue transglutaminase antibodies and excluded or withdrawn from the study upon positive test result
- Fixed symptomatic stenoses or strictures of small bowel or colon
- Enterocutaneous, abdominal or pelvic fistulae likely to require surgery during the study period
- Current sepsis or infections requiring intravenous antibiotic therapy greater than 2 weeks
- Evidence of hepatic dysfunction or viral hepatitis
- Subjects who have demonstrated safety or tolerability issues during participation in a previous study with GSK1605786A which, in the opinion of the investigator, was possibly related to study treatment and poses an unacceptable risk to the subject.
Trial locations and contacts
244 sites in 31 countries.
244 sites in 31 countries
United States55 sites
GSK Investigational Site
Anaheim, California, 92801
GSK Investigational Site
Ann Arbor, Michigan, 48109-5682
GSK Investigational Site
Atlanta, Georgia, 30342-5006
GSK Investigational Site
Aurora, Colorado, 80045
GSK Investigational Site
Boston, Massachusetts, 02114
GSK Investigational Site
Brooklyn, New York, 11206
GSK Investigational Site
Chapel Hill, North Carolina, 27599-7080
GSK Investigational Site
Charlotte, North Carolina, 28207
GSK Investigational Site
Charlotte, North Carolina, 28209
GSK Investigational Site
Chesterfield, Michigan, 48047
GSK Investigational Site
Chevy Chase, Maryland, 20815
GSK Investigational Site
Chicago, Illinois, 60637
GSK Investigational Site
Christiansburg, Virginia, 24073
GSK Investigational Site
Columbus, Ohio, 43215
GSK Investigational Site
Danville, Virginia, 24541
GSK Investigational Site
Durham, North Carolina, 27710
GSK Investigational Site
East Setauket, New York, 11733-9292
GSK Investigational Site
Germantown, Tennessee, 38138
GSK Investigational Site
Great Neck, New York, 11021
GSK Investigational Site
Hamden, Connecticut, 06518
GSK Investigational Site
Hammond, Louisiana, 70403
GSK Investigational Site
Indianapolis, Indiana, 46237
GSK Investigational Site
Jacksonville, Florida, 32256-6004
GSK Investigational Site
La Jolla, California, 92093
GSK Investigational Site
Lake Success, New York, 11042
GSK Investigational Site
Lakewood, Colorado, 80215
GSK Investigational Site
Lee's Summit, Missouri, 64064
GSK Investigational Site
Lexington, Kentucky, 40536-0298
GSK Investigational Site
Little Rock, Arizona, 72205
GSK Investigational Site
Littleton, Colorado, 80120
GSK Investigational Site
Madison, Wisconsin, 53792
GSK Investigational Site
Mexico, Missouri, 65265-3726
GSK Investigational Site
Milwaukee, Wisconsin, 53226
GSK Investigational Site
Monroe, Louisiana, 71201
GSK Investigational Site
Nashville, Tennessee, 37212-1610
GSK Investigational Site
New Haven, Connecticut, 06510
GSK Investigational Site
Norfolk, Virginia, 23502
GSK Investigational Site
Ogden, Utah, 84405
GSK Investigational Site
Pittsburgh, Pennsylvania, 15212
GSK Investigational Site
Port Orange, Florida, 32127
GSK Investigational Site
Portland, Oregon, 97225
GSK Investigational Site
Raleigh, North Carolina, 27612
GSK Investigational Site
Richmond, Virginia, 23249
GSK Investigational Site
Rochester, Minnesota, 55905
GSK Investigational Site
San Diego, California, 92103
GSK Investigational Site
San Francisco, California, 94115
GSK Investigational Site
Seattle, Washington, 98101
GSK Investigational Site
Seattle, Washington, 98195
GSK Investigational Site
Suwanee, Georgia, 30024
GSK Investigational Site
Towson, Maryland, 21204
GSK Investigational Site
Towson, Maryland, 21286
GSK Investigational Site
Troy, Michigan, 48098
GSK Investigational Site
Tucson, Arizona, 85712
GSK Investigational Site
Tulsa, Oklahoma, 74135
GSK Investigational Site
Washington D.C., District of Columbia, 20007
Canada16 sites
GSK Investigational Site
Abbotsford British Columbia, British Columbia, V2S 3N5
GSK Investigational Site
Calgary, Alberta, T2N 4Z6
GSK Investigational Site
Edmonton, Alberta, T6G 2X8
GSK Investigational Site
Halifax, Nova Scotia, B3H 2Y9
GSK Investigational Site
Hamilton, Ontario, L8N 3Z5
GSK Investigational Site
Hamilton, Ontario, L8N 4A6
GSK Investigational Site
Kingston, Ontario, K7L 5G2
GSK Investigational Site
London, Ontario, N6A 5A5
GSK Investigational Site
London, Ontario, N6A 5W9
GSK Investigational Site
Montreal, Quebec, H3A 1A1
GSK Investigational Site
Montreal, Quebec, H3T 1E2
GSK Investigational Site
Ottawa, Ontario, K1H 1A2
GSK Investigational Site
Québec, Quebec, G1S 4L8
GSK Investigational Site
Québec, Quebec, G3K 2P8
GSK Investigational Site
Vancouver, British Columbia, V6Z 2K5
GSK Investigational Site
Winnipeg, Manitoba, R3A 1R9
Japan14 sites
GSK Investigational Site
Aichi, 460-0012
GSK Investigational Site
Chiba, 285-8741
GSK Investigational Site
Fukuoka, 812-8582
GSK Investigational Site
Fukuoka, 818-8502
GSK Investigational Site
Hiroshima, 720-8520
GSK Investigational Site
Hokkaido, 060-0033
GSK Investigational Site
Hyōgo, 663-8501
GSK Investigational Site
Kagoshima, 892-0846
GSK Investigational Site
Kagoshima, 892-8512
GSK Investigational Site
Miyagi, 981-3213
GSK Investigational Site
Osaka, 530-0011
GSK Investigational Site
Osaka, 545-8586
GSK Investigational Site
Tokyo, 160-8582
GSK Investigational Site
Tokyo, 169-0073
Israel11 sites
GSK Investigational Site
Afula, 18101
GSK Investigational Site
Beersheba, 84101
GSK Investigational Site
Haifa, 31096
GSK Investigational Site
Holon, 58100
GSK Investigational Site
Jerusalem, 91031
GSK Investigational Site
Jerusalem, 91120
GSK Investigational Site
Kfar Saba, 44281
GSK Investigational Site
Petah Tikva, 49100
GSK Investigational Site
Ramat Gan, 52621
GSK Investigational Site
Tel Aviv, 64239
GSK Investigational Site
Tsrifin, 70300
Spain10 sites
GSK Investigational Site
Badalona, 08916
GSK Investigational Site
Elche, 03293
GSK Investigational Site
Fuenlabrada (Madrid), 28942
GSK Investigational Site
Madrid, 28006
GSK Investigational Site
Madrid, 28007
GSK Investigational Site
Madrid, 28040
GSK Investigational Site
Madrid, 28046
GSK Investigational Site
Marbella, 29600
GSK Investigational Site
Sabadell (Barcelona), 08208
GSK Investigational Site
Santander, 39008
Russia9 sites
GSK Investigational Site
Kazan', 420064
GSK Investigational Site
Lipetsk, 398055
GSK Investigational Site
Moscow, 129110
GSK Investigational Site
Nizhny Novgorod, 603126
GSK Investigational Site
Rostov-on-Don, 344091
GSK Investigational Site
Saint Petersburg, 196247
GSK Investigational Site
Saint Petersburg, 197047
GSK Investigational Site
Samara, 443011
GSK Investigational Site
Tomsk, 634063
Ukraine9 sites
GSK Investigational Site
Chernivtsi, 58005
GSK Investigational Site
Dnipropetrovsk, 49044
GSK Investigational Site
Donetsk, 83003
GSK Investigational Site
Donetsk, 83017
GSK Investigational Site
Kharkiv, 61037
GSK Investigational Site
Kyiv
GSK Investigational Site
Odesa, 65117
GSK Investigational Site
Simferopol, 95017
GSK Investigational Site
Vinnytsia, 21029
Australia8 sites
GSK Investigational Site
Adelaide, South Australia, 5000
GSK Investigational Site
Bankstown, New South Wales, 2200
GSK Investigational Site
Box Hill, Victoria, 3128
GSK Investigational Site
Fitzroy, Victoria, 3065
GSK Investigational Site
Fremantle, Western Australia, 6160
GSK Investigational Site
Hersten, Queensland, 4029
GSK Investigational Site
Kurralta Park, South Australia, 5037
GSK Investigational Site
Prahran, Victoria, 3181
France8 sites
GSK Investigational Site
Clichy, 92118
GSK Investigational Site
Lille, 59037
GSK Investigational Site
Nantes, 44093
GSK Investigational Site
Nice, 06202
GSK Investigational Site
Paris, 75475
GSK Investigational Site
Pessac, 33604
GSK Investigational Site
Saint-Priest-en-Jarez, 42270
GSK Investigational Site
Vandœuvre-lès-Nancy, 54511
Germany8 sites
GSK Investigational Site
Berlin, 10117
GSK Investigational Site
Berlin, 13353
GSK Investigational Site
Frankfurt am Main, Hesse, 60590
GSK Investigational Site
Hamburg, 20148
GSK Investigational Site
Hamburg, 22559
GSK Investigational Site
Hanover, Lower Saxony, 30625
GSK Investigational Site
Minden, North Rhine-Westphalia, 32423
GSK Investigational Site
Ulm, Baden-Wurttemberg, 89081
Hungary8 sites
GSK Investigational Site
Békéscsaba, 5600
GSK Investigational Site
Budapest, 1062
GSK Investigational Site
Budapest, 1083
GSK Investigational Site
Budapest, 1136
GSK Investigational Site
Debrecen, 4025
GSK Investigational Site
Mosonmagyaróvár, 9200
GSK Investigational Site
Szekszárd, 7100
GSK Investigational Site
Vác, 2600
United Kingdom8 sites
GSK Investigational Site
Birmingham, B9 5SS
GSK Investigational Site
Bristol, BS2 8HW
GSK Investigational Site
Edinburgh, EH4 2XU
GSK Investigational Site
Harrow, Middlesex, HA1 3UJ
GSK Investigational Site
Manchester, M13 9WL
GSK Investigational Site
Newcastle upon Tyne, NE1 4LP
GSK Investigational Site
Oxford, OX3 9DU
GSK Investigational Site
Salford, M6 8HD
Austria7 sites
GSK Investigational Site
Hall in Tirol, 6060
GSK Investigational Site
Linz, A-4021
GSK Investigational Site
Oberpullendorf, 7350
GSK Investigational Site
St.Veit/Glan, 9300
GSK Investigational Site
Vienna, 1030
GSK Investigational Site
Vienna, 1050
GSK Investigational Site
Vienna, 1090
Belgium7 sites
GSK Investigational Site
Bonheiden, 2820
GSK Investigational Site
Brussels, 1000
GSK Investigational Site
Brussels, 1200
GSK Investigational Site
Ghent, 9000
GSK Investigational Site
Kortrijk, 8500
GSK Investigational Site
Leuven, 3000
GSK Investigational Site
Roeselare, 8800
Czechia7 sites
GSK Investigational Site
Hradec Králové, 500 12
GSK Investigational Site
Olomouc, 77520
GSK Investigational Site
Ostrava - Vitkovice, 70384
GSK Investigational Site
Prague, 100 34
GSK Investigational Site
Prague, 140 21
GSK Investigational Site
Prague, 17004
GSK Investigational Site
Prague, 190 61
Slovakia7 sites
GSK Investigational Site
Bratislava, 831 04
GSK Investigational Site
Bratislava, 851 01
GSK Investigational Site
Bratislava, 851 07
GSK Investigational Site
Nitra, 949 01
GSK Investigational Site
Nové Mesto nad Váhom, 915 01
GSK Investigational Site
Prešov, 080 01
GSK Investigational Site
Trnava, 917 02
South Korea7 sites
GSK Investigational Site
Busan
GSK Investigational Site
Daegu, 705-717
GSK Investigational Site
Seoul, 120-752
GSK Investigational Site
Seoul, 130702
GSK Investigational Site
Seoul, 135710
GSK Investigational Site
Seoul, 138-736
GSK Investigational Site
Wŏnju, 220701
Poland6 sites
GSK Investigational Site
Bydgoszcz, 85-168
GSK Investigational Site
Bydgoszcz, 85-681
GSK Investigational Site
Lublin, 20-607
GSK Investigational Site
Sopot, 81-756
GSK Investigational Site
Torun, 87-100
GSK Investigational Site
Wroclaw, 53-333
Bulgaria5 sites
GSK Investigational Site
Plovdiv, 4002
GSK Investigational Site
Sofia, 1407
GSK Investigational Site
Sofia, 1431
GSK Investigational Site
Sofia, 1527
GSK Investigational Site
Varna, 9010
Denmark5 sites
GSK Investigational Site
Aalborg, 9000
GSK Investigational Site
Aarhus, 8000
GSK Investigational Site
Herlev, 2730
GSK Investigational Site
Hvidovre, 2605
GSK Investigational Site
Odense, 5000
Italy4 sites
GSK Investigational Site
Genoa, Liguria, 16132
GSK Investigational Site
Modena, 41100
GSK Investigational Site
Palermo, Sicily, 90127
GSK Investigational Site
Roma, 00152
New Zealand4 sites
GSK Investigational Site
Dunedin, 9054
GSK Investigational Site
Lower Hutt, 6007
GSK Investigational Site
Otahuhu, Auckland, 2025
GSK Investigational Site
Tauranga, 3143
Portugal4 sites
GSK Investigational Site
Lisbon, 1649-035
GSK Investigational Site
Lisbon, 1769-001
GSK Investigational Site
Porto, 4099-001
GSK Investigational Site
Viseu, 3504-509
South Africa4 sites
GSK Investigational Site
Bellville, 7530
GSK Investigational Site
Claremont, 7708
GSK Investigational Site
Observatory, 7925
GSK Investigational Site
Parktown, 2192
Estonia3 sites
GSK Investigational Site
Tallinn, 10617
GSK Investigational Site
Tallinn, EE-10138
GSK Investigational Site
Tartu, 51014
Sweden3 sites
GSK Investigational Site
Lund, SE-221 85
GSK Investigational Site
Stockholm, SE-171 76
GSK Investigational Site
Stockholm, SE-182 88
Hong Kong2 sites
GSK Investigational Site
Hong Kong
GSK Investigational Site
Shatin, New Territories
Switzerland2 sites
GSK Investigational Site
Bern, 3004
GSK Investigational Site
Zurich, 8091
About this study
Official title: An Open-Label Extension Study to Assess the Safety of GSK1605786A in Subjects With Crohn's Disease
An open-label study to evaluate the safety and effectiveness of GSK1605786A 500 mg twice daily over 108 weeks in adult subjects with Crohn's disease. Subjects completing previous GSK-sponsored studies with GSK1605786A or subjects who withdraw early from Study CCX114157 (maintenance study of GSK1605786A) due to worsening of Crohn's disease requiring a treatment change may be eligible to participate. The primary objective is to evaluate the safety of GSK1605786A, as assessed by recording of adverse events, clinical laboratory parameters, vital signs and electrocardiogram. Secondary objectives will include assessments of effectiveness of long-term treatment with GSK1605786A. Health outcomes assessments will include changes in Inflammatory Bowel Disease Questionnaire (IBDQ), SF-36v2, EQ-5D, Work and Productivity Activity Impairment-Crohn's Disease (WPAI-CD) and receipt of disability.
Read the detailed description
This is a multi-centre, open-label extension study to assess the long-term safety, tolerability and effectiveness of GSK1605786A in subjects with Crohn's disease. Subjects will enter the study via one of three routes:
- completion of the placebo-controlled induction study, CCX114151, without achieving clinical response (CDAI decrease of at least 100 points) or clinical remission (CDAI score less than 150) at Week 12 or completion of any other GSK-sponsored induction study as designated by the sponsor
- completion of maintenance study CCX114157 at Week 52
- withdrawal from maintenance study CCX114157 due to worsening of Crohn's disease and requiring a treatment change.
The primary objective is to evaluate the safety of GSK1605786A, as assessed by recording of adverse events, clinical laboratory parameters, vital signs and electrocardiogram. Secondary objectives will include assessments of effectiveness of long-term treatment with GSK1605786A. Health outcomes assessments will include changes in Inflammatory Bowel Disease Questionnaire (IBDQ), SF-36v2, EQ-5D, Work and Productivity Activity Impairment-Crohn's Disease (WPAI-CD) and disability.
It is estimated that approximately 800 subjects will be enrolled in total. All subjects will enter the study at baseline (Week 0) and commence oral treatment with GSK1605786A 500 mg twice daily.
The study will be conducted for 108 weeks. Once the results of the induction study CCX114151 are known, the risk-to-benefit ratio will be re-assessed and the study duration may be amended.
Study assessments for Crohn's disease will be performed every 12 weeks through Week 108. At week 12, the investigator will make a determination of whether the subject is receiving clinical benefit, and subjects who are not receiving clinical benefit must be withdrawn. More frequent blood draws are required for liver function testing only; every 2 weeks for the first 12 weeks, then every 4 weeks up to Week 52, and every 12 weeks after Week 60 for the duration of the study.
- Conditions
- Crohn's Disease
- Being tested
- GSK1605786A
- Keywords
- GSK1605786A; Inflammatory Bowel Disease; Crohn's disease; long-term treatment; quality of life; CCR9 antagonist
- Medical subject headings
- Crohn Disease, Inflammatory Bowel Diseases
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
GSK1605786ADrug
500 milligrams twice daily
| Study group | Role | What they receive |
|---|---|---|
| GSK1605786A | Experimental | 500 milligrams twice daily Receives: Drug: GSK1605786A |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With Any Adverse Events (AE) and Any Serious Adverse Events (SAE)
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death; was life threatening; required hospitalization or prolongation of existing hospitalization; resulted in disability/incapacity; was a congenital anomaly/birth defect. The Safety population consisted of all participants who enrolled in the study except those who did not take >=1 dose of investigational product.
Measured: Up to Week 112
Secondary outcomes (12)
Change From Baseline (Week 0) in Systolic and Diastolic Blood Pressure (SBP and DBP) Over Period
The SBP and DBP values were obtained as part of vital sign monitoring and measured after the participant was at rest in the supine position for at least 5 minutes. Baseline value was recorded at Week 0. Change from Baseline measurements in SBP and DBP were assessed at Weeks 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108 and 4 weeks post-treatment. The Baseline value is defined as the value at Week 0. Change from Baseline was calculated as the post-Baseline value minus the value at Baseline.
Measured: Baseline (Week 0) and up to Week 112
Change From Baseline (Week 0) in Heart Rate (HR) Over Period
The HR values were obtained as part of vital sign monitoring and measured after the participant was at rest in the supine position for at least 5 minutes. Change from Baseline in HR was assessed at Week 4, 8, 12, 24, 36, 48, 60, 72, 84, 96, 108 and 4 weeks post-treatment. The Baseline value is defined as the value at Week 0. Change from Baseline was calculated as the post-Baseline value minus the value at Baseline.
Measured: Baseline (week 0) and up to Week 112
Number of Participants With Shifts From Baseline (Week 0) for the Indicated Hematology Parameters
Hematology parameters measured included platelets, neutrophils (NL), lymphocytes, monocytes, eosinophils, basophils, hematocrit, band cells, red blood cell (RBC) count, hemoglobin, white blood cell (WBC) count, and segmented (seg) NL. The Baseline value is defined as the value obtained at Week 0. The number of participants with the indicated hematology parameters data reference range shifts from Baseline (defined as shift to low, shift to normal or no change, shift to high) until 4 weeks post treatment are presented.
Measured: Baseline (Week 0) and up to Week 112
Number of Participants With Shifts From Baseline (Week 0) for the Indicated Clinical Chemistry Parameters
Clinical chemistry parameters included platelets, total protein, phosphorous, albumin, sodium, potassium, chloride, calcium, glucose, gamma-glutamyl transferase, total bilirubin (TB), direct bilirubin (DB), alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), blood urea nitrogen (BUN)/urea, creatinine, uric acid, bicarbonate, lactate dehydrogenase, cholesterol, alkaline phosphatase (ALP), gamma glutamyl transferases (GGT), and creatine kinase. The Baseline value is defined as the value obtained at Week 0. The number of participants with the indicated clinical chemistry parameters' data reference range shifts from Baseline (defined as shift to low, shift to normal or no change, or shift to high) until 4 weeks post-treatment are presented.
Measured: Baseline (Week 0) and up to Week 112
Change From Baseline (Week 0) in ALT, AST, ALP, and GGT as a Function of Liver Function Test (LFT)
Changes in Baseline in ALP, ALT, AST, and GGT were assessed to monitor liver function. Blood samples were taken at Weeks 2, 4, 6, 8, 10, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 60, 72, 84, 96, 108, and 4 Weeks post-treatment. The last value on or prior to the treatment start date was considered the Baseline value. Change from Baseline was calculated as the post-Baseline value at the time point indicated minus the value at Baseline.
Measured: Baseline (Week 0) and up to Week 112
Change From Baseline (Week 0) in Total Bilirubin
Changes from Baseline (Week 0) in total bilirubin (TB) was assessed to monitor liver function. Blood samples were taken at Weeks 2, 4, 6, 8, 10, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 60, 72, 84, 96, 108, and 4 Weeks post-treatment. The last value on or prior to the treatment start date was considered the Baseline value. Change from Baseline was calculated as the post-Baseline value at the time point indicated minus the value at Baseline.
Measured: Baseline (Week 0) and up to Week 112
Change From Baseline (Week 0) in Albumin
Change from Baseline in albumin was assessed to monitor liver function. Blood samples were taken at Weeks 2, 4, 6, 8, 10, 12, 16, 20, 24, 28, 32, 36, 40, 44, 48, 52, 60, 72, 84, 96, 108, and 4 Weeks post treatment. The last value on or prior to the treatment start date (Week 0) was considered the Baseline value. Change from Baseline was calculated as the post-Baseline value at the time point indicated minus the value at Baseline.
Measured: Baseline (Week 0) and up to Week 112
Number of Participants With the Indicated Change From Baseline (Week 0) in Corrected QT Interval (QTc) Value
QTc is the corrected QT interval as measured by the electrocardiogram (ECG). ECG parameters including the change from Baseline in the QTc interval values QTcF and QTcB were summarised. The QTcF is Fridericia's formula and defined as the QT interval/cubed root of the R-R interval. The QTcB is the Bazett's formula defined as the QT/squared root of the R-R interval. The number of participants with change from Baseline in the QTcF and QTcB intervals of >30, 30 to <60 and >=60 milliseconds were assessed at Week 24, 48, 72, 108, and Week 112. The last value on or prior to the treatment start date was considered the Baseline value (Week 0). Change from Baseline was calculated as the post-Baseline value minus the value at Baseline.
Measured: Baseline (week 0) and Weeks 24, 48, 72, 108, and 112 (4 weeks post treatment)
Change From Baseline (Week 0) in Crohn's Disease Activity Index (CDAI) Score Over 108 Weeks
The CDAI score was determined by interactive voice response relationship (IVRS) based on the combination of participant,investigator entries, standardized weight determination, and Hematocrit values received from the central laboratory. The Baseline CDAI score was recorded pre-dose on Week 0. Change from Baseline is the value at indicated time point minus the Baseline value. Remissions are defined as participants with CDAI score of < 150 points. No imputation for missing data was performed. The assessment was based on questionnaire like number of liquid stool in past 7 days, abdominal pain, other symptoms, antidiarrheal use, abdominal mass, anemia, and body weight. The total score is summation of all individual sub-scores. CDAI scoring scale ranges from 0-500 and a score of 150 or below indicates remission and a score above 450 indicates extremely severe disease. A decrease in CDAI over time indicates improvement in disease activity.
Measured: Baseline (Week 0) and up to 108 weeks
Percentage of Participants in Clinical Remission (CDAI Score Less Than 150) for All Participants, for Participants in Remission at Baseline (Week 0), and for Participants Not in Remission at Baseline Over 108 Weeks
The CDAI score was determined by interactive voice response relationship (IVRS) based on the combination of participant and investigator entries and standardized weight determination. Haematocrit values received from the central laboratory on the day of the visit were to be utilized for calculation of the CDAI scores. The Baseline (Week 0) CDAI score was defined as the last evaluation prior to or on the date the first dose of investigational product is taken. The CDAI score was measured over 108 weeks although it was planned to be measured till 112 weeks. Remissions are defined as subjects with CDAI score of < 150 points. Percentages are based on the number of subjects with observed data. No imputation for missing data was performed. Combined data for participants with remission at Baseline and without remission at Baseline has been presented.
Measured: Baseline (Week 0) and up to 108 weeks
Percentage of Participants Achieving Response (CDAI Decrease of at Least 100 Points From Baseline ([Week 0] of Prior Induction Study) in the Sub-population of Non-responders at Study Entry Over 112 Weeks
The CDAI score was determined by interactive voice response relationship (IVRS) based on the combination of participant and investigator entries and standardized weight determination. Haematocrit values received from the central laboratory on the day of the visit were to be utilized for calculation of the CDAI scores. The Baseline (Week 0) CDAI score was defined as the last evaluation prior to or on the date the first dose of investigational product was taken. Remissions are defined as subjects with CDAI score of < 150 points. Percentages are based on the number of subjects with observed data. No imputation for missing data was performed.
Measured: Baseline (Week 0) and up to 112 weeks
Change From Baseline (Week 0) in Inflammatory Bowel Disease Questionnaire (IBDQ), Short Form Health Survey (SF-36) Version 2, EuroQol 5 Dimensional (EQ-5D), Work and Productivity Activity Impairment-Crohn's Disease (WPAI-CD) and Disability Over 112 Weeks
IBDQ, SF-36, EQ-5D, WPAI-CD, and disability scores were all health outcome related scores that were based on assessment of participants based on different questionnaire. Each scoring scale had different range and participants were planned to be rated separately based on each scale.
Measured: Baseline (Week 0) and up to 112 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Mar 2011 (estimated)
- Study start1 Apr 2011
- Primary completion1 Sep 2013
- Study completion29 Oct 2013
Why it stopped: This study was terminated due to the lack of efficacy of GSK1605786A in Crohn's disease based on the results of Study CCX114151.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Crohn's DiseaseStudies of the same condition, open and under way.
- More trials run by GlaxoSmithKlineThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 399 participants (actual)
Sponsor and investigators
- Lead sponsor
- GlaxoSmithKline
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- GSK Clinical Trials, Study director, GlaxoSmithKline
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01318993
- Sponsor's protocol ID
- 114644
- Other IDs
- 2010-022384-35
- Acronym
- SHIELD-3
- Status last verified
- Jul 2017
- First submitted
- 3 Mar 2011
- Last updated
- 14 Sep 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 14 Sep 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label Extension Study to Assess the Safety of GSK1605786A in Subjects With Crohn's Disease
- ClinicalTrials.gov ID
- NCT01318993
- Acronym / sponsor ID
- SHIELD-3 / 114644
- Conditions
- Crohn's Disease
- Keywords
- GSK1605786A; Inflammatory Bowel Disease; Crohn's disease; long-term treatment; quality of life; CCR9 antagonist
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: This study was terminated due to the lack of efficacy of GSK1605786A in Crohn's disease based on the results of Study CCX114151.
- Enrolment
- 399 participants (actual)
- Lead sponsor
- GlaxoSmithKlineIndustry (pharma, biotech, devices)
- Study start
- 1 Apr 2011
- Primary completion
- 1 Sep 2013 (actual)
- Study completion
- 29 Oct 2013 (actual)
- First posted
- 21 Mar 2011 (estimated)
- Results
- Posted 14 Sep 2017
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
An open-label study to evaluate the safety and effectiveness of GSK1605786A 500 mg twice daily over 108 weeks in adult subjects with Crohn's disease. Subjects completing previous GSK-sponsored studies with GSK1605786A or subjects who withdraw early from Study CCX114157 (maintenance study of GSK1605786A) due to worsening of Crohn's disease requiring a treatment change may be eligible to participate. The primary objective is to evaluate the safety of GSK1605786A, as assessed by recording of adverse events, clinical laboratory parameters, vital signs and electrocardiogram. Secondary objectives will include assessments of effectiveness of long-term treatment with GSK1605786A. Health outcomes assessments will include changes in Inflammatory Bowel Disease Questionnaire (IBDQ), SF-36v2, EQ-5D, Work and Productivity Activity Impairment-Crohn's Disease (WPAI-CD) and receipt of disability.
Detailed description
This is a multi-centre, open-label extension study to assess the long-term safety, tolerability and effectiveness of GSK1605786A in subjects with Crohn's disease. Subjects will enter the study via one of three routes:
- completion of the placebo-controlled induction study, CCX114151, without achieving clinical response (CDAI decrease of at least 100 points) or clinical remission (CDAI score less than 150) at Week 12 or completion of any other GSK-sponsored induction study as designated by the sponsor
- completion of maintenance study CCX114157 at Week 52
- withdrawal from maintenance study CCX114157 due to worsening of Crohn's disease and requiring a treatment change.
The primary objective is to evaluate the safety of GSK1605786A, as assessed by recording of adverse events, clinical laboratory parameters, vital signs and electrocardiogram. Secondary objectives will include assessments of effectiveness of long-term treatment with GSK1605786A. Health outcomes assessments will include changes in Inflammatory Bowel Disease Questionnaire (IBDQ), SF-36v2, EQ-5D, Work and Productivity Activity Impairment-Crohn's Disease (WPAI-CD) and disability.
It is estimated that approximately 800 subjects will be enrolled in total. All subjects will enter the study at baseline (Week 0) and commence oral treatment with GSK1605786A 500 mg twice daily.
The study will be conducted for 108 weeks. Once the results of the induction study CCX114151 are known, the risk-to-benefit ratio will be re-assessed and the study duration may be amended.
Study assessments for Crohn's disease will be performed every 12 weeks through Week 108. At week 12, the investigator will make a determination of whether the subject is receiving clinical benefit, and subjects who are not receiving clinical benefit must be withdrawn. More frequent blood draws are required for liver function testing only; every 2 weeks for the first 12 weeks, then every 4 weeks up to Week 52, and every 12 weeks after Week 60 for the duration of the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| GSK1605786A | Experimental | Drug: GSK1605786A500 milligrams twice daily |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Previous participation in a GSK-sponsored study with GSK1605786A
- Written informed consent prior to any study-specific procedures
- Female subjects: To be eligible, females of child-bearing potential must be sexually inactive or commit to consistent and correct use of a contraceptive method of birth control with less than 1% failure rate
Key exclusion criteria (7 listed)
- If female, is pregnant, has a positive pregnancy test or is breast-feeding, or is planning to become pregnant
- Subjects with known or suspected coeliac disease or a positive screening test for anti-tissue transglutaminase antibodies should have been excluded from enrolment into any induction study. Subjects in whom a diagnosis of coeliac disease is subsequently suspected should be tested for anti-tissue transglutaminase antibodies and excluded or withdrawn from the study upon positive test result
- Fixed symptomatic stenoses or strictures of small bowel or colon
- Enterocutaneous, abdominal or pelvic fistulae likely to require surgery during the study period
- Current sepsis or infections requiring intravenous antibiotic therapy greater than 2 weeks
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| GSK1605786A500 milligrams twice daily | Drug | GSK1605786A |
Primary outcome
Number of Participants With Any Adverse Events (AE) and Any Serious Adverse Events (SAE)
Time frame: Up to Week 112
An AE is defined as any untoward medical occurrence in a participant or clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as any untoward medical occurrence that, at any dose, results in death; was life threatening; required hospitalization or prolongation of existing hospitalization; resulted in disability/incapacity; was a congenital anomaly/birth defect. The Safety population consisted of all participants who enrolled in the study except those who did not take >=1 dose of investigational product.
12 secondary outcomes
Change From Baseline (Week 0) in Systolic and Diastolic Blood Pressure (SBP and DBP) Over Period
Time frame: Baseline (Week 0) and up to Week 112
Change From Baseline (Week 0) in Heart Rate (HR) Over Period
Time frame: Baseline (week 0) and up to Week 112
Number of Participants With Shifts From Baseline (Week 0) for the Indicated Hematology Parameters
Time frame: Baseline (Week 0) and up to Week 112
Number of Participants With Shifts From Baseline (Week 0) for the Indicated Clinical Chemistry Parameters
Time frame: Baseline (Week 0) and up to Week 112
Change From Baseline (Week 0) in ALT, AST, ALP, and GGT as a Function of Liver Function Test (LFT)
Time frame: Baseline (Week 0) and up to Week 112
Change From Baseline (Week 0) in Total Bilirubin
Time frame: Baseline (Week 0) and up to Week 112
Change From Baseline (Week 0) in Albumin
Time frame: Baseline (Week 0) and up to Week 112
Number of Participants With the Indicated Change From Baseline (Week 0) in Corrected QT Interval (QTc) Value
Time frame: Baseline (week 0) and Weeks 24, 48, 72, 108, and 112 (4 weeks post treatment)
Change From Baseline (Week 0) in Crohn's Disease Activity Index (CDAI) Score Over 108 Weeks
Time frame: Baseline (Week 0) and up to 108 weeks
Percentage of Participants in Clinical Remission (CDAI Score Less Than 150) for All Participants, for Participants in Remission at Baseline (Week 0), and for Participants Not in Remission at Baseline Over 108 Weeks
Time frame: Baseline (Week 0) and up to 108 weeks
Percentage of Participants Achieving Response (CDAI Decrease of at Least 100 Points From Baseline ([Week 0] of Prior Induction Study) in the Sub-population of Non-responders at Study Entry Over 112 Weeks
Time frame: Baseline (Week 0) and up to 112 weeks
Change From Baseline (Week 0) in Inflammatory Bowel Disease Questionnaire (IBDQ), Short Form Health Survey (SF-36) Version 2, EuroQol 5 Dimensional (EQ-5D), Work and Productivity Activity Impairment-Crohn's Disease (WPAI-CD) and Disability Over 112 Weeks
Time frame: Baseline (Week 0) and up to 112 weeks
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Sep 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
GSK Clinical Trials study director
GlaxoSmithKline
244 sites in 31 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing GSK1605786A in people with Crohn's Disease, run by GlaxoSmithKline at 244 sites in 31 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 3 inclusion and 7 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: stopped early, as of the sponsor's last update on 14 Sep 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 244 sites in United States, Canada, Japan, Israel, Spain and 26 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. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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 14 Sep 2017). 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?
Number of Participants With Any Adverse Events (AE) and Any Serious Adverse Events (SAE) (time frame: Up to Week 112). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 14 Sep 2017.