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Autoimmune DiseasesPhase 2NCT03239600

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

A Phase 2 study testing GSK2618960 2 mg/kg and Methotrexate in people with Autoimmune Diseases, run by GlaxoSmithKline at 1 site in United Kingdom.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Autoimmune Diseases
What is being tested?
GSK2618960 2 mg/kg and Methotrexate
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
0 participants
Where
1 siteUnited Kingdom
Study dates
19 Sep 2017to 12 Oct 2017
Phase
Phase 2
Are there results?
None posted in the registry

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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 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.

Who cannot join

  • 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

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • GSK Investigational Site

    Cambridge, CB2 0GG

Other trials in United Kingdom

About this study

Official title: 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.

Being tested
GSK2618960 2 mg/kg, Placebo, Methotrexate
Keywords
Anti-IL-7 Receptor-alpha Monoclonal Antibody, Safety, GSK2618960, Primary Sjögren's Syndrome
Medical subject headings
Autoimmune Diseases

What participants receive

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

  • GSK2618960 2 mg/kgDrug

    GSK2618960 solution for injection, 100mg/mL is clear to opalescent, colorless to yellow or pale brown liquid.

  • PlaceboDrug

    Placebo solution will be administered by IV infusion.

  • MethotrexateDrug

    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.

Study groups in NCT03239600
Study groupRoleWhat they receive
Part I & II: GSK2618960 2 milligram per kilogram (mg/kg)ExperimentalGSK2618960 2mg/kg will be administered intravenously (IV) with Methotrexate (MTX)
Receives: Drug: GSK2618960 2 mg/kg; Drug: Methotrexate
Part II: PlaceboPlacebo comparatorPlacebo will be administered IV with MTX
Receives: Drug: Placebo; Drug: Methotrexate

What is being measured

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

  1. Number of subjects with Adverse Events (AEs): Part 1

    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.

    Measured: Up to Week 29

  2. Number of subjects with abnormal clinical chemistry values: Part 1

    Samples for clinical chemistry tests will be collected as a measure of safety

    Measured: Up to Week 29

  3. Number of subjects with abnormal hematology values: Part 1

    Samples for clinical hematology tests will be collected as a measure of safety

    Measured: Up to Week 29

  4. Number of subjects with abnormal urine analysis values: Part 1

    Samples for Urine analysis tests will be collected as a measure of safety

    Measured: Up to Week 29

  5. Number of subjects with abnormal findings of body temperature: Part 1

    Body temperature will be measured in a semi-supine position after at least a 5-minute rest.

    Measured: Up to Week 29

  6. Number of subjects with abnormal findings of blood pressure: Part 1

    Systolic blood pressure (SBP) and diastolic blood pressure (DBP) will be measured in a semi-supine position after at least a 5-minute rest.

    Measured: Up to Week 29

  7. Number of subjects with abnormal findings of pulse rate: Part 1

    Pulse rate will be measured in a semi-supine position after at least a 5-minute rest.

    Measured: Up to Week 29

  8. Number of subjects with abnormal findings of respiratory rate: Part 1

    Respiratory rate will be measured in a semi-supine position after at least a 5-minute rest.

    Measured: Up to Week 29

  9. Number of subjects with abnormal Electrocardiogram (ECG) findings: Part 1

    Triplicate 12-lead ECGs will be obtained at each time point using an ECG machine

    Measured: Up to Week 29

  10. Number of subjects with AEs: Part 2

    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.

    Measured: Up to Week 35

  11. Number of subjects with abnormal clinical chemistry values: Part 2

    Samples for clinical chemistry tests will be collected as a measure of safety

    Measured: Up to Week 35

  12. Number of subjects with abnormal hematology values: Part 2

    Samples for clinical hematology tests will be collected as a measure of safety

    Measured: Up to Week 35

  13. Number of subjects with abnormal urine analysis values: Part 2

    Samples for Urine analysis tests will be collected as a measure of safety

    Measured: Up to Week 35

  14. Number of subjects with abnormal findings of body temperature: Part 2

    Body temperature will be measured in a semi-supine position after at least a 5-minute rest.

    Measured: Up to Week 35

  15. Number of subjects with abnormal findings of blood pressure: Part 2

    SBP and DBP will be measured in a semi-supine position after at least a 5-minute rest.

    Measured: Up to Week 35

  16. Number of subjects with abnormal findings of pulse rate: Part 2

    Pulse rate will be measured in a semi-supine position after at least a 5-minute rest.

    Measured: Up to Week 35

  17. Number of subjects with abnormal findings of respiratory rate: Part 2

    Respiratory rate will be measured in a semi-supine position after at least a 5-minute rest.

    Measured: Up to Week 35

  18. Number of subjects with abnormal ECG findings: Part 2

    Triplicate 12-lead ECGs will be obtained at each time point using an ECG machine

    Measured: Up to Week 35

Secondary outcomes (19)
  1. Plasma concentration of GSK2618960: Part 1

    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.

    Measured: 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

  2. Maximum observed plasma concentration (Cmax) of GSK2618960: Part 1

    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.

    Measured: 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

  3. Minimum observed plasma concentration (Cmin) of GSK2618960: Part 1

    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.

    Measured: 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

  4. Area under the curve (AUC) of GSK2618960: Part 1

    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.

    Measured: 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

  5. Number of incidences of Anti-drug antibody (ADA) formation: Part 1

    Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.

    Measured: Up to Week 29

  6. Number of titres of ADA: Part 1

    Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.

    Measured: Up to Week 29

  7. Time to onset of ADA: Part 1

    Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.

    Measured: Up to Week 29

  8. Number of incidences of ADA neutralization: Part 1

    Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.

    Measured: Up to Week 29

  9. Plasma concentration of GSK2618960 : Part 2

    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

    Measured: 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

  10. Cmax of GSK2618960: Part 2

    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.

    Measured: 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

  11. Cmin of GSK2618960: Part 2

    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.

    Measured: 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

  12. AUC of GSK2618960: Part 2

    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.

    Measured: 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

  13. Number of incidences of ADA formation: Part 2

    Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.

    Measured: Up to Week 35

  14. Number of titres of ADA: Part 2

    Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.

    Measured: Up to Week 35

  15. Time to onset of ADA: Part 2

    Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.

    Measured: Up to Week 35

  16. Number of incidences of ADA neutralization: Part 2

    Serum samples will be collected from subjects prior to infusion and various time points post-infusion to carry out immunogenicity and immune-complex analyses.

    Measured: Up to Week 35

  17. Receptor occupancy (RO) on circulating T cells: Part 2

    Blood samples will be collected from subjects at indicated time points to measure IL-7R alpha occupancy levels.

    Measured: Up to Week 35

  18. Percentage inhibition of Signal transducer and activator of transcription 5 (STAT 5) phosphorylation in T cells: Part 2

    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.

    Measured: Up to Week 35

  19. Change from Baseline in Focus score: Part 2

    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.

    Measured: Up to Day 29

Timeline

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

  1. First posted4 Aug 2017
  2. Study start19 Sep 2017
  3. Primary completion12 Oct 2017
  4. Study completion12 Oct 2017 (estimated)

Why it stopped: The study is stopped for Portfolio prioritization.

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
Model description
This is a parallel assignment where in Part II of the study, randomized subject will receive GSK2618960 and placebo drug simultaneously.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03239600
Sponsor's protocol ID
201579
Status last verified
Mar 2018
First submitted
19 Jun 2017
Last updated
7 Mar 2018
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing GSK2618960 2 mg/kg and Methotrexate in people with Autoimmune Diseases, run by GlaxoSmithKline at 1 site in United Kingdom.

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 6 inclusion and 5 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: withdrawn, as of the sponsor's last update on 7 Mar 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. 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?

The study was withdrawn before enrolling participants, so there are no results.

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 subjects with Adverse Events (AEs): Part 1 (time frame: Up to Week 29). The study lists 18 primary outcomes in all. 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 7 Mar 2018.

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