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| ID | Type | Description | Link |
|---|---|---|---|
| 2013-001369-18 | EudraCT Number |
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GSK has elected to terminate development principally as a result of the statin drug-drug interaction (DDI) study.
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| Name | Class |
|---|---|
| Prof Geert D'Haens, AMC, Amsterdam | UNKNOWN |
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This is an open label exploratory study to investigate the safety of 400 milligram (mg ) twice a day (b.i.d.) GSK2586184 in patients with moderate to severe, active ulcerative colitis (UC). Study medication will be administered orally (as tablets), twice daily, for up to 8 weeks (56 days). Study medication will be taken with food. Each subject will have 6 out-patient visits: Screening (Day -30 to -1); Baseline and Start of treatment (Day 1); Week 2 (Day 14); Week 4 (Day 28); Week 8 (Day 56); and Follow-up (Week 12; Day 84). Visit windows for weeks 2, 4 and 8 will be + 2 days. The primary objective of this study is to assess the safety and tolerability of GSK2586184. The primary endpoints to measure safety are laboratory tests (including haematology, clinical chemistry and serum creatinine), vital signs, 12-lead electrocardiogram (ECG), physical examination, and adverse event reporting. These are standard measurements to evaluate safety.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GSK2586184 | Experimental | A total of 15 subjects to be administered 400 mg GSK2586184 Tablet (200 mg X 2) twice daily for up to 56 days |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GSK2586184 400mg | Drug | White film coated round biconvex GSK2586184 200 mg tablets, administered 2 X twice daily. Tablet containing GSK2586184A, with the following excipients: microcrystalline cellulose, lactose, hypromellose, croscarmellose sodium, magnesium stearate and titanium dioxide. |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and Tolerability of twice daily doses of GSK2586184 | Safety and tolerability, as determined by laboratory tests (including haematology, clinical chemistry and serum creatinine) vital signs, 12-lead Electrocardiogram (ECG), physical examination, and adverse event reporting. | Up to Week 8 |
| Safety as assessed by the collection of adverse events (AEs) | AEs will be collected from the start of Study Treatment and until 5 days post last-dose (at follow up). | Up to Week 8 |
| Safety as assessed by laboratory parameters | Laboratory parameters include hematology, clinical chemistry, urinalysis Absolute values and changes over time of hematology, clinical chemistry, urinalysis will be assessed. | Up to Week 8 |
| Safety as assessed by vital sign measurement | Vital signs include systolic blood pressure, diastolic blood pressure, temperature, and heart rate. | Up to Week 8 |
| Safety as assessed by ECG rhythm. | Continuous monitoring of a subject' heart rate and rhythm by ECG. | Up to Week 8 |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of GSK2586184 in achieving clinical and endoscopic remission after 8 weeks of treatment | Efficacy assessed by total Mayo score of 2 points or lower, with no individual sub score exceeding 1 point, and reduction in endoscopic mucosal appearance score of >= 1. | Up to Week 8 |
| Efficacy of GSK2586184 in achieving symptomatic clinical remission after 8 weeks |
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Inclusion Criteria:
In questionable cases a blood sample with simultaneous follicle stimulating hormone (FSH) >40 milliinternational units (MlU)/milliliter (mL) and estradiol <40 picograms (pg)/mL (<147 picomole [pmol]/liter [L]) is confirmatory). Females on hormone replacement therapy (HRT) must discontinue HRT to allow confirmation of post-menopausal status before study enrollment. For most forms of HRT, at least 2 to 4 weeks should elapse between the cessation of therapy and the blood draw; this interval depends on the type and dosage of HRT. Following confirmation of their post-menopausal status, they can resume use of HRT during the study without use of a contraceptive method.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Amsterdam | 1105 AZ | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28790099 | Background | De Vries LCS, Ludbrook VJ, Hicks KJ, D'Haens GR. GSK2586184, a JAK1 selective inhibitor, in two patients with ulcerative colitis. BMJ Case Rep. 2017 Aug 7;2017:bcr2017221078. doi: 10.1136/bcr-2017-221078. |
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| ID | Term |
|---|---|
| D003093 | Colitis, Ulcerative |
| D007239 | Infections |
| ID | Term |
|---|---|
| D003092 | Colitis |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| C000604226 | GSK2586184 |
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|
Efficacy assessed by Mayo score for the proportion of subjects who achieve a score of 0 for both rectal bleeding and stool frequency. |
| Up to Week 8 |
| Efficacy of GSK2586184 in achieving clinical response | Efficacy assessed by Mayo score for the proportion of subjects of subjects who achieve a decrease from baseline in total Mayo score of >=3 points, with an accompanying decrease in the sub score for rectal bleeding of at least 1 point or an absolute sub score for rectal bleeding | Up to Week 8 |
| Efficacy of GSK2586184 in achieving mucosal healing. | Efficacy assessed by proportion of subjects who achieve an absolute sub score for endoscopy of 0 or 1, at week 8. And change from baseline of mucosal appearance determined by ulcerative colitis endoscopic index of severity (UCEIS). | Up to Week 8 |
| The effect of twice daily doses of GSK2586184 on health related quality of life (QoL) in UC patients. | Change from baseline of inflammatory bowel disease questionnaire (IBDQ) was assessed | Up to Week 8 |
| The effect of twice daily doses of GSK2586184 on serum C reactive protein (CRP) levels in UC patients | Change from baseline in mean serum CRP levels was assessed. | Up to Week 8 |
| The effect of twice daily doses of GSK2586184 on faecal calprotectin levels | Change from baseline of mean faecal calprotectin levels was assessed. | Up to Week 8 |
| The plasma pharmacokinetics of repeated, twice daily doses of GSK2586184 | Plasma concentrations and derived pharmacokinetic parameters of GSK2586184 were assessed. | Up to Week 8 |
| D015212 |
| Inflammatory Bowel Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |