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Efficacy and Safety Study of GSK679586 in Patients With Severe Asthma

A Multi-Centre, Randomized, Double-Blind, Placebo-Controlled, Repeat-Dose Study to Evaluate the Efficacy and Safety of Intravenous GSK679586 in Patients With Severe Asthma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00843193
Enrollment
198
Registered
2009-02-13
Start date
2008-12-09
Completion date
2010-07-25
Last updated
2017-12-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Asthma

Keywords

Asthma, Asthma control questionnaire

Brief summary

Treatment, Randomised, Double Blind, Parallel Assignment, Safety/efficacy Study

Detailed description

A Multi-Centre, Multi-country, Randomized, Double-Blind (Subject, Investigator), Placebo-Controlled, Repeat-Dose study to evaluate the Efficacy and Safety of Intravenous GSK679586 in Patients with Severe Asthma

Interventions

DRUGINTRAVENOUS GSK679586

GSK679586 will be provided as a clear or colorless to pale yellow liquid with the unit dose strength of 10mg/kg and will be infused over an hour. The infusion will be delivered by a programmable infusion pump

DRUGINTRAVENOUS PLACEBO

Clear or colorless 0.9% sodium chloride saline solution will be infused over an hour. The infusion will be delivered by a programmable infusion pump

DRUGFLUTICASONE PROPIONATE

Subjects will be supplied fluticasone propionate at Screening, Run-in and when needed during the study. Subjects will be up-titrated to 1000 μg/day and those who were already taking greater than equal to 1000 μg/day fluticasone propionate or equivalent prior to the study will remain on their pre-study dose.

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

* history of asthma for ≥ 6 months * taking inhaled corticosteroids * non-smoking * Baseline (pre-bronchodilator) FEV1 35-80% predicted at screening. * Reversible airways disease as indicated by an increase of FEV1 ≥12% from baseline after nebulised salbutamol or albuterol. * symptomatic according to the ACQ-7

Exclusion criteria

* Unstable severe asthma * Recent respiratory illness * Presence of other respiratory disease or chronic pulmonary condition other than asthma * Treatment with omalizumab within 4 months of study * Recent gastrointestinal or respiratory parasitic infestation * History of severe allergy to food or drugs Other protocol-defined inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in Asthma Control Questionnaire (ACQ-7) Over 12 WeeksBaseline to Week 12The ACQ-7 consists of 7 questions scored between zero (no impairment/ limitation) to 6 (total impairment/ limitation). The values of Week 1 is considered as Baseline. ACQ-7 was calculated as the average of the 7 scores. If any one individual score was missing, the ACQ-7 was set to missing.The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. If either the Baseline or post-randomization value was missing, the change from Baseline was set to missing as well.

Secondary

MeasureTime frameDescription
Number of Participants Who Demonstrated a Clinically Meaningful Change in ACQ-7 Over the 12 Weeks Assessment Period.Upto 12 weeksThe ACQ-7 is a 7-item questionnaire that provides a measure of a participant's asthma control. Participant responses were recorded on a 7-point scale ranging from zero (no impairment/ limitation) to 6 (total impairment/ limitation). The percentage of participants who were classified as responders for ACQ-7, defined as a clinically meaningful decrease from baseline in ACQ-7 of at least 0.50, was generally similar between treatment groups at each visit and over the 12-week treatment period.
Change From Baseline in Forced Expiratory Volume (FEV1) Over 12 Weeks.Baseline to Week 12FEV1 is forced expiratory volume in 1 second.Change from Baseline FEV1 was calculated for each of the following visit: Visit 6, Visit 7, Visit 9 and Visit 11. A binary variable was created for each participant with 1 for the responder and 0 for the non nonresponder at each visit. Week 1 was considered as the Baseline. The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. If either the Baseline or post-randomization value was missing, the change from Baseline was set to missing as well.
Change From Baseline in FEV1 Over 16 Weeks and 24 WeeksWeek 16 and 24FEV1 is forced expiratory volume in 1 second.Change from Baseline FEV1 was calculated for each of the following visit: Visit 6, Visit 7, Visit 9 and Visit 11. A binary variable was created for each participant with 1 for the responder and 0 for the non nonresponder at each visit. Week 1 was considered as the Baseline. The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. If either the Baseline or post-randomization value was missing, the change from Baseline was set to missing as well. Change from Baseline of Week 16 and Week 24 are incorporated here which are Follow up weeks.
Percentage of Participants Who Demonstrated a Clinically Meaningful Increase in FEV1 Over the 12 Week Assessment PeriodUpto 12 weeksFEV1 is forced expiratory volume in 1 second.A participant is defined as a FEV1 responder if he/she achieves a change from baseline FEV1 of \>=200ml. To evaluate whether the participant was a responder over 12 weeks, change from baseline FEV1 over 12 weeks was calculated by taking the mean of the changes at Visit 7, Visit 9 and Visit 11. A binary variable was created for each participant with 1 for the responder and 0 for the non-responder. If either Visit 9 or Visit 11 FEV1 data are missing, then the binary variable for the responder over 12 weeks was set to be missing. If Visit 7 data were missing, but Visit 9 and Visit 11 data were available, then the binary variable for the responder over 12 weeks was still calculated.
Number of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)Up to Week 25An AE is any untoward medical occurrence in a patient 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 any untoward medical occurrence that, at any dose results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect.
Number of Participants With Abnormal Vital Signs of Potential Clinical Importance: Systolic and Distolic Blood Pressure and Heart Rate.Screening, Day -28, 1, 15, 29, 50, 57 and 169 (follow-up 3)Vital signs including systolic and diastolic blood pressure and heart rate taken at certain visits from screening to follow-up. Potential Clinical Importance Ranges were systolic blood pressure (\<85 and \>160millimeter of mercury \[mmHg\]), diastolic blood pressure (\<45 and \>100 mmHg) and heart rate (\<40 and \>110 beats per minute \[BPM\]). Number of participants with abnormal systolic blood pressure, diastolic blood pressure and heart rate values of potential clinical importance were summarized.
Number of Participants With Clinically Significant Abnormality in 12-lead Electrocardiogram (ECG)Upto Week 25Single 12-lead ECGs were obtained at certain visits from screening to follow-up. ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and Corrected QT (QTc) intervals. Number of participants with clinically significant abnormality in 12-lead ECG readings were summarized.
Change From Baseline in ACQ-7 Over 16 Weeks and 24 WeeksWeek 16 and Week 24The ACQ-7 is a 7-item questionnaire that provides a measure of a participant's asthma control. Participant responses were recorded on a 7-point scale ranging from zero (no impairment/ limitation) to 6 (total impairment/ limitation). The values of Week 1 is considered as Baseline. The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. If either the Baseline or post-randomization value was missing, the change from Baseline was set to missing as well. Change from Baseline of Week 16 and Week 24 are incorporated here which are Follow up weeks.
Number of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceUpto Week 25Blood samples were collected on each visit from Week 1 to Week 25 to assess the clinical chemistry parameters. Albumin, Calcium, Glucose, Pottasium, Sodium and Total Carbon Di-oxide were analyzed in clinical chemistry. Number of participants with any abnormal clinical chemistry parameters of potential clinical importance are summarized here.
Number of Participants With Abnormal Urinanalysis Parameters of Potential Clinical ImportanceUpto Week 25Samples were collected on each visit from Week 1 to Week 25 for urinalysis. Number of participants with any abnormal urinalysis parameters of potential clinical importance are summarized here.
Pharmacokinetic (PK) Parameter: Area Under the Concentration-time Curve Over the Dosing Interval (AUC (0-τ)).Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits.Plasma concentration-time data were well described by a 2-compartment model with first order elimination. Plasma concentrations of GSK679586 were determined at Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits. However, the derived PK parameters were determined only for the day of infusion administration. i.e. Day 1, Day 29 and Day 57. The AUC at Day 1 indicates AUC(0-1 h), Day 29 indicated AUC(0-672 h) and Day 57 indicated AUC(0-1344h). AUC(0-τ) for each participant was reconstructed from sparse PK sampling using Bayesian prediction obtained from a population PK model using nonlinear mixed effects methods (NONMEM, version V).
PK Parameter:Maximum Observed Concentration (Cmax)Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits.Plasma concentration-time data were well described by a 2-compartment model with first order elimination. Plasma concentrations of GSK679586 were determined at Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits. However, Cmax were determined only for the day of infusion administration. i.e. Day 1, Day 29 and Day 57. The Cmax at Day 1 indicates Cmax(0-1 h), Day 29 indicated Cmax(0-672 h) and Day 57 indicated Cmax(0-1344 h). Cmax for each participant was reconstructed from sparse PK sampling using Bayesian prediction obtained from a population PK model using nonlinear mixed effects methods (NONMEM, version V).
PK Parameter: Systemic Clearance of Parent DrugDay 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits.Plasma concentration-time data were well described by a 2-compartment model with first order elimination. Plasma concentrations of GSK679586 were determined at Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits. However, systemic clearance were determined only for the day of infusion administration. i.e. Day 1, Day 29 and Day 57. The systemic clearance at Day 1 indicates systemic clearance(0-1 h), Day 29 indicated systemic clearance(0-672 h) and Day 57 indicated systemic clearance(0-1344 h). Systemic clearance of parent drug for each participant was reconstructed from sparse PK sampling using Bayesian prediction obtained from a population PK model using nonlinear mixed effects methods (NONMEM, version V).
PK Parameter: Volume of DistributionDay 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits.Plasma concentration-time data were well described by a 2-compartment model with first order elimination. Plasma concentrations of GSK679586 were determined at Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits. However, volume of distribution were determined only for the day of infusion administration. i.e. Day 1, Day 29 and Day 57. The volume of distribution at Day 1 indicates volume of distribution(0-1 h), Day 29 indicated volume of distribution (0-672 h) and Day 57 indicated volume of distribution (0-1344 h). Volume of distribution for each participant was reconstructed from sparse PK sampling using Bayesian prediction obtained from a population PK model using nonlinear mixed effects methods (NONMEM, version V). The 2-compartment model provided the data for volume of distribution of central compartment (V1) and volume distribution of peripheral compartment (V2).
Number of Participants With Confirmed Positive Anti-GSK679586 Antibody Results After Initiation of Study TreatmentUp to Week 25Serum samples were tested for presence of anti-GSK679586 antibodies. Blood samples were collected via an indwelling cannula or by direct venepuncture collected into a serum separator tube and allowed to clot for 1 to 2 hours. Samples were centrifuged and the resultant serum was transferred to 3 separate cryovials and stored at -80°C until shipped on dry ice to the central laboratory. Samples were analyzed in a tiered assay format. Number of participants with confirmed positive Anti-GSK679586 antibody results after initiation of study treatment were reported.
Number of Participants With Abnormal Hematological Parameters of Potential Clinical ImportanceUpto Week 25Blood samples were collected on each visit from Week 1 to Week 25 to assess the haematological parameters. White Blood Cells count, Neutrophils, Haemoglobin, Hematocrit, Count and Lymphocytes were analyzed in haematology. Number of participants with any abnormal hematological parameters of potential clinical importance are summarized here.

Countries

France, Germany, Netherlands, Norway, Poland, South Africa, United Kingdom, United States

Participant flow

Recruitment details

The study was conducted in participants with severe asthmatics from 9-Dec-2008 to 19-July-2010 at 35 study centers in France (7), United States (6), United Kingdom (5), Poland (5), South Africa (4), Germany (3), Netherlands (3) and Norway (2).

Pre-assignment details

During run-in period of 28 days each participant's inhaled corticosteroid (ICS) dose was up-titrated to 1000 microgram (μg)/day fluticasone propionate. Participants already taking ≥ 1000 µg/day fluticasone propionate or equivalent prior to study remained on their pre-study dose. Total of 198 participants were randomized and treated in the study.

Participants by arm

ArmCount
Placebo
Participants received a total of three once-monthly IV infusions of sodium chloride placebo in a volume matched to the volume that would had been administered if the participant had been randomized to active treatment in order to maintain the integrity of the study blind. The IV infusions were administered by qualified study personnel, and were administered over 1 hour using a programmable infusion pump.
99
GSK679586 10 mg/kg
Participants received a total of 3 once-monthly IV infusions of 10 mg/kg GSK679586 diluted with sterile, normal saline to a concentration of 25 mg/mL. The final solution volume was 40 to 60 mL, depending on participants weight. The IV infusions were administered by qualified study personnel, and were administered over 1 hour using a programmable infusion pump.
99
Total198

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event24
Overall StudyLack of Efficacy11
Overall StudyLost to Follow-up10
Overall StudyPhysician Decision01
Overall StudyProtocol Violation12
Overall StudyWithdrawal by Subject33

Baseline characteristics

CharacteristicPlaceboGSK679586 10 mg/kgTotal
Age, Continuous51.2 Years
STANDARD_DEVIATION 11.78
51.2 Years
STANDARD_DEVIATION 11.13
51.2 Years
STANDARD_DEVIATION 11.43
Race/Ethnicity, Customized
African American/African Heritage
3 Participants1 Participants4 Participants
Race/Ethnicity, Customized
Japanese/East Asian/South East Asian
0 Participants2 Participants2 Participants
Race/Ethnicity, Customized
Native Hawaiian or other Pacific Islander
1 Participants0 Participants1 Participants
Race/Ethnicity, Customized
White
95 Participants96 Participants191 Participants
Sex: Female, Male
Female
49 Participants51 Participants100 Participants
Sex: Female, Male
Male
50 Participants48 Participants98 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 991 / 99
other
Total, other adverse events
19 / 9927 / 99
serious
Total, serious adverse events
5 / 998 / 99

Outcome results

Primary

Change From Baseline in Asthma Control Questionnaire (ACQ-7) Over 12 Weeks

The ACQ-7 consists of 7 questions scored between zero (no impairment/ limitation) to 6 (total impairment/ limitation). The values of Week 1 is considered as Baseline. ACQ-7 was calculated as the average of the 7 scores. If any one individual score was missing, the ACQ-7 was set to missing.The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. If either the Baseline or post-randomization value was missing, the change from Baseline was set to missing as well.

Time frame: Baseline to Week 12

Population: Intent-to-Treat (ITT) population was comprised of all participants who are randomized and receive at least the first dose of study medication. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Asthma Control Questionnaire (ACQ-7) Over 12 WeeksWeek 2-0.1 Scores on ScaleStandard Error 0.06
PlaceboChange From Baseline in Asthma Control Questionnaire (ACQ-7) Over 12 WeeksWeek 4-0.1 Scores on ScaleStandard Error 0.06
PlaceboChange From Baseline in Asthma Control Questionnaire (ACQ-7) Over 12 WeeksWeek 8-0.2 Scores on ScaleStandard Error 0.07
PlaceboChange From Baseline in Asthma Control Questionnaire (ACQ-7) Over 12 WeeksWeek 12-0.3 Scores on ScaleStandard Error 0.08
GSK679586 10 mg/kgChange From Baseline in Asthma Control Questionnaire (ACQ-7) Over 12 WeeksWeek 12-0.4 Scores on ScaleStandard Error 0.09
GSK679586 10 mg/kgChange From Baseline in Asthma Control Questionnaire (ACQ-7) Over 12 WeeksWeek 2-0.2 Scores on ScaleStandard Error 0.06
GSK679586 10 mg/kgChange From Baseline in Asthma Control Questionnaire (ACQ-7) Over 12 WeeksWeek 8-0.3 Scores on ScaleStandard Error 0.07
GSK679586 10 mg/kgChange From Baseline in Asthma Control Questionnaire (ACQ-7) Over 12 WeeksWeek 4-0.3 Scores on ScaleStandard Error 0.05
Comparison: Comparison between GSK679586 10 mg/kg and Placebo at Week 2p-value: 0.195595% CI: [-0.27, 0.06]ANCOVA
Comparison: Comparison between GSK679586 10 mg/kg and Placebo at Week 4p-value: 0.019395% CI: [-0.34, -0.03]Mixed Model Repeated Measures analysis
Comparison: Comparison between GSK679586 10 mg/kg and Placebo at Week 8p-value: 0.615695% CI: [-0.23, 0.14]Mixed Model Repeated Measures analysis
Comparison: Comparison between GSK679586 120 mg/kg and Placebo at Week 12p-value: 0.467295% CI: [-0.31, 0.14]ANCOVA
Secondary

Change From Baseline in ACQ-7 Over 16 Weeks and 24 Weeks

The ACQ-7 is a 7-item questionnaire that provides a measure of a participant's asthma control. Participant responses were recorded on a 7-point scale ranging from zero (no impairment/ limitation) to 6 (total impairment/ limitation). The values of Week 1 is considered as Baseline. The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. If either the Baseline or post-randomization value was missing, the change from Baseline was set to missing as well. Change from Baseline of Week 16 and Week 24 are incorporated here which are Follow up weeks.

Time frame: Week 16 and Week 24

Population: ITT Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in ACQ-7 Over 16 Weeks and 24 WeeksWeek 16-0.3 Scores on ScaleStandard Error 0.08
PlaceboChange From Baseline in ACQ-7 Over 16 Weeks and 24 WeeksWeek 24-0.3 Scores on ScaleStandard Error 0.09
GSK679586 10 mg/kgChange From Baseline in ACQ-7 Over 16 Weeks and 24 WeeksWeek 16-0.4 Scores on ScaleStandard Error 0.08
GSK679586 10 mg/kgChange From Baseline in ACQ-7 Over 16 Weeks and 24 WeeksWeek 24-0.2 Scores on ScaleStandard Error 0.08
Secondary

Change From Baseline in FEV1 Over 16 Weeks and 24 Weeks

FEV1 is forced expiratory volume in 1 second.Change from Baseline FEV1 was calculated for each of the following visit: Visit 6, Visit 7, Visit 9 and Visit 11. A binary variable was created for each participant with 1 for the responder and 0 for the non nonresponder at each visit. Week 1 was considered as the Baseline. The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. If either the Baseline or post-randomization value was missing, the change from Baseline was set to missing as well. Change from Baseline of Week 16 and Week 24 are incorporated here which are Follow up weeks.

Time frame: Week 16 and 24

Population: ITT Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in FEV1 Over 16 Weeks and 24 WeeksWeek 160.109 mLStandard Error 0.0345
PlaceboChange From Baseline in FEV1 Over 16 Weeks and 24 WeeksWeek 240.065 mLStandard Error 0.0356
GSK679586 10 mg/kgChange From Baseline in FEV1 Over 16 Weeks and 24 WeeksWeek 160.010 mLStandard Error 0.0392
GSK679586 10 mg/kgChange From Baseline in FEV1 Over 16 Weeks and 24 WeeksWeek 24-0.021 mLStandard Error 0.0368
Secondary

Change From Baseline in Forced Expiratory Volume (FEV1) Over 12 Weeks.

FEV1 is forced expiratory volume in 1 second.Change from Baseline FEV1 was calculated for each of the following visit: Visit 6, Visit 7, Visit 9 and Visit 11. A binary variable was created for each participant with 1 for the responder and 0 for the non nonresponder at each visit. Week 1 was considered as the Baseline. The change from Baseline was calculated by subtracting the Baseline values from the individual post-randomization values. If either the Baseline or post-randomization value was missing, the change from Baseline was set to missing as well.

Time frame: Baseline to Week 12

Population: ITT Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in Forced Expiratory Volume (FEV1) Over 12 Weeks.Week 20.009 Millilitre (mL)Standard Error 0.0275
PlaceboChange From Baseline in Forced Expiratory Volume (FEV1) Over 12 Weeks.Week 40.033 Millilitre (mL)Standard Error 0.0331
PlaceboChange From Baseline in Forced Expiratory Volume (FEV1) Over 12 Weeks.Week 80.035 Millilitre (mL)Standard Error 0.0335
PlaceboChange From Baseline in Forced Expiratory Volume (FEV1) Over 12 Weeks.Week 120.078 Millilitre (mL)Standard Error 0.0331
GSK679586 10 mg/kgChange From Baseline in Forced Expiratory Volume (FEV1) Over 12 Weeks.Week 12-0.016 Millilitre (mL)Standard Error 0.0373
GSK679586 10 mg/kgChange From Baseline in Forced Expiratory Volume (FEV1) Over 12 Weeks.Week 20.002 Millilitre (mL)Standard Error 0.0277
GSK679586 10 mg/kgChange From Baseline in Forced Expiratory Volume (FEV1) Over 12 Weeks.Week 8-0.009 Millilitre (mL)Standard Error 0.0313
GSK679586 10 mg/kgChange From Baseline in Forced Expiratory Volume (FEV1) Over 12 Weeks.Week 40.037 Millilitre (mL)Standard Error 0.0288
Comparison: Comparison between GSK679586 10 mg/kg and Placebo at Week 2p-value: 0.769395% CI: [-0.08, 0.06]ANCOVA
Comparison: Comparison between GSK679586 10 mg/kg and Placebo at Week 4p-value: 0.898795% CI: [-0.08, 0.09]Mixed Model Repeated Measures analysis
Comparison: Comparison between GSK679586 10 mg/kg and Placebo at Week 8p-value: 0.423195% CI: [-0.12, 0.05]Mixed Model Repeated Measures analysis
Comparison: Comparison between GSK679586 10 mg/kg and Placebo at Week 12p-value: 0.053795% CI: [-0.19, 0]Mixed Model Repeated Measures analysis
Secondary

Number of Participants Who Demonstrated a Clinically Meaningful Change in ACQ-7 Over the 12 Weeks Assessment Period.

The ACQ-7 is a 7-item questionnaire that provides a measure of a participant's asthma control. Participant responses were recorded on a 7-point scale ranging from zero (no impairment/ limitation) to 6 (total impairment/ limitation). The percentage of participants who were classified as responders for ACQ-7, defined as a clinically meaningful decrease from baseline in ACQ-7 of at least 0.50, was generally similar between treatment groups at each visit and over the 12-week treatment period.

Time frame: Upto 12 weeks

Population: ITT Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants Who Demonstrated a Clinically Meaningful Change in ACQ-7 Over the 12 Weeks Assessment Period.Week 216 Participants
PlaceboNumber of Participants Who Demonstrated a Clinically Meaningful Change in ACQ-7 Over the 12 Weeks Assessment Period.Week 422 Participants
PlaceboNumber of Participants Who Demonstrated a Clinically Meaningful Change in ACQ-7 Over the 12 Weeks Assessment Period.Week 831 Participants
PlaceboNumber of Participants Who Demonstrated a Clinically Meaningful Change in ACQ-7 Over the 12 Weeks Assessment Period.Week 1233 Participants
GSK679586 10 mg/kgNumber of Participants Who Demonstrated a Clinically Meaningful Change in ACQ-7 Over the 12 Weeks Assessment Period.Week 1236 Participants
GSK679586 10 mg/kgNumber of Participants Who Demonstrated a Clinically Meaningful Change in ACQ-7 Over the 12 Weeks Assessment Period.Week 220 Participants
GSK679586 10 mg/kgNumber of Participants Who Demonstrated a Clinically Meaningful Change in ACQ-7 Over the 12 Weeks Assessment Period.Week 826 Participants
GSK679586 10 mg/kgNumber of Participants Who Demonstrated a Clinically Meaningful Change in ACQ-7 Over the 12 Weeks Assessment Period.Week 429 Participants
Secondary

Number of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical Importance

Blood samples were collected on each visit from Week 1 to Week 25 to assess the clinical chemistry parameters. Albumin, Calcium, Glucose, Pottasium, Sodium and Total Carbon Di-oxide were analyzed in clinical chemistry. Number of participants with any abnormal clinical chemistry parameters of potential clinical importance are summarized here.

Time frame: Upto Week 25

Population: ITT Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceHigh glucose10 Participants
PlaceboNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceIncreased ALT2 Participants
PlaceboNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceIncreased total bilirubin2 Participants
PlaceboNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceIncreased alkaline phosphatase1 Participants
PlaceboNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceLow glucose4 Participants
PlaceboNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceIncreased serum potassium0 Participants
PlaceboNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceIncreased AST1 Participants
PlaceboNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceIncreased serum calcium1 Participants
PlaceboNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceLow total carbondioxide14 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceIncreased serum calcium0 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceLow total carbondioxide17 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceHigh glucose17 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceLow glucose3 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceIncreased total bilirubin2 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceIncreased AST2 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceIncreased ALT1 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceIncreased alkaline phosphatase0 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Clinical Chemistry Parameters of Potential Clinical ImportanceIncreased serum potassium2 Participants
Secondary

Number of Participants With Abnormal Hematological Parameters of Potential Clinical Importance

Blood samples were collected on each visit from Week 1 to Week 25 to assess the haematological parameters. White Blood Cells count, Neutrophils, Haemoglobin, Hematocrit, Count and Lymphocytes were analyzed in haematology. Number of participants with any abnormal hematological parameters of potential clinical importance are summarized here.

Time frame: Upto Week 25

Population: ITT Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Abnormal Hematological Parameters of Potential Clinical ImportanceLow lymphocyte count5 Participants
PlaceboNumber of Participants With Abnormal Hematological Parameters of Potential Clinical ImportanceIncreased white blood cell count3 Participants
PlaceboNumber of Participants With Abnormal Hematological Parameters of Potential Clinical ImportanceLow neutrophils count3 Participants
PlaceboNumber of Participants With Abnormal Hematological Parameters of Potential Clinical ImportanceLow platelet count1 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Hematological Parameters of Potential Clinical ImportanceLow platelet count1 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Hematological Parameters of Potential Clinical ImportanceLow lymphocyte count3 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Hematological Parameters of Potential Clinical ImportanceLow neutrophils count4 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Hematological Parameters of Potential Clinical ImportanceIncreased white blood cell count1 Participants
Secondary

Number of Participants With Abnormal Urinanalysis Parameters of Potential Clinical Importance

Samples were collected on each visit from Week 1 to Week 25 for urinalysis. Number of participants with any abnormal urinalysis parameters of potential clinical importance are summarized here.

Time frame: Upto Week 25

Population: ITT Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Abnormal Urinanalysis Parameters of Potential Clinical Importance0 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Urinanalysis Parameters of Potential Clinical Importance0 Participants
Secondary

Number of Participants With Abnormal Vital Signs of Potential Clinical Importance: Systolic and Distolic Blood Pressure and Heart Rate.

Vital signs including systolic and diastolic blood pressure and heart rate taken at certain visits from screening to follow-up. Potential Clinical Importance Ranges were systolic blood pressure (\<85 and \>160millimeter of mercury \[mmHg\]), diastolic blood pressure (\<45 and \>100 mmHg) and heart rate (\<40 and \>110 beats per minute \[BPM\]). Number of participants with abnormal systolic blood pressure, diastolic blood pressure and heart rate values of potential clinical importance were summarized.

Time frame: Screening, Day -28, 1, 15, 29, 50, 57 and 169 (follow-up 3)

Population: ITT Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Abnormal Vital Signs of Potential Clinical Importance: Systolic and Distolic Blood Pressure and Heart Rate.Systolic Blood Pressure, High6 Participants
PlaceboNumber of Participants With Abnormal Vital Signs of Potential Clinical Importance: Systolic and Distolic Blood Pressure and Heart Rate.Diastolic Blood Pressure, High8 Participants
PlaceboNumber of Participants With Abnormal Vital Signs of Potential Clinical Importance: Systolic and Distolic Blood Pressure and Heart Rate.Heart Rate0 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Vital Signs of Potential Clinical Importance: Systolic and Distolic Blood Pressure and Heart Rate.Systolic Blood Pressure, High6 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Vital Signs of Potential Clinical Importance: Systolic and Distolic Blood Pressure and Heart Rate.Diastolic Blood Pressure, High4 Participants
GSK679586 10 mg/kgNumber of Participants With Abnormal Vital Signs of Potential Clinical Importance: Systolic and Distolic Blood Pressure and Heart Rate.Heart Rate1 Participants
Secondary

Number of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)

An AE is any untoward medical occurrence in a patient 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 any untoward medical occurrence that, at any dose results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect.

Time frame: Up to Week 25

Population: ITT Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)Any AEs49 Participants
PlaceboNumber of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)Any SAEs5 Participants
GSK679586 10 mg/kgNumber of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)Any AEs52 Participants
GSK679586 10 mg/kgNumber of Participants With Any Adverse Events (AEs) and Serious Adverse Events (SAEs)Any SAEs8 Participants
Secondary

Number of Participants With Clinically Significant Abnormality in 12-lead Electrocardiogram (ECG)

Single 12-lead ECGs were obtained at certain visits from screening to follow-up. ECG machine that automatically calculates the heart rate and measures PR, QRS, QT, and Corrected QT (QTc) intervals. Number of participants with clinically significant abnormality in 12-lead ECG readings were summarized.

Time frame: Upto Week 25

Population: ITT Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Clinically Significant Abnormality in 12-lead Electrocardiogram (ECG)Day 29, 1.5 hours0 Participants
PlaceboNumber of Participants With Clinically Significant Abnormality in 12-lead Electrocardiogram (ECG)Day 29, 6 hours0 Participants
PlaceboNumber of Participants With Clinically Significant Abnormality in 12-lead Electrocardiogram (ECG)Day 500 Participants
GSK679586 10 mg/kgNumber of Participants With Clinically Significant Abnormality in 12-lead Electrocardiogram (ECG)Day 29, 1.5 hours1 Participants
GSK679586 10 mg/kgNumber of Participants With Clinically Significant Abnormality in 12-lead Electrocardiogram (ECG)Day 29, 6 hours1 Participants
GSK679586 10 mg/kgNumber of Participants With Clinically Significant Abnormality in 12-lead Electrocardiogram (ECG)Day 502 Participants
Secondary

Number of Participants With Confirmed Positive Anti-GSK679586 Antibody Results After Initiation of Study Treatment

Serum samples were tested for presence of anti-GSK679586 antibodies. Blood samples were collected via an indwelling cannula or by direct venepuncture collected into a serum separator tube and allowed to clot for 1 to 2 hours. Samples were centrifuged and the resultant serum was transferred to 3 separate cryovials and stored at -80°C until shipped on dry ice to the central laboratory. Samples were analyzed in a tiered assay format. Number of participants with confirmed positive Anti-GSK679586 antibody results after initiation of study treatment were reported.

Time frame: Up to Week 25

Population: ITT Population.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Confirmed Positive Anti-GSK679586 Antibody Results After Initiation of Study Treatment4 Participants
GSK679586 10 mg/kgNumber of Participants With Confirmed Positive Anti-GSK679586 Antibody Results After Initiation of Study Treatment2 Participants
Secondary

Percentage of Participants Who Demonstrated a Clinically Meaningful Increase in FEV1 Over the 12 Week Assessment Period

FEV1 is forced expiratory volume in 1 second.A participant is defined as a FEV1 responder if he/she achieves a change from baseline FEV1 of \>=200ml. To evaluate whether the participant was a responder over 12 weeks, change from baseline FEV1 over 12 weeks was calculated by taking the mean of the changes at Visit 7, Visit 9 and Visit 11. A binary variable was created for each participant with 1 for the responder and 0 for the non-responder. If either Visit 9 or Visit 11 FEV1 data are missing, then the binary variable for the responder over 12 weeks was set to be missing. If Visit 7 data were missing, but Visit 9 and Visit 11 data were available, then the binary variable for the responder over 12 weeks was still calculated.

Time frame: Upto 12 weeks

Population: ITT Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Who Demonstrated a Clinically Meaningful Increase in FEV1 Over the 12 Week Assessment PeriodWeek 216 Percentage of Participants
PlaceboPercentage of Participants Who Demonstrated a Clinically Meaningful Increase in FEV1 Over the 12 Week Assessment PeriodWeek 422 Percentage of Participants
PlaceboPercentage of Participants Who Demonstrated a Clinically Meaningful Increase in FEV1 Over the 12 Week Assessment PeriodWeek 825 Percentage of Participants
PlaceboPercentage of Participants Who Demonstrated a Clinically Meaningful Increase in FEV1 Over the 12 Week Assessment PeriodWeek 1234 Percentage of Participants
GSK679586 10 mg/kgPercentage of Participants Who Demonstrated a Clinically Meaningful Increase in FEV1 Over the 12 Week Assessment PeriodWeek 1220 Percentage of Participants
GSK679586 10 mg/kgPercentage of Participants Who Demonstrated a Clinically Meaningful Increase in FEV1 Over the 12 Week Assessment PeriodWeek 220 Percentage of Participants
GSK679586 10 mg/kgPercentage of Participants Who Demonstrated a Clinically Meaningful Increase in FEV1 Over the 12 Week Assessment PeriodWeek 815 Percentage of Participants
GSK679586 10 mg/kgPercentage of Participants Who Demonstrated a Clinically Meaningful Increase in FEV1 Over the 12 Week Assessment PeriodWeek 423 Percentage of Participants
Secondary

Pharmacokinetic (PK) Parameter: Area Under the Concentration-time Curve Over the Dosing Interval (AUC (0-τ)).

Plasma concentration-time data were well described by a 2-compartment model with first order elimination. Plasma concentrations of GSK679586 were determined at Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits. However, the derived PK parameters were determined only for the day of infusion administration. i.e. Day 1, Day 29 and Day 57. The AUC at Day 1 indicates AUC(0-1 h), Day 29 indicated AUC(0-672 h) and Day 57 indicated AUC(0-1344h). AUC(0-τ) for each participant was reconstructed from sparse PK sampling using Bayesian prediction obtained from a population PK model using nonlinear mixed effects methods (NONMEM, version V).

Time frame: Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits.

Population: PK Population comprised of participants in the ITT population for whom a pharmacokinetic samples were obtained and analyzed. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboPharmacokinetic (PK) Parameter: Area Under the Concentration-time Curve Over the Dosing Interval (AUC (0-τ)).Day 164787259 nanogram*hour/mLGeometric Coefficient of Variation 16.16
PlaceboPharmacokinetic (PK) Parameter: Area Under the Concentration-time Curve Over the Dosing Interval (AUC (0-τ)).Day 2986256087 nanogram*hour/mLGeometric Coefficient of Variation 18.21
PlaceboPharmacokinetic (PK) Parameter: Area Under the Concentration-time Curve Over the Dosing Interval (AUC (0-τ)).Day 5793710588 nanogram*hour/mLGeometric Coefficient of Variation 22.83
Secondary

PK Parameter:Maximum Observed Concentration (Cmax)

Plasma concentration-time data were well described by a 2-compartment model with first order elimination. Plasma concentrations of GSK679586 were determined at Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits. However, Cmax were determined only for the day of infusion administration. i.e. Day 1, Day 29 and Day 57. The Cmax at Day 1 indicates Cmax(0-1 h), Day 29 indicated Cmax(0-672 h) and Day 57 indicated Cmax(0-1344 h). Cmax for each participant was reconstructed from sparse PK sampling using Bayesian prediction obtained from a population PK model using nonlinear mixed effects methods (NONMEM, version V).

Time frame: Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits.

Population: PK Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboPK Parameter:Maximum Observed Concentration (Cmax)Day 1278610.6 nanogram (ng)/mLGeometric Coefficient of Variation 33.4
PlaceboPK Parameter:Maximum Observed Concentration (Cmax)Day 29332528.4 nanogram (ng)/mLGeometric Coefficient of Variation 30.85
PlaceboPK Parameter:Maximum Observed Concentration (Cmax)Day 57355177.0 nanogram (ng)/mLGeometric Coefficient of Variation 30.31
Secondary

PK Parameter: Systemic Clearance of Parent Drug

Plasma concentration-time data were well described by a 2-compartment model with first order elimination. Plasma concentrations of GSK679586 were determined at Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits. However, systemic clearance were determined only for the day of infusion administration. i.e. Day 1, Day 29 and Day 57. The systemic clearance at Day 1 indicates systemic clearance(0-1 h), Day 29 indicated systemic clearance(0-672 h) and Day 57 indicated systemic clearance(0-1344 h). Systemic clearance of parent drug for each participant was reconstructed from sparse PK sampling using Bayesian prediction obtained from a population PK model using nonlinear mixed effects methods (NONMEM, version V).

Time frame: Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits.

Population: PK Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboPK Parameter: Systemic Clearance of Parent DrugDay 570.00010 L/h/kgGeometric Coefficient of Variation 22.48
PlaceboPK Parameter: Systemic Clearance of Parent DrugDay 10.00010 L/h/kgGeometric Coefficient of Variation 22.76
PlaceboPK Parameter: Systemic Clearance of Parent DrugDay 290.00010 L/h/kgGeometric Coefficient of Variation 22.28
Secondary

PK Parameter: Volume of Distribution

Plasma concentration-time data were well described by a 2-compartment model with first order elimination. Plasma concentrations of GSK679586 were determined at Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits. However, volume of distribution were determined only for the day of infusion administration. i.e. Day 1, Day 29 and Day 57. The volume of distribution at Day 1 indicates volume of distribution(0-1 h), Day 29 indicated volume of distribution (0-672 h) and Day 57 indicated volume of distribution (0-1344 h). Volume of distribution for each participant was reconstructed from sparse PK sampling using Bayesian prediction obtained from a population PK model using nonlinear mixed effects methods (NONMEM, version V). The 2-compartment model provided the data for volume of distribution of central compartment (V1) and volume distribution of peripheral compartment (V2).

Time frame: Day 1 (Pre-dose, 0.25h, 1.00h), Day 4 (72h), Day 29 (672 h), Day 57 (1344h), Day 61 (1440h), Day 85 (2016h), Day 141 (3360h), Day 169 (4032h) and Follow up visits.

Population: PK Population. Only those participants with data available at the indicated time points were analyzed.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboPK Parameter: Volume of DistributionV1, Day 570.0354 L/KgGeometric Coefficient of Variation 34.77
PlaceboPK Parameter: Volume of DistributionV1, Day 10.0356 L/KgGeometric Coefficient of Variation 33.73
PlaceboPK Parameter: Volume of DistributionV1, Day 290.0355 L/KgGeometric Coefficient of Variation 34.43
PlaceboPK Parameter: Volume of DistributionV2, Day 10.0296 L/KgGeometric Coefficient of Variation 0
PlaceboPK Parameter: Volume of DistributionV2, Day 290.0296 L/KgGeometric Coefficient of Variation 0
PlaceboPK Parameter: Volume of DistributionV2, Day 570.0296 L/KgGeometric Coefficient of Variation 0

Source: ClinicalTrials.gov · Data processed: Mar 23, 2026