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A Study to Investigate the Efficacy and Safety of GSK3196165 in Inflammatory Hand Osteoarthritis

A Multi-centre Phase IIa Double-blind, Placebo-controlled Study to Investigate the Efficacy and Safety of GSK3196165 in Subjects With Inflammatory Hand Osteoarthritis

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02683785
Enrollment
44
Registered
2016-02-17
Start date
2016-03-17
Completion date
2017-11-29
Last updated
2021-01-11

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

Conditions

Osteoarthritis

Keywords

Pain intensity, Hand Osteoarthritis, GSK3196165, AUSCAN, GM-CSF, Numerical Rating Scale

Brief summary

This is a randomized, Phase IIa, multicentre, double-blind, placebo-controlled parallel group study with the primary objective to assess the efficacy potential of GSK3196165 on pain, in subjects with active inflammatory hand osteoarthritis (HOA). Approximately 40 subjects will be enrolled into the study, following a screening period of up to 4 weeks. The total treatment period will be 12 weeks, with the follow up period completing at Week 22. At least 40 subjects will be randomized across the two treatment arms, to either placebo or GSK3196165 in a 1:1 ratio.

Interventions

GSK3196165 will be supplied as a liquid and will be administered as a subcutaneous injection. The drug will be administered weekly for 5 injections, then every other week for 3 further injections.

DRUGPlacebo

Matching placebo will be administered as above.

Sponsors

GlaxoSmithKline
Lead SponsorINDUSTRY

Study design

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

Eligibility

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

Inclusion criteria

* Age \>=18 years at the time of signing informed consent. * Meets American College of Rheumatology (ACR) classification of osteoarthritis (OA) and have not responded to analgesics (level 1 and 2) or to non-steroidal anti-inflammatory drugs (NSAIDs) for at least 10 days in the past 3 months. * Active disease at screening and randomization with at least two swollen and tender proximal interphalangeal (PIP) and/or distal interphalangeal (DIP) joints in the affected hand. * Signs of inflammation such as synovitis in the MRI scan of the affected hand. * Must have a subject's self assessment of 24-hour average hand pain intensity at baseline of at least '5' on an 11-point Numerical Rating Scale (NRS, 0-10). * Weight \>=45 kilogram (kg). * Male or female subjects are eligible to participate so long as they meet and agree to abide by the contraceptive criteria. * Diffusing capacity of the lung for carbon monoxide (DLCO) \>=70% predicted; forced expiratory volume in 1 second (FEV1) \>=80% predicted. * No evidence of active or latent infection with Mycobacterium tuberculosis (TB).

Exclusion criteria

* Pregnant or lactating women. * History of any clinically significant inflammatory disease other than inflammatory HOA, especially, but not limited to, rheumatoid arthritis or spondylarthropathies. * Diagnosis of rheumatoid arthritis, fibromyalgia, gout, calcium pyrophosphate deposition disease (CPPD), pseudogout, hemochromatosis or other inflammatory rheumatological or autoimmune disorders. * Clinical suspicion of, or previous investigation for CPPD or pseudogout, or history of chondrocalcinosis. * Any injury, medical or surgical procedure to the affected joint(s) that may interfere with evaluation of the target HOA joint(s). * History of infected joint prosthesis at any time, with the prosthesis still in situ. History of leg ulcers, catheters, chronic sinusitis or recurrent chest or urinary tract infections. * Any surgical procedure, including bone or joint surgery/synovectomy within 12 weeks prior to Day 1 or any planned surgery within the duration of the study or follow-up period. * History of any respiratory disease which (in the opinion of the investigator) would compromise subject safety or the ability of the subject to complete the study (e.g. significant interstitial lung disease, such as pulmonary fibrosis, chronic obstructive pulmonary disease (COPD), moderate-severe asthma, bronchiectasis, previous pulmonary alveolar proteinosis \[PAP\]). * Clinically-significant or unstable (in the opinion of the investigator) persistent cough or dyspnea that is unexplained. * Significant unstable or uncontrolled acute or chronic disease which, in the opinion of the investigator, could confound the results of the study or put the subject at undue risk. * A history of malignancy. * Hereditary or acquired immunodeficiency disorder, including immunoglobulin deficiency. * Current/previous Hepatitis B virus (HBV), Hepatitis C virus (HCV) or human immunodeficiency virus (HIV) 1 or 2 infection.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline in 24-hour Average Hand Pain Intensity, Averaged Over the 7 Days Prior to Week 6Baseline (Day 1 Pre-dose) and Week 6Participants were required to complete a daily pain NRS based on their 24-hour average hand pain intensity with the anchors 0 (no pain) and 10 (worst imaginable pain), which was averaged over the 7 days prior to assessment visit. The 7 day average score was calculated as sum of daily 24 hours average hand pain NRS scores in the 7 days prior to assessment visit, divided by number of entries recorded in those 7 days. Baseline visit was at Day 1 and Baseline value was defined as the average of the 7 days prior to baseline visit (Day 1 pre-dose). Change from Baseline is equal to post-dose visit value minus Baseline value. Intent-To-Treat Population comprised of all randomized participants who received at least one dose of study treatment (GSK3196165 or placebo).

Secondary

MeasureTime frameDescription
Change From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitBaseline (Pre-dose Day 1), Weeks 1, 2, 3, 4, 6, 8, 10 and 12Participants were required to complete a daily pain NRS based on their 24-hour worst hand pain intensity with the anchors 0 (no pain) and 10 (worst imaginable pain), which was averaged over the 7 days prior to assessment visit. The score is calculated as sum of daily 24 hours worst hand pain NRS scores in the 7 days prior to assessment visit, divided by number of entries recorded in those 7 days. Baseline visit was at Day 1 and Baseline value was defined as the average of the 7 days prior to baseline visit (Day 1 pre-dose). Change from Baseline is equal to post-dose visit value minus Baseline value.
Percentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitBaseline (Pre-dose, Day 1), Weeks 1, 2, 3, 4, 6, 8, 10, 12 and follow up (Week 22)Participants were required to complete average pain NRS daily and rate the average hand pain over last 24 hours on a scale of 0 (no pain) to 10 (worst imaginable pain). The percentage of participants who achieved at least 30 percentage reduction from Baseline in the 24-hours average hand pain intensity as measured by daily NRS and averaged over 7 days prior to each visit is reported.
Percentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitBaseline (Pre-dose, Day 1), Weeks 1, 2, 3, 4, 6, 8, 10, 12 and follow up (Week 22)Participants were required to complete average pain NRS daily and rate the average hand pain over last 24 hours on a scale of 0 (no pain) to 10 (worst imaginable pain). The percentage of participants who achieved at least 50 percentage reduction from Baseline in the 24-hours average hand pain intensity as measured by daily NRS and averaged over 7 days prior to each visit is presented.
Percentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitBaseline (Pre-dose, Day 1), Weeks 1, 2, 3, 4, 6, 8, 10, 12 and follow up (Week 22)Participants were required to complete worst pain NRS daily and rate the hand pain at its worst over last 24 hours on a scale of 0 (no pain) to 10 (worst imaginable pain). The percentage of participants achieving at least 30 percentage reduction from Baseline in the 24-hours worst hand pain intensity as measured by daily NRS and averaged over 7 days prior to each visit is presented.
Percentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitBaseline (Pre-dose, Day 1), Weeks 1, 2, 3, 4, 6, 8, 10, 12 and follow up (Week 22)Participants were required to complete worst pain NRS daily and rate the hand pain at its worst over last 24 hours on a scale of 0 (no pain) to 10 (worst imaginable pain). The percentage of participants achieving at least 50 percentage reduction from Baseline in the 24-hours worst hand pain intensity as measured by daily NRS and averaged over 7 days prior to each visit is presented.
Change From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Baseline (Day 1 Pre-dose), Weeks 1, 2, 4, 6, 8, 10, and 12The AUSCAN Index is a self-administered questionnaire consisting of a 15-item scale which measures pain (5 items), stiffness (1 item) and degree of disability/physical function (9 items) during the preceding 48 hours. All items are rated on NRS scale with anchors 0 (none) to 10 (extreme). The scores for the pain and physical function components were calculated as simple summation of the item scores relating to that domain, so the Pain component ranges from 0 (i.e. all pain item scores are scored 0 \[none\]) to 50 (i.e. all pain item scores are scored 10 \[extreme\]), and the Physical Function component ranges from 0 (i.e. all physical function item scores are scored 0 \[none\]) to 90 (i.e. all physical function item scores are scored 10 \[extreme\]). The total AUSCAN score was calculated as simple summation of the 15 item scores and therefore ranges from 0 to 150. Baseline is defined as Day 1 pre-dose value. Change from Baseline is equal to post-dose visit value minus Baseline value.
Change From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitBaseline (Day 1 Pre-dose), Weeks 1, 2, 4, 6, 8, 10, and 12Swollen Hand Joint Count was measured by the total number of soft tissue swollen hand joints out of a possible 30 joints: 8 distal interphalangeal, 8 proximal interphalangeal, 2 interphalangeal joints, 10 metacarpophalangeal joints, 2 carpometacarpal joint across both hands. In case of missing observations for soft tissue swollen hand joints then the remaining observations were assessed and weighted by dividing the number presented by the number of non-missing, and by multiplying by 30 for the joint count. Baseline is defined as Day 1 pre-dose value. Change from Baseline is equal to post-dose visit value minus Baseline value.
Change From Baseline in Number of Tender Hand Joints at Each VisitBaseline, Weeks 1, 2, 4, 6, 8, 10, and 12Tender Hand Joint Count was measured by the total number of tender joints out of a possible 30 joints: 8 distal interphalangeal, 8 proximal interphalangeal, 2 interphalangeal joints, 10 metacarpophalangeal joints, 2 carpometacarpal joints across both hands. A joint was considered tender if it was scored \>0 on the tender joint severity scale. Joints were rated 0=no pain/tenderness, 1=mild pain, 2=moderate pain and 3=severe pain. Baseline is defined as Day 1 pre-dose value. Change from Baseline is equal to post-dose visit value minus Baseline value.
Change From Baseline in Physician Global Assessment (PhGA) of Disease ActivityBaseline (Day 1 Pre-dose), Weeks 2, 4, 8, and 12Physicians were required to complete the global assessment of disease activity using single PhGA item with a NRS ranging from 0 (none) to 10 (extremely active). Baseline was defined as Day 1 pre-dose value. Change from Baseline is equal to post-dose visit value minus Baseline value.
Change From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitBaseline (Pre-dose Day 1), Weeks 1, 2, 3, 4, 6, 8, 10 and 12Participants were required to complete a daily pain NRS based on their 24-hour average hand pain intensity with the anchors 0 (no pain) and 10 (worst imaginable pain), which was averaged over the 7 days prior to assessment visit. The 7 day average score is calculated by sum of daily 24 hours average hand pain NRS scores in the 7 days prior to assessment visit, divided by number of entries recorded in those 7 days. Baseline visit was at Day 1 and Baseline value was defined as the average of the 7 days prior to baseline visit (Day 1 pre-dose). Change from Baseline is equal to post-dose visit value minus Baseline value.
Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)Up to Week 22An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment or events associated with liver injury and impaired liver function were categorized as SAE. All participants who received at least one dose of study treatment (GSK3196165 or placebo) were included in Safety Population.
Number of Participants With InfectionsUp to Week 22Adverse events of special interest (AESI) included serious infections like serious respiratory infections and tuberculosis and other opportunistic infections. Number of participants with infections has been reported.
Number of Participants With Pulmonary EventsUp to Week 22Pulmonary events like pulmonary alveolar proteinosis (PAP), persistent (for 3 consecutive weeks) reduction in diffusing capacity of the lungs for carbon monoxide (DLCO) \> 15 percentage, persistent (for 3 consecutive weeks) cough and/or dyspnea and non- life threatening pulmonary changes related to surfactant accumulation is presented.
Number of Participants With Anti-GSK3196165 Binding AntibodiesUp to Week 22Serum samples were collected at indicated time points for anti-drug antibody (ADA) measurements. Anti-GSK3196165 binding antibody detection assay using tiered testing schema: screening, confirmation and titration steps was used for immunogenicity analysis. Samples taken after dosing with GSK3196165 that have a value at or above the cut-point were considered treatment-emergent ADA-positive. The number of participants with change from Baseline to any time post Baseline in the results of immunogenicity assessment as indicated by: negative to positive, positive to positive, positive to negative and negative to negative are presented.
Apparent Clearance After Subcutaneous Administration (CL/F) of GSK3196165Day 3 and Pre-dose on Week 1, Week 4, Week 6, Week 12 and Week 22Blood samples were collected at indicated time points and CL/F was estimated using population PK analysis. Participants in the 'Safety' population who have at least one valid PK assessment were included Pharmacokinetic (PK) Population.
Apparent Steady State Volume of Distribution After Subcutaneous Administration (Vss/F) of GSK3196165Day 3 and Pre-dose on Week 1, Week 4, Week 6, Week 12 and Week 22Blood samples were collected at indicated time points and Vss/F was estimated using population PK analysis.
Absoption Rate Constant (Ka) of GSK3196165Day 3 and Pre-dose on Week 1, Week 4, Week 6, Week 12 and Week 22Blood samples were collected at indicated time points and Ka was estimated using population PK analysis.
Serum Concentration of GSK3196165 by VisitPre-dose on Day 3, Weeks 1, 4, 6, 12, follow up (Week 22)Blood samples were collected at indicated time points for pharmacokinetic analysis.
Change From Baseline in Patient Global Assessment (PtGA) of Disease ActivityBaseline, Weeks 2, 4, 8, and 12Participants were required to complete the global assessment of disease activity using single PtGA item with an NRS ranging from 0 (very well) to 10 (very poor). Baseline was defined as Day 1 pre-dose value. Change from Baseline is equal to post-dose visit value minus Baseline value.

Countries

Germany, Netherlands, Poland, United Kingdom, United States

Participant flow

Recruitment details

This was a multi-center, double-blind, placebo-controlled study to investigate the efficacy and safety of GSK3196165 in participants with inflammatory hand osteoarthritis. The study was conducted in five countries in Poland, United Kingdom, Netherlands, Germany and United States.

Pre-assignment details

A total 121 participants were screened of which 77 were screen failures and 44 participants were enrolled in the study.

Participants by arm

ArmCount
Placebo
Participants randomized to Placebo group received total of 8 subcutaneous injections of placebo over a 12-week treatment period. Participants were administered loading doses on Days 1, 8, 15, 22 and 29 which was followed by 3 doses every other week (Days 43, 57, 71).
22
GSK3196165 180mg
Participants randomized to GSK3196165 group received total of 8 doses of GSK3196165 over a 12-week treatment period. Participants were administered loading doses on Days 1, 8, 15, 22 and 29 which was followed by 3 doses every other week (Days 43, 57, 71).
22
Total44

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event02
Overall StudyLost to Follow-up01
Overall StudyWithdrawal by Subject11

Baseline characteristics

CharacteristicPlaceboGSK3196165 180mgTotal
Age, Continuous56.7 Years
STANDARD_DEVIATION 6.8
60.9 Years
STANDARD_DEVIATION 6.25
58.8 Years
STANDARD_DEVIATION 6.79
Race/Ethnicity, Customized
White - White /Caucasian/European
22 Participants22 Participants44 Participants
Sex: Female, Male
Female
20 Participants20 Participants40 Participants
Sex: Female, Male
Male
2 Participants2 Participants4 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 220 / 22
other
Total, other adverse events
4 / 2210 / 22
serious
Total, serious adverse events
1 / 222 / 22

Outcome results

Primary

Change From Baseline in 24-hour Average Hand Pain Intensity, Averaged Over the 7 Days Prior to Week 6

Participants were required to complete a daily pain NRS based on their 24-hour average hand pain intensity with the anchors 0 (no pain) and 10 (worst imaginable pain), which was averaged over the 7 days prior to assessment visit. The 7 day average score was calculated as sum of daily 24 hours average hand pain NRS scores in the 7 days prior to assessment visit, divided by number of entries recorded in those 7 days. Baseline visit was at Day 1 and Baseline value was defined as the average of the 7 days prior to baseline visit (Day 1 pre-dose). Change from Baseline is equal to post-dose visit value minus Baseline value. Intent-To-Treat Population comprised of all randomized participants who received at least one dose of study treatment (GSK3196165 or placebo).

Time frame: Baseline (Day 1 Pre-dose) and Week 6

Population: Intent To Treat Population. Only non-missing data is included MMRM model.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in 24-hour Average Hand Pain Intensity, Averaged Over the 7 Days Prior to Week 6-1.34 Scores on scaleStandard Error 0.325
GSK3196165 180mgChange From Baseline in 24-hour Average Hand Pain Intensity, Averaged Over the 7 Days Prior to Week 6-1.70 Scores on scaleStandard Error 0.334
p-value: 0.44295% CI: [-1.31, 0.58]Mixed Model Repeated Measures Analysis
Secondary

Absoption Rate Constant (Ka) of GSK3196165

Blood samples were collected at indicated time points and Ka was estimated using population PK analysis.

Time frame: Day 3 and Pre-dose on Week 1, Week 4, Week 6, Week 12 and Week 22

Population: PK Population

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PlaceboAbsoption Rate Constant (Ka) of GSK31961650.205 Per dayGeometric Coefficient of Variation 72.3
Secondary

Apparent Clearance After Subcutaneous Administration (CL/F) of GSK3196165

Blood samples were collected at indicated time points and CL/F was estimated using population PK analysis. Participants in the 'Safety' population who have at least one valid PK assessment were included Pharmacokinetic (PK) Population.

Time frame: Day 3 and Pre-dose on Week 1, Week 4, Week 6, Week 12 and Week 22

Population: PK Population

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PlaceboApparent Clearance After Subcutaneous Administration (CL/F) of GSK31961654.94 Liters per dayGeometric Coefficient of Variation 68.8
Secondary

Apparent Steady State Volume of Distribution After Subcutaneous Administration (Vss/F) of GSK3196165

Blood samples were collected at indicated time points and Vss/F was estimated using population PK analysis.

Time frame: Day 3 and Pre-dose on Week 1, Week 4, Week 6, Week 12 and Week 22

Population: PK Population.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
PlaceboApparent Steady State Volume of Distribution After Subcutaneous Administration (Vss/F) of GSK319616536.5 LitersGeometric Coefficient of Variation 61.5
Secondary

Change From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each Visit

Participants were required to complete a daily pain NRS based on their 24-hour average hand pain intensity with the anchors 0 (no pain) and 10 (worst imaginable pain), which was averaged over the 7 days prior to assessment visit. The 7 day average score is calculated by sum of daily 24 hours average hand pain NRS scores in the 7 days prior to assessment visit, divided by number of entries recorded in those 7 days. Baseline visit was at Day 1 and Baseline value was defined as the average of the 7 days prior to baseline visit (Day 1 pre-dose). Change from Baseline is equal to post-dose visit value minus Baseline value.

Time frame: Baseline (Pre-dose Day 1), Weeks 1, 2, 3, 4, 6, 8, 10 and 12

Population: Intent To Treat Population. n=X in category titles represents the number of participants with non-missing data at the specified time-point. Only non-missing data is included in the MMRM model.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 1, n=22, 20-0.13 Scores on scaleStandard Error 0.152
PlaceboChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 6, n=21, 20-1.34 Scores on scaleStandard Error 0.325
PlaceboChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 3, n=21, 20-0.74 Scores on scaleStandard Error 0.279
PlaceboChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 8, n=20, 19-1.27 Scores on scaleStandard Error 0.382
PlaceboChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 10, n=20, 19-1.18 Scores on scaleStandard Error 0.376
PlaceboChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 2, n=21, 20-0.48 Scores on scaleStandard Error 0.23
PlaceboChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 12, n=19, 18-1.35 Scores on scaleStandard Error 0.402
PlaceboChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 4, n=21, 20-0.91 Scores on scaleStandard Error 0.291
GSK3196165 180mgChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 12, n=19, 18-2.24 Scores on scaleStandard Error 0.416
GSK3196165 180mgChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 1, n=22, 20-0.59 Scores on scaleStandard Error 0.16
GSK3196165 180mgChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 2, n=21, 20-0.86 Scores on scaleStandard Error 0.239
GSK3196165 180mgChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 3, n=21, 20-1.24 Scores on scaleStandard Error 0.289
GSK3196165 180mgChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 4, n=21, 20-1.65 Scores on scaleStandard Error 0.301
GSK3196165 180mgChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 6, n=21, 20-1.70 Scores on scaleStandard Error 0.334
GSK3196165 180mgChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 10, n=20, 19-2.09 Scores on scaleStandard Error 0.389
GSK3196165 180mgChange From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each VisitWeek 8, n=20, 19-2.10 Scores on scaleStandard Error 0.393
p-value: 0.04695% CI: [-0.9, -0.01]Mixed Model Repeated Measures Analysis
p-value: 0.25795% CI: [-1.05, 0.29]Mixed Model Repeated Measures Analysis
p-value: 0.2295% CI: [-1.31, 0.31]Mixed Model Repeated Measures Analysis
p-value: 0.08595% CI: [-1.59, 0.11]Mixed Model Repeated Measures Analysis
p-value: 0.44295% CI: [-1.31, 0.58]Mixed Model Repeated Measures Analysis
p-value: 0.13995% CI: [-1.93, 0.28]Mixed Model Repeated Measures Analysis
p-value: 0.10395% CI: [-2, 0.19]Mixed Model Repeated Measures Analysis
p-value: 0.13295% CI: [-2.06, 0.28]Mixed Model Repeated Measures Analysis
Secondary

Change From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.

The AUSCAN Index is a self-administered questionnaire consisting of a 15-item scale which measures pain (5 items), stiffness (1 item) and degree of disability/physical function (9 items) during the preceding 48 hours. All items are rated on NRS scale with anchors 0 (none) to 10 (extreme). The scores for the pain and physical function components were calculated as simple summation of the item scores relating to that domain, so the Pain component ranges from 0 (i.e. all pain item scores are scored 0 \[none\]) to 50 (i.e. all pain item scores are scored 10 \[extreme\]), and the Physical Function component ranges from 0 (i.e. all physical function item scores are scored 0 \[none\]) to 90 (i.e. all physical function item scores are scored 10 \[extreme\]). The total AUSCAN score was calculated as simple summation of the 15 item scores and therefore ranges from 0 to 150. Baseline is defined as Day 1 pre-dose value. Change from Baseline is equal to post-dose visit value minus Baseline value.

Time frame: Baseline (Day 1 Pre-dose), Weeks 1, 2, 4, 6, 8, 10, and 12

Population: Intent-to-Treat Population. n=X in category titles represents the number of participants with non-missing data at the specified time-point. Only non-missing data is included in the MMRM model.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Physical function, Week 8, n=20, 20-8.3 Scores on scaleStandard Error 3.57
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Pain, Week 12, n=21, 19-4.6 Scores on scaleStandard Error 1.84
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Physical function, Week 12, n=21, 19-7.2 Scores on scaleStandard Error 3.74
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Total, Week 4, n= 22, 21-11.4 Scores on scaleStandard Error 4.72
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Pain, Week 1, n=22, 200.8 Scores on scaleStandard Error 0.98
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Pain, Week 2, n=21, 21-1.8 Scores on scaleStandard Error 1.27
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Pain, Week 6, n=22, 21-6.6 Scores on scaleStandard Error 1.72
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Pain, Week 8, n=20, 20-4.9 Scores on scaleStandard Error 1.93
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Pain, Week 10, n=20, 20-5.3 Scores on scaleStandard Error 1.82
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Stiffness, Week 1, n= 22, 20-0.4 Scores on scaleStandard Error 0.29
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Stiffness, Week 2, n= 21, 21-0.8 Scores on scaleStandard Error 0.33
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Stiffness, Week 4, n= 22, 21-1.2 Scores on scaleStandard Error 0.41
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Stiffness, Week 6, n= 22, 21-1.4 Scores on scaleStandard Error 0.39
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Stiffness, Week 8, n= 20, 20-1.2 Scores on scaleStandard Error 0.41
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Stiffness, Week 10, n= 20, 20-1.6 Scores on scaleStandard Error 0.44
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Stiffness, Week 12, n= 21, 19-1.5 Scores on scaleStandard Error 0.45
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Physical function, Week 1, n=22, 20-0.7 Scores on scaleStandard Error 2.08
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Physical function, Week 2, n=21,21-2.8 Scores on scaleStandard Error 2.35
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Physical function, Week 4, n=22, 21-6.4 Scores on scaleStandard Error 3.01
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Physical function, Week 6, n=22, 21-9.1 Scores on scaleStandard Error 3.25
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Pain, Week 4, n=22, 21-3.5 Scores on scaleStandard Error 1.61
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Physical function, Week 10, n=20, 20-9.0 Scores on scaleStandard Error 3.82
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Total, Week 1, n= 22, 20-0.5 Scores on scaleStandard Error 3.07
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Total, Week 2, n= 21, 21-5.7 Scores on scaleStandard Error 3.66
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Total, Week 6, n= 22, 21-17.3 Scores on scaleStandard Error 5.17
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Total, Week 8, n= 20, 20-14.6 Scores on scaleStandard Error 5.7
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Total, Week 10, n= 20, 20-16.1 Scores on scaleStandard Error 5.88
PlaceboChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Total, Week 12, n= 21, 19-13.5 Scores on scaleStandard Error 5.92
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Total, Week 12, n= 21, 19-26.7 Scores on scaleStandard Error 6.12
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Pain, Week 8, n=20, 20-8.7 Scores on scaleStandard Error 1.97
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Pain, Week 10, n=20, 20-10.9 Scores on scaleStandard Error 1.87
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Stiffness, Week 8, n= 20, 20-1.9 Scores on scaleStandard Error 0.42
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Pain, Week 12, n=21, 19-9.3 Scores on scaleStandard Error 1.91
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Stiffness, Week 10, n= 20, 20-2.2 Scores on scaleStandard Error 0.45
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Physical function, Week 8, n=20, 20-13.2 Scores on scaleStandard Error 3.64
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Physical function, Week 12, n=21, 19-15.4 Scores on scaleStandard Error 3.87
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Total, Week 2, n= 21, 21-10.4 Scores on scaleStandard Error 3.7
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Total, Week 6, n= 22, 21-20.7 Scores on scaleStandard Error 5.28
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Total, Week 4, n= 22, 21-20.1 Scores on scaleStandard Error 4.83
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Stiffness, Week 12, n= 21, 19-2.2 Scores on scaleStandard Error 0.47
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Pain, Week 1, n=22, 20-1.9 Scores on scaleStandard Error 1.03
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Physical function, Week 10, n=20, 20-15.2 Scores on scaleStandard Error 3.92
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Pain, Week 2, n=21, 21-3.7 Scores on scaleStandard Error 1.28
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Pain, Week 4, n=22, 21-7.2 Scores on scaleStandard Error 1.64
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Physical function, Week 1, n=22, 20-3.6 Scores on scaleStandard Error 2.16
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Pain, Week 6, n=22, 21-7.6 Scores on scaleStandard Error 1.76
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Total, Week 10, n= 20, 20-28.2 Scores on scaleStandard Error 6.04
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Physical function, Week 2, n=21,21-5.7 Scores on scaleStandard Error 2.37
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Total, Week 1, n= 22, 20-6.0 Scores on scaleStandard Error 3.2
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Stiffness, Week 1, n= 22, 20-0.6 Scores on scaleStandard Error 0.31
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Physical function, Week 4, n=22, 21-11.3 Scores on scaleStandard Error 3.07
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Stiffness, Week 2, n= 21, 21-1.1 Scores on scaleStandard Error 0.33
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Total, Week 8, n= 20, 20-23.6 Scores on scaleStandard Error 5.81
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Stiffness, Week 4, n= 22, 21-1.8 Scores on scaleStandard Error 0.42
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Physical function, Week 6, n=22, 21-11.8 Scores on scaleStandard Error 3.32
GSK3196165 180mgChange From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit.Stiffness, Week 6, n= 22, 21-1.6 Scores on scaleStandard Error 0.4
p-value: 0.06195% CI: [-5.6, 0.1]Mixed Model Repeated Measures Analysis
p-value: 0.28295% CI: [-5.6, 1.7]Mixed Model Repeated Measures Analysis
p-value: 0.11395% CI: [-8.4, 0.9]Mixed Model Repeated Measures Analysis
p-value: 0.69595% CI: [-5.9, 4]Mixed Model Repeated Measures Analysis
p-value: 0.17695% CI: [-9.4, 1.8]Mixed Model Repeated Measures Analysis
p-value: 0.04195% CI: [-10.8, -0.2]Mixed Model Repeated Measures Analysis
p-value: 0.08295% CI: [-10.1, 0.6]Mixed Model Repeated Measures Analysis
p-value: 0.58795% CI: [-1.1, 0.6]Mixed Model Repeated Measures Analysis
p-value: 0.45795% CI: [-1.3, 0.6]Mixed Model Repeated Measures Analysis
p-value: 0.29895% CI: [-1.8, 0.6]Mixed Model Repeated Measures Analysis
p-value: 0.72695% CI: [-1.3, 0.9]Mixed Model Repeated Measures Analysis
p-value: 0.21395% CI: [-1.9, 0.4]Mixed Model Repeated Measures Analysis
p-value: 0.33195% CI: [-1.9, 0.7]Mixed Model Repeated Measures Analysis
p-value: 0.24895% CI: [-2.1, 0.6]Mixed Model Repeated Measures Analysis
p-value: 0.3595% CI: [-9, 3.3]Mixed Model Repeated Measures Analysis
p-value: 0.38395% CI: [-9.8, 3.8]Mixed Model Repeated Measures Analysis
p-value: 0.27195% CI: [-13.5, 3.9]Mixed Model Repeated Measures Analysis
p-value: 0.56595% CI: [-12.1, 6.7]Mixed Model Repeated Measures Analysis
p-value: 0.34395% CI: [-15.2, 5.4]Mixed Model Repeated Measures Analysis
p-value: 0.26695% CI: [-17.3, 4.9]Mixed Model Repeated Measures Analysis
p-value: 0.13695% CI: [-19.1, 2.7]Mixed Model Repeated Measures Analysis
p-value: 0.2395% CI: [-14.5, 3.6]Mixed Model Repeated Measures Analysis
p-value: 0.38195% CI: [-15.2, 5.9]Mixed Model Repeated Measures Analysis
p-value: 0.20795% CI: [-22.4, 5]Mixed Model Repeated Measures Analysis
p-value: 0.64895% CI: [-18.4, 11.6]Mixed Model Repeated Measures Analysis
p-value: 0.27895% CI: [-25.4, 7.5]Mixed Model Repeated Measures Analysis
p-value: 0.1695% CI: [-29.1, 5]Mixed Model Repeated Measures Analysis
p-value: 0.12795% CI: [-30.5, 3.9]Mixed Model Repeated Measures Analysis
Secondary

Change From Baseline in Number of Soft Tissue Swollen Hand Joints at Each Visit

Swollen Hand Joint Count was measured by the total number of soft tissue swollen hand joints out of a possible 30 joints: 8 distal interphalangeal, 8 proximal interphalangeal, 2 interphalangeal joints, 10 metacarpophalangeal joints, 2 carpometacarpal joint across both hands. In case of missing observations for soft tissue swollen hand joints then the remaining observations were assessed and weighted by dividing the number presented by the number of non-missing, and by multiplying by 30 for the joint count. Baseline is defined as Day 1 pre-dose value. Change from Baseline is equal to post-dose visit value minus Baseline value.

Time frame: Baseline (Day 1 Pre-dose), Weeks 1, 2, 4, 6, 8, 10, and 12

Population: Intent-to-Treat Population. n=X in category titles represents the number of participants with non-missing data at the specified time-point. Only non-missing data is included in the MMRM model.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitWeek 4, n = 22, 21-1.6 Swollen jointsStandard Error 0.76
PlaceboChange From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitWeek 6, n = 22, 21-3.7 Swollen jointsStandard Error 0.83
PlaceboChange From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitWeek 12, n = 21, 19-2.9 Swollen jointsStandard Error 0.91
PlaceboChange From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitWeek 8, n = 20, 20-3.0 Swollen jointsStandard Error 0.92
PlaceboChange From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitWeek 2, n = 21, 21-1.6 Swollen jointsStandard Error 0.85
PlaceboChange From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitWeek 10, n = 20, 20-2.6 Swollen jointsStandard Error 1.08
PlaceboChange From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitWeek 1, n = 22, 21-0.3 Swollen jointsStandard Error 0.64
GSK3196165 180mgChange From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitWeek 10, n = 20, 20-2.9 Swollen jointsStandard Error 1.1
GSK3196165 180mgChange From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitWeek 12, n = 21, 19-3.1 Swollen jointsStandard Error 0.93
GSK3196165 180mgChange From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitWeek 1, n = 22, 21-0.3 Swollen jointsStandard Error 0.66
GSK3196165 180mgChange From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitWeek 2, n = 21, 21-1.2 Swollen jointsStandard Error 0.86
GSK3196165 180mgChange From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitWeek 6, n = 22, 21-2.3 Swollen jointsStandard Error 0.85
GSK3196165 180mgChange From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitWeek 8, n = 20, 20-2.8 Swollen jointsStandard Error 0.94
GSK3196165 180mgChange From Baseline in Number of Soft Tissue Swollen Hand Joints at Each VisitWeek 4, n = 22, 21-2.1 Swollen jointsStandard Error 0.78
p-value: 0.95795% CI: [-1.9, 1.8]Mixed Model Repeated Measures Analysis
p-value: 0.77595% CI: [-2.1, 2.8]Mixed Model Repeated Measures Analysis
p-value: 0.62495% CI: [-2.7, 1.7]Mixed Model Repeated Measures Analysis
p-value: 0.24395% CI: [-1, 3.8]Mixed Model Repeated Measures Analysis
p-value: 0.87595% CI: [-2.5, 2.9]Mixed Model Repeated Measures Analysis
p-value: 0.84895% CI: [-3.4, 2.8]Mixed Model Repeated Measures Analysis
p-value: 0.88395% CI: [-2.8, 2.4]Mixed Model Repeated Measures Analysis
Secondary

Change From Baseline in Number of Tender Hand Joints at Each Visit

Tender Hand Joint Count was measured by the total number of tender joints out of a possible 30 joints: 8 distal interphalangeal, 8 proximal interphalangeal, 2 interphalangeal joints, 10 metacarpophalangeal joints, 2 carpometacarpal joints across both hands. A joint was considered tender if it was scored \>0 on the tender joint severity scale. Joints were rated 0=no pain/tenderness, 1=mild pain, 2=moderate pain and 3=severe pain. Baseline is defined as Day 1 pre-dose value. Change from Baseline is equal to post-dose visit value minus Baseline value.

Time frame: Baseline, Weeks 1, 2, 4, 6, 8, 10, and 12

Population: Intent-to-Treat Population. n=X in category titles represents the number of participants with non-missing data at the specified time-point. Only non-missing data was included in the MMRM model.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Number of Tender Hand Joints at Each VisitWeek 8, n= 20, 20-2.4 Scores on scaleStandard Error 1.36
PlaceboChange From Baseline in Number of Tender Hand Joints at Each VisitWeek 4, n= 22, 21-1.1 Scores on scaleStandard Error 1.33
PlaceboChange From Baseline in Number of Tender Hand Joints at Each VisitWeek 1, n= 22, 21-0.6 Scores on scaleStandard Error 1.1
PlaceboChange From Baseline in Number of Tender Hand Joints at Each VisitWeek 10, n= 20, 20-3.7 Scores on scaleStandard Error 1.45
PlaceboChange From Baseline in Number of Tender Hand Joints at Each VisitWeek 6, n= 22, 21-3.7 Scores on scaleStandard Error 1.27
PlaceboChange From Baseline in Number of Tender Hand Joints at Each VisitWeek 12, n= 21, 19-3.5 Scores on scaleStandard Error 1.46
PlaceboChange From Baseline in Number of Tender Hand Joints at Each VisitWeek 2, n= 21, 21-1.7 Scores on scaleStandard Error 1.15
GSK3196165 180mgChange From Baseline in Number of Tender Hand Joints at Each VisitWeek 12, n= 21, 19-4.0 Scores on scaleStandard Error 1.51
GSK3196165 180mgChange From Baseline in Number of Tender Hand Joints at Each VisitWeek 6, n= 22, 21-4.2 Scores on scaleStandard Error 1.3
GSK3196165 180mgChange From Baseline in Number of Tender Hand Joints at Each VisitWeek 1, n= 22, 21-1.8 Scores on scaleStandard Error 1.13
GSK3196165 180mgChange From Baseline in Number of Tender Hand Joints at Each VisitWeek 2, n= 21, 21-2.1 Scores on scaleStandard Error 1.17
GSK3196165 180mgChange From Baseline in Number of Tender Hand Joints at Each VisitWeek 8, n= 20, 20-3.9 Scores on scaleStandard Error 1.39
GSK3196165 180mgChange From Baseline in Number of Tender Hand Joints at Each VisitWeek 10, n= 20, 20-4.4 Scores on scaleStandard Error 1.48
GSK3196165 180mgChange From Baseline in Number of Tender Hand Joints at Each VisitWeek 4, n= 22, 21-3.0 Scores on scaleStandard Error 1.36
p-value: 0.46395% CI: [-4.4, 2]Mixed Model Repeated Measures Analysis
p-value: 0.80995% CI: [-3.7, 2.9]Mixed Model Repeated Measures Analysis
p-value: 0.32495% CI: [-5.8, 2]Mixed Model Repeated Measures Analysis
p-value: 0.78395% CI: [-4.2, 3.2]Mixed Model Repeated Measures Analysis
p-value: 0.46495% CI: [-5.4, 2.5]Mixed Model Repeated Measures Analysis
p-value: 0.73695% CI: [-4.9, 3.5]Mixed Model Repeated Measures Analysis
p-value: 0.80695% CI: [-4.8, 3.7]Mixed Model Repeated Measures Analysis
Secondary

Change From Baseline in Patient Global Assessment (PtGA) of Disease Activity

Participants were required to complete the global assessment of disease activity using single PtGA item with an NRS ranging from 0 (very well) to 10 (very poor). Baseline was defined as Day 1 pre-dose value. Change from Baseline is equal to post-dose visit value minus Baseline value.

Time frame: Baseline, Weeks 2, 4, 8, and 12

Population: Intent-to-Treat Population. n=X in category titles represents the number of participants with non-missing data at the specified time-point. Only non-missing data is included in the MMRM model.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Patient Global Assessment (PtGA) of Disease ActivityWeek 2, n= 20, 21-0.4 Scores on scaleStandard Error 0.36
PlaceboChange From Baseline in Patient Global Assessment (PtGA) of Disease ActivityWeek 4, n= 21, 21-0.6 Scores on scaleStandard Error 0.42
PlaceboChange From Baseline in Patient Global Assessment (PtGA) of Disease ActivityWeek 8, n= 19, 20-0.9 Scores on scaleStandard Error 0.47
PlaceboChange From Baseline in Patient Global Assessment (PtGA) of Disease ActivityWeek 12, n= 20, 19-0.7 Scores on scaleStandard Error 0.46
GSK3196165 180mgChange From Baseline in Patient Global Assessment (PtGA) of Disease ActivityWeek 12, n= 20, 19-1.8 Scores on scaleStandard Error 0.46
GSK3196165 180mgChange From Baseline in Patient Global Assessment (PtGA) of Disease ActivityWeek 2, n= 20, 21-0.6 Scores on scaleStandard Error 0.35
GSK3196165 180mgChange From Baseline in Patient Global Assessment (PtGA) of Disease ActivityWeek 8, n= 19, 20-1.8 Scores on scaleStandard Error 0.46
GSK3196165 180mgChange From Baseline in Patient Global Assessment (PtGA) of Disease ActivityWeek 4, n= 21, 21-1.3 Scores on scaleStandard Error 0.42
p-value: 0.65195% CI: [-1.3, 0.8]Mixed Model Repeated Measures Analysis
p-value: 0.27195% CI: [-1.9, 0.5]Mixed Model Repeated Measures Analysis
p-value: 0.18695% CI: [-2.2, 0.4]Mixed Model Repeated Measures Analysis
p-value: 0.10995% CI: [-2.4, 0.2]Mixed Model Repeated Measures Analysis
Secondary

Change From Baseline in Physician Global Assessment (PhGA) of Disease Activity

Physicians were required to complete the global assessment of disease activity using single PhGA item with a NRS ranging from 0 (none) to 10 (extremely active). Baseline was defined as Day 1 pre-dose value. Change from Baseline is equal to post-dose visit value minus Baseline value.

Time frame: Baseline (Day 1 Pre-dose), Weeks 2, 4, 8, and 12

Population: Intent-to-Treat Population. n=X in category titles represents the number of participants with non-missing data at the specified time-point. Only non-missing data is included in the MMRM model.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline in Physician Global Assessment (PhGA) of Disease ActivityWeek 8, n= 17, 15-2.2 Scores on scaleStandard Error 0.52
PlaceboChange From Baseline in Physician Global Assessment (PhGA) of Disease ActivityWeek 4, n= 20, 15-2.1 Scores on scaleStandard Error 0.44
PlaceboChange From Baseline in Physician Global Assessment (PhGA) of Disease ActivityWeek 12, n= 18, 14-2.7 Scores on scaleStandard Error 0.56
PlaceboChange From Baseline in Physician Global Assessment (PhGA) of Disease ActivityWeek 2, n= 19, 14-1.8 Scores on scaleStandard Error 0.39
GSK3196165 180mgChange From Baseline in Physician Global Assessment (PhGA) of Disease ActivityWeek 12, n= 18, 14-3.0 Scores on scaleStandard Error 0.63
GSK3196165 180mgChange From Baseline in Physician Global Assessment (PhGA) of Disease ActivityWeek 4, n= 20, 15-2.6 Scores on scaleStandard Error 0.5
GSK3196165 180mgChange From Baseline in Physician Global Assessment (PhGA) of Disease ActivityWeek 8, n= 17, 15-3.4 Scores on scaleStandard Error 0.57
GSK3196165 180mgChange From Baseline in Physician Global Assessment (PhGA) of Disease ActivityWeek 2, n= 19, 14-1.5 Scores on scaleStandard Error 0.45
p-value: 0.1295% CI: [-2.8, 0.3]Mixed Model Repeated Measures Analysis
p-value: 0.68795% CI: [-2.1, 1.4]Mixed Model Repeated Measures Analysis
p-value: 0.58695% CI: [-0.9, 1.6]Mixed Model Repeated Measures Analysis
p-value: 0.41695% CI: [-1.9, 0.8]Mixed Model Repeated Measures Analysis
Secondary

Change From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each Visit

Participants were required to complete a daily pain NRS based on their 24-hour worst hand pain intensity with the anchors 0 (no pain) and 10 (worst imaginable pain), which was averaged over the 7 days prior to assessment visit. The score is calculated as sum of daily 24 hours worst hand pain NRS scores in the 7 days prior to assessment visit, divided by number of entries recorded in those 7 days. Baseline visit was at Day 1 and Baseline value was defined as the average of the 7 days prior to baseline visit (Day 1 pre-dose). Change from Baseline is equal to post-dose visit value minus Baseline value.

Time frame: Baseline (Pre-dose Day 1), Weeks 1, 2, 3, 4, 6, 8, 10 and 12

Population: Intent-to-Treat Population. n=X in category titles represents the number of participants with non-missing data at the specified time-point. Only non-missing data is included in the MMRM model.

ArmMeasureGroupValue (LEAST_SQUARES_MEAN)Dispersion
PlaceboChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 6, n= 21, 20-1.30 Scores on scaleStandard Error 0.328
PlaceboChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 1, n=22, 200.01 Scores on scaleStandard Error 0.174
PlaceboChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 2, n=21, 20-0.42 Scores on scaleStandard Error 0.235
PlaceboChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 3, n=21, 20-0.63 Scores on scaleStandard Error 0.269
PlaceboChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 4, n= 21, 20-0.72 Scores on scaleStandard Error 0.289
PlaceboChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 8, n= 20, 19-1.18 Scores on scaleStandard Error 0.394
PlaceboChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 10, n= 20, 19-1.15 Scores on scaleStandard Error 0.394
PlaceboChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 12, n= 19, 18-1.32 Scores on scaleStandard Error 0.415
GSK3196165 180mgChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 12, n= 19, 18-2.34 Scores on scaleStandard Error 0.43
GSK3196165 180mgChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 6, n= 21, 20-1.63 Scores on scaleStandard Error 0.337
GSK3196165 180mgChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 4, n= 21, 20-1.51 Scores on scaleStandard Error 0.299
GSK3196165 180mgChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 1, n=22, 20-0.45 Scores on scaleStandard Error 0.183
GSK3196165 180mgChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 10, n= 20, 19-2.13 Scores on scaleStandard Error 0.407
GSK3196165 180mgChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 2, n=21, 20-0.69 Scores on scaleStandard Error 0.245
GSK3196165 180mgChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 8, n= 20, 19-2.11 Scores on scaleStandard Error 0.406
GSK3196165 180mgChange From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each VisitWeek 3, n=21, 20-1.23 Scores on scaleStandard Error 0.278
p-value: 0.08295% CI: [-0.97, 0.06]Mixed Model Repeated Measures Analysis
p-value: 0.42695% CI: [-0.96, 0.41]Mixed Model Repeated Measures Analysis
p-value: 0.12995% CI: [-1.38, 0.18]Mixed Model Repeated Measures Analysis
p-value: 0.06795% CI: [-1.63, 0.06]Mixed Model Repeated Measures Analysis
p-value: 0.49495% CI: [-1.28, 0.63]Mixed Model Repeated Measures Analysis
p-value: 0.10795% CI: [-2.08, 0.21]Mixed Model Repeated Measures Analysis
p-value: 0.09295% CI: [-2.13, 0.17]Mixed Model Repeated Measures Analysis
p-value: 0.09895% CI: [-2.22, 0.2]Mixed Model Repeated Measures Analysis
Secondary

Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)

An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Any untoward event resulting in death, life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, congenital anomaly/birth defect, any other situation according to medical or scientific judgment or events associated with liver injury and impaired liver function were categorized as SAE. All participants who received at least one dose of study treatment (GSK3196165 or placebo) were included in Safety Population.

Time frame: Up to Week 22

Population: Safety Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)Any SAE1 Participants
PlaceboNumber of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)Any AE11 Participants
GSK3196165 180mgNumber of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)Any AE13 Participants
GSK3196165 180mgNumber of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)Any SAE2 Participants
Secondary

Number of Participants With Anti-GSK3196165 Binding Antibodies

Serum samples were collected at indicated time points for anti-drug antibody (ADA) measurements. Anti-GSK3196165 binding antibody detection assay using tiered testing schema: screening, confirmation and titration steps was used for immunogenicity analysis. Samples taken after dosing with GSK3196165 that have a value at or above the cut-point were considered treatment-emergent ADA-positive. The number of participants with change from Baseline to any time post Baseline in the results of immunogenicity assessment as indicated by: negative to positive, positive to positive, positive to negative and negative to negative are presented.

Time frame: Up to Week 22

Population: Intent-to-Treat Population. Only those participants with data available post-Baseline are reported.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Anti-GSK3196165 Binding AntibodiesNegative to positive0 Participants
PlaceboNumber of Participants With Anti-GSK3196165 Binding AntibodiesPositive to positive0 Participants
PlaceboNumber of Participants With Anti-GSK3196165 Binding AntibodiesPositive to negative0 Participants
PlaceboNumber of Participants With Anti-GSK3196165 Binding AntibodiesNegative to negative22 Participants
GSK3196165 180mgNumber of Participants With Anti-GSK3196165 Binding AntibodiesNegative to negative20 Participants
GSK3196165 180mgNumber of Participants With Anti-GSK3196165 Binding AntibodiesNegative to positive1 Participants
GSK3196165 180mgNumber of Participants With Anti-GSK3196165 Binding AntibodiesPositive to negative0 Participants
GSK3196165 180mgNumber of Participants With Anti-GSK3196165 Binding AntibodiesPositive to positive0 Participants
Secondary

Number of Participants With Infections

Adverse events of special interest (AESI) included serious infections like serious respiratory infections and tuberculosis and other opportunistic infections. Number of participants with infections has been reported.

Time frame: Up to Week 22

Population: Safety Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With InfectionsSerious Infections0 Participants
PlaceboNumber of Participants With InfectionsOpportunistic Infections0 Participants
GSK3196165 180mgNumber of Participants With InfectionsSerious Infections0 Participants
GSK3196165 180mgNumber of Participants With InfectionsOpportunistic Infections0 Participants
Secondary

Number of Participants With Pulmonary Events

Pulmonary events like pulmonary alveolar proteinosis (PAP), persistent (for 3 consecutive weeks) reduction in diffusing capacity of the lungs for carbon monoxide (DLCO) \> 15 percentage, persistent (for 3 consecutive weeks) cough and/or dyspnea and non- life threatening pulmonary changes related to surfactant accumulation is presented.

Time frame: Up to Week 22

Population: Safety Population

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
PlaceboNumber of Participants With Pulmonary EventsPersistent Cough0 Participants
PlaceboNumber of Participants With Pulmonary EventsPersistent decrease in DLCO0 Participants
PlaceboNumber of Participants With Pulmonary EventsAbnormal Lung Auscultation0 Participants
PlaceboNumber of Participants With Pulmonary EventsPAP0 Participants
PlaceboNumber of Participants With Pulmonary EventsPersistent dyspnea0 Participants
GSK3196165 180mgNumber of Participants With Pulmonary EventsPAP0 Participants
GSK3196165 180mgNumber of Participants With Pulmonary EventsPersistent dyspnea0 Participants
GSK3196165 180mgNumber of Participants With Pulmonary EventsPersistent decrease in DLCO0 Participants
GSK3196165 180mgNumber of Participants With Pulmonary EventsPersistent Cough0 Participants
GSK3196165 180mgNumber of Participants With Pulmonary EventsAbnormal Lung Auscultation0 Participants
Secondary

Percentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each Visit

Participants were required to complete average pain NRS daily and rate the average hand pain over last 24 hours on a scale of 0 (no pain) to 10 (worst imaginable pain). The percentage of participants who achieved at least 30 percentage reduction from Baseline in the 24-hours average hand pain intensity as measured by daily NRS and averaged over 7 days prior to each visit is reported.

Time frame: Baseline (Pre-dose, Day 1), Weeks 1, 2, 3, 4, 6, 8, 10, 12 and follow up (Week 22)

Population: Intent-to-Treat Population. Participants with missing data at a particular visit had been assumed to be non-responders.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 20 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 818 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 414 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 1018 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 35 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 1223 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 623 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitFollow up (Week 22)23 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 10 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitFollow up (Week 22)27 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 19 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 218 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 323 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 441 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 645 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 850 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 1050 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 1245 Percentage of participants
Secondary

Percentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each Visit

Participants were required to complete worst pain NRS daily and rate the hand pain at its worst over last 24 hours on a scale of 0 (no pain) to 10 (worst imaginable pain). The percentage of participants achieving at least 30 percentage reduction from Baseline in the 24-hours worst hand pain intensity as measured by daily NRS and averaged over 7 days prior to each visit is presented.

Time frame: Baseline (Pre-dose, Day 1), Weeks 1, 2, 3, 4, 6, 8, 10, 12 and follow up (Week 22)

Population: Intent-to-Treat Population. Participants with missing data at a particular visit had been assumed to be non-responders.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 20 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 89 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 40 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 1014 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 30 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 1214 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 69 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitFollow up (Week 22)14 Percentage of participants
PlaceboPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 10 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitFollow up (Week 22)32 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 19 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 218 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 323 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 432 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 636 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 845 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 1045 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 1245 Percentage of participants
Secondary

Percentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each Visit

Participants were required to complete average pain NRS daily and rate the average hand pain over last 24 hours on a scale of 0 (no pain) to 10 (worst imaginable pain). The percentage of participants who achieved at least 50 percentage reduction from Baseline in the 24-hours average hand pain intensity as measured by daily NRS and averaged over 7 days prior to each visit is presented.

Time frame: Baseline (Pre-dose, Day 1), Weeks 1, 2, 3, 4, 6, 8, 10, 12 and follow up (Week 22)

Population: Intent-to-Treat Population. Participants with missing data at a particular visit had been assumed to be non-responders.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 20 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 614 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 10 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 814 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 30 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 109 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 1214 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitFollow up (Week 22)9 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 40 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitFollow up (Week 22)23 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 10 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 29 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 318 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 423 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 627 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 841 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 1241 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each VisitWeek 1036 Percentage of participants
Secondary

Percentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each Visit

Participants were required to complete worst pain NRS daily and rate the hand pain at its worst over last 24 hours on a scale of 0 (no pain) to 10 (worst imaginable pain). The percentage of participants achieving at least 50 percentage reduction from Baseline in the 24-hours worst hand pain intensity as measured by daily NRS and averaged over 7 days prior to each visit is presented.

Time frame: Baseline (Pre-dose, Day 1), Weeks 1, 2, 3, 4, 6, 8, 10, 12 and follow up (Week 22)

Population: Intent-to-Treat Population. Participants with missing data at a particular visit had been assumed to be non-responders.

ArmMeasureGroupValue (NUMBER)
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitFollow up (Week 22)5 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 10 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 20 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 40 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 65 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 85 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 105 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 129 Percentage of participants
PlaceboPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 30 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 1236 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitFollow up (Week 22)23 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 618 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 10 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 1027 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 25 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 314 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 832 Percentage of participants
GSK3196165 180mgPercentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each VisitWeek 418 Percentage of participants
Secondary

Serum Concentration of GSK3196165 by Visit

Blood samples were collected at indicated time points for pharmacokinetic analysis.

Time frame: Pre-dose on Day 3, Weeks 1, 4, 6, 12, follow up (Week 22)

Population: PK Population. Only those participants with data available at the specified time points were analyzed (represented by n= X in the category titles).

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
PlaceboSerum Concentration of GSK3196165 by VisitDay 3, n= 182457.05 Nanogram per milliliterGeometric Coefficient of Variation 94.74
PlaceboSerum Concentration of GSK3196165 by VisitWeek 1, n= 211767.55 Nanogram per milliliterGeometric Coefficient of Variation 46.96
PlaceboSerum Concentration of GSK3196165 by VisitWeek 4, n= 212821.12 Nanogram per milliliterGeometric Coefficient of Variation 61
PlaceboSerum Concentration of GSK3196165 by VisitWeek 6, n= 201802.09 Nanogram per milliliterGeometric Coefficient of Variation 60.42
PlaceboSerum Concentration of GSK3196165 by VisitWeek 12, n= 8800.96 Nanogram per milliliterGeometric Coefficient of Variation 176.33
PlaceboSerum Concentration of GSK3196165 by VisitFollow up (Week 22), n= 1256.40 Nanogram per milliliterGeometric Coefficient of Variation 346.41

Source: ClinicalTrials.gov · Data processed: Feb 25, 2026