Last updated: 11/07/2018 10:24:34

Investigate the Efficacy and Safety of GSK1070806 in Obese Subjects with T2DMT2DM

GSK study ID
116378
Clinicaltrials.gov ID
EudraCT ID
EU CT Number
Not applicable
Trial status
Study complete
Study complete
Overview
Eligibility
Locations
Study documents
Results summary
Plain language summaries
Additional information

Trial overview

Official title: A Single Blind (Sponsor-unblinded), Placebo-controlled, Parallel-group Study to Investigate the Efficacy and Safety of GSK1070806 in the Treatment of Obese Subjects with T2DM.
Trial description: GSK1070806 is a humanised IgG1/kappa antibody which is directed against the soluble cytokine interleukin-18 (IL-18). The aims of this placebo controlled study are to evaluate the efficacy, safety, tolerability, pharmacokinetics and pharmacodynamics of GSK1070806 in obese subjects with Type 2 diabetes mellitus (T2DM), and to gain a better understanding of the mechanism by which GSK1070806 exerts its therapeutic effects.
Primary purpose:
Basic Science
Trial design:
Parallel Assignment
Masking:
Single (Investigator)
Allocation:
Randomized
Primary outcomes:

Change from Baseline in fasting plasma glucose (FPG) level on Days 29, 57, and 85

Timeframe: Baseline (Day 1) and Days 29, 57, and 85

Change from Baseline in weighted mean glucose area under the concentration-time curve from time zero (pre-dose) to 4 hours (AUC[0 - 4hrs]) post-Mixed Meal Test (MMT) on Days 29, 57, and 85

Timeframe: Baseline (Day 1), Days 29, 57, and 85

Secondary outcomes:

Number of participants with any adverse event (AE) and any serious adverse event (SAE)

Timeframe: Up to 210 days

Albumin and total protein values at Screening; Days 1 (pre-dose and 4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and follow-up

Timeframe: Up to 210 days

Alkaline phosphatase (ALP),Alanine aminotransferase (ALT),aspartate aminotransferase (AST),gamma glutamyl transferase (GGT) values at Screening; Days 1 (pre-dose, 4 hr post-dose),4,9,14,21,29 (pre-dose, 4 hr postdose), 32, 42, 57, 85,120,165, follow up

Timeframe: Up to 210 days

Total bilirubin (TB), direct bilirubin (DB), uric acid, and creatinine values at Screening; Days 1 (pre-dose and 4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and follow-up

Timeframe: Up to 210 days

Clinical laboratory parameters at Screening; Days 1 (pre-dose on Day 1 and 4 hour post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hour post-dose), 32, 42, 57, 85, 120, and 165, and at Day 210

Timeframe: Up to 210 days

Total cholesterol/HDL ratio (TC/HDL ratio), HDL/LDL ratio, and triglyceride/HDL ratio (TG/HDL ratio) values at Screening; Days 1 (pre-dose and 4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and follow-up

Timeframe: Up to 210 days

Glomerular filtration rate (GFR) values at Screening; Days 1 (pre-dose and 4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and follow-up

Timeframe: Up to 210 days

Hematological parameters at Screening; Days 1 (pre-dose and 4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and Day 210

Timeframe: Up to 210 days

Hemoglobin and mean corpuscle hemoglobin concentration (MCHC) values at Screening; Days 1 (pre-dose and 4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and follow-up

Timeframe: Up to 210 Days

Hematocrit values at Screening; Days 1 (pre-dose and 4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and follow-up

Timeframe: Up to 210 days

Mean corpuscle hemoglobin (MCH) values at Screening; Days 1 (pre-dose and 4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and follow-up

Timeframe: Up to 210 days

Mean corpuscle volume (MCV) values at Screening; Days 1 (pre-dose and 4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and follow-up

Timeframe: Up to 210 days

Red blood cell (RBC) count values at Screening; Days 1 (pre-dose and 4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and follow-up

Timeframe: Up to 210 days

Mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) values at Screening; Days 1 (pre-dose and 4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and follow-up

Timeframe: Up to 210 days

Heart rate (HR) values at Screening; Days 1 (pre-dose and 4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and Day 210

Timeframe: Up to 210 days

Respiration rate (RR) values at Screening; Days 1 (pre-dose and 4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and Day 210

Timeframe: Up to 210 days

Body temperature values at Screening; Days 1 (pre-dose and 4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and Day 210

Timeframe: Up to 210 days

Electrocardiogram (ECG) measurements at Screening, Day 1 (pre-dose and 1 hr and 4 hr post-dose), and Day 29 (pre-dose and 1 hr and 4 hr post-dose)

Timeframe: Screening, Day 1 (pre-dose; 1 and 4 hr post-dose), and Day 29 (pre-dose; 1 hr and 4 hr post-dose)

Change from Baseline in glycohemoglobin A1c (% HbA1c) at Days 29, 57, 85, 120 and follow-up

Timeframe: Baseline (Day 1), Days 29, 57, 85, 120 and follow-up

Change from Baseline in fasting blood insulin from the post-mixed meal test (MMT) at pre-meal and 15, 30, 60, 90, 120, 180, and 250 minutes post-meal at Days 29, 57, and 85

Timeframe: Baseline (pre-dose on Day 1), pre-meal; and 15, 30, 60, 90, 120, 180, and 250 post-meal at Days 29, 57, and 85

Change from Baseline in C-peptide levels from the post-MMT (MMT) at pre-meal and 15, 30, 60, 90, 120, 180, and 250 minutes post-meal at Days 29, 57, and 85

Timeframe: Baseline (pre-dose on Day 1), pre-meal; and 15, 30, 60, 90, 120, 180, and 250 minutes post-meal at Days 29, 57, and 85

Change from Baseline in weighted mean insulin level (AUC[0-4hrs]) post-MMT on Days 29, 57, and 85

Timeframe: Baseline (pre-dose on Day 1), Days 29, 57, and 85

Change from Baseline in weighted mean C-peptide levels (AUC[0-4hrs]) post-MMT on Days 29, 57, and 85

Timeframe: Baseline (pre-dose on Day 1), Days 29, 57, and 85

Change from Baseline in derived measures of insulin sensitivity (homeostasis model assessment [HOMA]-%S) and beta cell function (HOMA-%B) for insulin and C-peptide at Days 29, 57, and 85

Timeframe: Baseline (pre-dose on Day 1), Days 29, 57, and 85

Area under the concentration-time curve over the dosing interval (AUC[0-tau])

Timeframe: Baseline (pre-dose on Day 1), 1 and 4 hours post-dose on Day 1, Days 4 and 14, pre-dose on Day 29, 1 hour, 4 hour post-dose on Day 1, Days 32, 42, 57, 85, 120, and 210.

Maximum observed concentration (Cmax)

Timeframe: Baseline (pre-dose on Day 1), 1 and 4 hours post-dose on Day 1, Days 4 and 14, pre-dose on Day 29, 1 hour, 4 hour post-dose on Day 1, Days 32, 42, 57, 85, 120, and 210.

Time of occurrence of Cmax (Tmax)

Timeframe: Baseline (pre-dose on Day 1), 1 and 4 hours post-dose on Day 1, Days 4 and 14, pre-dose on Day 29, 1 hour, 4 hour post-dose on Day 1, Days 32, 42, 57, 85, 120, and 210.

Terminal half life (t1/2)

Timeframe: Baseline (pre-dose on Day 1), 1 and 4 hours post-dose on Day 1, Days 4 and 14, pre-dose on Day 29, 1 hour, 4 hour post-dose on Day 1, Days 32, 42, 57, 85, 120, and 210.

Change from Baseline in adiponectin and high-sensitivity C-reactive protein (hsCRP) levels at Days 29, 57, and 85

Timeframe: Baseline (pre-dose on Day 1), Day 29, 57, and 85

Change from Baseline in HDL cholesterol, LDL cholesterol at Days 1 (4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165

Timeframe: Baseline, Days 1 (4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post dose), 32, 42, 57, 85, 120,and 165; and follow-up (up to Study Day 210) for HDL, LDL

Change from Baseline in non-esterified fatty acid levels on Days 29, 57, and 85

Timeframe: Baseline and Days 29, 57, and 85

Change from Baseline in fructosamine level at Days 29, 57, and 85

Timeframe: Baseline (pre-dose on Day 1), Day 29, 57, and 85

Change from Baseline in glomerular filtration rate (GFR) at Days 1 (4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and follow-up

Timeframe: Baseline (pre-dose on Day 1), Days 1 (4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and follow-up (up to Study Day 210)

Change from Baseline in interleukin-6 (IL-6), inducible protein-10 (IP-10), matrix metalloproteinase-9 (MMP-9), intercellular adhesion molecule-1 (IAM-1), and plasminogen activator inhibitor-1 (PAI-1) levels at Days 29, 57, and 85

Timeframe: Baseline (pre-dose on Day 1), Day 29, 57, and 85

Change from Baseline in lymphocytes biomarker levels at Days 1 (4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and follow-up

Timeframe: Baseline; Days 1 (4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and follow-up (up to Study Day 210)

Change from Baseline in resistin biomarker levels at Days 29, 57, and 85

Timeframe: Baseline (pre-dose on Day 1), Day 29, 57, and 85

Change from Baseline in change from Baseline in HDL/LDL Ratio over 210 days (follow-up period)

Timeframe: Baseline (pre-dose on Day 1) and Days 1 (4 hr post-dose), 4, 9, 14, 21, 29 (pre-dose and 4 hr post-dose), 32, 42, 57, 85, 120, and 165; and 210 days

Change from Baseline in Albumin/Creatinine Ratio and MCP1/Creatinine Ratio

Timeframe: Baseline (pre-dose on Day 1), Day 29, 57, and 85 for Albumin/Creatinine Ratio and MCP1/Creatinine Ratio

Change from Baseline in waist circumference at Day 85

Timeframe: Baseline (pre-dose on Day 1) and Day 85

Number of participants with detectable levels of anti-GSK1070806 antibodies

Timeframe: Up to 210 days

Change from Baseline (pre-dose on Day 1) in body mass index (BMI) at Day 85

Timeframe: Baseline (pre-dose on Day 1) and Day 85

Interventions:
  • Biological/vaccine: GSK1070806
  • Other: Placebo (saline)
  • Enrollment:
    37
    Primary completion date:
    2013-03-09
    Observational study model:
    Not applicable
    Time perspective:
    Not applicable
    Clinical publications:
    E. A. McKie,J. L. Reid,P. C. Mistry, S. L. DeWall, L. Abberley, P. D. Ambery, B. Gil-Extremera. A Study to Investigate the Efficacy and Safety of an Anti-Interleukin-18 Monoclonal Antibody in the Treatment of Type 2 Diabetes Mellitus. PLoS ONE. 2016;11(3):e0150018
    Medical condition
    Diabetes Mellitus
    Product
    GSK1070806
    Collaborators
    Not applicable
    Study date(s)
    August 2012 to January 2014
    Type
    Interventional
    Phase
    2

    Participation criteria

    Sex
    Female & Male
    Age
    18 - 70 years
    Accepts healthy volunteers
    No
    • 1. A diagnosis of T2DM as determined by a responsible physician based on a medical evaluation including medical history, physical examination, and laboratory tests, with onset at least 6 months prior to Screening.
    • 2. Male or female between 18 and 70 years of age inclusive, at the time of signing the informed consent.
    • 1. Current evidence, or history within the last 7 days, of an influenza-like illness as defined by fever (>38°C) and two or more of the following symptoms: cough, sore throat, runny nose, sneezing, limb / joint pain, headache, vomiting / diarrhoea in the absence of a known cause, other than influenza.
    • 2. Use of anti-inflammatory drugs including corticosteroids, chronic maintenance therapy with NSAIDs, anti-Tumor Necrosis Factor (anti-TNF) or anti-Interleukin-1 (anti-IL1) within 60 days prior to dosing.

    Trial location(s)

    Location
    Status
    Contact us
    Contact us
    Location
    GSK Investigational Site
    Alicante, Spain, 03004
    Status
    Study Complete
    Location
    GSK Investigational Site
    Madrid, Spain, 28046
    Status
    Study Complete
    Location
    GSK Investigational Site
    Dundee, United Kingdom, DD1 9SY
    Status
    Terminated/Withdrawn
    Location
    GSK Investigational Site
    Lleida, Spain, 25198
    Status
    Study Complete
    Location
    GSK Investigational Site
    Santander, Spain, 39008
    Status
    Terminated/Withdrawn
    Location
    GSK Investigational Site
    Málaga, Spain, 29010
    Status
    Study Complete
    Showing 1 - 6 of 14 Results

    Study documents

    Scientific result summary
    Available language(s): English
    Protocol
    Available language(s): English

    If you wish to request for full study report, please contact - [email protected]

    Results overview

    Results posted on ClinicalTrials.gov

    Recruitment status
    Study complete
    Actual primary completion date
    2013-03-09
    Actual study completion date
    2014-03-01

    Plain language summaries

    Plain language summaries of clinical trial results for Phase 2-4 clinical trials that were initiated on or after January 2022 will be posted by GSK within one year following study completion.

    Additional information about the trial

    Participate in clinical trial
    Additional information
    Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research.
    Click here
    Access to clinical trial data by researchers
    Visit website