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Study Of SB-683699 Compared To Placebo In Subjects With Relapsing-Remitting Multiple Sclerosis (MS)

Phase 2
Completed
Conditions
Multiple Sclerosis
Interventions
Registration Number
NCT00395317
Lead Sponsor
GlaxoSmithKline
Brief Summary

SB-683699 is an oral medication that is thought to reduce the number of active white blood cells entering the brain; these white blood cells are part of the disease process for MS. This study will look at whether different doses of SB-683699 are effective and safe in patients with relapsing remitting MS.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
343
Inclusion Criteria

Not provided

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Exclusion Criteria
  • Subjects receiving corticosteroids within 4 weeks of Screening for treatment of MS. If non-systemic steroids are being used for other chronic inflammatory conditions, subjects may be included at the discretion of the investigator after discussion with the GSK medical monitor
  • Use of an b-interferon product, glatiramer acetate or azathioprine within 3 months of Screening, or use of Mitoxantrone within 12 months of Screening. Subjects who have received other therapies affecting the immune system (such as intravenous immunoglobulin (IVIg), cyclophosphamide, plasmapheresis, or any other immunosuppressive or immunomodulatory treatment) in the past may be included on a case by case basis after discussion with the GSK medical monitor. None of these treatments will be allowed during this study
  • Previous exposure to alemtuzumab, natalizumab or firategrast administration, bone marrow transplantation or whole body irradiation
  • Subjects with a cardiac pacemaker or any other type of metal implant or with any other contraindication for MRI (including known allergy to gadolinium)
  • Use of 4-aminopyridine, rosiglitazone, pioglitazone or any drug that is an inhibitor of or a substrate (with a low therapeutic index) for OATP at Screening.
  • Subjects with clinically significant renal laboratory values: subjects with a calculated creatinine clearance <60ml/min (by Cockcroft and Gault) at Screening
  • Subjects with local urinalysis findings of 1) proteinuria, defined as ≥1+ protein, on urine dipstick or 2) renal tubular cell casts or 3) ≥5 red blood cells / high power field will be excluded from the study if the result is still present on a repeat urinalysis during the screening period.
  • Presence of clinically significant hepatic laboratory values: ALT, AST, GGT > 2.0- times the upper limit of normal (ULN); total bilirubin > 1.5 times the ULN at Screening
  • CD4 count <500, CD4:CD8 <1.0 (if result still present on a repeat test during the screening period), JC viremia detected in plasma or white cells, idiopathic CD4/CD8 lymphopenia or secondary lymphopenia at Screening
  • Any findings on the MRI of the brain at Visit 2 other than MS, except for benign findings that (in the opinion of the central MRI reading site and local site investigator) require no further evaluation or treatment and do not impact patient's neurological health (e.g., small arachnoid cysts, venous angiomas)
  • Current or history of cancer, excluding localized non-melanoma skin cancer
  • Uncontrolled or any active bacterial, viral, or fungal infection at Screening. Any previous serious infections should be discussed with the GSK medical monitor (e.g. opportunistic or atypical infections)
  • History of tuberculosis (TB) or positive chest X-ray for TB at Screening (prior chest X-ray is acceptable if performed within previous 6 months)
  • Known congenital or acquired immunodeficiency
  • Any abnormality on 12-lead ECG at Screening which is clinically significant in the opinion of the investigator
  • Subjects with positive hepatitis B surface antigen, hepatitis C antibody, or HIV tests at Screening
  • Women who are lactating, pregnant (positive pregnancy test at Screening), or planning to become pregnant during the course of the study
  • Recent history or suspicion of current drug abuse (including analgesic abuse) or alcohol abuse within the last 6 months prior to Screening
  • Use of an investigational drug for condition other than MS within 30 days or five half-lives (whichever is longer) preceding Screening. Prior use of an investigational drug for MS should be discussed with the GSK medical monitor
  • Any concurrent illness, disability or clinically significant abnormality (including laboratory tests) that may affect the interpretation of clinical efficacy or safety data or prevent the subject from safely completing the assessments required by the protocol
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm 1Placeboplacebo (4 tablets)
Arm 2PlaceboSB-683699 150 mg bid (1 x 150mg + 3 placebo tablets)
Arm 2Firategrast 150 mgSB-683699 150 mg bid (1 x 150mg + 3 placebo tablets)
Arm 3PlaceboSB-683699 600 mg bid (2 x 300mg + 2 placebo tablets)
Arm 3Firategrast 300 mgSB-683699 600 mg bid (2 x 300mg + 2 placebo tablets)
Arm 4PlaceboSB-683699 900 mg bid (3 x 300 mg + 1 placebo tablet)
Arm 4Firategrast 300 mgSB-683699 900 mg bid (3 x 300 mg + 1 placebo tablet)
Arm 5Firategrast 300 mgSB-683699 1200 mg bid, male subjects only (4 x 300 mg tablets)
Primary Outcome Measures
NameTimeMethod
Cumulative number of new gadolinium-enhancing lesions on monthly MRI scans during the Treatment PhaseBaseline and 24 weeks
Secondary Outcome Measures
NameTimeMethod
Cumulative number of new T1 hypointense lesions on MRI scansBaseline and 24 weeks
Cumulative number of total enhancing lesions on monthly MRI scans: the sum of new and persistent gadolinium-enhancing lesionsBaseline and 24 weeks
Cumulative volume of new gadolinium-enhancing lesions on monthly MRI scansBaseline and 24 weeks
Cumulative number of persistent gadolinium-enhancing lesions on monthly MRI scansBaseline and 24 weeks
Cumulative number of new/newly enlarging T2 lesions on MRI scansBaseline and 24 weeks
Relapses Occurring during the On-Treatment PhaseBaseline and 24 weeks
Change from Baseline in Expanded Disability Status Scale (EDSS) scoresBaseline and 24 weeks
Change from Baseline in Multiple Sclerosis Functional Composite (MSFC)scoresBaseline and 24 weeks

Trial Locations

Locations (1)

GSK Investigational Site

🇬🇧

Sheffield, United Kingdom

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