Safety Study Using GSK233705 And Tiotropium In Patients With Chronic Obstructive Pulmonary Disease
A Randomised, Double Blind, Placebo-controlled, Double Dummy, 4-way Cross-over, Dose Ascending Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single Inhaled Doses of GSK233705 and Tiotropium Bromide (18µg) Via DPI in COPD Patients
1 other identifier
interventional
31
1 country
3
Brief Summary
GSK233705 is a high-affinity specific muscarinic receptor (mAChR) antagonist which is being developed for once daily treatment of chronic obstructive pulmonary disease (COPD). The long duration of action of GSK233705 when administered via inhalation in animal models supports the potential for use as a once-daily bronchodilator for chronic obstructive pulmonary disease. GSK233705 is a high-affinity specific muscarinic receptor (mAChR) antagonist which is being developed for once daily treatment of chronic obstructive pulmonary disease (COPD). The long duration of action of GSK233705 when administered via inhalation in animal models supports the potential for use as a once-daily bronchodilator for chronic obstructive pulmonary disease.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_1
Started Dec 2005
Shorter than P25 for phase_1
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 12, 2005
CompletedFirst Submitted
Initial submission to the registry
January 17, 2006
CompletedFirst Posted
Study publicly available on registry
January 19, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 13, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
June 13, 2006
CompletedSeptember 25, 2017
September 1, 2017
6 months
January 17, 2006
September 21, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Adverse events, blood pressure, heart rate, 12-lead electrocardiogram (ECG), Holter and Lead II ECG monitoring, ECG, lung function and clinical laboratory safety tests.
Up to Week 12
Secondary Outcomes (1)
Plasma and urine concentrations of GSK233705 and derived pharmacokinetic parameters. Serial IOS and FEV1 measurements over 27 hours post-dose Serial sGaw, Raw measurements over 24 hours post-dose.
Pre-dose, 5 minutes, 15 minutes, 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 24 hours Post-dose
Study Arms (16)
Subjects receiving treatment sequence 1
EXPERIMENTALEligible subjects will receive treatment sequence 1; GSK233705 20 micrograms, GSK233705 100 micrograms, tiotropium and placebo.
Subjects receiving treatment sequence 2
EXPERIMENTALEligible subjects will receive treatment sequence 2; GSK233705 20 micrograms, Placebo, GSK233705 50 micrograms and tiotropium.
Subjects receiving treatment sequence 3
EXPERIMENTALEligible subjects will receive treatment sequence 3; GSK233705 20 micrograms, tiotropium, Placebo and GSK233705 50 micrograms.
Subjects receiving treatment sequence 4
EXPERIMENTALEligible subjects will receive treatment sequence 4; GSK233705 20 micrograms, placebo, tiotropium and GSK233705 50 micrograms.
Subjects receiving treatment sequence 5
EXPERIMENTALEligible subjects will receive treatment sequence 5; Placebo, tiotropium, GSK233705 20 micrograms and GSK233705 50 micrograms.
Subjects receiving treatment sequence 6
EXPERIMENTALEligible subjects will receive treatment sequence 6; Placebo, GSK233705 20 micrograms, GSK233705 50 micrograms and tiotropium.
Subjects receiving treatment sequence 7
EXPERIMENTALEligible subjects will receive treatment sequence 7; tiotropium, GSK233705 20 micrograms, GSK233705 50 micrograms and Placebo.
Subjects receiving treatment sequence 8
EXPERIMENTALEligible subjects will receive treatment sequence 8; tiotropium, GSK233705 20 micrograms, Placebo and GSK233705 50 micrograms.
Subjects receiving treatment sequence 9
EXPERIMENTALEligible subjects will receive treatment sequence 9; GSK233705 20 micrograms, tiotropium, GSK233705 50 micrograms and Placebo.
Subjects receiving treatment sequence 10
EXPERIMENTALEligible subjects will receive treatment sequence 10; GSK233705 20 micrograms, GSK233705 100 micrograms, Placebo and tiotropium.
Subjects receiving treatment sequence 11
EXPERIMENTALEligible subjects will receive treatment sequence 11; Placebo, GSK233705 20 micrograms, tiotropium, and GSK233705 50 micrograms.
Subjects receiving treatment sequence 12
EXPERIMENTALEligible subjects will receive treatment sequence 12; Tiotropium, Placebo, GSK233705 20 micrograms and GSK233705 50 micrograms.
Subjects receiving treatment sequence 13
EXPERIMENTALEligible subjects will receive treatment sequence 13; Placebo, GSK233705 20 micrograms, GSK233705 50 micrograms and GSK233705 100 micrograms.
Subjects receiving treatment sequence 14
EXPERIMENTALEligible subjects will receive treatment sequence 14; GSK233705 20 micrograms, placebo, GSK233705 50 micrograms and GSK233705 100 micrograms.
Subjects receiving treatment sequence 15
EXPERIMENTALEligible subjects will receive treatment sequence 15; GSK233705 20 micrograms, GSK233705 100 micrograms, Placebo and GSK233705 50 micrograms.
Subjects receiving treatment sequence 16
EXPERIMENTALEligible subjects will receive treatment sequence 16; GSK233705 20 micrograms, GSK233705 100 micrograms, GSK233705 50 micrograms and Placebo.
Interventions
GSK233705 will be given orally with dosing strengths of 10, 50, 100 and 250 micrograms/blister via the DISKUS inhaler.
Tiotropium will be given orally as overfoiled strips of 5 capsules, each containing 18 micrograms of tiotropium (as bromide monohydrate) administered via a HandiHaler device.
Matching placebo will be given orally as overfoiled strips of 5 capsules, each containing lactose
Eligibility Criteria
You may qualify if:
- Of non-childbearing potential.
- Diagnosed with COPD, as defined by the GOLD guidelines.
- Smoker or an ex-smoker with a smoking history of at least 10 pack years.
- FEV1/FVC \< 0.7 post-bronchodilator (salbutamol).
- FEV1 \<= 80% of predicted normal for height, age and gender after inhalation of salbutamol.
- Response to ipratropium bromide 9.
- Subject's weight is 60kg.
You may not qualify if:
- Past or present disease, which as judged by the Investigator and the Medical Monitor, may affect the outcome of this study.
- FEV1 \<=50% of predicted after inhalation of salbutamol.
- Tested positive for hepatitis C antibody, hepatitis B surface antigen or HIV.
- Has claustrophobia that may be aggravated by entering the plethysmography cabinet.
- Has prostate hypertrophy or narrow angle glaucoma.
- Diagnosis of active tuberculosis, lung cancer, clinically overt bronchiectasis, allergic rhinitis, or asthma.
- Poorly controlled COPD.
- Participated in a Pulmonary Rehabilitation Program within 4 weeks prior to screening visit or will enter a program during the study.
- Had a respiratory tract infection in the 4 weeks prior to the screening visit and throughout the duration of the study.
- History of congestive heart failure, coronary insufficiency or cardiac arrhythmia.
- A mean QTc(B) value at screening \>440msec, the QTc(B) of all 3 screening ECGs are not within 10% of the mean, a PR interval outside the range 120-210msec or an ECG that is not suitable for QT measurements.
- A history of elevated supine blood pressure or a mean blood pressure equal to or higher than 160/95 mmHg.
- A mean heart rate outside the range 40-90 bpm.
- QTc prolongation \>470msec or risk factors for torsades de pointes (heart failure NYHA II-IV, hypokalaemia, familial long QT syndrome).
- Receiving co-medication with drugs which prolong the QTc interval.
- +7 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- GlaxoSmithKlinelead
Study Sites (3)
GSK Investigational Site
Hanover, Lower Saxony, 30625, Germany
GSK Investigational Site
Großhansdorf, Schleswig-Holstein, 22927, Germany
GSK Investigational Site
Berlin, 14050, Germany
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
GSK Clinical Trials
GlaxoSmithKline
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 17, 2006
First Posted
January 19, 2006
Study Start
December 12, 2005
Primary Completion
June 13, 2006
Study Completion
June 13, 2006
Last Updated
September 25, 2017
Record last verified: 2017-09
Data Sharing
- IPD Sharing
- Will share
Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.