NCT02966834

Brief Summary

This study is being conducted to evaluate the efficacy, safety and tolerability of GSK2330672 administration for the treatment of pruritus (itch) in participants with primary biliary cholangitis (PBC). Participants will receive either placebo or one of the 4 dose regimens of GSK2330672 (20 milligram \[mg\], 90 mg or 180 mg taken once daily or 90 mg twice daily). Participants on GSK2330672 will also receive placebo tablets to maintain blinding. The study has a prospectively defined adaptive design that will utilize interim data to further inform and potentially optimize the doses under investigation. Hence, additional dose regimen may be added during study. The total duration of a participant in the study will be up to 45 days of screening and 24 weeks of study including follow-up.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
147

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jan 2017

Typical duration for phase_2

Geographic Reach
10 countries

66 active sites

Status
completed

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

First Submitted

Initial submission to the registry

November 15, 2016

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 17, 2016

Completed
2 months until next milestone

Study Start

First participant enrolled

January 11, 2017

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 15, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 15, 2020

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

May 4, 2021

Completed
Last Updated

May 4, 2021

Status Verified

April 1, 2021

Enrollment Period

3.3 years

First QC Date

November 15, 2016

Results QC Date

April 8, 2021

Last Update Submit

April 8, 2021

Conditions

Keywords

linerixibatPBCitchGSK2330672GLIMMERprimary biliary cholangitispruritus

Outcome Measures

Primary Outcomes (1)

  • Mean Change From Baseline at Week 16 in the Mean Worst Daily Itch Score

    Participants were required to score the severity of their itching using a 0-10 numerical rating scale (NRS) where 0 represents no itching and 10 indicates the worst imaginable itching. The Worst Daily Itch Score is the most severe (highest) NRS recorded on a given day. Mean Worst Daily Itch score was calculated as the average of the worst daily itch scores provided in the 7 days prior to the Week 16 visit. Baseline is the average of the scores in the 7 days prior to the Week 4 (Visit 3 \[V3\]). Change from Baseline was calculated as the post-Baseline value minus the Baseline value. Analysis was done using Analysis of covariance (ANCOVA) including treatment group and centered Mean Worst Daily Itch score at Baseline.

    Baseline and Week 16

Secondary Outcomes (31)

  • Mean Change From Baseline at Week 16 in Primary Biliary Cholangitis-40 (PBC-40) Scale

    Baseline and at Week 16

  • Mean Change From Baseline at Week 16 in Serum Alkaline Phosphatase (ALP) Concentrations, in Participants With High Risk of PBC Progression

    Baseline and at Week 16

  • Number of Participants With Serum ALP Concentrations Less Than (<)1.67 Times ULN and Total Bilirubin Concentrations Less Than or Equal to (<=) ULN at Week 16

    At Week 16

  • Mean Change From Baseline at Week 16 in Serum Alanine Aminotransferase (ALT) Among Those With a High Risk of PBC Progression

    Baseline and at Week 16

  • Mean Change From Baseline at Week 16 in Serum Aspartate Aminotransferase (AST) Among Those With a High Risk of PBC Progression

    Baseline and at Week 16

  • +26 more secondary outcomes

Study Arms (6)

Placebo

PLACEBO COMPARATOR

Participants will receive matching placebo

Drug: Placebo

GSK2330672 20 mg once daily

EXPERIMENTAL

Participants will receive GSK2330672 and matching placebo to maintain blind

Drug: PlaceboDrug: GSK2330672

GSK2330672 90 mg once daily

EXPERIMENTAL

Participants will receive GSK2330672 and matching placebo to maintain blind

Drug: PlaceboDrug: GSK2330672

GSK2330672 180 mg once daily

EXPERIMENTAL

Participants will receive GSK2330672 and matching placebo to maintain blind

Drug: PlaceboDrug: GSK2330672

GSK2330672 40 mg twice daily

EXPERIMENTAL

Participants will receive GSK2330672 and matching placebo to maintain blind

Drug: PlaceboDrug: GSK2330672

GSK2330672 90 mg twice daily

EXPERIMENTAL

Participants will receive GSK2330672 and matching placebo to maintain blind

Drug: PlaceboDrug: GSK2330672

Interventions

GSK2330672 matching placebo will be supplied as white film-coated tablets.

GSK2330672 180 mg once dailyGSK2330672 20 mg once dailyGSK2330672 40 mg twice dailyGSK2330672 90 mg once dailyGSK2330672 90 mg twice dailyPlacebo

GSK2330672 will be supplied in 2 dose strengths of 10 mg and 45 mg white film-coated tablets.

GSK2330672 180 mg once dailyGSK2330672 20 mg once dailyGSK2330672 40 mg twice dailyGSK2330672 90 mg once dailyGSK2330672 90 mg twice daily

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Participant must be 18 to 80 years of age inclusive, at the time of signing the informed consent.
  • Participants must rate their itch severity as being \>=4 on a 0 to 10 point scale for the majority of time (at least half the days, as recalled by the participant) during the 8 weeks prior to the Screening Visit. Periods of low itch or no itch are acceptable as long as the worst daily itch score is \>=4 on the majority of days.
  • Participants who are currently taking UDCA should be on stable doses of UDCA for \>8 weeks at time of screening. Participants not taking UDCA due to intolerance may be enrolled 8 weeks after their last dose of UDCA. No changes or discontinuation is permitted until completion of the Main Study Period.
  • Male and/or female: Female participants- A female participant is eligible to participate if she is not pregnant, not breastfeeding, and at least one of the following conditions applies: Not a woman of childbearing potential (WOCBP) or a WOCBP who agrees to follow the contraceptive guidance during the treatment period and until at least 4 weeks after the last dose of study treatment.
  • Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.

You may not qualify if:

  • Screening total bilirubin \>2x ULN. Total bilirubin \>2x ULN is acceptable if bilirubin is fractionated and direct bilirubin \<35 percent (%).
  • Screening ALT or AST \>6x ULN.
  • Screening eGFR \<45 milliliter (mL)/minute/1.73 square meter (m\^2) based on the CKD-EPI.
  • History or presence of hepatic decompensation (e.g., variceal bleeds, encephalopathy or ascites).
  • Presence of actively replicating viral hepatitis due to hepatitis B or C virus (HBV, HCV) infection, and/or confirmed hepatocellular carcinoma or biliary cancer. Other hepatic conditions ( e.g., primary sclerosing cholangitis \[PSC\], alcoholic liver disease, autoimmune hepatitis, non-alcoholic steatohepatitis \[NASH\] ) are permitted if PBC is the dominant liver injury in the investigator's opinion.
  • Current diarrhea.
  • Current symptomatic cholelithiasis or inflammatory gall bladder disease. Participants with history of cholecystectomy \>=3 months before screening may be eligible for enrolment.
  • Any current medical condition (e.g. psychiatric disorder, senility or dementia), which may affect the participant's ability to comply with the protocol specified procedures.
  • Initiation or increase in dose of colchicine, methotrexate, azathioprine, or systemic corticosteroids in the 2 months prior to screening. If a change in dose in any of these medications is anticipated during the course of the study, the participant should be excluded.
  • Initiation or increase in dose of bezafibrate or fenofibrate at any time during the 3 months prior to screening. Participants may join the study on stable doses of these medications, but no change or discontinuation is permitted until completion of the Main Study Period.
  • Initiation or increase in dose of any of the following in the 8 weeks prior to screening: rifampicin, naltrexone, naloxone, nalfurafine, or sertraline. Participants may join the study on stable or decreased doses of these medications, but no change in dose is permitted until completion of the Main Study Period.
  • Bile acid binding resin use: a participant must discontinue use of cholestyramine, colesevelam, colestipol or colestimide prior to the start of the Initial Study Period (no later than Day-2). Note: these drugs may be administered after completion of the Main Study Period, if clinically indicated.
  • Obeticholic acid use: a participant must discontinue use of obeticholic acid at least 8 weeks prior to the start of the Initial Study Period and may not restart until after the end of the study.
  • Administration of any other Inhibitor of the Human Ileal Bile Acid Transporter (IBAT) in the 3 months prior to screening.
  • Current enrolment or participation within the 8 weeks before start of the Initial Study Period, in any other clinical study involving an investigational study treatment.
  • +3 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (66)

GSK Investigational Site

Phoenix, Arizona, 85054, United States

Location

GSK Investigational Site

Sacramento, California, 95817, United States

Location

GSK Investigational Site

Miami, Florida, 33136, United States

Location

GSK Investigational Site

Novi, Michigan, 48377, United States

Location

GSK Investigational Site

Manhasset, New Jersey, 11030, United States

Location

GSK Investigational Site

New York, New York, 10032, United States

Location

GSK Investigational Site

Allentown, Pennsylvania, 18104, United States

Location

GSK Investigational Site

Dallas, Texas, 75390-8887, United States

Location

GSK Investigational Site

Seattle, Washington, 981104, United States

Location

GSK Investigational Site

Camperdown, New South Wales, 2050, Australia

Location

GSK Investigational Site

Herston, Queensland, 4029, Australia

Location

GSK Investigational Site

Prahran, Victoria, 3181, Australia

Location

GSK Investigational Site

Nedlands, Western Australia, 6009, Australia

Location

GSK Investigational Site

Calgary, Alberta, T2N 4Z6, Canada

Location

GSK Investigational Site

Edmonton, Alberta, T6G 2C8, Canada

Location

GSK Investigational Site

Winnipeg, Manitoba, R3E 3P4, Canada

Location

GSK Investigational Site

London, Ontario, N6A 5A5, Canada

Location

GSK Investigational Site

Toronto, Ontario, M5G 2C4, Canada

Location

GSK Investigational Site

Montreal, Quebec, H2X 0A9, Canada

Location

GSK Investigational Site

Clermont-Ferrand, 63003, France

Location

GSK Investigational Site

Grenoble, 38043, France

Location

GSK Investigational Site

Lille, 59037, France

Location

GSK Investigational Site

Paris, 75571, France

Location

GSK Investigational Site

Pessac, 33604, France

Location

GSK Investigational Site

Erlangen, Bavaria, 91054, Germany

Location

GSK Investigational Site

Homburg, Saarland, 66421, Germany

Location

GSK Investigational Site

Hamburg, 20246, Germany

Location

GSK Investigational Site

Bologna, Emilia-Romagna, 40138, Italy

Location

GSK Investigational Site

Milan, Lombardy, 20142, Italy

Location

GSK Investigational Site

Monza (MB), Lombardy, 20900, Italy

Location

GSK Investigational Site

Florence, Tuscany, 50134, Italy

Location

GSK Investigational Site

Padua, Veneto, 35128, Italy

Location

GSK Investigational Site

Chiba, 270-1694, Japan

Location

GSK Investigational Site

Fukui, 918-8503, Japan

Location

GSK Investigational Site

Gunma, 371-8511, Japan

Location

GSK Investigational Site

Hiroshima, 730-8619, Japan

Location

GSK Investigational Site

Hokkaido, 006-8555, Japan

Location

GSK Investigational Site

Kagawa, 760-8557, Japan

Location

GSK Investigational Site

Kanagawa, 252-0375, Japan

Location

GSK Investigational Site

Nagasaki, 856-8562, Japan

Location

GSK Investigational Site

Osaka, 545-8586, Japan

Location

GSK Investigational Site

Osaka, 591-8025, Japan

Location

GSK Investigational Site

Tokyo, 105-8471, Japan

Location

GSK Investigational Site

Tokyo, 173-8606, Japan

Location

GSK Investigational Site

Tokyo, 181-8611, Japan

Location

GSK Investigational Site

Częstochowa, 42-217, Poland

Location

GSK Investigational Site

Katowice, 40-506, Poland

Location

GSK Investigational Site

Mysłowice, 41-400, Poland

Location

GSK Investigational Site

Warsaw, 00-332, Poland

Location

GSK Investigational Site

Wroclaw, 50-349, Poland

Location

GSK Investigational Site

Barcelona, 08036, Spain

Location

GSK Investigational Site

Madrid, 28007, Spain

Location

GSK Investigational Site

Madrid, 28034, Spain

Location

GSK Investigational Site

Seville, 41013, Spain

Location

GSK Investigational Site

Valencia, 46026, Spain

Location

GSK Investigational Site

Basingstoke, RG24 9NA, United Kingdom

Location

GSK Investigational Site

Edgbaston, B15 2GW, United Kingdom

Location

GSK Investigational Site

Glasgow, G31 2ER, United Kingdom

Location

GSK Investigational Site

Liverpool, L7 8XP, United Kingdom

Location

GSK Investigational Site

London, NW3 2QG, United Kingdom

Location

GSK Investigational Site

Manchester, M13 9WU, United Kingdom

Location

GSK Investigational Site

Middlesbrough, TS4 3BW, United Kingdom

Location

GSK Investigational Site

Newcastle upon Tyne, NE1 4LP, United Kingdom

Location

GSK Investigational Site

Nottingham, NG7 2UH, United Kingdom

Location

GSK Investigational Site

Plymouth, PL6 8DH, United Kingdom

Location

GSK Investigational Site

Sheffield, S5 7AU, United Kingdom

Location

Related Publications (3)

  • Carreno F, Karatza E, Mehta R, Collins J, Austin D, Swift B. Population Dose-Response-Time Analysis of Itch Reduction and Patient-Reported Tolerability Supports Phase III Dose Selection for Linerixibat. Clin Pharmacol Ther. 2024 Feb;115(2):288-298. doi: 10.1002/cpt.3103. Epub 2023 Dec 3.

  • Tanaka A, Atsukawa M, Tsuji K, Notsumata K, Suyama A, Ito H, Das S, von Maltzahn R, McLaughlin MM. Japanese subgroup analysis of GLIMMER: A global Phase IIb study of linerixibat for the treatment of cholestatic pruritus in patients with primary biliary cholangitis. Hepatol Res. 2023 Jul;53(7):629-640. doi: 10.1111/hepr.13895. Epub 2023 Mar 13.

  • Levy C, Kendrick S, Bowlus CL, Tanaka A, Jones D, Kremer AE, Mayo MJ, Haque N, von Maltzahn R, Allinder M, Swift B, McLaughlin MM, Hirschfield GM; GLIMMER Study Group. GLIMMER: A Randomized Phase 2b Dose-Ranging Trial of Linerixibat in Primary Biliary Cholangitis Patients With Pruritus. Clin Gastroenterol Hepatol. 2023 Jul;21(7):1902-1912.e13. doi: 10.1016/j.cgh.2022.10.032. Epub 2022 Nov 4.

MeSH Terms

Conditions

CholestasisPruritusLiver Cirrhosis, Biliary

Interventions

3-((((3R,5R)-3-butyl-3-ethyl-7-(methyloxy)-1,1-dioxido-5-phenyl-2,3,4,5-tetrahydro-1,4-benzothiazepin-8-yl)methyl)amino)pentanedioic acid

Condition Hierarchy (Ancestors)

Bile Duct DiseasesBiliary Tract DiseasesDigestive System DiseasesSkin DiseasesSkin and Connective Tissue DiseasesSkin ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsCholestasis, IntrahepaticLiver DiseasesLiver CirrhosisFibrosisPathologic Processes

Results Point of Contact

Title
GSK Response Center
Organization
GlaxoSmithKline

Study Officials

  • GSK Clinical Trials

    GlaxoSmithKline

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 15, 2016

First Posted

November 17, 2016

Study Start

January 11, 2017

Primary Completion

April 15, 2020

Study Completion

April 15, 2020

Last Updated

May 4, 2021

Results First Posted

May 4, 2021

Record last verified: 2021-04

Data Sharing

IPD Sharing
Will share

IPD for this study will be made available via the Clinical Study Data Request site.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR
Time Frame
IPD will be made available within 6 months of publishing the results of the primary endpoints, key secondary endpoints and safety data of the study.
Access Criteria
Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.
More information

Locations