Dose Response Study of GSK2330672 for the Treatment of Pruritus in Participants With Primary Biliary Cholangitis
A Randomized, Double-blind, Multi-dose, Placebo-controlled Study to Evaluate the Efficacy, Safety and Tolerability of GSK2330672 Administration for the Treatment of Pruritus in Patients With Primary Biliary Cholangitis (GLIMMER: GSK2330672 triaL of IBAT Inhibition With Multidose Measurement for Evaluation of Response)
2 other identifiers
interventional
147
10 countries
66
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Jan 2017
Typical duration for phase_2
66 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 15, 2016
CompletedFirst Posted
Study publicly available on registry
November 17, 2016
CompletedStudy Start
First participant enrolled
January 11, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 15, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
April 15, 2020
CompletedResults Posted
Study results publicly available
May 4, 2021
CompletedMay 4, 2021
April 1, 2021
3.3 years
November 15, 2016
April 8, 2021
April 8, 2021
Conditions
Keywords
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 COMPARATORParticipants will receive matching placebo
GSK2330672 20 mg once daily
EXPERIMENTALParticipants will receive GSK2330672 and matching placebo to maintain blind
GSK2330672 90 mg once daily
EXPERIMENTALParticipants will receive GSK2330672 and matching placebo to maintain blind
GSK2330672 180 mg once daily
EXPERIMENTALParticipants will receive GSK2330672 and matching placebo to maintain blind
GSK2330672 40 mg twice daily
EXPERIMENTALParticipants will receive GSK2330672 and matching placebo to maintain blind
GSK2330672 90 mg twice daily
EXPERIMENTALParticipants will receive GSK2330672 and matching placebo to maintain blind
Interventions
GSK2330672 matching placebo will be supplied as white film-coated tablets.
GSK2330672 will be supplied in 2 dose strengths of 10 mg and 45 mg white film-coated tablets.
Eligibility Criteria
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
- GlaxoSmithKlinelead
Study Sites (66)
GSK Investigational Site
Phoenix, Arizona, 85054, United States
GSK Investigational Site
Sacramento, California, 95817, United States
GSK Investigational Site
Miami, Florida, 33136, United States
GSK Investigational Site
Novi, Michigan, 48377, United States
GSK Investigational Site
Manhasset, New Jersey, 11030, United States
GSK Investigational Site
New York, New York, 10032, United States
GSK Investigational Site
Allentown, Pennsylvania, 18104, United States
GSK Investigational Site
Dallas, Texas, 75390-8887, United States
GSK Investigational Site
Seattle, Washington, 981104, United States
GSK Investigational Site
Camperdown, New South Wales, 2050, Australia
GSK Investigational Site
Herston, Queensland, 4029, Australia
GSK Investigational Site
Prahran, Victoria, 3181, Australia
GSK Investigational Site
Nedlands, Western Australia, 6009, Australia
GSK Investigational Site
Calgary, Alberta, T2N 4Z6, Canada
GSK Investigational Site
Edmonton, Alberta, T6G 2C8, Canada
GSK Investigational Site
Winnipeg, Manitoba, R3E 3P4, Canada
GSK Investigational Site
London, Ontario, N6A 5A5, Canada
GSK Investigational Site
Toronto, Ontario, M5G 2C4, Canada
GSK Investigational Site
Montreal, Quebec, H2X 0A9, Canada
GSK Investigational Site
Clermont-Ferrand, 63003, France
GSK Investigational Site
Grenoble, 38043, France
GSK Investigational Site
Lille, 59037, France
GSK Investigational Site
Paris, 75571, France
GSK Investigational Site
Pessac, 33604, France
GSK Investigational Site
Erlangen, Bavaria, 91054, Germany
GSK Investigational Site
Homburg, Saarland, 66421, Germany
GSK Investigational Site
Hamburg, 20246, Germany
GSK Investigational Site
Bologna, Emilia-Romagna, 40138, Italy
GSK Investigational Site
Milan, Lombardy, 20142, Italy
GSK Investigational Site
Monza (MB), Lombardy, 20900, Italy
GSK Investigational Site
Florence, Tuscany, 50134, Italy
GSK Investigational Site
Padua, Veneto, 35128, Italy
GSK Investigational Site
Chiba, 270-1694, Japan
GSK Investigational Site
Fukui, 918-8503, Japan
GSK Investigational Site
Gunma, 371-8511, Japan
GSK Investigational Site
Hiroshima, 730-8619, Japan
GSK Investigational Site
Hokkaido, 006-8555, Japan
GSK Investigational Site
Kagawa, 760-8557, Japan
GSK Investigational Site
Kanagawa, 252-0375, Japan
GSK Investigational Site
Nagasaki, 856-8562, Japan
GSK Investigational Site
Osaka, 545-8586, Japan
GSK Investigational Site
Osaka, 591-8025, Japan
GSK Investigational Site
Tokyo, 105-8471, Japan
GSK Investigational Site
Tokyo, 173-8606, Japan
GSK Investigational Site
Tokyo, 181-8611, Japan
GSK Investigational Site
Częstochowa, 42-217, Poland
GSK Investigational Site
Katowice, 40-506, Poland
GSK Investigational Site
Mysłowice, 41-400, Poland
GSK Investigational Site
Warsaw, 00-332, Poland
GSK Investigational Site
Wroclaw, 50-349, Poland
GSK Investigational Site
Barcelona, 08036, Spain
GSK Investigational Site
Madrid, 28007, Spain
GSK Investigational Site
Madrid, 28034, Spain
GSK Investigational Site
Seville, 41013, Spain
GSK Investigational Site
Valencia, 46026, Spain
GSK Investigational Site
Basingstoke, RG24 9NA, United Kingdom
GSK Investigational Site
Edgbaston, B15 2GW, United Kingdom
GSK Investigational Site
Glasgow, G31 2ER, United Kingdom
GSK Investigational Site
Liverpool, L7 8XP, United Kingdom
GSK Investigational Site
London, NW3 2QG, United Kingdom
GSK Investigational Site
Manchester, M13 9WU, United Kingdom
GSK Investigational Site
Middlesbrough, TS4 3BW, United Kingdom
GSK Investigational Site
Newcastle upon Tyne, NE1 4LP, United Kingdom
GSK Investigational Site
Nottingham, NG7 2UH, United Kingdom
GSK Investigational Site
Plymouth, PL6 8DH, United Kingdom
GSK Investigational Site
Sheffield, S5 7AU, United Kingdom
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.
PMID: 37953500DERIVEDTanaka 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.
PMID: 36852705DERIVEDLevy 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.
PMID: 36343847DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- GSK Response Center
- Organization
- GlaxoSmithKline
Study Officials
- STUDY DIRECTOR
GSK Clinical Trials
GlaxoSmithKline
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
- 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.
IPD for this study will be made available via the Clinical Study Data Request site.