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NCT02177812

A Phase I Dose Escalation Study of GSK2879552 in Subjects With Acute Myeloid Leukemia (AML)

Terminated Phase 1 Results posted Last updated 28 June 2019
What this trial tests

Phase 1 trial testing GSK2879552 in Leukaemia, Myelocytic, Acute in 41 participants. Terminated before completion.

Timeline
27 August 2014
Primary endpoint
8 December 2017
8 December 2017

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 1
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment41
Start date27 August 2014
Primary completion8 December 2017
Estimated completion8 December 2017
Sites8 locations across Canada, United States, Australia

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

18 and older, any sex, with Leukaemia, Myelocytic, Acute. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Part 1: Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE) Primary · Median of 4 weeks of drug exposure

An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is defined as any untoward medical occurrence that, at any dose results in death, is life threatening, requires hospitalization or prolongation of existing hospitalization, results in disability, is a congenital anomaly/ birth defect, other situations and is associated with liver injury or impaired liver function.

All AEs
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD2
Part 1: GSK2879552 4mg QD7
Part 1: GSK2879552 8mg QD5
Part 1: GSK2879552 12mg QD6
Part 1: GSK2879552 20mg QD4
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day10
Part 1: GSK2879552 20mg QD PK/PD Expansion6
All SAEs
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD2
Part 1: GSK2879552 4mg QD7
Part 1: GSK2879552 8mg QD5
Part 1: GSK2879552 12mg QD6
Part 1: GSK2879552 20mg QD3
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day8
Part 1: GSK2879552 20mg QD PK/PD Expansion5
Part 1: Number of Participants With Dose Limiting Toxicities (DLT) Primary · Median of 4 weeks of drug exposure

An event was considered a DLT if it occursed within the first 28 days of treatment, and meets one of the following criteria unless it can be clearly established that the event was unrelated to treatment: hematologic DLT included myelosuppression, Grade \>=3 non-hematologic toxicity that is considered clinically significant and lasts \>72 hours, Grade 2 toxicity that in the judgment of the investigator and GSK Medical Monitor is dose-limiting and treatment delay of \>=42 days due to unresolved toxicity.

GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD0
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Part 1: Number of Participants With AE Leading to Dose Reductions or Delays Primary · Median of 4 weeks of drug exposure

The number of participants who had any dose reduction or delay have been presented.

AEs leading to dose reduction
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD0
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD0
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion1
AEs leading to dose interruption/delay
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD2
Part 1: GSK2879552 8mg QD3
Part 1: GSK2879552 12mg QD5
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day6
Part 1: GSK2879552 20mg QD PK/PD Expansion1
Part 1: Number of Participants With Withdrawals Due to Toxicities Primary · Median of 4 weeks of drug exposure

Participants were monitored from start of the study till the development of toxicity. The data for number of participants withdrawn due to toxicities has been presented.

GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD0
Part 1: GSK2879552 8mg QD1
Part 1: GSK2879552 12mg QD4
Part 1: GSK2879552 20mg QD2
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day4
Part 1: GSK2879552 20mg QD PK/PD Expansion2
Number of Participants With Clinical Chemistry Parameters Changes From Baseline With Respect to the Normal Range Primary · Median of 4 weeks of drug exposure

Blood samples were collected to assess clinical chemistry parameters like urea/blood urea nitrogen (BUN), calcium, potassium, aspartate aminotransferase (AST), total bilirubin, direct bilirubin, creatinine, chloride, alanine aminotransferase (ALT), uric acid, glucose, total carbon dioxide (CO2), gamma glutamyl transferase (GGT), albumin, sodium, alkaline phosphatase, total protein, phosphate, lactate dehydrogenase (LDH). Laboratory values were as per local labs per site with own normal ranges. Values above range were reported as high and values below range as low. Data for worst case post Base

Direct Bilirubin,to Low,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD0
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD0
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Direct Bilirubin,to High,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD2
Part 1: GSK2879552 8mg QD1
Part 1: GSK2879552 12mg QD2
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day5
Part 1: GSK2879552 20mg QD PK/PD Expansion3
Chloride,to Low,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD0
Part 1: GSK2879552 8mg QD1
Part 1: GSK2879552 12mg QD2
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day2
Part 1: GSK2879552 20mg QD PK/PD Expansion1
Chloride,to High,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD1
Part 1: GSK2879552 4mg QD2
Part 1: GSK2879552 8mg QD1
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion0
CO2/Bicarbonate,to Low,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD1
Part 1: GSK2879552 8mg QD1
Part 1: GSK2879552 12mg QD2
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day2
Part 1: GSK2879552 20mg QD PK/PD Expansion2
CO2/Bicarbonate,to High,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD1
Part 1: GSK2879552 8mg QD2
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion1
Lactate Dehydrogenase,to Low,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD2
Part 1: GSK2879552 8mg QD2
Part 1: GSK2879552 12mg QD2
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day2
Part 1: GSK2879552 20mg QD PK/PD Expansion2
Lactate Dehydrogenase,to High,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD2
Part 1: GSK2879552 8mg QD1
Part 1: GSK2879552 12mg QD2
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day3
Part 1: GSK2879552 20mg QD PK/PD Expansion2
Number of Participants With Clinical Chemistry Toxicity Grade Changes From Baseline Primary · Median of 4 weeks of drug exposure

Blood samples were collected for analysis of clinical chemistry parameters based on common terminology criteria for adverse events (CTCAE) version 4.0, where Grade 1 is mild; Grade 2 is moderate; Grade 3 is severe or medically significant; Grade 4 is life threatening consequences. Data for any increase in grade of worst-case on-therapy has been provided.

Albumin, n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD2
Part 1: GSK2879552 4mg QD5
Part 1: GSK2879552 8mg QD3
Part 1: GSK2879552 12mg QD4
Part 1: GSK2879552 20mg QD4
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day6
Part 1: GSK2879552 20mg QD PK/PD Expansion3
ALP, n=1,2,7,5,6,4, 10, 6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD3
Part 1: GSK2879552 8mg QD2
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day3
Part 1: GSK2879552 20mg QD PK/PD Expansion0
ALT, n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD4
Part 1: GSK2879552 8mg QD3
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD1
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day5
Part 1: GSK2879552 20mg QD PK/PD Expansion2
AST, n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD2
Part 1: GSK2879552 4mg QD3
Part 1: GSK2879552 8mg QD2
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD1
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day3
Part 1: GSK2879552 20mg QD PK/PD Expansion1
Total bilirubin, n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD1
Part 1: GSK2879552 4mg QD2
Part 1: GSK2879552 8mg QD1
Part 1: GSK2879552 12mg QD3
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day4
Part 1: GSK2879552 20mg QD PK/PD Expansion2
Hypercalcemia, n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD0
Part 1: GSK2879552 8mg QD2
Part 1: GSK2879552 12mg QD0
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day3
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Hypoglycemia,n= 1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD1
Part 1: GSK2879552 8mg QD2
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day1
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Creatinine,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD1
Part 1: GSK2879552 4mg QD2
Part 1: GSK2879552 8mg QD1
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day4
Part 1: GSK2879552 20mg QD PK/PD Expansion1
Number of Participants With Hematology Parameters Change From Baseline With Respect to the Normal Range Primary · Median of 4 weeks of drug exposure

Blood samples were collected to assess hematology parameters like mean corpuscle hemoglobin concentration (MCHC), mean corpuscle hemoglobin (MCH), mean corpuscle volume (MCV) mean platelet volume (MPV), basophils, eosinophils, hematocrit, hemoglobin, lymphocytes, monocytes, platelet count, Red blood cell (RBC) count, reticulocytes, White Blood Cell (WBC) count. Laboratory values were as per local labs per site with own normal ranges. Values above range were reported as high and values below range as low. Data for worst post Baseline were reported. NA indicates that data were not available as s

Basophils, to Low,n=1,2,7,4,2,2,9,5
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD2
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD0
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Basophils, to High,n=1,2,7,4,2,2,9,5
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD1
Part 1: GSK2879552 8mg QD2
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Eosinophils, to Low,n=1,2,7,4,2,2,8,5
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD2
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Eosinophils, to High,n=1,2,7,4,2,2,8,5
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD1
Part 1: GSK2879552 4mg QD1
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD0
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion1
Hemoglobin, to Low,n=0,0,0,0,2,0,0,1
GroupValue95% CI
Part 1: GSK2879552 12mg QD0
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Hemoglobin, to High,n=0,0,0,0,2,0,0,1
GroupValue95% CI
Part 1: GSK2879552 12mg QD0
Part 1: GSK2879552 20mg QD PK/PD Expansion1
Hematocrit, to Low,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD0
Part 1: GSK2879552 8mg QD1
Part 1: GSK2879552 12mg QD0
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Hematocrit, to High,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD0
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD0
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Number of Participants With Hematology Toxicity Grade Changes From Baseline Primary · Median of 4 weeks of drug exposure

Blood samples were collected for analysis of hematology parameters based on common terminology criteria for adverse events (CTCAE) version 4.0, where Grade 1 is mild; Grade 2 is moderate; Grade 3 is severe or medically significant; Grade 4 is life threatening consequences. Data for any grade increase worst-case on-therapy has been provided.

Hg increase,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD0
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD0
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Hg anemia,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD2
Part 1: GSK2879552 4mg QD5
Part 1: GSK2879552 8mg QD4
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD2
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day4
Part 1: GSK2879552 20mg QD PK/PD Expansion3
Lymph increase,n=1,2,7,4,2,2,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD1
Part 1: GSK2879552 4mg QD1
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD0
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day3
Part 1: GSK2879552 20mg QD PK/PD Expansion1
Lymph decrease,n=1,2,7,4,2,2,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD2
Part 1: GSK2879552 4mg QD2
Part 1: GSK2879552 8mg QD3
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD2
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day5
Part 1: GSK2879552 20mg QD PK/PD Expansion2
Total Neu,n=1,2,7,4,2,2,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD2
Part 1: GSK2879552 4mg QD1
Part 1: GSK2879552 8mg QD1
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD1
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day1
Part 1: GSK2879552 20mg QD PK/PD Expansion1
Platelet,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD1
Part 1: GSK2879552 4mg QD4
Part 1: GSK2879552 8mg QD3
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD2
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day3
Part 1: GSK2879552 20mg QD PK/PD Expansion3
WBC,n=1,2,7,5,6,4,10,6
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD2
Part 1: GSK2879552 4mg QD2
Part 1: GSK2879552 8mg QD4
Part 1: GSK2879552 12mg QD5
Part 1: GSK2879552 20mg QD1
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day5
Part 1: GSK2879552 20mg QD PK/PD Expansion1
Part 1: Number of Participants With Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) Primary · Median of 4 weeks of drug exposure

SBP and DBP were measured after resting for 5 minutes in semi-supine position. Vital signs were graded according to Common Toxicity Criteria for Adverse Events (CTCAE) version 4. An increase is defined as an increase in CTCAE grade relative to Baseline grade. For SBP Grade 0 (\<120 millimeters of mercury \[mmHg\]), Grade 1 (120-139 mmHg), Grade 2 (140-159 mmHg), Grade 3 (\>=160 mmHg). For DBP Grade 0 (\<80 mmHg), Grade 1 (80-89 mmHg), Grade 2 (90-99 mmHg), Grade 3 (\>=100 mmHg). Data for worst-case post Baseline is reported.

SBP,Any Grade Increase; n=1, 1, 3, 4, 6, 2, 5, 3
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD1
Part 1: GSK2879552 4mg QD3
Part 1: GSK2879552 8mg QD4
Part 1: GSK2879552 12mg QD6
Part 1: GSK2879552 20mg QD2
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day5
Part 1: GSK2879552 20mg QD PK/PD Expansion3
SBP,Increase to Grade 2;n=1, 1, 3, 4, 6, 2, 5, 3
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD1
Part 1: GSK2879552 4mg QD1
Part 1: GSK2879552 8mg QD2
Part 1: GSK2879552 12mg QD2
Part 1: GSK2879552 20mg QD1
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day4
Part 1: GSK2879552 20mg QD PK/PD Expansion3
SBP,Increase to Grade 3;n=1, 1, 3, 4, 6, 2, 5, 3
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD0
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day2
Part 1: GSK2879552 20mg QD PK/PD Expansion0
DBP,Any Grade Increase;n=1, 2, 3, 2, 4, 1, 3, 2
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD2
Part 1: GSK2879552 4mg QD3
Part 1: GSK2879552 8mg QD2
Part 1: GSK2879552 12mg QD4
Part 1: GSK2879552 20mg QD1
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day3
Part 1: GSK2879552 20mg QD PK/PD Expansion2
DBP,Increase to Grade 2;n=1, 2, 3, 2, 4, 1, 3, 2
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD1
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD2
Part 1: GSK2879552 20mg QD1
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day2
Part 1: GSK2879552 20mg QD PK/PD Expansion0
DBP,Increase to Grade 3;n=1, 2, 3, 2, 4, 1, 3, 2
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD0
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD0
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Part 1: Number of Participants With Change From Baseline in Heart Rate Primary · Median of 4 weeks of drug exposure

Heart rate was measured after restings for 5 minutes in semi-supine position. Data for participants with heart rate decreased to \< 60 beats per minute (bpm), normal or no change, increase to \> 100 bpm. Data for worst post Baseline were reported.

Decrease to <60
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD1
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Change to Normal or No Change
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD2
Part 1: GSK2879552 4mg QD1
Part 1: GSK2879552 8mg QD4
Part 1: GSK2879552 12mg QD4
Part 1: GSK2879552 20mg QD4
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day5
Part 1: GSK2879552 20mg QD PK/PD Expansion3
Increase to >100
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD6
Part 1: GSK2879552 8mg QD1
Part 1: GSK2879552 12mg QD2
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day5
Part 1: GSK2879552 20mg QD PK/PD Expansion3
Part 1: Number of Participants With Change From Baseline in Temperature Primary · Median of 4 weeks of drug exposure

Temperature was measured after resting for 5 minutes in semi-supine position. Data for participants with temperature decreased to \<=35 Celsius, normal or no change, increase to \>=38 Celsius at worst-case post Baseline is reported.

Decrease to <=35
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD1
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD0
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Change to Normal or No Change
GroupValue95% CI
Part 1:GSK2879552 1mg QD1
Part 1: GSK2879552 2mg QD2
Part 1: GSK2879552 4mg QD4
Part 1: GSK2879552 8mg QD4
Part 1: GSK2879552 12mg QD5
Part 1: GSK2879552 20mg QD4
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day9
Part 1: GSK2879552 20mg QD PK/PD Expansion6
Increase to >=38
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD3
Part 1: GSK2879552 8mg QD1
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day1
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Part 1: Number of Participants With Change From Baseline in Respiratory Rate Primary · Median of 4 weeks of drug exposure

Respiration rate was measured after resting for 5 minutes in semi-supine position. Data for worst case post-Baseline has been reported. Number of participants with respiratory rate decrease to \<12 and increase to \>25 has been reported.

Decrease to <12
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD0
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD0
Part 1: GSK2879552 20mg QD1
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day0
Part 1: GSK2879552 20mg QD PK/PD Expansion0
Increase to >25
GroupValue95% CI
Part 1:GSK2879552 1mg QD0
Part 1: GSK2879552 2mg QD0
Part 1: GSK2879552 4mg QD2
Part 1: GSK2879552 8mg QD0
Part 1: GSK2879552 12mg QD1
Part 1: GSK2879552 20mg QD0
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day1
Part 1: GSK2879552 20mg QD PK/PD Expansion0

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events were collected from start of the study up to 3 years. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1:GSK2879552 1mg QD
Serious: 1/1 (100%)
Deaths: 0/1
Part 1: GSK2879552 2mg QD
Serious: 2/2 (100%)
Deaths: 0/2
Part 1: GSK2879552 4mg QD
Serious: 7/7 (100%)
Deaths: 1/7
Part 1: GSK2879552 8mg QD
Serious: 5/5 (100%)
Deaths: 0/5
Part 1: GSK2879552 12mg QD
Serious: 6/6 (100%)
Deaths: 3/6
Part 1: GSK2879552 20mg QD
Serious: 3/4 (75%)
Deaths: 1/4
Part 1: GSK2879552 2mg QD/ATRA 45mg/m^2/Day
Serious: 8/10 (80%)
Deaths: 2/10
Part 1: GSK2879552 20mg QD PK/PD Expansion
Serious: 5/6 (83%)
Deaths: 1/6
Part 2: Expansion Cohort
Serious: 0
Deaths: 0

Serious adverse events (44 terms)

ReactionSystemPart 1:GSK2879552 1mg QDPart 1: GSK2879552 2mg QDPart 1: GSK2879552 4mg QDPart 1: GSK2879552 8mg QDPart 1: GSK2879552 12mg QDPart 1: GSK2879552 20mg QDPart 1: GSK2879552 2mg QD/…Part 1: GSK2879552 20mg QD…Part 2: Expansion Cohort
Febrile neutropeniaBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
LeukocytosisBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
CellulitisInfections and infestations
PneumoniaInfections and infestations
Anorectal cellulitisInfections and infestations
Escherichia sepsisInfections and infestations
InfluenzaInfections and infestations
Klebsiella bacteraemiaInfections and infestations
Lung infectionInfections and infestations
Pseudomonal bacteraemiaInfections and infestations
Parainfluenzae virus infectionInfections and infestations
Pneumonia respiratory syncytial viralInfections and infestations
Pulmonary mycosisInfections and infestations
Septic shockInfections and infestations
Soft tissue infectionInfections and infestations
Upper respiratory tract infectionInfections and infestations
Viral infectionInfections and infestations
Gastric haemorrhageGastrointestinal disorders
NauseaGastrointestinal disorders
Oral painGastrointestinal disorders
PancreatitisGastrointestinal disorders
ToothacheGastrointestinal disorders
VomitingGastrointestinal disorders
Other adverse events (204 terms — click to expand)

ReactionSystemPart 1:GSK2879552 1mg QDPart 1: GSK2879552 2mg QDPart 1: GSK2879552 4mg QDPart 1: GSK2879552 8mg QDPart 1: GSK2879552 12mg QDPart 1: GSK2879552 20mg QDPart 1: GSK2879552 2mg QD/…Part 1: GSK2879552 20mg QD…Part 2: Expansion Cohort
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrhoeaGastrointestinal disorders
HypophosphataemiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
Confusional statePsychiatric disorders
Decreased appetiteMetabolism and nutrition disorders
Fluid overloadMetabolism and nutrition disorders
FatigueGeneral disorders
PyrexiaGeneral disorders
Non-cardiac chest painGeneral disorders
PetechiaeSkin and subcutaneous tissue disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
FallInjury, poisoning and procedural complications
HypotensionVascular disorders
Mouth ulcerationGastrointestinal disorders
Oral painGastrointestinal disorders
HypomagnesaemiaMetabolism and nutrition disorders
HypocalcaemiaMetabolism and nutrition disorders
Localised oedemaGeneral disorders
Oedema peripheralGeneral disorders
PainGeneral disorders
Influenza like illnessGeneral disorders
ChillsGeneral disorders
PsoriasisSkin and subcutaneous tissue disorders
Rash pruriticSkin and subcutaneous tissue disorders
RashSkin and subcutaneous tissue disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
TachypnoeaRespiratory, thoracic and mediastinal disorders
CellulitisInfections and infestations
Lung infectionInfections and infestations
HeadacheNervous system disorders
LethargyNervous system disorders
Disturbance in attentionNervous system disorders
Infusion related reactionInjury, poisoning and procedural complications
ContusionInjury, poisoning and procedural complications
Skin abrasionInjury, poisoning and procedural complications

Most-reported serious reactions: Febrile neutropenia, Anaemia, Leukocytosis, Thrombocytopenia, Cellulitis, Pneumonia, Anorectal cellulitis, Escherichia sepsis.

Data from ClinicalTrials.gov NCT02177812 adverse events section.

Sponsor's own description

This study is a phase I, open-label study to determine recommended phase 2 dose (RP2D) and regimen for the orally administered lysine specific demethylase 1 (LSD1) inhibitor GSK2879552, alone or in combination with All-Trans Retinoic Acid (ATRA). The recommended dose and regimen will be selected based on the safety, pharmacokinetic (PK), and pharmacodynamic (PD) profiles observed after the treatment of subjects with relapsed/refractory AML. The study consists of two parts. Part 1 will identify the maximum tolerated dose (MTD) and/or RP2D using a dose-escalation procedure. Dose escalations will be guided by the Neuenschwander-continual reassessment method (N-CRM). PK/PD expansion cohorts will also be included in Part 1 to characterize the range of biologically effective doses by assessing PD markers and obtain additional PK data. Part 2 will explore further the safety, tolerability, and clinical activity of GSK2879552, alone or in combination with ATRA, at the RP2D in subjects with AML.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Tumor biomarkers for diagnosis, prognosis and targeted therapy.
    Zhou Y, Tao L, Qiu J, Xu J, et al · · 2024 · cited 379× · PMID 38763973 · DOI 10.1038/s41392-024-01823-2
  2. LSD1/KDM1A inhibitors in clinical trials: advances and prospects.
    Fang Y, Liao G, Yu B, Yu B. · · 2019 · cited 316× · PMID 31801559 · DOI 10.1186/s13045-019-0811-9
  3. MLL-Rearranged Leukemias-An Update on Science and Clinical Approaches.
    Winters AC, Bernt KM. · · 2017 · cited 289× · PMID 28232907 · DOI 10.3389/fped.2017.00004
  4. Epigenetics in cancer stem cells.
    Toh TB, Lim JJ, Chow EK. · · 2017 · cited 286× · PMID 28148257 · DOI 10.1186/s12943-017-0596-9
  5. Targeting histone methyltransferases and demethylases in clinical trials for cancer therapy.
    Morera L, Lübbert M, Jung M. · · 2016 · cited 283× · PMID 27222667 · DOI 10.1186/s13148-016-0223-4
  6. Epigenetics and Cancer Stem Cells: Unleashing, Hijacking, and Restricting Cellular Plasticity.
    Wainwright EN, Scaffidi P. · · 2017 · cited 250× · PMID 28718414 · DOI 10.1016/j.trecan.2017.04.004
  7. Targeting epigenetic regulators to overcome drug resistance in cancers.
    Wang N, Ma T, Yu B, Yu B. · · 2023 · cited 213× · PMID 36797239 · DOI 10.1038/s41392-023-01341-7
  8. Genomic and Epigenomic Alterations in Cancer.
    Chakravarthi BV, Nepal S, Varambally S. · · 2016 · cited 149× · PMID 27338107 · DOI 10.1016/j.ajpath.2016.02.023

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02177812.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing