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NCT02522299

A Study to Evaluate the Safety, Efficacy and Changes in Induced Sputum and Blood Biomarkers Following Daily Repeat Doses of Inhaled GSK2269557 in Chronic Obstructive Pulmonary Disease (COPD) Subjects With Acute Exacerbation

Completed Phase 2 Results posted Last updated 5 September 2021
What this trial tests

Phase 2 trial testing GSK2269557 in Pulmonary Disease, Chronic Obstructive in 44 participants. Completed in 22 June 2018.

Timeline
4 November 2015
Primary endpoint
15 June 2018
22 June 2018

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment44
Start date4 November 2015
Primary completion15 June 2018
Estimated completion22 June 2018
Sites6 locations across Denmark, Canada

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 40 to 80, any sex, with Pulmonary Disease, Chronic Obstructive. 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.

Change in Messenger Ribonucleic Acid (mRNA) Transcriptome in Induced Sputum After 12, 28 and 84 Days of Treatment (Selected Probe Sets With Fold Change >1.5 or <-1.5 and p<0.05) in NEMI Treatment Group Primary · Baseline (Screening) and Days 12, 28 and 84

Saline-induced sputum samples were collected at the indicated time-points to determine the alterations in previously identified immune cell mechanisms specifically related to neutrophil function by identifying the changes in mRNA transcriptome in induced sputum. Baseline was defined as screening visit. The log2 transformed mRNA intensities for each probe set were analyzed in a separate repeated measures model. Back transformed baseline-adjusted ratios and two-sided unadjusted p-values were calculated for each visit as the specified time-point value/baseline value. These ratios were converted t

Day 12,222834_s_at, GNG12
GroupValue95% CI
All NEMI1.78
Day 12,210390_s_at, CCL15
GroupValue95% CI
All NEMI1.72
Day 12,212294_at, GNG12
GroupValue95% CI
All NEMI1.67
Day 12,226497_s_at, FLT1
GroupValue95% CI
All NEMI1.57
Day 12, 204356_at, LIMK1
GroupValue95% CI
All NEMI1.54
Day 12, 203923_s_at, CYBB
GroupValue95% CI
All NEMI1.51
Day 12, 219748_at, TREML2
GroupValue95% CI
All NEMI-1.51
Day 12, 1555086_at, STAT5B
GroupValue95% CI
All NEMI-1.51
Change in mRNA Transcriptome in Induced Sputum After 12, 28 and 84 Days of Treatment (Selected Probe Sets With Fold Change >1.5 or <-1.5 and p<0.05) in Placebo Treatment Group Primary · Baseline (Screening) and Days 12, 28 and 84

Saline-induced sputum samples were collected at the indicated time-points to determine the alterations in previously identified immune cell mechanisms specifically related to neutrophil function by identifying the changes in mRNA transcriptome in induced sputum. Baseline was defined as screening visit. The log2 transformed mRNA intensities for each probe set were analysed in a separate repeated measures model. Back transformed baseline-adjusted ratios and two-sided unadjusted p-values were calculated for each visit as the specified time-point value/baseline value. These ratios were converted t

Day 12, 222834_s_at, GNG12
GroupValue95% CI
All Placebo2.29
Day 12, 207852_at, CXCL5
GroupValue95% CI
All Placebo1.81
Day 12, 212294_at, GNG12
GroupValue95% CI
All Placebo1.79
Day 12, 209576_at, GNAI1
GroupValue95% CI
All Placebo1.61
Day 12, 213281_at, JUN
GroupValue95% CI
All Placebo1.51
Day 12, 222880_at, AKT3
GroupValue95% CI
All Placebo1.51
Day 12, 205026_at, STAT5B
GroupValue95% CI
All Placebo-1.50
Day 12, 201783_s_at, RELA
GroupValue95% CI
All Placebo-1.50
Change in Messenger Ribonucleic Acid (mRNA) Transcriptome in Induced Sputum After 12, 28 and 84 Days of Treatment (Selected Probe Sets With Fold Change >1.5 or <-1.5 and p<0.05) in All NEMI/All Placebo Comparison Treatment Group Primary · Baseline (Screening) and Days 12, 28 and 84

Saline-induced sputum samples were collected at the indicated time-points to determine the alterations in previously identified immune cell mechanisms specifically related to neutrophil function by identifying the changes in mRNA transcriptome in induced sputum. For each probe set, the log2 transformed mRNA intensities were analyzed in separate repeated measures models. The models included a Treatment, Visit and Treatment\*Visit term. The Visit consisted of 4 levels: Screening (Baseline), Day 12, Day 28 and Day 84, and the Treatment consisted of three levels: Null (when Visit = Screening), All

Day 12,200671_s_at,SPTBN1
GroupValue95% CI
All NEMI/All Placebo-1.74
Day 12,226342_at,SPTBN1
GroupValue95% CI
All NEMI/All Placebo-1.89
Day 12,200672_x_at,SPTBN1
GroupValue95% CI
All NEMI/All Placebo-1.60
Day 12,209576_at,GNAI1
GroupValue95% CI
All NEMI/All Placebo-1.62
Day 12,202178_at,PRKCZ
GroupValue95% CI
All NEMI/All Placebo-1.55
Day 28,244313_at,CR1
GroupValue95% CI
All NEMI/All Placebo2.75
Day 28,223750_s_at,TLR10
GroupValue95% CI
All NEMI/All Placebo2.66
Day 28,217552_x_at,CR1
GroupValue95% CI
All NEMI/All Placebo2.25
Change From Baseline in Specific Imaging Airway Volume (siVaw) at Functional Residual Capacity (FRC) and Total Lung Capacity (TLC) for Individual Lobes Secondary · Baseline (Screening), Days 12 and 28

siVaw was measured at FRC and TLC. Data was collected at longitudinal time points (Untrimmed data): Baseline (Screening), Day 12 \& Day 28 and at each time point for scan trimmed pairs: SCRD12, SCRD28 \& D12D28. At each time point it was measure at 5 lobes (right upper lobe, left upper lobe, right middle lobe, right lower lobe \& left lower lobe) and 5 Regions (Upper, Lower, Central, Distal \& Total). For Untrimmed data and SCRD12 \& SCRD28 scan trimmed pairs the baseline is screening, for D12D28 scan trimmed pair the baseline is D12. Change from baseline is the post-Baseline value minus the B

FRC,Scan Trimmed,Right Upper,Day 12,n=17,16
GroupValue95% CI
All Placebo1.0200.854 – 1.217
All NEMI1.0380.880 – 1.225
FRC,Scan Trimmed,Right Upper,Day 28,n=16,18
GroupValue95% CI
All Placebo1.0270.838 – 1.258
All NEMI1.0300.924 – 1.147
FRC,Scan Trimmed,Left Upper,Day 12,n=18,17
GroupValue95% CI
All Placebo0.9700.798 – 1.180
All NEMI0.9930.857 – 1.151
FRC,Scan Trimmed,Left Upper,Day 28,n=16,19
GroupValue95% CI
All Placebo1.0080.779 – 1.304
All NEMI1.0530.937 – 1.184
FRC,Scan Trimmed,Right Middle,Day 12,n=17,16
GroupValue95% CI
All Placebo1.2940.904 – 1.852
All NEMI1.0080.856 – 1.188
FRC,Scan Trimmed,Right Middle,Day 28,n=16,18
GroupValue95% CI
All Placebo1.0710.773 – 1.484
All NEMI0.9730.865 – 1.093
FRC,Scan Trimmed,Right Lower,Day 12,n=17,17
GroupValue95% CI
All Placebo1.0250.873 – 1.204
All NEMI1.0290.858 – 1.236
FRC,Scan Trimmed,Right Lower,Day 28,n=16,19
GroupValue95% CI
All Placebo1.0320.872 – 1.222
All NEMI1.0420.924 – 1.174
Change From Baseline (Day 12) in siVaw at FRC and TLC for Individual Lobes at Day 28 Secondary · Baseline (Day 12) and Day 28

siVaw is a measure of the volume in an individual's airway corrected for their lobar volume derived from the high resolution computed tomography (HRCT). It was measured at FRC and TLC. Data was collected at longitudinal time points (Untrimmed data): Baseline (Screening), Day 12 \& Day 28 and at each time point for scan trimmed pairs: SCRD12, SCRD28 \& D12D28. At each time point it was measure at 5 lobes (right upper lobe, left upper lobe, right middle lobe, right lower lobe \& left lower lobe) and 5 Regions (Upper, Lower, Central, Distal \& Total). For Untrimmed data and SCRD12 \& SCRD28 scan

FRC,Scan Trimmed,Right Upper,Day 28,n=16,17
GroupValue95% CI
All Placebo0.9980.917 – 1.086
All NEMI0.9880.909 – 1.074
FRC,Scan Trimmed,Left Upper,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9870.905 – 1.077
All NEMI1.0140.904 – 1.137
FRC,Scan Trimmed,Right Middle,Day 28,n=16,17
GroupValue95% CI
All Placebo1.0030.876 – 1.149
All NEMI0.9300.828 – 1.043
FRC,Scan Trimmed,Right Lower,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9380.845 – 1.041
All NEMI1.0200.884 – 1.176
FRC,Scan Trimmed,Left Lower,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9470.849 – 1.057
All NEMI1.0420.905 – 1.200
TLC, Scan Trimmed,Right Upper,Day 28,n=17,18
GroupValue95% CI
All Placebo0.9630.875 – 1.061
All NEMI0.9650.928 – 1.004
TLC, Scan Trimmed,Left Upper,Day 28,n=17,19
GroupValue95% CI
All Placebo0.9840.896 – 1.079
All NEMI0.9990.940 – 1.061
TLC, Scan Trimmed,Right Middle,Day 28,n=17,18
GroupValue95% CI
All Placebo0.8070.601 – 1.084
All NEMI0.8970.829 – 0.971
Change From Baseline in siVaw at FRC and TLC for Individual Regions Secondary · Baseline (Screening), Days 12 and 28

siVaw was measured at FRC and TLC. Data was collected at longitudinal time points (Untrimmed data): Baseline (Screening), Day 12 \& Day 28 and at each time point for scan trimmed pairs: SCRD12, SCRD28 \& D12D28. At each time point it was measure at 5 lobes (right upper lobe, left upper lobe, right middle lobe, right lower lobe \& left lower lobe) and 5 Regions (Upper, Lower, Central, Distal \& Total). For Untrimmed data and SCRD12 \& SCRD28 scan trimmed pairs the baseline is screening, for D12D28 scan trimmed pair the baseline is D12. Change from baseline is the post-Baseline value minus the B

FRC,Scan Trimmed,Upper,Day 12,n=18,17
GroupValue95% CI
All Placebo0.9960.840 – 1.180
All NEMI1.0240.888 – 1.181
FRC,Scan Trimmed,Upper,Day 28,n=16,19
GroupValue95% CI
All Placebo1.0110.814 – 1.257
All NEMI1.0290.934 – 1.133
FRC,Scan Trimmed,Lower,Day 12,n=17,17
GroupValue95% CI
All Placebo1.0030.881 – 1.143
All NEMI1.0390.901 – 1.199
FRC,Scan Trimmed,Lower,Day 28,n=16,19
GroupValue95% CI
All Placebo0.9910.873 – 1.125
All NEMI1.0410.942 – 1.150
FRC,Scan Trimmed,Central,Day 12,n=18,17
GroupValue95% CI
All Placebo1.0270.917 – 1.151
All NEMI1.0520.998 – 1.108
FRC,Scan Trimmed,Central,Day 28,n=16,19
GroupValue95% CI
All Placebo1.0480.928 – 1.183
All NEMI1.0450.996 – 1.096
FRC,Scan Trimmed,Distal,Day 12,n=18,17
GroupValue95% CI
All Placebo0.9700.859 – 1.096
All NEMI1.0290.891 – 1.187
FRC,Scan Trimmed,Distal,Day 28,n=16,19
GroupValue95% CI
All Placebo0.9800.844 – 1.138
All NEMI1.0370.945 – 1.138
Change From Baseline (Day 12) in siVaw at FRC and TLC for Individual Regions at Day 28 Secondary · Baseline (Day 12) and Day 28

siVaw is a measure of the volume in an individual's airway corrected for their lobar volume derived from the high resolution computed tomography (HRCT). It was measured at FRC and TLC. Data was collected at longitudinal time points (Untrimmed data): Baseline (Screening), Day 12 \& Day 28 and at each time point for scan trimmed pairs: SCRD12, SCRD28 \& D12D28. At each time point it was measure at 5 lobes (right upper lobe, left upper lobe, right middle lobe, right lower lobe \& left lower lobe) and 5 Regions (Upper, Lower, Central, Distal \& Total). For Untrimmed data and SCRD12 \& SCRD28 scan

FRC,Scan Trimmed,Upper,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9960.917 – 1.082
All NEMI0.9860.907 – 1.072
FRC,Scan Trimmed,Lower,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9480.862 – 1.042
All NEMI1.0250.909 – 1.155
FRC,Scan Trimmed,Central,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9970.955 – 1.042
All NEMI1.0140.955 – 1.076
FRC,Scan Trimmed,Distal,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9770.898 – 1.063
All NEMI0.9960.914 – 1.085
FRC,Scan Trimmed,Total,Day 28,n=16, 18
GroupValue95% CI
All Placebo0.9970.952 – 1.043
All NEMI1.0120.953 – 1.075
TLC,Scan Trimmed,Upper,Day 28,n=17,19
GroupValue95% CI
All Placebo0.9730.884 – 1.070
All NEMI0.9700.930 – 1.012
TLC,Scan Trimmed,Lower,Day 28,n=17, 19
GroupValue95% CI
All Placebo0.9540.865 – 1.051
All NEMI0.9520.893 – 1.014
TLC,Scan Trimmed,Central,Day 28,n=17,19
GroupValue95% CI
All Placebo1.0090.979 – 1.040
All NEMI0.9770.943 – 1.012
Change From Baseline in Imaging Airway Volume (iVaw) at FRC and TLC for Individual Lobes Secondary · Baseline (Screening) and Days 12 and 28

iVaw was measured at FRC and TLC. Data was collected at longitudinal time points (Untrimmed data): Screening, Day 12 \& Day 28 and at each time point for scan trimmed pairs: SCRD12, SCRD28 \& D12D28. At each time point it was measure at 5 lobes (right upper lobe, left upper lobe, right middle lobe, right lower lobe \& left lower lobe) and 5 Regions (Upper, Lower, Central, Distal \& Total). For Untrimmed data and SCRD12 \& SCRD28 scan trimmed pairs the baseline is screening, for D12D28 scan trimmed pair the baseline is D12. Change from baseline is the post-Baseline value minus the Baseline valu

FRC,Scan Trimmed,Right Upper,Day 12,n=18,17
GroupValue95% CI
All Placebo1.0070.847 – 1.197
All NEMI1.0440.879 – 1.240
FRC,Scan Trimmed,Right Upper,Day 28,n=16,19
GroupValue95% CI
All Placebo1.0160.826 – 1.249
All NEMI1.0370.931 – 1.155
FRC,Scan Trimmed,Left Upper,Day 12,n=18,17
GroupValue95% CI
All Placebo0.9650.783 – 1.190
All NEMI0.9870.830 – 1.173
FRC,Scan Trimmed,Left Upper,Day 28,n=16,19
GroupValue95% CI
All Placebo0.9980.767 – 1.299
All NEMI1.0620.919 – 1.227
FRC,Right Middle,Day 12,n=18,17
GroupValue95% CI
All Placebo1.1290.803 – 1.588
All NEMI1.0140.874 – 1.176
FRC,Scan Trimmed,Right Middle,Day 28,n=16,19
GroupValue95% CI
All Placebo0.9500.739 – 1.221
All NEMI1.0180.881 – 1.176
FRC,Right Lower,Day 12,n=17,17
GroupValue95% CI
All Placebo1.0460.884 – 1.237
All NEMI1.0050.824 – 1.225
FRC,Scan Trimmed,Right Lower,Day 28,n=16,19
GroupValue95% CI
All Placebo1.0420.879 – 1.235
All NEMI1.0250.889 – 1.181
Change From Baseline (Day 12) in iVaw at FRC and TLC for Individual Lobes at Day 28 Secondary · Baseline (Day 12) and Day 28

iVaw is a measure of the volume in an individual's airway derived from the HRCT. It was measured at FRC and TLC. Data was collected at longitudinal time points (Untrimmed data): Screening, Day 12 \& Day 28 and at each time point for scan trimmed pairs: SCRD12, SCRD28 \& D12D28. At each time point it was measure at 5 lobes (right upper lobe, left upper lobe, right middle lobe, right lower lobe \& left lower lobe) and 5 Regions (Upper, Lower, Central, Distal \& Total). For Untrimmed data and SCRD12 \& SCRD28 scan trimmed pairs the baseline is screening, for D12D28 scan trimmed pair the baseline

FRC,Scan Trimmed,Right Upper,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9950.918 – 1.078
All NEMI0.9770.880 – 1.084
FRC,Scan Trimmed,Left Upper,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9730.891 – 1.063
All NEMI1.0160.898 – 1.151
FRC,Scan Trimmed,Right Middle,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9580.842 – 1.090
All NEMI0.9430.838 – 1.061
FRC,Scan Trimmed,Right Lower,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9180.821 – 1.025
All NEMI1.0080.855 – 1.188
FRC,Scan Trimmed,Left Lower,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9430.852 – 1.045
All NEMI1.0240.877 – 1.196
TLC,Scan Trimmed,Right Upper,Day 28,n=17,19
GroupValue95% CI
All Placebo0.9630.875 – 1.060
All NEMI0.9660.936 – 0.997
TLC,Scan Trimmed,Left Upper,Day 28,n=17,19
GroupValue95% CI
All Placebo0.9760.885 – 1.076
All NEMI0.9960.942 – 1.052
TLC,Right Middle,Day 28,n=17,19
GroupValue95% CI
All Placebo0.7840.571 – 1.077
All NEMI0.9040.841 – 0.971
Change From Baseline in iVaw at FRC and TLC for Individual Regions Secondary · Baseline (Screening) and Days 12 and 28

iVaw was measured at FRC and TLC. Data was collected at longitudinal time points (Untrimmed data): Screening, Day 12 \& Day 28 and at each time point for scan trimmed pairs: SCRD12, SCRD28 \& D12D28. At each time point it was measure at 5 lobes (right upper lobe, left upper lobe, right middle lobe, right lower lobe \& left lower lobe) and 5 Regions (Upper, Lower, Central, Distal \& Total). For Untrimmed data and SCRD12 \& SCRD28 scan trimmed pairs the baseline is screening, for D12D28 scan trimmed pair the baseline is D12. Change from baseline is the post-Baseline value minus the Baseline valu

FRC,Scan Trimmed,Upper,Day 12,n=18,17
GroupValue95% CI
All Placebo0.9870.827 – 1.178
All NEMI1.0210.869 – 1.200
FRC,Scan Trimmed,Upper,Day 28,n=16,19
GroupValue95% CI
All Placebo0.9990.800 – 1.246
All NEMI1.0390.927 – 1.166
FRC,Scan Trimmed,Lower,Day 12,n=17,17
GroupValue95% CI
All Placebo1.0090.864 – 1.178
All NEMI1.0170.863 – 1.199
FRC,Scan Trimmed,Lower,Day 28,n=16,19
GroupValue95% CI
All Placebo0.9930.862 – 1.142
All NEMI1.0180.899 – 1.152
FRC,Scan Trimmed,Central,Day 12,n=18,17
GroupValue95% CI
All Placebo1.0250.925 – 1.136
All NEMI1.0400.985 – 1.097
FRC,Scan Trimmed,Central,Day 28,n=16,19
GroupValue95% CI
All Placebo1.0400.936 – 1.155
All NEMI1.0400.974 – 1.110
FRC,Scan Trimmed,Distal,Day 12,n=18,17
GroupValue95% CI
All Placebo0.9690.847 – 1.107
All NEMI1.0170.866 – 1.194
FRC,Scan Trimmed,Distal,Day 28,n=16,19
GroupValue95% CI
All Placebo0.9730.834 – 1.135
All NEMI1.0320.921 – 1.157
Change From Baseline (Day 12) in iVaw at FRC and TLC for Individual Regions at Day 28 Secondary · Baseline (Day 12) and Day 28

iVaw is a measure of the volume in an individual's airway derived from the HRCT. It was measured at FRC and TLC. Data was collected at longitudinal time points (Untrimmed data): Screening, Day 12 \& Day 28 and at each time point for scan trimmed pairs: SCRD12, SCRD28 \& D12D28. At each time point it was measure at 5 lobes (right upper lobe, left upper lobe, right middle lobe, right lower lobe \& left lower lobe) and 5 Regions (Upper, Lower, Central, Distal \& Total). For Untrimmed data and SCRD12 \& SCRD28 scan trimmed pairs the baseline is screening, for D12D28 scan trimmed pair the baseline

FRC,Scan Trimmed,Upper,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9880.912 – 1.070
All NEMI0.9850.891 – 1.089
FRC,Scan Trimmed,Lower,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9340.847 – 1.030
All NEMI1.0100.876 – 1.165
FRC,Scan Trimmed,Central,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9850.953 – 1.019
All NEMI1.0080.942 – 1.078
FRC,Scan Trimmed,Distal,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9660.891 – 1.047
All NEMI0.9900.890 – 1.102
FRC,Scan Trimmed,Total,Day 28,n=16,18
GroupValue95% CI
All Placebo0.9850.949 – 1.022
All NEMI1.0060.938 – 1.080
TLC,Scan Trimmed,Upper,Day 28,n=17,19
GroupValue95% CI
All Placebo0.9680.877 – 1.067
All NEMI0.9680.932 – 1.005
TLC,Scan Trimmed,Lower,Day 28,n=17,19
GroupValue95% CI
All Placebo0.9330.840 – 1.037
All NEMI0.9420.879 – 1.010
TLC,Scan Trimmed,Central,Day 28,n=17,19
GroupValue95% CI
All Placebo0.9960.968 – 1.024
All NEMI0.9720.940 – 1.004
Change From Baseline in Imaging Airway Resistance (iRaw) at FRC and TLC for Individual Lobes Secondary · Baseline (Screening) and Days 12 and 28

iRaw is a measure of the resistance in an individual's airway derived from HRCT. It was measured at FRC and TLC. Data was collected at each time point for scan trimmed pairs: SCRD12, SCRD28 \& D12D28. At each time point it was measure at 5 lobes (right upper lobe, left upper lobe, right middle lobe, right lower lobe \& left lower lobe) and 5 Regions (Upper, Lower, Central, Distal \& Total). For SCRD12 \& SCRD28 scan trimmed pairs the baseline is screening, for D12D28 scan trimmed pair the baseline is D12. Change from baseline is the post-Baseline value minus the Baseline value. Only participan

FRC,Scan Trimmed,Right Upper,Day 12,n=18,17
GroupValue95% CI
All Placebo1.1290.641 – 1.991
All NEMI0.8760.477 – 1.606
FRC,Scan Trimmed,Right Upper,Day 28,n=16,19
GroupValue95% CI
All Placebo1.2130.569 – 2.586
All NEMI0.8840.582 – 1.343
FRC,Scan Trimmed,Left Upper,Day 12,n=18,17
GroupValue95% CI
All Placebo1.0580.631 – 1.774
All NEMI0.9510.592 – 1.530
FRC,Scan Trimmed,Left Upper,Day 28,n=16,19
GroupValue95% CI
All Placebo1.1510.582 – 2.273
All NEMI0.6810.438 – 1.060
FRC,Scan Trimmed,Right Middle,Day 12,n=18,17
GroupValue95% CI
All Placebo0.5590.198 – 1.576
All NEMI0.9700.578 – 1.627
FRC,Scan Trimmed,Right Middle,Day 28,n=16,19
GroupValue95% CI
All Placebo1.4200.573 – 3.518
All NEMI1.2750.732 – 2.219
FRC,Scan Trimmed,Right Lower,Day 12,n=17,17
GroupValue95% CI
All Placebo0.9030.352 – 2.314
All NEMI1.1490.714 – 1.849
FRC,Scan Trimmed,Right Lower,Day 28,n=16,19
GroupValue95% CI
All Placebo0.6810.251 – 1.850
All NEMI0.9350.512 – 1.706

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events (AEs) were collected from the start of study treatment until the follow up (Up to 14 weeks). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo Via DISKUS
Serious: 2/14 (14%)
Deaths: 0/14
NEMI 1000 mcg Via DISKUS
Serious: 3/14 (21%)
Deaths: 0/14
Placebo Via ELLIPTA
Serious: 4/8 (50%)
Deaths: 0/8
NEMI 700 mcg Via ELLIPTA
Serious: 0/8 (0%)
Deaths: 0/8

Serious adverse events (10 terms)

ReactionSystemPlacebo Via DISKUSNEMI 1000 mcg Via DISKUSPlacebo Via ELLIPTANEMI 700 mcg Via ELLIPTA
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
PneumoniaInfections and infestations
BronchospasmRespiratory, thoracic and mediastinal disorders
LaryngospasmRespiratory, thoracic and mediastinal disorders
Pulmonary oedemaRespiratory, thoracic and mediastinal disorders
Coronary artery diseaseCardiac disorders
Oxygen saturation decreasedInvestigations
Back painMusculoskeletal and connective tissue disorders
Cerebrovascular accidentNervous system disorders
Renal failureRenal and urinary disorders
Other adverse events (50 terms — click to expand)

ReactionSystemPlacebo Via DISKUSNEMI 1000 mcg Via DISKUSPlacebo Via ELLIPTANEMI 700 mcg Via ELLIPTA
HeadacheNervous system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
ToothacheGastrointestinal disorders
NasopharyngitisInfections and infestations
Musculoskeletal painMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Chest painGeneral disorders
HypokalaemiaMetabolism and nutrition disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
BronchospasmRespiratory, thoracic and mediastinal disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Pneumonia aspirationRespiratory, thoracic and mediastinal disorders
Sinus congestionRespiratory, thoracic and mediastinal disorders
Abdominal painGastrointestinal disorders
Abdominal pain upperGastrointestinal disorders
DyspepsiaGastrointestinal disorders
VomitingGastrointestinal disorders
Oral herpesInfections and infestations
Oral candidiasisInfections and infestations
Periorbital cellulitisInfections and infestations
PneumoniaInfections and infestations
Tooth infectionInfections and infestations
Back painMusculoskeletal and connective tissue disorders
Joint swellingMusculoskeletal and connective tissue disorders
Neck painMusculoskeletal and connective tissue disorders
AphoniaNervous system disorders
SciaticaNervous system disorders
ChillsGeneral disorders
Drug intoleranceGeneral disorders
PyrexiaGeneral disorders
HyperglycaemiaMetabolism and nutrition disorders
HypoglycaemiaMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
HypophosphataemiaMetabolism and nutrition disorders
Anxiety disorderPsychiatric disorders
Depressive symptomPsychiatric disorders

Most-reported serious reactions: Chronic obstructive pulmonary disease, Pneumonia, Bronchospasm, Laryngospasm, Pulmonary oedema, Coronary artery disease, Oxygen saturation decreased, Back pain.

Data from ClinicalTrials.gov NCT02522299 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate specific alterations in immune cell mechanisms related to neutrophil function as detected by PI3Kdelta-dependent changes in messenger ribonucleic acid (mRNA) extracted from induced sputum in patients experiencing an exacerbation of COPD, with or without treatment with GSK2269557. The efficacy of treatment with GSK2269557 will also be measured using functional respiratory imaging (FRI) and spirometry. This is a randomised, double-blind, placebo-controlled, parallel-group study. The study consisted of Screening Phase (up to 3 days prior to Day 1), Treatment Phase (Days 1 to 84) and Follow phase (7 to 14 days after last dose). The total duration of the study is 13-14 weeks including the screening visit. DISKUS TM and ELLIPTA TM are registered trademark of GSK group of companies.

Publications & conference data

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

  1. Progress in the mechanism and targeted drug therapy for COPD.
    Wang C, Zhou J, Wang J, Li S, et al · · 2020 · cited 214× · PMID 33110061 · DOI 10.1038/s41392-020-00345-x
  2. Pathological Mechanism and Targeted Drugs of COPD.
    Guo P, Li R, Piao TH, Wang CL, et al · · 2022 · cited 102× · PMID 35855746 · DOI 10.2147/copd.s366126
  3. Emerging pharmaceutical therapies for COPD.
    Lakshmi SP, Reddy AT, Reddy RC. · · 2017 · cited 35× · PMID 28790817 · DOI 10.2147/copd.s121416
  4. Inhaled RNA Therapeutics for Obstructive Airway Diseases: Recent Advances and Future Prospects.
    Xu Y, Thakur A, Zhang Y, Foged C. · · 2021 · cited 24× · PMID 33525500 · DOI 10.3390/pharmaceutics13020177
  5. Targets of Neutrophil Influx and Weaponry: Therapeutic Opportunities for Chronic Obstructive Airway Disease.
    Mårdh CK, Root J, Uddin M, Stenvall K, et al · · 2017 · cited 22× · PMID 28596972 · DOI 10.1155/2017/5273201
  6. Defining Bronchial Asthma with Phosphoinositide 3-Kinase Delta Activation: Towards Endotype-Driven Management.
    Jeong JS, Kim JS, Kim SR, Lee YC. · · 2019 · cited 21× · PMID 31323822 · DOI 10.3390/ijms20143525
  7. Exploring PI3Kδ Molecular Pathways in Stable COPD and Following an Acute Exacerbation, Two Randomized Controlled Trials.
    Begg M, Hamblin JN, Jarvis E, Bradley G, et al · · 2021 · cited 16× · PMID 34113094 · DOI 10.2147/copd.s309303
  8. The Molecular Blueprint for Chronic Obstructive Pulmonary Disease (COPD): A New Paradigm for Diagnosis and Therapeutics.
    Shakeel I, Ashraf A, Afzal M, Sohal SS, et al · · 2023 · cited 10× · PMID 38155869 · DOI 10.1155/2023/2297559

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Data sources for this page

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/NCT02522299.

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