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NCT02683785

A Study to Investigate the Efficacy and Safety of GSK3196165 in Inflammatory Hand Osteoarthritis

Completed Phase 2 Results posted Last updated 11 January 2021
What this trial tests

Phase 2 trial testing GSK3196165 in Osteoarthritis in 44 participants. Completed in 29 November 2017.

Timeline
17 March 2016
Primary endpoint
29 November 2017
29 November 2017

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposetreatment
Enrollment44
Start date17 March 2016
Primary completion29 November 2017
Estimated completion29 November 2017
Sites16 locations across Netherlands, United Kingdom, Germany, Poland, United States

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

18 and older, any sex, with Osteoarthritis. 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 From Baseline in 24-hour Average Hand Pain Intensity, Averaged Over the 7 Days Prior to Week 6 Primary · Baseline (Day 1 Pre-dose) and Week 6

Participants were required to complete a daily pain NRS based on their 24-hour average hand pain intensity with the anchors "0" (no pain) and "10" (worst imaginable pain), which was averaged over the 7 days prior to assessment visit. The 7 day average score was calculated as sum of daily 24 hours average hand pain NRS scores in the 7 days prior to assessment visit, divided by number of entries recorded in those 7 days. Baseline visit was at Day 1 and Baseline value was defined as the average of the 7 days prior to baseline visit (Day 1 pre-dose). Change from Baseline is equal to post-dose visi

GroupValue95% CI
Placebo-1.34± 0.325
GSK3196165 180mg-1.70± 0.334
Change From Baseline in 24 Hours Average Hand Pain Intensity Averaged Over the 7 Days Prior to Each Visit Secondary · Baseline (Pre-dose Day 1), Weeks 1, 2, 3, 4, 6, 8, 10 and 12

Participants were required to complete a daily pain NRS based on their 24-hour average hand pain intensity with the anchors "0" (no pain) and "10" (worst imaginable pain), which was averaged over the 7 days prior to assessment visit. The 7 day average score is calculated by sum of daily 24 hours average hand pain NRS scores in the 7 days prior to assessment visit, divided by number of entries recorded in those 7 days. Baseline visit was at Day 1 and Baseline value was defined as the average of the 7 days prior to baseline visit (Day 1 pre-dose). Change from Baseline is equal to post-dose visit

Week 1, n=22, 20
GroupValue95% CI
Placebo-0.13± 0.152
GSK3196165 180mg-0.59± 0.160
Week 2, n=21, 20
GroupValue95% CI
Placebo-0.48± 0.230
GSK3196165 180mg-0.86± 0.239
Week 3, n=21, 20
GroupValue95% CI
Placebo-0.74± 0.279
GSK3196165 180mg-1.24± 0.289
Week 4, n=21, 20
GroupValue95% CI
Placebo-0.91± 0.291
GSK3196165 180mg-1.65± 0.301
Week 6, n=21, 20
GroupValue95% CI
Placebo-1.34± 0.325
GSK3196165 180mg-1.70± 0.334
Week 8, n=20, 19
GroupValue95% CI
Placebo-1.27± 0.382
GSK3196165 180mg-2.10± 0.393
Week 10, n=20, 19
GroupValue95% CI
Placebo-1.18± 0.376
GSK3196165 180mg-2.09± 0.389
Week 12, n=19, 18
GroupValue95% CI
Placebo-1.35± 0.402
GSK3196165 180mg-2.24± 0.416
Change From Baseline of Worst Hand Pain Intensity Over 24 Hours Averaged Over the 7 Days Prior to Each Visit Secondary · Baseline (Pre-dose Day 1), Weeks 1, 2, 3, 4, 6, 8, 10 and 12

Participants were required to complete a daily pain NRS based on their 24-hour worst hand pain intensity with the anchors "0" (no pain) and "10" (worst imaginable pain), which was averaged over the 7 days prior to assessment visit. The score is calculated as sum of daily 24 hours worst hand pain NRS scores in the 7 days prior to assessment visit, divided by number of entries recorded in those 7 days. Baseline visit was at Day 1 and Baseline value was defined as the average of the 7 days prior to baseline visit (Day 1 pre-dose). Change from Baseline is equal to post-dose visit value minus Basel

Week 1, n=22, 20
GroupValue95% CI
Placebo0.01± 0.174
GSK3196165 180mg-0.45± 0.183
Week 2, n=21, 20
GroupValue95% CI
Placebo-0.42± 0.235
GSK3196165 180mg-0.69± 0.245
Week 3, n=21, 20
GroupValue95% CI
Placebo-0.63± 0.269
GSK3196165 180mg-1.23± 0.278
Week 4, n= 21, 20
GroupValue95% CI
Placebo-0.72± 0.289
GSK3196165 180mg-1.51± 0.299
Week 6, n= 21, 20
GroupValue95% CI
Placebo-1.30± 0.328
GSK3196165 180mg-1.63± 0.337
Week 8, n= 20, 19
GroupValue95% CI
Placebo-1.18± 0.394
GSK3196165 180mg-2.11± 0.406
Week 10, n= 20, 19
GroupValue95% CI
Placebo-1.15± 0.394
GSK3196165 180mg-2.13± 0.407
Week 12, n= 19, 18
GroupValue95% CI
Placebo-1.32± 0.415
GSK3196165 180mg-2.34± 0.430
Percentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each Visit Secondary · Baseline (Pre-dose, Day 1), Weeks 1, 2, 3, 4, 6, 8, 10, 12 and follow up (Week 22)

Participants were required to complete average pain NRS daily and rate the average hand pain over last 24 hours on a scale of 0 (no pain) to 10 (worst imaginable pain). The percentage of participants who achieved at least 30 percentage reduction from Baseline in the 24-hours average hand pain intensity as measured by daily NRS and averaged over 7 days prior to each visit is reported.

Week 1
GroupValue95% CI
Placebo0
GSK3196165 180mg9
Week 2
GroupValue95% CI
Placebo0
GSK3196165 180mg18
Week 3
GroupValue95% CI
Placebo5
GSK3196165 180mg23
Week 4
GroupValue95% CI
Placebo14
GSK3196165 180mg41
Week 6
GroupValue95% CI
Placebo23
GSK3196165 180mg45
Week 8
GroupValue95% CI
Placebo18
GSK3196165 180mg50
Week 10
GroupValue95% CI
Placebo18
GSK3196165 180mg50
Week 12
GroupValue95% CI
Placebo23
GSK3196165 180mg45
Percentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Average Hand Pain Intensity at Each Visit Secondary · Baseline (Pre-dose, Day 1), Weeks 1, 2, 3, 4, 6, 8, 10, 12 and follow up (Week 22)

Participants were required to complete average pain NRS daily and rate the average hand pain over last 24 hours on a scale of 0 (no pain) to 10 (worst imaginable pain). The percentage of participants who achieved at least 50 percentage reduction from Baseline in the 24-hours average hand pain intensity as measured by daily NRS and averaged over 7 days prior to each visit is presented.

Week 1
GroupValue95% CI
Placebo0
GSK3196165 180mg0
Week 2
GroupValue95% CI
Placebo0
GSK3196165 180mg9
Week 3
GroupValue95% CI
Placebo0
GSK3196165 180mg18
Week 4
GroupValue95% CI
Placebo0
GSK3196165 180mg23
Week 6
GroupValue95% CI
Placebo14
GSK3196165 180mg27
Week 8
GroupValue95% CI
Placebo14
GSK3196165 180mg41
Week 10
GroupValue95% CI
Placebo9
GSK3196165 180mg36
Week 12
GroupValue95% CI
Placebo14
GSK3196165 180mg41
Percentage of Participants Achieving a 30 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each Visit Secondary · Baseline (Pre-dose, Day 1), Weeks 1, 2, 3, 4, 6, 8, 10, 12 and follow up (Week 22)

Participants were required to complete worst pain NRS daily and rate the hand pain at its worst over last 24 hours on a scale of 0 (no pain) to 10 (worst imaginable pain). The percentage of participants achieving at least 30 percentage reduction from Baseline in the 24-hours worst hand pain intensity as measured by daily NRS and averaged over 7 days prior to each visit is presented.

Week 1
GroupValue95% CI
Placebo0
GSK3196165 180mg9
Week 2
GroupValue95% CI
Placebo0
GSK3196165 180mg18
Week 3
GroupValue95% CI
Placebo0
GSK3196165 180mg23
Week 4
GroupValue95% CI
Placebo0
GSK3196165 180mg32
Week 6
GroupValue95% CI
Placebo9
GSK3196165 180mg36
Week 8
GroupValue95% CI
Placebo9
GSK3196165 180mg45
Week 10
GroupValue95% CI
Placebo14
GSK3196165 180mg45
Week 12
GroupValue95% CI
Placebo14
GSK3196165 180mg45
Percentage of Participants Achieving a 50 Percentage Reduction From Baseline in 24 Hours Worst Hand Pain Intensity at Each Visit Secondary · Baseline (Pre-dose, Day 1), Weeks 1, 2, 3, 4, 6, 8, 10, 12 and follow up (Week 22)

Participants were required to complete worst pain NRS daily and rate the hand pain at its worst over last 24 hours on a scale of 0 (no pain) to 10 (worst imaginable pain). The percentage of participants achieving at least 50 percentage reduction from Baseline in the 24-hours worst hand pain intensity as measured by daily NRS and averaged over 7 days prior to each visit is presented.

Week 1
GroupValue95% CI
Placebo0
GSK3196165 180mg0
Week 2
GroupValue95% CI
Placebo0
GSK3196165 180mg5
Week 3
GroupValue95% CI
Placebo0
GSK3196165 180mg14
Week 4
GroupValue95% CI
Placebo0
GSK3196165 180mg18
Week 6
GroupValue95% CI
Placebo5
GSK3196165 180mg18
Week 8
GroupValue95% CI
Placebo5
GSK3196165 180mg32
Week 10
GroupValue95% CI
Placebo5
GSK3196165 180mg27
Week 12
GroupValue95% CI
Placebo9
GSK3196165 180mg36
Change From Baseline in Australian Canadian Hand Osteoarthritis Index (AUSCAN) 3.1 NRS Scores at Each Visit. Secondary · Baseline (Day 1 Pre-dose), Weeks 1, 2, 4, 6, 8, 10, and 12

The AUSCAN Index is a self-administered questionnaire consisting of a 15-item scale which measures pain (5 items), stiffness (1 item) and degree of disability/physical function (9 items) during the preceding 48 hours. All items are rated on NRS scale with anchors "0" (none) to "10" (extreme). The scores for the pain and physical function components were calculated as simple summation of the item scores relating to that domain, so the Pain component ranges from 0 (i.e. all pain item scores are scored 0 \[none\]) to 50 (i.e. all pain item scores are scored 10 \[extreme\]), and the Physical Funct

Pain, Week 1, n=22, 20
GroupValue95% CI
Placebo0.8± 0.98
GSK3196165 180mg-1.9± 1.03
Pain, Week 2, n=21, 21
GroupValue95% CI
Placebo-1.8± 1.27
GSK3196165 180mg-3.7± 1.28
Pain, Week 4, n=22, 21
GroupValue95% CI
Placebo-3.5± 1.61
GSK3196165 180mg-7.2± 1.64
Pain, Week 6, n=22, 21
GroupValue95% CI
Placebo-6.6± 1.72
GSK3196165 180mg-7.6± 1.76
Pain, Week 8, n=20, 20
GroupValue95% CI
Placebo-4.9± 1.93
GSK3196165 180mg-8.7± 1.97
Pain, Week 10, n=20, 20
GroupValue95% CI
Placebo-5.3± 1.82
GSK3196165 180mg-10.9± 1.87
Pain, Week 12, n=21, 19
GroupValue95% CI
Placebo-4.6± 1.84
GSK3196165 180mg-9.3± 1.91
Stiffness, Week 1, n= 22, 20
GroupValue95% CI
Placebo-0.4± 0.29
GSK3196165 180mg-0.6± 0.31
Change From Baseline in Number of Soft Tissue Swollen Hand Joints at Each Visit Secondary · Baseline (Day 1 Pre-dose), Weeks 1, 2, 4, 6, 8, 10, and 12

Swollen Hand Joint Count was measured by the total number of soft tissue swollen hand joints out of a possible 30 joints: 8 distal interphalangeal, 8 proximal interphalangeal, 2 interphalangeal joints, 10 metacarpophalangeal joints, 2 carpometacarpal joint across both hands. In case of missing observations for soft tissue swollen hand joints then the remaining observations were assessed and weighted by dividing the number presented by the number of non-missing, and by multiplying by 30 for the joint count. Baseline is defined as Day 1 pre-dose value. Change from Baseline is equal to post-dose

Week 1, n = 22, 21
GroupValue95% CI
Placebo-0.3± 0.64
GSK3196165 180mg-0.3± 0.66
Week 2, n = 21, 21
GroupValue95% CI
Placebo-1.6± 0.85
GSK3196165 180mg-1.2± 0.86
Week 4, n = 22, 21
GroupValue95% CI
Placebo-1.6± 0.76
GSK3196165 180mg-2.1± 0.78
Week 6, n = 22, 21
GroupValue95% CI
Placebo-3.7± 0.83
GSK3196165 180mg-2.3± 0.85
Week 8, n = 20, 20
GroupValue95% CI
Placebo-3.0± 0.92
GSK3196165 180mg-2.8± 0.94
Week 10, n = 20, 20
GroupValue95% CI
Placebo-2.6± 1.08
GSK3196165 180mg-2.9± 1.10
Week 12, n = 21, 19
GroupValue95% CI
Placebo-2.9± 0.91
GSK3196165 180mg-3.1± 0.93
Change From Baseline in Number of Tender Hand Joints at Each Visit Secondary · Baseline, Weeks 1, 2, 4, 6, 8, 10, and 12

Tender Hand Joint Count was measured by the total number of tender joints out of a possible 30 joints: 8 distal interphalangeal, 8 proximal interphalangeal, 2 interphalangeal joints, 10 metacarpophalangeal joints, 2 carpometacarpal joints across both hands. A joint was considered tender if it was scored \>0 on the tender joint severity scale. Joints were rated 0=no pain/tenderness, 1=mild pain, 2=moderate pain and 3=severe pain. Baseline is defined as Day 1 pre-dose value. Change from Baseline is equal to post-dose visit value minus Baseline value.

Week 1, n= 22, 21
GroupValue95% CI
Placebo-0.6± 1.10
GSK3196165 180mg-1.8± 1.13
Week 2, n= 21, 21
GroupValue95% CI
Placebo-1.7± 1.15
GSK3196165 180mg-2.1± 1.17
Week 4, n= 22, 21
GroupValue95% CI
Placebo-1.1± 1.33
GSK3196165 180mg-3.0± 1.36
Week 6, n= 22, 21
GroupValue95% CI
Placebo-3.7± 1.27
GSK3196165 180mg-4.2± 1.30
Week 8, n= 20, 20
GroupValue95% CI
Placebo-2.4± 1.36
GSK3196165 180mg-3.9± 1.39
Week 10, n= 20, 20
GroupValue95% CI
Placebo-3.7± 1.45
GSK3196165 180mg-4.4± 1.48
Week 12, n= 21, 19
GroupValue95% CI
Placebo-3.5± 1.46
GSK3196165 180mg-4.0± 1.51
Change From Baseline in Physician Global Assessment (PhGA) of Disease Activity Secondary · Baseline (Day 1 Pre-dose), Weeks 2, 4, 8, and 12

Physicians were required to complete the global assessment of disease activity using single PhGA item with a NRS ranging from 0 (none) to 10 (extremely active). Baseline was defined as Day 1 pre-dose value. Change from Baseline is equal to post-dose visit value minus Baseline value.

Week 2, n= 19, 14
GroupValue95% CI
Placebo-1.8± 0.39
GSK3196165 180mg-1.5± 0.45
Week 4, n= 20, 15
GroupValue95% CI
Placebo-2.1± 0.44
GSK3196165 180mg-2.6± 0.50
Week 8, n= 17, 15
GroupValue95% CI
Placebo-2.2± 0.52
GSK3196165 180mg-3.4± 0.57
Week 12, n= 18, 14
GroupValue95% CI
Placebo-2.7± 0.56
GSK3196165 180mg-3.0± 0.63
Change From Baseline in Patient Global Assessment (PtGA) of Disease Activity Secondary · Baseline, Weeks 2, 4, 8, and 12

Participants were required to complete the global assessment of disease activity using single PtGA item with an NRS ranging from 0 (very well) to 10 (very poor). Baseline was defined as Day 1 pre-dose value. Change from Baseline is equal to post-dose visit value minus Baseline value.

Week 2, n= 20, 21
GroupValue95% CI
Placebo-0.4± 0.36
GSK3196165 180mg-0.6± 0.35
Week 4, n= 21, 21
GroupValue95% CI
Placebo-0.6± 0.42
GSK3196165 180mg-1.3± 0.42
Week 8, n= 19, 20
GroupValue95% CI
Placebo-0.9± 0.47
GSK3196165 180mg-1.8± 0.46
Week 12, n= 20, 19
GroupValue95% CI
Placebo-0.7± 0.46
GSK3196165 180mg-1.8± 0.46

Adverse events — posted to ClinicalTrials.gov

Time frame: Non-serious adverse events (AEs) and serious AEs were collected up to Week 22.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 1/22 (5%)
Deaths: 0/22
GSK3196165 180mg
Serious: 2/22 (9%)
Deaths: 0/22

Serious adverse events (3 terms)

ReactionSystemPlaceboGSK3196165 180mg
ATRIAL FIBRILLATIONCardiac disorders
HUMERUS FRACTUREInjury, poisoning and procedural complications
HYPERTENSIVE CRISISVascular disorders
Other adverse events (8 terms — click to expand)

ReactionSystemPlaceboGSK3196165 180mg
PALPITATIONSCardiac disorders
INJECTION SITE ERYTHEMAGeneral disorders
INJECTION SITE RASHGeneral disorders
CONJUNCTIVITISInfections and infestations
HERPES ZOSTERInfections and infestations
NASOPHARYNGITISInfections and infestations
URINARY TRACT INFECTIONInfections and infestations
COUGHRespiratory, thoracic and mediastinal disorders

Most-reported serious reactions: ATRIAL FIBRILLATION, HUMERUS FRACTURE, HYPERTENSIVE CRISIS.

Data from ClinicalTrials.gov NCT02683785 adverse events section.

Sponsor's own description

This is a randomized, Phase IIa, multicentre, double-blind, placebo-controlled parallel group study with the primary objective to assess the efficacy potential of GSK3196165 on pain, in subjects with active inflammatory hand osteoarthritis (HOA). Approximately 40 subjects will be enrolled into the study, following a screening period of up to 4 weeks. The total treatment period will be 12 weeks, with the follow up period completing at Week 22. At least 40 subjects will be randomized across the two treatment arms, to either placebo or GSK3196165 in a 1:1 ratio.

Publications & conference data

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

  1. GM-CSF in inflammation.
    Hamilton JA. · · 2020 · cited 236× · PMID 31611249 · DOI 10.1084/jem.20190945
  2. Recent advances in the treatment of osteoarthritis.
    Grässel S, Muschter D. · · 2020 · cited 172× · PMID 32419923 · DOI 10.12688/f1000research.22115.1
  3. Tissue macrophages: origin, heterogenity, biological functions, diseases and therapeutic targets.
    Guan F, Wang R, Yi Z, Luo P, et al · · 2025 · cited 155× · PMID 40055311 · DOI 10.1038/s41392-025-02124-y
  4. Senescence in osteoarthritis: from mechanism to potential treatment.
    Liu Y, Zhang Z, Li T, Xu H, et al · · 2022 · cited 118× · PMID 35869508 · DOI 10.1186/s13075-022-02859-x
  5. GM-CSF: A Promising Target in Inflammation and Autoimmunity.
    Lee KMC, Achuthan AA, Hamilton JA. · · 2020 · cited 112× · PMID 33150139 · DOI 10.2147/itt.s262566
  6. What is new in pain modification in osteoarthritis?
    Miller RE, Block JA, Malfait AM. · · 2018 · cited 41× · PMID 29361112 · DOI 10.1093/rheumatology/kex522
  7. Investigational therapies targeting the granulocyte macrophage colony-stimulating factor receptor-α in rheumatoid arthritis: focus on mavrilimumab.
    Cook AD, Hamilton JA. · · 2018 · cited 26× · PMID 29387176 · DOI 10.1177/1759720x17752036
  8. Anti-granulocyte-macrophage colony-stimulating factor antibody otilimab in patients with hand osteoarthritis: a phase 2a randomised trial.
    Schett G, Bainbridge C, Berkowitz M, Davy K, et al · · 2020 · cited 16× · PMID 38273625 · DOI 10.1016/s2665-9913(20)30171-5

Verify or expand the search:

Other trials of GSK3196165

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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/NCT02683785.

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