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NCT02799472

Mechanistic Study of GSK3196165 Plus Methotrexate (MTX) in Subjects With Active Rheumatoid Arthritis

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

Phase 2 trial testing GSK3196165 in Arthritis, Rheumatoid in 39 participants. Completed in 30 October 2017.

Timeline
15 June 2016
Primary endpoint
30 October 2017
30 October 2017

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposetreatment
Enrollment39
Start date15 June 2016
Primary completion30 October 2017
Estimated completion30 October 2017
Sites16 locations across United States, Germany, Poland

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

18 and older, any sex, with Arthritis, Rheumatoid. 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 Target Engagement Biomarkers- Soluble Granulocyte-macrophage Colony-stimulating Factor (GM-CSF) Complexed to GSK3196165 Primary · Baseline and Weeks 1, 2, 4, 6, 8, 12, 12-Week follow-up (FU) (Week 22)

Blood samples were collected for markers which may influence rheumatoid arthritis. Target engagement biomarkers included soluble GM-CSF complexed to GSK3196165. Baseline was defined at Day 1. Change from Baseline was calculated as ratio of Baseline value to post-dose value. Analysis was performed using repeated measures analysis adjusted for GM-CSF - Complex log(Baseline value), treatment group, disease duration (\<=2 or \>2 years), visit and treatment group by visit interaction. Analysis was performed on Intent-to-Treat (ITT) Population which consisted of all participants who were randomized

GM-CSF - Complex, Week 1, n=9, 27
GroupValue95% CI
Placebo0.972± 35.98
GSK3196165 180 mg13.799± 20.65
GM-CSF - Complex, Week 2, n=8, 26
GroupValue95% CI
Placebo0.960± 31.23
GSK3196165 180 mg31.056± 17.58
GM-CSF - Complex, Week 4, n=8, 27
GroupValue95% CI
Placebo0.959± 34.51
GSK3196165 180 mg53.496± 18.55
GM-CSF - Complex, Week 6, n=7, 26
GroupValue95% CI
Placebo0.964± 40.96
GSK3196165 180 mg46.620± 22.37
GM-CSF - Complex, Week 8, n=7, 24
GroupValue95% CI
Placebo0.964± 41.80
GSK3196165 180 mg33.404± 22.47
GM-CSF - Complex, Week 12, n=7, 24
GroupValue95% CI
Placebo0.970± 44.95
GSK3196165 180 mg22.556± 24.38
GM-CSF - Complex, 12-Week FU, n=8, 21
GroupValue95% CI
Placebo0.954± 20.80
GSK3196165 180 mg1.176± 12.88
Change From Baseline in Predictive Biomarkers: 14-3-3 ETA Protein, S100 Calcium Binding Protein (CBP) A8 and A9 Primary · Baseline and Weeks 1, 2, 4, 6, 8, 12, 12-Week FU (Week 22)

Blood samples were collected and analyzed for markers which may be predictive of rheumatoid arthritis disease activity. Predictive biomarkers included analysis of 14-3-3 ETA Protein, S100 CBP A8 and A9. Baseline was defined at Day 1. Change from Baseline was calculated as ratio of Baseline value to post-dose value. Analysis was performed using repeated measures analysis adjusted for 14-3-3 ETA Protein (mg/L) and S100 CBP A8 and A9 log(Baseline value), treatment group, disease duration (\<=2 or \>2 years), visit and treatment group by visit interaction. Only those participants with data availab

14-3-3 ETA Protein, Week 1, n=9, 27
GroupValue95% CI
Placebo1.046± 3.88
GSK3196165 180 mg0.986± 2.16
14-3-3 ETA Protein, Week 2, n=8, 26
GroupValue95% CI
Placebo0.959± 12.14
GSK3196165 180 mg0.986± 6.70
14-3-3 ETA Protein, Week 4, n=9, 26
GroupValue95% CI
Placebo1.128± 16.59
GSK3196165 180 mg0.838± 9.55
14-3-3 ETA Protein, Week 6, n=7, 26
GroupValue95% CI
Placebo1.093± 15.55
GSK3196165 180 mg0.833± 8.88
14-3-3 ETA Protein, Week 8, n=7, 23
GroupValue95% CI
Placebo0.950± 15.19
GSK3196165 180 mg0.842± 8.48
14-3-3 ETA Protein, Week 12, n=7, 24
GroupValue95% CI
Placebo1.131± 20.90
GSK3196165 180 mg0.897± 11.89
14-3-3 ETA Protein, 12-Week FU, n=7, 21
GroupValue95% CI
Placebo1.040± 24.06
GSK3196165 180 mg0.893± 13.45
S100 CBP A8 and A9, Week 1, n=9, 27
GroupValue95% CI
Placebo0.940± 15.20
GSK3196165 180 mg0.939± 8.92
Change From Baseline in Predictive Biomarkers: Amyloid A Primary · Baseline and Week 12, 12-Week FU (Week 22)

Blood samples were collected and analyzed for markers which may be predictive of rheumatoid arthritis disease activity. Predictive biomarkers included analysis of Amyloid A. Baseline was defined at Day 1. Change from Baseline was calculated as ratio of Baseline value to post-dose value. Analysis was performed using repeated measures analysis adjusted for Amyloid A log(Baseline value), treatment group, disease duration (\<=2 or \>2 years), visit and treatment group by visit interaction. Only those participants with data available at the specified data points were analyzed (represented by n= X i

Amyloid A, Week 12, n=7, 24
GroupValue95% CI
Placebo0.845± 49.31
GSK3196165 180 mg0.653± 25.45
Amyloid A, 12-Week FU, n=7, 21
GroupValue95% CI
Placebo0.529± 35.12
GSK3196165 180 mg0.623± 19.68
Change From Baseline in Predictive Biomarkers: Amyloid A, Chemokine (C-C Motif) Ligand 17, Chemokine (C-X-C Motif) Ligand 13, Interleukin 6, Macrophage-Derived Chemokine Primary · Baseline and Weeks 1, 2, 4, 6, 8, 12, 12-Week FU (Week 22)

Blood samples were collected and analyzed for markers which may be predictive of rheumatoid arthritis disease activity. Predictive biomarkers included analysis of Chemokine (C-C Motif) Ligand 17 (CL17), Chemokine (C-X-C Motif) Ligand 13 (CL13), Interleukin 6, Macrophage-Derived Chemokine (MDC). Baseline was defined at Day 1. Change from Baseline was calculated as ratio of Baseline value to post-dose value. Analysis was performed using repeated measures analysis adjusted for CL17, CL13, Interleukin 6, MDC log(Baseline value), treatment group, disease duration (\<=2 or \>2 years), visit and trea

CL17, Week 1, n=9, 27
GroupValue95% CI
Placebo1.117± 18.81
GSK3196165 180 mg0.773± 10.94
CL17, Week 2, n=8, 26
GroupValue95% CI
Placebo0.912± 24.37
GSK3196165 180 mg0.651± 13.60
CL17, Week 4, n=9, 27
GroupValue95% CI
Placebo1.117± 21.91
GSK3196165 180 mg0.679± 12.51
CL17, Week 6, n=7, 27
GroupValue95% CI
Placebo1.032± 24.38
GSK3196165 180 mg0.779± 12.48
CL17, Week 8, n=7, 25
GroupValue95% CI
Placebo1.211± 20.63
GSK3196165 180 mg0.675± 11.21
CL17, Week 12, n=7, 24
GroupValue95% CI
Placebo1.711± 24.96
GSK3196165 180 mg0.890± 13.90
CL17, 12-Week FU, n=7, 20
GroupValue95% CI
Placebo1.434± 23.26
GSK3196165 180 mg1.357± 13.59
CL13, Week 1, n=9, 27
GroupValue95% CI
Placebo1.198± 15.63
GSK3196165 180 mg0.915± 8.87
Change From Baseline in Predictive Biomarkers: Chitinase 3 Like 1, Matrix Metalloproteinase 3 (MMP-3) Primary · Baseline and Weeks 1, 2, 4, 6, 8, 12, 12-Week FU (Week 22)

Blood samples were collected and analyzed for markers which may be predictive of rheumatoid arthritis disease activity. Predictive biomarkers included analysis of Chitinase 3 Like 1 and MMP-3. Baseline was defined at Day 1. Change from Baseline was calculated as ratio of Baseline value to post-dose value. Analysis was performed using repeated measures analysis adjusted for Chitinase 3 Like 1 and MMP-3 log(Baseline value), treatment group, disease duration (\<=2 or \>2 years), visit and treatment group by visit interaction. Only those participants with data available at the specified data point

Chitinase 3 Like 1, Week 1, n=9, 27
GroupValue95% CI
Placebo1.033± 13.97
GSK3196165 180 mg0.917± 8.13
Chitinase 3 Like 1, Week 2, n=8, 26
GroupValue95% CI
Placebo1.013± 15.05
GSK3196165 180 mg0.966± 8.55
Chitinase 3 Like 1, Week 4, n=9, 27
GroupValue95% CI
Placebo0.961± 17.14
GSK3196165 180 mg1.088± 9.96
Chitinase 3 Like 1, Week 6, n=7, 27
GroupValue95% CI
Placebo0.897± 17.08
GSK3196165 180 mg1.031± 8.80
Chitinase 3 Like 1, Week 8, n=7, 25
GroupValue95% CI
Placebo0.851± 18.24
GSK3196165 180 mg0.947± 9.70
Chitinase 3 Like 1, Week 12, n=7, 24
GroupValue95% CI
Placebo1.066± 21.53
GSK3196165 180 mg1.071± 11.64
Chitinase 3 Like 1, 12-Week FU, n=7, 21
GroupValue95% CI
Placebo0.735± 16.87
GSK3196165 180 mg1.019± 9.75
MMP 3, Week 1, n=9, 27
GroupValue95% CI
Placebo1.076± 6.72
GSK3196165 180 mg0.984± 3.88
Change From Baseline in Cartilage Biomarkers Primary · Baseline and Weeks 1, 2, 4, 6, 8, 12, 12-Week FU (Week 22)

Blood samples were collected and analyzed for markers that may be predictive of rheumatoid arthritis disease activity. Cartilage biomarkers included analysis of ARGS Neo-Epitope, Citrullinated MMP-Degraded Vimentin (CMDV), MMP-Degraded C Reactive Protein (CRP), MMP-Degraded Type I Collagen (MD1C), MMP-Degraded Type II Collagen (MD2C), MMP-Degraded Type III Collagen (MD3C). Baseline was defined at Day 1. Change from Baseline was calculated as ratio of Baseline value to post-dose value. Analysis was performed using repeated measures analysis adjusted for ARGS Neo-Epitope, Citrullinated MMP-Degra

ARGS Neo-Epitope, Week 1, n=9, 27
GroupValue95% CI
Placebo0.979± 16.10
GSK3196165 180 mg1.075± 9.67
ARGS Neo-Epitope, Week 2, n=8, 25
GroupValue95% CI
Placebo0.790± 17.38
GSK3196165 180 mg1.249± 9.87
ARGS Neo-Epitope, Week 4, n=8, 26
GroupValue95% CI
Placebo0.904± 17.02
GSK3196165 180 mg1.104± 10.05
ARGS Neo-Epitope, Week 6, n=6, 26
GroupValue95% CI
Placebo0.894± 14.28
GSK3196165 180 mg1.164± 7.82
ARGS Neo-Epitope, Week 8, n=7, 24
GroupValue95% CI
Placebo0.854± 26.42
GSK3196165 180 mg1.238± 14.20
ARGS Neo-Epitope, Week 12, n=7, 24
GroupValue95% CI
Placebo0.913± 13.97
GSK3196165 180 mg1.156± 7.78
ARGS Neo-Epitope, 12-Week FU, n=8, 21
GroupValue95% CI
Placebo1.129± 17.44
GSK3196165 180 mg1.124± 9.86
CMDV, Week 1,n=9,27
GroupValue95% CI
Placebo0.981± 24.12
GSK3196165 180 mg0.876± 13.80
Change From Baseline in Flow Cytometry: Helper/Suppressor Cells Primary · Baseline and Weeks 1, 4, 12, 12-Week FU (Week 22)

Whole blood samples were collected and analyzed for markers which may be predictive of rheumatoid arthritis disease activity. Flow cytometry assessment included assessment of Helper/Suppressor. Baseline was defined at Day 1. Change from Baseline was calculated as ratio of Baseline value to post-dose value. Analysis was performed using repeated measures analysis adjusted for Helper/Suppressor log(Baseline value), treatment group, disease duration (\<=2 or \>2 years), visit and treatment group by visit interaction. Only those participants with data available at the specified data points were ana

Helper/Suppressor, Week 1, n=8, 25
GroupValue95% CI
Placebo1.024± 6.98
GSK3196165 180 mg0.976± 4.00
Helper/Suppressor, Week 4, n=8, 25
GroupValue95% CI
Placebo1.053± 7.18
GSK3196165 180 mg0.998± 4.11
Helper/Suppressor, Week 12, n=6, 25
GroupValue95% CI
Placebo1.040± 6.83
GSK3196165 180 mg1.088± 3.49
Helper/Suppressor, 12-Week FU, n=6, 21
GroupValue95% CI
Placebo1.051± 8.99
GSK3196165 180 mg1.065± 4.88
Change From Baseline in Flow Cytometry: 6 Colour TB Natural Killer (NK) Panel- CD16+CD56+, CD19, CD3, CD3+CD4+ Primary · Baseline and Weeks 1, 4, 12, 12-Week FU (Week 22)

Whole blood samples were collected and analyzed for markers which may be predictive of rheumatoid arthritis disease activity. Flow cytometry assessment included assessment of cluster of differentiation (CD)16+CD56+, CD19, CD3, CD3+CD4+. Baseline was defined at Day 1. Change from Baseline was calculated as ratio of Baseline value to post-dose value. Repeated measures analysis adjusted for CD16+CD56+, CD19, CD3, CD3+CD4+, CD3+CD8+ and T Cell B Cell NKL log(Baseline value), treatment group, disease duration (\<=2 or \>2 years), visit and treatment group by visit interaction. Only those participan

CD16+CD56+, Week 1, n=8, 25
GroupValue95% CI
Placebo0.989± 11.39
GSK3196165 180 mg1.025± 6.30
CD16+CD56+, Week 4, n=8, 25
GroupValue95% CI
Placebo1.163± 12.97
GSK3196165 180 mg0.951± 7.25
CD16+CD56+, Week 12, n=6, 25
GroupValue95% CI
Placebo1.193± 15.49
GSK3196165 180 mg0.911± 7.81
CD16+CD56+, 12-Week FU, n=6, 21
GroupValue95% CI
Placebo1.298± 15.10
GSK3196165 180 mg0.920± 7.98
CD19, Week 1, n=8, 25
GroupValue95% CI
Placebo0.880± 11.05
GSK3196165 180 mg0.984± 6.23
CD19, Week 4, n=8, 25
GroupValue95% CI
Placebo1.090± 15.31
GSK3196165 180 mg0.971± 8.60
CD19, Week 12, n=6, 25
GroupValue95% CI
Placebo1.054± 12.26
GSK3196165 180 mg1.003± 6.51
CD19, Week 22, n=6, 21
GroupValue95% CI
Placebo0.980± 17.75
GSK3196165 180 mg0.938± 9.75
Change From Baseline in Flow Cytometry: 6 Colour TBNK Panel- CD3+CD8+ and T Cell B Cell Natural Killer Lymphocytes (NKL) Primary · Baseline and Weeks 1, 4, 12, 12-Week FU (Week 22)

Whole blood samples were collected and analyzed for markers which may be predictive of rheumatoid arthritis disease activity. Flow cytometry assessment included assessment of CD3+CD8+ and T Cell B Cell NKL. Baseline was defined at Day 1. Change from Baseline was calculated by subtracting the post-dose value from the Baseline value. Analysis was performed using repeated measures analysis adjusted for CD3+CD8+ and T Cell B Cell NKL log(Baseline value), treatment group, disease duration (\<=2 or \>2 years), visit and treatment group by visit interaction. Only those participants with data availabl

CD3+CD8+, Week 1, n=8, 25
GroupValue95% CI
Placebo-0.041± 0.0390
GSK3196165 180 mg-0.005± 0.0222
CD3+CD8+, Week 4, n=8, 25
GroupValue95% CI
Placebo0.000± 0.0580
GSK3196165 180 mg-0.023± 0.0327
CD3+CD8+, Week 12, n=6, 25
GroupValue95% CI
Placebo-0.056± 0.0418
GSK3196165 180 mg-0.037± 0.0215
CD3+CD8+, 12-Week FU, n=6, 21
GroupValue95% CI
Placebo-0.060± 0.0506
GSK3196165 180 mg-0.027± 0.0279
T Cell B Cell NKL, Week 1, n=8, 25
GroupValue95% CI
Placebo-0.123± 0.1557
GSK3196165 180 mg-0.020± 0.0881
T Cell B Cell NKL, Week 4, n=8, 25
GroupValue95% CI
Placebo0.108± 0.2174
GSK3196165 180 mg-0.050± 0.1229
T Cell B Cell NKL, Week 12, n=6, 25
GroupValue95% CI
Placebo-0.093± 0.1792
GSK3196165 180 mg-0.006± 0.0925
T Cell B Cell NKL, 12-Week FU, n=6, 21
GroupValue95% CI
Placebo-0.029± 0.2168
GSK3196165 180 mg-0.050± 0.1183
Change From Baseline in Flow Cytometry: T Regulatory (Reg) Cell Foxp3- CD3+ CD4+, CD3+ CD8+ and CD3+ Primary · Baseline and Weeks 1, 4, 12, 12-Week FU (Week 22)

Whole blood samples were collected and analyzed for markers which may be predictive of rheumatoid arthritis disease activity. Flow cytometry assessment included assessment of CD3+ CD4+, CD3+ CD8+ and CD3+. Baseline was defined at Day 1. Change from Baseline was calculated as ratio of Baseline value to post-dose value. Analysis was performed using repeated measures analysis adjusted for CD3+ CD4+, CD3+ CD8+ and CD3+ Number of Cells (10\^6/L) log(Baseline value), treatment group, disease duration (\<=2 or \>2 years), visit and treatment group by visit interaction. Only those participants with da

CD3+ CD4+, Week 1, n=7, 23
GroupValue95% CI
Placebo0.905± 10.21
GSK3196165 180 mg1.007± 5.65
CD3+ CD4+, Week 4, n=7, 22
GroupValue95% CI
Placebo1.038± 11.31
GSK3196165 180 mg0.976± 6.38
CD3+ CD4+, Week 12, n=5, 21
GroupValue95% CI
Placebo0.981± 10.55
GSK3196165 180 mg1.004± 5.31
CD3+ CD4+, 12-Week FU, n=5, 17
GroupValue95% CI
Placebo0.926± 11.70
GSK3196165 180 mg1.003± 6.39
CD3+ CD8+, Week 1, n=7, 23
GroupValue95% CI
Placebo0.885± 9.97
GSK3196165 180 mg0.983± 5.50
CD3+ CD8+, Week 4, n=7, 22
GroupValue95% CI
Placebo0.981± 11.89
GSK3196165 180 mg0.939± 6.66
CD3+ CD8+, Week 12, n=5, 21
GroupValue95% CI
Placebo0.878± 10.50
GSK3196165 180 mg0.945± 5.40
CD3+ CD8+, 12-Week FU, n=5, 17
GroupValue95% CI
Placebo0.936± 10.99
GSK3196165 180 mg0.965± 6.05
Change From Baseline in Flow Cytometry: T Reg Cell Foxp3: CD3+CD4+CD25+CD127-, CD3+CD4+foxP3+CD25+CD127- Primary · Baseline and Weeks 1, 4, 12, 12-Week FU (Week 22)

Whole blood samples were collected and analyzed for markers which may be predictive of rheumatoid arthritis disease activity. Flow cytometry assessment included assessment of CD3+CD4+CD25+CD127- and CD3+CD4+foxP3+CD25+CD127-. Baseline was defined at Day 1. Change from Baseline was calculated by subtracting the post-dose value from the Baseline value. Analysis was performed using repeated measures analysis adjusted for CD3+CD4+CD25+CD127- and CD3+CD4+foxP3+CD25+CD127-Number of Cells (10\^6 cells/L) log(Baseline value), treatment group, disease duration (\<=2 or \>2 years), visit and treatment g

CD3+CD4+CD25+CD127-, Week 1, n=7, 23
GroupValue95% CI
Placebo-3.6± 8.35
GSK3196165 180 mg2.9± 4.67
CD3+CD4+CD25+CD127-, Week 4, n=7, 22
GroupValue95% CI
Placebo1.4± 8.34
GSK3196165 180 mg-0.4± 4.70
CD3+CD4+CD25+CD127-, Week 12, n=5, 21
GroupValue95% CI
Placebo-9.4± 9.87
GSK3196165 180 mg-3.1± 4.94
CD3+CD4+CD25+CD127-, 12-Week FU, n=5, 17
GroupValue95% CI
Placebo-12.9± 9.92
GSK3196165 180 mg-2.3± 5.43
CD3+CD4+foxP3+CD25+CD127, Week 1, n=7, 23
GroupValue95% CI
Placebo0.8± 6.39
GSK3196165 180 mg2.8± 3.58
CD3+CD4+foxP3+CD25+CD127, Week 4, n=7, 22
GroupValue95% CI
Placebo4.3± 7.05
GSK3196165 180 mg2.0± 3.98
CD3+CD4+foxP3+CD25+CD127, Week 12, n=5, 21
GroupValue95% CI
Placebo2.7± 7.99
GSK3196165 180 mg-4.4± 3.91
CD3+CD4+foxP3+CD25+CD127,12-Week FU, n=5,17
GroupValue95% CI
Placebo-8.7± 5.94
GSK3196165 180 mg-4.6± 3.15
Change From Baseline in T Helper Cell Panel Events Primary · Baseline and Weeks 1, 4, 12, 12-Week FU (Week 22)

Blood samples were collected and analyzed for markers which may be predictive of rheumatoid arthritis disease activity. T Helper Cell Panel included analysis of CD45+3+8-4+CCR6+CXCR3+38+DR+, CD45+3+8-4+CCR6+CXCR3-38+DR+, CD45+3+8-4+CCR6-CXCR3+38+DR+, CD45+3+8-4+CCR6-CXCR3-38+DR+, CD45+CD3+CD8-CD4+, CD45+CD3+CD8-CD4+CCR6+CXCR3+, CD45+CD3+CD8-CD4+CCR6+CXCR3-, CD45+CD3+CD8-CD4+CCR6-CXCR3+ and CD45+CD3+CD8-CD4+CCR6-CXCR3-. Baseline was defined at Day 1. Change from Baseline was calculated by subtracting the post-dose value from the Baseline value. Analysis was performed using repeated measures ana

CD45+3+8-4+CCR6+CXCR3+38+DR+, Week 1, n=7, 23
GroupValue95% CI
Placebo-48.6± 13.50
GSK3196165 180 mg-34.0± 7.35
CD45+3+8-4+CCR6+CXCR3+38+DR+, Week 4, n=7, 21
GroupValue95% CI
Placebo-14.5± 18.36
GSK3196165 180 mg-6.1± 10.63
CD45+3+8-4+CCR6+CXCR3+38+DR+, Week 12, n=5, 22
GroupValue95% CI
Placebo42.3± 37.80
GSK3196165 180 mg-6.9± 17.69
CD45+3+8-4+CCR6+CXCR3+38+DR+,12-Week FU,n=5,18
GroupValue95% CI
Placebo11.5± 16.47
GSK3196165 180 mg-18.7± 8.66
CD45+3+8-4+CCR6+CXCR3-38+DR+, Week 1, n=7, 23
GroupValue95% CI
Placebo-17.0± 6.80
GSK3196165 180 mg-10.5± 3.62
CD45+3+8-4+CCR6+CXCR3-38+DR+, Week 4, n=7, 21
GroupValue95% CI
Placebo14.2± 15.65
GSK3196165 180 mg12.2± 9.10
CD45+3+8-4+CCR6+CXCR3-38+DR+, Week 12, n=5, 22
GroupValue95% CI
Placebo3.4± 16.09
GSK3196165 180 mg-3.0± 7.55
CD45+3+8-4+CCR6+CXCR3-38+DR+, 12-Week FU, n=5, 18
GroupValue95% CI
Placebo8.9± 12.29
GSK3196165 180 mg3.3± 6.36

Adverse events — posted to ClinicalTrials.gov

Time frame: AEs and SAEs were collected from start of study treatment up to 12-Week FU (Week 22).. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo
Serious: 0/11 (0%)
Deaths: 0/11
GSK3196165 180 mg
Serious: 0/28 (0%)
Deaths: 0/28
Other adverse events (20 terms — click to expand)

ReactionSystemPlaceboGSK3196165 180 mg
Pain in extremityMusculoskeletal and connective tissue disorders
Rheumatoid arthritisMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
Musculoskeletal painMusculoskeletal and connective tissue disorders
Upper respiratory tract infectionInfections and infestations
LaryngitisInfections and infestations
NasopharyngitisInfections and infestations
AsthmaRespiratory, thoracic and mediastinal disorders
AlopeciaSkin and subcutaneous tissue disorders
ErythemaSkin and subcutaneous tissue disorders
RosaceaSkin and subcutaneous tissue disorders
Seborrhoeic dermatitisSkin and subcutaneous tissue disorders
Coronary artery diseaseCardiac disorders
TachycardiaCardiac disorders
NeutropeniaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
Weight increasedInvestigations
HeadacheNervous system disorders
Initial insomniaPsychiatric disorders

Data from ClinicalTrials.gov NCT02799472 adverse events section.

Sponsor's own description

This study is designed to explore the activity of granulocyte-macrophage colony stimulating factor (GM-CSF) signaling pathway in subjects with rheumatoid arthritis (RA), the potential impact of inhibition of this axis by GSK3196165, and to evaluate whether there are any differences in the GM-CSF axis between subjects with early RA compared with those with more established disease. This study also aims to establish the potential impact of GSK3196165 on inflammatory structural joint damage in the hand/wrist using magnetic resonance imaging (MRI). This is a randomized Phase IIa, multi-center, double-blind, placebo-controlled parallel group study. Approximately 40 subjects with active RA despite treatment with disease-modifying antirheumatic drugs (DMARDs) (including conventional or biologic) will be randomized into the study, following a screening period of up to 6 weeks. The total treatment period is up to 10 weeks, with a 12-week follow-up period after the last dose (Week 22).

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. 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
  3. 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
  4. Targeting GM-CSF in COVID-19 Pneumonia: Rationale and Strategies.
    Bonaventura A, Vecchié A, Wang TS, Lee E, et al · · 2020 · cited 112× · PMID 32719685 · DOI 10.3389/fimmu.2020.01625
  5. Molecular and Cellular Heterogeneity in Rheumatoid Arthritis: Mechanisms and Clinical Implications.
    Zhao J, Guo S, Schrodi SJ, He D. · · 2021 · cited 105× · PMID 34899757 · DOI 10.3389/fimmu.2021.790122
  6. Investigational therapies targeting the granulocyte macrophage colony-stimulating factor receptor-α in rheumatoid arthritis: focus on mavrilimumab.
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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/NCT02799472.

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