Last reviewed · How we verify

NCT03614728

Study to Investigate the Safety and Clinical Activity of GSK3326595 and Other Agents to Treat Myelodysplastic Syndrome (MDS) and Acute Myeloid Leukemia (AML)

Terminated Phase 1, PHASE2 Results posted Last updated 6 February 2023
What this trial tests

Phase 1, PHASE2 trial testing GSK3326595 in Neoplasms in 30 participants. Terminated before completion.

Timeline
16 October 2018
Primary endpoint
11 January 2022
11 January 2022

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment30
Start date16 October 2018
Primary completion11 January 2022
Estimated completion11 January 2022
Sites8 locations across Canada, United States

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

18 and older, any sex, with Neoplasms. 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: Percentage of Participants With Clinical Benefit Rate (CBR) Primary · Up to 30.8 months

CBR is defined as the percentage of participants achieving a complete remission (CR), complete marrow remission (mCR), partial remission (PR), stable disease (SD) lasting at least 8 weeks, or hematologic improvement (HI), per International Working Group (IWG) criteria, where CR=Bone marrow:\<=5 percent(%) myeloblasts with normal maturation of all cell lines; PR=Bone marrow blasts decreased by \>=50% over pre-treatment but still \>5%; mCR=Bone marrow: \<=5% myeloblasts and decrease by \>=50% over pre-treatment; SD= Failure to achieve at least PR, but no evidence of progression \>8 weeks; HI=Ery

GroupValue95% CI
Part 1: GSK3326595 400 mg151.9 – 45.4
Part 1: GSK3326595 300 mg183.8 – 43.4
Part 1: Number of Participants With Common Non-STEAEs and STEAEs Secondary · Up to 30.8 months

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. An SAE is defined as any untoward medical occurrence that, at any dose; results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect or any other situation according to medical or scientific judgement. TEAE is any event that was not present prior to the initiation

Common non-STEAEs
GroupValue95% CI
Part 1: GSK3326595 400 mg12
Part 1: GSK3326595 300 mg17
STEAEs
GroupValue95% CI
Part 1: GSK3326595 400 mg11
Part 1: GSK3326595 300 mg12
Part 1: Number of Participants With AEs by Severity Secondary · Up to 30.8 months

An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a study intervention, whether or not considered related to the study intervention. Severity of each AE was reported during the study and was assigned a grade according to the NCI-CTCAE. AEs severity were graded as: Grade 1=mild; Grade 2=moderate; Grade 3=severe or medically significant but not immediately life-threatening; Grade 4=life-threatening consequences and Grade 5=death related to AE.

Grade 1
GroupValue95% CI
Part 1: GSK3326595 400 mg0
Part 1: GSK3326595 300 mg0
Grade 2
GroupValue95% CI
Part 1: GSK3326595 400 mg1
Part 1: GSK3326595 300 mg0
Grade 3
GroupValue95% CI
Part 1: GSK3326595 400 mg0
Part 1: GSK3326595 300 mg6
Grade 4
GroupValue95% CI
Part 1: GSK3326595 400 mg5
Part 1: GSK3326595 300 mg6
Grade 5
GroupValue95% CI
Part 1: GSK3326595 400 mg7
Part 1: GSK3326595 300 mg5
Part 1: Number of Participants With DLTs Secondary · Up to 28 days

An event is considered to be a DLT if the event occurs within the first 28 days of treatment meeting one of the following criteria of toxicity, Hematologic: Grade 4 or greater treatment-emergent neutropenia, anemia, or thrombocytopenia, lasting for \>=14 days in the absence of Investigational Product, that cannot be attributed to underlying disease as described in NCI-CTCAE version 4; Non-hematologic: Hepatic toxicity that meets Liver Stopping Criteria, Grade 3 nausea, vomiting or diarrhea that does not improve within 72 hours despite appropriate supportive treatments, Grade 4 or greater nause

GroupValue95% CI
Part 1: GSK3326595 400 mg0
Part 1: GSK3326595 300 mg0
Part 1: Overall Response Rate Secondary · Up to 30.8 months

Overall response rate is defined as the percentage of participants achieving a CR, mCR, or PR, per IWG criteria, where CR=Bone marrow: \<=5% myeloblasts with normal maturation of all cell lines; PR=Bone marrow blasts decreased by \>=50% over pre-treatment but still \>5%; mCR= Bone marrow: ≤ 5% myeloblasts and decrease by \>=50% over pre-treatment. Percentage values are rounded off.

GroupValue95% CI
Part 1: GSK3326595 400 mg00.0 – 24.7
Part 1: GSK3326595 300 mg60.1 – 28.7
Part 1: Progression Free Survival Secondary · Up to 30.8 months

Progression free survival is defined as time from first dose to disease progression, as defined by IWG criteria, or death due to any cause, whichever occurs earlier. Progressive Disease (PD) is defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study.

GroupValue95% CI
Part 1: GSK3326595 400 mg0.990.95 – 2.53
Part 1: GSK3326595 300 mg0.990.95 – 2.43
Part 1: Overall Survival Secondary · Up to 30.8 months

Overall survival is defined as time from first dose to death due to any cause.

GroupValue95% CI
Part 1: GSK3326595 400 mg2.692.14 – 12.98
Part 1: GSK3326595 300 mg2.961.28 – 15.24
Part 1: Maximum Observed Plasma Concentration (Cmax) of GSK3326595 Following Administration of Single Dose Secondary · Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

GroupValue95% CI
Part 1: GSK3326595 400 mg1322.8± 50
Part 1: GSK3326595 300 mg960.4± 61
Part 1: Cmax of GSK3326595 Following Administration of Repeat Dose Secondary · Day 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

GroupValue95% CI
Part 1: GSK3326595 400 mg1125.4± 95
Part 1: GSK3326595 300 mg889.7± 38
Part 1: Time of Maximum Concentration Observed (Tmax) of GSK3326595 Following Administration of Single Dose Secondary · Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

GroupValue95% CI
Part 1: GSK3326595 400 mg2.00000.950 – 4.167
Part 1: GSK3326595 300 mg2.16670.500 – 5.933
Part 1: Tmax of GSK3326595 Following Administration of Repeat Dose Secondary · Day 15:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

GroupValue95% CI
Part 1: GSK3326595 400 mg2.98330.083 – 5.833
Part 1: GSK3326595 300 mg2.95000.483 – 4.067
Part 1: Apparent Terminal Phase Half-life (t1/2) of GSK3326595 Following Administration of Single Dose Secondary · Day 1:Pre-dose(within 1 hour prior to dosing),5minute(+/-2minute),30minute(+/-5minute),1hour(+/-5minute),2hours(+/-5minute),3hours(+/-5minute),4hours(+/-10minute),6hours(+/-10minute),8hours(+/-15minute),12hours(+/-2hour), 24hours(+/-2hour) post-dose

Blood samples were collected at indicated time points for pharmacokinetic analysis of GSK3326595.

GroupValue95% CI
Part 1: GSK3326595 400 mg5.0755± 45.248
Part 1: GSK3326595 300 mg6.7688± 52.542

Adverse events — posted to ClinicalTrials.gov

Time frame: All-cause mortality, common non-STEAEs and STEAEs were collected up to 30.8 months in Part 1 of the study. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1: GSK3326595 400 mg
Serious: 11/13 (85%)
Deaths: 11/13
Part 1: GSK3326595 300 mg
Serious: 12/17 (71%)
Deaths: 14/17

Serious adverse events (36 terms)

ReactionSystemPart 1: GSK3326595 400 mgPart 1: GSK3326595 300 mg
SepsisInfections and infestations
PneumoniaInfections and infestations
Febrile neutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Septic shockInfections and infestations
AnaemiaBlood and lymphatic system disorders
AstheniaGeneral disorders
PyrexiaGeneral disorders
Neutrophil count decreasedInvestigations
Respiratory failureRespiratory, thoracic and mediastinal disorders
ActinomycosisInfections and infestations
Arthritis bacterialInfections and infestations
CellulitisInfections and infestations
DiverticulitisInfections and infestations
Oral herpesInfections and infestations
Pneumocystis jirovecii pneumoniaInfections and infestations
Pneumonia bacterialInfections and infestations
Vascular device infectionInfections and infestations
DeathGeneral disorders
Disease progressionGeneral disorders
Multiple organ dysfunction syndromeGeneral disorders
PainGeneral disorders
Alanine aminotransferase increasedInvestigations
Electrocardiogram abnormalInvestigations
International normalised ratio increasedInvestigations
Other adverse events (154 terms — click to expand)

ReactionSystemPart 1: GSK3326595 400 mgPart 1: GSK3326595 300 mg
Platelet count decreasedInvestigations
DiarrhoeaGastrointestinal disorders
DysgeusiaNervous system disorders
FatigueGeneral disorders
AnaemiaBlood and lymphatic system disorders
Neutrophil count decreasedInvestigations
DyspnoeaRespiratory, thoracic and mediastinal disorders
NauseaGastrointestinal disorders
Oedema peripheralGeneral disorders
CoughRespiratory, thoracic and mediastinal disorders
Decreased appetiteMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
Muscular weaknessMusculoskeletal and connective tissue disorders
International normalised ratio increasedInvestigations
Blood creatinine increasedInvestigations
HeadacheNervous system disorders
PyrexiaGeneral disorders
AlopeciaSkin and subcutaneous tissue disorders
Abdominal painGastrointestinal disorders
VomitingGastrointestinal disorders
Blood alkaline phosphatase increasedInvestigations
DizzinessNervous system disorders
HyperglycaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
PneumoniaInfections and infestations
ContusionInjury, poisoning and procedural complications
ConstipationGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
DyspepsiaGastrointestinal disorders
StomatitisGastrointestinal disorders
Haemorrhoidal haemorrhageGastrointestinal disorders
Oral disorderGastrointestinal disorders
Activated partial thromboplastin time prolongedInvestigations
Alanine aminotransferase increasedInvestigations
Blood bilirubin increasedInvestigations
Prothrombin time prolongedInvestigations
Troponin T increasedInvestigations
White blood cell count decreasedInvestigations

Most-reported serious reactions: Sepsis, Pneumonia, Febrile neutropenia, Thrombocytopenia, Septic shock, Anaemia, Asthenia, Pyrexia.

Data from ClinicalTrials.gov NCT03614728 adverse events section.

Sponsor's own description

This study will evaluate the safety, tolerability, and clinical activity of GSK3326595 in participants with relapsed and refractory MDS, chronic myelomonocytic leukemia (CMML), and AML. The study will be conducted in 2 parts: Part 1 will determine the clinical benefit rate (CBR) of GSK3326595 in monotherapy and Part 2 will be expanded to study GSK3326595 in combination with 5-Azacitidine which will be composed of a dose escalation phase followed by dose expansion cohort of GSK3326595.

Publications & conference data

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

  1. Targeting epigenetic regulators for cancer therapy: mechanisms and advances in clinical trials.
    Cheng Y, He C, Wang M, Ma X, et al · · 2019 · cited 760× · PMID 31871779 · DOI 10.1038/s41392-019-0095-0
  2. Pancreatic cancer organoids recapitulate disease and allow personalized drug screening.
    Driehuis E, van Hoeck A, Moore K, Kolders S, et al · · 2019 · cited 358× · PMID 31818951 · DOI 10.1073/pnas.1911273116
  3. Human organoids in basic research and clinical applications.
    Tang XY, Wu S, Wang D, Chu C, et al · · 2022 · cited 298× · PMID 35610212 · DOI 10.1038/s41392-022-01024-9
  4. Therapeutic Targeting of RNA Splicing Catalysis through Inhibition of Protein Arginine Methylation.
    Fong JY, Pignata L, Goy PA, Kawabata KC, et al · · 2019 · cited 238× · PMID 31408619 · DOI 10.1016/j.ccell.2019.07.003
  5. Protein arginine methyltransferases: promising targets for cancer therapy.
    Hwang JW, Cho Y, Bae GU, Kim SN, et al · · 2021 · cited 205× · PMID 34006904 · DOI 10.1038/s12276-021-00613-y
  6. PRMT5 control of cGAS/STING and NLRC5 pathways defines melanoma response to antitumor immunity.
    Kim H, Kim H, Feng Y, Li Y, et al · · 2020 · cited 181× · PMID 32641491 · DOI 10.1126/scitranslmed.aaz5683
  7. PRMT5 function and targeting in cancer.
    Kim H, Ronai ZA. · · 2020 · cited 174× · PMID 32743345 · DOI 10.15698/cst2020.08.228
  8. Cellular pathways influenced by protein arginine methylation: Implications for cancer.
    Xu J, Richard S. · · 2021 · cited 147× · PMID 34619091 · DOI 10.1016/j.molcel.2021.09.011

Verify or expand the search:

Other trials of GSK3326595

Trials testing the same drug.

Other recruiting trials for Neoplasms

Currently open trials in the same condition.

Other GlaxoSmithKline trials

Trials by the same sponsor.

Verify against primary sources

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/NCT03614728.

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