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NCT03893565

Safety, Tolerability, Efficacy and Dose-response of GSK2831781 in Ulcerative Colitis

Terminated Phase 2 Results posted Last updated 27 April 2022
What this trial tests

Phase 2 trial testing GSK2831781 - Double Blind Phase in Colitis, Ulcerative in 104 participants. Terminated before completion.

Timeline
6 May 2019
Primary endpoint
17 May 2021
17 May 2021

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingdouble
Primary purposetreatment
Enrollment104
Start date6 May 2019
Primary completion17 May 2021
Estimated completion17 May 2021
Sites61 locations across France, South Africa, Japan, Netherlands, Russia, Slovakia, India, Serbia

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

18 and older, any sex, with Colitis, Ulcerative. 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.

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)-Double-Blind Induction Phase Primary · Up to a maximum of Week 14

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 other important medical events that may jeopardize the participant or may require medical or surgical intervention to prevent one

AEs
GroupValue95% CI
Placebo IV10
GSK2831781 450 mg IV27
GSK2831781 300 mg IV6
GSK2831781 150 mg IV2
GSK2831781 45 mg IV2
SAEs
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV6
GSK2831781 300 mg IV1
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
Number of Participants With Worst-case Vital Signs Results by Potential Clinical Importance (PCI) Criteria Post-Baseline Relative to Baseline-Double-Blind Induction Phase Primary · Up to Week 10

Vital signs were measured in a seated or semi-supine position after 5 minutes rest. The clinical concern range for vital signs were: systolic blood pressure (SBP) (lower: \<85 and upper: \> 160 millimeters of mercury \[mmHg\]); diastolic blood pressure (DBP) (lower: \<45 mmHg and upper: \>100 mmHg); pulse rate (PR) (lower: \<40 and upper: \>110 beats per minute \[bpm\]) and temperature (Temp) (lower: \<35 and upper: \>38 degree Celsius). Participants were counted in the worst-case category that their value changed to (low, within range or no change, or high), unless there was no change in thei

DBP; To low; n=27, 47, 9, 8, 7
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV0
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
DBP; To w/in range or no change; n=27, 47, 9, 8, 7
GroupValue95% CI
Placebo IV27
GSK2831781 450 mg IV47
GSK2831781 300 mg IV9
GSK2831781 150 mg IV8
GSK2831781 45 mg IV7
DBP; To high; n=27, 47, 9, 8, 7
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV0
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
SBP; To low; n=27, 47, 10, 9, 6
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV0
GSK2831781 300 mg IV1
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
SBP; To w/in range or no change; n=27, 47, 10, 9,6
GroupValue95% CI
Placebo IV26
GSK2831781 450 mg IV45
GSK2831781 300 mg IV9
GSK2831781 150 mg IV9
GSK2831781 45 mg IV6
SBP; To high; n=27, 47, 10, 9, 6
GroupValue95% CI
Placebo IV1
GSK2831781 450 mg IV2
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
PR; To low; n=27, 47, 11, 9, 8
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV1
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
PR; To w/in range or no change; n=27, 47, 11, 9, 8
GroupValue95% CI
Placebo IV27
GSK2831781 450 mg IV45
GSK2831781 300 mg IV10
GSK2831781 150 mg IV9
GSK2831781 45 mg IV8
Number of Participants With Worst-case Hematology Results by PCI Criteria Post-Baseline Relative to Baseline-Double-Blind Induction Phase Primary · Up to Week 10

Blood samples were collected for the assessment of hematology parameters. The clinical concern range for the parameters were: hematocrit (Hct) (low: 0.201 and high: \>0.599 proportion of red blood cells in blood); hemoglobin (Hgb) (low: \<80 and high: \>180 grams per liter \[g/L\]), lymphocytes (Lymph) (low: \<0.8x10\^9 cells/L); neutrophil (Neut) count (low: \<1.5x10\^9 cells/L); platelet (plat) count (low: \<100x10\^9 cells/L and high: \>550x10\^9 cells/L); leukocytes (leuko) (low: \<3x10\^9 cells/L and high: \>20x10\^9cells/L) and eosinophils (Eos) (high: \>=1x10\^9 cells/L). Participants w

Eos;w/in range or no change; n=25,45,9,8,7
GroupValue95% CI
Placebo IV24
GSK2831781 450 mg IV44
GSK2831781 300 mg IV9
GSK2831781 150 mg IV8
GSK2831781 45 mg IV7
Eos; To high; n=25,45,9,8,7
GroupValue95% CI
Placebo IV1
GSK2831781 450 mg IV1
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
Hct; To low; n=24,43,7,6,7
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV0
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
Hct; To w/in range or no change; n=24,43,7,6,7
GroupValue95% CI
Placebo IV24
GSK2831781 450 mg IV43
GSK2831781 300 mg IV7
GSK2831781 150 mg IV6
GSK2831781 45 mg IV7
Hct; To high; n=24,43,7,6,7
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV0
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
Hgb; To low; n=24,45,5,7,7
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV0
GSK2831781 300 mg IV1
GSK2831781 150 mg IV1
GSK2831781 45 mg IV0
Hgb; To w/in range or no change; n=24,45,5,7,7
GroupValue95% CI
Placebo IV24
GSK2831781 450 mg IV45
GSK2831781 300 mg IV4
GSK2831781 150 mg IV6
GSK2831781 45 mg IV7
Hgb; To high; n=24,45,5,7,7
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV0
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
Number of Participants With Worst-case Clinical Chemistry Results by PCI Criteria Post-Baseline Relative to Baseline-Double-Blind Induction Phase Primary · Up to Week 10

Blood samples were collected for the assessment of clinical chemistry parameters. The clinical concern range for the parameters were: albumin (Alb) (low: \<30 and high: \>55 g/L), calcium (Ca) (low: 2 and high: 2.75 millimoles per liter \[mmol/L\]), urea (high: \>10.5 mmol/L); creatinine (Creat) (high: change from Baseline \>26 micromoles per liter \[µmol/L\]), glucose (Glu) (low: \<3.5 and high: \>7.9 mmol/L); estimated glomerular filtration rate (eGFR) (low: \<60 milliliters per minute per 1.73 square meter \[mL/min/1.73m\^2)\]; potassium (Pot) (low: \<3 and high: \>5.5 mmol/L); sodium (Sod)

Alb; To low; n=26,42,7,6,6
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV2
GSK2831781 300 mg IV0
GSK2831781 150 mg IV1
GSK2831781 45 mg IV0
Alb; To w/in range or no change; n=26,42,7,6,6
GroupValue95% CI
Placebo IV26
GSK2831781 450 mg IV40
GSK2831781 300 mg IV7
GSK2831781 150 mg IV5
GSK2831781 45 mg IV6
Alb; To high; n=26,42,7,6,6
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV0
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
CRP; To w/in range or no change; n=26, 46,9,10,8
GroupValue95% CI
Placebo IV25
GSK2831781 450 mg IV36
GSK2831781 300 mg IV7
GSK2831781 150 mg IV9
GSK2831781 45 mg IV8
CRP; To high; n=26, 46,9,10,8
GroupValue95% CI
Placebo IV1
GSK2831781 450 mg IV10
GSK2831781 300 mg IV2
GSK2831781 150 mg IV1
GSK2831781 45 mg IV0
Cal; To low; n=26,45,7,4,7
GroupValue95% CI
Placebo IV1
GSK2831781 450 mg IV0
GSK2831781 300 mg IV0
GSK2831781 150 mg IV1
GSK2831781 45 mg IV0
Cal; To w/in range or no change; n=26,45,7,4,7
GroupValue95% CI
Placebo IV25
GSK2831781 450 mg IV45
GSK2831781 300 mg IV7
GSK2831781 150 mg IV3
GSK2831781 45 mg IV7
Cal; To high; n=26,45,7,4,7
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV0
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
Number of Participants With Worst-case Liver Function Results by PCI Criteria Post-Baseline Relative to Baseline-Double-Blind Induction Phase Primary · Up to Week 10

Blood samples were collected for the assessment of liver function parameters. The clinical concern range for liver function parameters were: alanine aminotransferase (ALT) (high: \>=2 times upper limit of normal \[ULN\]); aspartate aminotransferase (AST) (high: \>=2 times ULN); alkaline phosphatase (ALP) (high: \>=2 times ULN) and bilirubin (Bil) (high: \>=1.5 times ULN). Participants were counted in the worst-case category that their value changed to (within range or no change, or high), unless there was no change in their category. Participants whose value category was unchanged (e.g. High t

ALT; To low; n=26,44,7,7,8
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV0
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
ALT;To w/in range or no change; n=26,44,7,7,8
GroupValue95% CI
Placebo IV25
GSK2831781 450 mg IV42
GSK2831781 300 mg IV7
GSK2831781 150 mg IV7
GSK2831781 45 mg IV8
ALT; To high; n=26,44,7,7,8
GroupValue95% CI
Placebo IV1
GSK2831781 450 mg IV2
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
AST; To low; n=26,45,7,8,7
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV0
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
AST; To w/in range or no change; n=26,45,7,8,7
GroupValue95% CI
Placebo IV26
GSK2831781 450 mg IV44
GSK2831781 300 mg IV7
GSK2831781 150 mg IV8
GSK2831781 45 mg IV7
AST; To high;n=26,45,7,8,7
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV1
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
ALP; To low; n=27,44,9,9,8
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV0
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
ALP; To w/in range or no change; n=27,44,9,9,8
GroupValue95% CI
Placebo IV27
GSK2831781 450 mg IV44
GSK2831781 300 mg IV9
GSK2831781 150 mg IV9
GSK2831781 45 mg IV8
Number of Participants With Worst-case Urinalysis Results by PCI Criteria Post-Baseline Relative to Baseline-Double-Blind Induction Phase Primary · Up to Week 10

Urine samples were collected for the assessment of urine parameters by dipstick and microscopy. The dipstick test gives results in a semi-quantitative manner, and results can be read as Trace, 1+, 2+ indicating proportional concentrations in the urine sample. The clinical concern range for urine parameters were: Bil (high: \>1+), glu (high: \>1+); ketone (ket) (high: \>2+); leuko (high: \>1+); leukocyte esterase (LE); nitrite (nit) (high: positive); occult blood (OB) (high: \>1+); potential of hydrogen (pH) (low: \<4.6 and high: \>8); prot (high:\>1+); erythrocytes (erythro) (high: \>3 cells p

Bil; To w/in range or no change; n=27,47,10,9,8
GroupValue95% CI
Placebo IV27
GSK2831781 450 mg IV46
GSK2831781 300 mg IV10
GSK2831781 150 mg IV9
GSK2831781 45 mg IV8
Bil; To high; n=27,47,10,9,8
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV1
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
Glu; To w/in range or no change; n=27,47,10,10,8
GroupValue95% CI
Placebo IV27
GSK2831781 450 mg IV47
GSK2831781 300 mg IV10
GSK2831781 150 mg IV10
GSK2831781 45 mg IV8
Glu; To high; n=27,47,10,10,8
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV0
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
Ket; To w/in range or no change; n=27,47,10,8,8
GroupValue95% CI
Placebo IV25
GSK2831781 450 mg IV47
GSK2831781 300 mg IV10
GSK2831781 150 mg IV7
GSK2831781 45 mg IV8
Ket; To high; n=27,47,10,8,8
GroupValue95% CI
Placebo IV2
GSK2831781 450 mg IV0
GSK2831781 300 mg IV0
GSK2831781 150 mg IV1
GSK2831781 45 mg IV0
LE; To w/in range or no change; n=26,45,9,8,8
GroupValue95% CI
Placebo IV25
GSK2831781 450 mg IV37
GSK2831781 300 mg IV9
GSK2831781 150 mg IV8
GSK2831781 45 mg IV8
LE; To high; n=26,45,9,8,8
GroupValue95% CI
Placebo IV1
GSK2831781 450 mg IV8
GSK2831781 300 mg IV0
GSK2831781 150 mg IV0
GSK2831781 45 mg IV0
Number of Participants With Maximum Corrected QT (QTc) Values Post-Baseline Relative to Baseline-Double-Blind Induction Phase Primary · Up to Week 10

Twelve lead electrocardiograms (ECGs) were obtained using an ECG machine that automatically calculated the QT interval corrected for heart rate according to either Bazett's formula (QTcB) or Fridericia's formula (QTcF). The clinical concern range for the QTcB and QTcF intervals was upper: \>450 milliseconds.

QTcB; No change or decrease to <450; n=26,44,8,9,7
GroupValue95% CI
Placebo IV22
GSK2831781 450 mg IV41
GSK2831781 300 mg IV6
GSK2831781 150 mg IV7
GSK2831781 45 mg IV7
QTcB; Any increase to >=450; n=26,44,8,9,7
GroupValue95% CI
Placebo IV4
GSK2831781 450 mg IV3
GSK2831781 300 mg IV2
GSK2831781 150 mg IV2
GSK2831781 45 mg IV0
QTcF; No change or decrease to <450; n=26,46,7,9,7
GroupValue95% CI
Placebo IV26
GSK2831781 450 mg IV45
GSK2831781 300 mg IV7
GSK2831781 150 mg IV8
GSK2831781 45 mg IV7
QTcF; Any increase to >=450; n=26,46,7,9,7
GroupValue95% CI
Placebo IV0
GSK2831781 450 mg IV1
GSK2831781 300 mg IV0
GSK2831781 150 mg IV1
GSK2831781 45 mg IV0
Change From Baseline in Complete 4-domain Mayo Score at Week 10 Primary · Baseline and Week 10

The Complete 4-domain Mayo Score is a 12-point scoring system where disease is evaluated based on the four components: stool frequency, rectal bleeding, physician global assessment (PGA) and endoscopic appearance (with mild friability associated with an endoscopic score of 1). The score for each component ranges from 0 (normal/none) to 3 (severe). The complete Mayo score is calculated as the sum of four components and ranges from 0 to 12. Higher scores indicate greater disease severity. Baseline value was the latest pre-dose assessment with a non-missing value from Double-Blind Induction study

GroupValue95% CI
Placebo IV-1.5± 0.45
GSK2831781 450 mg IV-1.4± 0.36
GSK2831781 300 mg IV-0.3± 0.48
GSK2831781 150 mg IV-1.0± 2.00
GSK2831781 45 mg IV-2.3± 0.33
Number of Participants With AEs and SAEs-Double-Blind Extended Treatment Phase Secondary · Week 14 to 30

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 other important medical events that may jeopardize the participant or may require medical or surgical intervention to prevent one

AEs
GroupValue95% CI
Placebo SC1
GSK2831781 300 mg SC3
SAEs
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC1
Number of Participants With Worst-case Vital Signs Results by PCI Criteria Post-Baseline Relative to Baseline-Double-Blind Extended Treatment Phase Secondary · Week 14 to 30

Vital signs were measured in a seated or semi-supine position after 5 minutes rest. The clinical concern range for vital signs were: SBP (lower: \<85 and upper: \> 160 mmHg); DBP (lower: \<45 mmHg and upper: \>100 mmHg); PR (lower: \<40 and upper: \>110 bpm) and Temp (lower: \<35 and upper: \>38 degree Celsius). Participants were counted in the worst-case category that their value changed to (low, within range or no change, or high), unless there was no change in their category. Participants whose value category was unchanged (e.g. High to High), or whose value became within range, were record

DBP; To low
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC0
DBP; To w/in range or no change
GroupValue95% CI
Placebo SC5
GSK2831781 300 mg SC8
DBP; To high
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC0
SBP; To low
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC0
SBP; To w/in range or no change
GroupValue95% CI
Placebo SC5
GSK2831781 300 mg SC8
SBP; To high
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC0
PR; To low
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC0
PR; To w/in range or no change
GroupValue95% CI
Placebo SC5
GSK2831781 300 mg SC8
Number of Participants With Worst-case Hematology Results by PCI Criteria Post-Baseline Relative to Baseline-Double-Blind Extended Treatment Phase Secondary · Week 14 to 30

Blood samples were collected for the assessment of hematology parameters. The clinical concern range for the parameters were: Hct (low: 0.201 and high: \>0.599 proportion of red blood cells in blood); Hgb (low: \<80 and high: \>180 g/L), Lymph (low: \<0.8x10\^9 cells/L); Neut count (low: \<1.5x10\^9 cells/L); plat count (low: \<100x10\^9 cells/L and high: \>550x10\^9 cells/L); leuko (low: \<3x10\^9 cells/L and high: \>20x10\^9cells/L) and Eos (high: \>=1x10\^9 cells/L). Participants were counted in the worst-case category that their value changed to (low, within range or no change, or high), u

Eos;To w/in range or no change; n=4,8
GroupValue95% CI
Placebo SC4
GSK2831781 300 mg SC8
Eos; To high; n=4,8
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC0
Hct; To low; n=5,8
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC0
Hct; To w/in range or no change; n=5,8
GroupValue95% CI
Placebo SC5
GSK2831781 300 mg SC8
Hct; To high; n=5,8
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC0
Hgb; To low; n=5,8
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC0
Hgb; To w/in range or no change; n=5,8
GroupValue95% CI
Placebo SC5
GSK2831781 300 mg SC8
Hgb; To high; n=5,8
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC0
Number of Participants With Worst-case Clinical Chemistry Results by PCI Criteria Post-Baseline Relative to Baseline-Double-Blind Extended Treatment Phase Secondary · Week 14 to 30

Blood samples were collected for the assessment of clinical chemistry parameters. The clinical concern range for the parameters were: Alb (low: \<30 and high: \>55 g/L), C) (low: 2 and high: 2.75 mmol/L), urea (high: \>10.5 mmol/L); Creat (high: change from Baseline \>26 µmol/L), Glu (low: \<3.5 and high: \>7.9 mmol/L); eGFR (low: \<60 mL/min/1.73m\^2\]; Pot low: \<3 and high: \>5.5 mmol/L); Sod (low: \<130 and high: \>150 mmol/L); Pro (low: \<50 and high: \>85 g/L) and CRP (high: \>30 milligrams/L). Participants were counted in the worst-case category that their value changed to (low, within

Alb; To low; n=5,8
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC1
Alb; To w/in range or no change; n=5,8
GroupValue95% CI
Placebo SC5
GSK2831781 300 mg SC7
Alb; To high; n=5,8
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC0
CRP; To w/in range or no change; n=5,8
GroupValue95% CI
Placebo SC5
GSK2831781 300 mg SC6
CRP; To high; n=5,8
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC2
Cal; To low; n=5,8
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC0
Cal; To w/in range or no change; n=5,8
GroupValue95% CI
Placebo SC5
GSK2831781 300 mg SC8
Cal; To high; n=5,8
GroupValue95% CI
Placebo SC0
GSK2831781 300 mg SC0

Adverse events — posted to ClinicalTrials.gov

Time frame: Non-SAEs and SAEs were collected up to Week 12 (participants who entered OL induction phase) or Week 14 (participants who entered double-blind ETP) for Double-blind induction phase, from Week 14 to 30 for double-blind ETP, from Week 12 to 22 for OL induction phase and from Week 22 to 42 for OL ETP. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Placebo IV
Serious: 0/27 (0%)
Deaths: 0/27
GSK2831781 450 mg IV
Serious: 6/48 (13%)
Deaths: 0/48
GSK2831781 300 mg IV
Serious: 1/11 (9%)
Deaths: 0/11
GSK2831781 150 mg IV
Serious: 0/10 (0%)
Deaths: 0/10
GSK2831781 45 mg IV
Serious: 0/8 (0%)
Deaths: 0/8
Placebo SC
Serious: 0/5 (0%)
Deaths: 0/5
GSK2831781 300 mg SC
Serious: 1/8 (13%)
Deaths: 0/8
Open-label GSK2831781 450 mg IV
Serious: 3/42 (7%)
Deaths: 0/42
Open-label GSK2831781 300 mg SC
Serious: 0/7 (0%)
Deaths: 0/7

Serious adverse events (3 terms)

ReactionSystemPlacebo IVGSK2831781 450 mg IVGSK2831781 300 mg IVGSK2831781 150 mg IVGSK2831781 45 mg IVPlacebo SCGSK2831781 300 mg SCOpen-label GSK2831781 450 …Open-label GSK2831781 300 …
Colitis ulcerativeGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
Deep vein thrombosisVascular disorders
Other adverse events (83 terms — click to expand)

ReactionSystemPlacebo IVGSK2831781 450 mg IVGSK2831781 300 mg IVGSK2831781 150 mg IVGSK2831781 45 mg IVPlacebo SCGSK2831781 300 mg SCOpen-label GSK2831781 450 …Open-label GSK2831781 300 …
Colitis ulcerativeGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
HeadacheNervous system disorders
COVID-19Infections and infestations
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
NasopharyngitisInfections and infestations
ArthropathyMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
Urinary tract infectionInfections and infestations
Suspected COVID-19Infections and infestations
Alanine aminotransferase increasedInvestigations
Iron deficiencyMetabolism and nutrition disorders
DyspepsiaGastrointestinal disorders
ThrombocytosisBlood and lymphatic system disorders
TachycardiaCardiac disorders
VertigoEar and labyrinth disorders
Abdominal painGastrointestinal disorders
Dental cariesGastrointestinal disorders
PainGeneral disorders
Upper respiratory tract infectionInfections and infestations
FallInjury, poisoning and procedural complications
DehydrationMetabolism and nutrition disorders
Vitamin D deficiencyMetabolism and nutrition disorders
Mixed anxiety and depressive disorderPsychiatric disorders
Somatic symptom disorderPsychiatric disorders
DysuriaRenal and urinary disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Pulmonary massRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
ArthritisMusculoskeletal and connective tissue disorders
Iron deficiency anaemiaBlood and lymphatic system disorders
Myocardial fibrosisCardiac disorders
MalabsorptionGastrointestinal disorders
Herpes zosterInfections and infestations
RhinitisInfections and infestations
SinusitisInfections and infestations
Heart rate decreasedInvestigations
Atrial fibrillationCardiac disorders
Aphthous ulcerGastrointestinal disorders
Abdominal distensionGastrointestinal disorders

Most-reported serious reactions: Colitis ulcerative, Anaemia, Deep vein thrombosis.

Data from ClinicalTrials.gov NCT03893565 adverse events section.

Sponsor's own description

This is a Phase 2, multicenter, randomized, double-blind, parallel group, placebo-controlled study to investigate the safety, tolerability, efficacy and dose-response of GSK2831781 in participants with moderate to severe active ulcerative colitis. The study consists of a 5-week screening window, 10-week Induction Phase, 30-week double-blind Extended Treatment Phase (ETP) with 42-week Follow-Up Phase. Non-Responders identified following the Week 10 assessment will be allocated to open label treatment, consisting of Induction (Weeks 12 to 22), an Open label ETP (Weeks 22 to 42) and a follow-Up to Week 54.

Publications & conference data

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

  1. Understanding LAG-3 Signaling.
    Chocarro L, Blanco E, Zuazo M, Arasanz H, et al · · 2021 · cited 154× · PMID 34067904 · DOI 10.3390/ijms22105282
  2. Clinical landscape of LAG-3-targeted therapy.
    Chocarro L, Blanco E, Arasanz H, Fernández-Rubio L, et al · · 2022 · cited 69× · PMID 35755891 · DOI 10.1016/j.iotech.2022.100079
  3. Cutting-Edge: Preclinical and Clinical Development of the First Approved Lag-3 Inhibitor.
    Chocarro L, Bocanegra A, Blanco E, Fernández-Rubio L, et al · · 2022 · cited 57× · PMID 35954196 · DOI 10.3390/cells11152351
  4. Lymphocyte Activation Gene (LAG)-3 Is Associated With Mucosal Inflammation and Disease Activity in Ulcerative Colitis.
    Slevin SM, Garner LC, Lahiff C, Tan M, et al · · 2020 · cited 40× · PMID 32179884 · DOI 10.1093/ecco-jcc/jjaa054
  5. The immune checkpoint receptor LAG3: Structure, function, and target for cancer immunotherapy.
    Mariuzza RA, Shahid S, Karade SS. · · 2024 · cited 37× · PMID 38556085 · DOI 10.1016/j.jbc.2024.107241
  6. A randomised, double-blind, placebo-controlled study of the LAG-3-depleting monoclonal antibody GSK2831781 in patients with active ulcerative colitis.
    D'Haens G, Peyrin-Biroulet L, Marks DJB, Lisi E, et al · · 2023 · cited 9× · PMID 37323059 · DOI 10.1111/apt.17557
  7. Innovations in immunotherapy for autoimmune diseases: recent breakthroughs and future directions.
    Alsayb MA. · · 2025 · cited 2× · PMID 41041324 · DOI 10.3389/fimmu.2025.1647066
  8. A machine learning approach toward automating spatial identification of LAG3+/CD3+ cells in ulcerative colitis.
    Bonnevie ED, Dobrzynski E, Steiner D, Hildebrand D, et al · · 2023 · cited 1× · PMID 38066073 · DOI 10.1038/s41598-023-49163-5

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