This study is the first administration of GSK3858279 in humans and will be conducted in two parts: Part A will consist of a single ascending dose escalation design to evaluate safety, tolerability, PK, TE and immunogenicity of either a single intravenous (IV) or a single subcutaneous (SC) dose. Approximately 48 healthy participants will be enrolled in 6 cohorts and randomized to 3:1 ratio (GSK3858279 or placebo). Part B will evaluate safety, tolerability, efficacy (pain), PK, TE and immunogenicity after repeat SC dosing. Approximately 50 OA participants will be randomized in a parallel group design to receive either GSK3858279 or placebo in a 1:1 ratio.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
97
GSK3858279 will be available as solution for injection to be administered via IV route.
GSK3858279 will be available as solution for injection to be administered via SC route.
Placebo will be available as sodium chloride solution to be administered via SC or IV route.
Placebo will be available as sodium chloride solution to be administered via SC route.
GSK Investigational Site
Berlin, Germany
GSK Investigational Site
Warsaw, Poland
GSK Investigational Site
Cambridge, United Kingdom
GSK Investigational Site
London, United Kingdom
GSK Investigational Site
Manchester, United Kingdom
Part A: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
An Adverse Event (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. TEAE is defined as an AE that occurred on or after the first dose date of study intervention. SAEs is defined as any serious adverse event that, at any dose which results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, other situations as per investigator's medical or scientific judgment.
Time frame: Up to 141 days
Part B: Number of Participants With Treatment Emergent Adverse Events and Serious Adverse Events
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. TEAE is defined as an AE that occurred on or after the first dose date of study intervention. SAEs is defined as any serious adverse event that, at any dose which results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent or significant disability/incapacity, is a congenital anomaly/birth defect, other situations as per investigator's medical or scientific judgment.
Time frame: Up to 141 days
Part A: Number of Participants With Clinically Significant Changes in Hematology, Clinical Chemistry Laboratory Parameters and Urinalysis
The parameters evaluated for Hematology were Basophils, Eosinophils, Hematocrit, Hemoglobin (Hg), Lymphocytes, mean corpuscular Hg, mean corpuscular volume, Monocytes, Platelet count, Red blood cells, Reticulocytes, Total Neutrophils, White blood cells count (WBC). For Clinical Chemistry- Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase, Bilirubin, Calcium, Creatinine, Direct bilirubin, Glucose, Potassium, Sodium, Total bilirubin, Total protein, TroponinT, N-terminal pro B-type natriuretic peptide (NT-ProBNP) and Urea. For Urinalysis-Urine bilirubin, Occult blood, Glucose, Ketones, Nitrates, pH, Protein, Specific gravity, Urobilinogen and Leukocyte Esterase for detecting WBC. Changes from baseline in hematology, clinical chemistry and urinalysis were reviewed by the investigator, medical monitor and safety physician to determine clinical significance; the number of participants with clinically significant changes is reported.
Time frame: Up to 141 days
Part B: Number of Participants With Clinically Significant Changes in Hematology, Clinical Chemistry Laboratory Parameters and Urinalysis
The parameters evaluated for Hematology were Basophils, Eosinophils, Hematocrit, Hemoglobin (Hg), Lymphocytes, mean corpuscular Hg, mean corpuscular volume, Monocytes, Platelet count, Red blood cells, Reticulocytes, Total Neutrophils, White blood cells count (WBC). For Clinical Chemistry- Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase, Bilirubin, Calcium, Creatinine, Direct bilirubin, Glucose, Potassium, Sodium, Total bilirubin, Total protein, TroponinT, N-terminal pro B-type natriuretic peptide (NT-ProBNP) and Urea. For Urinalysis-Urine bilirubin, Occult blood, Glucose, Ketones, Nitrates, pH, Protein, Specific gravity, Urobilinogen and Leukocyte Esterase for detecting WBC. Changes from baseline in hematology, clinical chemistry and urinalysis were reviewed by the investigator, medical monitor and safety physician to determine clinical significance; the number of participants with clinically significant changes is reported.
Time frame: Up to 141 days
Part A: Number of Participants With Clinically Significant Changes in Electrocardiogram Findings
Twelve-lead Electrocardiogram (ECG) were performed in a semi-supine position using an ECG machine that automatically calculates the heart rate and measures PR interval, QRS duration, Uncorrected QT and corrected QT intervals (QTc) intervals. Changes from baseline in ECG findings were reviewed by the investigator, medical monitor and safety physician to determine clinical significance; the number of participants with clinically significant changes is reported.
Time frame: Up to 141 days
Part B: Number of Participants With Clinically Significant Changes in Electrocardiogram Findings
Twelve-lead Electrocardiogram (ECG) were performed in a semi-supine position using an ECG machine that automatically calculates the heart rate and measures PR interval, QRS duration, Uncorrected QT and corrected QT intervals (QTc) intervals. Changes from baseline in ECG findings were reviewed by the investigator, medical monitor and safety physician to determine clinical significance; the number of participants with clinically significant changes is reported.
Time frame: Up to 141 days
Part A: Number of Participants With Clinically Significant Changes in Vital Signs
Vital signs included systolic and diastolic blood pressure, pulse and respiratory rate and were measured with the participant in semi-supine position after 5 minutes rest. Temperature was also measured as a vital sign but did not require positioning or rest prior to measuring. Changes from baseline in vital signs were reviewed by the investigator, medical monitor and safety physician to determine clinical significance; the number of participants with clinically significant changes is reported.
Time frame: Up to 141 days
Part B: Number of Participants With Clinically Significant Changes in Vital Signs
Vital signs included systolic and diastolic blood pressure, pulse and respiratory rate and were measured with the participant in semi-supine position after 5 minutes rest. Temperature was also measured as a vital sign but did not require positioning or rest prior to measuring. Changes from baseline in vital signs were reviewed by the investigator, medical monitor and safety physician to determine clinical significance; the number of participants with clinically significant changes is reported.
Time frame: Up to 141 days
Part B: Change From Baseline in Knee Pain as Assessed by Average of Daily Pain Numeric Rating Scale at Week 8
Change from Baseline in knee pain due to Osteoarthritis were reported by average of daily pain numeric rating scale (NRS) at Week 8. The pain NRS is an 11-point scale (ranging from 0-10) for self-reporting of average knee pain where 0 indicates no pain, and 10 indicates the worst possible pain. For each participant, the mean pain score prior to each visit was calculated as the average pain intensity in the 7 days prior to assessment visit. Participants were instructed to complete the pain NRS questionnaire at approximately the same time each day. A negative value change from baseline indicates an improvement. Baseline scores for each participant were assigned based on the first dosing visit.
Time frame: Baseline (Day 1) and Week 8
Part B: Change From Baseline in Worst Knee Pain Intensity as Assessed by Numeric Rating Scale at Week 8
Change from Baseline in worst knee pain intensity were assessed using NRS at Week 8. The pain NRS is an 11-point scale (ranging from 0-10) for self-reporting of average knee pain where 0 indicated no pain, and 10 indicated worst possible pain. The mean pain score prior to each visit was calculated as the average pain intensity in the 7 days prior to assessment visit. Participants were instructed to complete the pain NRS questionnaire at approximately the same time each day. A negative value change from baseline indicates an improvement. Baseline scores for each participant were assigned based on the first dosing visit.
Time frame: Baseline (Day 1) and Week 8
Part A: Serum Concentrations of GSK3858279 Following a Single IV Dose
Time frame: Up to 141 days
Part A: Serum Concentrations of GSK3858279 Following a Single SC Dose
Time frame: Up to 141 days
Part B: Serum Concentration of GSK3858279 Following Repeat SC Dose
Time frame: Up to 141 days
Part A: Area Under the Time-Concentration Curve (AUC) Over the Dosing Interval (0-tau) (AUC[0-tau]) Following a Single IV Dose of GSK3858279
Time frame: Up to 141 days
Part A: AUC From Zero to Time t (0-t) (AUC[0-t]) Following a Single IV Dose of GSK3858279
Time frame: Up to 141 days
Part A: AUC From Zero to Infinity (0-infinity) (AUC[0-infinity]) Following a Single IV Dose of GSK3858279
Time frame: Up to 141 days
Part A: AUC(0-tau) Following a Single SC Dose of GSK3858279
Time frame: Up to 141 days
Part A: AUC From Zero to Time t (0-t) (AUC[0-t]) Following a Single SC Dose of GSK3858279
Time frame: Up to 141 days
Part A: AUC From Zero to Infinity (0-infinity) (AUC[0-infinity]) Following a Single SC Dose of GSK3858279
Time frame: Up to 141 days
Part B: AUC(0-tau) Following a Repeat SC Dose of GSK3858279
Time frame: Baseline and Week 8
Part B: AUC(0-t) Following a Repeat SC Dose of GSK3858279
Time frame: Up to 141 days
Part B: AUC(0-infinity) Following a Repeat SC Dose of GSK3858279
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Time frame: Up to 141 days
Part A: Maximum Concentration (Cmax) After a Single IV Dose of GSK3858279
Time frame: Up to 141 days
Part A: Maximum Concentration (Cmax) After a Single SC Dose of GSK3858279
Time frame: Up to 141 days
Part B: Cmax After Repeat SC Dose of GSK3858279
Time frame: Baseline and Week 8
Part A: Half-life (t1/2) Following a Single IV Dose of GSK3858279
Time frame: Up to 141 days
Part A: Half-life (t1/2) Following a Single SC Dose of GSK3858279
Time frame: Up to 141 days
Part B: t1/2 Following a Repeat SC Dose of GSK3858279
Time frame: Up to 141 days
Part A: Clearance (CL) Following a Single IV Dose of GSK3858279
Time frame: Up to 141 days
Part A: Clearance (CL) Following a Single SC Dose of GSK3858279
Time frame: Up to 141 days
Part B: CL Following a Repeat SC Dose of GSK3858279
Time frame: Up to 141 days
Part A: Volume of Distribution at Steady State (Vss) Following a Single IV Dose of GSK3858279
Time frame: Up to 141 days
Part A: Volume of Distribution at Steady State (Vss) Following a Single SC Dose of GSK3858279
Time frame: Up to 141 days
Part B: Vss Following a Repeat SC Dose of GSK3858279
Time frame: Up to 141 days
Part A: Volume of Distribution (V) Following a Single IV Dose of GSK3858279
Time frame: Up to 141 days
Part A: Volume of Distribution (V) Following a Single SC Dose of GSK3858279
Time frame: Up to 141 days
Part B: Volume of Distribution (V) Following a Repeat SC Dose of GSK3858279
Time frame: Up to 141 days
Part A: Free Chemokine Ligand 17 (CCL17) Levels in Serum Following Single IV Dose of GSK3858279
Time frame: Up to 141 days
Part A: CCL17 Levels in Serum Following Single SC Dose of GSK3858279
Time frame: Up to 141 days
Part B: Free CCL17 Levels in Serum Following Repeat SC Dose of GSK3858279
Time frame: Up to 141 days
Part A: Total CCL17 Levels in Serum Following Single IV Dose of GSK3858279
Time frame: Up to 141 days
Part A: Total CCL17 Levels in Serum Following Single SC Dose of GSK3858279
Time frame: Up to 141 days
Part B: Total CCL17 Levels in Serum Following Repeat SC Dose of GSK3858279
Time frame: Up to 141 days