CClinicalTrials.gg
TerminatedNCT01808261Updated Nov 17, 2017Results posted

Proof of Concept (POC) in Patients With Ischaemic Stroke

A Phase 2 interventional study of GSK249320 100/mg and Placebo in Cerebrovascular Accident, sponsored by GlaxoSmithKline. Terminated at 36 sites in 4 countries. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2017-11-17.

Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Treatment

Why this study was terminated
This study was terminated for futility.
Phase
Phase 2
Study type
Interventional
Enrollment
134
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

Study MAG104615, a Proof of Concept Study for GSK249320 versus placebo in Stroke Patients.

Read the detailed description

Myelin-associated glycoprotein (MAG) is one of the key proteins known to inhibit neuronal regeneration when released from oligodendrocytes in conditions of neuronal injury, such as stroke. GSK249320 is a humanised monoclonal antibody (mAb) that binds with high specificity to MAG and antagonises or neutralises MAG-mediated inhibition and has been shown to improve functional recovery after stroke in pre-clinical models, possibly by promoting neuroregeneration and plasticity. The present study (MAG104615) is designed to establish Proof of Concept (PoC) for GSK249320 in ischemic stroke patients. MAG104615 will be a placebo-controlled, double-blind, multicenter, randomized, repeat dose, Bayesian design study. PoC will be achieved by demonstrating a clinically meaningful improvement in lower limb motor recovery, specifically by evaluating changes in gait velocity from baseline to Day 90/Month 3. Subjects will also be followed out to Day 180/Month 6 to further evaluate longer term motor recovery and safety. Additional secondary efficacy measures of motor recovery will be evaluated to further demonstrate and characterize the extent and duration of overall motor recovery after treatment with GSK249320. Changes in disability and neurological impairment will be characterized after treatment with GSK249320 and explored for how they relate to motor recovery. This PoC study will also further characterize the safety, PK, and immunogenicity of GSK249320 will explore pharmacodynamic (PD) markers, and will explore use of actigraphy to measure motor recovery. Subjects will be stratified by gait velocity at baseline for randomization (1:1 allocation) into one of two treatment groups: 15mg/kg GSK249320, or placebo. Each subject will receive 2 repeat IV doses of GSK249320 or placebo.

02

Conditions studied

  • Cerebrovascular Accident

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Keywords

  • Ischemic Stroke
03

In context

Stroke

7,286 studies on the registry are indexed under Stroke; 2,013 are open to participants now.

This study's enrollment of 134 is above the median of 50 across 5,366 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

GlaxoSmithKline is the lead sponsor of 3,562 studies on the registry; 117 are open to participants now.

Of its 258 completed or terminated interventional studies of FDA-regulated products, 232 (90%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Have a confirmed diagnosis of stroke according to the World Health Organization definition which is, 'a rapid onset event of vascular origin reflecting a focal disturbance of cerebral function, excluding isolated impairments of higher function, and persisting longer than 24 hours [World Health Organization, 1989].
  • Stroke onset must be within the last 24-72 hours of the first infusion of Investigational Product. Time of stroke onset is defined at the time at which the patient/relative is first aware of the stroke deficit. For patients who awake with deficits, or who are found unconscious, the time of onset is defined as the time at which they were last known to be symptom free.
  • Have a stroke that is radiologically confirmed to be ischemic and supratentorial. The diameter of the ischemic lesion is >15mm in any single direction or the volume is >4cc. See the Study Procedures Manual (SPM) for guidance on how to calculate the lesion size.
  • Have a total NIHSS score of 3-21.
  • Have a lower limb deficit from the incident stroke which is defined as a score of 1-4 on the NIHSS Motor Leg question (question #6).
  • Aged 18-90, inclusive.
  • Expectation the subject will receive standard physical, occupational and speech rehabilitation therapy as indicated for the post stroke deficits.
  • Male subjects and female subjects of non-child-bearing and child-bearing potential are allowed to participate in this study. See Section 11, Appendix 1 for definitions. Females of child-bearing potential must have a negative pregnancy test prior to enrollment and must agree to use one of the contraceptive methods specified in Section 11, Appendix 1.

Exclusion criteria

Exclusion Criteria:

  • Ability to walk >0.8m/s as measured by the Gait Velocity assessment.
  • History of a previous symptomatic stroke within 3 months prior to study entry.
  • Presence of significant disability prior to the current stroke. Significant disability is defined as having a pre-stroke Rankin score of >2.
  • Subjects who are not alert or are unresponsive as defined by a score of 2 or 3 on the NIHSS Level of Consciousness question (Question 1a).
  • Presence of significant aphasia likely to confound or interfere with completion of the study assessments.
  • Presence of a significant pre-existing gait deficit prior to study entry that is likely to confound clinical evaluations
  • Presence of pre-existing neurologic or psychiatric disease which is active and not adequately controlled such that it interfered with major activities of daily living immediately prior to the current stroke and is likely to interfere with study participation/visits or confound clinical evaluations.
  • The subject poses a significant suicide risk, in the opinion of the investigator.
  • Current or chronic history of liver disease, known hepatic or biliary abnormalities (except Gilbert's syndrome or asymptomatic gallstones), or known history of hepatitis B or hepatitis C infection. A positive hepatitis B or hepatitis C result on the GSK labs drawn at baseline/Study Day 1 do not exclude a subject from continuing in the study unless there are associated clinical signs/symptoms of liver disease; however, the subject should be treated as clinically indicated and the GSK Medical Monitor should be contacted for further discussion.
  • Presence of either a central or peripheral demyelinating disease, such as multiple sclerosis or IgM monoclonal gammopathy of unknown significance (MGUS).
  • Expected death due to the incident stroke, or evidence of a chronic co-morbid condition or unstable acute systemic illness which, in the opinion of the investigator, could shorten the subject's survival such that it would limit his/her ability to complete the study.
  • Presence of the following ECG values on baseline ECG: QTc > 500 msec (using either Bazett's formula (QTcB) or Fridericia's formula (QTcF)); or uncorrected QT >600msec (machine or manual over-read). If the ECG indicates a prolonged QTc interval value outside these limits, two further ECGs should be performed during the same sitting and the average QTc value of these triplicate ECGs calculated. If the average value exceeds the stated limits, the subject is not eligible.
  • Participation in any investigational rehabilitation paradigm targeting stroke recovery during the duration of this study.
  • Have a contraindication to MRI as per local hospital practice/guidelines.
  • The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the first dosing day in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer).
  • Prior treatment with GSK249320.
  • History of sensitivity to Investigational Product excipients (acetate buffer, polysorbate 80 and sodium chloride) that, in the opinion of the investigator or GSK Medical Monitor, contraindicates the subject's participation.
  • Pregnant females as determined by positive urine hCG test prior to enrollment.
  • Lactating females.
  • Subjects considered unwilling or unable to comply with the procedures and study visit schedule outlined in the protocol.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
134 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Placebo is a clear, colorless solution (50mM acetate buffer, pH 5.5 containing 0.02% (w/v) polysorbate-80 and made isotonic with 111.2 mM sodium chloride). Placebo is for intravenous (IV) use only.

    Drug: Placebo

  • Active comparator
    GSK249320 100/mg

    Clear to opalescent, colorless to pale yellow or pale brown, and is supplied as a sterile, concentrated solution (1000mg/vial). GSK249320 is for IV use only.

    Drug: GSK249320 100/mg

Interventions

  • DrugGSK249320 100/mg

    Clear to opalescent, colorless to pale yellow or pale brown, and is supplied as a sterile, concentrated solution (1000mg/vial). GSK249320 is for IV use only.

  • DrugPlacebo

    Placebo is a clear, colorless solution (50mM acetate buffer, pH 5.5 containing 0.02% (w/v) polysorbate-80 and made isotonic with 111.2 mM sodium chloride). Placebo is for intravenous (IV) use only.

06

What researchers measure

Primary outcomes

  1. Mean Change From Baseline (BL) to Month 3/ Day 90 in Gait Velocity

    Gait is the way or manner in which a person walks. Gait velocity (walking speed) is an objective, quantitative measure of lower extremity motor recovery in individuals who have had a stroke. Participants were asked to walk at their usual pace over a level, indoor 10 meter (m) distance and were allowed to use their normal assistive devices. The time (seconds\[s\]) taken by the participants to travel the 10 m distance was recorded. Gait velocity (m/s) as assessed by study personnel was derived as: 10 divided by time to walk 10 m. Two trials of gait velocity were conducted at each time point. Change from BL was calculated as the mean Month 3/Day 90 value minus the mean BL value. BL was defined as Day 1. The measure type displayed are posterior means.

    Time frame: BL (Day 1) and Month 3/Day 90

Secondary outcomes

  1. Mean Change From BL to Month 6/ Day 180 in Gait Velocity

    Gait is the way or manner in which a person walks. Gait velocity (walking speed) is an objective, quantitative measure of lower extremity motor recovery in individuals who have had a stroke. Participants were asked to walk at their usual pace over a level, indoor 10 m distance and were allowed to use their normal assistive devices. The time (s) taken by the participants to travel the 10 m distance was recorded. Gait velocity (m/s) as assessed by study personnel was derived as: 10 divided by time to walk 10 m. Two trials of gait velocity were conducted at each time point. Change from BL was calculated as the mean Month 3/Day 90 value minus the mean BL value. BL was defined as Day 1. The measure type displayed are posterior means.

    Time frame: BL (Day 1) and Month 6/Day 180

  2. Number of Participants With Indicated Transition From One Gait Velocity Category to Another Category at the Indicated Time Points

    Participants were categorized at each visit into the following gait velocity categories: 0 m/s, \>0 to \<0.4 m/s, \>=0.4 m/s to 0.8 m/s and \>0.8m/s. A distinction was made between participants who are too incapacitated to walk (i.e., gait velocity = 0m/s) and participants for whom the gait velocity assessment was not performed due to another reason (i.e., truly missing data). Participants were asked to walk at their usual or normal pace and using their normal assistive devices. Two trials of gait velocity were conducted at each time point. The number of participants transitioning from one gait velocity category to another category was assessed at each post-Baseline visit and was presented in terms of the following transition categories: worsened, no change, improved 1 level, improved 2 levels and improved 3 levels. By-visit sample sizes vary due to missing data or early termination of the study, missing data was not imputed.

    Time frame: BL (Day 1), Month 1/Day 30, Month 2/Day 60, Month 3/Day 90 and Month 6/Day 180.

  3. Change From BL in Dexterity as Measured by Box and Blocks Test

    Dexterity is ability of person to use hands skillfully in performing a task. Box and Blocks test is an objective, gross manual dexterity test in individuals with upper limb impairments. Participants were asked to move small wooden blocks from one side of a partitioned box to other. The score was determined by number of blocks transferred within a 60 second time period. Both affected and unaffected arms were tested, starting with the unaffected arm. Change from BL was calculated as the individual post- BL value minus BL value. A higher number of displaced blocks indicated a better gross dexterity and a low number of displaced blocks indicated poor gross dexterity. It was analyzed using fixed effects for treatment, visit, treatment by visit interaction, sex, age, Baseline National Institute of Health stroke scale (NIHSS) total score, BL number of blocks transferred by the affected and unaffected arms, country and presence of concomitant medications that potentially impact recovery.

    Time frame: BL (Day 1), Month 1/Day 30, Month 2/Day 60, Month 3/Day 90 and Month 6/Day 180

  4. Number of Participants Experiencing Falls

    The number of participants who experienced at least one fall between BL to Day 90 and BL to Day 180 is summarized.

    Time frame: BL (Day 1) Day 90 and Day 180

  5. Number of Falls Over Time

    The number of participants who experienced 1, 2, 3 or \>=4 falls between BL to Day 90 and BL to Day 180 is summarized. By-visit sample sizes vary due to missing data or early termination of the study. The participants who experienced atleast one-fall were reported

    Time frame: BL (Day 1), Day 90 and Day 180

  6. Number of Participants With Serious Adverse Events (SAEs) and Adverse Events (AEs)

    An AE is any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A SAE is any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect or all events of possible drug-induced liver injury with hyperbilirubinaemia. Medical or scientific judgment is exercised in other situations.

    Time frame: Up to 14 months

  7. Number of Participants With Events Common to Stroke

    Events common to stroke were those events that commonly occurred after a stroke and are generally associated with the underlying stroke or the progression of stroke. These included joint or soft tissue pain, bladder incontinence, depression/mood disorder, urinary tract infection, dysphagia, bowel incontinence, dysarthia, confusion, spasticity, limb edema, aspiration pneumonia, hemorrhagic transformation (symptomatic or asymptomatic), pressure ulcers, progression of stroke, malnutrition, deep vein thrombosis, brain herniation, pulmonary embolism, seizures, and falls.

    Time frame: From Day 1 until early withdrawal, death, Month 6/Day 180

  8. Change From BL in Vital Signs- Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)

    Safety was measured by monitoring vital signs including blood pressure. The BL for DBP and SBP was the value of pre-dose assessment on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study.

    Time frame: BL (Day 1) , Day 6, Day 180 and early withdrawal (EW) visit

  9. Change From BL in Vitals Signs-Heart Rate

    Safety was measured by monitoring vital signs including heart rate. The BL for heart rate was the value of pre-dose assessment on Day 1. Change from BL was calculated as the individual post-BL value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study. BL was defined as Day 1.

    Time frame: Day 1, Day 6, Day 180 and EW visit

  10. Change From BL in ECG Parameter-Heart Rate

    A single 12-lead ECG was obtained at each time point that measured heart rate. BL was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study.

    Time frame: BL (Day 1) Day 6, Day 30 and EW visit

  11. Change From BL in ECG Parameters

    A single 12-lead ECG was obtained at each time point and the following ECG intervals were determined: PR, QRS, QT, RR and corrected QT (QTc), QT interval corrected by Bazett's formula (QTcB), QT interval corrected by Fridericia's formula (QTcF). BL for ECG parameters was the value of Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study.

    Time frame: BL (Day 1), Day 6, Day 30 and EW visit

  12. Change From BL in Clinical Chemistry- Albumin and Total Protein

    ALB and TP were measured at BL, Day 6, Day 30, Day 90 and Day 180. Baseline was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study.

    Time frame: BL (Day 1), Day 6, Day 30, Day 90 and Day 180

  13. Change From BL in Clinical Chemistry-urea/Blood Urea Nitrogen (BUN), Sodium (Na), Potassium (K), Glucose (Gluc), Chloride (Cl), Calcium (Ca)

    Ca, Cl, Gluc, K, Na and BUN were measured at BL, Day 6, Day 30, Day 90 and Day 180. BL was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study.

    Time frame: BL (Day 1), Day 6, Day 30, Day 90 and Day 180

  14. Change From BL in Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST)

    ALP, ALT and AST were measured at BL, Day 6, Day 30, Day 90 and Day 180. BL was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study.

    Time frame: BL (Day 1), Day 6, Day 30, Day 90 and Day 180

  15. Change From BL in Clinical Chemistry- Direct Bilirubin, Total Bilirubin, Creatinine

    Direct bilirubin, total bilirubin and creatinine were measured at BL, Day 6, Day 30, Day 90 and Day 180. BL was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study.

    Time frame: BL (Day 1), Day 6, Day 30, Day 90 and Day 180

  16. Change From BL in Eosinophils (EOS), Lymphocytes (LYM), Total Absolute Neutrophil Count (ANC), Platelet (PLT) Count, White Blood Cell (WBC) Count

    EOS, LYM, Total ANC, PLT count and WBC count were measured at BL, Day 6, Day 30, Day 90 and Day 180. BL was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value.By-visit sample sizes vary due to missing data or early termination of the study.

    Time frame: BL (Day 1), Day 6, Day 30, Day 90 and Day 180

  17. Change From BL in Hematology- Hemoglobin

    Hemoglobin was measured at BL Day 6, Day 30, Day 90 and Day 180. BL was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. . By-visit sample sizes vary due to missing data or early termination of the study.

    Time frame: BL (Day 1), Day 6, Day 30, Day 90 and Day 180

  18. Change From Baseline in Hematology- Hematocrit

    Hematocrit was measured at Baseline, Day 6, Day 30, Day 90 and Day 180. BL was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value.By-visit sample sizes vary due to missing data or early termination of the study.

    Time frame: BL (Day 1), Day 6, Day 30, Day 90 and Day 180

  19. Change From BL in NIHSS Total Score

    The NIHSS is a 15 item, standardized, disease-specific, deficit scale which measures neurological impairment (level of consciousness, eye movements, visual fields, facial symmetry, motor strength (arm and leg), coordination, sensation, language (aphasia and dysarthria), and neglect) and is used to quantify participant status by measuring the severity of the stroke as assessed by NIHSS certified study personnel. The total NIHSS score is calculated as the sum of responses to the 15 items. The total NIHSS score ranges from 0-42, with a higher score indicative of a more severe impairment. By-visit sample sizes vary due to missing data or early termination of the study. Change from BL was calculated as the individual post-Baseline value minus the BL value. BL was defined as the value at Day 1.

    Time frame: BL (Day 1), Day 30, Day 90 and Day 180

  20. Number of Participants With Suicidal Ideation Via Columbia Suicide Severity Rating Scale (CSSRS)

    C-SSRS is a clinician-rated scale that evaluates severity and change of suicidality by integrating both suicidality behavior and ideation. For Suicidal Ideation (SI), participants were scored non-suicidal:0, wish to be dead:1, non-specific active suicidal thoughts:2, active suicidal ideation with associated thoughts of methods without intent:3, active suicidal ideation with some intent to act on suicidal thoughts without clear plan:4, active suicidal ideation with plan and intent:5 (most severe). SI intensity total score was the sum of suicidal ideation severity rating scores for frequency, duration, controllability, deterrents, and reasons for ideation. For each item, each participant got an intensity score from 0(none) to 5(worst). Therefore, the suicidal ideation intensity total score range from 0 to 25, with a score of 0 given for no suicidal ideation.

    Time frame: Da y 1, Da y 6, Day 30, Day 60, Day 90 and Day 180

  21. Maximum Observed Plasma Concentration (Cmax) for GSK249320

    Cmax is the maximum observed concentration of GSK249320 obtained at the end of infusion post dose on Day 6. Due to early termination of the study, this data was not collected.

    Time frame: Pre-dose and post-dose up to Day 180

  22. Time to Reach Maximum Observed Plasma Concentration (Tmax) GSK249320

    Tmax is the time of the occurrence of Cmax. The Cmax is defined as the maximum observed concentration of GSK249320 obtained at the end of infusion post dose on day 6. Due to early termination of the study data for Tmax was not collected.

    Time frame: Pre-dose and post-dose up to Day 180

  23. PK as Measured by Plasma Decay Half-life (t1/2) GSK249320

    Blood samples were collected for determination of plasma concentrations of GSK249320. Terminal phase half-life was derived from the plasma concentration-time data. Only participants in the GSK249320 15 mg/kg group were analyzed.

    Time frame: Up to Day 180

  24. Area Under the Concentration-time Curve From 0 to 5 Days [AUC(0-5d)] and Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time [AUC(0-inf)] for GSK249320

    Blood samples were collected for determination of plasma concentrations of GSK249320. AUC (0-5d) and AUC (0-inf) were derived from the plasma concentration-time data. AUC(0-5d) is the model predicted AUC over the planned TAU of 5 days. Only participants in the GSK249320 15 mg/kg group were analyzed.

    Time frame: Pre-dose and post-dose up to Day 180

  25. Clearance (CL) for GSK249320

    Blood samples were collected for determination of plasma concentrations of GSK249320. CL was derived from the plasma concentration-time data. Analysis was performed for PK Population that comprised of all participants in the Safety Population who had at least one PK sample with a concentration above the non-quantifiable limit. Only participants in the GSK249320 15 mg/kg group were analyzed.

    Time frame: Up to Day 180

  26. Volume of Distribution (V1 and V2) and Volume at Steady State (Vss) for GSK249320

    Blood samples were collected for determination of plasma concentrations of GSK249320. V1, V2 and Vss were derived from the plasma concentration-time data. Analysis was performed for PK Population that comprised of all participants in the Safety Population who had at least one PK sample with a concentration above the non-quantifiable limit. Only participants in the GSK249320 15 mg/kg group were analyzed.

    Time frame: Up to Day 180

  27. Antibodies Against GSK249320, Assessed Using Electrochemi-luminescent Assay (ECL) Assay

    Blood samples were collected and the presence of antibodies against GSK249320 was assessed using ECL assays. Positive result indicated presence of antibodies and negative result indicated absence of antibodies. Confirmed samples with presence of antibodies were further characterized for neutralizing activity as binding antibody (BAb) and neutralising antibody (NAb) by a neutralization assay.By-visit sample sizes vary due to missing data or early termination of the study.

    Time frame: Day 1, Day 30, Day 180, EW visit and Follow-up visit

07

Results

Posted Oct 3, 2017
Limitations and caveats
The study was terminated early, on 27 May 2014, at the planned interim analysis for futility.

Participant flow

A total of 134 participants with Stroke, were randomized to the study. The study was conducted from 18 May 2013 to 28 July 2014 at 30 centers; with 5 in United States, 5 in Canada, 8 in United Kingdom, and 12 in Germany. The ITT population consisted of total 120 participants and the Per Protocol consisted of 104 participants.

Participant flow — Overall Study
MilestonePlaceboGSK249320 15 mg/kg
Started6865
Completed3232
Not completed3633
Withdrew: Physician decision02
Withdrew: Study closed/terminated2523
Withdrew: Adverse event, non-fatal20
Withdrew: Consent withdrawn by subject67
Withdrew: Lost to follow-up31

Outcome measures

PrimaryMean Change From Baseline (BL) to Month 3/ Day 90 in Gait Velocity

Gait is the way or manner in which a person walks. Gait velocity (walking speed) is an objective, quantitative measure of lower extremity motor recovery in individuals who have had a stroke. Participants were asked to walk at their usual pace over a level, indoor 10 meter (m) distance and were allowed to use their normal assistive devices. The time (seconds\[s\]) taken by the participants to travel the 10 m distance was recorded. Gait velocity (m/s) as assessed by study personnel was derived as: 10 divided by time to walk 10 m. Two trials of gait velocity were conducted at each time point. Change from BL was calculated as the mean Month 3/Day 90 value minus the mean BL value. BL was defined as Day 1. The measure type displayed are posterior means.

Time frame:
BL (Day 1) and Month 3/Day 90
Reported as:
Mean · m/s
Mean Change From Baseline (BL) to Month 3/ Day 90 in Gait Velocity
m/sPlaceboGSK249320 15 mg/kg
Mean Change From Baseline (BL) to Month 3/ Day 90 in Gait Velocity0.5417 ± 0.0620.5859 ± 0.0535
Statistical analysis
  • Placebo vs GSK249320 15 mg/kg · Bayesian method · p = 0.713 (P-value presented is the posterior probability that the treatment difference (GSK249320 15mg/kg - placebo) is greater than 0 m/s at Month 3/Day 90.) · Mean difference (net): 0.0443 · 95% CI -0.119 to 0.2
SecondaryMean Change From BL to Month 6/ Day 180 in Gait Velocity

Gait is the way or manner in which a person walks. Gait velocity (walking speed) is an objective, quantitative measure of lower extremity motor recovery in individuals who have had a stroke. Participants were asked to walk at their usual pace over a level, indoor 10 m distance and were allowed to use their normal assistive devices. The time (s) taken by the participants to travel the 10 m distance was recorded. Gait velocity (m/s) as assessed by study personnel was derived as: 10 divided by time to walk 10 m. Two trials of gait velocity were conducted at each time point. Change from BL was calculated as the mean Month 3/Day 90 value minus the mean BL value. BL was defined as Day 1. The measure type displayed are posterior means.

Time frame:
BL (Day 1) and Month 6/Day 180
Reported as:
Mean · m/s
Mean Change From BL to Month 6/ Day 180 in Gait Velocity
m/sPlaceboGSK249320 15 mg/kg
Mean Change From BL to Month 6/ Day 180 in Gait Velocity0.5442 ± 0.06650.6236 ± 0.0556
Statistical analysis
  • Placebo vs GSK249320 15 mg/kg · Bayesian method · p = 0.828 (P-value presented is the posterior probability that the treatment difference (GSK249320 15mg/kg - placebo) is greater than 0 m/s at Month 6/Day 180.) · Mean difference (net): 0.0794 · 95% CI -0.093 to 0.247
SecondaryNumber of Participants With Indicated Transition From One Gait Velocity Category to Another Category at the Indicated Time Points

Participants were categorized at each visit into the following gait velocity categories: 0 m/s, \>0 to \<0.4 m/s, \>=0.4 m/s to 0.8 m/s and \>0.8m/s. A distinction was made between participants who are too incapacitated to walk (i.e., gait velocity = 0m/s) and participants for whom the gait velocity assessment was not performed due to another reason (i.e., truly missing data). Participants were asked to walk at their usual or normal pace and using their normal assistive devices. Two trials of gait velocity were conducted at each time point. The number of participants transitioning from one gait velocity category to another category was assessed at each post-Baseline visit and was presented in terms of the following transition categories: worsened, no change, improved 1 level, improved 2 levels and improved 3 levels. By-visit sample sizes vary due to missing data or early termination of the study, missing data was not imputed.

Time frame:
BL (Day 1), Month 1/Day 30, Month 2/Day 60, Month 3/Day 90 and Month 6/Day 180.
Reported as:
Count of participants · Participants
Number of Participants With Indicated Transition From One Gait Velocity Category to Another Category at the Indicated Time Points
ParticipantsPlacebo - PPGSK249320 15 mg/kg - PP
Day 30, Worsened10
Day 30, No Change1918
Day 30, Improved 1 Levels1111
Day 30, Improved 2 Levels99
Day 30, Improved 3 Levels811
Day 60, Worsened00
Day 60, No Change1314
Day 60, Improved 1 Level1411
Day 60, Improved 2 Levels67
Day 60, Improved 3 Levels910
Day 90, Worsened10
Day 90, No Change98
Day 90, Improved 1 Level1214
Day 90, Improved 2 Levels107
Day 90, Improved 3 Levels1012
Day 180, Worsened10
Day 180, No Change76
Day 180, Improved 1 Level914
Day 180, Improved 2 Levels115
Day 180, Improved 3 Levels814
SecondaryChange From BL in Dexterity as Measured by Box and Blocks Test

Dexterity is ability of person to use hands skillfully in performing a task. Box and Blocks test is an objective, gross manual dexterity test in individuals with upper limb impairments. Participants were asked to move small wooden blocks from one side of a partitioned box to other. The score was determined by number of blocks transferred within a 60 second time period. Both affected and unaffected arms were tested, starting with the unaffected arm. Change from BL was calculated as the individual post- BL value minus BL value. A higher number of displaced blocks indicated a better gross dexterity and a low number of displaced blocks indicated poor gross dexterity. It was analyzed using fixed effects for treatment, visit, treatment by visit interaction, sex, age, Baseline National Institute of Health stroke scale (NIHSS) total score, BL number of blocks transferred by the affected and unaffected arms, country and presence of concomitant medications that potentially impact recovery.

Time frame:
BL (Day 1), Month 1/Day 30, Month 2/Day 60, Month 3/Day 90 and Month 6/Day 180
Reported as:
Least squares mean · Number of blocks
Change From BL in Dexterity as Measured by Box and Blocks Test
Number of blocksPlacebo - PPGSK249320 15 mg/kg - PP
Day 3010.130 ± 2.19512.538 ± 1.587
Day 6011.469 ± 2.34514.484 ± 1.6
Day 9015.196 ± 2.96217.631 ± 1.926
Day 18014.869 ± 2.83918.813 ± 2.11
Statistical analysis
  • Placebo - PP vs GSK249320 15 mg/kg - PP · Mean difference (net): 2.408 · 95% CI -3.067 to 7.883
  • Placebo - PP vs GSK249320 15 mg/kg - PP · Mean difference (net): 3.015 · 95% CI -2.704 to 8.735
  • Placebo - PP vs GSK249320 15 mg/kg - PP · Mean difference (net): 2.435 · 95% CI -4.668 to 9.538
  • Placebo - PP vs GSK249320 15 mg/kg - PP · Mean difference (net): 3.944 · 95% CI -3.15 to 11.037
SecondaryNumber of Participants Experiencing Falls

The number of participants who experienced at least one fall between BL to Day 90 and BL to Day 180 is summarized.

Time frame:
BL (Day 1) Day 90 and Day 180
Reported as:
Count of participants · Participants
Number of Participants Experiencing Falls
ParticipantsPlacebo - SafetyGSK249320 15 mg/kg - Safety
Baseline to Day 901512
Baseline to Day 1801816
SecondaryNumber of Falls Over Time

The number of participants who experienced 1, 2, 3 or \>=4 falls between BL to Day 90 and BL to Day 180 is summarized. By-visit sample sizes vary due to missing data or early termination of the study. The participants who experienced atleast one-fall were reported

Time frame:
BL (Day 1), Day 90 and Day 180
Reported as:
Count of participants · Participants
Number of Falls Over Time
ParticipantsPlacebo - SafetyGSK249320 15 mg/kg - Safety
Baseline to Day 90, 1 Fall86
Baseline to Day 90, 2 Falls33
Baseline to Day 90, 3 Falls02
Baseline to Day 90, >=4 Falls41
Baseline to Day 180, 1 Fall79
Baseline to Day 180, 2 Falls62
Baseline to Day 180, 3 Falls12
Baseline to Day 180, >=4 Falls43
SecondaryNumber of Participants With Serious Adverse Events (SAEs) and Adverse Events (AEs)

An AE is any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. A SAE is any untoward medical occurrence that, at any dose: results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect or all events of possible drug-induced liver injury with hyperbilirubinaemia. Medical or scientific judgment is exercised in other situations.

Time frame:
Up to 14 months
Reported as:
Count of participants · Participants
Number of Participants With Serious Adverse Events (SAEs) and Adverse Events (AEs)
ParticipantsPlaceboGSK249320 15/mg
Any AE5749
Any SAE169
SecondaryNumber of Participants With Events Common to Stroke

Events common to stroke were those events that commonly occurred after a stroke and are generally associated with the underlying stroke or the progression of stroke. These included joint or soft tissue pain, bladder incontinence, depression/mood disorder, urinary tract infection, dysphagia, bowel incontinence, dysarthia, confusion, spasticity, limb edema, aspiration pneumonia, hemorrhagic transformation (symptomatic or asymptomatic), pressure ulcers, progression of stroke, malnutrition, deep vein thrombosis, brain herniation, pulmonary embolism, seizures, and falls.

Time frame:
From Day 1 until early withdrawal, death, Month 6/Day 180
Reported as:
Count of participants · Participants
Number of Participants With Events Common to Stroke
ParticipantsPlaceboGSK249320 15/mg
Joint or soft tissue pain1922
Bladder Incontinence1123
Depression/Mood Disorder1716
Urinary tract infection1713
Dysphagia1212
Bowel Incontinence1112
Dysarthia1111
Confusion813
Spasticity99
Limb edema512
Aspiration Pneumonia53
Hemorrhagic Transformation44
Pressure Ulcers32
Progression of Stroke22
Malnutrition12
Deep vein thrombosis20
Brain Herniation01
Pulmonary embolism10
Seizures01
Falls1816
SecondaryChange From BL in Vital Signs- Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)

Safety was measured by monitoring vital signs including blood pressure. The BL for DBP and SBP was the value of pre-dose assessment on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study.

Time frame:
BL (Day 1) , Day 6, Day 180 and early withdrawal (EW) visit
Reported as:
Mean · Millimeters of mercury
Change From BL in Vital Signs- Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Millimeters of mercuryPlacebo - SafetyGSK249320 15 mg/kg - Safety
DBP, Day 1 Post-dose1.7 ± 10.580.5 ± 10.14
DBP, Day 6 Pre-dose0.2 ± 16.52-1.1 ± 11.98
DBP, Day 6 Post-dose2.4 ± 15.061.9 ± 16.36
DBP, Day 1808.1 ± 13.975.0 ± 14.60
DBP, EW visit-5.0 ± 15.551.8 ± 15.05
SBP, Day 1 Post-dose3.1 ± 16.150.7 ± 11.81
SBP, Day 6 Pre-dose-3.5 ± 26.46-6.0 ± 20.13
SBP, Day 6 Post-dose-0.9 ± 24.59-2.0 ± 20.14
SBP, Day 180-6.4 ± 22.96-6.4 ± 27.79
SBP, EW visit-15.2 ± 29.08-0.0 ± 25.42
SecondaryChange From BL in Vitals Signs-Heart Rate

Safety was measured by monitoring vital signs including heart rate. The BL for heart rate was the value of pre-dose assessment on Day 1. Change from BL was calculated as the individual post-BL value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study. BL was defined as Day 1.

Time frame:
Day 1, Day 6, Day 180 and EW visit
Reported as:
Mean · Beats per minute
Change From BL in Vitals Signs-Heart Rate
Beats per minutePlacebo - SafetyGSK249320 15 mg/kg - Safety
Day 1 Post-dose0.9 ± 8.680.7 ± 7.98
Day 6 Pre-dose-1.8 ± 13.03-0.4 ± 17.47
Day 6 Post-dose-3.9 ± 12.09-3.1 ± 15.30
Day 180-0.3 ± 17.50-3.0 ± 15.48
EW visit3.3 ± 15.47-2.1 ± 15.40
SecondaryChange From BL in ECG Parameter-Heart Rate

A single 12-lead ECG was obtained at each time point that measured heart rate. BL was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study.

Time frame:
BL (Day 1) Day 6, Day 30 and EW visit
Reported as:
Mean · Beats per minute
Change From BL in ECG Parameter-Heart Rate
Beats per minutePlacebo - SafetyGSK249320 15 mg/kg - Safety
Day 6, n=60, 58-3.4 ± 17.57-4.9 ± 15.37
Day 30, n=46, 50-3.4 ± 19.810.9 ± 16
EW Visit, n=16, 16-5.4 ± 16.82-10.3 ± 29.58
SecondaryChange From BL in ECG Parameters

A single 12-lead ECG was obtained at each time point and the following ECG intervals were determined: PR, QRS, QT, RR and corrected QT (QTc), QT interval corrected by Bazett's formula (QTcB), QT interval corrected by Fridericia's formula (QTcF). BL for ECG parameters was the value of Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study.

Time frame:
BL (Day 1), Day 6, Day 30 and EW visit
Reported as:
Mean · Milliseconds
Change From BL in ECG Parameters
MillisecondsPlacebo - SafetyGSK249320 15 mg/kg - Safety
PR, Day 6-1.0 ± 30.47-0.8 ± 20.02
PR, Day 30-5.9 ± 36.05-3.5 ± 42.08
PR, EW Visit-0.4 ± 21.013.1 ± 33.96
QRS, Day 64.9 ± 15.75-4.0 ± 44.11
QRS, Day 303.4 ± 10.971.1 ± 17.74
QRS, EW Visit2.6 ± 27.47-23.7 ± 81.24
RR, Day 661.1 ± 246.8412.9 ± 154.09
RR, Day 3080.5 ± 245.31-21.8 ± 181.99
RR, EW Visit-21.6 ± 164.1985.6 ± 349.82
QT, Day 610.4 ± 40.869.4 ± 36.46
QT, Day 304.1 ± 43.59-12.1 ± 42.06
QT, EW Visit20.8 ± 37.1643.7 ± 93.85
QTc, Day 62.9 ± 30.706.8 ± 43.87
QTc, Day 30-1.3 ± 32.92-2.2 ± 39.49
QTc, EW Visit7.1 ± 27.758.9 ± 69.58
QTcB, Day 62.2 ± 124.734.5 ± 46.49
QTcB, Day 30-31.9 ± 120.26-13.9 ± 79.33
QTcB, EW Visit28.2 ± 37.066.9 ± 52.02
QTcF, Day 64.3 ± 74.125.7 ± 33.25
QTcF, Day 30-16.9 ± 75.41-12.0 ± 58.16
QTcF, EW Visit26.0 ± 31.8518.3 ± 62.78
SecondaryChange From BL in Clinical Chemistry- Albumin and Total Protein

ALB and TP were measured at BL, Day 6, Day 30, Day 90 and Day 180. Baseline was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study.

Time frame:
BL (Day 1), Day 6, Day 30, Day 90 and Day 180
Reported as:
Mean · Grams per liter
Change From BL in Clinical Chemistry- Albumin and Total Protein
Grams per literPlacebo - SafetyGSK249320 15 mg/kg - Safety
ALB, Day 60.0 ± 3.02-0.2 ± 3.67
ALB, Day 301.0 ± 3.443.0 ± 5.50
ALB, Day 902.3 ± 3.234.4 ± 5.14
ALB, Day 1802.3 ± 3.805.3 ± 3.86
TP, Day 61.0 ± 4.640.9 ± 5.90
TP, Day 302.7 ± 5.135.6 ± 8.11
TP, Day 903.1 ± 4.926.5 ± 7.34
TP, Day 1804.4 ± 5.077.6 ± 5.89
SecondaryChange From BL in Clinical Chemistry-urea/Blood Urea Nitrogen (BUN), Sodium (Na), Potassium (K), Glucose (Gluc), Chloride (Cl), Calcium (Ca)

Ca, Cl, Gluc, K, Na and BUN were measured at BL, Day 6, Day 30, Day 90 and Day 180. BL was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study.

Time frame:
BL (Day 1), Day 6, Day 30, Day 90 and Day 180
Reported as:
Mean · Millimoles per liter
Change From BL in Clinical Chemistry-urea/Blood Urea Nitrogen (BUN), Sodium (Na), Potassium (K), Glucose (Gluc), Chloride (Cl), Calcium (Ca)
Millimoles per literPlacebo - SafetyGSK249320 15 mg/kg - Safety
Ca, Day 60.042 ± 0.11630.059 ± 0.1564
Ca, Day 300.091 ± 0.12540.158 ± 0.1985
Ca, Day 900.093 ± 0.10920.186 ± 0.1960
Ca, Day 1800.087 ± 0.10530.182 ± 0.1315
Cl, Day 6-0.9 ± 3.13-1.4 ± 4.08
Cl, Day 30-1.6 ± 3.72-3.1 ± 5.01
Cl, Day 90-1.3 ± 3.02-2.7 ± 4.67
Cl, Day 180-1.4 ± 2.48-3.4 ± 3.93
Gluc, Day 60.21 ± 3.123-0.35 ± 2.619
Gluc, Day 30-0.93 ± 2.611-0.45 ± 2.476
Gluc, Day 90-1.12 ± 2.075-0.38 ± 2.170
Gluc, Day 180-1.09 ± 3.045-1.02 ± 2.136
K, Day 60.17 ± 0.3840.21 ± 0.452
K, Day 300.37 ± 0.4870.30 ± 0.429
K, Day 900.36 ± 0.4770.39 ± 0.404
K, Day 1800.33 ± 0.5170.54 ± 0.472
Na, Day 60.1 ± 2.820.0 ± 2.83
Na, Day 30-0.3 ± 2.64-0.8 ± 3.21
Na, Day 900.4 ± 1.87-0.7 ± 2.91
Na, Day 1800.5 ± 2.04-1.2 ± 2.90
Urea/BUN, Day 61.57 ± 2.3921.61 ± 2.541
Urea/BUN, Day 301.09 ± 2.6732.19 ± 5.436
Urea/BUN, Day 901.02 ± 2.3101.04 ± 2.655
Urea/BUN, Day 1800.51 ± 2.3641.04 ± 3.502
SecondaryChange From BL in Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST)

ALP, ALT and AST were measured at BL, Day 6, Day 30, Day 90 and Day 180. BL was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study.

Time frame:
BL (Day 1), Day 6, Day 30, Day 90 and Day 180
Reported as:
Mean · International units per liter
Change From BL in Alkaline Phosphatase (ALP), Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST)
International units per literPlacebo - SafetyGSK249320 15 mg/kg - Safety
ALP, Day 67.7 ± 20.056.2 ± 16.4
ALP, Day 3011.7 ± 21.4719.5 ± 35.87
ALP, Day 908.6 ± 27.186.7 ± 18.01
ALP, Day 1808.9 ± 12.734.0 ± 17.63
ALT, Day 611.4 ± 25.9210.7 ± 16.22
ALT, Day 307.9 ± 19.0210.6 ± 27.84
ALT, Day 90-0.8 ± 16.143.2 ± 11.21
ALT, Day 180-2.0 ± 12.831.4 ± 10.66
AST, Day 67.9 ± 26.392.5 ± 15.52
AST, Day 300.2 ± 14.24-0.9 ± 13.18
AST, Day 90-6.1 ± 11.78-5.2 ± 13.33
AST, Day 180-3.2 ± 7.13-5.0 ± 9.70
SecondaryChange From BL in Clinical Chemistry- Direct Bilirubin, Total Bilirubin, Creatinine

Direct bilirubin, total bilirubin and creatinine were measured at BL, Day 6, Day 30, Day 90 and Day 180. BL was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. By-visit sample sizes vary due to missing data or early termination of the study.

Time frame:
BL (Day 1), Day 6, Day 30, Day 90 and Day 180
Reported as:
Mean · Micromoles per liter
Change From BL in Clinical Chemistry- Direct Bilirubin, Total Bilirubin, Creatinine
Micromoles per literPlacebo - SafetyGSK249320 15 mg/kg - Safety
direct bilirubin, Day 60.3 ± 3.81-0.0 ± 1.58
direct bilirubin, Day 30-1.0 ± 1.93-0.4 ± 1.48
direct bilirubin, Day 90-1.5 ± 1.92-0.5 ± 1.62
direct bilirubin, Day 180-1.2 ± 1.59-0.1 ± 1.38
total bilirubin, Day 6-1.5 ± 3.76-1.8 ± 5.90
total bilirubin, Day 30-4.6 ± 4.90-3.0 ± 4.85
total bilirubin, Day 90-4.9 ± 4.75-3.5 ± 5.59
total bilirubin, Day 180-4.6 ± 4.83-3.8 ± 5.28
creatinine, Day 62.35 ± 20.5203.48 ± 16.778
creatinine, Day 304.94 ± 31.7679.79 ± 28.329
creatinine, Day 906.69 ± 18.9803.09 ± 15.387
creatinine, Day 1805.07 ± 12.9250.24 ± 13.857
SecondaryChange From BL in Eosinophils (EOS), Lymphocytes (LYM), Total Absolute Neutrophil Count (ANC), Platelet (PLT) Count, White Blood Cell (WBC) Count

EOS, LYM, Total ANC, PLT count and WBC count were measured at BL, Day 6, Day 30, Day 90 and Day 180. BL was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value.By-visit sample sizes vary due to missing data or early termination of the study.

Time frame:
BL (Day 1), Day 6, Day 30, Day 90 and Day 180
Reported as:
Mean · Giga (10^9 cells) per liter
Change From BL in Eosinophils (EOS), Lymphocytes (LYM), Total Absolute Neutrophil Count (ANC), Platelet (PLT) Count, White Blood Cell (WBC) Count
Giga (10^9 cells) per literPlacebo - SafetyGSK249320 15 mg/kg - Safety
EOS, Day 60.049 ± 0.11530.082 ± 0.1692
EOS, Day 300.058 ± 0.22070.086 ± 0.1318
EOS, Day 900.058 ± 0.11750.058 ± 0.1149
EOS, Day 1800.045 ± 0.13140.048 ± 0.1206
LYM, Day 6-0.046 ± 0.3904-0.030 ± 0.6750
LYM, Day 300.026 ± 0.4666-0.002 ± 0.5728
LYM, Day 900.066 ± 0.41100.236 ± 0.5854
LYM, Day 1800.017 ± 0.50050.075 ± 0.5919
Total ANC, Day 6-0.375 ± 2.2795-0.756 ± 2.5842
Total ANC, Day 30-1.486 ± 2.4578-0.581 ± 4.7282
Total ANC, Day 90-1.469 ± 2.1498-1.455 ± 2.3515
Total ANC, Day 180-2.202 ± 2.7396-0.579 ± 1.6956
PLT Count, Day 617.4 ± 37.5732.4 ± 41.01
PLT Count, Day 3040.5 ± 62.8947.6 ± 44.23
PLT Count, Day 9033.2 ± 53.3660.4 ± 56.30
PLT Count, Day 18019.9 ± 35.9135.9 ± 39.15
WBC Count,Day 6-0.40 ± 2.294-0.78 ± 2.288
WBC Count, Day 30-1.46 ± 2.524-0.54 ± 4.819
WBC Count, Day 90-1.45 ± 2.017-1.28 ± 2.119
WBC Count, Day 180-2.15 ± 2.496-0.55 ± 1.943
SecondaryChange From BL in Hematology- Hemoglobin

Hemoglobin was measured at BL Day 6, Day 30, Day 90 and Day 180. BL was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value. . By-visit sample sizes vary due to missing data or early termination of the study.

Time frame:
BL (Day 1), Day 6, Day 30, Day 90 and Day 180
Reported as:
Mean · Grams per liter
Change From BL in Hematology- Hemoglobin
Grams per literPlacebo - SafetyGSK249320 15 mg/kg - Safety
Day 6-0.1 ± 9.552.4 ± 10.21
Day 30-1.0 ± 13.193.8 ± 14.84
Day 90-4.1 ± 16.614.7 ± 15.91
Day 180-6.2 ± 17.707.6 ± 13.45
SecondaryChange From Baseline in Hematology- Hematocrit

Hematocrit was measured at Baseline, Day 6, Day 30, Day 90 and Day 180. BL was the value obtained on Day 1. Change from BL was calculated as the individual post-Baseline value minus the BL value.By-visit sample sizes vary due to missing data or early termination of the study.

Time frame:
BL (Day 1), Day 6, Day 30, Day 90 and Day 180
Reported as:
Mean · Ratio
Change From Baseline in Hematology- Hematocrit
RatioPlacebo - SafetyGSK249320 15 mg/kg - Safety
Day 60.00096 ± 0.0320940.00896 ± 0.032858
Day 30-0.00350 ± 0.0406690.01116 ± 0.046146
Day 90-0.01446 ± 0.0534180.01329 ± 0.049054
Day 180-0.02455 ± 0.0561810.01909 ± 0.043139
SecondaryChange From BL in NIHSS Total Score

The NIHSS is a 15 item, standardized, disease-specific, deficit scale which measures neurological impairment (level of consciousness, eye movements, visual fields, facial symmetry, motor strength (arm and leg), coordination, sensation, language (aphasia and dysarthria), and neglect) and is used to quantify participant status by measuring the severity of the stroke as assessed by NIHSS certified study personnel. The total NIHSS score is calculated as the sum of responses to the 15 items. The total NIHSS score ranges from 0-42, with a higher score indicative of a more severe impairment. By-visit sample sizes vary due to missing data or early termination of the study. Change from BL was calculated as the individual post-Baseline value minus the BL value. BL was defined as the value at Day 1.

Time frame:
BL (Day 1), Day 30, Day 90 and Day 180
Reported as:
Mean · Scores on a scale
Change From BL in NIHSS Total Score
Scores on a scalePlacebo - SafetyGSK249320 15 mg/kg - Safety
Day 110.0 ± 4.409.8 ± 3.79
Day 306.4 ± 4.405.7 ± 4.66
Day 905.0 ± 3.834.8 ± 4.89
Day 1803.9 ± 3.224.2 ± 3.87
SecondaryNumber of Participants With Suicidal Ideation Via Columbia Suicide Severity Rating Scale (CSSRS)

C-SSRS is a clinician-rated scale that evaluates severity and change of suicidality by integrating both suicidality behavior and ideation. For Suicidal Ideation (SI), participants were scored non-suicidal:0, wish to be dead:1, non-specific active suicidal thoughts:2, active suicidal ideation with associated thoughts of methods without intent:3, active suicidal ideation with some intent to act on suicidal thoughts without clear plan:4, active suicidal ideation with plan and intent:5 (most severe). SI intensity total score was the sum of suicidal ideation severity rating scores for frequency, duration, controllability, deterrents, and reasons for ideation. For each item, each participant got an intensity score from 0(none) to 5(worst). Therefore, the suicidal ideation intensity total score range from 0 to 25, with a score of 0 given for no suicidal ideation.

Time frame:
Da y 1, Da y 6, Day 30, Day 60, Day 90 and Day 180
Reported as:
Count of participants · Participants
Number of Participants With Suicidal Ideation Via Columbia Suicide Severity Rating Scale (CSSRS)
ParticipantsPlacebo - SafetyGSK249320 15 mg/kg - Safety
Number of Participants With Suicidal Ideation Via Columbia Suicide Severity Rating Scale (CSSRS)103
SecondaryMaximum Observed Plasma Concentration (Cmax) for GSK249320

Cmax is the maximum observed concentration of GSK249320 obtained at the end of infusion post dose on Day 6. Due to early termination of the study, this data was not collected.

Time frame:
Pre-dose and post-dose up to Day 180

No measurements were reported for this outcome.

SecondaryTime to Reach Maximum Observed Plasma Concentration (Tmax) GSK249320

Tmax is the time of the occurrence of Cmax. The Cmax is defined as the maximum observed concentration of GSK249320 obtained at the end of infusion post dose on day 6. Due to early termination of the study data for Tmax was not collected.

Time frame:
Pre-dose and post-dose up to Day 180

No measurements were reported for this outcome.

SecondaryPK as Measured by Plasma Decay Half-life (t1/2) GSK249320

Blood samples were collected for determination of plasma concentrations of GSK249320. Terminal phase half-life was derived from the plasma concentration-time data. Only participants in the GSK249320 15 mg/kg group were analyzed.

Time frame:
Up to Day 180
Reported as:
Median · Days
PK as Measured by Plasma Decay Half-life (t1/2) GSK249320
DaysGSK249320 15 mg/kg - PK
PK as Measured by Plasma Decay Half-life (t1/2) GSK24932023.09 (13.5 to 42.9)
SecondaryArea Under the Concentration-time Curve From 0 to 5 Days [AUC(0-5d)] and Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time [AUC(0-inf)] for GSK249320

Blood samples were collected for determination of plasma concentrations of GSK249320. AUC (0-5d) and AUC (0-inf) were derived from the plasma concentration-time data. AUC(0-5d) is the model predicted AUC over the planned TAU of 5 days. Only participants in the GSK249320 15 mg/kg group were analyzed.

Time frame:
Pre-dose and post-dose up to Day 180
Reported as:
Geometric mean · Milligrams/milliliter*hour
Area Under the Concentration-time Curve From 0 to 5 Days [AUC(0-5d)] and Area Under the Concentration-time Curve From Time Zero (Pre-dose) Extrapolated to Infinite Time [AUC(0-inf)] for GSK249320
Milligrams/milliliter*hourGSK249320 15 mg/kg - PK
AUC(0-5 d)28.2273 ± 10.9
AUC(0-inf)120.6895 ± 20.4
SecondaryClearance (CL) for GSK249320

Blood samples were collected for determination of plasma concentrations of GSK249320. CL was derived from the plasma concentration-time data. Analysis was performed for PK Population that comprised of all participants in the Safety Population who had at least one PK sample with a concentration above the non-quantifiable limit. Only participants in the GSK249320 15 mg/kg group were analyzed.

Time frame:
Up to Day 180
Reported as:
Geometric mean · Milligrams/kilograms/hour
Clearance (CL) for GSK249320
Milligrams/kilograms/hourGSK249320 15 mg/kg - PK
Clearance (CL) for GSK2493200.1243 ± 20.4
SecondaryVolume of Distribution (V1 and V2) and Volume at Steady State (Vss) for GSK249320

Blood samples were collected for determination of plasma concentrations of GSK249320. V1, V2 and Vss were derived from the plasma concentration-time data. Analysis was performed for PK Population that comprised of all participants in the Safety Population who had at least one PK sample with a concentration above the non-quantifiable limit. Only participants in the GSK249320 15 mg/kg group were analyzed.

Time frame:
Up to Day 180
Reported as:
Geometric mean · milliliters/kilogram
Volume of Distribution (V1 and V2) and Volume at Steady State (Vss) for GSK249320
milliliters/kilogramGSK249320 15 mg/kg - PK
V143.6992 ± 6.7
V241.4193 ± 17.8
Vss85.2892 ± 11.5
SecondaryAntibodies Against GSK249320, Assessed Using Electrochemi-luminescent Assay (ECL) Assay

Blood samples were collected and the presence of antibodies against GSK249320 was assessed using ECL assays. Positive result indicated presence of antibodies and negative result indicated absence of antibodies. Confirmed samples with presence of antibodies were further characterized for neutralizing activity as binding antibody (BAb) and neutralising antibody (NAb) by a neutralization assay.By-visit sample sizes vary due to missing data or early termination of the study.

Time frame:
Day 1, Day 30, Day 180, EW visit and Follow-up visit
Reported as:
Count of participants · Participants
Antibodies Against GSK249320, Assessed Using Electrochemi-luminescent Assay (ECL) Assay
ParticipantsPlacebo - SafetyGSK249320 15 mg/kg - Safety
Day 1, BAb Positive75
Day 1, BAb Negative6059
Day 1, NAb Negative02
Day 30, BAb Positive44
Day 30, BAb Negative4446
Day 30, NAb Negative11
Day 180, BAb Positive05
Day 180, BAb Negative2419
EW visit, BAb Positive14
EW visit, BAb Negative2218
EW visit, NAb Negative14
FU visit, BAb Positive01
FU visit, NAb Negative01

Adverse events

Collected over Up to 14 months. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo5/68 (7.4%)16/68 (23.5%)25/68 (36.8%)
GSK249320 15 mg/kg2/65 (3.1%)9/65 (13.8%)32/65 (49.2%)
Most frequent serious events
Showing 10 of 29
Most frequent serious events
EventPlaceboGSK249320 15 mg/kg
Pneumonia aspirationRespiratory, thoracic and mediastinal disorders2/680/65
Acute myocardial infarctionCardiac disorders0/681/65
Atrial fibrillationCardiac disorders0/681/65
Cardiac failure congestiveCardiac disorders0/681/65
Cardio-respiratory arrestCardiac disorders0/681/65
Sick sinus syndromeCardiac disorders0/681/65
Anal ulcerGastrointestinal disorders0/681/65
Haemorrhagic transformation strokeNervous system disorders0/681/65
Ischemic cerebral infarctionNervous system disorders0/681/65
Respiratory failureRespiratory, thoracic and mediastinal disorders0/681/65
Most frequent other events
Most frequent other events
EventPlaceboGSK249320 15 mg/kg
ConstipationGastrointestinal disorders6/6813/65
HeadacheNervous system disorders7/6812/65
InsomniaPsychiatric disorders4/685/65
NauseaGastrointestinal disorders3/685/65
Atrial fibrillationCardiac disorders0/684/65
RashSkin and subcutaneous tissue disorders3/684/65
HypertensionVascular disorders4/683/65
HypotensionVascular disorders4/682/65
Urinary tract infectionGastrointestinal disorders4/680/65

Baseline characteristics

Age, Continuous
Age, Continuous(years)PlaceboGSK249320 15 mg/kgTotal
Mean67.1 ± 11.268.2 ± 11.9267.6 ± 11.53
Sex: Female, Male
Sex: Female, Male(Participants)PlaceboGSK249320 15 mg/kgTotal
Female293160
Male393473
Race (NIH/OMB)
Race (NIH/OMB)(Participants)PlaceboGSK249320 15 mg/kgTotal
American Indian or Alaska Native101
Asian112
Native Hawaiian or Other Pacific Islander000
Black or African American426
White6262124
More than one race000
Unknown or Not Reported000
08

Study locations

36 sites
  • GSK Investigational Site
    Orange, California 92868-4280, United States
  • GSK Investigational Site
    Jacksonville, Florida 32209, United States
  • GSK Investigational Site
    Peoria, Illinois 61637, United States
  • GSK Investigational Site
    Lexington, Kentucky 40536, United States
  • GSK Investigational Site
    Portland, Oregon 97239, United States
  • GSK Investigational Site
    Nashville, Tennessee 37232, United States
  • GSK Investigational Site
    Edmonton, Alberta T6G 2B7, Canada
  • GSK Investigational Site
    Edmonton, Alberta T6L 5X8, Canada
  • GSK Investigational Site
    London, Ontario N6A 5A5, Canada
  • GSK Investigational Site
    Toronto, Ontario M4N 3M5, Canada
  • GSK Investigational Site
    Greenfield Park, Quebec J4V 2H1, Canada
  • GSK Investigational Site
    St-Jérôme, Quebec J7Z 5T3, Canada
  • GSK Investigational Site
    Freiburg, Baden-Wuerttemberg 79106, Germany
  • GSK Investigational Site
    Friedrichshafen, Baden-Wuerttemberg 88048, Germany
  • GSK Investigational Site
    Ulm, Baden-Wuerttemberg 89081, Germany
  • GSK Investigational Site
    Erlangen, Bayern 91054, Germany
  • GSK Investigational Site
    Celle, Niedersachsen 29223, Germany
  • GSK Investigational Site
    Hannover, Niedersachsen 30625, Germany
  • GSK Investigational Site
    Osnabrueck, Niedersachsen 49076, Germany
  • GSK Investigational Site
    Essen, Nordrhein-Westfalen 45122, Germany
  • GSK Investigational Site
    Muenster, Nordrhein-Westfalen 48149, Germany
  • GSK Investigational Site
    Leipzig, Sachsen 04103, Germany
  • GSK Investigational Site
    Bremen, 28177, Germany
  • GSK Investigational Site
    Hamburg, 22417, Germany
  • GSK Investigational Site
    Hamburg, 22763, Germany
  • GSK Investigational Site
    Cambridge, CB2 0QQ, United Kingdom
  • GSK Investigational Site
    Exeter, EX2 5DW, United Kingdom
  • GSK Investigational Site
    Glasgow, G51 4TF, United Kingdom
  • GSK Investigational Site
    Harrow, HA1 3UJ, United Kingdom
  • GSK Investigational Site
    Liverpool, L7 8XP, United Kingdom
  • GSK Investigational Site
    London, SE5 9RS, United Kingdom
  • GSK Investigational Site
    London, SW17 0QT, United Kingdom
  • GSK Investigational Site
    Newcastle upon Tyne, NE1 4LP, United Kingdom
  • GSK Investigational Site
    Romford, RM7 0AG, United Kingdom
  • GSK Investigational Site
    Salford, M6 8HD, United Kingdom
  • GSK Investigational Site
    Torquay, TQ2 7AA, United Kingdom
09

References and documents

Publications

  • Cramer SC, Enney LA, Russell CK, Simeoni M, Thompson TR. Proof-of-Concept Randomized Trial of the Monoclonal Antibody GSK249320 Versus Placebo in Stroke Patients. Stroke. 2017 Mar;48(3):692-698. doi: 10.1161/STROKEAHA.116.014517. Epub 2017 Feb 22. PubMed 28228578 ↗

Individual participant data

Plan to share: Yes — Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 17, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01808261
Lead sponsor
GlaxoSmithKline
Responsible party
Sponsor
First posted
Mar 11, 2013
Start date
May 18, 2013
Primary completion
Jul 28, 2014
Completion
Jul 28, 2014
Results posted
Oct 3, 2017
Last update
Nov 17, 2017

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Sep 2017. You cannot join it, but the record below documents what was studied.

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