ClinicalTrials.gg
CompletedNCT03359473Updated Jul 15, 2020Results posted

Study to Evaluate the Safety and Efficacy of 13 Weeks of the Selective Androgen Receptor Modulator (SARM) GSK2881078 in Chronic Obstructive Pulmonary Disease (COPD)

A Phase 2 interventional study of GSK2881078 and Matching Placebo in Cachexia, sponsored by GlaxoSmithKline. Completed at 11 sites in 3 countries. Open to participants aged 50 Years to 75 Years. Per ClinicalTrials.gov, last updated 2020-07-15.

Sponsored by GlaxoSmithKline · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
97
Allocation
Randomized
Ages
50 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 95 studies in Cachexia with a site in United States — 9 open to participants now, 11 under way, 2 of them phase 3. Cachexia · United States.

Enrollment
19th of 72
97 · median 51
Started
2018
the only one that year
Phase 2
24 of 95
2 open now
Registered
67th of 95
by date
Lead sponsor
5 of 95
GlaxoSmithKline

Among the 95 studies in Cachexia with a site in United States, this one is the 19th largest by enrollment of the 72 interventional ones that give a count, is the only one that started in 2018, is one of 24 in phase 2, and was the 67th registered.

Cachexia

331 studies on the registry are indexed under Cachexia; 74 are open to participants now.

Browse Cachexia studies →

Open to participants now

9 of the 95 studies in Cachexia with a site in United States are open now. Recruiting first, the newest first:

4 more — sign in →

All 9 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 55 Cachexia studies recruiting now, 32 (58%) set no upper age limit and 14 (25%) stop at 75 or younger; 7 take children under 18; 16 take healthy volunteers.

This study: 50 Years to 75 Years · all sexes · no healthy volunteers.

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02

Study summary

Impaired physical function and muscle dysfunction are a major consequence of COPD, which may be associated with increased mortality, poor quality of life and increased health care use. This is a randomized, placebo-controlled, double-blind, parallel group study to evaluate the safety and tolerability of GSK2881078, an SARM over 13 weeks of dosing in older male subjects and post-menopausal female subjects with COPD and muscle weakness. This study will also assess the effect of GSK2881078 on physical strength and function after 13 weeks of treatment. Approximately 100 subjects with COPD and muscle weakness will be randomized into two cohorts of 50 male subjects and 50 female subjects. Within each cohort, subjects will be randomized to receive GSK2881078 or placebo in a ratio of 1:1. All subjects will participate in a standardized home exercise program, which will consist of daily walking, along with several resistance or weight-bearing exercises, such as bicep curls, upright rows, step ups and a sit-to-stand maneuver. The study will consist of a screening/Baseline period of up to 30 days, a 13-week treatment period and a post-treatment follow-up period of 6 weeks.

03

Conditions studied

  • Cachexia

Keywords

  • GSK2881078
  • COPD
  • muscle weakness
  • post-menopausal
  • selective androgen receptor modulator
04

Who can participate

Ages eligible
50 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Subject must be 50 to 75 years of age inclusive, at the time of signing the .
  • Male and/or female subjects will be included. a) A male subject with a partner who is a woman of child bearing potential (WOCPB) must agree to use during the treatment period and until at least 5 half-lives of study medication have passed after the last ingested dose [125 days, corresponding to time needed to eliminate study treatment for both genotoxic and teratogenic study treatments plus an additional 90 days (a spermatogenesis cycle) for study treatments with genotoxic potential] after the last dose of study treatment and refrain from donating sperm during this period. b) A female subject is eligible to participate if she is and not a .
  • Confirmed diagnosis of in accordance with the American Thoracic Society (ATS)/European Respiratory Society (ERS) criteria with a post-bronchodilator /forced vital capacity (FVC) \<0.70 and 30% \<= FEV1% predicted \<=65% of predicted normal value calculated at Screen using the Quanjer reference equation.
  • SPPB with ALL of the following: Timed chair stand score >=1 and \<=3; No score of "0" on any component of the SPPB (that is, gait speed, balance, or timed chair stand).
  • (BMI) within the range 18-32 kilogram per meter square (kg/m\^2) (inclusive), where BMI = (weight in kg)/(height in meters)\^2
  • Current smokers or former smokers with a cigarette smoking history of >=10 pack years (1 pack year =20 cigarettes smoked per day for 1 year or equivalent). Former smokers are defined as those who have stopped smoking for at least 6 months prior to Baseline.
  • Subjects must be able to read and write in the language used for the provided electronic diary and be able to operate an electronic device to a level that allows them to complete an electronic diary on a daily basis.
  • Subjects participating in a structured exercise program must be willing to convert their current exercise program to the home exercise program used in this study.
  • Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and protocol.

Exclusion criteria

Exclusion Criteria:

  • Subjects with a history of myocardial infarction, angina, congestive heart failure exacerbation, hospitalization for cardiac etiology, stroke or in the past 12 months.
  • Neurologic, musculoskeletal, osteoarthritis, or any other condition that in the opinion of the investigator limits subject's ability to complete study physical assessments.
  • Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
  • Subjects with a history of cholecystectomy.
  • Subjects with a history of that is not in complete remission for at least 2 years or 1 year for non-melanoma skin carcinoma.
  • Subjects with a family history of early onset prostate cancer or familial prostate cancer (multiple family members).
  • Diseases known to cause malabsorption of protein or energy, such as inflammatory bowel disease, celiac disease, pancreatic insufficiency, etc.
  • Current or planned administration of cholestyramine or strong oral or injectable cytochrome P-450 isoenzyme 3A4 () inducers.
  • Current or planned use of any prescription drugs known to affect muscle mass, including androgen supplements, anti-androgens (such as luteinizing hormone-releasing hormone [LHRH] agonists), anti-estrogens (tamoxifen, etc.), recombinant growth hormone, megesterol, etc.
  • Use of oral concurrently or within 4 weeks preceding the screening visit.
  • The subject has participated in a clinical trial and has received an product within the following time-period prior to randomization in the current study: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer).
  • Subjects with values outside the specified ranges for the following Key Clinical Laboratory Tests must be excluded from the study: a) Renal function: (GFR) \<30 milliliter per minute per 1.73 meter square (mL/min/1.73 m\^2). Subjects receiving dialysis are excluded from this study. b) Metabolic- (HbA1c) >7.5%. c) >2 times (ULN) and >1.5 times ULN (isolated bilirubin >1.5 times ULN is acceptable if bilirubin is fractionated and direct bilirubin \<35%). d) Hematology - \<10.0 grams per deciliter (g/dL) at screening. e) Prostate Specific Antigen (PSA) >4.0 nanograms per milliliter (ng/mL).
  • Presence of surface antigen (HBsAg), positive antibody test result at screening or within 3 months prior to first dose of study treatment.
  • corrected for heart rate by Bazett's formula (QTcB) or QT interval corrected for heart rate by Fridericia's formula (QTcF) >450 milliseconds (msec) or QT interval corrected for heart rate (QTc) >480 msec in subjects with Bundle Branch Block based on a single .
  • A positive test for (HIV) antibody.
  • More than two moderate/severe exacerbations within the past year. Exacerbation is defined as worsening of two or more of the following major symptoms: dyspnea, sputum volume, sputum purulence OR worsening of any one major symptom together with at least one of the following additional symptoms: sore throat, colds (nasal discharge and/or nasal congestion), fever >37.5 degree Celsius without any explained cause, increased cough, increased wheeze. A moderate exacerbation is defined as an exacerbation that requires treatment with antibiotics and/or oral steroids. A severe exacerbation is defined as an event that is additionally associated with hospitalization or emergency room visit.
  • Any moderate/severe COPD exacerbation in the 4 weeks preceding the screening visit.
  • Subjects on long-term oxygen therapy (LTOT), defined as prescribed continuous oxygen use for >14 hours/day.
  • Clinically diagnosed history of drug or alcohol abuse within 5 years prior to randomization.
  • History of sensitivity to any of the study medications, or components thereof or a history of drug or other allergy that, in the opinion of the investigator or GlaxoSmithKline (GSK) Medical Monitor, contraindicates their participation.
  • Participation in a formal pulmonary rehabilitation exercise program outside or inside the home, either currently or completed within the previous 6 months.
  • For subjects who opt to have magnetic resonance imaging (MRI) at participating study sites, there must be no to MRI, for example known claustrophobia or a pacemaker. Specific MRI contraindications will be determined by the type of MRI scanner available at each site and study personnel should confirm local eligibility requirements.
Terms in these criteria, in plain language(24)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

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

Study arms

  • Experimental
    Male subjects receiving GSK2881078-Cohort 1

    Male subjects between the age of 50 and 75 years will be administered GSK2881078 at a dose of 2 mg once daily by the oral route.

    Drug: GSK2881078

  • Placebo comparator
    Male subjects receiving Placebo-Cohort 1

    Male subjects between the age of 50 and 75 years will be administered GSK2881078 matching placebo once daily by the oral route.

    Drug: Matching Placebo

  • Experimental
    Female subjects receiving GSK2881078-Cohort 2

    Post-menopausal female subjects between the age of 50 and 75 years will be administered GSK2881078 at a dose of 1 mg once daily by the oral route.

    Drug: GSK2881078

  • Placebo comparator
    Female subjects receiving Placebo-Cohort 2

    Post-menopausal female subjects between the age of 50 and 75 years will be administered GSK2881078 matching placebo once daily by the oral route.

    Drug: Matching Placebo

Interventions

  • GSK2881078 will be available as capsules for oral administration. GSK2881078 will be administered once daily by the oral route at a dose of 1 mg and 2mg to post-menopausal female subjects and male subjects, respectively.

  • DrugMatching Placebo

    Subjects will be administered two capsules of GSK2881078 matching placebo once daily by the oral route.

06

What researchers measure

Primary outcomes

  1. Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)

    SBP and DBP were measured in a seated position with a completely automated device. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Safety Population comprised of all randomized participants who received at least one dose of study medication. This population was based on the treatment the participant received.

    Time frame: Baseline (Day 1, Pre-dose), Days 14, 28, 56 and 90

  2. Change From Baseline in Heart Rate

    Heart rate was measured in a seated position with a completely automated device. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Days 14, 28, 56 and 90

  3. Change From Baseline in PR Interval, QRS Duration, QT Interval, QT Interval Corrected for Heart Rate by Fridericia's Formula (QTcF) and QT Interval Corrected for Heart Rate by Bazett's Formula (QTcB)

    Twelve-lead electrocardiograms (ECG) were obtained using an automated ECG machine to measure PR Interval, QRS Duration, QT Interval, QTcF Interval and QTcB Interval. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Days 14, 28, 56 and 90

  4. Number of Participants With Grade Increase Post-Baseline Relative to Baseline in Hematology Parameters

    Blood samples were collected for the analysis of following hematology parameters: hemoglobin (Hb), lymphocyte count (Lympho), neutrophil count (Neutro) and platelet count (PC). The laboratory parameters were graded according to National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.03. Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. An increase is defined as an increase in CTCAE grade relative to Baseline grade. Only those participants with increase to grade 3 and increase to grade 4 are presented.

    Time frame: Baseline (Day 1, Pre-dose) and up to Day 132

  5. Number of Participants With Grade Increase Post-Baseline Relative to Baseline in Clinical Chemistry Parameters

    Blood samples were collected for the analysis of following clinical chemistry parameters: alanine aminotransferase (ALT), alkaline phosphatase (ALP), aspartate aminotransferase (AST), bilirubin (Bil),calcium (Ca), cholesterol (Chol), creatinine (Creat), glucose(Gl), phosphate (Phos), potassium (Pot) and sodium (Sod). The laboratory parameters were graded according to NCI-CTCAE version 4.03. Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. An increase is defined as an increase in CTCAE grade relative to Baseline grade. Values (Hyper and hypo) for Ca, Gl, Pot, Phos and Sod is presented. Only those participants with increase to grade 3 and increase to grade 4 are presented.

    Time frame: Baseline (Day 1, Pre-dose) and up to Day 132

  6. Change From Baseline in Urinalysis Parameter; Specific Gravity: Placebo-Female Participants

    Urine samples were collected to analyze the urinalysis parameter: specific gravity. Urine specific gravity is a measure of the concentration of solutes in the urine and provides information on the kidney's ability to concentrate urine, indicated as ratio of urine density to water density. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Days 28, 56 and 90

  7. Change From Baseline in Urinalysis Parameter; Specific Gravity: GSK2881078 1.0 mg- Female Participants

    Urine samples were collected to analyze the urinalysis parameter: specific gravity. Urine specific gravity is a measure of the concentration of solutes in the urine and provides information on the kidney's ability to concentrate urine, indicated as ratio of urine density to water density. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Days 14 and 90

  8. Change From Baseline in Urinalysis Parameter; Specific Gravity: Male Participants

    Urine samples were collected to analyze the urinalysis parameter: specific gravity. Urine specific gravity is a measure of the concentration of solutes in the urine and provides information on the kidney's ability to concentrate urine, indicated as ratio of urine density to water density. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Days 28 and 90

  9. Change From Baseline in Urinalysis Parameter; Potential of Hydrogen (pH): Placebo- Female Participants

    Urine samples were collected to analyze the urinalysis parameter: pH. Urine pH is an acid-base measurement. pH is measured on a numeric scale ranging from 0 to 14; values on the scale refer to the degree of alkalinity or acidity. A pH of 7 is neutral. A pH less than 7 is acidic, and a pH greater than 7 is basic. Normal urine has a slightly acidic pH (5.0 - 6.0). Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Days 28, 56 and 90

  10. Change From Baseline in Urinalysis Parameter; pH: GSK2881078 1.0 mg- Female Participants

    Urine samples were collected to analyze the urinalysis parameter: pH. Urine pH is an acid-base measurement. pH is measured on a numeric scale ranging from 0 to 14; values on the scale refer to the degree of alkalinity or acidity. A pH of 7 is neutral. A pH less than 7 is acidic, and a pH greater than 7 is basic. Normal urine has a slightly acidic pH (5.0 - 6.0). Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Days 14 and 90

  11. Change From Baseline in Urinalysis Parameter; pH: Male Participants

    Urine samples were collected to analyze the urinalysis parameter: pH. Urine pH is an acid-base measurement. pH is measured on a numeric scale ranging from 0 to 14; values on the scale refer to the degree of alkalinity or acidity. A pH of 7 is neutral. A pH less than 7 is acidic, and a pH greater than 7 is basic. Normal urine has a slightly acidic pH (5.0 - 6.0). Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Days 28 and 90

  12. Number of Participants With Urinalysis Dipstick Results Post-Baseline Relative to Baseline

    Urine samples were collected to analyze parameters including glucose, occult blood (OB) and protein levels by dipstick. The dipstick test gives results in a semi-quantitative manner, and results for urinalysis parameters can be read as increase to trace, increase to 1+ (low concentrations present), increase to 2+ (moderate concentrations present) and increase to 3+ (high concentrations present) indicating proportional concentrations in the urine sample. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Data for worst-case post-Baseline relative to Baseline is presented.

    Time frame: Baseline (Day 1, Pre-dose) and up to Day 132

  13. Number of Participants With Serious Adverse Events (SAEs) and Non-serious Adverse Events

    An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is defined as any untoward medical occurrence that; results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, other situations judged by physician, is associated with liver injury and impaired liver function. Number of participants who had SAEs and non-SAEs are presented.

    Time frame: Up to Day 132

  14. Percentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 28

    Lower extremity strength was measured as 1-RM on a leg press device. Participants continued with a one set of 5 to 10 repetitions of lifting weights using 40 to 60% of estimated maximum, after warm up. Participants, then lifted progressively heavier weights in steps, with each step separated by an appropriate rest period, until participant could not complete the lift. The last successfully completed lift was recorded as the 1-RM. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Percentage change from Baseline was calculated by 100\*\[(post-dose value minus Baseline value)/ Baseline value\]. Adjusted means and standard error (SE) are presented. Analysis Population comprised of the participants in the 'All Participants (all randomized participants who received at least one dose of study medication)' Population having Baseline and at least one post-Baseline assessment of the treatment the participant was randomized to.

    Time frame: Baseline (Day 1, Pre-dose), Day 28

  15. Percentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 56

    Lower extremity strength was measured as 1-RM on a leg press device. Participants continued with a one set of 5 to 10 repetitions of lifting weights using 40 to 60% of estimated maximum, after warm up. Participants, then lifted progressively heavier weights in steps, with each step separated by an appropriate rest period, until participant could not complete the lift. The last successfully completed lift was recorded as the 1-RM. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Percentage change from Baseline was calculated by 100\*\[(post-dose value minus Baseline value)/ Baseline value\]. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 56

  16. Percentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 90

    Lower extremity strength was measured as 1-RM on a leg press device. Participants continued with a one set of 5 to 10 repetitions of lifting weights using 40 to 60% of estimated maximum, after warm up. Participants, then lifted progressively heavier weights in steps, with each step separated by an appropriate rest period, until participant could not complete the lift. The last successfully completed lift was recorded as the 1-RM. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Percentage change from Baseline was calculated by 100\*\[(post-dose value minus Baseline value)/ Baseline value\]. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 90

  17. Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 28

    Lower extremity strength was measured as 1-RM on a leg press device. Participants continued with a one set of 5 to 10 repetitions of lifting weights using 40 to 60% of estimated maximum, after warm up. Participants, then lifted progressively heavier weights in steps, with each step separated by an appropriate rest period, until participant could not complete the lift. The last successfully completed lift was recorded as the 1-RM. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 28

  18. Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 56

    Lower extremity strength was measured as 1-RM on a leg press device. Participants continued with a one set of 5 to 10 repetitions of lifting weights using 40 to 60% of estimated maximum, after warm up. Participants, then lifted progressively heavier weights in steps, with each step separated by an appropriate rest period, until participant could not complete the lift. The last successfully completed lift was recorded as the 1-RM. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 56

  19. Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 90

    Lower extremity strength was measured as 1-RM on a leg press device. Participants continued with a one set of 5 to 10 repetitions of lifting weights using 40 to 60% of estimated maximum, after warm up. Participants, then lifted progressively heavier weights in steps, with each step separated by an appropriate rest period, until participant could not complete the lift. The last successfully completed lift was recorded as the 1-RM. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 90

Secondary outcomes

  1. Change From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 28

    Participants were asked to lie on a padded platform while a mechanical arm passed over their body. Appendicular lean mass was calculated from the regional lean mass measurements of the arms and legs using DXA. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 28

  2. Change From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 56

    Participants were asked to lie on a padded platform while a mechanical arm passed over their body. Appendicular lean mass was calculated from the regional lean mass measurements of the arms and legs using DXA. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 56

  3. Change From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 90

    Participants were asked to lie on a padded platform while a mechanical arm passed over their body. Appendicular lean mass was calculated from the regional lean mass measurements of the arms and legs using DXA. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 90

  4. Change From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 28

    Participants were asked to lie on a padded platform while a mechanical arm passed over their body. Total lean mass was measured using DXA. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 28

  5. Change From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 56

    Participants were asked to lie on a padded platform while a mechanical arm passed over their body. Total lean mass was measured using DXA. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 56

  6. Change From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 90

    Participants were asked to lie on a padded platform while a mechanical arm passed over their body. Total lean mass was measured using DXA. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 90

  7. Change From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 28

    Participants were assessed for balance, time for chair rise and gait speed. These are the three components of SPPB. Each component was scored from 0 to 4. The total SPPB score was calculated by taking sum of scores of all 3 components, which ranged from 0 (worst performance) to 12 (best performance). Higher scores indicated better performance. Scores 10 to 12 indicated 'fit/normal' and scores \<=7 indicated frail participant. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 28

  8. Change From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 56

    Participants were assessed for balance, time for chair rise and gait speed. These are the three components of SPPB. Each component was scored from 0 to 4. The total SPPB score was calculated by taking sum of scores of all 3 components, which ranged from 0 (worst performance) to 12 (best performance). Higher scores indicated better performance. Scores 10 to 12 indicated 'fit/normal' and scores \<=7 indicated frail participant. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 56

  9. Change From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 90

    Participants were assessed for balance, time for chair rise and gait speed. These are the three components of SPPB. Each component was scored from 0 to 4. The total SPPB score was calculated by taking sum of scores of all 3 components, which ranged from 0 (worst performance) to 12 (best performance). Higher scores indicated better performance. Scores 10 to 12 indicated 'fit/normal' and scores \<=7 indicated frail participant. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 90

  10. Change From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 28

    'Time for chair rise' is one of the 3 components of SPPB, which was assessed by repeated chair stand test and calculated as time for five successful chair stands measured in seconds. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 28

  11. Change From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 56

    'Time for chair rise' is one of the 3 components of SPPB, which was assessed by repeated chair stand test and calculated as time for five successful chair stands measured in seconds. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 56

  12. Change From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 90

    'Time for chair rise' is one of the 3 components of SPPB, which was assessed by repeated chair stand test and calculated as time for five successful chair stands measured in seconds. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 90

  13. Change From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 28

    ''Time for fastest walk for 4 meter' was assessed by SPPB using 4 meter gait speed test. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 28

  14. Change From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 56

    'Time for fastest walk for 4 meter' was assessed by SPPB using 4 meter gait speed test. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 56

  15. Change From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 90

    'Time for fastest walk for 4 meter' was assessed by SPPB using 4 meter gait speed test. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 90

  16. Change From Baseline in Constant Work Rate (CWR) Duration From Endurance Shuttle Walking Test

    The endurance shuttle walk test is a CWR test requiring the participant to walk around a flat 10 meter track at a constant individualized pace. The test was externally paced, set to elicit a maximal exercise response (pace was based on a fixed percentage of prior incremental shuttle walk test performance, which determined a participant's peak exercise capacity). CWR duration is the time in seconds required by a participant to cover a flat 10 meter track during this test. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using analysis of covariance (ANCOVA) model. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Day 90

  17. Change From Baseline in Peak Performance From Incremental Shuttle Walking Test

    An incremental shuttle walk test is an externally paced maximal exercise test which determined a participant's peak exercise capacity. The maximum duration of the test is 20 minutes. Peak performance was measured in meters, which was defined as the maximum distance covered by a participant until the participant can no longer continue walking during this test. Baseline was defined as the highest non-missing pre-dose assessment from Day -9 and Day 1. Analysis was performed using ANCOVA model. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Highest non-missing pre-dose assessment from Day-9 and Day 1), Day 90

  18. Change From Baseline in Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) Score at Day 56

    The CAT is a short and simple participant-completed questionnaire which was developed for use in routine clinical practice to measure the health status of participants with COPD. The CAT is an 8-item questionnaire suitable for completion by all participants diagnosed with COPD. Participants rated their experience on a 6-point scale, ranging from 0 (no impairment) to 5 (maximum impairment). A total CAT score was calculated by summing the non-missing scores of the eight items with a scoring range of 0-40. Higher scores indicated more severe disease impact. Day 1 (Pre-dose) was considered as a Baseline. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 56

  19. Change From Baseline in Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) Score at Day 90

    The CAT is a short and simple participant-completed questionnaire which was developed for use in routine clinical practice to measure the health status of participants with COPD. The CAT is an 8-item questionnaire suitable for completion by all participants diagnosed with COPD. Participants rated their experience on a 6-point scale, ranging from 0 (no impairment) to 5 (maximum impairment). A total CAT score was calculated by summing the non-missing scores of the eight items with a scoring range of 0-40. Higher scores indicated more severe disease impact. Day 1 (Pre-dose) was considered as a Baseline. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day 1, Pre-dose), Day 90

  20. Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Difficulty Score at Day 56

    The daily PROactive instrument consisted of a PRO questionnaire and an activity monitor to measure participant experience of physical activity. It consisted of 9-item daily assessments covering 2 different domains (amount and difficulty). The 'amount' domain was covered by 2 questions combined with 2 activity monitor outputs. The 'difficulty' domain was covered by 5 questions. Individual domains were scored by simple adding items, gave raw score values 0 to 17 for 'amount' and 0 to 20 for 'difficulty'. The raw scores were then transformed to a 0 to 100 Rasch analysis based scale for each domain. Higher scores indicated worse experience with physical activity. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented for averaged weekly difficulty score.

    Time frame: Baseline (Day -9), Day 56

  21. Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Difficulty Score at Day 90

    The daily PROactive instrument consisted of a PRO questionnaire and an activity monitor to measure participant experience of physical activity. It consisted of 9-item daily assessments covering 2 different domains (amount and difficulty). The 'amount' domain was covered by 2 questions combined with 2 activity monitor outputs. The 'difficulty' domain was covered by 5 questions. Individual domains were scored by simple adding items, gave raw score values 0 to 17 for 'amount' and 0 to 20 for 'difficulty'. The raw scores were then transformed to a 0 to 100 Rasch analysis based scale for each domain. Higher scores indicated worse experience with physical activity. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented for averaged weekly difficulty score.

    Time frame: Baseline (Day -9), Day 90

  22. Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Amount Score at Day 56

    The daily PROactive instrument consisted of a PRO questionnaire and an activity monitor to measure participant experience of physical activity. It consisted of 9-item daily assessments covering 2 different domains (amount and difficulty). The 'amount' domain was covered by 2 questions combined with 2 activity monitor outputs. The 'difficulty' domain was covered by 5 questions. Individual domains were scored by simple adding items, gave raw score values 0 to 17 for 'amount' and 0 to 20 for 'difficulty'. The raw scores were then transformed to a 0 to 100 Rasch analysis based scale for each domain. Higher scores indicated worse experience with physical activity. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented for averaged weekly amount score.

    Time frame: Baseline (Day -9), Day 56

  23. Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Amount Score at Day 90

    The daily PROactive instrument consisted of a PRO questionnaire and an activity monitor to measure participant experience of physical activity. It consisted of 9-item daily assessments covering 2 different domains (amount and difficulty). The 'amount' domain was covered by 2 questions combined with 2 activity monitor outputs. The 'difficulty' domain was covered by 5 questions. Individual domains were scored by simple adding items, gave raw score values 0 to 17 for 'amount' and 0 to 20 for 'difficulty'. The raw scores were then transformed to a 0 to 100 Rasch analysis based scale for each domain. Higher scores indicated worse experience with physical activity. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented for averaged weekly amount score.

    Time frame: Baseline (Day -9), Day 90

  24. Change From Baseline in Participant Reported Outcome (PRO)Active Total Score at Day 56

    The daily PROactive instrument consisted of a PRO questionnaire and an activity monitor to measure participant experience of physical activity. It consisted of 9-item daily assessments covering 2 different domains(amount and difficulty). The'amount'domain was covered by 2 questions combined with 2 activity monitor outputs. The 'difficulty'domain was covered by 5 questions. Individual domains were scored by simple adding items, gave raw score values 0 to 17 for'amount'and 0 to 20 for'difficulty. The raw scores were then transformed to a 0 to 100 Rasch scale for each domain. The 'total score' was obtained by calculating the average between two domains. Total score has the range from 0 to 100. Higher scores indicated worse experience with physical activity. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented

    Time frame: Baseline (Day -9), Day 56

  25. Change From Baseline in Participant Reported Outcome (PRO)Active Total Score at Day 90

    The daily PROactive instrument consisted of a PRO questionnaire and an activity monitor to measure participant experience of physical activity. It consisted of 9-item daily assessments covering 2 different domains(amount and difficulty). The'amount'domain was covered by 2 questions combined with 2 activity monitor outputs. The 'difficulty'domain was covered by 5 questions. Individual domains were scored by simple adding items, gave raw score values 0 to 17 for'amount'and 0 to 20 for'difficulty. The raw scores were then transformed to a 0 to 100 Rasch scale for each domain. The 'total score' was obtained by calculating the average between two domains. Total score has the range from 0 to 100. Higher scores indicated worse experience with physical activity. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

    Time frame: Baseline (Day -9), Day 90

  26. Change From Baseline in Steps Per Day (Physical Activity Measure) as Assessed Via an Accelerometer

    Steps per day was assessed using an accelerometer, a clinically validated physical activity monitor which was used to measure the levels of physical activity. Participants wore an accelerometer for 7 days during individual timepoint. Values at Baseline, Day 56 and Day 90 were the average values collected from an accelerometer for 7 days after the Day -9, Day 56 and Day 90. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day -9), Days 56 and 90

  27. Change From Baseline in Vector Magnitude Unit Per Wear Time (Physical Activity Measure) as Assessed Via an Accelerometer

    Vector magnitude unit per wear time was assessed using an accelerometer, a clinically validated physical activity monitor which was used to measure the levels of physical activity. Participants wore an accelerometer for 7 days during individual timepoint. Values at Baseline, Day 56 and Day 90 were the average values collected from accelerometer for 7 days after the Day -9, Day 56 and Day 90. Data from an accelerator was uploaded to a central site. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day -9), Days 56 and 90

  28. Number of Participants With Participant Global Impression of Change (PGIC) Score Over Time

    Participant-reported response to treatment was assessed using the PGIC measure, a single item completed by participant to assess the participant's impression of change in their disease severity since the beginning of the study. Responses to the PGIC question were on a 7 point Likert scale: Much Better, Better, Slightly Better, No Change, Slightly Worse, Worse, and Much Worse. Number of participants with PGIC score is presented by treatment group, visit and by 7 response categories.

    Time frame: Days 14, 28, 56 and 90

  29. Number of Participants With Participant Global Rating of Severity (PGRS) Score Over Time

    PGRS is a single global question and was asked to participants to rate their COPD severity on a four point scale ranging from 1 to 4 (1=mild, 2=moderate, 3=severe, 4=very severe). Number of participants with PGRS score ranging from mild to very severe are presented over time.

    Time frame: Days 1 and 90

  30. Change From Baseline in St. George Respiratory Questionnaire (SGRQ) for COPD (SGRQ-c) Total Score

    SGRQ-c is the COPD specific version of SGRQ. It consisted of 40 items in total, corresponding to 3 individual domains (components): symptoms, activity and impact, with different components carrying a different weighting. Component scores were calculated by summing the weights from all positive items in that component, dividing by the sum of maximum possible weights for all items in that component, and multiplying this number by 100. Total score was calculated by summing the weight to all the positive responses in each component. Total score has the range from 0 to 100. Higher scores indicated more severe disease impact. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using ANCOVA model. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Day 90

  31. Change From Baseline in SGRQ-c Symptoms Score

    SGRQ-c is the COPD specific version of SGRQ. It consisted of 40 items in total, corresponding to 3 individual domains (components): symptoms, activity and impact, with different components carrying a different weighting. Component scores were calculated by summing the weights from all positive items in that component, dividing by the sum of maximum possible weights for all items in that component, and multiplying this number by 100. Symptoms component consisted of questions 1 to 7 in Part 1. Symptoms score has the range from 0 to 100. Higher scores indicated more severe disease impact. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using ANCOVA model. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Day 90

  32. Change From Baseline in SGRQ-c Activity Score

    SGRQ-c is the COPD specific version of SGRQ. It consisted of 40 items in total, corresponding to 3 individual domains (components): symptoms, activity and impact, with different components carrying a different weighting. Component scores were calculated by summing the weights from all positive items in that component, dividing by the sum of maximum possible weights for all items in that component, and multiplying this number by 100. Activity component consisted of questions 9 and 12 in Part 2 of the questionnaire. Activity score has the range from 0 to 100. Higher scores indicated more severe disease impact. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using ANCOVA model. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Day 90

  33. Change From Baseline in SGRQ-c Impact Score

    SGRQ-c is the COPD specific version of SGRQ. It consisted of 40 items in total, corresponding to 3 individual domains (components): symptoms, activity and impact, with different components carrying a different weighting. Component scores were calculated by summing the weights from all positive items in that component, dividing by the sum of maximum possible weights for all items in that component, and multiplying this number by 100. Impact component consisted of questions 8, 10, 11, 13, 14 in Part 2 of the questionnaire. Impact score has the range from 0 to 100. Higher scores indicated more severe disease impact. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using ANCOVA model. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Day 90

  34. Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)

    FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. FEV1 measurements were collected using a spirometer. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Days 56 and 90

  35. Change From Baseline in Sniff Nasal Inspiratory Pressure (SnIP)

    A bung size-specific to the participant was placed in the nostril deemed to be most patent by the investigator. The participant was asked to make a maximum voluntary sniff effort via a peak flow meter and the greatest effort from 10 repeat measurements were recorded. SnIP was measured in centimeter of water (cm H2O). Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

    Time frame: Baseline (Day 1, Pre-dose), Days 56 and 90

  36. Clearance (CL) of GSK2881078 Following Oral Dose in Participants

    Blood samples were collected at designated timepoints. Pharmacokinetics (PK) parameters of GSK2881078 were calculated using non-compartmental methods.

    Time frame: Day 14 (Pre-dose), Day 28 (Pre-dose and at 1 to 4 hours Post-dose), Day 56 (at 5 to 8 hours Post-dose), Day 90 (Pre-dose)

  37. Volume of Distribution at Steady State (Vss) of GSK2881078 Following Oral Dose in Participants

    Blood samples were collected at designated timepoints. PK parameters of GSK2881078 were calculated using non-compartmental methods.

    Time frame: Day 14 (Pre-dose), Day 28 (Pre-dose and at 1 to 4 hours Post-dose), Day 56 (at 5 to 8 hours Post-dose), Day 90 (Pre-dose)

07

Results

Posted Jul 15, 2020

Participant flow

This was a Phase II, double-blind, randomized, multicenter study to evaluate the safety and efficacy of GSK2881078 over 13 weeks of once daily oral dosing, first time administered in older men and post-menopausal female participants with chronic obstructive pulmonary disease (COPD) and muscle weakness, participating in home exercise.

Participant flow — Overall Study
MilestonePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Started23242425
Completed21181820
Not completed2665
Withdrew: Adverse event0253
Withdrew: Lost to follow-up0100
Withdrew: Physician decision0101
Withdrew: Withdrawal by subject1210
Withdrew: Protocol-defined stopping criteria1001

Outcome measures

PrimaryChange From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)

SBP and DBP were measured in a seated position with a completely automated device. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Safety Population comprised of all randomized participants who received at least one dose of study medication. This population was based on the treatment the participant received.

Time frame:
Baseline (Day 1, Pre-dose), Days 14, 28, 56 and 90
Reported as:
Mean · Millimeters of mercury
Change From Baseline in Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP)
Millimeters of mercuryPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
SBP,Day 14,n=22,23,23,243.0 ± 19.632.1 ± 11.03-2.1 ± 9.333.1 ± 11.65
SBP,Day 28,n=22,20,23,243.7 ± 12.76-0.1 ± 12.822.6 ± 14.395.8 ± 9.49
SBP,Day 56,n=21,19,20,213.3 ± 14.967.8 ± 16.38-2.4 ± 17.681.3 ± 9.12
SBP,Day 90,n=21,18,18,201.0 ± 14.237.6 ± 15.56-4.2 ± 18.525.8 ± 18.61
DBP,Day 14,n=22,23,23,241.9 ± 6.881.1 ± 6.93-3.4 ± 6.20-0.4 ± 7.47
DBP,Day 28,n=22,20,23,243.6 ± 7.081.4 ± 7.580.7 ± 7.901.0 ± 5.36
DBP,Day 56,n=21,19,20,212.1 ± 7.002.9 ± 6.07-2.5 ± 10.38-1.6 ± 8.16
DBP,Day 90,n=21,18,18,20-1.0 ± 6.472.9 ± 8.37-0.1 ± 12.980.6 ± 6.95
PrimaryChange From Baseline in Heart Rate

Heart rate was measured in a seated position with a completely automated device. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Days 14, 28, 56 and 90
Reported as:
Mean · Beats per minute
Change From Baseline in Heart Rate
Beats per minutePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Day 14,n=22,23,23,24-0.7 ± 9.793.3 ± 9.161.7 ± 10.61-0.4 ± 6.60
Day 28,n=22,20,23,242.2 ± 8.112.1 ± 9.644.6 ± 10.71-1.7 ± 10.71
Day 56,n=21,19,20,210.2 ± 8.87-1.0 ± 8.812.8 ± 7.170.2 ± 6.36
Day 90,n=21,18,18,201.1 ± 7.992.3 ± 10.347.4 ± 10.23-0.6 ± 8.17
PrimaryChange From Baseline in PR Interval, QRS Duration, QT Interval, QT Interval Corrected for Heart Rate by Fridericia's Formula (QTcF) and QT Interval Corrected for Heart Rate by Bazett's Formula (QTcB)

Twelve-lead electrocardiograms (ECG) were obtained using an automated ECG machine to measure PR Interval, QRS Duration, QT Interval, QTcF Interval and QTcB Interval. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Days 14, 28, 56 and 90
Reported as:
Mean · Milliseconds
Change From Baseline in PR Interval, QRS Duration, QT Interval, QT Interval Corrected for Heart Rate by Fridericia's Formula (QTcF) and QT Interval Corrected for Heart Rate by Bazett's Formula (QTcB)
MillisecondsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
PR interval,Day 14,n=22,23,22,24-1.303 ± 9.9261-0.377 ± 7.2588-2.455 ± 12.6556-2.875 ± 24.3370
PR interval,,Day 28,n=22,20,22,24-0.061 ± 7.9340-4.717 ± 19.3177-2.333 ± 17.59664.139 ± 15.5796
PR interval,,Day 56,n=21,19,20,211.302 ± 12.12200.596 ± 6.52500.483 ± 7.543610.444 ± 27.5133
PR interval,,Day 90,n=21,18,17,20-0.270 ± 9.3111-6.167 ± 28.9117-3.373 ± 9.68453.033 ± 20.7947
QRS Duration,Day 14,n=22,23,23,244.364 ± 22.81071.362 ± 10.4736-0.464 ± 7.47911.167 ± 4.1772
QRS Duration,Day 28,n=22,20,23,241.000 ± 7.70146.200 ± 28.2707-1.478 ± 5.5047-0.542 ± 3.3547
QRS Duration,Day 56,n=21,19,20,21-0.095 ± 5.96391.842 ± 5.4096-1.100 ± 4.9631-0.413 ± 4.6271
QRS Duration,Day 90,n=21,18,18,20-2.397 ± 14.1494-2.444 ± 4.53601.333 ± 25.41631.333 ± 6.3005
QT Interval,Day 14,n=22,23,23,240.576 ± 19.8239-14.290 ± 17.7216-0.638 ± 22.5431-0.597 ± 15.5697
QT Interval,Day 28,n=22,20,23,24-1.333 ± 23.5300-16.133 ± 26.2775-4.203 ± 23.3733-1.750 ± 22.6539
QT Interval,Day 56,n=21,19,20,21-0.127 ± 13.5567-13.947 ± 18.3657-1.533 ± 20.5897-1.857 ± 14.6881
QT Interval,Day 90,n=21,18,18,204.063 ± 16.9160-16.352 ± 20.7511-4.574 ± 17.1825-5.167 ± 17.7759
QTcF Interval,Day 14,n=21,21,21,211.749 ± 11.7762-7.143 ± 9.2710-1.235 ± 11.3507-2.698 ± 9.7085
QTcF Interval,Day 28,n=21,19,21,210.362 ± 15.7742-12.930 ± 11.7707-0.489 ± 10.5492-4.340 ± 12.8445
QTcF Interval,Day 56,n=20,18,18,181.333 ± 8.5039-12.222 ± 10.29751.093 ± 10.0462-3.357 ± 10.5127
QTcF Interval,Day 90,n=20,17,18,173.600 ± 10.3526-12.627 ± 11.57762.657 ± 12.2002-11.804 ± 11.7207
QTcB Interval,Day 14,n=4,5,4,7-4.333 ± 26.21002.193 ± 12.562412.917 ± 13.65820.571 ± 11.0180
QTcB Interval,Day 28,n=4,3,4,7-1.167 ± 12.154913.667 ± 24.7678-7.667 ± 8.8192-10.238 ± 11.6678
QTcB Interval,Day 56,n=3,3,4,6-13.556 ± 11.3741-7.667 ± 9.712513.417 ± 8.0017-9.500 ± 7.2411
QTcB Interval,Day 90,n=3,3,2,61.333 ± 15.9199-13.111 ± 3.097232.000 ± 1.4142-10.278 ± 9.6088
PrimaryNumber of Participants With Grade Increase Post-Baseline Relative to Baseline in Hematology Parameters

Blood samples were collected for the analysis of following hematology parameters: hemoglobin (Hb), lymphocyte count (Lympho), neutrophil count (Neutro) and platelet count (PC). The laboratory parameters were graded according to National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.03. Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. An increase is defined as an increase in CTCAE grade relative to Baseline grade. Only those participants with increase to grade 3 and increase to grade 4 are presented.

Time frame:
Baseline (Day 1, Pre-dose) and up to Day 132
Reported as:
Count of participants · Participants
Number of Participants With Grade Increase Post-Baseline Relative to Baseline in Hematology Parameters
ParticipantsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Hb, Anemia, increase to Grade 30000
Hb, Anemia, increase to Grade 40000
Hb, Hb increased, increase to Grade 30000
Hb, Hb increased, increase to Grade 40000
Lympho, Lymph count decreased, increase to Grade 30000
Lympho, Lymph count decreased, increase to Grade 40000
Lympho, Lymph count increased, increase to Grade 30000
Lympho, Lymph count increased, increase to Grade 40000
Neutro,Neutro count decreased,increase to Grade 30000
Neutro,Neutro count decreased,increase to Grade 40000
PC, PC decreased,increase to Grade 30000
PC, PC decreased,increase to Grade 40000
PC, PC increased,increase to Grade 30000
PC, PC increased,increase to Grade 40000
PrimaryNumber of Participants With Grade Increase Post-Baseline Relative to Baseline in Clinical Chemistry Parameters

Blood samples were collected for the analysis of following clinical chemistry parameters: alanine aminotransferase (ALT), alkaline phosphatase (ALP), aspartate aminotransferase (AST), bilirubin (Bil),calcium (Ca), cholesterol (Chol), creatinine (Creat), glucose(Gl), phosphate (Phos), potassium (Pot) and sodium (Sod). The laboratory parameters were graded according to NCI-CTCAE version 4.03. Grade 1: mild; Grade 2: moderate; Grade 3: severe or medically significant; Grade 4: life-threatening consequences. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. An increase is defined as an increase in CTCAE grade relative to Baseline grade. Values (Hyper and hypo) for Ca, Gl, Pot, Phos and Sod is presented. Only those participants with increase to grade 3 and increase to grade 4 are presented.

Time frame:
Baseline (Day 1, Pre-dose) and up to Day 132
Reported as:
Count of participants · Participants
Number of Participants With Grade Increase Post-Baseline Relative to Baseline in Clinical Chemistry Parameters
ParticipantsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
ALT, ALT increased, increase to Grade 30101
ALT, ALT increased, increase to Grade 40000
ALP, ALP increased, increase to Grade 30000
ALP, ALP increased, increase to Grade 40000
AST, AST increased, increase to Grade 30000
AST, AST increased, increase to Grade 40000
Bil, Blood Bil increased, increase to Grade 30000
Bil, Blood Bil increased, increase to Grade 40000
Ca, Hyper,increase to Grade 30000
Ca, Hyper,increase to Grade 40000
Ca, Hypo,increase to Grade 30000
Ca, Hypo,increase to Grade 40000
Chol, Chol high,increase to Grade 30000
Chol, Chol high,increase to Grade 40000
Creat, Creat increased,increase to Grade 30000
Creat, Creat increased,increase to Grade 40000
Gl, Hyper,increase to Grade 30001
Gl, Hyper,increase to Grade 40000
Gl, Hypo,increase to Grade 30000
Gl, Hypo,increase to Grade 40000
Phos, Hyper,increase to Grade 30000
Phos, Hyper,increase to Grade 40000
Phos, Hypo,increase to Grade 30000
Phos, Hypo,increase to Grade 40000
Pot, Hyper,increase to Grade 30000
Pot, Hyper,increase to Grade 40000
Pot, Hypo,increase to Grade 30010
Pot, Hypo,increase to Grade 40000
Sod, Hyper,increase to Grade 30000
Sod, Hyper,increase to Grade 40000
Sod, Hypo,increase to Grade 32000
Sod, Hypo,increase to Grade 40000
PrimaryChange From Baseline in Urinalysis Parameter; Specific Gravity: Placebo-Female Participants

Urine samples were collected to analyze the urinalysis parameter: specific gravity. Urine specific gravity is a measure of the concentration of solutes in the urine and provides information on the kidney's ability to concentrate urine, indicated as ratio of urine density to water density. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Days 28, 56 and 90
Reported as:
Mean · Ratio
Change From Baseline in Urinalysis Parameter; Specific Gravity: Placebo-Female Participants
RatioPlacebo- Female Participants
Day 28,n=10.0030 ± NA
Day 56,n=10.0020 ± NA
Day 90,n=21-0.0006 ± 0.00612
PrimaryChange From Baseline in Urinalysis Parameter; Specific Gravity: GSK2881078 1.0 mg- Female Participants

Urine samples were collected to analyze the urinalysis parameter: specific gravity. Urine specific gravity is a measure of the concentration of solutes in the urine and provides information on the kidney's ability to concentrate urine, indicated as ratio of urine density to water density. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Days 14 and 90
Reported as:
Mean · Ratio
Change From Baseline in Urinalysis Parameter; Specific Gravity: GSK2881078 1.0 mg- Female Participants
RatioGSK2881078 1.0 mg- Female Participants
Day 14,n=10.000 ± NA
Day 90,n=180.0049 ± 0.00711
PrimaryChange From Baseline in Urinalysis Parameter; Specific Gravity: Male Participants

Urine samples were collected to analyze the urinalysis parameter: specific gravity. Urine specific gravity is a measure of the concentration of solutes in the urine and provides information on the kidney's ability to concentrate urine, indicated as ratio of urine density to water density. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Days 28 and 90
Reported as:
Mean · Ratio
Change From Baseline in Urinalysis Parameter; Specific Gravity: Male Participants
RatioPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Day 28,n=1,1-0.0080 ± NA0.0040 ± NA
Day 90,n=19,200.0017 ± 0.008700.0018 ± 0.00610
PrimaryChange From Baseline in Urinalysis Parameter; Potential of Hydrogen (pH): Placebo- Female Participants

Urine samples were collected to analyze the urinalysis parameter: pH. Urine pH is an acid-base measurement. pH is measured on a numeric scale ranging from 0 to 14; values on the scale refer to the degree of alkalinity or acidity. A pH of 7 is neutral. A pH less than 7 is acidic, and a pH greater than 7 is basic. Normal urine has a slightly acidic pH (5.0 - 6.0). Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Days 28, 56 and 90
Reported as:
Mean · pH
Change From Baseline in Urinalysis Parameter; Potential of Hydrogen (pH): Placebo- Female Participants
pHPlacebo- Female Participants
Day 28,n=10.0000 ± NA
Day 56,n=1-0.5000 ± NA
Day 90,n=210.0000 ± 0.80623
PrimaryChange From Baseline in Urinalysis Parameter; pH: GSK2881078 1.0 mg- Female Participants

Urine samples were collected to analyze the urinalysis parameter: pH. Urine pH is an acid-base measurement. pH is measured on a numeric scale ranging from 0 to 14; values on the scale refer to the degree of alkalinity or acidity. A pH of 7 is neutral. A pH less than 7 is acidic, and a pH greater than 7 is basic. Normal urine has a slightly acidic pH (5.0 - 6.0). Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Days 14 and 90
Reported as:
Mean · pH
Change From Baseline in Urinalysis Parameter; pH: GSK2881078 1.0 mg- Female Participants
pHGSK2881078 1.0 mg- Female Participants
Day 14,n=11.0000 ± NA
Day 90,n=18-0.1111 ± 0.60768
PrimaryChange From Baseline in Urinalysis Parameter; pH: Male Participants

Urine samples were collected to analyze the urinalysis parameter: pH. Urine pH is an acid-base measurement. pH is measured on a numeric scale ranging from 0 to 14; values on the scale refer to the degree of alkalinity or acidity. A pH of 7 is neutral. A pH less than 7 is acidic, and a pH greater than 7 is basic. Normal urine has a slightly acidic pH (5.0 - 6.0). Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Days 28 and 90
Reported as:
Mean · pH
Change From Baseline in Urinalysis Parameter; pH: Male Participants
pHPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Day 28,n=1,11.0000 ± NA0.5000 ± NA
Day 90,n=19,20-0.1579 ± 0.727490.3000 ± 0.71451
PrimaryNumber of Participants With Urinalysis Dipstick Results Post-Baseline Relative to Baseline

Urine samples were collected to analyze parameters including glucose, occult blood (OB) and protein levels by dipstick. The dipstick test gives results in a semi-quantitative manner, and results for urinalysis parameters can be read as increase to trace, increase to 1+ (low concentrations present), increase to 2+ (moderate concentrations present) and increase to 3+ (high concentrations present) indicating proportional concentrations in the urine sample. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Data for worst-case post-Baseline relative to Baseline is presented.

Time frame:
Baseline (Day 1, Pre-dose) and up to Day 132
Reported as:
Count of participants · Participants
Number of Participants With Urinalysis Dipstick Results Post-Baseline Relative to Baseline
ParticipantsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Glucose: increase to trace0010
Glucose: increase to 1+0000
Glucose: increase to 2+0000
Glucose: increase to 3+0001
OB: increase to trace1011
OB: increase to 1+1110
OB: increase to 2+1200
OB: increase to 3+0001
Protein: increase to trace2236
Protein: increase to 1+0313
Protein: increase to 2+0101
Protein: increase to 3+0000
PrimaryNumber of Participants With Serious Adverse Events (SAEs) and Non-serious Adverse Events

An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is defined as any untoward medical occurrence that; results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, other situations judged by physician, is associated with liver injury and impaired liver function. Number of participants who had SAEs and non-SAEs are presented.

Time frame:
Up to Day 132
Reported as:
Count of participants · Participants
Number of Participants With Serious Adverse Events (SAEs) and Non-serious Adverse Events
ParticipantsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Non-SAEs15181317
SAEs1220
PrimaryPercentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 28

Lower extremity strength was measured as 1-RM on a leg press device. Participants continued with a one set of 5 to 10 repetitions of lifting weights using 40 to 60% of estimated maximum, after warm up. Participants, then lifted progressively heavier weights in steps, with each step separated by an appropriate rest period, until participant could not complete the lift. The last successfully completed lift was recorded as the 1-RM. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Percentage change from Baseline was calculated by 100\*\[(post-dose value minus Baseline value)/ Baseline value\]. Adjusted means and standard error (SE) are presented. Analysis Population comprised of the participants in the 'All Participants (all randomized participants who received at least one dose of study medication)' Population having Baseline and at least one post-Baseline assessment of the treatment the participant was randomized to.

Time frame:
Baseline (Day 1, Pre-dose), Day 28
Reported as:
Mean · Percentage change
Percentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 28
Percentage changePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Percentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 284.82 ± 2.4069.34 ± 2.4591.55 ± 2.9409.35 ± 2.848
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 4.53 · 90% CI -1.30 to 10.36Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline leg press strength, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 7.80 · 90% CI 0.83 to 14.76Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline leg press strength, with Day as the repeated factor.
PrimaryPercentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 56

Lower extremity strength was measured as 1-RM on a leg press device. Participants continued with a one set of 5 to 10 repetitions of lifting weights using 40 to 60% of estimated maximum, after warm up. Participants, then lifted progressively heavier weights in steps, with each step separated by an appropriate rest period, until participant could not complete the lift. The last successfully completed lift was recorded as the 1-RM. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Percentage change from Baseline was calculated by 100\*\[(post-dose value minus Baseline value)/ Baseline value\]. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 56
Reported as:
Mean · Percentage change
Percentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 56
Percentage changePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Percentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 560.08 ± 2.78716.78 ± 2.9255.73 ± 3.92111.07 ± 3.922
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 16.71 · 90% CI 9.86 to 23.56Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline leg press strength, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 5.35 · 90% CI -4.09 to 14.78Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline leg press strength, with Day as the repeated factor.
PrimaryPercentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 90

Lower extremity strength was measured as 1-RM on a leg press device. Participants continued with a one set of 5 to 10 repetitions of lifting weights using 40 to 60% of estimated maximum, after warm up. Participants, then lifted progressively heavier weights in steps, with each step separated by an appropriate rest period, until participant could not complete the lift. The last successfully completed lift was recorded as the 1-RM. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Percentage change from Baseline was calculated by 100\*\[(post-dose value minus Baseline value)/ Baseline value\]. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 90
Reported as:
Mean · Percentage change
Percentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 90
Percentage changePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Percentage Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 9012.76 ± 4.06117.93 ± 4.1797.15 ± 2.75914.17 ± 2.632
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 5.17 · 90% CI -4.67 to 15.01Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline leg press strength, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 7.02 · 90% CI 0.46 to 13.58Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline leg press strength, with Day as the repeated factor.
PrimaryChange From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 28

Lower extremity strength was measured as 1-RM on a leg press device. Participants continued with a one set of 5 to 10 repetitions of lifting weights using 40 to 60% of estimated maximum, after warm up. Participants, then lifted progressively heavier weights in steps, with each step separated by an appropriate rest period, until participant could not complete the lift. The last successfully completed lift was recorded as the 1-RM. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 28
Reported as:
Mean · Kilograms
Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 28
KilogramsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 284.2 ± 3.0110.0 ± 3.083.0 ± 5.0616.5 ± 4.90
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 5.9 · 90% CI -1.4 to 13.2Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline leg press strength, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 13.5 · 90% CI 1.6 to 25.5Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline leg press strength, with Day as the repeated factor.
PrimaryChange From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 56

Lower extremity strength was measured as 1-RM on a leg press device. Participants continued with a one set of 5 to 10 repetitions of lifting weights using 40 to 60% of estimated maximum, after warm up. Participants, then lifted progressively heavier weights in steps, with each step separated by an appropriate rest period, until participant could not complete the lift. The last successfully completed lift was recorded as the 1-RM. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 56
Reported as:
Mean · Kilograms
Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 56
KilogramsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 560.6 ± 4.2921.3 ± 4.508.3 ± 7.6915.7 ± 7.69
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 20.7 · 90% CI 10.1 to 31.2Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline leg press strength, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 7.3 · 90% CI -11.1 to 25.8Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline leg press strength, with Day as the repeated factor.
PrimaryChange From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 90

Lower extremity strength was measured as 1-RM on a leg press device. Participants continued with a one set of 5 to 10 repetitions of lifting weights using 40 to 60% of estimated maximum, after warm up. Participants, then lifted progressively heavier weights in steps, with each step separated by an appropriate rest period, until participant could not complete the lift. The last successfully completed lift was recorded as the 1-RM. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 90
Reported as:
Mean · Kilograms
Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 90
KilogramsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Maximum Leg Press Strength Following 1 Repetition Maximum (1-RM) at Day 9012.3 ± 4.3120.3 ± 4.4514.2 ± 5.1726.0 ± 4.91
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 8.0 · 90% CI -2.5 to 18.4Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline leg press strength, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 11.8 · 90% CI -0.5 to 24.0Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline leg press strength, with Day as the repeated factor.
SecondaryChange From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 28

Participants were asked to lie on a padded platform while a mechanical arm passed over their body. Appendicular lean mass was calculated from the regional lean mass measurements of the arms and legs using DXA. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 28
Reported as:
Mean · Kilograms
Change From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 28
KilogramsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 28-0.240 ± 0.09740.642 ± 0.10230.055 ± 0.19200.346 ± 0.1831
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 0.882 · 90% CI 0.643 to 1.121Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline appendicular lean mass, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 0.291 · 90% CI -0.156 to 0.738Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline appendicular lean mass, with Day as the repeated factor.
SecondaryChange From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 56

Participants were asked to lie on a padded platform while a mechanical arm passed over their body. Appendicular lean mass was calculated from the regional lean mass measurements of the arms and legs using DXA. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 56
Reported as:
Mean · Kilograms
Change From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 56
KilogramsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 56-0.134 ± 0.14100.848 ± 0.1540-0.464 ± 0.18870.663 ± 0.1829
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 0.982 · 90% CI 0.629 to 1.334Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline appendicular lean mass, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 1.127 · 90% CI 0.682 to 1.571Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline appendicular lean mass, with Day as the repeated factor.
SecondaryChange From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 90

Participants were asked to lie on a padded platform while a mechanical arm passed over their body. Appendicular lean mass was calculated from the regional lean mass measurements of the arms and legs using DXA. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 90
Reported as:
Mean · Kilograms
Change From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 90
KilogramsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Appendicular Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 90-0.434 ± 0.16570.946 ± 0.1818-0.225 ± 0.23060.899 ± 0.2117
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 1.380 · 90% CI 0.964 to 1.795Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline appendicular lean mass, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 1.124 · 90% CI 0.594 to 1.654Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline appendicular lean mass, with Day as the repeated factor.
SecondaryChange From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 28

Participants were asked to lie on a padded platform while a mechanical arm passed over their body. Total lean mass was measured using DXA. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 28
Reported as:
Mean · Kilograms
Change From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 28
KilogramsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 28-0.017 ± 0.20041.150 ± 0.21060.075 ± 0.30040.998 ± 0.2869
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 1.167 · 90% CI 0.677 to 1.658Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline total lean mass, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 0.923 · 90% CI 0.222 to 1.623Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline total lean mass, with Day as the repeated factor.
SecondaryChange From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 56

Participants were asked to lie on a padded platform while a mechanical arm passed over their body. Total lean mass was measured using DXA. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 56
Reported as:
Mean · Kilograms
Change From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 56
KilogramsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 56-0.564 ± 0.23721.522 ± 0.2587-0.373 ± 0.38201.327 ± 0.3700
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 2.085 · 90% CI 1.493 to 2.678Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline total lean mass, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 1.700 · 90% CI 0.801 to 2.600Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline total lean mass, with Day as the repeated factor.
SecondaryChange From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 90

Participants were asked to lie on a padded platform while a mechanical arm passed over their body. Total lean mass was measured using DXA. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 90
Reported as:
Mean · Kilograms
Change From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 90
KilogramsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Total Lean Mass as Assessed by Dual-energy X-ray Absorptiometry (DXA) at Day 90-0.531 ± 0.33491.577 ± 0.3666-0.424 ± 0.50561.689 ± 0.4666
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 2.108 · 90% CI 1.271 to 2.945Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline total lean mass, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 2.113 · 90% CI 0.949 to 3.277Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline total lean mass, with Day as the repeated factor.
SecondaryChange From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 28

Participants were assessed for balance, time for chair rise and gait speed. These are the three components of SPPB. Each component was scored from 0 to 4. The total SPPB score was calculated by taking sum of scores of all 3 components, which ranged from 0 (worst performance) to 12 (best performance). Higher scores indicated better performance. Scores 10 to 12 indicated 'fit/normal' and scores \<=7 indicated frail participant. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 28
Reported as:
Mean · Scores on a scale
Change From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 28
Scores on a scalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 280.3 ± 0.250.4 ± 0.260.2 ± 0.190.3 ± 0.18
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 0.0 · 90% CI -0.6 to 0.6Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline SPPB total score, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 0.0 · 90% CI -0.4 to 0.5Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline SPPB total score, with Day as the repeated factor.
SecondaryChange From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 56

Participants were assessed for balance, time for chair rise and gait speed. These are the three components of SPPB. Each component was scored from 0 to 4. The total SPPB score was calculated by taking sum of scores of all 3 components, which ranged from 0 (worst performance) to 12 (best performance). Higher scores indicated better performance. Scores 10 to 12 indicated 'fit/normal' and scores \<=7 indicated frail participant. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 56
Reported as:
Mean · Scores on a scale
Change From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 56
Scores on a scalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 560.4 ± 0.240.4 ± 0.250.1 ± 0.240.4 ± 0.24
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 0.0 · 90% CI -0.6 to 0.6Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline SPPB total score, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 0.3 · 90% CI -0.2 to 0.9Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline SPPB total score, with Day as the repeated factor.
SecondaryChange From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 90

Participants were assessed for balance, time for chair rise and gait speed. These are the three components of SPPB. Each component was scored from 0 to 4. The total SPPB score was calculated by taking sum of scores of all 3 components, which ranged from 0 (worst performance) to 12 (best performance). Higher scores indicated better performance. Scores 10 to 12 indicated 'fit/normal' and scores \<=7 indicated frail participant. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 90
Reported as:
Mean · Scores on a scale
Change From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 90
Scores on a scalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Total Short Physical Performance Battery (SPPB) Score at Day 900.3 ± 0.260.5 ± 0.280.4 ± 0.230.5 ± 0.22
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 0.2 · 90% CI -0.4 to 0.9Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline SPPB total score, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 0.1 · 90% CI -0.5 to 0.6Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline SPPB total score, with Day as the repeated factor.
SecondaryChange From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 28

'Time for chair rise' is one of the 3 components of SPPB, which was assessed by repeated chair stand test and calculated as time for five successful chair stands measured in seconds. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 28
Reported as:
Mean · Seconds
Change From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 28
SecondsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 28-0.644 ± 0.6333-1.196 ± 0.6491-0.464 ± 0.3841-0.537 ± 0.3763
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): -0.553 · 90% CI -2.082 to 0.977Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline time for chair rise, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): -0.073 · 90% CI -0.977 to 0.832Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline time for chair rise, with Day as the repeated factor.
SecondaryChange From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 56

'Time for chair rise' is one of the 3 components of SPPB, which was assessed by repeated chair stand test and calculated as time for five successful chair stands measured in seconds. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 56
Reported as:
Mean · Seconds
Change From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 56
SecondsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 56-1.207 ± 0.5912-2.023 ± 0.6124-0.323 ± 0.5294-0.160 ± 0.5282
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): -0.816 · 90% CI -2.252 to 0.619Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline time for chair rise, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 0.163 · 90% CI -1.096 to 1.422Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline time for chair rise, with Day as the repeated factor.
SecondaryChange From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 90

'Time for chair rise' is one of the 3 components of SPPB, which was assessed by repeated chair stand test and calculated as time for five successful chair stands measured in seconds. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 90
Reported as:
Mean · Seconds
Change From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 90
SecondsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in 'Time for Chair Rise' as Assessed by SPPB at Day 90-1.070 ± 0.6956-2.030 ± 0.73621.144 ± 1.4013-0.793 ± 1.3401
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): -0.960 · 90% CI -2.668 to 0.748Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline time for chair rise, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): -1.937 · 90% CI -5.208 to 1.333Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline time for chair rise, with Day as the repeated factor.
SecondaryChange From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 28

''Time for fastest walk for 4 meter' was assessed by SPPB using 4 meter gait speed test. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 28
Reported as:
Mean · Seconds
Change From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 28
SecondsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 28-0.236 ± 0.1132-0.277 ± 0.1161-0.167 ± 0.1133-0.110 ± 0.1108
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): -0.040 · 90% CI -0.314 to 0.233Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline Time for fastest walk for 4 meter, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 0.058 · 90% CI -0.209 to 0.324Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline Time for fastest walk for 4 meter, with Day as the repeated factor.
SecondaryChange From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 56

'Time for fastest walk for 4 meter' was assessed by SPPB using 4 meter gait speed test. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 56
Reported as:
Mean · Seconds
Change From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 56
SecondsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 560.010 ± 0.1487-0.276 ± 0.1560-0.093 ± 0.1437-0.284 ± 0.1438
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): -0.287 · 90% CI -0.650 to 0.077Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline Time for fastest walk for 4 meter, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): -0.191 · 90% CI -0.534 to 0.152Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline Time for fastest walk for 4 meter, with Day as the repeated factor.
SecondaryChange From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 90

'Time for fastest walk for 4 meter' was assessed by SPPB using 4 meter gait speed test. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Analysis was performed using mixed model repeated measures. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 90
Reported as:
Mean · Seconds
Change From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 90
SecondsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in 'Time for Fastest Walk for 4 Meter' as Assessed by SPPB at Day 90-0.043 ± 0.2194-0.055 ± 0.2361-0.130 ± 0.1331-0.360 ± 0.1275
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): -0.012 · 90% CI -0.555 to 0.532Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline Time for fastest walk for 4 meter, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): -0.231 · 90% CI -0.541 to 0.080Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline Time for fastest walk for 4 meter, with Day as the repeated factor.
SecondaryChange From Baseline in Constant Work Rate (CWR) Duration From Endurance Shuttle Walking Test

The endurance shuttle walk test is a CWR test requiring the participant to walk around a flat 10 meter track at a constant individualized pace. The test was externally paced, set to elicit a maximal exercise response (pace was based on a fixed percentage of prior incremental shuttle walk test performance, which determined a participant's peak exercise capacity). CWR duration is the time in seconds required by a participant to cover a flat 10 meter track during this test. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using analysis of covariance (ANCOVA) model. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Day 90
Reported as:
Least squares mean · Seconds
Change From Baseline in Constant Work Rate (CWR) Duration From Endurance Shuttle Walking Test
SecondsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Constant Work Rate (CWR) Duration From Endurance Shuttle Walking Test-6.5 ± 26.784.6 ± 29.25105.1 ± 54.94-44.2 ± 51.97
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Difference in least square means: 11.1 · 90% CI -57.1 to 79.2Analysis was performed by ANCOVA model with Baseline CWR duration as the covariate adjusting for the treatment.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Difference in least square means: -149.3 · 90% CI -280.6 to -18.1Analysis was performed by ANCOVA model with Baseline CWR duration as the covariate adjusting for the treatment.
SecondaryChange From Baseline in Peak Performance From Incremental Shuttle Walking Test

An incremental shuttle walk test is an externally paced maximal exercise test which determined a participant's peak exercise capacity. The maximum duration of the test is 20 minutes. Peak performance was measured in meters, which was defined as the maximum distance covered by a participant until the participant can no longer continue walking during this test. Baseline was defined as the highest non-missing pre-dose assessment from Day -9 and Day 1. Analysis was performed using ANCOVA model. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Highest non-missing pre-dose assessment from Day-9 and Day 1), Day 90
Reported as:
Least squares mean · Meters
Change From Baseline in Peak Performance From Incremental Shuttle Walking Test
MetersPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Peak Performance From Incremental Shuttle Walking Test-10.5 ± 14.76-17.2 ± 15.16-7.5 ± 15.84-42.3 ± 15.02
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Difference in least square means: -6.7 · 90% CI -42.7 to 29.2Analysis was performed by ANCOVA model with Baseline peak performance as the covariate adjusting for the treatment.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Difference in least square means: -34.8 · 90% CI -72.0 to 2.4Analysis was performed by ANCOVA model with Baseline peak performance as the covariate adjusting for the treatment.
SecondaryChange From Baseline in Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) Score at Day 56

The CAT is a short and simple participant-completed questionnaire which was developed for use in routine clinical practice to measure the health status of participants with COPD. The CAT is an 8-item questionnaire suitable for completion by all participants diagnosed with COPD. Participants rated their experience on a 6-point scale, ranging from 0 (no impairment) to 5 (maximum impairment). A total CAT score was calculated by summing the non-missing scores of the eight items with a scoring range of 0-40. Higher scores indicated more severe disease impact. Day 1 (Pre-dose) was considered as a Baseline. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 56
Reported as:
Mean · Scores on a Scale
Change From Baseline in Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) Score at Day 56
Scores on a ScalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) Score at Day 56-0.8 ± 0.92-1.2 ± 0.97-0.4 ± 1.14-1.0 ± 1.14
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): -0.4 · 90% CI -2.6 to 1.9Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline CAT score, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): -0.7 · 90% CI -3.4 to 2.1Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline CAT score, with Day as the repeated factor.
SecondaryChange From Baseline in Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) Score at Day 90

The CAT is a short and simple participant-completed questionnaire which was developed for use in routine clinical practice to measure the health status of participants with COPD. The CAT is an 8-item questionnaire suitable for completion by all participants diagnosed with COPD. Participants rated their experience on a 6-point scale, ranging from 0 (no impairment) to 5 (maximum impairment). A total CAT score was calculated by summing the non-missing scores of the eight items with a scoring range of 0-40. Higher scores indicated more severe disease impact. Day 1 (Pre-dose) was considered as a Baseline. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day 1, Pre-dose), Day 90
Reported as:
Mean · Scores on a Scale
Change From Baseline in Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) Score at Day 90
Scores on a ScalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Chronic Obstructive Pulmonary Disease (COPD) Assessment Test (CAT) Score at Day 90-1.3 ± 0.79-2.2 ± 0.85-1.4 ± 0.940.8 ± 0.90
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): -0.9 · 90% CI -2.9 to 1.1Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline CAT score, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 2.2 · 90% CI 0.0 to 4.5Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and Baseline CAT score, with Day as the repeated factor.
SecondaryChange From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Difficulty Score at Day 56

The daily PROactive instrument consisted of a PRO questionnaire and an activity monitor to measure participant experience of physical activity. It consisted of 9-item daily assessments covering 2 different domains (amount and difficulty). The 'amount' domain was covered by 2 questions combined with 2 activity monitor outputs. The 'difficulty' domain was covered by 5 questions. Individual domains were scored by simple adding items, gave raw score values 0 to 17 for 'amount' and 0 to 20 for 'difficulty'. The raw scores were then transformed to a 0 to 100 Rasch analysis based scale for each domain. Higher scores indicated worse experience with physical activity. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented for averaged weekly difficulty score.

Time frame:
Baseline (Day -9), Day 56
Reported as:
Mean · Scores on a Scale
Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Difficulty Score at Day 56
Scores on a ScalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Difficulty Score at Day 563.7 ± 1.59-1.1 ± 1.801.3 ± 2.16-0.8 ± 2.08
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): -4.7 · 90% CI -8.9 to -0.6Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline difficulty scores, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): -2.1 · 90% CI -7.2 to 3.1Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline difficulty scores, with Day as the repeated factor.
SecondaryChange From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Difficulty Score at Day 90

The daily PROactive instrument consisted of a PRO questionnaire and an activity monitor to measure participant experience of physical activity. It consisted of 9-item daily assessments covering 2 different domains (amount and difficulty). The 'amount' domain was covered by 2 questions combined with 2 activity monitor outputs. The 'difficulty' domain was covered by 5 questions. Individual domains were scored by simple adding items, gave raw score values 0 to 17 for 'amount' and 0 to 20 for 'difficulty'. The raw scores were then transformed to a 0 to 100 Rasch analysis based scale for each domain. Higher scores indicated worse experience with physical activity. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented for averaged weekly difficulty score.

Time frame:
Baseline (Day -9), Day 90
Reported as:
Mean · Scores on a Scale
Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Difficulty Score at Day 90
Scores on a ScalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Difficulty Score at Day 902.0 ± 1.90-2.9 ± 1.842.8 ± 2.56-1.2 ± 2.65
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): -4.9 · 90% CI -9.5 to -0.4Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline difficulty scores, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): -4.1 · 90% CI -10.3 to 2.2Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline difficulty scores, with Day as the repeated factor.
SecondaryChange From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Amount Score at Day 56

The daily PROactive instrument consisted of a PRO questionnaire and an activity monitor to measure participant experience of physical activity. It consisted of 9-item daily assessments covering 2 different domains (amount and difficulty). The 'amount' domain was covered by 2 questions combined with 2 activity monitor outputs. The 'difficulty' domain was covered by 5 questions. Individual domains were scored by simple adding items, gave raw score values 0 to 17 for 'amount' and 0 to 20 for 'difficulty'. The raw scores were then transformed to a 0 to 100 Rasch analysis based scale for each domain. Higher scores indicated worse experience with physical activity. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented for averaged weekly amount score.

Time frame:
Baseline (Day -9), Day 56
Reported as:
Mean · Scores on a Scale
Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Amount Score at Day 56
Scores on a ScalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Amount Score at Day 563.3 ± 1.090.2 ± 1.242.5 ± 1.832.3 ± 1.77
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): -3.1 · 90% CI -5.9 to -0.3Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline amount scores, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): -0.2 · 90% CI -4.6 to 4.2Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline amount scores, with Day as the repeated factor.
SecondaryChange From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Amount Score at Day 90

The daily PROactive instrument consisted of a PRO questionnaire and an activity monitor to measure participant experience of physical activity. It consisted of 9-item daily assessments covering 2 different domains (amount and difficulty). The 'amount' domain was covered by 2 questions combined with 2 activity monitor outputs. The 'difficulty' domain was covered by 5 questions. Individual domains were scored by simple adding items, gave raw score values 0 to 17 for 'amount' and 0 to 20 for 'difficulty'. The raw scores were then transformed to a 0 to 100 Rasch analysis based scale for each domain. Higher scores indicated worse experience with physical activity. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented for averaged weekly amount score.

Time frame:
Baseline (Day -9), Day 90
Reported as:
Mean · Scores on a Scale
Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Amount Score at Day 90
Scores on a ScalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Participant Reported Outcome (PRO)Active Individual Component: Amount Score at Day 90-0.2 ± 2.053.8 ± 1.98-0.8 ± 2.332.7 ± 2.47
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): 4.0 · 90% CI -0.8 to 8.8Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline amount scores, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): 3.5 · 90% CI -2.3 to 9.4Analysis was performed by mixed model repeated measures including the covariates: treatment, Day, treatment\*Day and corresponding Baseline amount scores, with Day as the repeated factor.
SecondaryChange From Baseline in Participant Reported Outcome (PRO)Active Total Score at Day 56

The daily PROactive instrument consisted of a PRO questionnaire and an activity monitor to measure participant experience of physical activity. It consisted of 9-item daily assessments covering 2 different domains(amount and difficulty). The'amount'domain was covered by 2 questions combined with 2 activity monitor outputs. The 'difficulty'domain was covered by 5 questions. Individual domains were scored by simple adding items, gave raw score values 0 to 17 for'amount'and 0 to 20 for'difficulty. The raw scores were then transformed to a 0 to 100 Rasch scale for each domain. The 'total score' was obtained by calculating the average between two domains. Total score has the range from 0 to 100. Higher scores indicated worse experience with physical activity. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented

Time frame:
Baseline (Day -9), Day 56
Reported as:
Mean · Scores on a Scale
Change From Baseline in Participant Reported Outcome (PRO)Active Total Score at Day 56
Scores on a ScalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Participant Reported Outcome (PRO)Active Total Score at Day 563.7 ± 0.89-0.5 ± 1.032.1 ± 1.090.5 ± 1.05
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): -4.2 · 90% CI -6.5 to -1.9Analysis was performed by mixed model repeated measures including the covariates; treatment, Day, treatment\*Day and corresponding Baseline total scores, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): -1.5 · 90% CI -4.1 to 1.1Analysis was performed by mixed model repeated measures including the covariates; treatment, Day, treatment\*Day and corresponding Baseline total scores, with Day as the repeated factor.
SecondaryChange From Baseline in Participant Reported Outcome (PRO)Active Total Score at Day 90

The daily PROactive instrument consisted of a PRO questionnaire and an activity monitor to measure participant experience of physical activity. It consisted of 9-item daily assessments covering 2 different domains(amount and difficulty). The'amount'domain was covered by 2 questions combined with 2 activity monitor outputs. The 'difficulty'domain was covered by 5 questions. Individual domains were scored by simple adding items, gave raw score values 0 to 17 for'amount'and 0 to 20 for'difficulty. The raw scores were then transformed to a 0 to 100 Rasch scale for each domain. The 'total score' was obtained by calculating the average between two domains. Total score has the range from 0 to 100. Higher scores indicated worse experience with physical activity. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value. Adjusted means and SE are presented.

Time frame:
Baseline (Day -9), Day 90
Reported as:
Mean · Scores on a Scale
Change From Baseline in Participant Reported Outcome (PRO)Active Total Score at Day 90
Scores on a ScalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in Participant Reported Outcome (PRO)Active Total Score at Day 901.3 ± 1.200.3 ± 1.141.2 ± 1.570.5 ± 1.66
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Mean difference (net): -1.0 · 90% CI -3.8 to 1.8Analysis was performed by mixed model repeated measures including the covariates; treatment, Day, treatment\*Day and corresponding Baseline total scores, with Day as the repeated factor.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Mean difference (net): -0.7 · 90% CI -4.6 to 3.2Analysis was performed by mixed model repeated measures including the covariates; treatment, Day, treatment\*Day and corresponding Baseline total scores, with Day as the repeated factor.
SecondaryChange From Baseline in Steps Per Day (Physical Activity Measure) as Assessed Via an Accelerometer

Steps per day was assessed using an accelerometer, a clinically validated physical activity monitor which was used to measure the levels of physical activity. Participants wore an accelerometer for 7 days during individual timepoint. Values at Baseline, Day 56 and Day 90 were the average values collected from an accelerometer for 7 days after the Day -9, Day 56 and Day 90. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day -9), Days 56 and 90
Reported as:
Mean · Steps per day
Change From Baseline in Steps Per Day (Physical Activity Measure) as Assessed Via an Accelerometer
Steps per dayPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Day 56,n=17,14,14,17285.19 ± 1289.604389.58 ± 1322.701120.41 ± 1282.092-17.40 ± 1334.539
Day 90,n=17,17,14,14-246.45 ± 756.414786.21 ± 1439.988-527.07 ± 1077.747611.36 ± 1499.559
SecondaryChange From Baseline in Vector Magnitude Unit Per Wear Time (Physical Activity Measure) as Assessed Via an Accelerometer

Vector magnitude unit per wear time was assessed using an accelerometer, a clinically validated physical activity monitor which was used to measure the levels of physical activity. Participants wore an accelerometer for 7 days during individual timepoint. Values at Baseline, Day 56 and Day 90 were the average values collected from accelerometer for 7 days after the Day -9, Day 56 and Day 90. Data from an accelerator was uploaded to a central site. Baseline was the average of the data collected from the 7-day period after dispensing of the device on Day -9. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day -9), Days 56 and 90
Reported as:
Mean · Vector magnitude units per minute
Change From Baseline in Vector Magnitude Unit Per Wear Time (Physical Activity Measure) as Assessed Via an Accelerometer
Vector magnitude units per minutePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Day 56,n=17,14,14,179.19 ± 82.596-4.83 ± 66.40056.42 ± 86.28471.98 ± 175.403
Day 90,n=17,17,14,14-6.60 ± 65.6480.40 ± 64.670-3.73 ± 74.84942.36 ± 184.191
SecondaryNumber of Participants With Participant Global Impression of Change (PGIC) Score Over Time

Participant-reported response to treatment was assessed using the PGIC measure, a single item completed by participant to assess the participant's impression of change in their disease severity since the beginning of the study. Responses to the PGIC question were on a 7 point Likert scale: Much Better, Better, Slightly Better, No Change, Slightly Worse, Worse, and Much Worse. Number of participants with PGIC score is presented by treatment group, visit and by 7 response categories.

Time frame:
Days 14, 28, 56 and 90
Reported as:
Count of participants · Participants
Number of Participants With Participant Global Impression of Change (PGIC) Score Over Time
ParticipantsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Day 14, much worse,n=21,20,23,230000
Day 14, worse,n=21,20,23,230001
Day 14, slightly worse,n=21,20,23,230100
Day 14, no change,n=21,20,23,236599
Day 14, slightly better,n=21,20,23,237744
Day 14, better,n=21,20,23,237587
Day 14, much better,n=21,20,23,231222
Day 28, much worse,n=21,20,21,220000
Day 28, worse,n=21,20,21,220000
Day 28, slightly worse,n=21,20,21,221200
Day 28, no change,n=21,20,21,223646
Day 28, slightly better,n=21,20,21,2296107
Day 28, better,n=21,20,21,225657
Day 28, much better,n=21,20,21,223022
Day 56, much worse,n=21,19,21,210000
Day 56, worse,n=21,19,21,210000
Day 56, slightly worse,n=21,19,21,211314
Day 56, no change,n=21,19,21,212545
Day 56, slightly better,n=21,19,21,216475
Day 56, better,n=21,19,21,2110685
Day 56, much better,n=21,19,21,212112
Day 90, much worse,n=21,18,18,200000
Day 90, worse,n=21,18,18,200100
Day 90, slightly worse,n=21,18,18,201000
Day 90, no change,n=21,18,18,209856
Day 90, slightly better,n=21,18,18,207399
Day 90, better,n=21,18,18,203444
Day 90, much better,n=21,18,18,201201
SecondaryNumber of Participants With Participant Global Rating of Severity (PGRS) Score Over Time

PGRS is a single global question and was asked to participants to rate their COPD severity on a four point scale ranging from 1 to 4 (1=mild, 2=moderate, 3=severe, 4=very severe). Number of participants with PGRS score ranging from mild to very severe are presented over time.

Time frame:
Days 1 and 90
Reported as:
Count of participants · Participants
Number of Participants With Participant Global Rating of Severity (PGRS) Score Over Time
ParticipantsPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Day 1, mild,n=21,20,23,232002
Day 1, moderate,n=21,20,23,239131112
Day 1, severe,n=21,20,23,2387128
Day 1, very severe,n=21,20,23,232001
Day 90, mild,n=21,18,18,204415
Day 90, moderate,n=21,18,18,209792
Day 90, severe,n=21,18,18,2066812
Day 90, very severe,n=21,18,18,202101
SecondaryChange From Baseline in St. George Respiratory Questionnaire (SGRQ) for COPD (SGRQ-c) Total Score

SGRQ-c is the COPD specific version of SGRQ. It consisted of 40 items in total, corresponding to 3 individual domains (components): symptoms, activity and impact, with different components carrying a different weighting. Component scores were calculated by summing the weights from all positive items in that component, dividing by the sum of maximum possible weights for all items in that component, and multiplying this number by 100. Total score was calculated by summing the weight to all the positive responses in each component. Total score has the range from 0 to 100. Higher scores indicated more severe disease impact. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using ANCOVA model. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Day 90
Reported as:
Least squares mean · Scores on a scale
Change From Baseline in St. George Respiratory Questionnaire (SGRQ) for COPD (SGRQ-c) Total Score
Scores on a scalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in St. George Respiratory Questionnaire (SGRQ) for COPD (SGRQ-c) Total Score-3.9 ± 1.71-0.9 ± 1.90-1.7 ± 1.870.4 ± 1.77
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Difference in least square means: 3.0 · 90% CI -1.4 to 7.4Analysis was performed by ANCOVA model with Baseline total score as the covariate adjusting for the treatment.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Difference in least square means: 2.1 · 90% CI -2.3 to 6.5Analysis was performed by ANCOVA model with Baseline total score as the covariate adjusting for the treatment.
SecondaryChange From Baseline in SGRQ-c Symptoms Score

SGRQ-c is the COPD specific version of SGRQ. It consisted of 40 items in total, corresponding to 3 individual domains (components): symptoms, activity and impact, with different components carrying a different weighting. Component scores were calculated by summing the weights from all positive items in that component, dividing by the sum of maximum possible weights for all items in that component, and multiplying this number by 100. Symptoms component consisted of questions 1 to 7 in Part 1. Symptoms score has the range from 0 to 100. Higher scores indicated more severe disease impact. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using ANCOVA model. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Day 90
Reported as:
Least squares mean · Scores on a scale
Change From Baseline in SGRQ-c Symptoms Score
Scores on a scalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in SGRQ-c Symptoms Score-4.0 ± 2.95-1.4 ± 3.29-3.5 ± 3.38-4.0 ± 3.20
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Difference in least square means: 2.6 · 90% CI -5.0 to 10.1Analysis was performed by ANCOVA model with Baseline symptoms score as the covariate adjusting for the treatment.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Difference in least square means: -0.5 · 90% CI -8.4 to 7.5Analysis was performed by ANCOVA model with Baseline symptoms score as the covariate adjusting for the treatment.
SecondaryChange From Baseline in SGRQ-c Activity Score

SGRQ-c is the COPD specific version of SGRQ. It consisted of 40 items in total, corresponding to 3 individual domains (components): symptoms, activity and impact, with different components carrying a different weighting. Component scores were calculated by summing the weights from all positive items in that component, dividing by the sum of maximum possible weights for all items in that component, and multiplying this number by 100. Activity component consisted of questions 9 and 12 in Part 2 of the questionnaire. Activity score has the range from 0 to 100. Higher scores indicated more severe disease impact. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using ANCOVA model. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Day 90
Reported as:
Least squares mean · Scores on a scale
Change From Baseline in SGRQ-c Activity Score
Scores on a scalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in SGRQ-c Activity Score-5.4 ± 2.00-3.4 ± 2.231.2 ± 2.571.6 ± 2.44
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Difference in least square means: 2.0 · 90% CI -3.2 to 7.1Analysis was performed by ANCOVA model with Baseline activity score as the covariate adjusting for the treatment.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Difference in least square means: 0.5 · 90% CI -5.6 to 6.5Analysis was performed by ANCOVA model with Baseline activity score as the covariate adjusting for the treatment.
SecondaryChange From Baseline in SGRQ-c Impact Score

SGRQ-c is the COPD specific version of SGRQ. It consisted of 40 items in total, corresponding to 3 individual domains (components): symptoms, activity and impact, with different components carrying a different weighting. Component scores were calculated by summing the weights from all positive items in that component, dividing by the sum of maximum possible weights for all items in that component, and multiplying this number by 100. Impact component consisted of questions 8, 10, 11, 13, 14 in Part 2 of the questionnaire. Impact score has the range from 0 to 100. Higher scores indicated more severe disease impact. Day 1 (Pre-dose) was considered as a Baseline. Analysis was performed using ANCOVA model. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Day 90
Reported as:
Least squares mean · Scores on a scale
Change From Baseline in SGRQ-c Impact Score
Scores on a scalePlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Change From Baseline in SGRQ-c Impact Score-2.8 ± 2.030.6 ± 2.25-2.7 ± 1.760.8 ± 1.67
Statistical analysis
  • Placebo- Female Participants vs GSK2881078 1.0 mg- Female Participants · Difference in least square means: 3.4 · 90% CI -1.7 to 8.6Analysis was performed by ANCOVA model with Baseline impact score as the covariate adjusting for the treatment.
  • Placebo- Male Participants vs GSK2881078 2.0 mg- Male Participants · Difference in least square means: 3.5 · 90% CI -0.7 to 7.7Analysis was performed by ANCOVA model with Baseline impact score as the covariate adjusting for the treatment.
SecondaryChange From Baseline in Forced Expiratory Volume in 1 Second (FEV1)

FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. FEV1 measurements were collected using a spirometer. Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Days 56 and 90
Reported as:
Mean · Liters
Change From Baseline in Forced Expiratory Volume in 1 Second (FEV1)
LitersPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Day 56,n=21,19,21,21-0.000 ± 0.0918-0.028 ± 0.07470.012 ± 0.1342-0.016 ± 0.2377
Day 90,n=20,18,18,200.002 ± 0.0970-0.024 ± 0.08330.050 ± 0.11300.007 ± 0.2208
SecondaryChange From Baseline in Sniff Nasal Inspiratory Pressure (SnIP)

A bung size-specific to the participant was placed in the nostril deemed to be most patent by the investigator. The participant was asked to make a maximum voluntary sniff effort via a peak flow meter and the greatest effort from 10 repeat measurements were recorded. SnIP was measured in centimeter of water (cm H2O). Baseline was defined as the latest pre-dose assessment with a non-missing value, including those from unscheduled visits. Change from Baseline was calculated as post-dose visit value minus the Baseline value.

Time frame:
Baseline (Day 1, Pre-dose), Days 56 and 90
Reported as:
Mean · centimeter of water
Change From Baseline in Sniff Nasal Inspiratory Pressure (SnIP)
centimeter of waterPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Day 56,n=21,19,21,21-6.0 ± 11.203.4 ± 14.140.7 ± 17.82-0.8 ± 15.51
Day 90,n=20,18,18,20-0.7 ± 8.55-0.4 ± 11.34-1.2 ± 15.212.5 ± 21.39
SecondaryClearance (CL) of GSK2881078 Following Oral Dose in Participants

Blood samples were collected at designated timepoints. Pharmacokinetics (PK) parameters of GSK2881078 were calculated using non-compartmental methods.

Time frame:
Day 14 (Pre-dose), Day 28 (Pre-dose and at 1 to 4 hours Post-dose), Day 56 (at 5 to 8 hours Post-dose), Day 90 (Pre-dose)
Reported as:
Geometric mean · Liters per hour
Clearance (CL) of GSK2881078 Following Oral Dose in Participants
Liters per hourGSK2881078 1.0 mg- Female ParticipantsGSK2881078 2.0 mg- Male Participants
Clearance (CL) of GSK2881078 Following Oral Dose in Participants0.393 ± 59.50.476 ± 44.0
SecondaryVolume of Distribution at Steady State (Vss) of GSK2881078 Following Oral Dose in Participants

Blood samples were collected at designated timepoints. PK parameters of GSK2881078 were calculated using non-compartmental methods.

Time frame:
Day 14 (Pre-dose), Day 28 (Pre-dose and at 1 to 4 hours Post-dose), Day 56 (at 5 to 8 hours Post-dose), Day 90 (Pre-dose)
Reported as:
Geometric mean · Liters
Volume of Distribution at Steady State (Vss) of GSK2881078 Following Oral Dose in Participants
LitersGSK2881078 1.0 mg- Female ParticipantsGSK2881078 2.0 mg- Male Participants
Volume of Distribution at Steady State (Vss) of GSK2881078 Following Oral Dose in Participants39.4 ± 16.348.3 ± 29.8

Adverse events

Collected over Serious adverse events (SAEs) and non-serious AEs were collected from the start of study treatment until up to Day 132. Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Placebo- Female Participants0/23 (0%)1/23 (4.3%)15/23 (65.2%)
GSK2881078 1.0 mg- Female Participants0/24 (0%)2/24 (8.3%)18/24 (75%)
Placebo- Male Participants0/24 (0%)2/24 (8.3%)13/24 (54.2%)
GSK2881078 2.0 mg- Male Participants0/25 (0%)0/25 (0%)17/25 (68%)
Most frequent serious events
Most frequent serious events
EventPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Infective exacerbation of chronic obstructive airways diseaseInfections and infestations1/230/240/240/25
DiverticulitisInfections and infestations0/230/241/240/25
Myocardial infarctionCardiac disorders0/231/240/240/25
Cholecystitis acuteHepatobiliary disorders0/231/240/240/25
Adenocarcinoma of colonNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/230/241/240/25
Most frequent other events
Showing 10 of 35
Most frequent other events
EventPlacebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male Participants
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders6/237/242/243/25
NasopharyngitisInfections and infestations5/232/241/241/25
ContusionInjury, poisoning and procedural complications3/231/240/240/25
ArthralgiaMusculoskeletal and connective tissue disorders0/233/242/242/25
Back painMusculoskeletal and connective tissue disorders0/233/240/242/25
Muscle spasmsMusculoskeletal and connective tissue disorders1/232/240/243/25
EpistaxisRespiratory, thoracic and mediastinal disorders0/230/242/241/25
Blood 25-hydroxycholecalciferol decreasedInvestigations0/232/240/240/25
HypertensionVascular disorders0/231/242/240/25
HypotensionVascular disorders0/230/242/240/25

Baseline characteristics

Age, Continuous
Age, Continuous(Years)Placebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male ParticipantsTotal
Mean64.7 ± 7.1664.2 ± 7.9364.0 ± 7.2767.2 ± 6.0865.1 ± 7.14
Sex: Female, Male
Sex: Female, Male(Participants)Placebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male ParticipantsTotal
Female23240047
Male00242549
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Placebo- Female ParticipantsGSK2881078 1.0 mg- Female ParticipantsPlacebo- Male ParticipantsGSK2881078 2.0 mg- Male ParticipantsTotal
Black or African American01225
White-White/Caucasian/European Heritage2323222391
08

Study locations

11 sites
  • GSK Investigational Site
    Torrance, California 90502, United States
  • GSK Investigational Site
    Jacksonville, Florida 32216, United States
  • GSK Investigational Site
    High Point, North Carolina 27262, United States
  • GSK Investigational Site
    Philadelphia, Pennsylvania 19140, United States
  • GSK Investigational Site
    Spartanburg, South Carolina 29303, United States
  • GSK Investigational Site
    Frankfurt, Hessen 60596, Germany
  • GSK Investigational Site
    Grosshansdorf, Schleswig-Holstein 22927, Germany
  • GSK Investigational Site
    Leicester, Leicestershire LE3 9QP, United Kingdom
  • GSK Investigational Site
    Harefield, Middlesex UB9 6JH, United Kingdom
  • GSK Investigational Site
    London, Greater London, SE1 7EH, United Kingdom
  • GSK Investigational Site
    London, SW3 6HP, United Kingdom
09

References and documents

Publications

  • Mohan D, Rossiter H, Watz H, Fogarty C, Evans RA, Man W, Tabberer M, Beerahee M, Kumar S, Millns H, Thomas S, Tal-Singer R, Russell AJ, Holland MC, Akinseye C, Neil D, Polkey MI. Selective androgen receptor modulation for muscle weakness in chronic obstructive pulmonary disease: a randomised control trial. Thorax. 2023 Mar;78(3):258-266. doi: 10.1136/thorax-2021-218360. Epub 2022 Oct 25. PubMed 36283827 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2018 to primary completion in Nov 2019, 20 months.

Results were first posted in Jul 2020, 7 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 22, 2017
First posted
Dec 2, 2017
StartActual
Feb 28, 2018
Primary completionActual
Nov 19, 2019
CompletionActual
Nov 19, 2019
Results first posted
Jul 15, 2020
Last update
Jul 15, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 15, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03359473
Lead sponsor
GlaxoSmithKline
Collaborators
Parexel
Responsible party
Sponsor
First posted
Dec 2, 2017
Start date
Feb 28, 2018
Primary completion
Nov 19, 2019
Completion
Nov 19, 2019
Results posted
Jul 15, 2020
Last update
Jul 15, 2020

Study contacts

GSK Clinical Trials
study director · GlaxoSmithKline

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2020. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: GSK2881078

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