Blueprint
FORM 6-K
SECURITIES AND EXCHANGE COMMISSION
Washington D.C. 20549
Report of Foreign Issuer
Pursuant to Rule 13a-16 or 15d-16 of
the Securities Exchange Act of 1934
For
period ending 31 October
2018
GlaxoSmithKline plc
(Name
of registrant)
980 Great West Road, Brentford, Middlesex, TW8 9GS
(Address
of principal executive offices)
Indicate
by check mark whether the registrant files or
will
file annual reports under cover Form 20-F or Form 40-F
Form
20-F x Form 40-F
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by check mark whether the registrant by furnishing the
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information
to the Commission pursuant to Rule 12g3-2(b) under the
Securities
Exchange Act of 1934.
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No x
Issued: 31 October 2018, London UK - LSE Announcement
ViiV Healthcare announces positive phase 3 results from the BRIGHTE
study of fostemsavir in heavily treatment-experienced patients with
HIV
BRIGHTE study highlights ViiV Healthcare's commitment to developing
innovative medicines for all people living with HIV, including
those heavily-treated and failing on current antiretroviral
regimens
London, UK 31 October 2018 - ViiV Healthcare today announced 48-week
results from the phase III BRIGHTE study of investigational
fostemsavir in heavily treatment-experienced (HTE) patients with
HIV-1 infection.
Fostemsavir, in combination with optimised background treatment
(OBT), maintained virologic suppression from Week 24 to Week 48 in
this difficult-to-treat population. Results show 54% of patients in
the randomised cohort (n = 146/272) achieved virologic
suppression (<40 copies/mL) at 48 weeks of treatment with
fostemsavir plus optimised background therapy. Additionally,
patients in the randomised cohort showed immunologic improvement
through week 48 as demonstrated by an increase in CD4+ T-cell
counts (mean change from baseline of +139
cells/µL). These data at 48 weeks build on the primary
endpoint data (day 8) announced last year.
Most patients who received fostemsavir experienced at least one
adverse event (AE) by week 48. The most commonly reported
drug-related AEs were diarrhoea, nausea and
headache. Thirty-five percent of participants had one or
more serious adverse events (SAE), most commonly related to
infections, and these occurred in the most immunocompromised
patients. Three percent (3%) of SAEs related to the study
medication, and seven percent (7%) of participants discontinued due
to an AE.
John C. Pottage, Jr., MD, Chief Scientific and Medical Officer of
ViiV Healthcare, said: "We
are excited by the results of the BRIGHTE study which evaluated
fostemsavir, a first-in-class attachment inhibitor, specifically
developed for heavily treatment-experienced patients. People living
with HIV who participated in this study were failing on their
current antiretroviral regimens and had few treatment options left
available to them; we were encouraged to see that treatment with
fostemsavir resulted in both meaningful reductions in viral load
and improvements in the health of their immune systems. At ViiV
Healthcare we remain dedicated to developing innovative medicines
for all people living with HIV and expect to seek regulatory
approval for fostemsavir in 2019."
Searching for new ways to prevent the HIV virus from replicating is
important, especially for those who develop resistance to their
treatment regimens. Fostemsavir is a prodrug that is metabolised to
the active compound, temsavir, a first-in-class attachment
inhibitor that binds to glycoprotein 120 (gp120) on the envelope of
the HIV, locking gp120 in a conformational state that inhibits
initial interaction between the virus and host immune cells,
preventing viral attachment and entry into the host CD4+
T-cell. Because
of its mechanism of action there is no in-vitro cross-resistance to
other classes of ARVs, which may help patients who have become
resistant to most other medicines.
In addition to the primary efficacy results, a pre-specified
subgroup analysis was also conducted and showed numerically
higher rates of virologic response in patients >50 years,
females, or in patients who self-reported their race as "black" or
"African-American" compared to their respective counterparts
through Week 48. Not unique to the BRIGHTE study was the fact
that subgroups with high baseline HIV-1 RNA (>=100,000 c/mL) and
low baseline CD4+ cell counts (<20 cells/mm3)
had lower rates of virologic response through Week 48. There
were comparable increases in CD4+ T-cell counts across subgroups
of: age, gender, race, and geographic region. Notably, subjects
with the lowest baseline CD4 counts (<20 cells/lL), had
comparable improvement in mean change in baseline CD4 count to
those with the highest baseline CD4 values (>200 cells/lL); +145
and +150 cells/lL, respectively.
Notes to editors
About the BRIGHTE study
BRIGHTE (NCT02362503) is a two-cohort (Randomised and
Non-Randomised), phase 3 clinical trial evaluating the safety and
efficacy of the HIV-1 attachment inhibitor fostemsavir in heavily
treatment-experienced adults with HIV-1 infection. Three hundred
seventy-one patients enrolled. All had documented resistance,
intolerability, and/or contraindication to all ARV agents in at
least four of the six available ARV classes. Patients in the
Randomised Cohort had to have one but no more than two fully active
ARV classes remaining at baseline and were unable to form a viable
antiretroviral regimen out of their remaining agents. These
patients were randomised 3:1 to add blinded fostemsavir or blinded
placebo (n=272) to their current failing regimen for eight days of
functional monotherapy. Patients without any remaining fully
active approved ARVs (n=99) were assigned to the Non-Randomised
Cohort and received open-label fostemsavir plus optimised
background therapy on Day 1. The primary endpoint of the study was
mean change in log10 HIV-1 RNA between Day 1 and Day 8 for the
Randomised Cohort. Beyond the eight-day blinded period, all
patients in the Randomised Cohort received open-label fostemsavir
plus optimised background therapy. Key secondary endpoints include
durability of response at Weeks 24, 48 and 96, as well as safety
changes from baseline CD4+ cell counts, and emergence of
viral resistance.
About the patient population
Antiretroviral medicines have significantly decreased mortality
over the past 30 years; however, treatment failure and antiviral
resistance remain a concern for HTE patients and their providers.
Failure of HIV medicines to control the virus can result in
selected mutations resistant to one or more ARV medicines. Patient
co-morbidities, tolerability, and safety issues may further
decrease the number of ARV therapies available to design effective
treatment regimens for these HTE patients. As a result, treatment
options that address the complex needs of HTE people living with
HIV remain a significant unmet need.
About fostemsavir
Fostemsavir is an investigational prodrug of temsavir, a human
immunodeficiency virus type 1 (HIV-1) attachment inhibitor class and is not
approved by regulatory authorities anywhere in the world.
Fostemsavir is being developed by ViiV Healthcare for
treatment of HIV-1-infected heavily treatment-experienced patients
in combination with other antiretroviral
agents.
About ViiV Healthcare
ViiV Healthcare is a global specialist HIV company established in
November 2009 by GlaxoSmithKline (LSE: GSK) and Pfizer (NYSE: PFE)
dedicated to delivering advances in treatment and care for people
living with HIV and for people who are at risk of becoming infected
with HIV. Shionogi joined as a shareholder in October 2012. The
company's aim is to take a deeper and broader interest in HIV/AIDS
than any company has done before and take a new approach to deliver
effective and innovative medicines for HIV treatment and
prevention, as well as support communities affected by
HIV.
For more information on the company, its management, portfolio,
pipeline, and commitment, please visit www.viivhealthcare.com.
Cautionary statement regarding forward-looking
statements
GSK cautions investors that any forward-looking statements or
projections made by GSK, including those made in this announcement,
are subject to risks and uncertainties that may cause actual
results to differ materially from those projected. Such factors
include, but are not limited to, those described under Item 3.D
'Principal risks and uncertainties' in the company's Annual Report
on Form 20-F for 2017.
About GSK
GSK - one of the world's leading research-based pharmaceutical and
healthcare companies - is committed to improving the quality of
human life by enabling people to do more, feel better and live
longer. For further information please
visit www.gsk.com.
ViiV
Healthcare Media enquiries:
|
Melinda
Stubbee
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+1 919
491 0831
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Audrey
Abernathy
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+1 919
605 4521
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GSK
Global Media enquiries:
|
Simon
Steel
|
+44 (0)
20 8047 5502
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Sarah
Spencer
|
+1 215
751 3335
|
Analyst/Investor
enquiries:
|
Sarah
Elton-Farr
|
+44 (0)
20 8047 5194
|
|
Mel
Foster-Hawes
|
+44 (0)
20 8047 0674
|
|
Danielle
Smith
James
Dodwell
|
+44 (0)
20 8047 7562
+44 (0)
20 8047 2406
|
|
Jeff
McLaughlin
|
+1 215
751 7002
|
SIGNATURES
Pursuant
to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf
by the undersigned, thereunto duly authorised.
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GlaxoSmithKline plc
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(Registrant)
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Date: October
31, 2018
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By: VICTORIA
WHYTE
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Victoria Whyte
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Authorised
Signatory for and on
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behalf
of GlaxoSmithKline plc
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