(Phosphonooxy)Methyln-[(S)-[1-(Bicyclo[1.1.1]Pentan1-Yl)-1H-1,2,3-Triazol-4-Yl](2-Methyl-1-Oxo-1,2-Dihydroisoquinolin-5-Yl)Methyl]-N-{8-Chloro-3-Cyano-4-[(2,2-Dimethylpropyl)Amino]Quinolin-6-Yl]Carbamate

This article discusses a Phase 2 clinical trial investigating the use of GS-5290, a new drug for patients with moderate to severe ulcerative colitis. The study aims to evaluate the efficacy and safety of GS-5290 compared to a placebo. This double-blinded, randomized, and placebo-controlled trial will assess various aspects of the drug’s performance, including its ability to induce clinical response, remission, and improve endoscopic and histologic outcomes in patients with ulcerative colitis.

Table of Contents

What is GS-5290?

GS-5290 is a new medication being developed to treat moderate to severe ulcerative colitis. Its full chemical name is (phosphonooxy)methyln-[(S)-[1-(bicyclo[1.1.1]pentan1-yl)-1H-1,2,3-triazol-4-yl](2-methyl-1-oxo-1,2-dihydroisoquinolin-5-yl)methyl]-N-{8-chloro-3-cyano-4-[(2,2-dimethylpropyl)amino]quinolin-6-yl]carbamate. While this name is complex, it’s important to know that GS-5290 is the simpler name used by researchers and doctors[1].

How GS-5290 Works

GS-5290 is classified as a small molecule serine/threonine kinase inhibitor. In simpler terms, this means it’s a medication that works by blocking specific proteins (kinases) in the body that may be contributing to inflammation in ulcerative colitis. By inhibiting these proteins, GS-5290 aims to reduce inflammation and improve symptoms of the disease[1].

Target Condition: Ulcerative Colitis

Ulcerative colitis is a chronic inflammatory bowel disease that affects the large intestine (colon) and rectum. It causes inflammation and ulcers in the digestive tract, leading to symptoms such as abdominal pain, diarrhea, and rectal bleeding. GS-5290 is being developed specifically to help patients with moderate to severe cases of this condition[1].

Clinical Trial Details

GS-5290 is currently being studied in a Phase 2 clinical trial. Here are some key details about the study:

  • It’s a double-blinded, randomized, placebo-controlled, dose-ranging study. This means that neither the patients nor the researchers know who is receiving the actual drug or a placebo, ensuring unbiased results[1].
  • The study aims to evaluate both the efficacy (how well it works) and safety of GS-5290[1].
  • The medication is given as a film-coated tablet and is taken orally (by mouth)[1].
  • Two dosage strengths are being tested: 150 mg and 300 mg tablets[1].

Eligibility Criteria

To participate in this clinical trial, patients must meet certain criteria. Some key eligibility requirements include:

  • Age: 18 to 75 years old[1].
  • Diagnosed with ulcerative colitis for at least 90 days before the study[1].
  • Have moderately to severely active ulcerative colitis, as determined by specific medical scores[1].
  • Previous treatment with at least one advanced therapy for ulcerative colitis, but no more than three different types[1].

There are also several conditions that would exclude a patient from participating, such as having Crohn’s disease or certain types of infections[1].

Expected Outcomes

The researchers are looking for several key outcomes to determine if GS-5290 is effective. These include:

  1. Clinical Response: This means a significant improvement in symptoms like stool frequency, rectal bleeding, and the appearance of the colon during an endoscopy[1].
  2. Clinical Remission: This is when symptoms are greatly reduced or gone, and the colon looks much healthier during an endoscopy[1].
  3. Endoscopic Response: This refers to a significant improvement in how the colon looks during an endoscopy[1].
  4. Histologic Endoscopic Mucosal Improvement: This means that not only does the colon look better during an endoscopy, but when doctors examine tissue samples under a microscope, they see less inflammation and damage[1].

Potential Benefits

If successful, GS-5290 could offer several potential benefits for patients with ulcerative colitis:

  • A new treatment option for those who haven’t responded well to other therapies[1].
  • Possible improvement in symptoms and quality of life[1].
  • A convenient oral medication, as opposed to injections or infusions required for some other treatments[1].

It’s important to note that as GS-5290 is still in clinical trials, its full benefits and potential side effects are not yet known. Patients interested in this treatment should discuss it with their healthcare provider and consider participating in clinical trials if eligible[1].

Aspect Details
Drug Name GS-5290
Condition Moderate to Severe Ulcerative Colitis
Trial Phase Phase 2
Main Objective Demonstrate efficacy in achieving Clinical Response at Week 12
Secondary Objectives Clinical Remission, Endoscopic Response, Histologic Endoscopic Mucosal Improvement at Week 12
Drug Administration Oral, film-coated tablets (150 mg and 300 mg)
Maximum Daily Dose 600 mg
Treatment Duration Up to 64 weeks
Key Eligibility Criteria 18-75 years old, confirmed UC diagnosis, moderately to severely active disease

Ongoing Clinical Trials on (Phosphonooxy)Methyln-[(S)-[1-(Bicyclo[1.1.1]Pentan1-Yl)-1H-1,2,3-Triazol-4-Yl](2-Methyl-1-Oxo-1,2-Dihydroisoquinolin-5-Yl)Methyl]-N-{8-Chloro-3-Cyano-4-[(2,2-Dimethylpropyl)Amino]Quinolin-6-Yl]Carbamate

  • Study on the Effects of GS-5290 for Patients with Moderate to Severe Ulcerative Colitis

    Recruiting

    2 1
    Investigated diseases:
    Austria Belgium France Germany Hungary Italy +1

Glossary

  • Ulcerative Colitis: A chronic inflammatory bowel disease that affects the lining of the large intestine (colon) and rectum, causing inflammation and ulcers.
  • Clinical Response: A significant improvement in symptoms and disease activity, measured by a decrease in the modified Mayo Clinic Score.
  • Clinical Remission: A state where symptoms of the disease are greatly reduced or absent, indicated by low scores in stool frequency, rectal bleeding, and endoscopic findings.
  • Endoscopic Response: An improvement in the appearance of the colon lining as seen during an endoscopy procedure.
  • Histologic Endoscopic Mucosal Improvement: A combined measure of improvement in both the visual appearance of the colon lining and its microscopic examination, indicating reduced inflammation and healing.
  • Modified Mayo Clinic Score: A scoring system used to assess the severity of ulcerative colitis, considering factors such as stool frequency, rectal bleeding, and endoscopic findings.
  • Serine/threonine kinase inhibitor: A type of drug that blocks specific enzymes involved in cell signaling, potentially reducing inflammation in ulcerative colitis.
  • Double-blinded: A study design where neither the participants nor the researchers know who is receiving the actual treatment or placebo, reducing bias in the results.
  • Randomized: A method of assigning participants to different treatment groups by chance, ensuring a fair comparison between groups.
  • Placebo-controlled: A study design where some participants receive an inactive substance (placebo) instead of the actual treatment, allowing researchers to compare the true effects of the drug.

References

  1. http://clinicaltrials.eu/trial/study-on-the-effects-of-gs-5290-for-patients-with-moderate-to-severe-ulcerative-colitis/