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 20 December 2016
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
--
Indicate
by check mark whether the registrant by furnishing the
information
contained in this Form is also thereby furnishing the
information
to the Commission pursuant to Rule 12g3-2(b) under the
Securities
Exchange Act of 1934.
ViiV
Healthcare announces positive results from first phase III studies
of two-drug HIV treatment regimen
First phase III studies to show efficacy of two-drug regimen as
maintenance therapy
London, UK 19 December 2016 - ViiV
Healthcare, the global specialist HIV company majority owned by
GSK, with Pfizer Inc. and Shionogi Limited as shareholders,today
announced that both of its Phase III studies to evaluate the safety
and efficacy of switching virologically suppressed patients from a
three or four-drug ( integraseinhibitor-, non-nucleoside reverse
transcriptase inhibitor-, or boosted protease inhibitor-based)
antiretroviral regimen to a two-drug regimen of dolutegravir (ViiV
Healthcare) and rilpivirine (Janssen Sciences Ireland UC) met the
primary endpoint of non inferiority at Week 48.
The
primary endpoint, based on FDA's snapshot analysis, was evaluated
as the proportion of patients with plasma HIV-1 RNA <50 copies
per milliliter (c/mL) at Week 48.
The
safety profiles for dolutegravir and rilpivirine in these studies
were consistent with the product labelling for each medicine.
Detailed results from the studies will be presented at an upcoming
scientific meeting.
Dominique Limet,
CEO ViiV Healthcare, said "These are important results for the HIV
scientific community and represent an important milestone in our
understanding of how HIV can be treated. The results support our
strategy of investigating two-drug regimens as innovative treatment
options for people living with HIV and we are planning regulatory
submissions for this two-drug regimen as a single tablet in
2017."
The use
of dolutegravir and rilpivirine as HIV maintenance treatment is
investigational and not approved anywhere in the
world.
-
Ends -
Notes
to editors
In June
2014, ViiV Healthcare and Janssen Sciences Ireland UC, one of the
Janssen Pharmaceutical Companies of Johnson & Johnson announced
a partnership to investigate the potential of combining
dolutegravir and rilpivirine in a single tablet in order to expand
the treatment options available to people living with
HIV.
About
the SWORD phase III programme for dolutegravir (Tivicay®) and
rilpivirine (Edurant®)
The
phase III programme evaluates the efficacy, safety, and
tolerability of switching to dolutegravir and rilpivirine from
current integrase inhibitor-, non-nucleoside reverse transcriptase
inhibitor-, or boosted protease inhibitor-based antiretroviral
regimen in HIV-1-infected adults who are virologically suppressed
with a three or four-drug regimen. In the clinical trials,
dolutegravir and rilpivirine are provided as individual tablets.
SWORD-1 (NCT02429791) and SWORD-2 (NCT02422797) are replicate
148-week, randomised, open-label, non-inferiority studies to assess
the antiviral activity and safety of a two-drug, daily oral regimen
of dolutegravir plus rilpivirine compared with current
antiretroviral therapy.
The
primary endpoint is the proportion of patients with plasma HIV-1
RNA <50 copies per milliliter (c/mL) at Week 48. Key secondary
endpoints include evaluation of the development of viral resistance
, measurements of safety and tolerability, and changes in renal,
bone and cardiovascular biomarkers .The studies also include
exploratory measures to assess change in health-related quality of
life, willingness to switch and adherence to treatment
regimens.
Tivicay® is a
registered trademark of the ViiV Healthcare group of
companies
Edurant® is a
registered trademark of Janssen Sciences Ireland UC
For
more information on the trials please visit:
www.clinicaltrials.gov
TIVICAY®
(dolutegravir)
tablets
Professional
Indication(s) and Important Safety Information
Indications and Usage
TIVICAY
is a human immunodeficiency virus type 1 (HIV-1) integrase strand
transfer inhibitor (INSTI) indicated in combination with other
antiretroviral agents for the treatment of HIV-1 infection in
adults and pediatric patients weighing at least 30 kg
Limitations
of Use:
●
Use of TIVICAY in
INSTI-experienced patients should be guided by the number and type
of baseline INSTI substitutions. The efficacy of TIVICAY 50 mg
twice daily is reduced in patients with an INSTI-resistance Q148
substitution plus 2 or more additional INSTI-resistance
substitutions including T66A, L74I/M, E138A/K/T, G140S/A/C,
Y143R/C/H, E157Q, G163S/E/K/Q, or G193E/R
Important Safety Information
Contraindications:
TIVICAY
is contraindicated in patients:
●
with
previous hypersensitivity reaction to dolutegravir
●
receiving dofetilide (antiarrhythmic)
Hypersensitivity
Reactions:
●
Hypersensitivity reactions have been reported and were
characterized by rash, constitutional findings, and sometimes organ
dysfunction, including liver injury. The events were reported in
<1% of subjects receiving TIVICAY
in Phase 3 clinical
trials
●
Discontinue TIVICAY and other suspect agents immediately if signs
or symptoms of hypersensitivity reactions develop, as a delay in
stopping treatment may result in a life-threatening
reaction. Monitor clinical
status, including liver aminotransferases, and initiate appropriate
therapy if hypersensitivity reaction is suspected
Effects
on Serum Liver Biochemistries in Patients with Hepatitis B or C
Co-infection:
●
Patients with underlying hepatitis B or C may be at increased risk
for worsening or development of transaminase elevations with use of
TIVICAY. In some cases the elevations in transaminases were
consistent with immune reconstitution syndrome or hepatitis B
reactivation, particularly in the setting where anti-hepatitis
therapy was withdrawn
●
Appropriate laboratory testing prior to initiating therapy and
monitoring for hepatotoxicity during therapy with TIVICAY are
recommended in patients with underlying hepatic
disease such as hepatitis B or C
Fat Redistribution or
accumulation has been observed in patients receiving antiretroviral
therapy.
Immune Reconstitution
Syndrome , including the
occurrence of autoimmune disorders with variable time to onset, has
been reported.
Adverse Reactions: The most commonly
reported (≥2%) adverse reactions of moderate to severe
intensity in treatment-naïve adult subjects in any one trial
receiving TIVICAY in a combination regimen were insomnia (3%),
fatigue (2%), and headache (2%).
Drug
Interactions:
●
Coadministration of
TIVICAY with certain inducers of UGT1A and/or CYP3A may reduce
plasma concentrations of dolutegravir and require dose adjustments
of TIVICAY
●
Administer TIVICAY
2 hours before or 6 hours after taking polyvalent cation-containing
antacids or laxatives, sucralfate, oral supplements containing iron
or calcium, or buffered medications. Alternatively, TIVICAY and
supplements containing calcium or iron can be taken with
food
●
Consult the full
Prescribing Information for TIVICAY for more information on
potentially significant drug interactions, including clinical
comments
Pregnancy : TIVICAY should be
used during pregnancy only if the potential benefit justifies the
potential risk. An Antiretroviral Pregnancy Registry has been
established.
Nursing Mothers: Breastfeeding is
not recommended due to the potential for HIV transmission and the
potential for adverse reactions in nursing infants.
About
rilpivirine
Edurant®
(rilpivirine) is a once daily non-nucleoside reverse transcriptase
inhibitor (NNRTI) used for the treatment of human immunodeficiency
virus (HIV-1) infection in combination with other antiretroviral
agents in antiretroviral treatment-naïve adult patients with a
viral load ≤ 100,000 HIV RNA copies/mL.
Rilpivirine was
developed by Janssen Sciences Ireland UC, one of the Janssen
Pharmaceutical Companies of Johnson & Johnson. Rilpivirine is
approved in the U.S. and E.U. as Edurant® as a 25mg tablet
taken once-a-day and is always taken with a meal. The overall
safety and efficacy profile of rilpivirine is based on phase III
clinical studies. The most common side effects of Edurant include:
depression, headache, trouble sleeping (insomnia) and
rash.
EDURANT
® Consumer Indication and Important Safety Information
(ISI)
About
EDURANT ®
●
EDURANT ® (rilpivirine) is a prescription HIV medicine that is
used with other antiretroviral medicines to treat Human
Immunodeficiency Virus-1 (HI V-1) in adults:
- Who
have never taken HIV
medicines before, and
- Who
have an amount of HIV in their blood (called "viral load") that is
no more than 100,000 copies/mL. Your healthcare
professional will measure your viral load
●
EDURANT ®
should
be taken in combination with other HIV medicines.
Your
healthcare professional will work with you to find the right
combination of HIV medicines
●
It is important that you remain under the care of your healthcare
professional during treatment with EDURANT ®
●
EDURANT
®
is not
recommended for patients less than 18 years of age
EDURANT
®
does
not
cure
HIV infection
or
AIDS.
You
should
remain
on your
HIV medications
without
stopping
to
ensure
that you control
your
HIV
infection and
decrease
the risk of HI
V-related
illnesses.
Ask
your healthcare
professional about
how
to
prevent
passing HIV
to
other
people.
Please
read Important Safety
Information belo
w,
and
talk
to your
healthcare
professional to
learn
if EDURANT
®
is
right
for
you.
Important
Safety
Information
Can
EDURANT ®
be
taken
with other
medicines?
EDURANT
®
may
a ffect the way other
medicines work and other medicines may a ffect how
EDURANT ®
works
and may cause serious side e ffects. If you take
certain medicines with EDURANT ®,
the
amount of EDURANT ®
in your
body may be too low and it may not work to help control your HIV
infection, and the HIV virus in your body may become resistant to
EDURANT ®
or
other HIV medicines that are like it. To help get the
right amount of medicine in your body, you should
always take EDURANT ®
with a
meal. A
protein
drink alone does not replace a meal.
Do
not take
EDURANT ®
if:
●
Your
HIV infection has been previously treated with HIV
medicines
●
You
are taking any of the following
medicines:
-
Anti-seizure medicines: carbamazepine (Carbatro l
®,
Equetro
®,
Tegretol
®,
Tegretol-XR
®,
Teril
®,
Epitol
®),
oxcarbazepine
( Trileptal
®),
phenobarbital
(Luminal ®),
phenytoin
(Dilantin ®,
Dilantin-125
®,
Phenytek
®)
-
Anti-tuberculosis
(anti-TB) medicines: rifampin (Rifater ®,
Rifamate
®,
Rimactane
®,
Rifadin
®),
rifapentine
(Priftin ®)
-
Proton
pump
inhibitor
(PPI)
medicine
for
certain
stomach
or
intestinal
problems:
esomeprazole (Nexium
®,
V
imovo
®
),
lansoprazole
(Prevacid
®
),
omeprazole
(Prilosec ®,
Zegerid
®
),
pantoprazole
sodium
(Protonix
®
),
rabeprazole
(Aciphex
®)
-
More than 1 dose of the steroid medicine dexamethasone or
dexamethasone sodium phosphate
-
St. John's wort (Hypericum perforatum)
Especially
tell your
doctor
if
you
take:
●
Rifabutin
(Mycobutin ®
), a
medicine to treat some bacterial infections). Talk to your doctor
or pharmacist about the right amount of EDURANT ® you should
take if you also take rifabutin
●
Medicines used to treat HIV
●
An antacid medicine that contains aluminum, magnesium hydroxide, or
calcium carbonate. Take
antacids
at least 2 hours
before or at least
4 hours
after you
take EDURANT ®
●
Medicines to block acid in your stomach, including cimetidine
( Tagamet
®), famotidine
(Pepcid ®),
nizatidine
(Axid ®),
or
ranitidine hydrochloride (Zantac ®).
Take
these medicines
at least 12 hours
before or at least 4 hours
after you take EDURANT ®
●
Any of
these
medicines
(if
taken
by
mouth
or
injection):
clarithromycin
(Biaxin
®
),
erythromycin (E-Mycin
®,
Eryc
®,
Ery-
T
®,
PCE
®,
Pediazole
®,
Ilosone
®),
fluconazole (Diflucan ®),
itraconazole
(Sporanox ®),
ketoconazole
(Nizoral ®), methadone
(Dolophine ®),
posaconazole
(Noxafil ®),
telithromycin
(Ketek ®),
voriconazole (Vfend ®)
This
is
not
a
complete list of
medicines.
Before
starting EDURAN
®,
be sure
to tel
your
healthcare
professional about
all
the
medicines you are taking or
pla to
take,
including prescription
and
nonprescription
medicines, vitamins,
and
herbal
supplements.
Before
taking EDURANT ®,
also
tell your healthcare professional if you have had or currently have
liver problems (including hepatitis B or C), have ever had a mental
health problem, are pregnant or planning to become pregnant, or
breastfeeding. It is not known if EDURANT ®
will
harm your unborn bab y.
Y
ou and
your healthcare professional will need to decide if taking
EDURANT
®
is
right for you.
-
Do
not
breastfeed if
you
are taking
EDURANT ®.
You
should not breastfeed if you have HIV because of the chance of
passing HIV to your baby
What
are
the possible side
effects
of EDURANT
®?
EDURANT ®
can
cause serious side effects
including:
●
Severe skin rash and allergic
reactions. Call your doctor
right away if you get a rash. Stop taking EDURANT
®
and seek medical help right away if you get a rash with any of the
following symptoms: severe allergic reaction causing swelling of
the face, eyes, lips, mouth, tongue, or throat (which may lead to
difficulty swallowing or breathing); mouth sores or
blisters on your body; inflamed eye (conjunctivitis); fever; dark
urine; or pain on the right side of the stomach area (abdominal
pain)
●
Depression or mood
changes. Tell
your doctor right away if you have any of the following symptoms:
feeling sad or hopeless, feeling anxious or restless, have thoughts
of hurting yourself (suicide), or have tried to hurt
yourself
●
Liver problems. People with a
history of hepatitis B or C virus infection or who have certain
liver function test changes may have an increased risk of
developing new or worsening liver problems during treatment. Liver
problems were also reported during treatment in some people without
a history of liver disease. Your healthcare
professional may need to do tests to check liver function before
and during treatment
●
Changes
in
body
shape or body fat
have
been seen in some patients taking HIV medicines.
The
exact cause and long-term health effects of these
conditions are not known
●
Changes in
your
immune
system (immune
reconstitution syndrome).
Your
immune system may get stronger and begin to fight
infections. Tell your
healthcare professional right away if you start having any new
symptoms of infection
Other
common side effects of
EDURANT ®
include
depression, headache, trouble sleeping (insomnia), and
rash.
This is
not a complete list of all side effects. If you
experience these or other symptoms, contact your healthcare
professional right away. Do not stop
taking EDURANT ®
or any
other medications without first talking to your healthcare
professional.
You
are encouraged
to
report negative side
effects of
prescription
drugs
to the FDA.
Visit
www.fda.gov/medwatch
,
or call 1-800-FDA-1088.
Please
see full Product
Information
for
more details.
Inside
information
The
information contained in this announcement is inside information.
If you have any queries on this, then please contact Victoria Whyte
GSK Company Secretary (responsible for arranging the release of
this announcement) at GSK House Brentford, Middlesex, TW8 9GS on
+44 208 047 5000.
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 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.
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:
|
Sébastien
Desprez
|
+44 (0)
20 8380 6275
|
|
Marc
Meachem
|
+1 919
483 8756
|
|
|
|
GSK
Global Media enquiries:
|
Simon
Steel
|
+44 (0)
20 8047 3763
|
|
David
Daley
|
+44 (0)
20 8047 2615
|
|
Kathleen
Cuca
|
+1 215
859 1922
|
|
|
|
Analyst/Investor
enquiries:
|
Tom
Curry
|
+ 1 215
751 5419
|
|
Gary
Davies
|
+44 (0)
20 8047 5503
|
|
James
Dodwell
|
+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.
|
GlaxoSmithKline plc
|
|
(Registrant)
|
|
|
Date: December
20, 2016
|
|
|
|
|
By: VICTORIA
WHYTE
--------------------------
|
|
|
|
Victoria Whyte
|
|
Authorised
Signatory for and on
|
|
behalf
of GlaxoSmithKline plc
|