UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 6-K
REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR
15d-16
UNDER THE SECURITIES EXCHANGE ACT OF 1934
For the
month of November 2020
Commission
File Number 001-15170
GlaxoSmithKline plc
(Translation
of registrant's name into English)
980 Great West Road, Brentford, Middlesex, TW8 9GS
(Address
of principal executive office)
Indicate
by check mark whether the registrant files or will file annual
reports under cover of Form 20-F or Form 40-F.
Form
20-F . . . .X. . . . Form 40-F . . . . . . . .
Indicate
by check mark if the registrant is submitting the Form 6-K in paper
as permitted by Regulation S-T Rule 101(b)(1): ____
Indicate
by check mark if the registrant is submitting the Form 6-K in paper
as permitted by Regulation S-T Rule 101(b)(7): ____
Issued: GlaxoSmithKline plc, 9 November 2020, London
UK
ViiV Healthcare announces investigational injectable cabotegravir
is superior to oral standard of care for HIV prevention
in women
●
Interim
analysis from HPTN 084 study shows long-acting injectable
cabotegravir administered every two months is 89% more effective
than daily pills in preventing HIV acquisition in
women
●
Findings
follow data from HPTN 083, a partner HIV prevention study in men
who have sex with men and transgender women, which also
demonstrated long-acting injectable cabotegravir was superior to
daily oral pills for PrEP
London, 9 November 2020 -
ViiV Healthcare, the global specialist HIV company majority owned
by GlaxoSmithKline plc ("GSK"), with Pfizer Inc. and Shionogi
Limited as shareholders, today announced that an independent data
safety monitoring board (DSMB) recommended the early unblinding of
the HIV Prevention Trials Network (HPTN) 084 study evaluating the
safety and efficacy of investigational, long-acting, injectable
cabotegravir for HIV prevention in women. Following a pre-specified
interim analysis, the DSMB indicated that cabotegravir met the
primary objective of demonstrating superiority when compared to the
current standard of care for women, daily oral
emtricitabine/tenofovir disoproxil fumarate 200 mg and 300 mg
(FTC/TDF) tablets. The study showed cabotegravir was 89% more
effective than daily oral FTC/TDF for pre-exposure prophylaxis
(PrEP).
The early study unblinding for superior efficacy in this prevention
trial in women follows results reported earlier this year from a
companion study (HPTN 083) that also established long-acting
cabotegravir's superiority to daily oral PrEP in preventing HIV
among men who have sex with men and transgender women who have sex
with men.
Kimberly Smith, M.D., MPH, Head of Research & Development at
ViiV Healthcare said: "It's thrilling to collaborate with the NIH
and the Bill & Melinda Gates Foundation to conduct such an
important study in HIV prevention in women and deliver
ground-breaking results confirming the superior efficacy of
long-acting cabotegravir for PrEP. Women need more effective
choices for HIV prevention. If approved, long-acting cabotegravir
will provide an option that reduces the number of annual dosing
days from 365 to six. In addition, long-acting cabotegravir can be
discretely administered and may empower women to reduce their
risk of HIV acquisition without the need for negotiation with their
sexual partner. The results of HPTN 084 confirm long-acting
cabotegravir's potential as an HIV prevention option that can meet
these needs."
The HPTN 084 study, with 3,223 participants in 20 sites across
seven countries in sub-Saharan Africa (Botswana, Kenya, Malawi,
South Africa, eSwatini, Uganda and Zimbabwe), is the first study of
long-acting injectable therapy for HIV prevention among women. The
data showed that there was a statistically significant advantage
for the women who received cabotegravir compared with the women who
received FTC/TDF. While both were highly effective at
preventing HIV in the study population, cabotegravir was
superior.
Among the 38 women in the trial who acquired HIV, four were
randomised to the long-acting cabotegravir arm and 34 were
randomised to the daily, oral FTC/TDF arm. This translated to an
HIV incidence rate of 0.21% (95% confidence interval [CI] 0.06% -
0.54%) in the cabotegravir group and 1.79% (95% CI 1.24%-2.51%) in
the FTC/TDF group. While both methods were highly effective at
preventing HIV acquisition, long-acting cabotegravir was 89% (95%
CI 68-96%) more effective than FTC/TDF.
Preliminary assessment of adherence to oral FTC/TDF was higher than
has been seen in prior HIV prevention studies in similar
populations of women, based on a random subset of 362 FTC/TDF
participants that measured any detectable tenofovir (>0.31
ng/ml) in 64% of participants with daily dosing levels (>40
ng/ml) in 48% of all samples tested.
Long-acting cabotegravir and FTC/TDF tablets were both well
tolerated throughout the study, with most adverse events being mild
or moderate in severity and with the frequency largely balanced
between both treatment arms. Injection site reactions (ISRs) were
low in both groups and represented numerical improvements from what
was demonstrated in the HPTN 083 study in men. ISRs in HPTN 084
occurred more frequently in the cabotegravir arm (32%) vs. the
FTC/TDF arm (9%), which received placebo injections. There were no
discontinuations due to injection site reactions or injection
intolerance in either arm of the study. Gastrointestinal disorders
and nausea were more common in the FTC/TDF arm.
Sinead Delany-Moretlwe, MBBCh, Ph.D., DTM&H, HPTN 084 protocol
chair and research director at Wits RHI, University of the
Witwatersrand in Johannesburg, South Africa,
said: "Young women may be
twice as likely to acquire HIV as their male counterparts in
certain regions around the world, making new HIV prevention options
an important unmet need. It's for this reason particularly that
participants from sub-Saharan Africa were chosen for the HPTN 084
study, as women in this region bear a disproportionate burden of
the HIV epidemic. To see such incredible results among these women
most at risk is exciting and speaks to the potential of long-acting
cabotegravir as a new HIV prevention option."
Following review of these findings, the DSMB recommended the
blinded, randomised portion of the study be stopped early, all
participants unblinded, and results released. Participants who were
in the FTC/TDF arm will be offered long-acting cabotegravir and
participants in the long-acting cabotegravir arm will continue to
receive it. Participants who do not want to receive long-acting
cabotegravir will be offered FTC/TDF until the end of the
originally planned blinded component of the study. The DSMB
recommendation was accepted by the U.S. National Institute of
Allergy and Infectious Diseases (NIAID), part of the National
Institutes of Health (NIH), the study sponsor.
Myron S. Cohen, M.D., Co-Principal Investigator of the HPTN and the
Yeargan-Bate Distinguished Professor of Medicine, Microbiology and
Immunology and Epidemiology at the University of North Carolina
(UNC) at Chapel Hill, said:
"With the combined landmark findings of HPTN 084 announced today
and HPTN 083 announced earlier this year, we've confirmed that
long-acting cabotegravir is a superior HIV prevention option for
men and women. New HIV prevention agents that address the many
needs of all individuals at risk for acquiring HIV are essential
pillars of our strategy to end the HIV epidemic. If
approved, this innovative new injectable option administered once
every two months will expand the way we approach HIV
prevention."
HPTN 084 was jointly funded by the U.S. NIAID, and the National
Institute of Mental Health, both part of the NIH, the Bill &
Melinda Gates Foundation and ViiV Healthcare, and was conducted by
the HPTN. Study product was provided by ViiV Healthcare and Gilead
Sciences.
Detailed results from HPTN 084 will be presented at an upcoming
scientific meeting. ViiV Healthcare plans to use the data from both
HPTN studies for future regulatory submissions. Cabotegravir has
not yet been approved for the treatment or prevention of HIV as a
single agent by regulatory authorities anywhere in the
world.
About cabotegravir for HIV prevention
Cabotegravir is an investigational integrase inhibitor being
developed by ViiV Healthcare for the treatment and prevention of
HIV. It is being evaluated as a long-acting formulation for
intramuscular injection and also as a once-daily oral tablet for
use as a lead-in, to establish the tolerability of cabotegravir
prior to long-acting injection.
About HPTN 084 (NCT03164564)
The HPTN 084 study is a phase III double blind safety and efficacy
study designed to evaluate the safety and efficacy of the
long-acting injectable cabotegravir for HIV prevention administered
every eight weeks compared to daily oral FTC/TDF tablets (200
mg/300 mg) in 3,223 women who are at increased risk of HIV
acquisition. HPTN 084 opened to enrolment in November 2017 and is
being conducted at research centres in Botswana, Kenya, Malawi,
South Africa, Eswatini, Uganda and Zimbabwe.
For further information please see https://clinicaltrials.gov/ct2/show/NCT03164564
About HPTN 083 (NCT02720094)
The HPTN 083 study is a phase IIb/III double blind study designed
to evaluate the safety and efficacy of long-acting injectable
cabotegravir for HIV prevention administered every eight weeks
compared to daily oral FTC/TDF tablets (200 mg/300 mg). Each
participant was to receive a maximum of three years of blinded
study medication. The study opened to enrolment in November 2016.
HPTN 083 was conducted in 4,570 men who have sex with men and
transgender women who have sex with men at research centres in
Argentina, Brazil, Peru, United States, South Africa, Thailand and
Vietnam.
For further information on HPTN 083 please
visit https://clinicaltrials.gov/ct2/show/NCT02720094.
About HIV Prevention Trials Network (HPTN)
The HIV Prevention Trials Network (HPTN) is a worldwide
collaborative clinical trials network that brings together
investigators, ethicists, community members and other partners to
develop and test the safety and efficacy of interventions designed
to prevent the acquisition and transmission of HIV. The National
Institutes of Health (NIH), the National Institute of Mental Health
(NIMH) and the National Institute on Drug Abuse (NIDA) co-fund the
HPTN. The HPTN has collaborated with more than 85 clinical research
sites in 19 countries to evaluate new HIV prevention interventions
and strategies in populations that bear a disproportionate burden
of infection. The HPTN research agenda - more than 50 trials
ongoing or completed with over 161,000 participants enrolled and
evaluated - is focused primarily on the use of antiretroviral drugs
(antiretroviral therapy and pre-exposure prophylaxis); and
integrated strategies including interventions for substance abuse,
particularly injection drug use; behavioural risk reduction
interventions and structural interventions. For more information,
visit hptn.org.
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 is a science-led global healthcare company with a special
purpose: to help people do more, feel better, live longer. For
further information please visit www.gsk.com/about-us.
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
"Risk Factors" in the company's Annual Report on Form 20-F for 2019
and as set out in GSK's "Principal risks and uncertainties" section
of the Q3 Results and any impacts of the COVID-19
pandemic.
ViiV Healthcare enquiries:
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Media enquiries:
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Melinda Stubbee
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+1 919 491 0831 (North Carolina)
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Audrey Abernathy
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+1 919 605 4521 (North Carolina)
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Sofia Kalish
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+44 (0) 73 4107 9531 (London)
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GSK enquiries:
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Media enquiries:
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Simon Steel
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+44 (0) 20 8047 5502 (London)
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Tim Foley
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+44 (0) 20 8047 5502 (London)
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Kristen Neese
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+1 804 217 8147 (Philadelphia)
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Kathleen Quinn
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+1 202 603 5003 (Washington DC)
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Analyst/Investor enquiries:
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Sarah Elton-Farr
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+44 (0) 20 8047 5194 (London)
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Sonya Ghobrial
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+44 (0) 7392 784784 (Consumer)
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James Dodwell
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+44 (0) 20 8047 2406 (London)
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Jeff McLaughlin
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+1 215 751 7002 (Philadelphia)
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Frannie DeFranco
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+1 215 751 4855 (Philadelphia)
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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: November
09, 2020
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By:/s/ 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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