Phase I Methodology Study to Validate the Cantharidin Blister Model in Healthy Volunteers
Primary Purpose
Inflammation
Status
Completed
Phase
Phase 1
Locations
United Kingdom
Study Type
Interventional
Intervention
Cantharidin solution
Aspirin
Prednisolone
Placebo to aspirin
Placebo to prednisolone
Sponsored by
About this trial
This is an interventional other trial for Inflammation
Eligibility Criteria
Inclusion Criteria:
- Healthy as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, vital signs, complete blood count and clinical chemistry. A subject with a clinical abnormality or laboratory parameters outside the reference range for the population being studied may be included only if the Investigator and the GSK Medical Monitor agree that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures
- Male between 18 and 55 years of age inclusive, at the time of signing the informed consent
- Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form
Exclusion Criteria:
- Subjects with very fair or very dark skin type
- Presence on either forearm of tattoos, naevi, scars, keloids, hyperpigmentation, excessive hair or any skin abnormalities that may, in the opinion of the Investigator, interfere with study assessments
- Subjects with a history of keloids, skin allergy, hypersensitivity or contact dermatitis, including previous reactions to dressings to be used in the study
- Subjects with a history of lymphangitis and/or lymphoedema
- Subjects with a history of HIV infection, hepatitis B or C
- A positive pre-study drug/alcohol screen
- Use of prescription or non-prescription drugs, including ergot derivatives e.g. dihydroergotamine (Dihydergot), vitamins, herbal and dietary supplements (including St John's Wort) within whichever is the longer period of 7 days or 5 half-lives (if known) prior to the first challenge day, unless in the opinion of the Investigator and GSK Medical Monitor the medication will not interfere with the study procedures or compromise subject safety
- The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the dosing day in the current study: 90 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer)
- Where participation in the study would result in donation of blood or blood products in excess of 500 mL within 56-day period For Part 2 only
- History of previous peptic ulcers, gastritis, GI bleed or history of bleeding problems, e.g. haemorrhoids or spontaneous nose bleeds
- Subjects with a history of asthma
- For aspirin only: History of sensitivity to aspirin or non steroidal anti-inflammatory drugs or a history of drug or other allergy that, in the opinion of the Investigator or GSK Medical Monitor contraindicates their participation
- For prednisolone only: Subjects with systemic infections, hypersensitivity to any formulation ingredient, or ocular herpes simplex will be excluded. Those with, or a previous history of, tuberculosis, hypertension, congestive heart failure, liver failure, renal insufficiency, diabetes mellitus or in those with a family history of diabetes, osteoporosis, glaucoma or in those with a family history or glaucoma, subjects with a history of severe affective disorders and particularly those with a previous history of steroid-induced psychoses (in themselves or first degree relatives), epilepsy, peptic ulceration or previous steroid myopathy will also be excluded
- For prednisolone only: if a subject has not had chicken pox previously
- For prednisolone only: no live vaccines to be administered within 3 months of last prednisolone dose
- Subjects with a history of diabetes and peripheral vascular disease
Sites / Locations
- GSK Investigational Site
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Active Comparator
Experimental
Experimental
Arm Label
Effect of Aspirin
Effect of steroid - Prednisolone
Cantharidin exposure to optimise blister formation
Arm Description
Positive control as previously used in the cantharidin blister experimental model of inflammation
Prednisolone selected as steroids should provide the most robust positive control anti-inflammatory therapy
Cantharidin exposure to optimise blister formation
Outcomes
Primary Outcome Measures
Blister volume of fluid
Volume of fluid extracted from blisters induced by cantharidin application
Cell population in blister fluid
Flow cytometry performed on cells from blister fluid including measurement of some or all of the following parameters: CD45, CD16, CD14, cell viability, CD206, CD64 or CD84, apoptosis, total blister leukocytes (CD45+), monocytes (CD14+), neutrophils (CD16 high), monocyte/macrophage like cells (CD64+ or CD84+); subsets of these cells that are undergoing apoptosis; subsets of monocyte/macrophages
Inflammatory mediators in blister fluid
Inflammatory mediators in blister fluid, measured by immunoassay as primary endpoints may include (but will not be limited to): MPO, IL-10, IL-8, IL-6, IL-1β, TNF-α, LTB4.
Secondary Outcome Measures
Blister volume of fluid
Volume of fluid extracted from blisters induced by cantharidin application
Cell population in blister fluid
Flow cytometry performed on cells from blister fluid including measurement of some or all of the following parameters: CD45, CD16, CD14, cell viability, CD206, CD64 or CD84, apoptosis, total blister leukocytes (CD45+), monocytes (CD14+), neutrophils (CD16 high), monocyte/macrophage like cells (CD64+ or CD84+); subsets of these cells that are undergoing apoptosis; subsets of monocyte/macrophages
Inflammatory mediators in blister fluid
Inflammatory mediators in blister fluid, measured by immunoassay as primary endpoints may include (but will not be limited to): MPO, IL-10, IL-8, IL-6, IL-1β, TNF-α, LTB4.
Numbers and types of leukocytes in blood, and inflammatory mediators in plasma
Blister healing/skin appearance at 6 week follow up
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01762787
Brief Title
Phase I Methodology Study to Validate the Cantharidin Blister Model in Healthy Volunteers
Official Title
A Randomised, Single Blind, Placebo-Controlled, Cross-over, Phase 1 Methodology Study to Validate the Cantharidin Blister Model in Healthy Male Volunteers
Study Type
Interventional
2. Study Status
Record Verification Date
June 2017
Overall Recruitment Status
Completed
Study Start Date
August 17, 2010 (Actual)
Primary Completion Date
January 14, 2011 (Actual)
Study Completion Date
January 14, 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to refine the cantharidin-induced blister assay in healthy volunteers as a model of inflammatory disease. The study is an experimental trial in healthy volunteers in two parts; Part 1 to optimise the model and Part 2 to validate using two anti-inflammatory treatments with different modes of action.
Detailed Description
The purpose of this study is to refine the cantharidin-induced blister assay. The cantharidin-induced skin blister assay may be a valuable tool for evaluation of the pharmacodynamic effects of novel anti-inflammatory drugs in healthy volunteers, particularly for novel concepts targeting neutrophilic or monocytic inflammation. The study is an experimental trial in healthy volunteers for the purpose of evaluating the variability (between subjects and within subject) of the size and contents (cellular and fluid) of blisters induced on the forearm by direct application of cantharidin. Specifically, the aim is to assess whether variability is reduced in the current study, in which cantharidin will be applied directly to the skin in order to minimise the variation in total skin exposure. Once experimental design has been optimised then Part 2 of the study will examine the effects of a course of anti-inflammatory treatment prior to induction of blisters on the size and/or contents of blisters in a single blind crossover protocol.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Inflammation
7. Study Design
Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
40 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Effect of Aspirin
Arm Type
Active Comparator
Arm Description
Positive control as previously used in the cantharidin blister experimental model of inflammation
Arm Title
Effect of steroid - Prednisolone
Arm Type
Experimental
Arm Description
Prednisolone selected as steroids should provide the most robust positive control anti-inflammatory therapy
Arm Title
Cantharidin exposure to optimise blister formation
Arm Type
Experimental
Arm Description
Cantharidin exposure to optimise blister formation
Intervention Type
Drug
Intervention Name(s)
Cantharidin solution
Intervention Description
5 microlitres of 0.025 to 0.5% topically on Day 1, 2 and 3
Intervention Type
Drug
Intervention Name(s)
Aspirin
Intervention Description
300mg three times daily orally over a course of 4 days (starting Day -3) Part 2 only
Intervention Type
Drug
Intervention Name(s)
Prednisolone
Intervention Description
30mg orally once a day over a course of 4 days (starting Day -3) Part 2 only
Intervention Type
Drug
Intervention Name(s)
Placebo to aspirin
Intervention Description
0mg three times daily orally over a course of 4 days (starting Day -3) Part 2 only
Intervention Type
Drug
Intervention Name(s)
Placebo to prednisolone
Intervention Description
0mg orally once a day over a course of 4 days (starting Day -3) Part 2 only
Primary Outcome Measure Information:
Title
Blister volume of fluid
Description
Volume of fluid extracted from blisters induced by cantharidin application
Time Frame
48 hours
Title
Cell population in blister fluid
Description
Flow cytometry performed on cells from blister fluid including measurement of some or all of the following parameters: CD45, CD16, CD14, cell viability, CD206, CD64 or CD84, apoptosis, total blister leukocytes (CD45+), monocytes (CD14+), neutrophils (CD16 high), monocyte/macrophage like cells (CD64+ or CD84+); subsets of these cells that are undergoing apoptosis; subsets of monocyte/macrophages
Time Frame
48 hours
Title
Inflammatory mediators in blister fluid
Description
Inflammatory mediators in blister fluid, measured by immunoassay as primary endpoints may include (but will not be limited to): MPO, IL-10, IL-8, IL-6, IL-1β, TNF-α, LTB4.
Time Frame
48 hours
Secondary Outcome Measure Information:
Title
Blister volume of fluid
Description
Volume of fluid extracted from blisters induced by cantharidin application
Time Frame
72 hours
Title
Cell population in blister fluid
Description
Flow cytometry performed on cells from blister fluid including measurement of some or all of the following parameters: CD45, CD16, CD14, cell viability, CD206, CD64 or CD84, apoptosis, total blister leukocytes (CD45+), monocytes (CD14+), neutrophils (CD16 high), monocyte/macrophage like cells (CD64+ or CD84+); subsets of these cells that are undergoing apoptosis; subsets of monocyte/macrophages
Time Frame
72 hours
Title
Inflammatory mediators in blister fluid
Description
Inflammatory mediators in blister fluid, measured by immunoassay as primary endpoints may include (but will not be limited to): MPO, IL-10, IL-8, IL-6, IL-1β, TNF-α, LTB4.
Time Frame
72 hours
Title
Numbers and types of leukocytes in blood, and inflammatory mediators in plasma
Time Frame
72 hours
Title
Blister healing/skin appearance at 6 week follow up
Time Frame
6 weeks
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Healthy as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, vital signs, complete blood count and clinical chemistry. A subject with a clinical abnormality or laboratory parameters outside the reference range for the population being studied may be included only if the Investigator and the GSK Medical Monitor agree that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures
Male between 18 and 55 years of age inclusive, at the time of signing the informed consent
Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form
Exclusion Criteria:
Subjects with very fair or very dark skin type
Presence on either forearm of tattoos, naevi, scars, keloids, hyperpigmentation, excessive hair or any skin abnormalities that may, in the opinion of the Investigator, interfere with study assessments
Subjects with a history of keloids, skin allergy, hypersensitivity or contact dermatitis, including previous reactions to dressings to be used in the study
Subjects with a history of lymphangitis and/or lymphoedema
Subjects with a history of HIV infection, hepatitis B or C
A positive pre-study drug/alcohol screen
Use of prescription or non-prescription drugs, including ergot derivatives e.g. dihydroergotamine (Dihydergot), vitamins, herbal and dietary supplements (including St John's Wort) within whichever is the longer period of 7 days or 5 half-lives (if known) prior to the first challenge day, unless in the opinion of the Investigator and GSK Medical Monitor the medication will not interfere with the study procedures or compromise subject safety
The subject has participated in a clinical trial and has received an investigational product within the following time period prior to the dosing day in the current study: 90 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer)
Where participation in the study would result in donation of blood or blood products in excess of 500 mL within 56-day period For Part 2 only
History of previous peptic ulcers, gastritis, GI bleed or history of bleeding problems, e.g. haemorrhoids or spontaneous nose bleeds
Subjects with a history of asthma
For aspirin only: History of sensitivity to aspirin or non steroidal anti-inflammatory drugs or a history of drug or other allergy that, in the opinion of the Investigator or GSK Medical Monitor contraindicates their participation
For prednisolone only: Subjects with systemic infections, hypersensitivity to any formulation ingredient, or ocular herpes simplex will be excluded. Those with, or a previous history of, tuberculosis, hypertension, congestive heart failure, liver failure, renal insufficiency, diabetes mellitus or in those with a family history of diabetes, osteoporosis, glaucoma or in those with a family history or glaucoma, subjects with a history of severe affective disorders and particularly those with a previous history of steroid-induced psychoses (in themselves or first degree relatives), epilepsy, peptic ulceration or previous steroid myopathy will also be excluded
For prednisolone only: if a subject has not had chicken pox previously
For prednisolone only: no live vaccines to be administered within 3 months of last prednisolone dose
Subjects with a history of diabetes and peripheral vascular disease
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
GSK Clinical Trials
Organizational Affiliation
GlaxoSmithKline
Official's Role
Study Director
Facility Information:
Facility Name
GSK Investigational Site
City
Cambridge
ZIP/Postal Code
CB2 2GG
Country
United Kingdom
12. IPD Sharing Statement
Learn more about this trial
Phase I Methodology Study to Validate the Cantharidin Blister Model in Healthy Volunteers
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