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Study of Itch Control by VLY-686 in Healthy Volunteers After Intradermal Injections of Substance P

Primary Purpose

Pruritus

Status
Completed
Phase
Phase 1
Locations
Switzerland
Study Type
Interventional
Intervention
VLY-686
Placebo
Sponsored by
Vanda Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Pruritus focused on measuring itch

Eligibility Criteria

18 Years - 45 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Males 18 - 45 years of age, inclusive;
  • Non-smokers, per medical history, or ex-smokers for a period of ≥1 year;
  • Subjects with Body Mass Index (BMI) of ≥18.5 and ≤30 kg/m2 (BMI = weight (kg)/ [height (m)]2);
  • Vital signs (in sitting position after 3 minutes of rest) which are within the ranges shown below (inclusive):
  • Body temperature between 35.4-37.8 °C;
  • Systolic blood pressure between 91-130 mmHg;
  • Diastolic blood pressure between 51-90 mmHg;
  • Pulse rate between 50-100 bpm;
  • Respiratory rate between 10-20 breaths per minute;
  • Ability and acceptance to provide written informed consent;
  • Willing and able to comply with study requirements and restrictions;
  • Subjects must be in good health as determined by past medical history, physical examination, electrocardiogram, clinical laboratory tests and urinalysis.

Exclusion Criteria:

  • Past or present history of atopy (atopic dermatitis problems, urticaria, asthma or allergic rhinitis) with no ascertained intolerance to histamine;
  • Past or present skin disease;
  • Lesions or any skin changes in the forearms in the month prior to the Screening Visit;
  • History of neurological diseases;
  • Past or present pain-related diseases such as cluster headaches, migraine, or back pain;
  • Treatment with all topical cream and ointments including cosmetics applied on the forearm in the 10 days prior to the screening visit;
  • Participation in the evaluation of any investigational product for 3 months before this study, calculated from the first day of the month following the last visit of the previous study;
  • Exposure (within 2 weeks of the Baseline Visit) to any prescription medication or over-the-counter medication including dietary supplements and/or herbal remedies, except those listed on Section 8.2;
  • Exposure (within 4 weeks of the Screening Visit) to any antihistamines, anxiolytics, antidepressants, pain killers including triptanes, neuroleptics, or sleep medications;
  • Treatment with any medication known to cause major organ system toxicity (e.g., chloramphenicol or tamoxifen) during the 60 days preceding the Screening Visit;
  • Administration of medications containing corticosteroids or adrenocorticotropic hormone in the three months prior to the Screening Visit;
  • Electrocardiogram reading considered outside the normal limits by the investigator (e.g. abnormally prolonged QTc corrected by Fridericia's method > 450 msec in males, on ECG tracing). The following conduction abnormalities may confound QTc analysis and should be avoided if possible: PR > 220 msec, 2nd or 3rd degree AV block, intraventricular conduction delay with QRS > 120 msec, left branch bundle block, right branch bundle block or Wolff-Parkinson-White syndrome;
  • Blood donation in the last 3 months or donation of at least 1500 mL blood (including this study) within the last year;
  • History of liver disease and/or positive for one or more of the following serological results:
  • A positive hepatitis C antibody test (anti-HCV);
  • A positive hepatitis B surface antigen (HBsAg);
  • A positive HIV test result ;
  • Not willing to sign the informed consent or not able to understand completely the study objectives or risks;
  • Clinically relevant abnormalities in clinical lab or physical assessments performed at the screening visit;
  • Lack of sensitivity to Substance P and histamine or sensitivity to saline at the Screening Visit;
  • Any other sound medical reason as determined by the clinical Investigator.
  • Drug, alcohol, caffeine, tobacco: history of drug, alcohol (>2 drinks/day for males, defined according to USDA Dietary Guidelines 2010), caffeine (>5 cups coffee/tea/day), smokers;
  • Diet: abnormal diets (<1600 or >3500 calories/day) or substantial changes in eating habits in the 4 weeks before this study; vegetarians.

Sites / Locations

  • Vanda Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

VLY-686 20 mg

VLY-686 50 mg

VLY-686 100 mg

Placebo

Arm Description

Single dose, 20 mg VLY-686, administered as two 10 mg VLY-686 oral capsules

Single dose, 50 mg VLY-686, administered as one 50 mg VLY-686 oral capsule and one placebo capsule mimicking the VLY-686 50 mg capsule

Single dose, 100 mg VLY-686, administered as two 50 mg VLY-686 oral capsules

Single dose, placebo, administered as either two 10 mg oral capsules or two 50 mg oral capsules

Outcomes

Primary Outcome Measures

Itch severity score on the Verbal Rating Scale
Itch severity score on the Visual Analog Scale

Secondary Outcome Measures

Dose response of VLY-686 and reduction of itch severity
Number of adverse events in subjects taking VLY-686
Size of injection site erythema
Number of adverse events in subjects taking placebo
Size of injection site and urticaria

Full Information

First Posted
August 2, 2013
Last Updated
June 1, 2015
Sponsor
Vanda Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT01919944
Brief Title
Study of Itch Control by VLY-686 in Healthy Volunteers After Intradermal Injections of Substance P
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Four-Way Crossover Study on Itch Control by VLY-686 Administration in Healthy Volunteers After Intradermal Injections of Substance P
Study Type
Interventional

2. Study Status

Record Verification Date
June 2015
Overall Recruitment Status
Completed
Study Start Date
August 2013 (undefined)
Primary Completion Date
November 2013 (Actual)
Study Completion Date
November 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Vanda Pharmaceuticals

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to test whether VLY-686 can prevent or reduce the itch and dermatological reaction observed after healthy volunteers are injected with Substance P in comparison with placebo.
Detailed Description
This is a double-blind, randomized, 4-way crossover, pharmacokinetic and pharmacodynamic (PK/PD) study to compare the cutaneous vasoreactive intensity to intradermal injections of Substance P in healthy volunteers receiving oral doses of 20 mg, 50 mg or 100 mg VLY-686 or a matching placebo. Twelve healthy male subjects satisfying the selection criteria for the study will be enrolled. Each subject will participate in a screening period (up to 21 days prior to dosing), four one-day treatment periods each separated by a 7 (±2 days) day washout period, and an end-of-study evaluation prior to discharge from the study. This protocol also includes an option of subjects administered daily doses of study medication between Periods 3 and 4. The treatment periods will be in a randomized sequence consisting of 1) 20 mg VLY-686, 2) 50 mg VLY-686, 100 mg VLY-686 and 4) placebo. In each of the study periods, Substance P will be injected 5 times: pre-dose (the night before), 2, 4, 8 and 12 hours (± 10 minutes) after study medication administration. A dose of 100 μL of a 2.5 nmol/mL sterile solution of Substance P will be injected each time. Overall, subjects will be administered 1.25 nmol of Substance P in around 24 hours (5 doses). Substance P injections will be given in the volar of the forearm, alternating right and left and avoiding injections in an area adjacent to the area previously injected. The subject's forearm will be covered during and after each injection to avoid potential biases in the scoring of the Verbal Rating Scale (VRS) and Visual Analog Scale (VAS). Additionally, blood samples for VLY-686 pharmacokinetic (PK) analysis will be collected each period at pre-dose, 1, 3, 6, 10, and 24 hours after study medication administration.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pruritus
Keywords
itch

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
12 (Actual)

8. Arms, Groups, and Interventions

Arm Title
VLY-686 20 mg
Arm Type
Experimental
Arm Description
Single dose, 20 mg VLY-686, administered as two 10 mg VLY-686 oral capsules
Arm Title
VLY-686 50 mg
Arm Type
Experimental
Arm Description
Single dose, 50 mg VLY-686, administered as one 50 mg VLY-686 oral capsule and one placebo capsule mimicking the VLY-686 50 mg capsule
Arm Title
VLY-686 100 mg
Arm Type
Experimental
Arm Description
Single dose, 100 mg VLY-686, administered as two 50 mg VLY-686 oral capsules
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Single dose, placebo, administered as either two 10 mg oral capsules or two 50 mg oral capsules
Intervention Type
Drug
Intervention Name(s)
VLY-686
Intervention Description
capsules containing either 10 mg or 50 mg VLY-686
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Sugar capsule to mimic either VLY-686 10 mg capsule or 50 mg capsule
Primary Outcome Measure Information:
Title
Itch severity score on the Verbal Rating Scale
Time Frame
20 minutes after Substance P injection
Title
Itch severity score on the Visual Analog Scale
Time Frame
20 minutes after Substance P injection
Secondary Outcome Measure Information:
Title
Dose response of VLY-686 and reduction of itch severity
Time Frame
20 minutes after substance P injection
Title
Number of adverse events in subjects taking VLY-686
Time Frame
24 hours after Substance P injection
Title
Size of injection site erythema
Time Frame
1-20 minutes after Substance P injection
Title
Number of adverse events in subjects taking placebo
Time Frame
20 minutes after Substance P inection
Title
Size of injection site and urticaria
Time Frame
20 minutes after Substance P injection

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Males 18 - 45 years of age, inclusive; Non-smokers, per medical history, or ex-smokers for a period of ≥1 year; Subjects with Body Mass Index (BMI) of ≥18.5 and ≤30 kg/m2 (BMI = weight (kg)/ [height (m)]2); Vital signs (in sitting position after 3 minutes of rest) which are within the ranges shown below (inclusive): Body temperature between 35.4-37.8 °C; Systolic blood pressure between 91-130 mmHg; Diastolic blood pressure between 51-90 mmHg; Pulse rate between 50-100 bpm; Respiratory rate between 10-20 breaths per minute; Ability and acceptance to provide written informed consent; Willing and able to comply with study requirements and restrictions; Subjects must be in good health as determined by past medical history, physical examination, electrocardiogram, clinical laboratory tests and urinalysis. Exclusion Criteria: Past or present history of atopy (atopic dermatitis problems, urticaria, asthma or allergic rhinitis) with no ascertained intolerance to histamine; Past or present skin disease; Lesions or any skin changes in the forearms in the month prior to the Screening Visit; History of neurological diseases; Past or present pain-related diseases such as cluster headaches, migraine, or back pain; Treatment with all topical cream and ointments including cosmetics applied on the forearm in the 10 days prior to the screening visit; Participation in the evaluation of any investigational product for 3 months before this study, calculated from the first day of the month following the last visit of the previous study; Exposure (within 2 weeks of the Baseline Visit) to any prescription medication or over-the-counter medication including dietary supplements and/or herbal remedies, except those listed on Section 8.2; Exposure (within 4 weeks of the Screening Visit) to any antihistamines, anxiolytics, antidepressants, pain killers including triptanes, neuroleptics, or sleep medications; Treatment with any medication known to cause major organ system toxicity (e.g., chloramphenicol or tamoxifen) during the 60 days preceding the Screening Visit; Administration of medications containing corticosteroids or adrenocorticotropic hormone in the three months prior to the Screening Visit; Electrocardiogram reading considered outside the normal limits by the investigator (e.g. abnormally prolonged QTc corrected by Fridericia's method > 450 msec in males, on ECG tracing). The following conduction abnormalities may confound QTc analysis and should be avoided if possible: PR > 220 msec, 2nd or 3rd degree AV block, intraventricular conduction delay with QRS > 120 msec, left branch bundle block, right branch bundle block or Wolff-Parkinson-White syndrome; Blood donation in the last 3 months or donation of at least 1500 mL blood (including this study) within the last year; History of liver disease and/or positive for one or more of the following serological results: A positive hepatitis C antibody test (anti-HCV); A positive hepatitis B surface antigen (HBsAg); A positive HIV test result ; Not willing to sign the informed consent or not able to understand completely the study objectives or risks; Clinically relevant abnormalities in clinical lab or physical assessments performed at the screening visit; Lack of sensitivity to Substance P and histamine or sensitivity to saline at the Screening Visit; Any other sound medical reason as determined by the clinical Investigator. Drug, alcohol, caffeine, tobacco: history of drug, alcohol (>2 drinks/day for males, defined according to USDA Dietary Guidelines 2010), caffeine (>5 cups coffee/tea/day), smokers; Diet: abnormal diets (<1600 or >3500 calories/day) or substantial changes in eating habits in the 4 weeks before this study; vegetarians.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Milko Radicioni, MD
Organizational Affiliation
Cross Research SA
Official's Role
Principal Investigator
Facility Information:
Facility Name
Vanda Investigational Site
City
Arzo
ZIP/Postal Code
CH 6864
Country
Switzerland

12. IPD Sharing Statement

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Study of Itch Control by VLY-686 in Healthy Volunteers After Intradermal Injections of Substance P

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