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Substance P Challenge in Healthy Participants

Primary Purpose

Skin Diseases

Status
Completed
Phase
Not Applicable
Locations
Netherlands
Study Type
Interventional
Intervention
Substance P
Normal Saline
Histamine
Sponsored by
GlaxoSmithKline
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Skin Diseases focused on measuring Substance P, Wheal response, Flare response, Skin challenge

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion criteria:

  • 18 to 50 years of age inclusive.
  • Participants who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, ECGs and vital signs.
  • Participants who responded positive to histamine skin prick test and negative to saline injection at screening.
  • Participants with Fitzpatrick skin type I-II (Caucasian).
  • Body weight greater than or equal to (>=) 50 kilogram (kg) and body mass index (BMI) within the range 19-29.9 kilogram per meter square (kg/m2) (inclusive).
  • Male participants are eligible to participate in the study.
  • A female participant is eligible to participate if she is not pregnant or breastfeeding or using highly effective contraceptive methods. Woman of non-childbearing potential can also participate.
  • A sensitive pregnancy test is required to be negative on the day of each challenge.
  • Capable of giving signed informed consent.

Exclusion Criteria:

  • Significant history of or current, cardiovascular (including hypotension, severe hypertension, vasomotor instability), respiratory (including asthma), renal, gastrointestinal, endocrine, hematological, infectious or neurological disorders constituting a risk when taking part in the study or interfering with the interpretation of data.
  • History or presence of significant skin disorder (such as but not limited to chronic urticaria, atopic dermatitis, severe eczema, psoriasis or skin cancer).
  • History of risk for or actual experience of complications from skin biopsy including excess bleeding, infection, or scarring/keloid formation.
  • Abnormal blood pressure as determined by the investigator.
  • Alanine transaminase (ALT) >1.5 times upper limit of normal (ULN).
  • Total bilirubin >1.5 times ULN (isolated bilirubin >1.5 times ULN is acceptable if total bilirubin is fractionated and direct bilirubin <35%).
  • Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones).
  • QT interval corrected for heart rate according to Fridericia's formula (QTcF) >450 millisecond (msec), based on the mean of triplicate ECGs.
  • Use of any form of H1 or H2 antihistamine, tricyclic antidepressants, beta2 agonists, dopamine, or beta blocking agents within 14 days before the first challenge visit through final assessments.
  • Use of topical medications such as but not limited to retinoids, steroids, and transdermal hormone replacement therapies on or near the intended site of application within 8 weeks prior to dosing through treatment follow up. Use of other topical preparations such as those containing vitamins, supplements or herbal within 2 weeks prior to dosing through treatment follow up.
  • Past or intended use of any other non-topical over-the-counter or prescription medication, including herbal medications, within 7 days before the first challenge visit, unless, in the opinion of the investigator and GlaxoSmithKline medical monitor, the medication will not constitute a risk when taking the study intervention or interfere with the interpretation of data.
  • Participation in the study would result in loss of blood or blood products in excess of 500 milliliter (mL) within 3 months.
  • Current enrolment in any clinical study involving an investigational study intervention or any other type of medical research.
  • Current enrolment or past participation in this study.
  • Presence of Hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HbcAb) at screening or within 3 months before the first challenge day.
  • Positive Hepatitis C antibody test result at screening or within 3 months before the first challenge day.
  • Positive Hepatitis C RNA test result at screening or within 3 months before the first challenge day.
  • Positive pre-study drug/alcohol screen.
  • Positive human immunodeficiency virus (HIV) antibody test at screening or within 3 months before the first challenge day.
  • Current use of known drugs of abuse.
  • Participants who present with damaged skin including sunburn, scar tissue, moles, uneven skin tones and dark skin tone (Fitzpatrick>2), tattoos, body piercings, branding or other skin disfiguration on or near the intended site of application which could interfere with the assessments
  • Regular alcohol consumption within 6 months before the study defined as an average weekly intake of >21 units for males or >14 units for females.
  • Smoking test result indicative of smoking, history or regular use of tobacco- or nicotine-containing products within 6 months prior to screening.
  • Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the investigator or medical monitor, contraindicates participation in the study.
  • Unable to refrain from the use of topical medications from before the first to after the last challenge visit.

Sites / Locations

  • GSK Investigational Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Substance P challenge in Part 1

Substance P challenge in Part 2

Arm Description

Eligible participants will receive control challenge with saline and histamine, followed by challenge with ascending concentrations of Substance P. Part 1 will include a single challenge visit.

Eligible participants will receive control challenge with saline and histamine, followed by challenge with ascending concentrations of Substance P. Part 2 will include two challenge visits.

Outcomes

Primary Outcome Measures

Part 1: Area under the curve (AUC) over the post-challenge period for Substance P to characterize wheal response over time
Part 2: AUC over the post-challenge period for Substance P to characterize wheal response over time

Secondary Outcome Measures

Part 1: Maximum observed wheal response during the post challenge period for Substance P (response will be area in millimeters squared)
Part 2: Maximum observed wheal response during the post challenge period for Substance P (response will be area in millimeters squared)
Part 1: Time to maximum observed wheal response during the post challenge period for Substance P
Part 2: Time to maximum observed wheal response during the post challenge period for Substance P
Part 1: Time of complete wheal response disappearance during the post challenge period for Substance P
Part 2: Time of complete wheal response disappearance during the post challenge period for Substance P
Part 1: AUC during the post challenge period for Substance P to characterize flare response over time
Part 2: AUC during the post challenge period for Substance P to characterize flare response over time
Part 1: Maximum observed flare response during the post challenge period for Substance P (response will be area in millimeters squared)
Part 2: Maximum observed flare response during the post challenge period for Substance P (response will be area in millimeters squared)
Part 1: Time to maximum observed flare response during the post challenge period for Substance P
Part 2: Time to maximum observed flare response during the post challenge period for Substance P
Part 1: Time of complete flare response disappearance during the post challenge period for Substance P
Part 2: Time of complete flare response disappearance during the post challenge period for Substance P
Part 1: Number of participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Part 2: Number of participants with AEs and SAEs
Part 1: Number of participants with clinically significant changes in vital signs, laboratory parameters, and 12-lead electrocardiogram (ECG) findings
Part 2: Number of participants with clinically significant changes in vital signs, laboratory parameters, and 12-lead ECG findings

Full Information

First Posted
December 15, 2020
Last Updated
August 2, 2021
Sponsor
GlaxoSmithKline
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1. Study Identification

Unique Protocol Identification Number
NCT04676763
Brief Title
Substance P Challenge in Healthy Participants
Official Title
An Open Label, Single Centre, Enabling Study to Investigate the Optimum Method for Use of Intradermal Substance P as a Challenge Agent in Healthy Participants
Study Type
Interventional

2. Study Status

Record Verification Date
August 2021
Overall Recruitment Status
Completed
Study Start Date
March 2, 2021 (Actual)
Primary Completion Date
July 21, 2021 (Actual)
Study Completion Date
July 21, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
GlaxoSmithKline

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The objectives of this enabling study are to characterize the wheal and flare responses over time following skin challenges with ascending concentrations of Substance P. This will be a 2-part study: Part 1 will aid in the understanding of the wheal and flare responses following Substance P. Part 2 will investigate the variability of the responses. Participants may be enrolled into Part 1 or Part 2, not both.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Skin Diseases
Keywords
Substance P, Wheal response, Flare response, Skin challenge

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Sequential Assignment
Model Description
Parts 1 and 2 will run sequentially. Part 1 will include 1 challenge visit; Part 2 will include two challenge visits.
Masking
None (Open Label)
Masking Description
It is an open-label study.
Allocation
Non-Randomized
Enrollment
37 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Substance P challenge in Part 1
Arm Type
Experimental
Arm Description
Eligible participants will receive control challenge with saline and histamine, followed by challenge with ascending concentrations of Substance P. Part 1 will include a single challenge visit.
Arm Title
Substance P challenge in Part 2
Arm Type
Experimental
Arm Description
Eligible participants will receive control challenge with saline and histamine, followed by challenge with ascending concentrations of Substance P. Part 2 will include two challenge visits.
Intervention Type
Drug
Intervention Name(s)
Substance P
Intervention Description
Participants will receive Substance P
Intervention Type
Drug
Intervention Name(s)
Normal Saline
Intervention Description
Participants will receive normal saline as Negative control
Intervention Type
Drug
Intervention Name(s)
Histamine
Intervention Description
Participants will receive histamine as Positive control
Primary Outcome Measure Information:
Title
Part 1: Area under the curve (AUC) over the post-challenge period for Substance P to characterize wheal response over time
Time Frame
Day 1
Title
Part 2: AUC over the post-challenge period for Substance P to characterize wheal response over time
Time Frame
Up to Day 14
Secondary Outcome Measure Information:
Title
Part 1: Maximum observed wheal response during the post challenge period for Substance P (response will be area in millimeters squared)
Time Frame
Day 1
Title
Part 2: Maximum observed wheal response during the post challenge period for Substance P (response will be area in millimeters squared)
Time Frame
Up to Day 14
Title
Part 1: Time to maximum observed wheal response during the post challenge period for Substance P
Time Frame
Day 1
Title
Part 2: Time to maximum observed wheal response during the post challenge period for Substance P
Time Frame
Up to Day 14
Title
Part 1: Time of complete wheal response disappearance during the post challenge period for Substance P
Time Frame
Day 1
Title
Part 2: Time of complete wheal response disappearance during the post challenge period for Substance P
Time Frame
Up to Day 14
Title
Part 1: AUC during the post challenge period for Substance P to characterize flare response over time
Time Frame
Day 1
Title
Part 2: AUC during the post challenge period for Substance P to characterize flare response over time
Time Frame
Up to Day 14
Title
Part 1: Maximum observed flare response during the post challenge period for Substance P (response will be area in millimeters squared)
Time Frame
Day 1
Title
Part 2: Maximum observed flare response during the post challenge period for Substance P (response will be area in millimeters squared)
Time Frame
Up to Day 14
Title
Part 1: Time to maximum observed flare response during the post challenge period for Substance P
Time Frame
Day 1
Title
Part 2: Time to maximum observed flare response during the post challenge period for Substance P
Time Frame
Up to Day 14
Title
Part 1: Time of complete flare response disappearance during the post challenge period for Substance P
Time Frame
Day 1
Title
Part 2: Time of complete flare response disappearance during the post challenge period for Substance P
Time Frame
Up to Day 14
Title
Part 1: Number of participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame
Day 1
Title
Part 2: Number of participants with AEs and SAEs
Time Frame
Up to 3 weeks
Title
Part 1: Number of participants with clinically significant changes in vital signs, laboratory parameters, and 12-lead electrocardiogram (ECG) findings
Time Frame
Day 1
Title
Part 2: Number of participants with clinically significant changes in vital signs, laboratory parameters, and 12-lead ECG findings
Time Frame
Up to 3 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion criteria: 18 to 50 years of age inclusive. Participants who are overtly healthy as determined by medical evaluation including medical history, physical examination, laboratory tests, ECGs and vital signs. Participants who responded positive to histamine skin prick test and negative to saline injection at screening. Participants with Fitzpatrick skin type I-II (Caucasian). Body weight greater than or equal to (>=) 50 kilogram (kg) and body mass index (BMI) within the range 19-29.9 kilogram per meter square (kg/m2) (inclusive). Male participants are eligible to participate in the study. A female participant is eligible to participate if she is not pregnant or breastfeeding or using highly effective contraceptive methods. Woman of non-childbearing potential can also participate. A sensitive pregnancy test is required to be negative on the day of each challenge. Capable of giving signed informed consent. Exclusion Criteria: Significant history of or current, cardiovascular (including hypotension, severe hypertension, vasomotor instability), respiratory (including asthma), renal, gastrointestinal, endocrine, hematological, infectious or neurological disorders constituting a risk when taking part in the study or interfering with the interpretation of data. History or presence of significant skin disorder (such as but not limited to chronic urticaria, atopic dermatitis, severe eczema, psoriasis or skin cancer). History of risk for or actual experience of complications from skin biopsy including excess bleeding, infection, or scarring/keloid formation. Abnormal blood pressure as determined by the investigator. Alanine transaminase (ALT) >1.5 times upper limit of normal (ULN). Total bilirubin >1.5 times ULN (isolated bilirubin >1.5 times ULN is acceptable if total bilirubin is fractionated and direct bilirubin <35%). Current or chronic history of liver disease, or known hepatic or biliary abnormalities (with the exception of Gilbert's syndrome or asymptomatic gallstones). QT interval corrected for heart rate according to Fridericia's formula (QTcF) >450 millisecond (msec), based on the mean of triplicate ECGs. Use of any form of H1 or H2 antihistamine, tricyclic antidepressants, beta2 agonists, dopamine, or beta blocking agents within 14 days before the first challenge visit through final assessments. Use of topical medications such as but not limited to retinoids, steroids, and transdermal hormone replacement therapies on or near the intended site of application within 8 weeks prior to dosing through treatment follow up. Use of other topical preparations such as those containing vitamins, supplements or herbal within 2 weeks prior to dosing through treatment follow up. Past or intended use of any other non-topical over-the-counter or prescription medication, including herbal medications, within 7 days before the first challenge visit, unless, in the opinion of the investigator and GlaxoSmithKline medical monitor, the medication will not constitute a risk when taking the study intervention or interfere with the interpretation of data. Participation in the study would result in loss of blood or blood products in excess of 500 milliliter (mL) within 3 months. Current enrolment in any clinical study involving an investigational study intervention or any other type of medical research. Current enrolment or past participation in this study. Presence of Hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HbcAb) at screening or within 3 months before the first challenge day. Positive Hepatitis C antibody test result at screening or within 3 months before the first challenge day. Positive Hepatitis C RNA test result at screening or within 3 months before the first challenge day. Positive pre-study drug/alcohol screen. Positive human immunodeficiency virus (HIV) antibody test at screening or within 3 months before the first challenge day. Current use of known drugs of abuse. Participants who present with damaged skin including sunburn, scar tissue, moles, uneven skin tones and dark skin tone (Fitzpatrick>2), tattoos, body piercings, branding or other skin disfiguration on or near the intended site of application which could interfere with the assessments Regular alcohol consumption within 6 months before the study defined as an average weekly intake of >21 units for males or >14 units for females. Smoking test result indicative of smoking, history or regular use of tobacco- or nicotine-containing products within 6 months prior to screening. Sensitivity to any of the study interventions, or components thereof, or drug or other allergy that, in the opinion of the investigator or medical monitor, contraindicates participation in the study. Unable to refrain from the use of topical medications from before the first to after the last challenge visit.
Facility Information:
Facility Name
GSK Investigational Site
City
Leiden
ZIP/Postal Code
2333 CL
Country
Netherlands

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
IPD for this study will be made available via the Clinical Study Data Request site.
IPD Sharing Time Frame
IPD will be made available within 6 months of publishing the results of the primary endpoints, key secondary endpoints and safety data of the study.
IPD Sharing Access Criteria
Access is provided after a research proposal is submitted and has received approval from the Independent Review Panel and after a Data Sharing Agreement is in place. Access is provided for an initial period of 12 months but an extension can be granted, when justified, for up to another 12 months.
IPD Sharing URL
http://clinicalstudydatarequest.com

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Substance P Challenge in Healthy Participants

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