Asthma Clinical Trial
Official title:
A Randomised, Double-blind, Placebo-controlled, Dose Ascending,3-way Crossover Study to Assess the Pharmacokinetics, Safety Andtolerability of Repeat Inhaled Doses of Nebulised GW870086X Inhealthy Adult Male Volunteers.
This study is a randomised, double-blind, placebo-controlled, dose ascending, 3-way crossover study in healthy adult male volunteers. The primary objective of the study is to assess the pharmacokinetics of 14 days dosing of GW870086X administered via nebules formulation. The secondary objective is to assess the safety and tolerability of repeat doses of nebulised GW870086X.
GW870086X is a potent glucocorticoid agonist in human in vitro functional assays that is
under development as an inhaled treatment for asthma in children. This study will determine
the PK characteristics and assess the safety and tolerability of the nebules formulation of
GW870086X in healthy volunteers after 14 days of dosing.
This is the first clinical study that will be assessing the nebules formulation. The purpose
of this study is to ensure that the doses that have been selected have a good safety profile
in line with what has been found in the previous DPI formulation studies, and to assess the
PK profile after single (Day 1) and repeat dose (Day 14) to select appropriate doses for
future studies with the nebules formulation. This study will also provide additional safety
cover with the nebules formulation given over a longer duration than studied previously with
the DPI formulation before moving into the paediatric programme. This study is designed to
give at least 5-fold cover for the highest dose to be studied in future paediatric
programmes. During this study cortisol production will be assessed by measuring 24 hour
cortisol profile in serum and urine as well as performing an ACTH stimulation test. Two
doses (5mg and 8.75mg) have been selected. These doses are 5 and 10 times higher than the
anticipated maximum clinical dose. The doses have been selected to ensure sufficient safety
cover in future paediatric studies as well as to confirm the absence of significant adrenal
inhibition at doses that would be expected to cause complete inhibition of cortisol
production with traditional steroids.
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