Asthma Clinical Trial
Official title:
A Randomised, Double-blind, Placebo-controlled, Cross-over Study to Evaluate the Effect of Treatment With Repeat Dose GSK2190915 as an add-on to Current Therapy on the Percentage of Neutrophils in Induced Sputum in Asthmatic Patients With Elevated Sputum Neutrophils
The purpose of this study is to investigate the effect on repeat doses of GSK2190915 in asthmatic patients with a high percentage of neutrophils in their sputum. GSK2190915 will be given as an add on to current therapy, and its effects on the percentage of sputum neutrophils in the patients will be assessed.
This is a randomised, double blind, placebo-controlled, two-way cross-over study to evaluate
the effect of treatment with repeat dose GSK2190915, a 5-lipoxygenase-activating protein
(FLAP) inhibitor, as an add-on to current therapy on the percentage of neutrophils in induced
sputum in asthmatic patients with elevated sputum neutrophils. Approximately 20 subjects will
be enrolled onto the study to ensure that approximately 14 evaluable subjects complete the
study. All subjects will receive oral placebo and GSK2190915 100mg once daily for up to 16
days. Sputum neutrophilia will be assessed prior to treatment and on treatment. Key
assessments: sputum cell counts, biomarker samples in sputum, blood and urine, and
pharmacokinetics. Safety will be assessed by vital signs, electrocardiograms (ECGs), clinical
laboratory safety tests and collection of adverse events (AEs).
GSK2190915 is a high affinity 5-lipoxygenase-activating protein (FLAP) inhibitor that
attenuates the production of leukotrienes, through the blockage of the first committed step
in the leukotriene pathway, 5-lipoxygenase (5-LO) activation. Leukotrienes are potent
inflammatory molecules produced mainly by mast cells, eosinophils, monocytes/macrophage and
neutrophils in response to allergic or inflammatory stimuli. As GSK2190915 reproducibly
inhibits the production of leukotriene B4 (LTB4) and cysteinyl leukotrienes (cysLTs) both in
vitro and in vivo it has strong potential utility in the treatment of asthma.
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