This is a First Time in Human (FTIH) study for the sodium channel inhibitor, GSK2339345. The study is split into two parts. Part A will assess the safety and tolerability of the new drug. Part B will assess safety and tolerability as well as the effect of GSK2339345 on induced cough.
The purpose of this study is to assess the safety, tolerability, pharmacokinetics (PK) and pharmacodynamic (PD) effects of GSK2339345 in healthy subjects. GSK2339345 is a blocker of neuronal voltage gated sodium channels in development for the treatment of chronic cough, excessive cough and post-viral and viral (acute) cough. Inhaled pan NaV inhibitors are associated with oropharyngeal sensation perturbation and so this study will establish the potential local sensate effects of GSK2339345 at multiples of the predicted inhaled therapeutic dose. This study also aims to define the maximum tolerated dose of GSK2339345. Part A of this study will be conducted in healthy volunteers to investigate the safety and tolerability of GSK2339345, in particular examining oropharyngeal sensation perturbation. Part A is an open label, oral, single-dose escalating rinse, gargle and spit study. Assessments of sensate changes will include 4 point scale, assessment of sensation on base of tongue, sensation of temperature, assessment of taste, a water swallow test and assessment of potential paraesthesias. Part A will also include PK assessments to investigate the PK profile of GSK2339345. Part B of this study is a randomised, double blind, placebo controlled, inhaled dose escalation study over two study days per dose to examine the possible adverse events such as transient mouth, throat and upper airway numbness in healthy volunteers. Similar assessments of sensations to those used in Part A will be performed. The potential for systemic cardiovascular (CV) or central nervous system (CNS) effects will also be assessed. Pharmacodynamic effects of GSK2339345 will be investigated in Part B using a capsaicin cough challenge. The study will investigate whether GSK2339345 can alter the capsaicin cough threshold (as determined by the capsaicin concentration required to induce 2 or more (C2) and 5 or more (C5) coughs) in healthy volunteers. Part B will also include PK assessments to investigate the PK profile of GSK2339345. Placebo will be used as a control and nebulised lidocaine will be used for control and blinding purposes only.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
31
3, 6, 15, 30, 60 and 120 micrograms (proposed doses). 2 alternating cohorts of 6 subjects. Each subject to receive 3 ascending doses with washout of at least 48 hours between doses. Rinse, Gargle and Spit.
25, 100, 250, 1000 and 2000 micrograms (proposed doses). Subjects randomised to receive three ascending doses (with each dose given on two consecutive days). Washout of at least 6 days between treatment periods. Nebulised.
Administered on Day 1 of one of the treatment periods in part B. Randomised. Nebulised.
GSK Investigational Site
Manchester, United Kingdom
Change in oropharyngeal sensation
Measured by 4 point scale, fingertip electrode assessment, sensation to water temperature, adverse events, water swallow test and assessment of gag reflex
Time frame: Dosing to 1 hour post dose
Adverse events (AEs) for all study participants
Measurement of types of AEs reported, severity and relationship to study drug
Time frame: Dosing to 24 hours post dose
Assessment of vital signs for all study participants
Triplicate measurements will be taken at screening and pre-dose, single measurements at all other timepoints
Time frame: Screening to follow-up
Holter ECG measurement for all study participants
24 hour Holter ECG will be taken at screening
Time frame: Screening (Part A and Part B)
12-lead ECG measurements for all study participants
Triplicate measurements will be taken at screening and pre-dose, single measurements at all other timepoints
Time frame: Screening to follow-up
Body temperature for all study participants
Time frame: Screening, pre-dose, 30 mins post dose, 4 hours post dose, 8 hours post dose and follow-up in each dosing session
Safety laboratory assessments for all study participants
To include haematology and clinical biochemistry assessments
Time frame: Part A: Screening, pre-dose, 24 hours post dose and follow-up in each dosing session. Part B: Screening, pre-dose and 8 hours post dose on Day 1, 0 hours and 8 hours post dose on Day 2, follow-up
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40mg dose. Administered on Day 2 of one of the treatment periods in part B. Randomised. Nebulised.
Cardiac troponin measurements for all study participants
Time frame: Part B only: Screening, pre-dose and 24 hours post dose on Day 1
Palatability by identification of solution taste and 11 point scale
Time frame: 30 minutes post dose
Systemic pharmacokinetics of GSK2339345 using plasma concentrations of GSK2339345 and derived pharmacokinetic parameters
Time frame: Pre-dose to 24 hours post dose
Effect of an inhaled nebulised dose of GSK2339345 on cough response to capsaicin challenge in healthy volunteers
Time frame: Part B: Day 2, 10 minutes post dose