The primary objective is to determine Lp-PLA2 activity in atherosclerotic carotid plaques after 14 (+/-4) days treatment with darapladib, compared to placebo. Secondary objectives include determination of the change in Lp-PLA2 activity in blood, Lp-PLA2 mass in blood and plaque, specified biomarkers in blood and plaque and their respective correlation's with Lp-PLA2. In addition, the study aims to characterise the PK/PD of repeat oral doses of SB-480848, and safety and tolerability in this population.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
103
Study Drug
Study Drug
Study Drug
Lp-PLA2 activity in the atherosclerotic plaque removed during carotid endarterectomy
Time frame: 14 +/- 4 days
Lp-PLA2 mass in plaque removed during the carotid endarterectomy
Time frame: 14 +/- 4 days
Lp-PLA2 mass and activity in blood
Time frame: 14 +/- days
Lipid and Non-Lipid Biomarkers in Plasma
Lipids: total cholesterol, HDL, LDL, and triglycerides Non-Lipids: hsCRP, CD40L, ICAM-1, E-selectin, PAI-1 antibody, PAI-1 antigen, and MMP-9
Time frame: 14 +/- days
Oxidised Lipids and Their Metabolites, and Biomarkers in Plaque
Oxidised Lipids and Their Metabolites: total lyso-PC, total phospholipid, and total phosphatidylcholine Biomarkers: CD68 (macrophages), CD3 (T cells), CD20 or CD22 (B cells), alpha-actin (smooth muscle cells), CD40L, MMP-2, MMP-9, PAI-1, ICAM-1, IL-6, and Lp-PLA2 (mRNA expression)
Time frame: 14 +/- 4 days
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