The general aim of the current study was to investigate the safety and tolerability, and pharmacodynamics (endotoxin-induced inflammatory response of a single intravenous bolus administration of 2 ng/kg body weight Escherichia coli lipopolysaccharide (LPS)) of BI 653048 BS H3PO4 capsules in healthy male subjects following oral administration of multiple rising doses of 25 mg to 200 mg over three days compared to the active comparator prednisolone and placebo. Pharmacodynamics were assessed by investigating the influence of LPS administration on inflammatory parameters. More specifically, it was evaluated whether and to what extent the symptoms induced by LPS challenge can be attenuated by ascending BI 653048 BS H3PO4 doses using prednisolone as positive control and placebo as negative control. A secondary objective was the exploration of pharmacokinetics of BI 653048 BS, the investigation of other pharmacodynamic parameters (biomarker) and of the tolerability of LPS.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
56
Number of subjects with adverse events
Time frame: up to 37 days
Number of subjects with clinically significant findings in vital signs
blood pressure, pulse rate and body temperature
Time frame: up to day 15
Number of subjects with clinically significant findings in 12-lead electrocardiogram (ECG)
Time frame: up to day 15
Number of subjects with clinically significant findings in laboratory tests
Time frame: up to day 15
Assessment of tolerability by investigator on a 4-point scale
Time frame: up to day 15
Maximum measured concentration of the biomarker level in plasma (Emax)
Time frame: up to 96 hours after first drug administration
Area under the concentration-time curve of the biomarker in plasma over the time interval from 0 to the last measurable time point of the dose (AUEC)
Time frame: up to 96 hours after first drug administration
Maximum measured concentration of the analyte in plasma at steady state (Cmax,ss)
Time frame: up to 96 hours after first drug administration
Time from dosing to maximum measured concentration of the analyte at steady state (tmax,ss)
Time frame: up to 96 hours after first drug administration
Area under the concentration-time curve of the analyte in the plasma over the time interval from 0 to the last measurable time point of the dose at steady state (AUC0-tz,ss)
Time frame: up to 96 hours after first drug administration
Area under the concentration-time curve of the analyte in plasma over the time interval from 0 extrapolated to infinity at steady state (AUC0-∞,ss)
Time frame: up to 96 hours after first drug administration
Percentage of the AUC0-∞ that is obtained by extrapolation at steady state (%AUCtz-∞,ss)
Time frame: up to 96 hours after first drug administration
Terminal phase elimination rate constant at steady state (λz,ss)
Time frame: up to 96 hours after first drug administration
Terminal phase elimination half life at steady state (t1/2,ss)
Time frame: up to 96 hours after first drug administration
Mean residence time of the analyte in the body after oral administration at steady state (MRTpo,ss)
Time frame: up to 96 hours after first drug administration
Apparent clearance of the analyte in plasma following extravascular administration at steady state (CL/Fss)
Time frame: up to 96 hours after first drug administration
Apparent volume of distribution during the terminal phase λz following an extravascular dose at steady state (Vz/Fss)
Time frame: up to 96 hours after first drug administration
Minimum measured concentration of the biomarker during the treatment interval (Emin)
Time frame: up to 96 hours after first drug administration
Area under the concentration-time curve of the biomarker in serum over the time interval from 0 to the last measurable time point of the dose (AUEC)
Time frame: up to 96 hours after first drug administration
Measured concentration of the biomarker at time t after the beginning of the treatment interval (Et)
Time frame: up to 96 hours after first drug administration
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