The purpose of this study is to evaluate 4-dose levels of CCRE Lot 94332B1 (0.6, 1.0, 2.0, and 4.0 ng/kg). This study is known as, an "endotoxin challenge." Thousands of healthy subjects worldwide over the last 20 years have participated in endotoxin challenge studies as part of clinical research and clinical drug development programs. This study will only test the safety and tolerability of CCRE Lot 94332B1.
Normal healthy subjects will be recruited and consented for the study. Following completion of the study, the bio-marker samples will be sent to Dr. Anthony Suffredini a collaborator and Deputy Chief \& Senior Investigator Department of Critical Care Medicine at the National Institutes of Health (NIH). All samples will be de-identified and analyzed at the NIH; the results of which will be reviewed by both Drs. Suffredini and Noveck. Statistical analysis will be performed at the NIH by the Department of Statistics from which manuscripts will be written for publication.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
23
Reference Endotoxin is a purified LPS prepared from Escherichia coli O:113 (US Standard Reference Endotoxin); Clinical Center Reference Endotoxin (CCRE) Lot #94332B1 manufactured and vialed under GMP guidelines by List Biological Labs, Inc., 540 Division St., Campbell, CA 95008, for the Pharmacy Development Service, Clinical Center, National Institutes of Health, Bethesda, MD, USA. The material has been approved by the FDA (Food and Drug Administration) for 'Investigational Use Only'. This specific Lot from List Biological Labs specified for use in this study contains 1 mcg/vial.
Normal saline will be administered as the control to evaluate the effects on the biomarkers over time and to compare the responses following LPS to those following the control injection of normal saline.
Duke Early Phase Clinical Research (DEPRU)
Durham, North Carolina, United States
Change in heart rate
Safety will be assessed by measuring heart rate.
Time frame: Baseline, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 3.75, 4, 4.25, 4.5, 4.75, 5, 5.25, 5.5, 5.75, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, and 24 hours after the LPS administration
Number of treatment emergent adverse events (TEAEs)
Time frame: every 15 minutes for up to 6 hours
Change in blood pressure
Safety will be assessed by measuring blood pressure
Time frame: Baseline, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 3.75, 4, 4.25, 4.5, 4.75, 5, 5.25, 5.5, 5.75, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, and 24 hours after the LPS administration
Change in ECG parameters
Time frame: Baseline, 1, 2, 4, 8, and 24 hours after LPS administration
Change in respiratory rate
Safety will be assessed by measuring respiratory rate
Time frame: Baseline, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 3.75, 4, 4.25, 4.5, 4.75, 5, 5.25, 5.5, 5.75, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, and 24 hours after the LPS administration
Change in body temperature
Safety will be assessed by measuring body temperature
Time frame: Baseline, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 3.75, 4, 4.25, 4.5, 4.75, 5, 5.25, 5.5, 5.75, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, and 24 hours after the LPS administration
Change in Pulse Oximetry
Safety will be assessed by measuring pulse oximetry
Time frame: Baseline, 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.25, 3.5, 3.75, 4, 4.25, 4.5, 4.75, 5, 5.25, 5.5, 5.75, 6, 6.5, 7, 7.5, 8, 9, 10, 11, 12, and 24 hours after the LPS administration
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Dose-Response Comparison
Comparisons between the LPS doses and their responses will be assessed
Time frame: Baseline, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 24 hours after LPS administration.
Change in Patient Health Questionnaire (PHQ-9)
Time frame: Baseline, 2-6, and 24 hours after LPS administration.
Change in Affect Rating Scale
Time frame: Baseline, 2-6, and 24 hours after LPS administration.
Change in plasma pro-inflammatory cytokines
Time frame: Baseline, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 24 hours after LPS administration.
Change in RNA
Time frame: Baseline, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 24 hours after LPS administration.
Change in hsC-reactive protein
Time frame: Baseline, and at approximately 24 hours after LPS administration.
Change in cortisol levels
Time frame: Baseline, 1, 1.5, 2, 3, 4, 6, 8 and 24 hours after LPS administration.
Change in complete blood count
Time frame: Baseline, 1, 2, 4, 6, 8, 12 and 24 hours after LPS administration.
Change in WBC counts
Time frame: Baseline, 1, 2, 4, 6, 8, 12 and 24 hours after LPS administration.
Change in lymphocytes
Time frame: Baseline, 1, 2, 4, 6, 8, 12 and 24 hours after LPS administration.
Change in monocytes
Time frame: Baseline, 1, 2, 4, 6, 8, 12 and 24 hours after LPS administration.
Change in mRNA
Time frame: Baseline, 0.5, 1, 1.5, 2, 3, 4, 6, 8 and 24 hours after LPS administration.