Clinical Trial: Study of Itch Control by VLY-686 in Healthy Volunteers After Intradermal Injections of Substance P

Study Status: Completed
Recruit Status: Completed
Study Type: Interventional

Official Title: A Randomized, Double-Blind, Placebo-Controlled, Four-Way Crossover Study on Itch Control by VLY-686 Administration in Healthy Volunteers After Intradermal Injections of Su

Brief Summary: The purpose of this study is to test whether VLY-686 can prevent or reduce the itch and dermatological reaction observed after healthy volunteers are injected with Substance P in comparison with placebo.

Detailed Summary: This is a double-blind, randomized, 4-way crossover, pharmacokinetic and pharmacodynamic (PK/PD) study to compare the cutaneous vasoreactive intensity to intradermal injections of Substance P in healthy volunteers receiving oral doses of 20 mg, 50 mg or 100 mg VLY-686 or a matching placebo. Twelve healthy male subjects satisfying the selection criteria for the study will be enrolled. Each subject will participate in a screening period (up to 21 days prior to dosing), four one-day treatment periods each separated by a 7 (±2 days) day washout period, and an end-of-study evaluation prior to discharge from the study. This protocol also includes an option of subjects administered daily doses of study medication between Periods 3 and 4. The treatment periods will be in a randomized sequence consisting of 1) 20 mg VLY-686, 2) 50 mg VLY-686, 100 mg VLY-686 and 4) placebo. In each of the study periods, Substance P will be injected 5 times: pre-dose (the night before), 2, 4, 8 and 12 hours (± 10 minutes) after study medication administration. A dose of 100 μL of a 2.5 nmol/mL sterile solution of Substance P will be injected each time. Overall, subjects will be administered 1.25 nmol of Substance P in around 24 hours (5 doses). Substance P injections will be given in the volar of the forearm, alternating right and left and avoiding injections in an area adjacent to the area previously injected. The subject's forearm will be covered during and after each injection to avoid potential biases in the scoring of the Verbal Rating Scale (VRS) and Visual Analog Scale (VAS). Additionally, blood samples for VLY-686 pharmacokinetic (PK) analysis will be collected each period at pre-dose, 1, 3, 6, 10, and 24 hours after study medication administration.
Sponsor: Vanda Pharmaceuticals

Current Primary Outcome:

  • Itch severity score on the Verbal Rating Scale [ Time Frame: 20 minutes after Substance P injection ]
  • Itch severity score on the Visual Analog Scale [ Time Frame: 20 minutes after Substance P injection ]


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Dose response of VLY-686 and reduction of itch severity [ Time Frame: 20 minutes after substance P injection ]
  • Number of adverse events in subjects taking VLY-686 [ Time Frame: 24 hours after Substance P injection ]
  • Size of injection site erythema [ Time Frame: 1-20 minutes after Substance P injection ]
  • Number of adverse events in subjects taking placebo [ Time Frame: 20 minutes after Substance P inection ]
  • Size of injection site and urticaria [ Time Frame: 20 minutes after Substance P injection ]


Original Secondary Outcome: Same as current

Information By: Vanda Pharmaceuticals

Dates:
Date Received: August 2, 2013
Date Started: August 2013
Date Completion:
Last Updated: June 1, 2015
Last Verified: June 2015