Kinetics and dynamics of the peripheral neurokinin-1 receptor antagonist SLV317 in healthy individuals

Aims To investigate the pharmacokinetics and the pharmacodynamic effects in dorsal hand veins of the neurokinin-1 receptor antagonist SLV317. Methods In a randomized, double-blind, placebo-controlled cross-over study 19 healthy men received a single oral dose of SLV317 or placebo. Blood samples were...

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Main Authors: Hesse, Christiane (Author) , Luntz, Steffen P. (Author) , Siedler, Heike (Author) , Unnebrink, Kristina (Author) , Mikus, Gerd (Author) , Bruijn, Marianne (Author) , Zondag, Edu (Author) , Vries, Michiel (Author) , Seibert-Grafe, Monika (Author) , Haefeli, Walter E. (Author)
Format: Article (Journal)
Language:English
Published: 24 January 2006
In: British journal of clinical pharmacology
Year: 2006, Volume: 61, Issue: 4, Pages: 414-419
ISSN:1365-2125
DOI:https://doi.org/10.1111/j.1365-2125.2006.02590.x
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/https://doi.org/10.1111/j.1365-2125.2006.02590.x
Verlag, lizenzpflichtig, Volltext: https://bpspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2125.2006.02590.x
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Author Notes:Christiane Hesse, Steffen P. Luntz, Heike Siedler, Kristina Unnebrink, Gerd Mikus, Marianne de Bruijn, Edu Zondag, Michiel de Vries, Monika Seibert‐Grafe & Walter E. Haefeli
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Summary:Aims To investigate the pharmacokinetics and the pharmacodynamic effects in dorsal hand veins of the neurokinin-1 receptor antagonist SLV317. Methods In a randomized, double-blind, placebo-controlled cross-over study 19 healthy men received a single oral dose of SLV317 or placebo. Blood samples were collected for analysis of SLV317 plasma concentrations and the inhibition of the venodilator response to substance P was evaluated using the hand vein compliance method. Results Administration of 250 mg SLV317 as an oral solution was well tolerated and resulted in mean peak plasma concentrations (± SEM) of 77 ± 9 ng ml−1 within 47 ± 3 min; the mean half-life was 9.9 ± 1.6 h. In hand veins preconstricted with phenylephrine, local infusion of substance P resulted in a mean venodilation of 56 ± 8% and 49 ± 6% (P = 0.91) before administration of SLV317 or placebo, respectively. SLV317 caused a substantial inhibition of substance P-induced venodilation, whereas placebo had no effect (P < 0.001). The maximum antagonizing effect of SLV317 averaged 95 ± 8% and was observed after 1.47 ± 00.24 h. Correspondingly, the mean area under the effect curve after administration of SLV317 [278 ± 67% h−1; 95% confidence interval (CI) 198, 358] was significantly higher compared with placebo (49 ± 12% h−1; 95% CI −24, 122; P < 0.001). Conclusions This study demonstrates that the neurokinin-1 receptor antagonist SLV317 is an orally active and highly effective antagonist of substance P-induced effects in humans.
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Physical Description:Online Resource
ISSN:1365-2125
DOI:https://doi.org/10.1111/j.1365-2125.2006.02590.x