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NCT04676763

Substance P Challenge in Healthy Participants

Completed NA Results posted Last updated 20 January 2025
What this trial tests

NA trial testing Substance P in Skin Diseases in 32 participants. Completed in 21 July 2021.

Timeline
2 March 2021
Primary endpoint
21 July 2021
21 July 2021

Quick facts

Lead sponsorGlaxoSmithKline
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposeother
Enrollment32
Start date2 March 2021
Primary completion21 July 2021
Estimated completion21 July 2021
Sites1 location across Netherlands

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

Adults 18 to 50, any sex, with Skin Diseases. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Part 1: Wheal Response-time Area Under the Curve (AUC) Over the 2 Hours Post-challenge Period Following Skin Challenge With Substance P- at Challenge Visit 1 (Day 1) Primary · 0, 5, 10, 15, 20, 40, 60, 90 and 120 minutes post-challenge on Day 1 (Visit 1)

Wheal response-time AUC during the 2 hours post-challenge period following skin challenge for Substance P (SP) was calculated using the trapezoidal rule. The wheal response was calculated for each control challenge (saline and histamine) and each ascending Substance P concentration: 5, 15, 50, 150 and 500 picomoles (pmol) during the 2 hours post-challenge period.

Saline
GroupValue95% CI
Part 1- Skin Challenges155.2379± 97.43852
Histamine
GroupValue95% CI
Part 1- Skin Challenges2151.2320± 1352.66124
SP 5 pmol
GroupValue95% CI
Part 1- Skin Challenges2749.0997± 2000.66201
SP 15 pmol
GroupValue95% CI
Part 1- Skin Challenges5727.2220± 3859.78704
SP 50 pmol
GroupValue95% CI
Part 1- Skin Challenges7111.5570± 5388.48885
SP 150 pmol
GroupValue95% CI
Part 1- Skin Challenges8295.6310± 5912.58152
SP 500 pmol
GroupValue95% CI
Part 1- Skin Challenges12540.9840± 14705.68961
Part 2: Wheal Response-time AUC Over the 2 Hours Post-challenge Period Following Skin Challenge With Substance P- at Challenge Visit 1 (Day 1) and Challenge Visit 2 (Week 2) Primary · 0, 5, 10, 15, 20, 30, 40, 60, 90 and 120 minutes post-challenge on Day 1 (Visit 1) and on Week 2 (Visit 2)

Wheal response-time AUC during the 2 hours post-challenge period following skin challenge for Substance P was calculated using the trapezoidal rule. The wheal response was calculated for each control challenge (saline and histamine) and each ascending Substance P concentration: 5, 15, 50 and 150 pmol during the 2 hours post-challenge period.

Saline: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges157.9157± 110.11185
Saline: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges216.5196± 113.81519
Histamine: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges2617.3622± 1362.88319
Histamine: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges2486.9477± 1171.55762
SP 5 pmol: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges4534.4513± 2153.69897
SP 5 pmol: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges4563.5113± 2517.52789
SP 15 pmol: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges6754.7067± 3501.44122
SP 15 pmol: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges6506.0915± 3199.02966
Part 1: Maximum Observed Wheal Area Over the 2 Hours Post-challenge Period Following Skin Challenge With Substance P- at Challenge Visit 1 (Day 1) Secondary · 2 hours post-challenge on Day 1 (Visit 1)

Wheal area was calculated using the following formula: 1/4 \* pi \* longest diameter \* orthogonal diameter, for area of an ellipse, using the longest and orthogonal diameters measured by the calliper method. The maximum observed wheal area was calculated for each control challenge (saline and histamine) and each ascending Substance P concentration: 5, 15, 50, 150 and 500 pmol during the 2 hours post-challenge period.

Saline
GroupValue95% CI
Part 1- Skin Challenges15.2152± 8.97791
Histamine
GroupValue95% CI
Part 1- Skin Challenges44.5782± 16.73404
SP 5 pmol
GroupValue95% CI
Part 1- Skin Challenges42.4284± 20.26132
SP 15 pmol
GroupValue95% CI
Part 1- Skin Challenges82.7571± 41.76154
SP 50 pmol
GroupValue95% CI
Part 1- Skin Challenges99.8398± 48.06381
SP 150 pmol
GroupValue95% CI
Part 1- Skin Challenges126.1186± 55.28040
SP 500 pmol
GroupValue95% CI
Part 1- Skin Challenges194.0748± 178.88175
Part 2: Maximum Observed Wheal Area Over the 2 Hours Post-challenge Period Following Skin Challenge With Substance P Across- at Challenge Visit 1 (Day 1) and Challenge Visit 2 (Week 2) Secondary · 2 hours post-challenge on Day 1 (Visit 1) and 2 hours post-challenge at Week 2 (Visit 2)

Wheal area was calculated using the following formula: 1/4 \* pi \* longest diameter \* orthogonal diameter, for area of an ellipse, using the longest and orthogonal diameters measured by the calliper method. The maximum observed wheal area was calculated for each control challenge (saline and histamine) and each ascending Substance P concentration: 5, 15, 50 and 150 pmol during the 2 hours post-challenge period.

Saline : 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges16.6335± 11.36559
Saline: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges21.7610± 12.79723
Histamine: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges53.1929± 26.57857
Histamine: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges52.8665± 16.31003
SP 5 pmol: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges85.8111± 23.45193
SP 5 pmol: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges92.1595± 24.44909
SP 15 pmol: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges112.9690± 30.79242
SP 15 pmol: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges113.0940± 26.92327
Part 1: Time to Maximum Observed Wheal Area Over the 2 Hours Post-challenge Period Following Skin Challenge With Substance P- at Challenge Visit 1 (Day 1) Secondary · 2 hours post-challenge on Day 1 (Visit 1)

Time to maximum observed wheal area was calculated for each control challenge (saline and histamine) and each ascending Substance P concentration: 5, 15, 50, 150 and 500 pmol during the 2 hours post-challenge period.

Saline
GroupValue95% CI
Part 1- Skin Challenges5.05 – 11
Histamine
GroupValue95% CI
Part 1- Skin Challenges20.015 – 42
SP 5 pmol
GroupValue95% CI
Part 1- Skin Challenges20.05 – 60
SP 15 pmol
GroupValue95% CI
Part 1- Skin Challenges20.010 – 40
SP 50 pmol
GroupValue95% CI
Part 1- Skin Challenges17.510 – 21
SP 150 pmol
GroupValue95% CI
Part 1- Skin Challenges20.010 – 60
SP 500 pmol
GroupValue95% CI
Part 1- Skin Challenges20.05 – 20
Part 2: Time to Maximum Observed Wheal Area Over the 2 Hours Post-challenge Period Following Skin Challenge With Substance P- at Challenge Visit 1 (Day 1) and Challenge Visit 2 (Week 2) Secondary · 2 hours post-challenge on Day 1 (Visit 1) and 2 hours post-challenge at Week 2 (Visit 2)

Time to maximum observed wheal area was calculated for each control challenge (saline and histamine) and each ascending Substance P concentration: 5, 15, 50 and 150 pmol during the 2 hours post-challenge period.

Saline : 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges5.04 – 10
Saline: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges5.04 – 10
Histamine: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges30.09 – 62
Histamine: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges24.514 – 60
SP 5 pmol: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges18.59 – 39
SP 5 pmol: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges19.09 – 39
SP 15 pmol: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges19.58 – 90
SP 15 pmol: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges18.511 – 89
Part 1: Time to Complete Wheal Area Disappearance Over the 2 Hours Post-challenge Period Following Skin Challenge With Substance P- at Challenge Visit 1 (Day 1) Secondary · 2 hours post-challenge on Day 1 (Visit 1)

Time to complete wheal area disappearance was calculated during the 2 hours post-challenge period. Complete disappearance is defined as a value of 0 for wheal area, longest diameter or orthogonal diameter. Participants who did not have a disappearance within the 2 hours post challenge period were excluded. Time to complete wheal area disappearance was calculated for each control challenge (saline and histamine) and each ascending Substance P concentration: 5, 15, 50, 150 and 500 pmol during the 2 hours post-challenge period.

Saline
GroupValue95% CI
Part 1- Skin Challenges39.015 – 55
Histamine
GroupValue95% CI
Part 1- Skin Challenges90.056 – 93
SP 5 pmol
GroupValue95% CI
Part 1- Skin Challenges62.040 – 120
SP 15 pmol
GroupValue95% CI
Part 1- Skin Challenges120.042 – 121
SP 50 pmol
GroupValue95% CI
Part 1- Skin Challenges74.559 – 90
SP 150 pmol
GroupValue95% CI
Part 1- Skin Challenges75.540 – 120
SP 500 pmol
GroupValue95% CI
Part 1- Skin Challenges104.560 – 120
Part 2: Time to Complete Wheal Area Disappearance Over the 2 Hours Post-challenge Period Following Skin Challenge With Substance P- at Challenge Visit 1 (Day 1) and Challenge Visit 2 (Week 2) Secondary · 2 hours post-challenge on Day 1 (Visit 1) and 2 hours post-challenge at Week 2 (Visit 2)

Time to complete wheal area disappearance was calculated during the 2 hours post-challenge period. Complete disappearance is defined as a value of 0 for wheal area, longest diameter or orthogonal diameter. Participants who did not have a disappearance within the 2 hours post challenge period were excluded. Time to complete wheal area disappearance was calculated for each control challenge (saline and histamine) and each ascending Substance P concentration: 5, 15, 50 and 150 pmol during the 2 hours post-challenge period.

Saline : 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges16.011 – 30
Saline: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges20.011 – 27
Histamine: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges90.56 – 120
Histamine: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges90.040 – 120
SP 5 pmol: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges89.038 – 121
SP 5 pmol: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges61.058 – 121
SP 15 pmol: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges90.038 – 121
SP 15 pmol: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges88.040 – 123
Part 1: Flare Response-time AUC Over the 2 Hours Post-challenge Period Following Skin Challenge With Substance P- at Challenge Visit 1 (Day 1) Secondary · 0, 5, 10, 15, 20, 40, 60, 90 and 120 minutes post-challenge on Day 1 (Visit 1)

Flare response-time AUC during the 2 hours post-challenge period following skin challenge for Substance P was calculated using the trapezoidal rule. The flare response was calculated for each control challenge (saline and histamine) and each ascending Substance P concentration: 5, 15, 50, 150 and 500 pmol during the 2 hours post-challenge period.

Saline
GroupValue95% CI
Part 1- Skin Challenges0.0000± 0.00000
Histamine
GroupValue95% CI
Part 1- Skin Challenges47977.8047± 35779.56892
SP 5 pmol
GroupValue95% CI
Part 1- Skin Challenges8232.5351± 10307.53738
SP 15 pmol
GroupValue95% CI
Part 1- Skin Challenges26562.8609± 22150.49500
SP 50 pmol
GroupValue95% CI
Part 1- Skin Challenges53505.6580± 31081.10933
SP 150 pmol
GroupValue95% CI
Part 1- Skin Challenges54407.2697± 34805.98795
SP 500 pmol
GroupValue95% CI
Part 1- Skin Challenges64978.5132± 67350.94024
Part 2: Flare Response-time AUC Over the 2 Hours Post-challenge Period Following Skin Challenge With Substance P- at Challenge Visit 1 (Day 1) and Challenge Visit 2 (Week 2) Secondary · 0, 5, 10, 15, 20, 30, 40, 60, 90 and 120 minutes post-challenge on Day 1 (Visit 1) and on Week 2 (Visit 2)

Flare response-time AUC during the 2 hours post-challenge period following skin challenge for Substance P was calculated using the trapezoidal rule. The flare response variable was calculated for each control challenge (saline and histamine) and each ascending Substance P concentration: 5, 15, 50 and 150 pmol during the 2 hours post-challenge period.

Saline : 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges0.0000± 0.00000
Saline: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges0.0000± 0.00000
Histamine: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges42825.0421± 31599.99246
Histamine: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges50717.6974± 35294.02927
SP 5 pmol: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges20515.8733± 17779.84450
SP 5 pmol: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges30689.5773± 29415.10538
SP 15 pmol: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges48796.3715± 31253.62644
SP 15 pmol: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges52359.5705± 34531.05693
Part 1: Maximum Observed Flare Area Over the 2 Hours Post-challenge Period Following Skin Challenge With Substance P- at Challenge Visit 1 (Day 1) Secondary · 2 hours post-challenge on Day 1 (Visit 1)

Flare area was calculated using the following formula: 1/4 \* pi \* longest diameter \* orthogonal diameter, for area of an ellipse, using the longest and orthogonal diameters measured by the calliper method. The maximum observed flare area was calculated for each control challenge (saline and histamine) and each ascending Substance P concentration: 5, 15, 50, 150 and 500 pmol during the 2 hours post-challenge period.

Saline
GroupValue95% CI
Part 1- Skin Challenges0.0000± 0.00000
Histamine
GroupValue95% CI
Part 1- Skin Challenges1209.6224± 604.47133
SP 5 pmol
GroupValue95% CI
Part 1- Skin Challenges619.6359± 940.26080
SP 15 pmol
GroupValue95% CI
Part 1- Skin Challenges1422.8103± 763.79695
SP 50 pmol
GroupValue95% CI
Part 1- Skin Challenges2240.1860± 971.83781
SP 150 pmol
GroupValue95% CI
Part 1- Skin Challenges2282.5890± 1149.03190
SP 500 pmol
GroupValue95% CI
Part 1- Skin Challenges2383.3822± 1590.27531
Part 2: Maximum Observed Flare Area Over the 2 Hours Post-challenge Period Following Skin Challenge With Substance P Across- at Challenge Visit 1 (Day 1) and Challenge Visit 2 (Week 2) Secondary · 2 hours post-challenge on Day 1 (Visit 1) and 2 hours post-challenge At Week 2 (Visit 2)

Flare area was calculated using the following formula: 1/4 \* pi \* longest diameter \* orthogonal diameter, for area of an ellipse, using the longest and orthogonal diameters measured by the calliper method. The maximum observed flare area was calculated for each control challenge (saline and histamine) and each ascending Substance P concentration: 5, 15, 50 and 150 pmol during the 2 hours post-challenge period.

Saline : 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges0.0000± 0.00000
Saline: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges0.0000± 0.00000
Histamine: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges1110.0748± 514.76131
Histamine: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges1392.6911± 671.10955
SP 5 pmol: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges1035.4156± 572.41049
SP 5 pmol: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges1398.2891± 1007.58015
SP 15 pmol: 2 hours post-challenge on Day 1
GroupValue95% CI
Part 2- Skin Challenges1892.5393± 791.10820
SP 15 pmol: 2 hours post-challenge at Week 2
GroupValue95% CI
Part 2- Skin Challenges1956.0858± 1018.31529

Adverse events — posted to ClinicalTrials.gov

Time frame: All-cause mortality, SAEs and non-serious AEs were collected from the start of study treatment up to Day 1 for Part 1 and Up to Week 3 for Part 2.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Part 1- Skin Challenges
Serious: 0/9 (0%)
Deaths: 0/9
Part 2- Skin Challenges
Serious: 0/20 (0%)
Deaths: 0/20
Other adverse events (2 terms — click to expand)

ReactionSystemPart 1- Skin ChallengesPart 2- Skin Challenges
HeadacheNervous system disorders
PruritusSkin and subcutaneous tissue disorders

Data from ClinicalTrials.gov NCT04676763 adverse events section.

Sponsor's own description

The objectives of this enabling study are to characterize the wheal and flare responses over time following skin challenges with ascending concentrations of Substance P. This will be a 2-part study: Part 1 will aid in the understanding of the wheal and flare responses following Substance P. Part 2 will investigate the variability of the responses. Participants may be enrolled into Part 1 or Part 2, not both.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Intradermal substance P as a challenge agent in healthy individuals.
    Ten Voorde W, Akinseye C, Abdisalaam I, Wind S, et al · · 2023 · cited 2× · PMID 37547990 · DOI 10.1111/cts.13592

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04676763.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing