Assessment of the Effect of Neutral Endopeptidase Inhibition on Vascular Leak and Leukocyte Accumulation in a Human Cantharidin Blister Model

Status: Recruiting
Location: See location...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Acute Respiratory Distress Syndrome (ARDS) is a severe type of lung injury that affects 10% of patients admitted to Intensive Care Units worldwide, with an unacceptably high mortality of up to 48% in those with the most severe form of the condition. It is a complex and poorly understood syndrome that results in progressive failure of the lungs. Crucially, the inflamed lungs allow fluid to leak from the circulation into the airspace, so that patients' lungs fill with fluid - drowning from the inside. As this condition progresses, the patient typically requires increasing amounts of oxygen and eventually, support from a ventilator. To date, there are no effective treatments for ARDS that can limit, stop or repair this process. This research study is aiming to look at a naturally occurring substance produced by blood vessels, C-type natriuretic peptide (CNP). The investigators have evidence suggesting that CNP plays a role in maintaining the barrier provided by blood vessels that stops fluid leaking out into tissues. This is based on various studies done on CNP by the investigators research group that have established its widespread role in maintaining cells that line blood vessels and play a vital role in lungs' barrier function: the endothelium. CNP is broken down in part by an enzyme called Neutral endopeptidase and therefore, drugs that inhibit this enzyme would result in increased CNP concentration and activity. If CNP does in fact strengthen the lungs' endothelial barrier, then this class of drug may benefit patients with ARDS. The aim of this experimental medicine study is to assess the effect of using the licensed NEP inhibitor Racecadotril, in a well-established, safe model of inflammation-induced skin blisters in healthy human volunteers to determine primarily whether the fluid accumulation i.e. leak, in these blisters is reduced by treatment with this drug.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 45
Healthy Volunteers: t
View:

• Healthy male and female volunteers

• BMI of 18-40 kg/m2

• Aged 18-45

• Volunteers who are willing to sign the consent form

Locations
Other Locations
United Kingdom
William Harvey Research Institute- Heart Centre
RECRUITING
London
Contact Information
Primary
Aemun Salam, MBBS, MRCP, FFICM
aemun.salam@qmul.ac.uk
07492042830
Time Frame
Start Date: 2023-08-24
Estimated Completion Date: 2026-06-15
Participants
Target number of participants: 48
Treatments
Placebo_comparator: Placebo
Placebo tablet to be taken three times a day for three days
Experimental: Racecadotril
Racecadotril 100 milligrams (mg) three times a day for three days
Sponsors
Collaborators: Medical Research Council
Leads: Queen Mary University of London

This content was sourced from clinicaltrials.gov