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在健康受试者中,通过单克隆抗体中和 CCL20 可选择性抑制实验性抽吸性水疱中 CCR6 细胞的募集。

CCL20 neutralization by a monoclonal antibody in healthy subjects selectively inhibits recruitment of CCR6 cells in an experimental suction blister.

机构信息

GlaxoSmithKline, Hertfordshire, UK.

GSK Clinical Unit, Cambridge, UK.

出版信息

Br J Clin Pharmacol. 2017 Sep;83(9):1976-1990. doi: 10.1111/bcp.13286. Epub 2017 Apr 22.

Abstract

AIMS

GSK3050002, a humanized IgG1κ antibody with high binding affinity to human CCL20, was administered in a first-in-human study to evaluate safety, pharmacokinetics (PK) and pharmacodynamics (PD). An experimental skin suction blister model was employed to assess target engagement and the ability of the compound to inhibit recruitment of inflammatory CCR6 expressing cells.

METHODS

This study was a randomized, double-blind (sponsor open), placebo-controlled, single-centre, single ascending intravenous dose escalation trial in 48 healthy male volunteers.

RESULTS

GSK3050002 (0.1-20 mg kg ) was well tolerated and no safety concerns were identified. The PK was linear over the dose range, with a half-life of approximately 2 weeks. Complex of GSK3050002/CCL20 increased in serum and blister fluid with increasing doses of GSK3050002. There were dose-dependent decreases in CCR6 cell recruitment to skin blisters with maximal effects at doses of 5 mg kg and higher, doses at which GSK3050002/CCL20 complex in serum and blister fluid also appeared to reach maximum levels.

CONCLUSIONS

These results indicate a relationship between PK, target engagement and PD, suggesting a selective inhibition of recruitment of CCR6 cells by GSK3050002 and support further development of GSK3050002 in autoimmune and inflammatory diseases.

摘要

目的

GSK3050002 是一种人源化 IgG1κ 抗体,对人 CCL20 具有高亲和力,在首次人体研究中进行了给药,以评估安全性、药代动力学(PK)和药效动力学(PD)。采用实验性皮肤抽吸水疱模型评估了靶标结合和化合物抑制炎症性 CCR6 表达细胞募集的能力。

方法

这是一项在 48 名健康男性志愿者中进行的随机、双盲(研究者开放)、安慰剂对照、单中心、单递增静脉内剂量递增试验。

结果

GSK3050002(0.1-20mg/kg)耐受性良好,未发现安全性问题。PK 在剂量范围内呈线性,半衰期约为 2 周。随着 GSK3050002 剂量的增加,GSK3050002/CCL20 复合物在血清和水疱液中增加。CCR6 细胞向皮肤水疱的募集呈剂量依赖性下降,在 5mg/kg 及更高剂量时出现最大效应,此时血清和水疱液中的 GSK3050002/CCL20 复合物似乎也达到了最高水平。

结论

这些结果表明 PK、靶标结合和 PD 之间存在关系,提示 GSK3050002 选择性抑制 CCR6 细胞的募集,并支持 GSK3050002 在自身免疫和炎症性疾病中的进一步开发。

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