A randomized, placebo-controlled study of the effects of the p38 MAPK inhibitor SB-681323 on blood biomarkers of inflammation in COPD patients

Dave Singh, Lucy Smyth, Zoe Borrill, Lisa Sweeney, Ruth Tal-Singer

    Research output: Contribution to journalArticlepeer-review

    Abstract

    The p38 mitogen-activated protein kinase (MAPK) signaling upregulates inflammation and is known to be increased in chronic obstructive pulmonary disease (COPD). The authors assessed the pharmacology of the novel p38 MAPK inhibitor SB-681323 using blood biomarkers in COPD. Seventeen COPD patients (forced expiratory volume in 1 second 50%-80% predicted) using short-acting bronchodilators participated in a double-blind, double-dummy, randomized, crossover study. Patients received single oral doses of SB-681323 7.5 mg and 25 mg, prednisolone 10 mg and 30 mg, and placebo. Blood was obtained predose and at 1, 2, 6, and 24 hours postdose. Whole-blood sorbitol-induced phosphorylated (p) heat shock protein (HSP) 27 levels as a marker of p38 pathway activation and lipopolysaccharide-induced tumor necrosis factor (TNF)-α production were assessed. Both doses of SB-681323, but not prednisolone, significantly (P
    Original languageEnglish
    Pages (from-to)94-100
    Number of pages6
    JournalJournal of Clinical Pharmacology
    Volume50
    Issue number1
    DOIs
    Publication statusPublished - Jan 2010

    Keywords

    • Chronic obstructive pulmonary disease
    • Corticosteroids
    • P38 kinase

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