The objective of this study was to establish in healthy volunteers the maximally tolerated multiple dose (MTMD) of the
ionotropic glutamate receptor 5 antagonist
LY545694 (part A), and to investigate whether that dose had
analgesic or antihyperalgesic effects in the brief thermal stimulation (BTS)
pain model (Part B). Part A was a double-blind, placebo-controlled study in 3 groups of 10 healthy men. To simulate an
extended-release formulation, study
drug was administered orally over 6hours (12 equally divided aliquots at 30-minute intervals). Part B was a double-blind, placebo-controlled, double-dummy, 3-way crossover study in 27 healthy men. At each of the 3 study periods, subjects received either
LY545694 (MTMD; as determined during part A) as a simulated, twice daily
extended-release formulation for 4 doses over 3days,
gabapentin (600mg 8hours apart; 6 doses over 3days; positive control), or matching placebo. The BTS model was induced twice with a 1-hour interval on each of the 2 study days, before
drug administration and at the time of expected peak
analgesia of
LY545694. Plasma exposure for
LY545694 was approximately linear over the 25- to 75-mg dose range. The MTMD of
LY545694 was 25mg twice daily. Areas of secondary
hyperalgesia were significantly smaller after administration of
LY545694 and
gabapentin compared with placebo (P<.0001 and P=.0004, respectively), but there was no difference between areas after administration of
gabapentin and
LY545694 (P=.400). Neither
gabapentin nor
LY545694 reduced the painfulness of skin heating during BTS model induction. The most common treatment-emergent adverse event was
dizziness. The results of this study suggest that
LY545694 should be explored further as a potential treatment for
chronic pain involving neuronal sensitization.