Inhalation of neurokinin A (NKA) causes bronchoconstriction in patients with asthma. In vitro both tachykinin NK 1 and NK 2 receptors can mediate airway contraction. In this study the authors examined the effects of a single dose of the dual tachykinin NK 1 /NK 2 receptor antagonist, DNK333, on NKA-induced bronchoconstriction in asthma.A total of 19 male adults with mild asthma completed a randomised, double-blind, placebo-controlled, crossover trial. Increasing concentrations of NKA (3.3610 -9 to 1.0610 -6 mol?mL -1 ) were inhaled at 1 and 10 h intervals after a single oral dosing with either DNK333 (100 mg) or a placebo.It was observed that DNK333 did not affect baseline lung function but did protect against NKA-induced bronchoconstriction in those patients. The mean log 10 provocative concentration causing a 20% fall in forced expiratory volume in one second for NKA was -5.6 log 10 mol?mL -1 at 1 h after DNK333 treatment and -6.8 log 10 mol?mL -1 after placebo. This was equivalent to a difference of 4.08 doubling doses, which decreased to a difference of 0.90 doubling doses 10 h after treatment.The results shown in this report indicate that DNK333 blocks neurokinin A-induced bronchoconstriction in patients with asthma. Eur Respir J 2004; 23: 76-81.