To examine whether NKP608, a novel 1-benzoyl-2-benzyl-4-aminopiperidine NK1 receptor antagonist, inhibits substance P (SP)-induced airway plasma protein exudation in vivo. Anaesthetised English shorthair guinea-pigs and Wistar rats. Tachykinin peptides were applied topically onto the trachea and antagonists administered intravenously. Tracheal segments isolated in situ were perfused with saline and plasma-derived protein assayed in the perfusate. SP (1 microM) caused plasma protein exudation, which was abolished by an NK1 antagonist (RP 67580,1.75 micromol/kg) but unaffected by an NK2 antagonist (SR 48968, 1.75 micromol/ kg) indicating the response is NK1-receptor-mediated. This was confirmed with a response to an NK1 agonist ([Sar9, Met(O2)11]-SP, 1 microM) but none to an NK2 agonist ([betaAla8]-neurokinin A(4-10), 1 microM). NKP608 inhibited SP responses with estimated ID50 values (micromol/kg) of 0.0044 (guinea-pigs) and 0.19 (rats). NKP608 is an antagonist in vivo of NK1 receptor-induced tracheal plasma protein exudation and is more potent in guinea-pigs than rats.