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临床试验/NCT06491550
NCT06491550已完成1 期

A Phase I Randomized, Single-blind, Placebo-controlled, and Sequential Group Study to Assess the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZD4144 Following Single and Multiple Ascending Doses Via Intravenous Administration, and an Open-label, 2-Period, 2-Sequence, Cross-over Study to Assess the Effects of Intravenous AZD4144 on Rosuvastatin and Furosemide Pharmacokinetics in Healthy Participants

AstraZeneca1 个研究点 分布在 1 个国家目标入组 91 人开始时间: 2024年7月15日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
发起方
AstraZeneca
入组人数
91
试验地点
1
主要终点
Number of participants with adverse events (AEs) (Part A and Part B)

研究概览

简要总结

This study consists of 3 parts: Part A, Part B and Part C. This study will compare the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of AZD4144 with placebo in healthy participants, in Part A and Part B. Part C of this study will investigate the possibility of drug-drug interaction (DDI) between IV AZD4144 and oral rosuvastatin and furosemide by evaluating the PK of rosuvastatin and furosemide when administered alone and in combination with single IV dose of AZD4144

详细描述

This is a Phase I, randomized study in healthy participants and consists of 3 parts; Part A, Part B and Part C. Part A and B are single-blind, placebo-controlled with single ascending dose (SAD) and multiple ascending dose (MAD) sequential group design, respectively. Part C is an open-label, 2-period, 2-sequence, cross-over design study. Part A and B of the study will assess the safety, tolerability, PK, and PD of AZD4144 solution for infusion compared with placebo while Part C will investigate the possibility of DDI between IV AZD4144 and oral rosuvastatin and furosemide by evaluating the PK of rosuvastatin and furosemide when administered alone and in combination with single IV dose of AZD4144

The study will comprise of:

  • A screening period of maximum 28 days.

  • A residential period which lasts from,

  • Day -1 to Day 4 (single dose on Day 1) for Part A

  • Day -1 to Day 15 (dosed on days 1, 4-12) for Part B

  • Day -1 to Day 3 (dose on Day 1) and Day 9 to Day 12 (dose on Day 10) for Part C

  • A final follow-up visit,

  • On Day 10+3 for Part A

  • On Day 20+3 for Part B and C

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Sequential
主要目的
Treatment
盲法
Triple (Participant, Care Provider, Investigator)

入排标准

年龄范围
18 Years 至 55 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • All females must have a negative pregnancy test at the Screening Visit and on admission to the Clinical Unit.
  • Females of childbearing potential must not be lactating and if heterosexually active must agree to use an approved method of highly effective contraception.
  • Females of non-childbearing potential must be confirmed at the Screening Visit.
  • Sexually active fertile male participants with partners of childbearing potential must adhere to the contraception methods.
  • Have a BMI between 18 and 32 kg/m2 inclusive at both Screening and Admission and weigh at least 45 kg at Screening.
  • For healthy Japanese cohorts (Part A2 and Part B2): healthy male and female participants are to be Japanese, defined as having both parents and 4 grandparents who are Japanese. This includes second and third generation participants of Japanese descent whose parents or grandparents are living in a country other than Japan.
  • For healthy Chinese cohort (Part A3): healthy male and female Chinese participants for whom both parents and all grandparents are Chinese and not lived outside of China for more than 10 years.

排除标准

  • History of any clinically important disease or disorder or presence of gastrointestinal, hepatic, or renal disease or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
  • Any clinically important illness, medical/surgical procedure, or trauma.
  • Clinically significant serious active and chronic infections.
  • Any history or evidence of TB (active or latent).
  • Known history of primary immunodeficiency (congenital or acquired) or an underlying condition that predisposes to infection.
  • Bacillus Calmette Guérin vaccine within one year prior to signing the ICF.
  • Any abnormal laboratory values at the Screening Visit or on Admission to the Clinical Unit.
  • Any positive result on Screening for serum Hepatitis B surface antigen (HBsAg), anti-Hepatitis B core (HBc), hepatitis C antibody, or Human immunodeficiency virus (HIV).
  • Any clinically important abnormalities in ECG.
  • History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity.
  • Known hypersensitivity to furosemide and rosuvastatin (for Part C only)
  • History of alcohol abuse or excessive intake of alcohol or current smokers or those who have smoked or used nicotine products.
  • Use of drugs with enzyme inducing properties or of any prescribed or nonprescribed medication or of systemic hormonal contraceptives.
  • Clinical signs and symptoms consistent with COVID-19.

研究组 & 干预措施

Part A1-Cohort 1

Experimental

Participants will receive one single ascending dose of AZD4144.

干预措施: AZD4144- Part A (Drug)

Part A1- Cohort 2

Experimental

Participants will receive one single ascending dose of AZD4144.

干预措施: AZD4144- Part A (Drug)

Part A1-Cohort 3

Experimental

Participants will receive one single ascending dose of AZD4144.

干预措施: AZD4144- Part A (Drug)

Part A2-Japanese cohort 1

Experimental

Participants will receive one single ascending dose of AZD4144.

干预措施: AZD4144- Part A (Drug)

Part A2: Japanese Cohort 2

Experimental

Participants will receive one single ascending dose of AZD4144.

干预措施: AZD4144- Part A (Drug)

Part A3-Chinese Cohort

Experimental

Participants will receive one single ascending dose of AZD4144.

干预措施: AZD4144- Part A (Drug)

Part B1- Cohort 1

Experimental

Participants will receive multiple ascending doses of AZD4144.

干预措施: AZD4144- Part B (Drug)

Part B1- Cohort 2

Experimental

Participants will receive multiple ascending doses of AZD4144.

干预措施: AZD4144- Part B (Drug)

Part B1- Cohort 3

Experimental

Participants will receive multiple ascending doses of AZD4144.

干预措施: AZD4144- Part B (Drug)

Part B2- Japanese Cohort

Experimental

Participants will receive multiple ascending doses of AZD4144.

干预措施: AZD4144- Part B (Drug)

Part C Cohort- Treatment C1

Experimental

Participants will receive rosuvastatin and furosemide.

干预措施: Rosuvastatin and Furosemide- Part C (Drug)

Part C cohort- Treatment C2

Experimental

Participants will receive rosuvastatin, furosemide, and AZD4144.

干预措施: Rosuvastatin, Furosemide, and AZD4144 Part C (Drug)

Part A1- Placebo

Placebo Comparator

Participants will receive matching placebo.

干预措施: Placebo- Part A (Drug)

Part A2- Placebo

Placebo Comparator

Participants will receive matching placebo.

干预措施: Placebo- Part A (Drug)

Part A3- Placebo

Placebo Comparator

Participants will receive matching Placebo.

干预措施: Placebo- Part A (Drug)

Part B1- Placebo

Placebo Comparator

Participants will receive matching Placebo.

干预措施: Placebo- Part B (Drug)

Part B2- Placebo

Placebo Comparator

Participants will receive matching Placebo.

干预措施: Placebo- Part B (Drug)

结局指标

主要结局

Number of participants with adverse events (AEs) (Part A and Part B)

时间窗: Part A: Day 1 to Day 10+3; Part B: Day 1 to Day 20+3.

To assess the safety and tolerability of AZD4144 following IV administration of single (Part A) and multiple (Part B) ascending doses in healthy participants.

Area under plasma concentration-time curve from time 0 to infinity (AUCinf) (Part C)

时间窗: Treatment period 1: Day 1 to 3; Treatment period 2: Day 10 to 12.

To evaluate the effect of AZD4144 on the PK of rosuvastatin and furosemide in healthy participants.

Area under concentration-curve from time 0 to the last quantifiable concentration (AUClast) (Part C)

时间窗: Treatment period 1: Day 1 to 3; Treatment period 2: Day 10 to 12.

To evaluate the effect of AZD4144 on the PK of rosuvastatin and furosemide in healthy participants.

Maximum observed drug concentration (Cmax) (Part C)

时间窗: Treatment period 1: Day 1 to 3; Treatment period 2: Day 10 to 12.

To evaluate the effect of AZD4144 on the PK of rosuvastatin and furosemide in healthy participants.

次要结局

  • Cmax (Part A and Part B)(Part A: Day 1 to Day 10+3; Part B: Day 1 to Day 20+3)
  • AUClast (Part A and Part B)(Part A: Day 1 to Day 10+3; Part B: Day 1 to Day 20+3)
  • AUCinf (Part A)(Part A: Day 1 to Day 10+3)
  • Area under concentration-time curve in the dosing interval (AUCτ) (Part B only)(Part B: Day 1 to Day 20+3)
  • Renal clearance of drug from plasma (CLR) (Part A and Part B)(Part A: Day 1 to 3; Part B: Day 1, 12 and 20+3)
  • PD analysis: Levels of disease-specific biomarkers (Part A and Part B)(Part A: Day -1 to 4; Part B: Day -1 to Day 1, Day 12 to Day 15)
  • Number of participants with adverse events (AEs) (Part C)(Part C: Day 1 to Day 20+3)

研究者

发起方
AstraZeneca
申办方类型
Industry
责任方
Sponsor

研究点 (1)

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