An Accessorised Prefilled Syringe to an Autoinjector Pharmacokinetic Bridging Study of Tozorakimab

Phase 1

Recruiting

• Conditions: Healthy Participants
• Interventions: Drug: Tozorakimab; Device: Autoinjector (AI) Device; Device: Accessorised Prefilled Syringe (APFS) Device

• Registration Number: NCT06908577
• Lead Sponsor: AstraZeneca

Brief Summary

The purpose of this study is to compare the pharmacokinetic (PK) exposures of a single subcutaneous (SC) dose of tozorakimab administered using AI or APFS in healthy participants.

Detailed Description

This is a multiple center, randomized, open-label, parallel group, Phase 1 study.

Participants will be randomized 1:1:1:1:1:1 to one of the 6 combinations of the devices (APFS or AI devices) and one of three injection sites (abdomen, thigh, or upper arm.).

The study includes:

* A screening period of up to 28 days.

* A treatment period (up to 9 days).

* A follow-up period till 85 days.

* A final follow-up visit on Day 113 (Week 16).

Study Timeline

• Study First Submitted: 2025-04-02
• Study First Submitted QC: 2025-04-02
• Study First Posted: 2025-04-03
• Study Start: 2025-04-07
• Status Verified: 2025-05
• Last Update Submitted: 2025-05-13
• Last Update Posted: 2025-05-14
• Primary Completion: 2025-11-12
• Study Completion: 2025-11-12

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 252

Inclusion Criteria

• Healthy adults with suitable veins for cannulation or repeated venipuncture.
• All females must have a negative pregnancy test at the screening visit and on admission.
• Females of childbearing potential must not be lactating and if heterosexually active must agree to use an approved method of highly effective contraception, in order to avoid pregnancy from the time of administration of study intervention until 16 weeks after administration of the study intervention (Day 113).
• 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 from the time of administration of the study intervention until 16 weeks after administration of the study intervention (Day 113).
• Have a body mass index (BMI) between 19 and 30 kg/m2 inclusive and weigh at least 55 kg and no more than 100 kg inclusive at screening and Day -1.
• Intact normal skin without potentially obscuring tattoos, scars, etc., at the injection site.

Exclusion Criteria

• History of any clinically significant disease or disorder which may either put the participant at risk because of participation in the study or influence the results of the study or the participant's ability to participate in the study.
• Any clinically important medical/surgical procedure or trauma within 8 weeks of the screening visit, or any planned inpatient hospitalization during the study period.
• Malignancy, current or within the past 5 years, suspected malignancy or undefined neoplasms.
• Any abnormal laboratory values and vital signs.
• History of known immunodeficiency disorder, including a positive test for human immunodeficiency virus (HIV)-1 or HIV-2.
• History or treatment for hepatitis B or hepatitis C or any positive test result on screening for hepatitis B surface antigen (HBsAg), anti-hepatitis B core (HBc) antibodies, or anti-hepatitis C antibodies.
• Evidence of currently active tuberculosis (TB) disease or use of any TB drug treatment in the past 12 months or latent TB infection.
• Any clinically significant abnormalities on 12lead electrocardiogram (ECG) at the screening visit and/or admission (Day -1) to the Clinical Unit.
• History of or ongoing severe clinically important allergy/hypersensitivity, or history of hypersensitivity to monoclonal or polyclonal antibodies. History of allergy or reaction to any formulation components of the investigational medicinal product (IMP).
• Receipt of live attenuated vaccines within 30 days prior to randomization and receipt of COVID-19 or inactivated vaccines within 14 days prior to randomization.
• Has received another new chemical entity (defined as a compound which has not been approved for marketing) within 3 months or 5 half-lives of time of dosing in this study, whichever is longer.
• Receipt of any investigational biologic within 4 months or 5 half-lives prior to the date of dosing in this study, whichever is longer.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Treatment A: Tozorakimab (Test)	Tozorakimab	Participants will receive a single SC dose of tozorakimab via AI device.
Treatment A: Tozorakimab (Test)	Autoinjector (AI) Device	Participants will receive a single SC dose of tozorakimab via AI device.
Treatment B: Tozorakimab (Reference)	Tozorakimab	Participants will receive a single SC dose of tozorakimab via APFS device with the same container closure as the AI.
Treatment B: Tozorakimab (Reference)	Accessorised Prefilled Syringe (APFS) Device	Participants will receive a single SC dose of tozorakimab via APFS device with the same container closure as the AI.

Primary Outcome Measures

Name	Time	Method
Area under concentration-time curve from time 0 to infinity (AUCinf) of tozorakimab	From Day 1 to Day 113	To compare the PK exposure following single SC administration of tozorakimab using AI and APFS devices in healthy participants.
Area under concentration-curve from time 0 to the last quantifiable concentration (AUClast) of tozorakimab	From Day 1 to Day 113	To compare the PK exposure following single SC administration of tozorakimab using AI and APFS devices in healthy participants.
Maximum observed drug concentration (Cmax) of tozorakimab	From Day 1 to Day 113	To compare the PK exposure following single SC administration of tozorakimab using AI and APFS devices in healthy participants.

Secondary Outcome Measures

Name	Time	Method
Time to reach maximum observed concentration (Tmax)	From Day 1 to Day 113	To assess additional PK parameters following single SC administration of tozorakimab using AI and APFS devices in healthy participants.
Terminal elimination half-life (t1/2λz)	From Day 1 to Day 113	To assess additional PK parameters following single SC administration of tozorakimab using AI and APFS devices in healthy participants.
Terminal rate constant (λz)	From Day 1 to Day 113	To assess additional PK parameters following single SC administration of tozorakimab using AI and APFS devices in healthy participants.
Apparent total body clearance (CL/F)	From Day 1 to Day 113	To assess additional PK parameters following single SC administration of tozorakimab using AI and APFS devices in healthy participants.
Apparent volume of distribution based on the terminal phase (Vz/F)	From Day 1 to Day 113	To assess additional PK parameters following single SC administration of tozorakimab using AI and APFS devices in healthy participants.
Number of participants with adverse events (AEs)	From screening (Day -28 to -2) to follow up (Day 113)	To assess the safety and tolerability following single SC administration of tozorakimab using AI and APFS devices in healthy participants.
Number of participants with positive anti-drug antibodies (ADA)	From Day 1 to Day 113	To evaluate the immunogenicity following single SC administration of tozorakimab using AI and APFS devices in healthy participants.

Trial Locations

Locations (1)

Research Site; 🇬🇧 Harrow, United Kingdom