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A Study to Assess the Safety, Tolerability, Pharmacokinetics, Pharmacodynamics of Subcutaneous AZD6912 in Healthy Participants

Phase 1
Recruiting
Conditions
Rheumatoid Arthritis
Interventions
Drug: Placebo
Registration Number
NCT06115967
Lead Sponsor
AstraZeneca
Brief Summary

This study will evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of single ascending doses of AZD6912 administered subcutaneously (SC) in healthy participants.

Detailed Description

In this First-In-Human (FiH) study, eligible participants will be randomly assigned to 6 cohorts in a 3:1 ratio to receive either a single dose of AZD6912 SC or placebo. The first 2 participants in each cohort will be dosed as a sentinel pair, with one receiving AZD6912 SC and the other receiving placebo.

The study will comprise of, a screening period of 70 days, a treatment period where participants will stay at the Clinical Unit from the day before study intervention administration until at least 240 hours and will be discharged on Day 11. Outpatient visits would start weekly from Day 15, then bi-weekly from Day 43, 4-weekly from Day 99, and 6-weekly from Day 155, with additional follow-up visits approximately every 4 weeks as needed until complement activity returns to the normal range.

The study will last approximately 25 months, including the optional Japanese cohorts, with each participant participating for about 38 weeks or longer until complement activity returns to normal range (per local laboratory).

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
64
Inclusion Criteria
  • Females must have a negative pregnancy test.

  • Contraceptive use by males and females should be consistent with local regulations.

  • Have a body mass index (BMI) between 18 and 30 kg/m2 inclusive and weigh at least 50 kg.

  • For optional Japanese participants only:

    • Participants must be of Japanese descent defined as: first generation (born to 2 Japanese parents and 4 Japanese grandparents).
    • Born in Japan, and not have lived outside Japan for more than 5 years.
    • Lifestyle, including diet, must not have significantly changed since leaving Japan.
Exclusion Criteria
  • History of any clinically important disease or disorder.
  • Current or recurrent disease of clinical significance that could affect clinical assessments or clinical laboratory evaluations.
  • Any clinically important illness, medical/surgical procedure or trauma within 4 weeks of the first administration of study intervention.
  • History of congenital or acquired immunodeficiency or complement deficiency or an underlying condition that predisposes to infection.
  • History of any Neisseria infection, unexplained, recurrent infections, or infection requiring treatment with systemic antibiotics.
  • Evidence of hepatitis B infection (positive for HBsAg or positive for anti-HBcAb) or hepatitis C viral infection (HCV Abs or hepatitis C RNA positive) or HIV infection (positive for HIV type 1 or type 2 Abs).
  • Participants testing positive for COVID-19 prior to dosing.
  • Any cardiac abnormalities.
  • A CAP activity < 60% at screening.
  • Known or suspected history of drug abuse, history of alcohol abuse or smoking.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
AZD6912 Dose 3AZD6912Participants will receive AZD6912 Dose 3.
AZD6912 Dose 1AZD6912Participants will receive AZD6912 Dose 1.
AZD6912 Dose 2AZD6912Participants will receive AZD6912 Dose 2.
AZD6912 Dose 6AZD6912Participants will receive AZD6912 Dose 6.
PlaceboPlaceboParticipants will receive Placebo.
AZD6912 Dose 5AZD6912Participants will receive AZD6912 Dose 5.
AZD6912 additional Japanese cohort 1AZD6912Participants will receive AZD6912.
AZD6912 additional Japanese cohort 2AZD6912Participants will receive AZD6912.
AZD6912 Dose 4AZD6912Participants will receive AZD6912 Dose 4.
Primary Outcome Measures
NameTimeMethod
Number of participants with adverse events (AEs)From screening (Day -70) to last follow up visit (Day 197- approximately 38 weeks)

To assess the safety and tolerability of AZD6912 in healthy participants.

Secondary Outcome Measures
NameTimeMethod
Dose normalised Cmax (Cmax/D) of AZD6912From randomization to Day 197 (up to 28 weeks)

To characterise Cmax/D of single ascending doses of AZD6912 in healthy participants.

Area under plasma concentration-time curve from zero to infinity (AUCinf) of AZD6912From randomization to Day 197 (up to 28 weeks)

To characterise AUCinf of single ascending doses of AZD6912 in healthy participants.

Area under the plasma concentration-curve from zero to the last quantifiable concentration (AUClast) of AZD6912From randomization to Day 197 (up to 28 weeks)

To characterise the AUClast of single ascending doses of AZD6912 in healthy participants.

Time of last measurable concentration (tlast) of AZD6912From randomization to Day 197 (up to 28 weeks)

To characterise tlast of single ascending doses of AZD6912 in healthy participants.

Dose normalised AUClast (AUClast/D) of AZD6912From randomization to Day 197 (up to 28 weeks)

To characterise AUClast/D of single ascending doses of AZD6912 in healthy participants.

Percent change from baseline in serum of Complement functional activity (CAP)From randomization to Day 197 (up to 28 weeks)

To assess the PD effects of single ascending doses of AZD6912 in healthy participants.

Terminal elimination half-life (t½λz) of AZD6912From randomization to Day 197 (up to 28 weeks)

To characterise t½λz of single ascending doses of AZD6912 in healthy participants.

Volume of distribution (apparent) at steady state following extravascular administration (based on terminal phase) (Vz/F) of AZD6912From randomization to Day 197 (up to 28 weeks)

To characterise Vz/F of single ascending doses of AZD6912 in healthy participants.

Maximum observed plasma (peak) drug concentration (Cmax) of AZD6912From randomization to Day 197 (up to 28 weeks)

To characterise the Cmax of single ascending doses of AZD6912 in healthy participants.

Dose normalised AUCinf (AUCinf/D) of AZD6912From randomization to Day 197 (up to 28 weeks)

To characterise AUCinf/D of single ascending doses of AZD6912 in healthy participants.

Time to reach peak or maximum observed concentration or response following drug administration (tmax) of AZD6912From randomization to Day 197 (up to 28 weeks)

To characterise tmax of single ascending doses of AZD6912 in healthy participants.

Apparent total body clearance of drug from plasma after extravascular administration (CL/F) of AZD6912From randomization to Day 197 (up to 28 weeks)

To characterise CL/F of single ascending doses of AZD6912 in healthy participants.

Percent change from baseline in plasma concentrations of Complement factor B (CFB) proteinFrom randomization to Day 197 (up to 28 weeks)

To assess the PD effects of single ascending doses of AZD6912 in healthy participants.

Trial Locations

Locations (1)

Research Site

🇬🇧

Harrow, United Kingdom

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