A Single and Multiple Ascending Dose Study to Investigate Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZD2389 in Healthy Participants
- Registration Number
- NCT06138795
- Lead Sponsor
- AstraZeneca
- Brief Summary
This study will assess the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of AZD2389 following single and multiple dose administration (SAD/MAD) to healthy participants.
- Detailed Description
This is a Phase I, First In Human (FIH), randomized, single-blind, placebo-controlled, single and multiple ascending dose study in healthy male and/or female participants of non-childbearing potential including healthy participants of Chinese and Japanese ethnicity performed at a single center.
The study consists of 2 parts: Part A and Part B. Part A has been planned to be conducted with 78 participants and Part B has been planned to be conducted with 32 participants.
Each participant in Part A and Part B will be involved in the study for up to 8 weeks.
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 126
- Healthy male and female (of non-childbearing potential) participants with suitable veins for cannulation or repeated venipuncture.
- For the healthy Japanese cohorts (Parts A2 and B2): healthy participants are to be Japanese (e.g., natives of Japan or Japanese Americans), defined as having both parents and 4 grandparents who are Japanese. This includes healthy second and third generation participants of Japanese descent whose parents or grandparents are living in a country other than Japan.
- For the healthy Chinese cohort (Part A3): healthy participants are to be Chinese defined as having both parents and 4 grandparents who are ethnically Chinese. This includes second and third generation Chinese whose parents or grandparents are living in a country other than China.
- Any clinically important illness, medical/surgical procedure or trauma within 4 weeks of the first administration of IMP.
- Known or suspected history of alcohol or drug abuse and smokers.
- Plasma donation within one month of the Screening Visit or any blood donation/blood loss > 500 mL during the 3 months prior to the Screening Visit.
- History of coagulation or bleeding disorders or use of anti-platelets/anti-coagulants during the 3 months prior to the Screening Visit, as judged by the investigator.
- History of hypersensitivity as judged by the investigator, to drugs with a similar chemical structure or class.
- History of severe dermatological disorders, eg, bullous pemphigoid or Stevens-Johnson syndrome, or clinically significant new or healing wounds in areas of the body not always covered by clothing such as face, forearm, and lower leg, as judged by the investigator.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SEQUENTIAL
- Arm && Interventions
Group Intervention Description Cohort 2: Part A1 - AZD2389 dose 2/placebo oral administration AZD2389 A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 4: Part A1 - AZD2389 dose 4 /placebo oral administration AZD2389 A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 8: Part A2 - AZD2389 dose 8 /placebo oral administration Placebo A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 9: Part A2 - AZD2389 dose 9 /placebo oral administration AZD2389 A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 2: Part A1 - AZD2389 dose 2/placebo oral administration Placebo A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 1: Part A1 - AZD2389 dose 1/placebo oral administration Placebo A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 7: Part A2 - AZD2389 dose 7 /placebo oral administration AZD2389 A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 1: Part A1 - AZD2389 dose 1/placebo oral administration AZD2389 A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 5: Part A1 - AZD2389 dose 5 /placebo oral administration AZD2389 A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 5: Part A1 - AZD2389 dose 5 /placebo oral administration Placebo A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 7: Part A2 - AZD2389 dose 7 /placebo oral administration Placebo A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 10: Part A3 - AZD2389 dose 10 /placebo oral administration Placebo A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 13: Part B1 - AZD2389 dose 13 /placebo oral administration Placebo A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo. Cohort 3: Part A1 - AZD2389 dose 3 /placebo oral administration Placebo A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 4: Part A1 - AZD2389 dose 4 /placebo oral administration Placebo A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 6: Part A1 - AZD2389 dose 6 oral administration AZD2389 A total of 6 study participants will receive a single dose of AZD2389. Cohort 8: Part A2 - AZD2389 dose 8 /placebo oral administration AZD2389 A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 12: Part B1 - AZD2389 dose 12 /placebo oral administration Placebo A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo. Cohort 14: Part B2- AZD2389 dose 14/placebo oral administration AZD2389 A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo. Cohort 9: Part A2 - AZD2389 dose 9 /placebo oral administration Placebo A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 11: Part B1 - AZD2389 dose 11 /placebo oral administration Placebo A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo. Cohort 13: Part B1 - AZD2389 dose 13 /placebo oral administration AZD2389 A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo. Cohort 14: Part B2- AZD2389 dose 14/placebo oral administration Placebo A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo. Cohort 10: Part A3 - AZD2389 dose 10 /placebo oral administration AZD2389 A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo. Cohort 11: Part B1 - AZD2389 dose 11 /placebo oral administration AZD2389 A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo. Cohort 12: Part B1 - AZD2389 dose 12 /placebo oral administration AZD2389 A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo. Cohort 3: Part A1 - AZD2389 dose 3 /placebo oral administration AZD2389 A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.
- Primary Outcome Measures
Name Time Method Part A (SAD): Number of participants with adverse events (AE) and serious adverse events (SAE) Day ≤ -28 (Only SAE), Day -1 (Only SAE), Days 1 and 2, Day 8 Post-dose (± 1 day) To assess the safety and tolerability of AZD2389 following oral administration of single ascending doses in healthy participants, including Japanese and Chinese participants.
Part B (MAD): Number of participants with AE and SAE Day ≤ -28 (Only SAE), Day -1 (Only SAE), Days 1 to 12, Day 17 (± 1 day) To assess the safety and tolerability of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
- Secondary Outcome Measures
Name Time Method Part A (SAD): Maximum observed plasma (peak) drug concentration (Cmax) Day 1 and Day 2 To characterize the Cmax of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Individual and cumulative percentage of dose excreted unchanged in urine from time t1 to time t2 [fe(t1-t2)] Day 1 and Day 2 To characterize the fe(t1-t2) of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Time of last quantifiable concentration (tlast) Day 1 and Day 2 To characterize the tlast of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Renal clearance (CLR) Day 1 and Day 2 To characterize the CLR of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Plasma concentrations of AZD2389 Day 1 and Day 2 To characterize the plasma concentration of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Dose normalized Cmax (Cmax/D) Day 1 and Day 2 To characterize the Cmax/D of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Time to reach peak or maximum observed concentration (tmax) Day 1 and Day 2 To characterize the tmax of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Apparent volume of distribution based on the terminal phase (Vz/F) Day 1 and Day 2 To characterize the Vz/F of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part B (MAD): Dose normalized AUClast (AUClast/D) Day 1 to Day 12 To characterize the AUClast/D of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part A (SAD): Area under plasma concentration time curve from zero to infinity (AUCinf) Day 1 and Day 2 To characterize the AUCinf of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Dose normalized AUCinf (AUCinf/D) Day 1 and Day 2 To characterize the AUCinf/D of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Area under concentration curve from time 0 to the last quantifiable concentration (AUClast) Day 1 and Day 2 To characterize the AUClast of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Apparent terminal elimination half-life (t½λz) Day 1 and Day 2 To characterize the t½λz of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Urine concentrations of AZD2389 Day 1 and Day 2 To characterize the urine concentration of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Cumulative amount of unchanged drug excreted into urine from time t1 to time t2 [Ae(t1-t2)] Day 1 and Day 2 To characterize the Ae(t1-t2) of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part B (MAD): Plasma concentrations of AZD2389 Day 1 to Day 12 To characterize the plasma concentration of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part A (SAD): Terminal rate constant (λz) Day 1 and Day 2 To characterize the λz of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Apparent total body clearance of drug (CL/F) Day 1 and Day 2 To characterize the CL/F of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part B (MAD): Maximum observed plasma (peak) drug concentration (Cmax) Day 1 to Day 12 To characterize the Cmax of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Apparent volume of distribution based on the terminal phase (Vz/F) Day 1 to Day 12 To characterize the Vz/F of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part A (SAD): Change in PD biomarkers over time Day 1 and Day 2 To characterize the percentage change in PD biomarkers over time compared to baseline of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Dose normalized AUClast (AUClast/D) Day 1 and Day 2 To characterize the AUClast/D of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part A (SAD): Mean residence time (MRTinf) Day 1 and Day 2 To characterize the MRTinf of AZD2389 after single oral dosing in healthy participants, including Japanese and Chinese participants.
Part B (MAD): Area under concentration curve from time 0 to the last quantifiable concentration (AUClast) Day 1 to Day 12 To characterize the AUClast of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Area under the concentration-time curve in the dose interval (AUCtau) Day 1 to Day 12 To characterize the AUCtau of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Apparent total body clearance of drug (CL/F) Day 1 and Days 10 to 12 To characterize the CL/F of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Observed lowest concentration before the next dose is administered(Ctrough) Day 1 to Day 12 To characterize the Ctrough of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Urine concentrations of AZD2389 Day 1 and Days 10 to 12 To characterize the urine concentration of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Dose normalized AUCtau (AUCtau/D) Day 1 to Day 12 To characterize the AUCtau/D of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Dose normalized Cmax (Cmax/D) Day 1 to Day 12 To characterize the Cmax/D of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Accumulation ratio for AUC (Rac AUC) Day 1 to Day 12 To characterize the Rac AUC of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Time to reach peak or maximum observed concentration (tmax) Day 1 to Day 12 To characterize the tmax of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Change in PD biomarkers over time Days 1, 2, 4, 8, and 10 To characterize the percentage change in PD biomarkers over time compared to baseline of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Terminal rate constant (λz) Day 1 to Day 12 To characterize the λz of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Cumulative amount of unchanged drug excreted into urine from time t1 to time t2 [Ae(t1-t2)] Day 1 and Days 10 to 12 To characterize the Ae(t1-t2) of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Renal clearance (CLR) Day 1 and Days 10 to 12 To characterize the CLR of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Individual and cumulative percentage of dose excreted unchanged in urine from time t1 to time t2 [fe(t1-t2)] Day 1 and Days 10 to 12 To characterize the fe(t1-t2) of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Apparent terminal elimination half-life (t½λz) Day 1 to Day 12 To characterize the t½λz of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Part B (MAD): Accumulation ratio for Cmax (Rac Cmax) Day 1 to Day 12 To characterize the Rac Cmax of AZD2389 following oral administration of multiple ascending doses in healthy participants, including Japanese participants.
Trial Locations
- Locations (1)
Research Site
🇺🇸Glendale, California, United States