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Clinical Trials/NCT06138795
NCT06138795
Completed
Phase 1

A Phase I, Randomized, Single-blind, Placebo-controlled Study to Assess the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AZD2389 After Single and Multiple Ascending Doses to Healthy Participants.

AstraZeneca1 site in 1 country120 target enrollmentNovember 20, 2023
InterventionsAZD2389Placebo

Overview

Phase
Phase 1
Intervention
AZD2389
Conditions
Healthy Participants
Sponsor
AstraZeneca
Enrollment
120
Locations
1
Primary Endpoint
Part A (SAD): Number of participants with adverse events (AE) and serious adverse events (SAE)
Status
Completed
Last Updated
7 months ago

Overview

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.

Registry
clinicaltrials.gov
Start Date
November 20, 2023
End Date
August 24, 2025
Last Updated
7 months ago
Study Type
Interventional
Study Design
Sequential
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • 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.

Exclusion Criteria

  • 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.

Arms & Interventions

Cohort 6: Part A1 - AZD2389 dose 6 oral administration

A total of 6 study participants will receive a single dose of AZD2389.

Intervention: AZD2389

Cohort 5: Part A1 - AZD2389 dose 5 /placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: Placebo

Cohort 1: Part A1 - AZD2389 dose 1/placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: AZD2389

Cohort 1: Part A1 - AZD2389 dose 1/placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: Placebo

Cohort 2: Part A1 - AZD2389 dose 2/placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: AZD2389

Cohort 2: Part A1 - AZD2389 dose 2/placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: Placebo

Cohort 3: Part A1 - AZD2389 dose 3 /placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: AZD2389

Cohort 3: Part A1 - AZD2389 dose 3 /placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: Placebo

Cohort 4: Part A1 - AZD2389 dose 4 /placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: AZD2389

Cohort 4: Part A1 - AZD2389 dose 4 /placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: Placebo

Cohort 5: Part A1 - AZD2389 dose 5 /placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: AZD2389

Cohort 7: Part A2 - AZD2389 dose 7 /placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: AZD2389

Cohort 7: Part A2 - AZD2389 dose 7 /placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: Placebo

Cohort 8: Part A2 - AZD2389 dose 8 /placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: AZD2389

Cohort 8: Part A2 - AZD2389 dose 8 /placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: Placebo

Cohort 9: Part A2 - AZD2389 dose 9 /placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: AZD2389

Cohort 9: Part A2 - AZD2389 dose 9 /placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: Placebo

Cohort 10: Part A3 - AZD2389 dose 10 /placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: AZD2389

Cohort 10: Part A3 - AZD2389 dose 10 /placebo oral administration

A total of 6 study participants will receive a single dose of AZD2389 and 2 will receive placebo.

Intervention: Placebo

Cohort 11: Part B1 - AZD2389 dose 11 /placebo oral administration

A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo.

Intervention: AZD2389

Cohort 11: Part B1 - AZD2389 dose 11 /placebo oral administration

A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo.

Intervention: Placebo

Cohort 12: Part B1 - AZD2389 dose 12 /placebo oral administration

A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo.

Intervention: AZD2389

Cohort 12: Part B1 - AZD2389 dose 12 /placebo oral administration

A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo.

Intervention: Placebo

Cohort 13: Part B1 - AZD2389 dose 13 /placebo oral administration

A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo.

Intervention: AZD2389

Cohort 13: Part B1 - AZD2389 dose 13 /placebo oral administration

A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo.

Intervention: Placebo

Cohort 14: Part B2- AZD2389 dose 14/placebo oral administration

A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo.

Intervention: AZD2389

Cohort 14: Part B2- AZD2389 dose 14/placebo oral administration

A total of 6 study participants will receive multiple doses of AZD2389 and 2 will receive placebo.

Intervention: Placebo

Outcomes

Primary Outcomes

Part A (SAD): Number of participants with adverse events (AE) and serious adverse events (SAE)

Time Frame: 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

Time Frame: 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 Outcomes

  • Part A (SAD): Maximum observed plasma (peak) drug concentration (Cmax)(Day 1 and Day 2)
  • 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)
  • Part A (SAD): Time of last quantifiable concentration (tlast)(Day 1 and Day 2)
  • Part A (SAD): Plasma concentrations of AZD2389(Day 1 and Day 2)
  • Part A (SAD): Dose normalized Cmax (Cmax/D)(Day 1 and Day 2)
  • Part A (SAD): Time to reach peak or maximum observed concentration (tmax)(Day 1 and Day 2)
  • Part A (SAD): Apparent volume of distribution based on the terminal phase (Vz/F)(Day 1 and Day 2)
  • Part A (SAD): Dose normalized AUCinf (AUCinf/D)(Day 1 and Day 2)
  • Part B (MAD): Dose normalized AUClast (AUClast/D)(Day 1 to Day 12)
  • Part A (SAD): Area under plasma concentration time curve from zero to infinity (AUCinf)(Day 1 and Day 2)
  • Part A (SAD): Area under concentration curve from time 0 to the last quantifiable concentration (AUClast)(Day 1 and Day 2)
  • Part A (SAD): Apparent terminal elimination half-life (t½λz)(Day 1 and Day 2)
  • Part A (SAD): Urine concentrations of AZD2389(Day 1 and Day 2)
  • 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)
  • Part A (SAD): Terminal rate constant (λz)(Day 1 and Day 2)
  • Part A (SAD): Apparent total body clearance of drug (CL/F)(Day 1 and Day 2)
  • Part A (SAD): Renal clearance (CLR)(Day 1 and Day 2)
  • Part B (MAD): Plasma concentrations of AZD2389(Day 1 to Day 12)
  • Part B (MAD): Maximum observed plasma (peak) drug concentration (Cmax)(Day 1 to Day 12)
  • Part B (MAD): Apparent volume of distribution based on the terminal phase (Vz/F)(Day 1 to Day 12)
  • Part A (SAD): Dose normalized AUClast (AUClast/D)(Day 1 and Day 2)
  • Part A (SAD): Mean residence time (MRTinf)(Day 1 and Day 2)
  • Part A (SAD): Change in PD biomarkers over time(Day 1 and Day 2)
  • Part B (MAD): Area under concentration curve from time 0 to the last quantifiable concentration (AUClast)(Day 1 to Day 12)
  • Part B (MAD): Area under the concentration-time curve in the dose interval (AUCtau)(Day 1 to Day 12)
  • Part B (MAD): Apparent total body clearance of drug (CL/F)(Day 1 and Days 10 to 12)
  • Part B (MAD): Observed lowest concentration before the next dose is administered(Ctrough)(Day 1 to Day 12)
  • Part B (MAD): Urine concentrations of AZD2389(Day 1 and Days 10 to 12)
  • Part B (MAD): Dose normalized AUCtau (AUCtau/D)(Day 1 to Day 12)
  • Part B (MAD): Dose normalized Cmax (Cmax/D)(Day 1 to Day 12)
  • Part B (MAD): Accumulation ratio for AUC (Rac AUC)(Day 1 to Day 12)
  • Part B (MAD): Time to reach peak or maximum observed concentration (tmax)(Day 1 to Day 12)
  • Part B (MAD): Change in PD biomarkers over time(Days 1, 2, 4, 8, and 10)
  • Part B (MAD): Terminal rate constant (λz)(Day 1 to Day 12)
  • 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)
  • Part B (MAD): Renal clearance (CLR)(Day 1 and Days 10 to 12)
  • 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)
  • Part B (MAD): Apparent terminal elimination half-life (t½λz)(Day 1 to Day 12)
  • Part B (MAD): Accumulation ratio for Cmax (Rac Cmax)(Day 1 to Day 12)

Study Sites (1)

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