Inflammatory Diseases Clinical Trial
Official title:
A Blinded, Randomised, Placebo-controlled Study to Investigate the Safety, Tolerability, and Pharmacokinetics of an Oral Suspension of AZD6793 Following Single and Multiple Ascending Doses in Healthy Subjects, an Open-label Study to Assess the Relative Bioavailability and Food Effect of a Tablet Formulation of AZD6793 in Healthy Subjects and a Blinded, Randomised, Placebo-controlled Study to Investigate the Safety, Tolerability, and Pharmacokinetics of a Tablet Formulation of AZD6793 in Patients With Chronic Obstructive Pulmonary Disease
The purpose of the study is to assess the safety and tolerability of AZD6793 suspension following oral administration of Single Ascending Dose (SAD) [Part 1] and Multiple Ascending Dose (MAD) [Part 2] in healthy subjects. Additionally, the study will include Part 3 (bioavailability and food effect cohort) to assess the relative oral bioavailability between film-coated tablet and oral suspension (reference formulation) as well as the effect of a high fat high calorie (HFHC) meal on the PK of AZD6793 film-coated tablet, in comparison to fasting conditions, after a single oral dose of AZD6793 in healthy subjects.
Status | Recruiting |
Enrollment | 133 |
Est. completion date | October 8, 2024 |
Est. primary completion date | October 8, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 55 Years |
Eligibility | Inclusion Criteria: - Healthy male or female subjects aged 18 to 55 years with suitable veins for cannulation or repeated venepuncture - Females must have a negative pregnancy test must not be lactating and must be either (a) non-childbearing potential, confirmed by post-menopausal defined as amenorrhea for at least 12 months; documentation of irreversible surgical sterilisation or (b) childbearing potential, i.e., fertile, following menarche and until becoming post-menopausal unless permanently sterile (Must agree to use, with their partner, an approved method of highly effective contraception). - Male subjects and their female partners of childbearing potential must be willing to use highly effective contraception measures and male subjects must refrain from donating sperm or fathering a child from the first day of dosing until 3 months after the last dose of IMP. - Have a BMI between 18 and 30 kg/m2 inclusive and weigh at least 50 kg, at the Screening Visit. Exclusion Criteria: - History or presence of gastrointestinal, hepatic, renal, pancreatic disease or acute disease in these organs. - History of chronic haematologic disease. - Diagnosis or history of immunodeficiency or increased susceptibility to severe infection, or a clinically significant infection - Any clinically important illness, medical/surgical procedure or trauma within 4 weeks of the first administration of IMP. - Parts 1 and 2 only: Positive or indeterminate QuantiFERON® Tuberculosis (TB) test at screening. - Any clinically important abnormalities in clinical chemistry, haematology or urinalysis results - Any positive result on Screening for serum Hepatitis B surface antigen (HBsAg), hepatitis C antibody and Human immunodeficiency virus (HIV). - Any clinically important abnormalities in rhythm, conduction or morphology of the resting Electrocardiogram (ECG) and any clinically important abnormalities in the 12 lead ECG. - Known or suspected history of alcohol and drug abuse in the last year. - Current smokers or those who have smoked or used nicotine products (including e cigarettes) within the previous 3 months. - History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity, or history of hypersensitivity to drugs with a similar chemical structure or class to AZD6793. - Excessive intake of caffeine containing drinks or food - Use of drugs with enzyme inducing properties such as St John's Wort within 3 weeks prior to the first administration of IMP. - Use of any prescribed or nonprescribed medication including antacids, analgesics (other than paracetamol/acetaminophen), herbal remedies, mega dose vitamins (intake of 20 to 600 times the recommended daily dose) and minerals during the 2 weeks prior to the first administration of IMP or longer if the medication has a long half life - 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. - Parts 2 and 3 only: Subjects who have previously received AZD6793. |
Country | Name | City | State |
---|---|---|---|
United Kingdom | Research Site | Harrow | |
United Kingdom | Research Site | Wythenshawe |
Lead Sponsor | Collaborator |
---|---|
AstraZeneca |
United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Part 1 (SAD): Number of subjects with adverse events | Safety and tolerability of AZD6793 following oral administration of SAD in healthy subjects. | From screening up to Follow up visit (Day 6±1) | |
Primary | Part 2 (MAD): Number of subjects with adverse events | Safety and tolerability of AZD6793 following oral administration of MAD in healthy subjects. | From screening up to Follow up visit (Day 14±1) | |
Primary | Part 1 (SAD): Number of subjects with abnormal findings in vital signs (supine Blood Pressure (BP), pulse, respiratory rate, peripheral oxygen saturation (SpO2) and oral body temperature) | Safety and tolerability of AZD6793 following oral administration of SAD in healthy subjects. | From screening, Treatment Day 1 to Day 4 up to Follow up visit (Day 6±1) | |
Primary | Part 2 (MAD): Number of subjects with abnormal findings in vital signs (supine Blood Pressure (BP), pulse, respiratory rate, peripheral oxygen saturation (SpO2) and oral body temperature) | Safety and tolerability of AZD6793 following oral administration of MAD in healthy subjects. | From screening, Treatment Day -1 to Day 10 up to Follow up visit (Day 14±1) | |
Primary | Part 1 (SAD): Number of subjects with abnormal findings in 12 Lead electrocardiogram (ECG) | Safety and tolerability of AZD6793 following oral administration of SAD in healthy subjects. | From screening, Treatment Day -1 to Day 4 up to Follow up visit (Day 6±1) | |
Primary | Part 2 (MAD): Number of subjects with abnormal findings in 12 Lead electrocardiogram (ECG) | Safety and tolerability of AZD6793 following oral administration of MAD in healthy subjects. | From screening, Treatment Day -1 to Day 10 up to Follow up visit (Day 14±1) | |
Primary | Part 1 (SAD): Number of subjects with abnormal findings in 12 Lead Digital electrocardiogram (dECG) | Safety and tolerability of AZD6793 following oral administration of SAD in healthy subjects. | Day 1 to Day 3 | |
Primary | Part 2 (MAD): Number of subjects with abnormal findings in 12 Lead Digital electrocardiogram (dECG) | Safety and tolerability of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 3, Day 5, Day 8 to Day 10 | |
Primary | Part 1 (SAD): Number of subjects with abnormal findings in Telemetry | Safety and tolerability of AZD6793 following oral administration of SAD in healthy subjects. | Day -1 to Day 3 | |
Primary | Part 2 (MAD): Number of subjects with abnormal findings in Telemetry | Safety and tolerability of AZD6793 following oral administration of MAD in healthy subjects. | Day -1 to Day 2 and Day 8 to Day 10 | |
Primary | Part 1 (SAD): Number of subjects with abnormal findings in Physical examinations | Safety and tolerability of AZD6793 following oral administration of SAD in healthy subjects. | From screening, Treatment Day -1 to 4 and follow up visit | |
Primary | Part 2 (MAD): Number of subjects with abnormal findings in Physical examinations | Safety and tolerability of AZD6793 following oral administration of MAD in healthy subjects. | From screening, Treatment Day -1 to 10 and follow up visit | |
Primary | Part 1 (SAD): Number of subjects with abnormal findings in Laboratory assessments (haematology, serum clinical chemistry, and urinalysis) | Safety and tolerability of AZD6793 following oral administration of SAD in healthy subjects. | From screening, Treatment Day -1, Day 2, Day 4 and Follow up visit (Day 6±1) | |
Primary | Part 2 (MAD): Number of subjects with abnormal findings in Laboratory assessments (haematology, serum clinical chemistry, and urinalysis) | Safety and tolerability of AZD6793 following oral administration of MAD in healthy subjects. | From screening, Treatment Day -1 to Day 10 up to Follow up visit (Day 14±1) | |
Primary | Part 3 (Bioavailability): Maximum observed plasma (peak) drug concentration [Cmax] | Evaluating the relative oral bioavailability between the test formulation and the reference formulation after a single oral dose of AZD6793 in healthy subjects. | Day 1 to Day 3 | |
Primary | Part 3 (Bioavailability): Area under plasma concentration-time curve from zero to infinity [AUCinf] | Evaluating the relative oral bioavailability between the test formulation and the reference formulation after a single oral dose of AZD6793 in healthy subjects. | Day 1 to Day 3 | |
Primary | Part 3 (Food effect): Cmax of AZD6793 | Investigating the effect of a high fat high calorie (HFHC) meal compared to fasting conditions, on the PK of AZD6793 after a single oral dose in healthy subjects. | Day 1 to Day 3 | |
Primary | Part 3 (Food effect): AUCinf of AZD6793 | Investigating the effect of a high fat high calorie (HFHC) meal compared to fasting conditions, on the PK of AZD6793 after a single oral dose in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 1 (SAD): Partial area under the plasma concentration time curve from time 0 to time 12 (AUC(0-12)) | Characterizing pharmacokinetics of AZD6793 following oral administration of SAD in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 1 (SAD): Partial area under the plasma concentration time curve from time 0 to time 24 (AUC(0-24)) | Characterizing pharmacokinetics of AZD6793 following oral administration of SAD in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 2 (MAD): Partial area under the plasma concentration time curve from time 0 to time 24 (AUC(0-24)) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 2 (MAD): Area under plasma concentration time curve in the dosing interval t (AUCt) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 1 (SAD): Area under the plasma concentration time curve from time zero extrapolated to infinity divided by the dose administered (Dose normalised AUCinf) | Characterizing pharmacokinetics of AZD6793 following oral administration of SAD in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 2 (MAD): Area under the plasma concentration-time curve from time zero to the dosing interval t concentration divided by the dose administered (Dose normalised AUCt) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 1 (SAD): Area under the plasma concentration time curve from time zero to time of last quantifiable analyte concentration divided by the dose administered (Dose normalised AUClast) | Characterizing pharmacokinetics of AZD6793 following oral administration of SAD in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 2 (MAD): Area under the plasma concentration time curve from time zero to time of last quantifiable analyte concentration divided by the dose administered (Dose normalised AUClast) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 1 (SAD): Maximum observed plasma (peak) drug concentration (Cmax) | Characterizing pharmacokinetics of AZD6793 following oral administration of SAD in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 2 (MAD): Maximum observed plasma (peak) drug concentration (Cmax) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 1 (SAD): Time to reach peak or maximum observed concentration or response following drug administration (tmax) | Characterizing pharmacokinetics of AZD6793 following oral administration of SAD in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 2 (MAD): Time to reach peak or maximum observed concentration or response following drug administration (tmax) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 1 (SAD): Terminal rate constant, estimated by log linear least squares regression of the terminal part of the concentration time curve (?z) | Characterizing pharmacokinetics of AZD6793 following oral administration of SAD in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 2 (MAD): Terminal rate constant, estimated by log linear least squares regression of the terminal part of the concentration time curve (?z) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 1 (SAD): Half life associated with terminal slope (?z) of a semi logarithmic concentration time curve ( t½?z) | Characterizing pharmacokinetics of AZD6793 following oral administration of SAD in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 2 (MAD): Half life associated with terminal slope (?z) of a semi logarithmic concentration time curve ( t½?z) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 1 (SAD): Area under plasma concentration time curve from zero to infinity (AUCinf) | Characterizing pharmacokinetics of AZD6793 following oral administration of SAD in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 2 (MAD): Area under plasma concentration time curve from zero to infinity (AUCinf) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 1 (SAD): Area under the plasma concentration curve from zero to the last quantifiable concentration (AUClast) | Characterizing pharmacokinetics of AZD6793 following oral administration of SAD in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 2 (MAD): Area under the plasma concentration curve from zero to the last quantifiable concentration (AUClast) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 1 (SAD): Apparent total body clearance of drug from plasma after extravascular administration (CL/F) | Characterizing pharmacokinetics of AZD6793 following oral administration of SAD in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 2 (MAD): Apparent total body clearance of drug from plasma after extravascular administration (CL/F) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 1 (SAD): Volume of distribution (apparent) at steady state following extravascular administration (based on terminal phase) (Vz/F) | Characterizing pharmacokinetics of AZD6793 following oral administration of SAD in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 2 (MAD): Volume of distribution (apparent) at steady state following extravascular administration (based on terminal phase) (Vz/F) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 1 (SAD): Maximum observed plasma (peak) drug concentration divided by the dose administered (Dose normalised Cmax). | Characterizing pharmacokinetics of AZD6793 following oral administration of SAD in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 2 (MAD): Maximum observed plasma (peak) drug concentration divided by the dose administered (Dose normalised Cmax) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 2 (MAD): Concentration at the end of the dosing interval (Ctrough) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 2 (MAD): Ratio of the area under the curve (Rac AUC) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 2 (MAD): Accumulation ratio based on Cmax (Rac Cmax) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 to Day 10 | |
Secondary | Part 2 (MAD): Cumulative amount of unchanged drug excreted into urine from time t1 to time t2 [Ae(t1 t2)] | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 and Day 8 | |
Secondary | Part 2 (MAD): Cumulative amount of unchanged drug excreted into urine (Aeinf) | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 and Day 8 | |
Secondary | Part 2 (MAD): Renal clearance of drug from plasma (CLR) assessed in urine | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 and Day 8 | |
Secondary | Part 2 (MAD): Temporal change parameter (TCP) assessed in urine | Characterizing pharmacokinetics of AZD6793 following oral administration of MAD in healthy subjects. | Day 1 and Day 8 | |
Secondary | Part 3 (Bioavailability): Cmax of AZD6793 (test Vs reference formulation) | To assess the PK profiles of AZD6793 when administered as a test formulation versus reference formulation in healthy subjects | Day 1 to Day 3 | |
Secondary | Part 3 (Bioavailability): tmax of AZD6793 (test Vs reference formulation) | To assess the PK profiles of AZD6793 when administered as a test formulation versus reference formulation in healthy subjects | Day 1 to Day 3 | |
Secondary | Part 3 (Bioavailability): ?z of AZD6793 (test Vs reference formulation) | To assess the PK profiles of AZD6793 when administered as a test formulation versus reference formulation in healthy subjects | Day 1 to Day 3 | |
Secondary | Part 3 (Bioavailability): t½?z of AZD6793 (test Vs reference formulation) | To assess the PK profiles of AZD6793 when administered as a test formulation versus reference formulation in healthy subjects | Day 1 to Day 3 | |
Secondary | Part 3 (Bioavailability): AUC(0-12) of AZD6793 (test Vs reference formulation) | To assess the PK profiles of AZD6793 when administered as a test formulation versus reference formulation in healthy subjects | Day 1 to Day 3 | |
Secondary | Part 3 (Bioavailability): AUC(0-24) of AZD6793 (test Vs reference formulation) | To assess the PK profiles of AZD6793 when administered as a test formulation versus reference formulation in healthy subjects | Day 1 to Day 3 | |
Secondary | Part 3 (Bioavailability): AUClast of AZD6793 (test Vs reference formulation) | To assess the PK profiles of AZD6793 when administered as a test formulation versus reference formulation in healthy subjects | Day 1 to Day 3 | |
Secondary | Part 3 (Bioavailability): AUCinf of AZD6793 (test Vs reference formulation) | To assess the PK profiles of AZD6793 when administered as a test formulation versus reference formulation in healthy subjects | Day 1 to Day 3 | |
Secondary | Part 3 (Bioavailability): CL/F of AZD6793 (test Vs reference formulation) | To assess the PK profiles of AZD6793 when administered as a test formulation versus reference formulation in healthy subjects | Day 1 to Day 3 | |
Secondary | Part 3 (Bioavailability): Vz/F of AZD6793 (test Vs reference formulation) | To assess the PK profiles of AZD6793 when administered as a test formulation versus reference formulation in healthy subjects | Day 1 to Day 3 | |
Secondary | Part 3 (Bioavailability) :Relative bioavailability calculated as test AUC/reference AUC [Frel AUC] | To assess the PK profiles of AZD6793 when administered as a test formulation versus reference formulation in healthy subjects | Day 1 to Day 3 | |
Secondary | Part 3 (Bioavailability): Relative bioavailability calculated as test Cmax/reference Cmax [Frel Cmax] | To assess the PK profiles of AZD6793 when administered as a test formulation versus reference formulation in healthy subjects | Day 1 to Day 3 | |
Secondary | Part 3 (Food effect): Cmax of AZD6793 (under fasted and fed state) | To examine the PK profiles of AZD6793 (film-coated tablet only) under fasted and fed (after intake of a HFHC meal) conditions in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 3 (Food effect): tmax of AZD6793 (under fasted and fed state) | To examine the PK profiles of AZD6793 (film-coated tablet only) under fasted and fed (after intake of a HFHC meal) conditions in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 3 (Food effect): ?z of AZD6793 (under fasted and fed state) | To examine the PK profiles of AZD6793 (film-coated tablet only) under fasted and fed (after intake of a HFHC meal) conditions in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 3 (Food effect): t½?z of AZD6793 (under fasted and fed state) | To examine the PK profiles of AZD6793 (film-coated tablet only) under fasted and fed (after intake of a HFHC meal) conditions in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 3 (Food effect): AUC(0-12) of AZD6793 (under fasted and fed state) | To examine the PK profiles of AZD6793 (film-coated tablet only) under fasted and fed (after intake of a HFHC meal) conditions in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 3 (Food effect): AUC(0-24) of AZD6793 (under fasted and fed state) | To examine the PK profiles of AZD6793 (film-coated tablet only) under fasted and fed (after intake of a HFHC meal) conditions in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 3 (Food effect): AUClast of AZD6793 (under fasted and fed state) | To examine the PK profiles of AZD6793 (film-coated tablet only) under fasted and fed (after intake of a HFHC meal) conditions in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 3 (Food effect): AUCinf of AZD6793 (under fasted and fed state) | To examine the PK profiles of AZD6793 (film-coated tablet only) under fasted and fed (after intake of a HFHC meal) conditions in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 3 (Food effect): CL/F of AZD6793 (under fasted and fed state) | To examine the PK profiles of AZD6793 (film-coated tablet only) under fasted and fed (after intake of a HFHC meal) conditions in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 3 (Food effect): Vz/F of AZD6793 (under fasted and fed state) | To examine the PK profiles of AZD6793 (film-coated tablet only) under fasted and fed (after intake of a HFHC meal) conditions in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 3 (Food effect) :Frel AUC of AZD6793 (under fasted and fed state) | To examine the PK profiles of AZD6793 (film-coated tablet only) under fasted and fed (after intake of a HFHC meal) conditions in healthy subjects. | Day 1 to Day 3 | |
Secondary | Part 3 (Food effect): Frel Cmax of AZD6793 (under fasted and fed state) | To examine the PK profiles of AZD6793 (film-coated tablet only) under fasted and fed (after intake of a HFHC meal) conditions in healthy subjects. | Day 1 to Day 3 |
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