Phase 1
Completed N=45
Single + Multiple Ascending Dose and Food Effect Study of AZD7986 in Healthy Volunteers, PK, PD and Safety Study
Safety, Pharmacokinetics, Pharmacodynamics, Food Effect
Source: ClinicalTrials.gov NCT02303574 ↗
Enrolled (actual)
45
Serious AEs
0.0%
Results posted
Dec 2018
Primary outcomePrimary: Safety and Tolerability of AZD7986 by Assessment of the Number of Adverse Events (AEs) Following Administration of Oral Solution in Single Ascending Dose (SAD - Part 1a and 1b) and Multiple Ascending Doses (MAD -Part 2) — 8; 2; 23; 8 Participants
Summary
This is a phase I, randomised, single-blind placebo-controlled, 2-part study to assess the safety, tolerability, pharmacokinetics, pharmacodynamics and food effect of single and multiple oral doses of AZD7986 in healthy volunteers
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Safety and Tolerability of AZD7986 by Assessment of the Number of Adverse Events (AEs) Following Administration of Oral Solution in Single Ascending Dose (SAD - Part 1a and 1b) and Multiple Ascending Doses (MAD -Part 2) |
8; 2; 23; 8; 1; 8 | — |
| PRIMARY Rate and Extent of Absorption AZD7986 by Assessment of the Area Under the Plasma Concentration Versus Time Curve, From Time Zero to the Time of the Last Quantifiable Concentration (AUC(0-last)) for Part 1a and 1b - SAD |
839.0; 3855; 12430; 16470; 22880; 10790 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of the Area Under the Plasma Concentration Versus Time Curve, From Time Zero to the Time of the Last Quantifiable Analyte Concentration (AUC(0-last)) for Part 2 - MAD |
1278; 3256; 6427; 5135; 14320; 29550 | — |
| PRIMARY Rate and Extent of Absorption AZD7986 by Assessment of the Area Under Plasma Concentration-time Curve From Zero Extrapolated to Infinity (AUC) for Part 1a and 1b - SAD |
915.3; 4165; 13230; 17590; 24710; 11550 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of the Area Under Plasma Concentration-time Curve From Zero Extrapolated to Infinity (AUC) for Part 2 - MAD |
1778; 4957; 9866; 5565; 16660; 33220 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of Area Under the Plasma Concentration-time Curve From Time Zero to the End of the Dosing Interval (AUCτ) for Part 2 - MAD |
1277; 3259; 6433; 2834; 7499; 15660 | — |
| PRIMARY Rate and Extent of Absorption AZD7986 by Assessment of the Observed Maximum Plasma Concentration (Cmax) for Part 1a and 1b - SAD |
50.74; 202.3; 668.1; 1035; 1358; 434.8 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of the Observed Maximum Plasma Concentration (Cmax) for Part 2 - MAD |
138.6; 350.9; 672.0; 246.3; 598.1; 1235 | — |
| PRIMARY Rate and Extent of Absorption AZD7986 by Assessment of the Time to Reach Maximum Observed Concentration (Tmax) for Part 1a and 1b - SAD |
0.50; 0.75; 0.75; 0.64; 0.75; 4.00 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of the Time to Reach Maximum Observed Concentration (Tmax) for Part 2 - MAD |
1.51; 0.75; 0.75; 1.50; 0.75; 1.12 | — |
| PRIMARY Rate and Extent of Absorption AZD7986 by Assessment of the Apparent Terminal Elimination Half-life (t½.λz) for Part 1a and 1b - SAD |
19.96; 25.92; 23.80; 24.52; 25.50; 24.24 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of the Apparent Terminal Elimination Half-life (t½.λz) for Part 2 - MAD |
12.82; 14.85; 15.85; 25.85; 33.78; 30.04 | — |
| PRIMARY Rate and Extent of Absorption AZD7986 by Assessment of the Mean Residence Time (MRT) for Part 1a and 1b - SAD |
27.03; 34.94; 32.15; 32.19; 33.76; 33.73 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of Mean Residence Time (MRT) for Part 2 - MAD |
18.56; 21.84; 22.64; 33.73; 40.16; 37.46 | — |
| PRIMARY Rate and Extent of Absorption AZD7986 by Assessment of the Apparent Clearance (CL/F) for Part 1a and 1b - SAD |
14.23; 8.606; 6.395; 6.938; 6.371; 7.363 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of the Apparent Clearance (CL/F) for Part 2 - MAD |
13.61; 12.20; 10.24; 8.786; 8.165; 6.577 | — |
| PRIMARY Rate and Extent of Absorption AZD7986 by Assessment of the Apparent Volume of Distribution (Vz/F) for Part 1a and 1b - SAD |
385.1; 318.8; 215.8; 236.8; 231.0; 249.5 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of the Apparent Volume of Distribution (Vz/F) for Part 2 - MAD |
248.9; 256.7; 222.7; 311.8; 393.2; 269.6 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of the Accumulation Ratio for (Rac(AUC(0-τ)) for Part 2 - MAD |
NA; NA; NA; 2.257; 2.330; 2.476 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of the Accumulation Ratio for Cmax (Rac(Cmax)) for Part 2 - MAD |
NA; NA; NA; 1.799; 1.667; 1.881 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of the Temporal Change Parameter (TCP) for Part 2 - MAD |
NA; NA; NA; 1.610; 1.535; 1.599 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of Urine PK Parameter (Cumulative Amount of Analyte Excreted From 0 to 48 Hours (CumAe0-48)) Following Administration of Single Dose Oral Solution for Part 1a and 1b - SAD |
1318; 4820; 16530; 19660; 27770; 18420 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of Urine PK Parameter (Percentage of Dose Excreted Unchanged Into the Urine From 0 to 48 Hours (Cumfe0-48)) Following Administration of Single Dose Oral Solution for Part 1a and 1b - SAD |
11.09; 13.51; 19.86; 16.53; 17.97; 22.13 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of Urine PK Parameter (Renal Clearance From 0 to 48 Hours (CLR0-48)) Following Administration of Single Dose Oral Solution for Part 1a and 1b - SAD |
1.734; 1.544; 1.619; 1.430; 1.477; 2.097 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of Urine PK (Cumulative Amount of Analyte Excreted From 0 to 24 Hours (CumAe0-24)) Parameters for Part 2 - MAD |
2295; 5540; 11390; 4002; 11960; 24970 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of Urine PK (Percentage of Dose Excreted Unchanged Into the Urine From 0 to 24 Hours (Cumfe0-24)) Parameter for Part 2 - MAD |
9.650; 9.319; 11.98; 16.83; 20.12; 26.25 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of Urine PK (Renal Clearance From 0 to 24 Hours (CLR0-24)) Parameter for Part 2 - MAD |
1.784; 1.685; 1.782; NA; NA; NA | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of Urine PK (Cumulative Amount of Analyte Excreted From 0 to 48 Hours (CumAe0-48)) Parameter for Part 2 - MAD |
NA; NA; NA; 6525; 18680; 36160 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of Urine PK (Percentage of Dose Excreted Unchanged Into the Urine From 0 to 48 Hours (Cumfe0 48)) Parameter for Part 2 - MAD |
NA; NA; NA; 27.44; 31.42; 38.01 | — |
| PRIMARY Rate and Extent of Absorption of AZD7986 by Assessment of Urine PK (Renal Clearance From 0 to 48 Hours (CLR0-48)) Parameter for Part 2 - MAD |
NA; NA; NA; 1.508; 1.618; 1.527 | — |
| SECONDARY Effect of Food on Absorption AZD7986 by Assessment of the Area Under the Plasma Concentration Versus Time Curve, From Time Zero to the Time of the Last Quantifiable Concentration (AUC(0-last)) for Part 1a and 1b - SAD |
12430; 10790 | — |
| SECONDARY Effect of Food on Absorption AZD7986 by Assessment of the Area Under Plasma Concentration-time Curve From Zero Extrapolated to Infinity (AUC) for Part 1a and 1b - SAD |
13230; 11550 | — |
| SECONDARY Effect of Food on Absorption AZD7986 by Assessment of the Observed Maximum Plasma Concentration (Cmax) for Part 1a and 1b - SAD |
668.1; 434.8 | — |
| SECONDARY Effect of Food on Absorption AZD7986 by Assessment of the Time to Reach Maximum Observed Concentration (Tmax) for Part 1a and 1b - SAD |
0.75; 4.00 | — |
| SECONDARY Effect of Food on Absorption AZD7986 by Assessment of the Apparent Terminal Elimination Half-life (t½.λz) for Part 1a and 1b - SAD |
23.80; 24.24 | — |
| SECONDARY Effect of Food on Absorption AZD7986 by Assessment of the Mean Residence Time (MRT) for Part 1a and 1b - SAD |
32.15; 33.73 | — |
| SECONDARY Effect of Food on Absorption AZD7986 by Assessment of the Apparent Clearance (CL/F) for Part 1a and 1b - SAD |
6.395; 7.363 | — |
| SECONDARY Effect of Food on Absorption AZD7986 by Assessment of the Apparent Volume of Distribution (Vz/F) for Part 1a and 1b - SAD |
215.8; 249.5 | — |
| SECONDARY Assessment of Mean Normalized Relative Neutrophil Elastase (NE) Activity in All Cohorts of Part 2 |
-7.53; -28.25; -28.10; 7.39; -26.13; -36.73 | — |
| SECONDARY Assessment of Absolute Neutrophil Count (ANC) in All Cohorts of Part 2 |
2.757; 2.881; 2.560; 2.945; NA; 3.401 | — |
Eligibility Criteria
Inclusion Criteria
- Provision of signed and dated written informed consent prior to any study specific procedures.
- Healthy male or female subjects aged 18 to 50 years (inclusive) at screening with suitable veins for cannulation or repeated venepuncture.
- Females must be of non-child-bearing potential, confirmed at screening by fulfilling one of the following criteria:
- Post-menopausal defined as amenorrhoea for at least 12 months or more following cessation of all exogenous hormonal treatments and follicle stimulating hormone (FSH) and luteinising hormone (LH) levels in the post menopausal range.
- Documentation of irreversible surgical sterilisation by hysterectomy, bilateral oophorectomy or bilateral salpingectomy but not tubal ligation.
- Male subjects must be non fertile, i.e., surgically sterilised with documentation of azoospermia or must practice an effective contraceptive method to prevent pregnancies. Effective contraceptive methods are:
- Sexual abstinence from before the first administration of the IMP until 3 months after final administration of the IMP, only if this is in line with the preferred and usual lifestyle of the subject.
- Use of a condom plus spermicide agent in addition to having their partner use another acceptable method (oral or injectable hormonal contraceptives, contraceptive patch, intrauterine devices, vaginal hormonal rings, vaginal diaphragm or cervical caps) from before the first administration of the IMP until 3 months after final administration of the IMP.
- Subject's sexual partner is of non childbearing potential, i.e., post menopausal or surgically sterilised (e.g., tubal ligation, hysterectomy in medical history).
- Have a body mass index (BMI) between 18.0 and 30.0 kg/m2 inclusive and weigh at least 50 kg and no more than 100 kg inclusive at screening.
Exclusion Criteria
- History of any clinically significant disease or disorder which, in the opinion of the Investigator, may either put the subject at risk because of participation in the study, or influence the results or the subject's ability to participate in the study.
- History or presence of gastrointestinal, hepatic or renal disease, or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
- Any clinically important illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of IMP.
- Subject has increased risk of infection:
- History and/or presence of tuberculosis (TB); positive result for interferon gamma release assay (IGRA) (i.e., QuantiFERON TB-Gold), subjects who have resided in regions where tuberculosis and mycosis are endemic during 90 days before screening, or who intend to visit such a region during the duration of the study i.e. deserts areas, Eastern Europe, Central and South America, Africa except Egypt, Russia, Asia, Indonesia
- Oral body temperature of > 37.7°C on Day -1, or as judged by the Investigator.
- Blood neutrophil count < 1.7 x109/L (Screening and Day -1 morning sample).
- Is in high risk-group for HIV infection within the last 6 months (i.e., men who have had unprotected sex with men, women who have had sex without a condom with men who have sex with men, people who have had sex without a condom with a person who has lived or travelled in Africa, people who inject drugs, people who have had sex without a condom with somebody who has injected drugs, people who have caught another sexually transmitted infection, people who have received a blood transfusion while in Africa, eastern Europe, the countries of the former Soviet Union, Asia or central and southern America).
- Other latent or chronic infections (e.g., recurrent sinusitis, genital or ocular herpes, urinary tract infection) or at risk of infection (surgery, trauma, or significant infection) within 90 days of screening, or history of skin abscesses within 90 days of screening.
- Clinically significant lower respiratory tract infection not resolved wi
Data sourced from ClinicalTrials.gov (NCT02303574). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.