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Phase 1 N=23 Randomized Single-blind Basic Science

A Study to Assess the Pharmacodynamic Effect of Single Doses of AZD9977 in Healthy Male Subjects

Pharmacodynamics · Healthy Subjects

Enrolled (actual)
23
Serious AEs
0.0%
Results posted
Mar 2017
Primary outcome: Primary: Pharmacodynamics of AZD9977 Assessed Per Sodium/Potassium Ratio in Urine in Eplerenone Treatment Versus a Combination Treatment of Eplerenone and AZD9977. — -0.545; 0.694 sodium/potassium ratio

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
AZD9977 oral suspension (Drug); AZD9977 placebo oral suspension (Drug); Fludrocortisone, tablets (Drug); Eplerenone, tablets (Drug)
Age
Adult · 18+ yrs
Sex
Male
Sponsor
AstraZeneca
Primary completion
Dec 2015

Outcome Measures

OutcomeResultp-value
PRIMARY
Pharmacodynamics of AZD9977 Assessed Per Sodium/Potassium Ratio in Urine in Eplerenone Treatment Versus a Combination Treatment of Eplerenone and AZD9977.
-0.545; 0.694
SECONDARY
Observed Maximum Concentration (Cmax) of AZD9977
6238; 5816
SECONDARY
Area Under Plasma Concentration-time Curve From Zero Extrapolated to Infinity (AUC) of AZD9977.
21060; 19120
SECONDARY
Area Under the Plasma Concentration-time Curve From Time Zero to t Hours After Dosing (AUC[0-t]) of AZD9977.
19970; 18520
SECONDARY
Time to Reach Maximum Concentration (Tmax) of AZD9977.
0.52; 0.50
SECONDARY
Terminal Half-life (t½λz) of AZD9977.
6.753; 6.726
SECONDARY
Apparent Clearance (CL/F) of AZD9977.
23.78; 26.20
SECONDARY
Apparent Volume of Distribution at Terminal Phase (Vz/F) of AZD9977.
246.7; 220.4
SECONDARY
Apparent Volume of Distribution at Terminal Phase (Vz/F) of Eplerenone.
49.11; 44.77
SECONDARY
Apparent Clearance (CL/F) of Eplerenone.
10.87; 9.360
SECONDARY
Terminal Half-life (t½λz) of Eplerenone.
3.232; 3.419
SECONDARY
Time to Reach Maximum Concentration (Tmax) of Eplerenone.
1.98; 2.00
SECONDARY
Observed Maximum Concentration (Cmax) of Eplerenone.
1557; 1729
SECONDARY
Area Under the Plasma Concentration-time Curve From Time Zero to t Hours After Dosing (AUC(0-t)) of Eplerenone.
9035; 10510
SECONDARY
Area Under Plasma Concentration-time Curve From Zero Extrapolated to Infinity (AUC) of Eplerenone.
9199; 10680
SECONDARY
Pharmacodynamics of AZD9977 Assessed Per Sodium/Potassium Ratio in Urine in AZD9977 Treatment With Placebo Versus Treatment With AZD9977.
-4.09; -0.694
SECONDARY
Number of Participants With Clinically Significant Blood Pressure Values.
0; 0; 0; 0
SECONDARY
Number of Participants With Clinically Significant Pulse Rate.
0; 0; 0; 0
SECONDARY
Number of Participants With Clinically Significant Electrocardiogram.
0; 0; 0; 0
SECONDARY
Number of Participants With Clinically Significant Physical Examination Values.
0; 0; 0; 0
SECONDARY
Number of Participants With Clinically Significant Safety Laboratory Tests Values.
0; 0; 0; 0
SECONDARY
Pharmacodynamics of AZD9977 Assessed by Estimating the Fractional Sodium Excretion in Urine for Each Urine Collection Time Interval.
0.34; 0.33; 0.32; 0.33; 0.22; 0.48
SECONDARY
Pharmacodynamics of AZD9977 Assessed Per Total Sodium Excreted Cumulatively and During Each of the Urine Collection Intervals.
7; 8; 7; 7; 12; 17
SECONDARY
Pharmacodynamics of AZD9977 Assessed Per Fractional Potassium Excretion in Urine for Each Urine Collection Time Interval.
21.72; 22.19; 21.14; 21.66; 22.26; 20.30
SECONDARY
Pharmacodynamics of AZD9977 by Assessment of Total Potassium Excreted Cumulatively and During Each of the Urine Collection Intervals
13.6; 14.5; 14.0; 13.7; 29.0; 26.7
SECONDARY
Pharmacodynamics of AZD9977 Assessed Per Urine Production for Each Urine Collection Time Interval.
321.4; 309.3; 284.5; 294.9; 303.5; 288.6
SECONDARY
Pharmacodynamics of AZD9977 by Assessment of Total Urine Volume Excreted Cumulatively and During Each of the Urine Collection Intervals
307.4; 320.2; 305.0; 298.8; 579.5; 556.3

Summary

This is a Phase I, Randomized, Single-Blind, Crossover Study to Assess the Pharmacodynamics of AZD9977 following Single-Dose administration to healthy male subjects

Eligibility Criteria

Inclusion criteria

  • Provision of signed and dated written informed consent prior to any study specific procedures.
  • Healthy male subjects aged 18 to 50 years with suitable veins for cannulation or repeated venipuncture.
  • Male subjects must accept to comply with the restrictions for sexual activity provided to them.
  • Have a body mass index (BMI) between 18 and 30 kg/m2 inclusive and weigh at least 50 kg and no more than 100 kg inclusive.
  • Optional: Provision of signed and dated written informed consent for genetic research.

Note: Participation in exploratory biomarker research is mandatory. If a subject declines to participate in the genetic component of the study, there will be no penalty or loss of benefit to the subject. The subject will not be excluded from other aspects of the study described in this protocol.

  • Able to understand, read and speak the English language.

Exclusion criteria

  • History of any clinically significant disease or disorder which, in the opinion of the investigator, may either put the potential subject at risk because of participation in the study, or influences the results or the potential 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 significant illness, medical/surgical procedure, or trauma within 4 weeks of first dosing with investigational medicinal product (IMP).
  • Any clinically significant abnormalities in hematology, clinical chemistry or urinalysis results, as judged by the investigator.
  • Abnormal findings in vital signs, after 10 minutes resting in the supine position, defined as any of the following:
  • Systolic blood pressure (SBP) 85 beats per minute (bpm)
  • Any clinically significant abnormalities on the 12-lead electrocardiogram (ECG), as judged by the investigator.
  • Any positive result at screening for serum hepatitis B surface antigen (HBsAg), hepatitis C antibody, and human immunodeficiency virus (HIV) antibodies.
  • Known or suspected history of drug abuse, as judged by the investigator.
  • Has received another new chemical entity (defined as a compound which has not been approved for marketing) within 3 months of first dosing. The period of exclusion begins 3 months after the final dose or one month after the last visit whichever is the longest.

Note: Subjects consented and screened, but not randomized in this study or a previous phase I study, are not excluded.

  • Plasma donation within one month of screening or any blood donation/blood loss > 500 mL during the 3 months prior to screening.
  • History of severe allergy/hypersensitivity or ongoing clinically significant allergy/hypersensitivity, as judged by the investigator or history of hypersensitivity to drugs with a similar chemical structure or class to AZD9977.
  • Current smokers or those who have smoked or used nicotine products within the previous 3 months.
  • Positive screen for drugs of abuse, alcohol or cotinine at screening or for each admission to the study center.
  • Use of drugs with enzyme inducing properties such as St John's Wort within 3 weeks prior to first dosing.
  • Use of any prescribed or non-prescribed medication including antacids, analgesics (other than paracetamol/acetaminophen), herbal remedies, megadose vitamins (intake of 20 to 600 times the recommended daily dose) and minerals during 2 weeks prior to first dosing, or longer if the medication has a long half-life.
  • Known or suspected history of alcohol or drug abuse or excessive intake of alcohol, as judged by the investigator.
  • Involvement of any AstraZeneca or study site employee or their close relatives.
  • Subjects who previously received AZD9977.
  • Judgment by the investigator that the subject should not participate in the study if they have any ongoing or recent (i.e., during the screening period) minor medical co
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02532998). 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.

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