Phase 1
Completed N=27
A Study to Assess the Safety, Tolerability and Pharmacokinetics of AZD7594 Inhaled Formulation in Healthy Japanese Men
Source: ClinicalTrials.gov NCT02645253 ↗Enrolled (actual)
27
Serious AEs
0.0%
Results posted
Feb 2018
Primary outcomePrimary: Safety and Tolerability of AZD7594 by Assessment of the Number of Participants With Adverse Events — 3; 1; 1; 5 Pariticpants
Summary
This is a randomized, single-blind, placebo-controlled, sequential-group study to assess the safety and tolerability as well as how the drug (AZD7594) affects the body (pharmacodynamics [PD]) and how the body affects the drug (pharmacokinetics [PK]) when AZD7594 is given as single and multiple ascending doses once daily by inhalation to healthy male Japanese subjects, compared with placebo (non-active drug)
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Safety and Tolerability of AZD7594 by Assessment of the Number of Participants With Adverse Events |
3; 1; 1; 5; 1; 6 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 (Inhalation/ Administration Via DPI) by Assessment of the Observed Maximum Plasma Concentration (Cmax) |
56.05; 76.93; 430.8 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 (Inhalation/ Administration Via DPI) by Assessment of the Time to Reach Maximum Plasma Concentration (Tmax) |
0.25; 0.52; 0.50 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 (Inhalation/ Administration Via DPI) by Assessment of the Area Under the Plasma Concentration-time Curve (AUC) From Time Zero to the Time of Last Quantifiable Analyte Concentration (AUC [0-last]) |
1314; 2736; 13960 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 (Inhalation/ Administration Via DPI) by Assessment of the AUC From Time Zero to 24 Hours After Dosing (AUC [0-24]). |
681.1; 1084; 6060 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 (Inhalation/ Administration Via DPI) by Assessment of the AUC From Time Zero Extrapolated to Infinity (AUC). |
NA; NA; 18260 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the Terminal Elimination Rate Constant, Estimated by Log-linear Least Squares Regression of the Terminal Part of the Concentration-time Curve(Lamda z or λz). |
0.015573; 0.011058; 0.013862 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 (Inhalation/ Administration Via DPI) by Assessment of the Half-life Associated With the Terminal Slope of a Semi-logarithmic Concentration-time Curve (t1/2λz). |
39.88; NA; 43.57 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 (Inhalation/ Administration Via DPI) by Assessment of the Mean Residence Time From Time Zero Extrapolated to Infinity (MRT). |
NA; NA; 65.03 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the Apparent Total Body Clearance After Extravascular Administration Estimated as Dose Divided by AUC (AZD7594) (CL/F). |
NA; NA; 144.5 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the Apparent Volume of Distribution During the Terminal Phase After Extravascular Administration, Estimated by Dividing CL/F by Lamda z (Vz/F) |
NA; NA; 9297 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the Cmax Divided by the Dose Administered (Cmax/D). |
169.9; 116.7; 163.2 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the AUC Divided by the Dose Administered (AUC/D). |
NA; NA; 6918 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the AUC(0-24) Divided by the Dose Administered (AUC(0-24)/D) |
2064; 1645; 2295 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the Observed Minimum Plasma Concentration (Cmin) |
NA; 16.27; 68.91; 59.81; 77.10; 404.2 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 (Inhalation/ Administration Via DPI) by Assessment of the Cmax at Steady State (Css,Max). |
164.3; 261.2; 1206 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 (Inhalation/ Administration Via DPI) by Assessment of the Cmin at Steady State (Cmin, ss) |
82.15; 140.6; 600.0 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 (Inhalation/ Administration Via DPI) by Assessment of the Average Concentration Over One Dosing Interval (Cav) |
101.1; 183.7; 867.8 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 (Inhalation/ Administration Via DPI) by Assessment of the Tmax at Steady State (Tss,Max). |
0.25; 1.50; 1.50 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the AUC(0-last) |
6136; 11490; 54120 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of AUC(0-24) |
2426; 4409; 20830 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the Css,Max Divided by the Dose Administered (Css,Max/D). |
498.0; 396.4; 456.9 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment AUC(0-24)/D. |
7351; 6691; 7889 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of Lamda z (λz) |
0.013393; 0.011465; 0.010660 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of t1/2λz. |
NA; NA; NA | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the Peak Trough Fluctuation (%Fluctuation). |
80.12; 64.61; 68.08 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the Accumulation Ratio Calculated as AUC(0-24) on Day 16/AUC (0-24) on Day 1 (RAC). |
3.562; 4.067; 3.437 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the Temporal Change Parameter (TCP) |
NA; NA; 1.147 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the Amount of AZD7594 Excreted Into the Urine From Time t1 to t2 (Ae [t1-t2]) |
1.856; 6.738; 55.64; 1.434; 5.031; 73.15 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the Cumulative Amount of AZD7594 Excreted From Time Zero to the Last Sampling Interval (Ae [0-last]) |
1.856; 6.738; 55.64; 3.290; 11.77; 128.8 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the Percentage of Dose Excreted Unchanged Into the Urine From Time Zero to the Last Measured Time Point for an AZD7594, Estimated by Dividing Ae(0-last) by Dose (fe(0-last)%) |
0.0005623; 0.001022; 0.002108; 0.0004346; 0.0007634; 0.002771 | — |
| SECONDARY Rate and Extent of Absorption of AZD7594 by Assessment of the Renal Clearance, Estimated by Dividing Ae(0-96) by AUC(0-96) (CLR) |
NA; NA; 0.02329 | — |
| SECONDARY Pharmacodynamic Analysis of AZD7594 by Assessment of the Area Under the Effect Curve for Plasma Cortisol From Time Zero to 24 Hours After Dosing (AUEC [0-24]). |
294273.817; 286677.610; 298827.031; 275402.666; 268228.553; 274458.997 | — |
| SECONDARY Pharmacodynamic Analysis of AZD7594 by Assessment of Plasma Concentration of Dehydroepiandrosterone Sulphate (DHEAS) |
6.716; 7.380; 6.747; 6.280; 6.104; 6.250 | — |
| SECONDARY Pharmacodynamic Analysis of AZD7594 by Assessment of Plasma Concentration of Osteocalcin |
21.31; 23.13; 20.01; 22.92; 17.81; 19.66 | — |
Eligibility Criteria
Inclusion Criteria
- Provision of signed and dated, written informed consent prior to any study specific procedures.
- Healthy male Japanese subjects aged 20 to 45 years with suitable veins for cannulation or repeated venipuncture.
A Japanese male subject is defined as being born in Japan, having both parents and four grandparents who are Japanese. The subject must not have lived outside of Japan for more than 5 years.
- Have a body mass index (BMI) between 18 and 30 kg/m2 inclusive and weigh at least 45 kg and no more than 100 kg inclusive.
- Provision of signed, written and dated informed consent for optional genetic research Note: 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.
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 (GI), 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 the first administration of investigational drug administration.
- Any contraindication against the use of vagolytic or sympaticomimetic drugs, as judged by the investigator.
- Any clinically significant abnormalities in clinical chemistry, hematology, urinalysis, physical examination, vital signs, electrocardiogram (ECG) or lung function results at baseline, as judged by the investigator.
- Known Gilbert's syndrome, family history of Gilbert's syndrome or suspicion of Gilbert's syndrome based on liver function tests.
- Use of systemic glucocorticosteroids within 6 weeks of enrollment.
- Any positive result on screening for serum hepatitis B surface antigen (HBsAg), hepatitis C antibody and human immunodeficiency virus (HIV).
- Known or suspected hypersensitivity to investigational product or excipients.
- Plasma donation within one month of screening or any blood donation/blood loss > 500 mL during the 3 months prior to screening.
- Abnormal vital signs, after 10 minutes supine rest, defined as any of the following:
- Systolic blood pressure (BP) 140 mmHg
- Diastolic BP 90 mmHg
- Pulse rate 85 beats per minute (bpm)
- Any clinically significant abnormalities in rhythm, conduction or morphology of the resting ECG and any clinically significant abnormalities in the 12-lead ECG, as considered by the investigator that may interfere with the interpretation of QTc interval changes, including abnormal ST-T-wave morphology, particularly in the protocol defined primary lead or left ventricular hypertrophy.
- Prolonged QT interval corrected for heart rate (HR) using Fridericia's formula (QTcF) > 450 ms or family history of long QT syndrome.
- PR(PQ) interval shortening 110 ms but 240 ms) intermittent second (Wenckebach block while asleep is not exclusive) or third degree AV block, or AV dissociation.
- Persistent or intermittent complete bundle branch block (BBB), incomplete bundle branch block (IBBB), or intraventricular conduction delay (IVCD) with QRS > 110 ms. Subjects with QRS > 110 ms but < 115 ms are acceptable if there is no evidence of, for example, ventricular hypertrophy or pre-excitation.
- Known or suspected history of drug abuse, as judged by the investigator.
- Current smokers or those who have smoked or used nicotine products within the previous 3 months.
- History of alcohol abuse or excessive intake of alcohol, as judged by the investigator.
- Positive screen for drugs of abuse or cotinine (nicotine) at screening or admission to the unit.
- History of severe allergy/hypersensitivity
Data sourced from ClinicalTrials.gov (NCT02645253). 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.