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Phase 1 Completed N=63 Randomized Single-blind Basic Science

To Assess the Safety, Tolerability and Pharmacokinetics of AZD5634 Following Inhaled and Intravenous (IV)Dose Administration

Source: ClinicalTrials.gov NCT02679729 ↗
Enrolled (actual)
63
Serious AEs
0.0%
Results posted
Nov 2018
Primary outcomePrimary: Safety and Tolerability of AZD5634 Following Inhaled Administration of Single-ascending Doses (SAD) (Part A) and Following Administration of Single Inhaled and IV Doses (Part B). — 1; 0; 0; 1 Participants

Summary

This is a Phase 1, first-in-human (FIH) single ascending dose study being conducted to better understand the safety, tolerability and pharmacokinetics of AZD5634 in healthy subjects

Outcome Measures

OutcomeResultp-value
PRIMARY
Safety and Tolerability of AZD5634 Following Inhaled Administration of Single-ascending Doses (SAD) (Part A) and Following Administration of Single Inhaled and IV Doses (Part B).
1; 0; 0; 1; 1; 0
SECONDARY
Observed Maximum Plasma Concentration, Taken Directly From the Individual Concentration-time Curve (Cmax)- For Part A and Part B
0.01605; 0.04581; 0.2977; 0.3043; 0.5316; 6.070
SECONDARY
Area Under Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC) for Part A and Part B
NA; 0.1757; 1.258; 1.299; 2.837; 2.329
SECONDARY
Area Under the Plasma Concentration-curve From Time Zero to Time of Last Quantifiable Concentration [AUC(0-t)] for Part A and Part B
0.01920; 0.1120; 1.301; 1.244; 2.664; 2.318
SECONDARY
Absolute Systemic Bioavailability After Inhalation (Part B Only) (Finhalation,Total)
NA; 2.928
SECONDARY
Renal Clearance (CLR), Estimated by Dividing Ae(0-last) by AUC0-t - For Part A and Part B
1.449; 0.8099; 0.5828; 0.9063; 0.7333; 0.6247
SECONDARY
Cmax, Divided by the Dose Aministered (Cmax/Dose) - For Part A and Part B
0.1473; 0.1576; 0.3415; 0.1745; 0.2335; 69.41
SECONDARY
Terminal Half-life (t1/2λz), Estimated as (ln2)/λz - For Part A and Part B
NA; 1.519; 1.903; 3.144; 7.552; 0.1923
SECONDARY
AUC0-t, Divided by the Dose Administered (AUC0-t/Dose) - For Part A and Part B
0.1762; 0.3856; 1.492; 0.7137; 1.170; 26.51
SECONDARY
AUC, Divided by the Dose Administered (AUC/Dose) - For Part A and Part B
NA; 0.6046; 1.444; 0.7450; 1.246; 26.63
SECONDARY
Systemic Clearance for AZD5634 Estimated as Dose Divided by AUC (Part B IV Dosing Only) (CL)
37.74
SECONDARY
Apparent Clearance for AZD5634 Estimated as Dose Divided by AUC (Part A and Part B Inhaled Dosing Only) (CL/F)
NA; 1727; 699.9; 1518; 929.8; 1346
SECONDARY
Mean Residence Time (MRT) - For Part A and Part B
NA; 2.742; 3.529; 4.157; 6.000; 0.1928
SECONDARY
Mean Absorption Time, Calculated as MRTinhaled - MRTIV (Part B Only) (MAT)
NA; 4.236
SECONDARY
Volume of Distribution for AZD5634 at Steady State (IV Administration), Estimated by Dividing the MRT by the Systemic CL (Part B IV Dosing Only) (Vss)
7.202
SECONDARY
Volume of Distribution for AZD5634 at Terminal Phase (IV Administration), Estimated by Dividing the Systemic CL by λz (Part B IV Dosing Only) (Vz)
10.25
SECONDARY
Apparent Volume of Distribution for AZD5634 at Terminal Phase (Inhaled Administration), Estimated by Dividing the CL/F by λz (Part A and Part B Inhaled Dosing Only) (Vz/F)
NA; 3775; 1864; 5416; 7115; 5361

Eligibility Criteria

Inclusion Criteria

  • Provision of signed and dated, written informed consent prior to any study specific procedures.
  • Healthy male and/or female subjects aged 18 - 50 years with suitable veins for cannulation or repeated venipuncture.
  • Females must have a negative pregnancy test at screening and on admission to the unit, must not be lactating and must be of non-childbearing potential, confirmed at screening by fulfilling 1 of the following criteria:
  • Post-menopausal defined as amenorrhea for at least 12 months or more following cessation of all exogenous hormonal treatments and follicle-stimulating hormone (FSH) levels in the post-menopausal range.
  • Documentation of irreversible surgical sterilization by hysterectomy, bilateral oophorectomy or bilateral salpingectomy, but not tubal ligation.
  • 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.
  • Have a FEV1 (Forced expiratory volume in 1 second in liters) ≥ 80% of the predicted value at screening.
  • Provision of signed, written and dated informed consent for optional genetic/biomarker research.

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 administration of investigational medicinal product (IMP).
  • Any clinically significant abnormalities in clinical chemistry, hematology, or urinalysis results, as judged by the investigator.
  • Any positive result on screening for serum hepatitis B surface antigen (HBsAg), hepatitis C antibody and human immunodeficiency virus (HIV).
  • Abnormal vital signs, after 10 minutes supine rest, at screening and check-in, defined as any of the following:
  • Systolic blood pressure (SBP) 85 beats per minute (bpm)
  • Any clinically significant abnormalities in rhythm, conduction or morphology of the resting electrocardiogram (ECG) and any clinically significant abnormalities in the 12-lead ECG, as considered by the investigator that may interfere with the interpretation of QTc (QT [ECG interval measured from the onset of the QRS complex to the end of the T wave] interval corrected for heart rate) interval changes, including abnormal ST-T-wave morphology, particularly in the protocol defined primary lead or left ventricular hypertrophy, at screening.
  • PR (PQ [ECG interval measured from the onset of the P wave to the onset of the QRS complex]) interval prolongation (> 240 ms) intermittent second (Wenckebach block while asleep is not exclusive) or third degree atrioventricular (AV) block, or AV dissociation, at screening.
  • 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 (ECG interval measured from the onset of the QRS complex to the J point) > 110 ms but 500 mL during the 3 months prior to screening.
  • Has received another new chemical entity (defined as a compound which has not been approved for marketing) within 3 months of the administration of IMP in this study. The period of exclusion is 3 months after the final dose from a previous study.

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

  • Vulnerable subjects, e.g., kept in detention, protected adults under guardianship, trusteeship, or committed to an institution by governmental or juridical order.
  • Involvement of any Astra Zeneca, PAREXEL or study site employee or their close relatives.
  • Ju
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02679729). 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.

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