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Phase 1 N=14 Treatment

A Study to Assess the Pharmacokinetics and Safety of Different Forms and Formulations of AZD9496 in Healthy Subjects

Breast Cancer

Enrolled (actual)
14
Serious AEs
0.0%
Results posted
Aug 2021
Primary outcome: Primary: Pharmacokinetics: Maximum Plasma Concentration (Cmax) for AZD9496 and Its Metabolites at Each Treatment Period. — 64.85; 381.0; 138.2; 91.83 ng/mL

Study Design & Population

Study type
Interventional
Phase
Phase 1
Interventions
AZD9496 (Reference) (Drug); AZD9496 Variant A (Drug); AZD9496 Variant B (Drug); AZD9496 Variant C (Drug); AZD9496 Variant D (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
AstraZeneca
Primary completion
Sep 2016

Outcome Measures

OutcomeResultp-value
PRIMARY
Pharmacokinetics: Maximum Plasma Concentration (Cmax) for AZD9496 and Its Metabolites at Each Treatment Period.
64.85; 381.0; 138.2; 91.83; 550.9; 10.30
PRIMARY
Pharmacokinetics: Area Under the Curve From Time Zero to Time With Last Observation (AUC0-t) for AZD9496 and Its Metabolites at Each Treatment Period
383.4; 1207; 677.8; 523.0; 2322; 46.71
PRIMARY
Pharmacokinetics: Maximum Plasma Concentration (Cmax) for Variant A, B and C of AZD9496 Compared to the AZD9496 Reference
0.1702; 0.3440; 0.2285
PRIMARY
Pharmacokinetics: Area Under the Curve From Time Zero to Time With Last Observation (AUC0-t) for Variant A, B and C of AZD9496 Compared to the AZD9496 Reference
0.3175; 0.5227; 0.4033
PRIMARY
Pharmacokinetics: Area Under the Curve From Time Zero to Infinity for Variant A, B and C of AZD9496 Compared to the AZD9496 Reference
NA; 0.6186; 0.4055
PRIMARY
Pharmacokinetics: Area Under the Curve From Time Zero to Infinity (AUC 0-infinity) for AZD9496 and Metabolites at Each Treatment Period
NA; 1238; 968.1; 604.7; 2790; 253.2
SECONDARY
Time to Reach Maximum Observed Plasma Concentration (Tmax) for AZD9496 and Its Metabolites at Each Treatment Period.
4.25; 2.25; 3.52; 4.25; 4.25; 4.50
SECONDARY
Effective Half-life ( t½,Eff) for AZD9496 and Its Metabolites at Each Treatment Period
1.34; 1.11; 1.51; 1.56; 1.36; 1.16
SECONDARY
Metabolite to Parent Ratios (MRAUC0-t, MRCmax, MRAUC) at Each Treatment Period.
0.122; 0.163; 0.165; 0.150; 0.177; 0.013
SECONDARY
Pharmacokinetics: AUC From Time Zero to 12 and 24 Hours Post-dose for AZD9496 and Its Metabolites at Each Treatment Period
256.2; 1194; 515.3; 326.3; 1920; 299.9
SECONDARY
Pharmacokinetics: The Terminal Elimination Half-life (t½,λz) for AZD9496 and Its Metabolites at Each Treatment Period
NA; 2.59; 8.95; 15.66; 9.65; NA
SECONDARY
Pharmacokinetics: Apparent Volume of Distribution (Vss/F) of AZD9496 and Its Metabolites at Each Treatment Period
277.5; 1291; 3495; 920.7
SECONDARY
Pharmacokinetics: Apparent Oral Clearance (CL/F) of AZD9496 and Its Metabolites at Each Treatment Period
NA; 80.8; 107.0; 167.5; 110.0
SECONDARY
Pharmacokinetics: Apparent Terminal Elimination Rate Constant (λz) of AZD9496 and Its Metabolites at Each Treatment Period
NA; 0.3132; 0.1236; 0.0459; 0.0777; NA
SECONDARY
Pharmacokinetics: Mean Residence Time (MRT) of AZD9496 and Its Metabolites at Each Treatment Period
NA; 3.122; 8.992; 19.73; 7.939

Summary

This is a phase 1 open label single centre study of AZD9496 administered orally in healthy volunteers. The study design involves single administration of different forms, formulations and doses of AZD9496. The study is designed to investigate these different AZD9496 variants. The study will evaluate the pharmacokinetic profiles and the safety and tolerability of the different forms, formulations and doses of AZD9496 This is a fixed sequence study with 5-sequential treatment periods in healthy volunteers. Each volunteer will receive 5 single doses of AZD9496 in different forms, formulations and doses.

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 to 65 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 FSH levels in the post-menopausal range (OR) Documentation of irreversible surgical sterilization by hysterectomy, bilateral oophorectomy or bilateral salpingectomy, but not tubal ligation
  • Male subjects aged 18 to 39 years must be vasectomized. Male subjects aged 40 to 65 years must either be vasectomized or have no intention of fathering a child for a period of 6 months after receiving the last dose of IMP.
  • Have a body mass index (BMI) between 18.0 and 32.0 kg/m2, inclusive, and weigh at least 50 kg and no more than 100 kg, inclusive.
  • Values for AST, ALT, TBL, GGT and ALP must be at or below the upper limit of normal ranges 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 (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 IMP.
  • Previous history of venous or arterial thromboembolism or thrombophilia.
  • History of endometrial polyps, endometrial cancer, atypical endometrial hyperplasia, or other endometrial disorders unless subjects have undergone total hysterectomy and there is no evidence of active disease (females only).
  • Any clinically significant abnormalities in clinical chemistry (other than Inclusion no.6), hematology, or urinalysis results at screening, as judged by the investigator.
  • Any clinically significant abnormal findings in supine vital signs, after 10 minutes of supine rest, at screening and/or admission to the unit, defined as: (a) Systolic blood pressure 90 beats per minute
  • Any clinically important abnormalities in rhythm, conduction or morphology of the resting 12-lead ECG that, as judged by the investigator, that may interfere with the interpretation of QTc interval changes, including abnormal ST-T-wave morphology or pronounced left ventricular hypertrophy.
  • Prolonged QTcF > 460 ms for females and QTcF > 450 ms for males or family history of long QT syndrome.
  • PR (PQ) interval shortening 240 ms, intermittent second (Wenckebach block while asleep is not exclusive) or third degree AV block.
  • Persistent or intermittent complete bundle branch block with QRS > 120 ms or evidence of pronounced ventricular hypertrophy or pre-excitation.
  • Any positive result on screening for serum hepatitis B surface antigen (HBsAg), hepatitis C antibody and human immunodeficiency virus (HIV) antibody.
  • 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 3 months prior to screening.
  • Known or suspected history of alcohol or drug abuse or excessive intake of alcohol, as judged by the investigator.
  • Positive screen for drugs of abuse, alcohol or cotinine at screening or on each admission to the unit.
  • History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity, as judged by the investigator or history of hypersensitivity to drugs with a similar chemical structure or class to AZD9496.
  • Excessive inta
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02780713). 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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