A Study to Assess the Effect of Verinurad on the Electric Activity of the Heart
Summary
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Model Predicted Baseline-corrected and Placebo-corrected QT Interval Corrected for Heart Rate (HR) Using Fridericia's Formula (QTcF)(ΔΔQTcF) (Derived From Concentration-QTcF Analysis) at Geometric Mean of Cmax of Verinurad |
-2.8; -0.3 | — |
| SECONDARY Baseline-corrected Heart Rate (ΔHR) |
-0.8; -2.0; -0.5; -0.9; -1.0; 0.1 | — |
| SECONDARY Baseline-corrected and Placebo-adjusted Heart Rate (ΔΔHR) |
-0.4; -1.4; -0.9; -1.1; -1.6; -0.7 | — |
| SECONDARY Baseline-corrected RR Interval (ΔRR Interval) |
13.6; 28.2; 6.7; 14.8; 15.8; -8.3 | — |
| SECONDARY Baseline-corrected and Placebo-adjusted RR Interval (ΔΔRR Interval) |
6.7; 20.7; 22.2; 23.3; 38.9; 13.0 | — |
| SECONDARY Baseline-corrected PR Interval (ΔPR Interval) |
-1.3; -0.9; -0.8; -0.4; -1.3; -0.7 | — |
| SECONDARY Baseline-corrected and Placebo-adjusted PR Interval (ΔΔPR Interval) |
-0.5; 0.0; 0.3; -0.3; -0.7; 0.5 | — |
| SECONDARY Baseline-corrected QRS Interval (ΔQRS Interval) |
-0.5; -0.6; 0.0; -0.7; -0.9; 0.1 | — |
| SECONDARY Baseline-corrected and Placebo-corrected QRS Interval (ΔΔQRS Interval) |
-0.4; -0.7; -0.9; -1.1; -0.8; -0.8 | — |
| SECONDARY Baseline-corrected QT Interval (ΔQT Interval) |
0.2; 3.8; 0.4; 1.5; 4.5; 2.1 | — |
| SECONDARY Baseline-corrected and Placebo-corrected QT Interval (ΔΔQT Interval) |
-0.3; 3.0; -0.7; 2.1; 1.0; 1.7 | — |
| SECONDARY Baseline-corrected QTcF Interval (ΔQTcF Interval) |
-1.7; -0.3; -0.5; -0.4; 2.3; 3.1 | — |
| SECONDARY Baseline-corrected and Placebo-corrected QTcF Interval (ΔΔQTcF Interval) |
-1.2; -0.0; -3.4; -0.9; -3.7; -0.1 | — |
| SECONDARY Area Under Plasma Concentration-time Curve From Time Zero Extrapolated to Infinity (AUC) for Verinurad, M1, M8, Allopurinol, and Oxypurinol |
393.8; 918.7; 413.7; 904.8; 447.2; 895.0 | — |
| SECONDARY Area Under the Plasma Concentration-time Curve From Time Zero to Time of Last Quantifiable Concentration (AUC[0-t]) for Verinurad, M1, M8, Allopurinol, and Oxypurinol |
360.2; 880.4; 383.2; 865.4; 394.5; 847.8 | — |
| SECONDARY Maximum Observed Plasma Concentration (Cmax) for Verinurad, M1, M8, Allopurinol, and Oxypurinol |
56.57; 459.7; 54.92; 364.4; 54.80; 297.8 | — |
| SECONDARY Time to Reach Maximum Plasma Concentration (Tmax) for Verinurad, M1, M8, Allopurinol, and Oxypurinol |
5.00; 1.02; 5.00; 1.50; 5.00; 1.50 | — |
| SECONDARY Time Delay Between Drug Administration and the First Observed Concentration in Plasma (Tlag) for Verinurad, M1, M8, Allopurinol, and Oxypurinol |
0.50; 0.00; 0.50; 0.00; 0.50; 0.00 | — |
| SECONDARY Terminal Half-life (t½λz) for Verinurad, M1, M8, Allopurinol, and Oxypurinol |
14.92; 13.33; 14.30; 12.65; 16.89; 13.96 | — |
| SECONDARY Time of Last Quantifiable Plasma Concentration (Tlast) for Verinurad, M1, M8, Allopurinol, and Oxypurinol |
48.05; 48.07; 48.05; 48.07; 48.05; 48.07 | — |
| SECONDARY Apparent Total Body Clearance of Drug From Plasma After Extravascular Administration (Parent Drug Only) (CL/F) for Verinurad and Allopurinol |
64.07; 45.09; 71.03; 68.08 | — |
| SECONDARY Apparent Volume of Distribution During the Terminal Phase After Extravascular Administration (Parent Drug Only) (Vz/F) for Verinurad and Allopurinol |
1342; 856.1; 103.6; 97.96 | — |
| SECONDARY Apparent Volume of Distribution at Steady State Following Extravascular Administration (Parent Drug Only) (Vss/F) for Verinurad and Allopurinol |
1060; 448.6; 182.9; 165.3 | — |
| SECONDARY Mean Residence Time of the Unchanged Drug in the Systemic Circulation From Zero to Infinity (MRT) for Verinurad and Oxypurinol |
16.47; 9.320; 2.517; 2.383 | — |
| SECONDARY Number of Participants With Adverse Events (AEs) |
8; 4; 5; 0; 0; 0 | — |
Eligibility Criteria
Inclusion Criteria
- Provision of signed and dated, written informed consent prior to any study-specific procedures.
- Healthy male and female subjects aged 18 to 50 years (inclusive) with suitable veins for cannulation or repeated venipuncture.
- Females must have a negative pregnancy test at Screening and on admission to the study centre must be:
(1) Not pregnant or currently lactating or breast-feeding. (2) Of non-childbearing potential confirmed at the Screening Visit by fulfilling one of the following criteria: (i) 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 (FSH >40 IU/mL).
(ii) Documentation of irreversible surgical sterilization by hysterectomy, bilateral oophorectomy or bilateral salpingectomy but not tubal ligation.
(3) OR, if of childbearing potential, must be willing to use an acceptable method of contraception to avoid pregnancy for the entire study period and 3 months after the Follow-up Visit.
- 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.
- Serum uric acid (sUA) 1.5 × upper limit of normal (ULN) (2) Aspartate aminotransferase (AST) >1.5 × ULN (3) Bilirubin (total) >1.5 × ULN (4) Gamma glutamyl transpeptidase (GGT) >1.5 × ULN 8. Any clinically significant abnormal findings in vital signs at Screening as judged by the Investigator, including:
(1) Systolic blood pressure 140 mmHg (2) Diastolic blood pressure 90 mmHg (3) Heart rate 90 bpm 9. Carrier of the HLA-B*58:01 allele. 10. Any clinically important abnormalities in rhythm, conduction or morphology of the 12 lead safety ECG and any clinically important abnormalities in the 12-lead safety ECG as considered by the Investigator that may interfere with the interpretation of QT interval corrected for heart rate using Fridericia's formula (QTcF), including abnormal ST T wave morphology, particularly in the Clinical Study Protocol (CSP)-defined primary lead for dECG analysis or left ventricular hypertrophy:
- Prolonged QTcF >450 ms or shortened QTcF 110 ms but 220 ms) intermittent second (Wenckebach block while asleep is not exclusive) or third degree atrioventricular (AV) block, or AV dissociation.
- Persistent or intermittent complete bundle branch block, incomplete bundle branch block, or intraventricular conduction delay with QRS >110 ms. Subjects with QRS >110 ms but 5 cups of coffee) or would likely be unable to refrain from the use of caffeine-containing beverages during confinement at the study site.
- Previous hypersensitivity reaction to allopurinol or any URAT1 inhibitor. 18. Subjects who are pregnant, breast-feeding or planning to become pregnant (pregnancy is to be avoided for the entire study period and 3 months after the Follow up Visit).
- Use of drugs with enzyme-inducing properties such as St John's Wort within 3 weeks prior to the first administration of IMP.
- Use of any prescribed or non-prescribed medication including antacids, analgesics (other than paracetamol/acetaminophen), herbal remedies, megadose vitamins (intake of 20 to 600 × the recommended daily dose) and minerals during the 2 weeks prior to the first administration of IMP or within 5 half-lives (whichever is longer). Hormone replacement therapy is allowed for females.
- Plasma donation within 1 month of Screening or any blood donation/blood loss >500 mL during the 3 months prior to Screening.
- Has received another new chemical or biological entity (defined as a compound which has not been approved for marketing in the US) within 30 days or within 5 half lives (whichever is longer) of the first administration of IMP in this study.
Note: Subjects consented and screened, but not randomised in this study or a previous Phase I study, are not excluded.
- Involvement of any AstraZeneca, Parexel or study site employee or thei
Data sourced from ClinicalTrials.gov (NCT04256629). 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.