A Safety Study of AZD4041 in Healthy Participants
Opioid Use Disorder (OUD)
Bottom Line
View on ClinicalTrials.gov: NCT05233085 ↗Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- AZD4041 (Drug); Placebo (Other)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- AstraZeneca
- Primary completion
- Jun 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Treatment-emergent Serious Adverse Events (TESAEs) |
8; 6; 6; 9; 0; 0 | — |
| PRIMARY Number of Participants With Abnormal Vital Signs Reported as TEAEs |
1; 0; 0; 0 | — |
| PRIMARY Number of Participants With Abnormal Clinical Laboratory Parameters Reported as TEAEs |
0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Abnormal Electrocardiograms (ECGs) Reported as TEAEs |
1; 0; 1; 1; 1; 0 | — |
| PRIMARY Number of Participants With Suicidal Ideation or Behavior Assessed Using Columbia Suicide Severity Rating Scale (C-SSRS) |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Clinically Significant Findings in Physical and Neurological Examinations |
0; 0; 0; 0 | — |
| PRIMARY Number of Participants With Abnormal Male Hormone Levels as Assessed by the Investigator |
0; 0; 0; 0 | — |
| SECONDARY Maximum Observed Plasma Concentration (Cmax) of AZD4041 After Day 1 Dose |
165.93; 377.85; 590.78 | — |
| SECONDARY Maximum Observed Plasma Concentration (Cmax) of AZD4041 After Day 14 Dose |
232.44; 478.10; 940.99 | — |
| SECONDARY Time to Reach Maximum Observed Plasma Concentration (Tmax) of AZD4041 After Day 1 Dose |
1.05; 1.00; 1.02 | — |
| SECONDARY Time to Reach Maximum Observed Plasma Concentration (Tmax) of AZD4041 After Day 14 Dose |
1.02; 1.02; 1.00 | — |
| SECONDARY Area Under the Concentration-time Curve From Time Zero to 24 Hours (AUC0-24) of AZD4041 After Day 1 Dose |
1802.21; 3682.61; 6951.39 | — |
| SECONDARY Area Under the Concentration-time Curve From Time 0 (Dose Administration) to the Time of Last Quantifiable Concentration (AUC0-t) of AZD4041 After Day 1 Dose |
1802.90; 3683.15; 6953.42 | — |
| SECONDARY Area Under the Concentration-time Curve From Time 0 (Dose Administration) to the Time of Last Quantifiable Concentration (AUC0-t) of AZD4041 After Day 14 Dose |
4808.19; 9573.98; 20969.29 | — |
| SECONDARY Area Under the Concentration-time Curve Extrapolated to Infinity (AUC0-inf) of AZD4041 After Day 1 Dose |
3000.93 | — |
| SECONDARY Area Under the Concentration-time Curve Over the Dosing Interval at Steady State (AUCτ) of AZD4041 After Day 14 Dose |
3022.57; 6306.52; 12622.32 | — |
| SECONDARY Observed Concentration at the End of the Dosing Interval (Ctrough) of AZD4041 |
45.5; 86.2; 193; 62.5; 113; 285 | — |
| SECONDARY Concentration at the End of the Dosing Interval (Cτ) of AZD4041 After Day 14 Dose |
81.23; 168.42; 358.37 | — |
| SECONDARY Terminal Elimination Half-life (t1/2,z) of AZD4041 After Day 1 Dose |
8.30 | — |
| SECONDARY Terminal Elimination Half-life (t1/2,z) of AZD4041 After Day 14 Dose |
18.87; 20.07; 23.22 | — |
| SECONDARY Effective Half-life (t1/2Eff) of AZD4041 After Day 14 Dose |
17.02; 18.35; 20.33 | — |
| SECONDARY Accumulation Ratio Evaluated by Comparing Day 14 Cmax to Day 1 Cmax (RAC[Cmax]) of AZD4041 |
1.38; 1.27; 1.59 | — |
| SECONDARY Accumulation Ratio Evaluated by Comparing Day 14 AUCτ to Day 1 AUC0-24 (RAC[AUC]) of AZD4041 |
1.66; 1.71; 1.82 | — |
| SECONDARY Apparent Total Clearance (CL/F) of AZD4041 After Day 1 Dose |
5.00 | — |
| SECONDARY Apparent Total Clearance at Steady State (CL/Fss) of AZD4041 After Day 14 Dose |
2.48; 2.38; 1.98 | — |
| SECONDARY Apparent Volume of Distribution (Vz/F) of AZD4041 After Day 1 Dose |
59.90 | — |
| SECONDARY Apparent Volume of Distribution at Steady State (Vz/Fss) of AZD4041 After Day 14 Dose |
79.50; 68.90; 75.90 | — |
| SECONDARY Apparent Elimination Rate Constant (λZ) of AZD4041 After Day 14 Dose |
0.0367; 0.0345; 0.0298 | — |
| SECONDARY Amount of AZD4041 Excreted Unchanged in Urine Over the 24-hour Dosing Interval (Ae0-24) After Day 1 Dose |
59209.58; 161067.17; 411420.17 | — |
| SECONDARY Amount of AZD4041 Excreted Unchanged in Urine Over the 24-hour Dosing Interval (Ae0-24) After Day 14 Dose |
177681.47; 334754.86; 1095233.64 | — |
| SECONDARY Apparent Fraction of AZD4041 Excreted Unchanged in Urine Over the 24-hours Dosing Interval (fe/F0-24) After Day 1 Dose |
0.79; 1.07; 1.65 | — |
| SECONDARY Apparent Fraction of AZD4041 Excreted Unchanged in Urine Over the 24-hours Dosing Interval (fe/F0-24) After Day 14 Dose |
2.37; 2.23; 4.38 | — |
| SECONDARY Apparent Renal Clearance Over the 24-hours Dosing Interval (CLR 0-24) of AZD4041 After Day 1 Dose |
0.0328; 0.0437; 0.0582 | — |
| SECONDARY Apparent Renal Clearance Over the 24-hours Dosing Interval (CLR 0-24) of AZD4041 After Day 14 Dose |
0.0536; 0.0521; 0.0916 | — |
| SECONDARY Cerebrospinal Fluid (CSF) Concentration as a Percentage of Total Plasma Concentration of AZD4041 in Cohorts 2 and 3 |
4.91; 5.28 | — |
| SECONDARY CSF Concentration as a Percentage of Free Plasma Concentration of AZD4041 in Cohorts 2 and 3 |
27.44; 29.51 | — |
| SECONDARY Day 14 / Day 1 Ratio of 4-β-hydroxy-cholesterol Concentrations |
1.00; 1.02; 0.95; 0.79 | — |
Summary
Eligibility Criteria
Inclusion Criteria
- Provision of signed and dated written informed consent form prior to any study specific procedures
- Stated willingness to comply with all study procedures and availability for the duration of the study
- Healthy adult male or female participants. Female participants must be of non-childbearing potential (postmenopausal and/or surgically sterile)
- If female, meets one of the following criteria:
- Physiological postmenopausal status, defined as the following:
- absence of menses for at least 12 months following cessation of all exogenous hormonal treatments (without an alternative medical condition) at Screening and prior to the first study drug administration; and
- follicle stimulating hormone (FSH) levels ≥ 40 mIU/mL at Screening; and
- must have a negative pregnancy test result at screening and check-in. and/or
- Surgical sterile, defined as those who have had:
hysterectomy, bilateral oophorectomy and/or bilateral salpingectomy, or bilateral tubal ligation. Women who are surgically sterile must provide documentation of the procedure by an operative report, ultrasound, or other verifiable documentation; and must have a negative pregnancy test result at screening and check-in.
If postmenopausal and has an FSH of 21 units/week or > 3 units/day for men; > 14 units/week or > 2 units/day for women; intake of excessive alcohol, acute or chronic)
- History of any significant psychiatric disorder according to the criteria of the Diagnostic and Statistical manual of Mental Disorders, 5th Edition (DSM-5, American Psychiatric Association 2013) which, in the opinion of the Investigator, could be detrimental to participant safety or could compromise study data interpretation.
- History of substance use disorder, other than nicotine or caffeine (as per DSM-5 criteria)
- Use of any prescription drugs, including hormone replacement therapy in the 28 days prior to the first study drug administration, that in the opinion of an Investigator would put into question the status of the participant as healthy
- Use of St. John's wort in the 28 days prior to the first study drug administration
- Positive test result for alcohol and/or drugs of abuse at Screening or prior to the first study drug administration
- Any clinically significant illness, medical/surgical procedure or trauma within the 28 days prior to the first study drug administration
- Any abnormal or clinically significant findings in laboratory test results at Screening that would, in the opinion of an Investigator, increase the participant's risk of participation, jeopardize complete participation in the study, or compromise interpretation of study data
- Positive screening results to human immunodeficiency virus (HIV) antigen/antibody (Ag/Ab) combo, hepatitis B surface antigen, or hepatitis C virus tests
- Showing suicidal tendency as per the C-SSRS questionnaire administered at Screening
- Any abnormal vital signs, after 10 minutes supine rest, as defined in the list below, at the Screening Visit/or Day -2 Out of range tests may be repeated once for each visit at the discretion of an Investigator.
- Systolic blood pressure (BP) 140 mmHg
- Diastolic BP 90 mmHg
- Heart Rate 85 beats per minute (bpm)
- Any clinically important abnormalities in rhythm, conduction, or morphology of the resting ECG and any clinically important abnormalities in the 12-lead ECG which, in an Investigator's opinion, 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 at Screening or prior to the first study drug administration
- Prolonged QT interval corrected for HR using Fridericia's formula (QTcF) > 440 ms at Screening or prior to the first study drug administration
- Shortened QTcF 110 ms but 220 ms), persistent or intermittent second (Wenckebach block while asleep is not exclusive), or third degree atrioventricular (AV) block, or AV diss
Data sourced from ClinicalTrials.gov (NCT05233085). 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.