This is a combined Single and Multiple Ascending Oral Dose Study. Part 1 is a Single Ascending Dose (SAD) and Part 2 is Multiple Ascending Dose (MAD). The purpose of the study is to evaluate the safety and tolerability of single and multiple ascending oral doses of ASP7713 in healthy non-Japanese (Part 1) and Japanese (Part 2) adult participants and non-Japanese elderly participants (Part 2). This study will also evaluate the pharmacokinetics of single and multiple ascending oral doses of ASP7713 in non-Japanese (Part1) and Japanese (Part 2) adult participants and non-Japanese elderly participants (Part 2) as well as the effect of a single and multiple oral dose of ASP7713 on the QT interval using Fridericia's Correction (QTcF). In addition, this study will evaluate a potential racial difference in safety, tolerability and pharmacokinetics of multiple oral doses of ASP7713 in healthy non-Japanese and Japanese adult participants (Part 2).
There will be a residential period for Parts 1 and 2. Part 1: Eligible participants will be residential for a single period of 5 days and 4 nights. Participants will be discharged on day 4 on the condition that all required assessments have been performed and that there are no medical reason for a longer stay in the clinical unit. Part 2: Eligible participants will be residential for a single period of 18 days and 17 nights. Participants will be discharged on day 17 on the condition that there are no medical reason for a longer stay in the clinical unit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
40
Site GB44001
Harrow, Middlesex, United Kingdom
Safety as assessed by nature, frequency and severity of Adverse Events (Part 1 and Part 2)
Adverse events (AEs) will be coded using the Medical Dictionary for Regulatory Activities (MedDRA). Treatment Emergent Adverse Event (TEAE) is defined as any AE starting or worsening at any time from first dosing until last scheduled procedure.
Time frame: Part 1: Up to Day 16 / Part 2: Up to Day 29
Number of Participants with Vital Sign Abnormalities and/or Adverse Events (Part 1 and Part 2)
Number of participants with potentially clinically significant vital sign values.
Time frame: Part 1: Up to Day 16 / Part 2: Up to Day 29
Number of Participants with Laboratory Value Abnormalities and/or Adverse Events (Part 1 and Part 2)
Number of participants with potentially clinically significant laboratory values.
Time frame: Part 1: Up to Day 16 / Part 2: Up to Day 29
Safety assessed by routine 12-Lead Electrocardiogram (ECG) (Part 1 and Part 2)
Any clinically significant adverse changes on the ECG will be reported as an AE.
Time frame: Part 1: Up to Day 16 / Part 2: Up to Day 29
Safety assessed by continuous 12-Lead Electrocardiogram (ECG) (Part 1 and Part 2)
Any clinically significant adverse changes on the ECG will be reported as an AE.
Time frame: Part 1: Up to Day 2 / Part 2: Up to Day 17
Safety assessed by Real-time cardiac monitoring (telemetry) (Part 1)
Number of participants with potentially clinically significant telemetry abnormalities.
Time frame: Part 1: Up to Day 1
Safety assessed by Cardiac troponin T (cTnT) (Part 1 and Part 2)
Number of participants with potentially clinically significant cTnT abnormalities. Cardiac troponin T is a component of the contractile apparatus of myocardial cells and is expressed almost exclusively in the heart.
Time frame: Part 1: Up to Day 16 / Part 2: Up to Day 29
Safety assessed by Cardiac troponin I (cTnI) (Part 1 and Part 2)
Number of participants with potentially clinically significant cTnI abnormalities. Cardiac troponin I is a component of the contractile apparatus of myocardial cells and is expressed almost exclusively in the heart.
Time frame: Part 1: Up to Day 16 / Part 2: Up to Day 29
Safety assessed by Orthostatic challenge test (OCT) (Part 1 and Part 2)
Number of participants with potentially clinically significant OCT changes will be reported as an AE.
Time frame: Part 1: Up to Day 1 / Part 2: Up to Day 14
Part 1: Pharmacokinetics (PK) of ASP7713 in plasma: area under the concentration-time curve from the time of dosing extrapolated to time infinity (AUCinf)
AUCinf will be derived from the pharmacokinetic (PK) plasma samples collected.
Time frame: Up to Day 7
Part 1: PK of ASP7713 in plasma: area under the concentration-time curve from the time of dosing to the last measurable concentration (AUClast)
AUClast will be derived from the PK plasma samples collected.
Time frame: Up to Day 7
Part 1: PK of ASP7713 in plasma: percentage of AUCinf due to extrapolation from time of the last measurable concentration to time infinity (AUCinf(%extrap))
AUCinf(%extrap) will be derived from the PK plasma samples collected.
Time frame: Up to Day 7
Part 1: PK of ASP7713 in plasma: maximum concentration (Cmax)
Cmax will be derived from the PK plasma samples collected.
Time frame: Up to Day 7
Part 1: PK of ASP7713 in plasma: apparent total systemic clearance after extravascular dosing (CL/F)
CL/F will be derived from the PK plasma samples collected.
Time frame: Up to Day 7
Part 1: PK of ASP7713 in plasma: time prior to the time corresponding to the first measurable (nonzero) concentration (tlag)
tlag will be derived from the PK plasma samples collected.
Time frame: Up to Day 7
Part 1: PK of ASP7713 in plasma: time of maximum concentration (tmax)
tmax will be derived from the PK plasma samples collected.
Time frame: Up to Day 7
Part 1: PK of ASP7713 in plasma: terminal elimination half-life (t ½)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
t ½ will be derived from the PK plasma samples collected.
Time frame: Up to Day 7
Part 1: PK of ASP7713 in plasma: apparent volume of distribution during the terminal elimination phase after extravascular dosing (Vz/F)
Vz/F will be derived from the PK plasma samples collected.
Time frame: Up to Day 7
Part 1: PK of ASP7713 in urine: cumulative amount of study drug excreted into urine from time of dosing up to the collection time of the last measurable concentration (Aelast)
Aelast will be derived from the PK urine samples collected.
Time frame: Up to Day 4
Part 1: PK of ASP7713 in urine: percentage of study drug dose excreted into urine from time of dosing up to the collection time of the last measurable concentration (Aelast%)
Aelast% will be derived from the PK urine samples collected.
Time frame: Up to Day 4
Part 1: PK of ASP7713 in urine: cumulative amount of study drug excreted into urine from time of dosing extrapolated to time infinity (Aeinf)
Aeinf will be derived from the PK urine samples collected.
Time frame: Up to Day 4
Part 1: PK of ASP7713 in urine: percentage of study drug dose excreted into urine from time of dosing extrapolated to time infinity (Aeinf%)
Aeinf% will be derived from the PK urine samples collected.
Time frame: Up to Day 4
Part 1: PK of ASP7713 in urine: renal clearance (CLR)
CLR will be derived from the PK urine samples collected.
Time frame: Up to Day 4
Part 2: PK of ASP7713 in plasma: area under the concentration-time curve from the time of dosing to 24 hours postdose (AUC24)
AUC24 will be derived from the PK plasma samples collected.
Time frame: Day 1
Part 2: PK of ASP7713 in plasma: area under the concentration-time curve from the time of dosing to 12 hours postdose (AUC12)
AUC12 will be derived from the PK plasma samples collected.
Time frame: Days 1 and 14
Part 2: PK of ASP7713 in plasma: area under the concentration-time curve from the time of dosing to 8 hours postdose (AUC8)
AUC8 will be derived from the PK plasma samples collected.
Time frame: Days 1 and 14
Part 2: PK of ASP7713 in plasma: Cmax
Cmax will be derived from the PK plasma samples collected.
Time frame: Day 1, Day 12 (for twice daily dosing) and Day 14
Part 2: PK of ASP7713 in plasma: tlag
tlag will be derived from the PK plasma samples collected.
Time frame: Day 1
Part 2: PK of ASP7713 in plasma: tmax
tmax will be derived from the PK plasma samples collected.
Time frame: Day 1, Day 12 (for twice daily dosing) and Day 14
Part 2: PK of ASP7713 in plasma: area under the concentration-time curve from the time of dosing to the start of the next dosing interval (AUCtau)
AUCtau will be derived from the PK plasma samples collected.
Time frame: Day 12 (for twice daily dosing) and Day 14
Part 2: PK of ASP7713 in plasma: apparent total systemic clearance after extravascular dosing (CL/F)
CL/F will be derived from the PK plasma samples collected.
Time frame: Day 12 (for twice daily dosing) and Day 14
Part 2: PK of ASP7713 in plasma: peak trough ratio (PTR)
PTR will be derived from the PK plasma samples collected.
Time frame: Day 12 (for twice daily dosing) and Day 14
Part 2: PK of ASP7713 in plasma: accumulation ratio calculated using the area under the concentration time (Rac(AUC))
Rac(AUC) will be derived from the PK plasma samples collected.
Time frame: Day 12 (for twice daily dosing) and Day 14
Part 2: PK of ASP7713 in plasma: t ½
t ½ will be derived from the PK plasma samples collected.
Time frame: Day 12 (for twice daily dosing)
Part 2: PK of ASP7713 in plasma: Vz/F
Vz/F will be derived from the PK plasma samples collected.
Time frame: Day 12 (for twice daily dosing)
Part 2: PK of ASP7713 in urine: cumulative amount of study drug excreted into urine from the time of dosing to the start of the next dosing interval (Aetau)
Aetau will be derived from the PK urine samples collected.
Time frame: Day 14
Part 2: PK of ASP7713 in urine: percentage of study drug dose excreted into urine from the time of dosing to the start of the next dosing interval (Aetau%)
Aetau% will be derived from the PK urine samples collected.
Time frame: Day 14
Part 2: PK of ASP7713 in urine: CLR
CLR will be derived from the PK urine samples collected.
Time frame: Day 14
Part 2: PK of ASP7713 in plasma: concentration immediately prior to dosing at multiple dosing (Ctrough)
Ctrough will be derived from the PK plasma samples collected.
Time frame: Days 2, 4, 6, 8, 10, 12 (for twice or 3 times daily dosing) , 14 and 15
Part 2: PK of ASP7713 in urine: concentration immediately prior to dosing at multiple dosing (Ctrough)
Ctrough will be derived from the PK urine samples collected.
Time frame: Days 2, 4, 6, 8, 10, 12 (for twice or 3 times daily dosing), 14 and 15