This is a 6-part study to evaluate the safety, tolerability, and PK of MEDI7219 in healthy subjects. Parts A, B, C \& E are the single-dose parts of the study. Parts D \& F are the multiple ascending dose (MAD) parts of the study. The starting dose and formulation for Parts D \& F will be selected from data emerging from Parts A, B and E. Enrollment of approximately 198 subjects is anticipated.
MEDI7219 is being developed for the potential treatment of type 2 diabetes. The study is a first in human, single and multiple ascending dose study that will try to identify the safety, tolerability and pharmacokinetics (how the drug moves through the body) of MEDI7219. The study will also look at the impact of changes to the formulation as well as differences related to the route of administration. The study will consist of 6 parts involving approximately 198 healthy male and female subjects (and up to 146 additional subjects). In Part A, 6 cohorts of 10 subjects each (with an optional 2 cohorts) will be randomized to receive MEDI7219 or one of two placebos. Each cohort will receive a different formulation of the study drug. In part B, a single cohort of 16 subjects (with an optional second cohort) will receive a different formulation of MEDI7219 per period in up to 5 periods. In Part C, up to 12 subjects will be dosed with MEDI7219. In Part D, one cohort of 30 subjects (with an optional second cohort) will be randomized to receive MEDI7219 or placebo. Subjects will start on a dose based on data from previous parts and will receive ascending doses for 35 days. In Part E, 2 cohorts of 6 subjects each (with an optional third \& fourth cohort of 12 subjects each) will receive a different formulation of MEDI7219 per period. Part E, cohort 5 12 subjects each period (2 periods) has been added to assess 2 different formulations In Part F, two cohorts of 16 subjects each will be randomized to receive MEDI7219 or placebo. Subjects will start on a dose based on data from previous parts and will receive ascending doses for 35 days.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
186
Research Site
Ruddington, United Kingdom
Number of subjects with Adverse Events as a measure of safety and tolerability of MEDI7219
Treatment emergent adverse events (TEAEs) and serious adverse events (TESAEs)
Time frame: Baseline to last follow up visit (Parts A and C - Day 28) (Part D & F Day 63) and (Parts B and E 28 days post last dose)
Pharmacokinetics of MEDI7219: Cmax
PK parameters will be calculated from the plasma concentration versus time data for Cmax (maximum observed concentration)
Time frame: Pre-dose to 144 hours post-dose (Parts A, B, C and Part E cohorts 1 & 2 only); Pre-dose to 168 hours post-dose (Part E optional cohorts only); Parts D & F pre-dose to Day 63/EOS visit
Pharmacokinetics of MEDI7219: Tmax
PK parameters will be calculated from the plasma concentration versus time data for Tmax (time to maximum observed concentration)
Time frame: Pre-dose to 144 hours post-dose (Parts A, B, C and Part E cohorts 1 & 2 only); Pre-dose to 168 hours post-dose (Part E optional cohorts only); Parts D & F pre-dose to Day 63/EOS visit, Parts F cohort 2 ONLY: Pre-dose and 8 hours post-dose
Pharmacokinetics of MEDI7219: t1/2
PK parameters will be calculated from the plasma concentration versus time data for T1/2 (terminal half-life)
Time frame: Pre-dose to 144 hours post-dose (Parts A, B, C and Part E cohorts 1 & 2 only); Pre-dose to 168 hours post-dose (Part E optional cohorts only); Parts D & F pre-dose to Day 63/EOS visit
Pharmacokinetics of MEDI7219: AUC (0-inf)
PK parameters will be calculated from the plasma concentration versus time data for AUC (0-inf) \[area under the curve (AUC) extrapolated to infinity\]
Time frame: Pre-dose to 144 hours post-dose (Parts A, B, C and Part E cohorts 1 & 2 only); Pre-dose to 168 hours post-dose (Part E optional cohorts only); Parts D & F pre-dose to Day 63/EOS visit
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Pharmacokinetics of MEDI7219: AUC(0-last)
PK parameters will be calculated from the plasma concentration versus time data for AUC (0-last) \[area under the curve (AUC) from time 0 to last measurable concentration\]
Time frame: Pre-dose to 144 hours post-dose (Parts A, B, C and Part E cohorts 1 & 2 only); Pre-dose to 168 hours post-dose (Part E optional cohorts only); Parts D & F pre-dose to Day 63/EOS visit
Pharmacokinetics of MEDI7219: AUC(0-24h)
PK parameters will be calculated from the plasma concentration versus time data for (AUC 0-24) \[area under the curve (AUC) from time 0 to 24 hours post dose\]
Time frame: Pre-dose to 144 hours post-dose (Parts A, B, C and Part E cohorts 1 & 2 only); Pre-dose to 168 hours post-dose (Part E optional cohorts only); Parts D & F pre-dose to Day 63/EOS visit
Pharmacokinetics of MEDI7219: AUC (%extrap)
PK parameters will be calculated from the plasma concentration versus time data for AUC%extrapolated \[The percentage of AUC(0-inf) accounted for by extrapolation\]
Time frame: Pre-dose to 144 hours post-dose (Parts A, B, C and Part E cohorts 1 & 2 only); Pre-dose to 168 hours post-dose (Part E optional cohorts only)
Pharmacokinetics of MEDI7219: Lambda-z
PK parameters will be calculated from the plasma concentration versus time data for Lambda-z \[Slope of the regression line passing through the apparent elimination phase in a concentration vs time plot\]
Time frame: Pre-dose to 144 hours post-dose (Parts A, B, C and Part E cohorts 1 & 2 only); Pre-dose to 168 hours post-dose (Part E optional cohorts only)
Pharmacokinetics of MEDI7219: CL/F
PK parameters will be calculated from the plasma concentration for CL/F (apparent clearance)
Time frame: Pre-dose to 144 hours post-dose (Parts A, B and Part E cohorts 1 & 2 only); Pre-dose to 168 hours post-dose (Part E optional cohorts only)
Pharmacokinetics of MEDI7219: Vz/F
PK parameters will be calculated from the plasma concentration for Vz/F (volume of distribution)
Time frame: Pre-dose to 144 hours post-dose (Parts A, B and Part E cohorts 1 & 2 only); Pre-dose to 168 hours post-dose (Part E optional cohorts only); Pre-dose to Day 63/EOS visit (Parts D & F)
Pharmacokinetics of MEDI7219: Frel
PK parameters will be calculated from the plasma concentration for Frel (relative bioavailability)
Time frame: Pre-dose to 144 hours post-dose (Parts B and Part E cohorts 1 & 2 only); Pre-dose to 168 hours post-dose (Part E optional cohorts only)
Pharmacokinetics of MEDI7219: Vd
PK parameters will be calculated from the plasma concentration for Vd (volume of distribution)
Time frame: Pre-dose to 144 hours (Part C)
Pharmacokinetics of MEDI7219: F
PK parameters will be calculated from the plasma concentration for F (absolute bioavailability)
Time frame: Pre-dose to 144 hours (Part C )
Pharmacokinetics of MEDI7219: AUC (0-tau)
PK parameters will be calculated from the plasma concentration versus time data for AUC (0-tau) \[area under the curve (AUC) for a dosing interval\]
Time frame: Pre-dose to Day 63/EOS visit (Parts D & F)
Immunogenicity
Presence of Anti-drug antibody to MEDI7219
Time frame: Day -1 to Day 28/EOS Visit (Parts A and C); Day -1 to Day 63/EOS Visit (Parts D & F); Day -1 to 28 days post last dose of final period/EOS Visit (Parts B and E)
Pharmacokinetics of Formulation Component: Cmax
PK parameters will be calculated from the plasma concentration versus time data for Cmax (maximum observed concentration)
Time frame: Predose to 8 hours post dose Day 1 (Parts A, B and E); Pre-dose to 8 hours post dose on Days 1, 7, 8, 14, 15, 21, 22, 28, 29 and 35 (Part D and F Cohort 1); Pre-dose to 24 hours post dose on Days 1, 14, 28 and 35 (Part F Cohort 2, respectively)
Pharmacokinetics of Formulation Component: Tmax
PK parameters will be calculated from the plasma concentration versus time data for Tmax (time to maximum observed concentration)
Time frame: Predose to 8 hours post dose Day 1 (Parts A, B and E); Pre-dose to 8 hours post dose on Days 1, 7, 8, 14, 15, 21, 22, 28, 29 and 35 (Part D and F Cohort 1); Pre-dose to 24 hours post dose on Days 1, 14, 28 and 35 (Part F Cohort 2, respectively)
Pharmacokinetics of Formulation Component: T(1/2)
PK parameters will be calculated from the plasma concentration versus time data for T1/2 (terminal half-life)
Time frame: Predose to 8 hours post dose Day 1 (Parts A, B and E); Pre-dose to 8 hours post dose on Days 1, 7, 8, 14, 15, 21, 22, 28, 29 and 35 (Part D and F Cohort 1); Pre-dose to 24 hours post dose on Days 1, 14, 28 and 35 (Part F Cohort 2, respectively)
Pharmacokinetics of Formulation Component: AUC (0-inf)
PK parameters will be calculated from the plasma concentration versus time data for AUC (0-inf) \[area under the curve (AUC) extrapolated to infinity\]
Time frame: Predose to 8 hours post dose Day 1 (Parts A, B and E); Pre-dose to 8 hours post dose on Days 1, 7, 8, 14, 15, 21, 22, 28, 29 and 35 (Part D and F Cohort 1); Pre-dose to 24 hours post dose on Days 1, 14, 28 and 35 (Part F Cohort 2, respectively)
Pharmacokinetics of Formulation Component: AUC (0-last)
PK parameters will be calculated from the plasma concentration versus time data for AUC (0-last) \[area under the curve (AUC) from time 0 to last measurable concentration\]
Time frame: Predose to 8 hours post dose Day 1 (Parts A, B and E); Pre-dose to 8 hours post dose on Days 1, 7, 8, 14, 15, 21, 22, 28, 29 and 35 (Part D and F Cohort 1); Pre-dose to 24 hours post dose on Days 1, 14, 28 and 35 (Part F Cohort 2, respectively)
Pharmacokinetics of Formulation Component: AUC (0-8h)
PK parameters will be calculated from the plasma concentration versus time data for (AUC 0-24) \[area under the curve (AUC) from time 0 to 8 hours post dose\]
Time frame: Predose to 8 hours post dose Day 1 (Parts A, B and E); Pre-dose to 8 hours post dose on Days 1, 7, 8, 14, 15, 21, 22, 28, 29 and 35 (Part D and F Cohort 1); Pre-dose to 24 hours post dose on Days 1, 14, 28 and 35 (Part F Cohort 2, respectively)
Pharmacokinetics of MEDI7219: CL
PK parameters will be calculated from the plasma concentration from CL (apparent clearance)
Time frame: Pre-dose to 144 hours post-dose (Part C)