To investigate the pharmacokinetics and relative bioavailability of AZD4635 solid oral formulation and compare with the nano-suspension reference formulation with the option to assess food effect, pH effect and absolute bioavailability
This is a single centre, phase 1, open-label randomised, 2-part study to assess the pharmacokinetics and relative bioavailability of AZD4635 in non-smoking healthy male subjects, with the option to assess food effect, pH effect and absolute bioavailability. It is planned to enrol 20 subjects who will participate in both parts of the study. Subjects will receive a single-dose of AZD4635 in 6 dosing periods with a minimum washout of 9 days between doses. Part A is a 2-period randomised crossover study of single doses of AZD4635. Subjects will be randomised to receive 50mg AZD4635 nano-suspension (reference) or 50mg AZD4635 solid oral formulation, in the fasted state. Part B is a 4-period, open-label, randomised, crossover study of single doses of AZD4635 in the same subjects from Part A. The treatments selected for Part B will depend on the outcome of interim analyses of AZD4635 exposure. Subjects will receive 2 of the following 4 treatments in dosing periods 3 and 4: * A single dose of AZD4635 solid oral formulation dose after a high fat meal * A single dose of AZD4635 solid oral formulation co-administered with a proton pump inhibitor (PPI), lansoprazole (fasted state) * A different single dose (XX mg) of AZD4635 solid oral formulation (fasted state) * Another different single dose (YY mg) of AZD4635 solid oral formulation (fasted state) Periods 5 and 6 is a 2-period randomised crossover of two variants of AZD4635 solid oral formulation. Subjects will be randomised to receive AZD4635 solid oral formulation variant 1 in the fasted state or AZD4635 solid oral formulation variant 2 in the fasted state. In Periods 5 and 6, Part B an IV microtracer dose of \[14C\] AZD4635 with solid oral formulation, variant 1 will be administered.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
NONE
Enrollment
21
Subjects will receive a single dose of AZD4635 50 mg nano-suspension (reference) in the fasted state.
Subjects will receive a single dose of AZD4635 solid oral formulation, in the fasted state.
Subjects will receive a single dose of AZD4635 solid oral formulation, in the fed state.
Research Site
Ruddington, United Kingdom
Maximum observed plasma concentration (Cmax) of AZD4635 solid oral formulation and nano-suspension (reference)
Assessment of maximum concentration (Cmax) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h and 120h
Exposure to AZD4635 solid oral formulation and nano-suspension (reference)
Assessment of exposure through measurement of area under the curve (AUC) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h and 120h
Time to maximum concentration (tmax) of AZD4635 solid oral formulation variants 1 and 2 in plasma
Assessment of time to maximum concentration (tmax) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h and 120h
Maximum concentration (Cmax) of AZD4635 solid oral formulation variants 1 and 2 in plasma
Assessment of maximum concentration (Cmax) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h and 120h
Area under the plasma concentration-time curve from zero to time of last measurable concentration (AUClast) for AZD4635 solid oral formulation variants 1 and 2
Assessment of exposure through measurement of area under the curve (AUClast) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h and 120h
Area under the plasma concentration-time curve from zero to 48 hours (AUC 0-48) for AZD4635 solid oral formulation variants 1 and 2
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Subjects will receive lansoprazole 30 mg BID for 5 days followed by a single dose of AZD4635 50 mg solid oral formulation in the fasted state.
Subjects will receive a single dose of AZD4635 solid oral formulation, variant 1 in the fasted state.
Subjects will receive a single dose of AZD4635 solid oral formulation, variant 2 in the fasted state.
Subjects will receive a single dose of \[14C\] AZD4635 IV microtracer. This intervention will be co-administered with AZD4635 solid oral formulation variant 1.
Assessment of exposure through measurement of area under the curve (AUC 0-48) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h and 48h
Area under the plasma concentration-time curve from zero to infinity (AUC 0-inf.) for AZD4635 solid oral formulation variants 1 and 2
Exposure to AZD4635 through measurement of area under the curve (AUC 0-inf.) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h and 120h
Determine absolute bioavailability (F) of AZD4635
Absolute bioavailability (F) will be calculated from area under the plasma concentration versus time curve (AUC) of the oral dose of AZD4635/ AUC of the IV dose of \[14C\]AZD4635 x IV dose/oral dose /100
Time frame: Predose, 0.25h, 0.33h, 0.42h, 0.5h, 0.58h, 0.67h, 0.75h, 1h, 1.25h, 1.5h, 2h, 2.5h, 4.5h, 6.5h, 8.5h, 12.5h, 24h 48h, 72h, 96h, 120h
Time to maximum concentration (tmax) of AZD4635 solid oral formulation in plasma in fasted and fed state (optional)
Assessment of time to maximum concentration (tmax) in plasma in fasted and fed state
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h and 120h
Maximum concentration (Cmax) of AZD4635 solid oral formulation in plasma in fasted and fed state (optional)
Assessment of maximum concentration (Cmax) in plasma in fasted and fed state
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h and 120h
Area under the plasma concentration-time curve from zero to time of last measurable concentration (AUClast) for AZD4635 solid oral formulation in fasted and fed state (optional)
Assessment of exposure in fasted and fed state through measurement of area under the curve (AUClast) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h and 120h
Area under the plasma concentration-time curve from zero to 48 hours (AUC 0-48) for AZD4635 solid oral formulation in fasted and fed state (optional)
Assessment of exposure in fasted and fed state through measurement of area under the curve (AUC 0-48) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h and 48h
Area under the plasma concentration-time curve from zero to infinity (AUC 0-inf.) for AZD4635 solid oral formulation in fasted and fed state (optional)
Assessment of exposure in fasted and fed state through measurement of area under the curve (AUC 0-inf.) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h and 120h
Time to maximum concentration (tmax) of AZD4635 solid oral formulation with and without lansoprazole PPI (proton pump inhibitor) (optional)
Assessment of time to maximum concentration (tmax) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h and 120h
Maximum concentration (Cmax) of AZD4635 solid oral formulation with and without lansoprazole PPI (proton pump inhibitor) (optional)
Assessment of maximum concentration (Cmax) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h and 120h
Area under the plasma concentration-time curve from zero to time of last measurable concentration (AUClast) for AZD4635 solid oral formulation with and without lansoprazole PPI (proton pump inhibitor) (optional)
Assessment of exposure through measurement of area under the curve (AUClast) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h and 120h
Area under the plasma concentration-time curve from zero to 48 hours (AUC 0-48) for AZD4635 solid oral formulation with and without lansoprazole PPI (proton pump inhibitor) (optional)
Assessment of exposure through measurement of area under the curve (AUC 0-48) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h and 48h
Area under the plasma concentration-time curve from zero to infinity (AUC 0-inf.) for AZD4635 solid oral formulation with and without lansoprazole PPI (proton pump inhibitor) (optional)
Assessment of exposure through measurement of area under the curve (AUC 0-inf.) in plasma
Time frame: Blood samples collected pre-dose, and postdose at 0.25h, 0.5h, 1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h, 96h and 120h
Number of adverse events (AE) experienced by subjects
Safety and tolerability assessed through incidence of AE
Time frame: Approximately 6 months