AZD7594 is in clinical development for the treatment of asthma. This is a single centre, open-label, single period study in 6 healthy subjects, to determine the mass balance recovery and generate samples to enable metabolite profiling and structural identification of AZD7594. Each subject will receive a single inhaled 792 µg nominal dose (720 µg delivered dose) of AZD7594 followed by an IV dose of 30 µg \[14C\]AZD7594 containing not more than (NMT) 6.7 kBq (180 nCi) carbon-14 (14C) as a 1 h infusion. The IV dose will be administered approximately 10 min after the inhaled dose. Subjects will remain resident in the clinical unit up to 168 h post dose (up to Day 8).
This is a single centre, open-label, single period study in 6 healthy male and non-pregnant, non-lactating female subjects to determine the mass balance recovery after a single intravenous (IV) dose of \[14C\]AZD7594 and to generate samples to enable metabolite profiling and structural identification of AZD7594 in plasma, urine and faeces. It is planned to enrol 6 subjects to ensure data in at least 4 evaluable subjects. A subject will be considered evaluable if they have provided mass balance and PK samples for up to 48 h after drug administration. Subjects will be screened for eligibility to participate in the study up to 28 days before dosing. Eligible subjects will be admitted to the clinical unit in the afternoon on the day before dosing (Day 1). Subjects will be dosed on the morning of Day 1 in the fasted state (8 h overnight fast). Before oral inhalation of AZD7594 using the Dry Powder Inhaler (DPI), all subjects must demonstrate their ability to use the DPI as intended. Subjects will receive training with an empty DPI at screening, Day -1 and pre-dose (optional) in accordance with study specific instructions. Each subject will receive a single inhaled 792 µg nominal dose (720 µg delivered dose) of AZD7594 followed by an IV dose of 30 µg \[14C\]AZD7594 containing 6.7 kBq (180 nCi) carbon-14 (14C) as a 1 h infusion. The infusion of the IV dose will be started approximately 15 min after the inhaled dose. Subjects will remain resident in the clinical unit up to 168 h post dose (up to Day 8). Whole blood, plasma, urine and faeces will be collected from pre-dose until discharge (168 h post-dose; Day 8). Any accidental sources of elimination (eg emesis) will be collected and sent to the mass balance laboratory for total radioactivity analysis.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
6
30 µg \[14C\]AZD7594 containing 6.7 kBq (180 nCi) carbon-14 (14C) as a 1 hour infusion.
A single inhalation on one occasion.
Research Site
Ruddington, United Kingdom
AZD7594 excreted (Ae)
Assessment of total radioactivity by measuring AZD7594 excreted (Ae)
Time frame: Urine and faecal samples collected from pre-dose until 168 hours post-dose
AZD7594 excreted and expressed as a percentage of the administered dose (Fe)
Assessment of total radioactivity by measuring AZD7594 excreted and expressed as a percentage of the administered dose (Fe)
Time frame: Urine and faecal samples colected from pre-dose until 168 hours post-dose
Cumulative amount of AZD7594 excreted (CumAe)
Assessment of total radioactivity by measuring the cumulative amount of AZD7594 excreted (CumAe)
Time frame: Urine and faecal samples collected from pre-dose until 168 hours post-dose
Cumulative amount of AZD7594 excreted and expressed as a percentage of the administered dose (CumFe)
Assessment of total radioactivity by measuring AZD7594 excreted and expressed as a percentage of the administered dose (CumFe)
Time frame: Urine and faecal samples collected from pre-dose until 168 hours post-dose
Assessment of metabolites in plasma by liquid chromatography-radiochemical-detection and subsequent mass spectrometry
Assessment of metabolites and structural identification by assessing liquid chromatography-radiochemical-detection and subsequent mass spectrometry
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of metabolites in faeces by liquid chromatography-radiochemical-detection and subsequent mass spectrometry
Assessment of metabolites and structural identification by assessing liquid chromatography-radiochemical-detection and subsequent mass spectrometry
Time frame: Collection of faecal samples from pre-dose until 168 hours post-dose
Assessment of metabolites in urine by liquid chromatography-radiochemical-detection and subsequent mass spectrometry
Assessment of metabolites and structural identification by assessing liquid chromatography-radiochemical-detection and subsequent mass spectrometry
Time frame: Collection of urine samples from pre-dose until 168 hours post-dose
Determination of routes and rates of elimination of [14C]AZD7594
Assessment of total radioactivity by measuring AZD7594 excreted (Ae), cumulative recovery (Cumae), Ae as a percentage of the administered dose (Fe) and cumulative recovery expressed as a percentage of the dose (CumFe)
Time frame: Collection of urine and faecal samples from pre-dose until 168 hours post-dose
Determination of the chemical structure of the "major" metabolites of [14C]AZD7594
Structural identification by assessing liquid chromatography-radiochemical-detection and subsequent mass spectrometry
Time frame: Collection of urine adn faeces samples from pre-dose until 168 hours post-dose
Evaluation of whole blood:plasma concentration ratios for total radioactivity
Assessment of total radioactivity by measuring AZD7594 in blood and plasma
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the IV PK of [14C]AZD7594 and total radioactivity
Time from dosing at which Cmax was apparent (tmax)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the IV PK of [14C]AZD7594 and total radioactivity
The maximum observed plasma concentration (Cmax)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the IV PK of [14C]AZD7594 and total radioactivity
The area under the concentration-time curve from dosing to the last measurable concentration (AUClast)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the IV PK of [14C]AZD7594 and total radioactivity
The area under the concentration-time curve from dosing extrapolated to infinity (AUC0-inf)
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Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the IV PK of [14C]AZD7594 and total radioactivity
The percentage of AUC extrapolated beyond the last measured time point (AUC%extr)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the IV PK of [14C]AZD7594 and total radioactivity
The terminal elimination rate constant calculated from the slope of the apparent elimination phase (λz)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the IV PK of [14C]AZD7594 and total radioactivity
The apparent terminal elimination half-life (t½)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the IV PK of [14C]AZD7594 and total radioactivity
Total clearance (CL)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the IV PK of [14C]AZD7594 and total radioactivity
Volume of distribution (Vz)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the IV PK of [14C]AZD7594 and total radioactivity
Volume of distribution at steady state (Vss)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the IV PK of [14C]AZD7594 and total radioactivity
Mean residence time (MRT)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the inhaled PK of AZD7594
The time from dosing at which Cmax was apparent (tmax)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the inhaled PK of AZD7594
The maximum observed plasma concentration (Cmax)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the inhaled PK of AZD7594
The area under the concentration-time curve from dosing to the last measurable concentration (AUClast)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the inhaled PK of AZD7594
The area under the concentration-time curve from dosing extrapolated to infinity (AUC0-inf)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the inhaled PK of AZD7594
The percentage of AUC extrapolated beyond the last measured time point(AUC%exre)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the inhaled PK of AZD7594
The terminal elimination rate constant calculated from the slope of the apparent elimination phase (λz)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the inhaled PK of AZD7594
The apparent terminal elimination half-life (t½)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the inhaled PK of AZD7594
Apparent total clearance (CL/F)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the inhaled PK of AZD7594
Apparent volume of distribution (Vz/F)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Assessment of the inhaled PK of AZD7594
Absolute bioavailability (F)
Time frame: Collection of plasma samples from pre-dose until 168 hours post-dose
Number of adverse events (AE)
Safety and tolerability assessed through incidence of AE
Time frame: AEs recorded from the time of informed consent until discharge from the study (168 hours post-dose)