In clinical practice, AZD5718 will be co-administered with CYP3A substrates. Therefore, it is important to determine the impact of AZD5718 on the pharmacokinetics (PK) of CYP3A4 substrates. The primary objective of this study is to evaluate the effect of AZD5718 on the PK of midazolam, a known sensitive CYP3A4 substrate.
This is a Phase 1, fixed sequence, open-label study in healthy subjects, performed at a single study center. This study will consist of 3 treatment periods to assess the PK of midazolam when administered alone and in combination with multiple doses of AZD5718. The study will comprise: * A screening period of maximum 28 days; * Three treatment periods during which subjects will be resident from the day before first dosing (Day -1) until at least 24 hours after last dosing (Day 7); discharged on the morning of Day 8, and; * A final Follow-up Visit within 5 to 7 days after the last administration of investigational medicinal product (IMP).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
14
The subjects will receive single doses of midazolam solution 2 mg/mL orally on Day 1 alone in Treatment Period 1 and on Day 7 co-administered with oral AZD5718 tablet in Treatment Period 3.
The subjects will receive oral AZD5718 tablet once daily starting on Day 2 to Day 6 in Treatment Period 2 and on Day 7 co-administered with midazolam in Treatment Period 3.
Research Site
Harrow, United Kingdom
Maximum observed plasma peak concentration (Cmax) of midazolam
Comparison of Cmax calculated when midazolam alone and calculated when midazolam was taken together with AZD5718
Time frame: Day 1-Day 2 and Day 7-Day 8: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, and 24 hours (h) post-dose
Area under plasma concentration-time curve from time zero to infinity (AUCinf) of midazolam
Comparison of AUCinf calculated when midazolam alone and calculated when midazolam was taken together with AZD5718
Time frame: Day 1-Day 2 and Day 7-Day 8: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, and 24 h post-dose
Area under the plasma concentration-curve from zero to the last quantifiable concentration (AUClast) of midazolam
Comparison of AUClast calculated when midazolam alone and calculated when midazolam was taken together with AZD5718
Time frame: Day 1-Day 2 and Day 7-Day 8: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, and 24 h post-dose
Time to reach maximum observed plasma concentration (tmax) of midazolam
Comparison of tmax calculated when midazolam alone and calculated when midazolam was taken together with AZD5718
Time frame: Day 1-Day 2 and Day 7-Day 8: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, and 24 h post-dose
Half-life (t1/2) of midazolam
Comparison of t1/2 calculated when midazolam alone and calculated when midazolam was taken together with AZD5718
Time frame: Day 1-Day 2 and Day 7-Day 8: pre-dose, 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, and 24 h post-dose
Plasma concentrations of AZD5718
AZD5718 Plasma concentrations will be evaluated at trough and also at the expected time of tmax
Time frame: Day 2-Day 7: at trough and Day 7: 4 h post-dose
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Number of subjects with adverse events (AEs) and serious AEs
The number and percentage of subjects with AEs and the number of events including for both AZD5718 alone and in combination with midazolam
Time frame: AE: From Day 1 to post-treatment follow-up visit (Day 13); SAE: From screening to post-treatment follow-up visit (Day 13)
Number of subjects with abnormal 12-lead electrocardiogram (ECG)
12-lead resting ECG safety assessments if there are any abnormal findings or if the Investigator considers it is required for any other safety reason including for both AZD5718 alone and in combination with midazolam
Time frame: At screening and post-treatment follow-up visit (Day 13)
Number of subjects with abnormal physical examination
Any new or aggravated clinically relevant abnormal medical physical examination finding compared to the baseline assessment including for both AZD5718 alone and in combination with midazolam
Time frame: At screening, Day -1, Day 1, Day 4, Day 7, Day 8, and post-treatment follow-up visit (Day 13)
Number of subjects with abnormal blood pressure (BP)
Observed values and change from baseline value in systolic and diastolic BP including for both AZD5718 alone and in combination with midazolam
Time frame: For approximately 6 weeks (from screening to post-treatment follow-up)
Number of subjects with abnormal pulse rate
Observed values and change from baseline value in pulse rate including for both AZD5718 alone and in combination with midazolam
Time frame: For approximately 6 weeks (from screening to post-treatment follow-up)
Number of subjects with abnormal oxygen saturation levels
Observed values and change from baseline value in oxygen saturation including for both AZD5718 alone and in combination with midazolam
Time frame: On Day 1 and Day 7: 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 5, 6, 7, 8 and 12 h post-dose
Number of subjects with abnormal hematology parameters
Observed values and change from baseline value in hematology including for both AZD5718 alone and in combination with midazolam
Time frame: At screening, Day -1, Day 1 (pre-dose), Day 2 and Day 4 (pre-dose), Day 7 (pre-dose), Day 8, and post-treatment follow-up visit (Day 13)
Number of subjects with abnormal clinical chemistry parameters
Observed values and change from baseline value in clinical chemistry including for both AZD5718 alone and in combination with midazolam
Time frame: At screening, Day -1, Day 1 (pre-dose), Day 2 and Day 4 (pre-dose), Day 7 (pre-dose), Day 8, and post-treatment follow-up visit (Day 13)
Number of subjects with abnormal urine analysis parameters
Observed values and change from baseline value in urine analysis including for both AZD5718 alone and in combination with midazolam
Time frame: At screening, Day -1, Day 1 (pre-dose), Day 2 and Day 4 (pre-dose), Day 7 (pre-dose), Day 8, and post-treatment follow-up visit (Day 13)