This Phase I, randomised, single-blind, placebo-controlled study has been designed to assess the safety, tolerability, and pharmacokinetics (PK) of AZD2693 following subcutaneous (SC) administration of AZD2693 in healthy participants
The study will be performed at a single study center in Japan. The study will comprise of following periods: * Screening Period of maximum 28 days. * An 8-week Treatment Period during which participants will be randomized to receive multiple doses of AZD2693 or placebo at the study center. * A Follow-up Period of 15 weeks post last dose of study intervention consisting of 8 Follow-up Visits. Participants will be enrolled in 4 consecutive cohorts of 11 participants where 8 participants will be randomized to receive AZD2693 and 3 participants will be randomized to receive placebo. A participant is considered to have completed the study if the participant has completed all phases of the study including the last visit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
TRIPLE
Enrollment
44
Research Site
Sumida-ku, Japan
Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Safety and tolerability of AZD2693 compared to placebo following multiple dose SC administration in healthy participants will be evaluated.
Time frame: Until Day 162 (Final/Early termination visit)
Maximum observed plasma drug concentration (Cmax) of AZD2693
Cmax of AZD2693 following single dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Time to reach peak or maximum observed concentration following drug administration (tmax) of AZD2693
tmax of AZD2693 following single dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Terminal elimination rate constant, estimated by log-linear least-squares regression of the terminal part of the concentration-time curve (λz) of AZD2693
λz of AZD2693 following single and multiple doses SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Apparent terminal elimination half-life associated with the terminal slope (λz) of the semi-logarithmic concentration-time curve (t½λz) of AZD2693
t½λz of AZD2693 following single and multiple doses SC administration of AZD2693 in healthy participants will be characterized. The t½λz , estimated as (ln2)/λz
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
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Area under the plasma concentration-time curve from time zero to 48 hours after dosing AUC (0-48) of AZD2693
AUC(0-48) of AZD2693 following single and multiple doses SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Area under the plasma concentration-curve from time zero to the time of last quantifiable analyte concentration (AUClast) of AZD2693
AUClast of AZD2693 following single and multiple doses SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Area under the concentration-time curve from time zero extrapolated to infinity. AUCinf is estimated by AUClast + Clast/ λz where Clast is the last observed quantifiable concentration (AUCinf) of AZD2693
AUCinf of AZD2693 following single dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Apparent total body clearance of drug from plasma after extravascular administration (CL/F) of AZD2693
CL/F of AZD2693 following single and multiple dose SC administration of AZD2693 in healthy participants will be characterized. CL/F is calculated as Dose/AUCinf for single dose and for multiple dose it is calculated as Dose/AUCτAUCss.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Mean residence time (MRTinf) of AZD2693
MRTinf of AZD2693 following single dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Time delay between drug administration and the first observed concentration in plasma (tlag) of AZD2693
tlag of AZD2693 following single and multiple doses SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Apparent volume of distribution for parent drug at terminal phase (extravascular administration) (Vz/F) of AZD2693
Vz/F of AZD2693 following single dose SC administration of AZD2693 in healthy participants will be characterized. Vz/F is estimated by dividing the apparent clearance (CL/F) by λz.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Area under the plasma concentration-time curve from time zero to time of last quantifiable analyte concentration divided by the dose administered (AUClast/D) of AZD2693
AUClast/D of AZD2693 following single and multiple doses SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Area under the plasma concentration-time curve from time zero extrapolated to infinity divided by the dose administered (AUCinf/D) of AZD2693
AUCinf/D of AZD2693 following single dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Observed maximum plasma concentration divided by the dose administered (Cmax/D) of AZD2693
Cmax/D of AZD2693 following single and multiple doses SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Time of the last quantifiable concentration (tlast) of AZD2693
tlast of AZD2693 following single and multiple doses SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Maximum observed plasma drug concentration at steady state (Cmax) of AZD2693
Cmax of AZD2693 following multiple dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Minimum observed drug concentration at steady state (Cmin) of AZD2693
Cmin of AZD2693 following multiple dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Time to reach maximum observed plasma concentration at steady state (tmax) of AZD2693
tmax of AZD2693 following multiple dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Area under the concentration-time curve in the dose interval (AUCτ) of AZD2693
AUCτ of AZD2693 following multiple dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Area under the plasma concentration-time curve from time zero extrapolated to infinity divided by the dose administered (AUCτ/D) of AZD2693
AUCτ/D of AZD2693 following multiple dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Accumulation ratio based on Cmax (Rac Cmax) of AZD2693
Rac Cmax of AZD2693 following multiple dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Accumulation ratio based on AUC (Rac AUC) of AZD2693
Rac AUC of AZD2693 following multiple dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Temporal change parameter in systemic exposure (TCP) of AZD2693
TCP of AZD2693 following multiple dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose), Day 8, Day 29 (pre-dose only), and days 64, 78, 92, 106, 120, 134, 148, and 162 (Final/ET visit)
Amount of analyte excreted into the urine from time t1 to t2 (Ae(t1-t2)) for AZD2693
(Ae(t1-t2)) of AZD2693 following single and multiple dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose)
Cumulative amount of analyte excreted from time zero through the last sampling interval Ae(0-last) of AZD2693
Ae(0-last) of AZD2693 following single and multiple dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose)
Fraction of dose excreted unchanged into the urine from time t1 to t2 fe(t1-t2) of AZD2693
fe(t1-t2) of AZD2693 following single and multiple dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose)
Cumulative fraction (percentage) of dose excreted unchanged into the urine from time zero to the last measured time point (fe(0-last)) of AZD2693
fe(0-last) of AZD2693 following single and multiple dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose)
Renal clearance of drug from plasma, estimated by dividing Ae(0-t) by AUC(0-t) where the 0-t interval is the same for both Ae and AUC (CLR) of AZD2693
CLR of AZD2693 following single and multiple dose SC administration of AZD2693 in healthy participants will be characterized.
Time frame: Day 1 and Day 57 (pre-dose and post-dose)