The purpose of this study is to measure safety, tolerability, and pharmacokinetics (PK) of a single dose of AZD5148 administered via intravenous (IV) bolus or intramuscular (IM) injection in healthy participants
This is a first in human study which will be conducted at four clinical units. Participants will be randomized to receive AZD5148, or placebo administered by intramuscular (IM) injection into the lateral thigh muscle or intravenous (IV) bolus (single, discrete dose of a drug). This study will include 7 dose cohorts, two of which will include exclusively participants of Chinese descent, Cohort 2b and 4b. Each dose cohort will begin with a Sentinel Group of 2 participants randomized 1:1 (AZD5148:placebo). The participants in the Sentinel Group will undergo a safety monitoring period of 24 hours before the remaining participants in that cohort are dosed. If there would be no safety concerns, the remaining participants in the cohort will be dosed in a 9:1 ratio (AZD5148: placebo). Each participant will be involved in the study for up to 56 weeks (including Screening Period) The study will comprise: * A Screening Period of maximum 28 days (Day -28 to Day -1 inclusive). * A Treatment and Follow-up Period lasting 12 months after the administration of the study drug. * Participants will be resident at the Clinical Unit from the day before study drug administration (Day -1) until all assessments are completed on Day 2. * A final Follow-up Visit will occur within 361 ± 14 days after the study drug administration.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
QUADRUPLE
Enrollment
84
Research Site
Anniston, Alabama, United States
Research Site
Glendale, California, United States
Research Site
Baltimore, Maryland, United States
Research Site
San Antonio, Texas, United States
Number of participants with adverse events (AEs).
To evaluate the safety and tolerability of AZD5148 administered as a single IV or IM dose to healthy adult participants.
Time frame: From Day -1 to Day 91
Number of participants with serious adverse events (SAEs) and adverse events of special interest (AESIs)
To evaluate the safety and tolerability of AZD5148 administered as a single IV or IM dose to healthy adult participants.
Time frame: From Screening (Day -28 to Day -1) to final Follow-up Visit (Day 361 ± 14)
Maximum observed drug concentration (Cmax)
To evaluate the single dose PK of AZD5148.
Time frame: From Day 1 until last Follow up visit (Day 361 ± 14 days)
Time to reach maximum observed concentration (tmax)
To evaluate the single dose PK of AZD5148.
Time frame: From Day 1 until last Follow up visit (Day 361 ± 14 days)
Time of last quantifiable concentration (tlast)
To evaluate the single dose PK of AZD5148.
Time frame: From Day 1 until last Follow up visit (Day 361 ± 14 days)
Terminal elimination half-life, estimated as (ln2)/λz (t1/2λz)
To evaluate the single dose PK of AZD5148.
Time frame: From Day 1 until last Follow up visit (Day 361 ± 14 days)
Area under concentration-curve from time 0 to the time of last quantifiable concentration (AUClast)
To evaluate the single dose PK of AZD5148.
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Time frame: From Day 1 until last Follow up visit (Day 361 ± 14 days)
Area under concentration-time curve from time 0 extrapolated to infinity (AUCinf)
To evaluate the single dose PK of AZD5148.
Time frame: From Day 1 until last Follow up visit (Day 361 ± 14 days)
Volume of distribution at steady state (IV administration only) (Vss)
To evaluate the single dose PK of AZD5148.
Time frame: From Day 1 until last Follow up visit (Day 361 ± 14 days)
Volume of distribution at terminal phase (IV administration only) (Vz)
To evaluate the single dose PK of AZD5148.
Time frame: From Day 1 until last Follow up visit (Day 361 ± 14 days)
Systematic clearance (IV administration only) (CL)
To evaluate the single dose PK of AZD5148.
Time frame: From Day 1 until last Follow up visit (Day 361 ± 14 days)
Apparent total body clearance (IM administration only) (CL/F)
To evaluate the single dose PK of AZD5148.
Time frame: From Day 1 until last Follow up visit (Day 361 ± 14 days)
Apparent volume of distribution based on the terminal phase (IM administration only) (Vz/F)
To evaluate the single dose PK of AZD5148.
Time frame: From Day 1 until last Follow up visit (Day 361 ± 14 days)
Bioavailability for extravascular administration (IM administration only) (F)
To evaluate the single dose PK of AZD5148.
Time frame: From Day 1 until last Follow up visit (Day 361 ± 14 days)
Incidence of positive ADAs against AZD5148 in serum
To evaluate the ADA responses to a single IV or IM dose of AZD5148.
Time frame: Day 1 (pre-dose), Day 29, Day 91, Day 181 and Day 361