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Cardiovascular DiseasePhase 1NCT02712372

A Study to Assess the Safety and Tolerability of Single and Multiple Doses of AZD4831 in Healthy Male Subjects

A Phase 1 study testing AZD4831 in people with Cardiovascular Disease, run by AstraZeneca.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This is a Phase I, first-in-human (FIH) study to assess the safety, tolerability, pharmacokinetics (PK) and Pharmacodynamics (PD) of AZD4831 after single and multiple ascending doses in healthy male subjects Read more about this study

Who is it for?
Ages 18 to 50 years, men onlyHealthy volunteers can take part
Conditions the study is for
Cardiovascular Disease
What is being tested?
AZD4831
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
104 participants
Where
No sites listed yet
Study dates
Jun 2016to Oct 2016
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 50 years
  • Men only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Provision of signed and dated, written informed consent before any study specific procedures.
  • Healthy male subjects aged 18 - 50 years, inclusive, with suitable veins for cannulation or repeated venipuncture.
  • Have a body mass index (BMI) between 18 and 29.9 kg/m2, inclusive, and weigh at least 50 kg and no more than 100 kg inclusive.
  • Provision of signed, written and dated informed consent for optional genetic/biomarker research.
  • Subjects must be able to read, speak and understand the German language.

Who cannot join

  • History of any clinically significant disease or disorder which, in the opinion of the Investigator, may either put the subject at risk because of participation in the study, or influence the results or the subject's ability to participate in the study.
  • History or presence of gastrointestinal (GI), hepatic or renal disease, or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
  • Presence of infection(s) (particularly fungal infection), as judged by the investigator.
  • History or current thyroid disease.
  • Any clinically significant illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of investigational medicinal product (IMP).
  • Any clinically significant abnormalities in clinical chemistry, haematology, or urinalysis results, as judged by the investigator.
Show all 31Show fewer
  • Any positive result on screening for serum hepatitis B surface antigen (HBsAg), anti-hepatitis B core (anti-HBc) antibodies, hepatitis C antibody and human immunodeficiency virus (HIV).
  • Abnormal vital signs
  • Any clinically significant abnormalities in rhythm, conduction or morphology of the resting ECG and any clinically significant abnormalities in the 12-lead ECG, as considered by the investigator that may interfere with the interpretation of QTc interval changes, including abnormal ST-T-wave morphology, particularly in the protocol defined primary lead or LV hypertrophy.
  • Prolonged QTcF > 450 ms or shortened QTcF < 340 ms or family history of long QT syndrome.
  • PR(PQ) interval shortening < 120 ms (PR > 110 ms but < 120 ms is acceptable if there is no evidence of ventricular pre-excitation)
  • PR (PQ) interval prolongation (> 200 ms) intermittent second (Wenckebach block while asleep is not exclusive) or third degree AV block, or AV dissociation
  • Persistent or intermittent complete bundle branch block, incomplete bundle branch block, or intraventricular conduction delay with QRS > 110 ms. Subjects with QRS > 110 ms but < 115 ms are acceptable if there is no evidence of, for example, ventricular hypertrophy or pre-excitation.
  • ECG findings suggesting a metabolic or other non-cardiac condition that may confound interpretation of serial changes (such as hypokalemia).
  • Known or suspected history of drug abuse, as judged by the investigator.
  • Current smokers or those who have smoked or used nicotine products within the previous 3 months.
  • History of alcohol abuse or excessive intake of alcohol, as judged by the investigator.
  • Positive screen for drugs of abuse, cotinine (nicotine) or alcohol at screening or admission to the unit before the first administration of IMP.
  • History of severe allergy/hypersensitivity or ongoing clinically significant allergy/hypersensitivity, as judged by the investigator or history of hypersensitivity to drugs with a similar chemical structure or class to AZD4831.
  • Excessive intake of caffeine containing drinks or food (e.g., coffee, tea, chocolate), as judged by the investigator.
  • Use of drugs with enzyme inducing properties such as St John's Wort within 3 weeks before the first administration of IMP.
  • Use of any prescribed or non-prescribed medication including antacids, analgesics (other than paracetamol/acetaminophen), herbal remedies, megadose vitamins (intake of 20 to 600 times the recommended daily dose) and minerals during the 2 weeks before the first administration of IMP or longer if the medication has a long half-life.
  • Plasma donation within 1 month of screening or any blood donation/blood loss > 500 mL during the 3 months before screening.
  • Has received another new chemical entity (defined as a compound which has not been approved for marketing) within 3 months of the first administration of IMP in this study. The period of exclusion begins 3 months after the final dose or 1 month after the last visit whichever is the longest.
  • Vulnerable subjects, e.g., kept in detention, protected adults under guardianship, trusteeship, or committed to an institution by governmental or juridical order.
  • Involvement of any Astra Zeneca, PAREXEL or study site employee or their close relatives.
  • Judgment by the investigator that the subject should not participate in the study if they have any ongoing or recent (i.e., during the screening period) minor medical complaints that may interfere with the interpretation of study data or are considered unlikely to comply with study procedures, restrictions and requirements.
  • Subjects who are vegans or have medical dietary restrictions.
  • Subjects who cannot communicate reliably with the investigator.
  • Previous bone marrow transplant.
  • Non-leukocyte depleted whole blood transfusion within 120 days of the date of the genetic sample collection.

About this study

Official title: A Phase I, Randomised, Single-Blind, Placebo-controlled Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of AZD4831 After Single and Multiple Ascending Dose Administration to Healthy Male Subjects

This is a Phase I, first-in-human (FIH) study to assess the safety, tolerability, pharmacokinetics (PK) and Pharmacodynamics (PD) of AZD4831 after single and multiple ascending doses in healthy male subjects

Read the detailed description

This is a Phase I, FIH, randomized, single-blind, placebo-controlled study to assess the safety, tolerability, pharmacokinetics (PK) and Pharmacodynamics (PD) of AZD4831 after single (Part 1) and multiple (Part 2) ascending doses in healthy male subjects. The study will be conducted at a single study center with a planned number of subjects of up to 125 healthy males, aged 18 to 50 years.

Being tested
AZD4831, AZD4831 placebo
Keywords
AZD4831 oral suspension, Healthy male subjects, Safety, Tolerability, Pharmacokinetics, Pharmacodynamics
Medical subject headings
Cardiovascular Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AZD4831Drug

    AZD4831 1-50 mg/g oral suspension

  • AZD4831 placeboDrug

    AZD4831 placebo oral suspension

Study groups in NCT02712372
Study groupRoleWhat they receive
Part 1, Dose Level 1ExperimentalPart 1: Part 1A: Single dose administered in the morning on Day 1 under fasted conditions. Part 1B: Single dose administered in the morning of Day 1 under fed conditions.
Receives: Drug: AZD4831
Part 1, Dose Level 2ExperimentalPart 1: Part 1A: Single dose administered in the morning on Day 1 under fasted conditions. Part 1B: Single dose administered in the morning of Day 1 under fed conditions.
Receives: Drug: AZD4831
Part 1, Dose Level 3ExperimentalPart 1: Part 1A: Single dose administered in the morning on Day 1 under fasted conditions. Part 1B: Single dose administered in the morning of Day 1 under fed conditions.
Receives: Drug: AZD4831
Part 1, Dose Level 4ExperimentalPart 1: Part 1A: Single dose administered in the morning on Day 1 under fasted conditions. Part 1B: Single dose administered in the morning of Day 1 under fed conditions.
Receives: Drug: AZD4831
Part 1, Dose Level 5ExperimentalPart 1: Part 1A: Single dose administered in the morning on Day 1 under fasted conditions. Part 1B: Single dose administered in the morning of Day 1 under fed conditions.
Receives: Drug: AZD4831
Part 1, Dose Level 6ExperimentalPart 1: Part 1A: Single dose administered in the morning on Day 1 under fasted conditions. Part 1B: Single dose administered in the morning of Day 1 under fed conditions.
Receives: Drug: AZD4831
Part 2, Dose Level 1ExperimentalPart 2: Single dose administered in the morning on Day 1 and multiple doses administered once daily, in the morning, Days 3 to 12
Receives: Drug: AZD4831
Part 2, Dose Level 2ExperimentalPart 2: Single dose administered in the morning on Day 1 and multiple doses administered once daily, in the morning, Days 3 to 12
Receives: Drug: AZD4831
Part 2, Dose Level 3ExperimentalPart 2: Single dose administered in the morning on Day 1 and multiple doses administered once daily, in the morning, Days 3 to 12
Receives: Drug: AZD4831
AZD4831 PlaceboPlacebo comparatorPart 1: Part 1A: Single dose administered in the morning on Day 1 under fasted conditions. Part 1B: Single dose administered in the morning of Day 1 under fed conditions. Part 2: Single dose administered in the morning on Day 1 and multiple doses administered once daily, in the morning, Days 3 to 12
Receives: Drug: AZD4831 placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Frequencies of adverse events

    To assess the safety and tolerability of single and multiple doses of AZD4831

    Measured: From screening up to 10 days post final dose

  2. Supine blood pressure (Part 1)

    To assess change from baseline in supine blood pressure

    Measured: From screening up to 48 hours post dose

  3. Supine pulse rate (Part 1)

    To assess change from baseline in supine pulse rate

    Measured: From screening up to 48 hours post dose

  4. Supine body temperature (Part 2)

    To assess change from baseline in supine body temperature

    Measured: From screening up to pre-dose Day 12

  5. 12-lead electrocardiogram

    To assess 12-lead electrocardiogram

    Measured: From screening up to 10 days post final dose

  6. 12-lead electrocardiogram (cardiac telemetry)

    12-lead electrocardiogram (cardiac telemetry)

    Measured: From Day-1 up to 24 hours post final dose

  7. Physical examination

    To assess subject through a physical examination, including assessment of the general appearance, skin, cardiovascular, respiratory, abdomen, head and neck (including ears, eyes, nose and throat), lymph nodes, thyroid, musculoskeletal and neurological systems.

    Measured: From screening up to 10 days post final dose

  8. To assess the subject through hematology laboratory assessment

    To assess a subject through hematology laboratory assessment

    Measured: From screening up to 10 days post final dose

  9. Percentage of adverse events

    To assess the safety and tolerability of single and multiple doses of AZD4831

    Measured: From screening to 10 days post final dose

  10. Supine blood pressure (Part 2)

    To assess change from baseline in supine blood pressure

    Measured: From screening up to 10 days post final dose

  11. Supine pulse rate (Part 2)

    To assess change from baseline in supine pulse rate

    Measured: From screening up to 10 days post final dose

  12. Chemistry evaluations

    including high-sensitivity C-reactive protein {hs-CRP} and thyroid panel

    Measured: From screening up to 10 days post final dose

  13. To assess the subject through urinalysis laboratory assessment

    To assess a subject through urinalysis laboratory assessment

    Measured: From screening up to 10 days post final dose

Secondary outcomes (22)
  1. Observed maximum plasma concentration, taken directly from the individual concentration-time curve (Cmax)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  2. Time to reach maximum plasma concentration, taken directly from the individual concentration-time curve (tmax)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  3. Terminal rate constant, estimated by log-linear least squares regression of the terminal part of the concentration-time curve (λz)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  4. Terminal half-life, estimated as (ln2)/λz (t1/2λz)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  5. Area under the plasma concentration-curve over 24 hours (AUCτ)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  6. Area under the plasma concentration-curve from time zero to the time of last quantifiable analyte concentration (AUC0-t)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  7. Area under the concentration-time curve from time zero extrapolated to infinity (AUC)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  8. Apparent clearance for parent drug estimated as dose divided by AUC (CL/F)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  9. Mean Residence Time (MRT)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  10. Apparent volume of distribution for parent drug at terminal phase (Vz/F)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  11. Area under the plasma concentration-time curve from time zero to time of last quantifiable analyte concentration divided by the dose administered (AUC0-t/D)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  12. Area under the plasma concentration-time curve from time zero extrapolated to infinity divided by the dose administered (AUC/D)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  13. Observed maximum plasma concentration divided by the dose administered (Cmax/D)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  14. Area under the plasma concentration-curve over the dosing interval divided by the dose administered (AUCτ/D) (Part 2 only)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post final dose

  15. Accumulation ratio calculated as AUCτ Day 12/ AUCτ Day 1 (Rac AUC) (Part 2 only)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post final dose

  16. Accumulation ratio calculated as Cmax Day 12/ Cmax Day 1 (Rac Cmax) (Part 2 only)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post final dose

  17. Temporal change parameter in systemic exposure (TCP) (Part 2 only)

    To characterize the plasma pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post final dose

  18. Amount of analyte excreted into the urine from time t1 to t2 [Ae(t1-t2)]

    Assessment of the urine PK following single and multiple doses of pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  19. Cumulative amount of analyte excreted at time t [Ae(0-t)]

    Assessment of the urine PK following single and multiple doses of pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  20. Fraction of dose excreted unchanged into the urine from time t1 to t2, estimated by dividing Ae(t1-t2) by dose [fe(t1-t2)]

    Assessment of the urine PK following single and multiple doses of pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  21. Fraction of dose excreted unchanged into the urine from time zero to time t, estimated by dividing Ae(0-t) by dose [fe(0-t)]

    Assessment of the urine PK following single and multiple doses of pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

  22. Renal clearance, estimated by dividing Ae(0-t) by AUC(0-t) (CLR)

    Assessment of the urine PK following single and multiple doses of pharmacokinetics of AZD4831

    Measured: From pre-dose up to 48 hours post dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Mar 2016 (estimated)
  2. Study startJun 2016
  3. Primary completionOct 2016
  4. Study completionOct 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
104 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02712372
Sponsor's protocol ID
D6580C00001
Status last verified
Jan 2017
First submitted
15 Mar 2016
Last updated
6 Jan 2017
Results posted
No
Data monitoring committee
No

Publications

  • Sunnaker M, Leander J, Ericsson H. Population Pharmacokinetics of the Novel Myeloperoxidase Inhibitor Mitiperstat. Pharmacol Res Perspect. 2026 Jun;14(3):e70259. doi: 10.1002/prp2.70259.

    PubMed 42101107

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing AZD4831 in people with Cardiovascular Disease, run by AstraZeneca.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 31 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 6 Jan 2017. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early. Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Frequencies of adverse events (time frame: From screening up to 10 days post final dose). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02712372, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jan 2017.

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