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Pulmonary/Respiratory DiseasesPhase 1NCT02950805

A Study to Assess the Effect of AZD5634 on Mucociliary Clearance, Safety, Tolerability and Pharmacokinetic Parameters in Patients With Cystic Fibrosis

A Phase 1 study testing AZD5634 in people with Pulmonary/Respiratory Diseases, run by AstraZeneca at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This study will assess the effect of inhaled AZD5634 on Mucociliary clearance (MCC) in patients with Cystic fibrosis (CF) after single-dose administration. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Pulmonary/Respiratory Diseases
What is being tested?
AZD5634
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
9 participants
Where
3 sitesUnited States
Study dates
30 May 2017to 12 Apr 2018
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 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Provision of signed and dated written informed consent prior to any study-specific procedures.
  • Male or female patients aged 18-60 years old inclusive.
  • Diagnosed of CF at Screening as evidenced in medical records by one of the following criteria:
  • sweat chloride ≥ 60 mmol/L
  • presence of 2 mutations in the Cystic Fibrosis Transmembrane Conductance Regulator (CFTR) gene.
  • Chronic sinopulmonary disease or pancreatic insufficiency.
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  • FEV1measurement at Screening ≥ 40% of the predicted normal value of age, height, gender, and race.
  • Stable CF regimen for at least 2 months before Screening.
  • Body mass index (BMI) between 15-30 kg/m2 inclusive.
  • Female patients are not pregnant and do not plan to become pregnant during the study, are not lactating, or are of non-childbearing potential. Females of childbearing potential must provide a negative serum pregnancy test and have a date of last menstruation consistent with non-pregnancy, negative urine pregnancy tests at each visit, and must be using at least one highly effective method of contraception.
  • Ability of the patient to correctly perform the inhalation procedure after training during the Screening Visit.

Who cannot join

  • Had a pulmonary exacerbation requiring change in antibiotics and/or hospitalization within 28 days before the first dose of Investigational product.
  • History of lung transplant or any other transplantation.
  • Currently being treated with ivacaftor monotherapy at Screening or received ivacaftor monotherapy within 30 days before Screening.
  • History of severe allergy/hypersensitivity or ongoing clinically significant allergy/hypersensitivity, as judged by the Investigator, to drugs in a similar class to AZD5634.
  • History or presence of hepatic cirrhosis.
  • Creatinine clearance <60 mL/min/m2 using the Cockroft-Gault Equation.
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  • Liver function test results >2x upper limit of normal (aspartate aminotransferase [AST], alanine aminotransferase [ALT], gamma-glutamyl transpeptidase [GGT], or bilirubin)
  • History of any clinically significant disease or disorder which, in the opinion of the Investigator, may either put the patient at risk because of participation in the study, or influence the results or the patient's ability to participate in the study.
  • Received treatment with the following medications within the 3 weeks before Screening: strong or moderate Cytochrome P450 (CYP) 3A inhibitors, as classified by the Food and Drug Administration (FDA).
  • Likely to require treatment during the study with drugs not permitted by the study protocol.
  • Any clinically significant abnormalities in clinical chemistry, hematology, or urinalysis results.
  • Serum potassium levels are outside the normal range (3.5-5.1 mmol/L).
  • Serum sodium levels <135 mmol/L.
  • Abnormal vital signs, after 5 minutes rest, at Screening or Visit 2 (seated or supine; position should be consistent for a given patient at both visits), defined as any of the following:
  • Systolic blood pressure (B.P) < 90 or ≥ 150 mmHg
  • Diastolic B.P < 45 or ≥ 90 mmHg
  • Pulse rate < 45 or >110 beats/minute
  • 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 corrected ECG interval measured from the onset of the QRS complex to the offset of the T wave (QTc) interval changes.
  • QTc prolongation defined as QT interval corrected for heart rate using Fridericia's formula (QTcF) >450 ms.
  • ECG interval measured from the onset of the P wave to the onset of the QRS complex (PR/PQ) interval prolongation (>240 ms), intermittent second or third degree atrioventricular (AV) block, or AV dissociation.
  • Persistent or intermittent complete bundle branch block (BBB) with ECG interval measured from the onset of the QRS complex to the J point (QRS) >120 ms or evidence of pre-excitation.

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Research Site

    Baltimore, Maryland, 21205

  • Research Site

    Birmingham, Alabama, 35294-1785

  • Research Site

    Chapel Hill, North Carolina, 27517

Other trials in United States

About this study

Official title: A Phase 1b Randomized Blinded Placebo-Controlled, Cross-Over Study to Assess the Effect of AZD5634 on Mucociliary Clearance as Well as Safety, Tolerability, and Pharmacokinetic Parameters Following Single Inhaled Dose Administration to Patients With Cystic Fibrosis.

This study will assess the effect of inhaled AZD5634 on Mucociliary clearance (MCC) in patients with Cystic fibrosis (CF) after single-dose administration.

Read the detailed description

The primary pharmacodynamic endpoint will be the average whole lung particle clearance between 0 and 60 minutes after administration of aerosolized radiolabelled particles (colloids) at Visits 2 and 3 (%MCC 0-60, whole).

Being tested
Placebo, AZD5634
Keywords
AZD5634, Mucociliary Clearance, Safety, Tolerability, Pharmacokinetic, Cystic Fibrosis, Cross-Over Study
Medical subject headings
Respiratory Tract Diseases, Cystic Fibrosis

What participants receive

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

  • PlaceboDrug

    Subjects will receive a placebo in either period 1 or period 2 by inhalation.

  • AZD5634Drug

    Subjects will receive a single tentative dose of 625 μg of AZD5634 in either period 1 or period 2 by inhalation.

Study groups in NCT02950805
Study groupRoleWhat they receive
Placebo + AZD5634ExperimentalSubjects were administered single dose of placebo in period 1 and AZD5634 in period 2.
Receives: Drug: Placebo; Drug: AZD5634
AZD5634 + PlaceboExperimentalSubjects were administered single dose of AZD5634 in period 1 and placebo in period 2.
Receives: Drug: Placebo; Drug: AZD5634

What is being measured

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

  1. Percentage of average whole lung particle clearance between 0 and 60 minutes after administration of aerosolized radiolabelled particles

    Assessment of the average whole lung clearance between 0 and 60 minutes after administration of single inhaled dose of aerosolized radiolabelled particles (colloids) of AZD5634, (%MCC 0--60, whole) in subjects with cystic fibrosis (CF).

    Measured: 0 to 60 minutes

Secondary outcomes (35)
  1. Percentage of average central clearance between 0 and 60 minutes after administration of aerosolized radiolabelled particles

    Assessment and comparison of the average central clearance between 0 and 60 minutes after administration of single inhaled dose of aerosolized radiolabelled particles (colloids) of AZD5634, in subjects with CF.

    Measured: 0 to 60 minutes

  2. Percentage of average peripheral clearance between 0 and 60 minutes after administration of aerosolized radiolabelled particles

    Assessment and comparison of the average peripheral clearance between 0 and 60 minutes after administration of single inhaled dose of aerosolized radiolabelled particles (colloids) of AZD5634 in subjects with CF.

    Measured: 0 to 60 minutes

  3. Percentage of average tracheobronchial clearance between 0 and 60 minutes after administration of aerosolized radiolabelled particles

    Assessment and comparison of the average tracheobronchial clearance between 0 and 60 minutes after administration of single inhaled dose of aerosolized radiolabelled particles (colloids) of AZD5634 in subjects with CF.

    Measured: 0 to 60 minutes

  4. Percentage of particle clearance at 6-hour

    Assessment and comparison the 6-hour clearance after administration of aerosolized radiolabelled particles (colloids) of AZD5634 in subjects with CF.

    Measured: 6 hours

  5. Percentage of average whole lung cough clearance between 60 minutes and 90 minutes after administration of aerosolized radiolabelled particles

    Assessment of the average whole lung cough clearance between 60 minutes and 90 minutes after administration of single inhaled dose of aerosolized radiolabelled particles (colloids) of AZD5634 in subjects with CF.

    Measured: 60 minutes to 90 minutes

  6. Percentage of average central cough clearance between 60 minutes and 90 minutes after administration of aerosolized radiolabelled particles

    Assessment and comparison of the average central cough clearance between 60 minutes and 90 minutes after administration of single inhaled dose of aerosolized radiolabelled particles (colloids) of AZD5634 in subjects with CF.

    Measured: 60 minutes to 90 minutes

  7. Percentage of average peripheral cough clearance between 60 minutes and 90 minutes after administration of aerosolized radiolabelled particles

    Assessment and comparison of the average peripheral cough clearance between 60 minutes and 90 minutes after administration of single inhaled dose of aerosolized radiolabelled particles (colloids) of AZD5634 in subjects with CF.

    Measured: 60 minutes to 90 minutes

  8. Percentage of average tracheobronchial cough clearance between 60 minutes and 90 minutes after administration of aerosolized radiolabelled particles

    Assessment and comparison of the average tracheobronchial cough clearance between 60 minutes and 90 minutes after administration of single inhaled dose of aerosolized radiolabelled particles (colloids) of AZD5634 in subjects with CF.

    Measured: 60 minutes to 90 minutes

  9. Maximum observed plasma concentration (Cmax)

    Assessment of Cmax in subjects with CF after the administration of single inhaled dose of AZD5634.

    Measured: Pre-dose and up to 6 hours post-dose

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

    Assessment of AUC in subjects with CF after the administration of single inhaled dose of AZD5634.

    Measured: Pre-dose and up to 6 hours post-dose

  11. Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration (AUC 0-last)

    Assessment of AUC 0-last in subjects with CF after the administration of single inhaled dose of AZD5634.

    Measured: Pre-dose and up to 6 hours post-dose

  12. Area under the plasma concentration-time curve from time zero to 6 hours post-dose (AUC 0-6)

    Assessment of AUC 0-6 in subjects with CF after the administration of single inhaled dose of AZD5634.

    Measured: Pre-dose and up to 6 hours post-dose

  13. Observed last quantifiable concentration (C last)

    Assessment of C last in subjects with CF after the administration of single inhaled dose of AZD5634.

    Measured: Pre-dose and up to 6 hours post-dose

  14. Time of last quantifiable concentration (t last)

    Assessment of t last in subjects with CF after the administration of single inhaled dose of AZD5634.

    Measured: Pre-dose and up to 6 hours post-dose

  15. Time to reach maximum plasma concentration (t max)

    Assessment of t max in subjects with CF after the administration of single inhaled dose of AZD5634.

    Measured: Pre-dose and up to 6 hours post-dose

  16. Terminal elimination rate constant (λz)

    Assessment of λz in subjects with CF after the administration of single inhaled dose of AZD5634.

    Measured: Pre-dose and up to 6 hours post-dose

  17. Terminal elimination half-life (t1/2,λz)

    Assessment of t1/2,λz in subjects with CF after the administration of single inhaled dose of AZD5634.

    Measured: Pre-dose and up to 6 hours post-dose

  18. Apparent clearance (CL/F)

    Assessment of CL/F in subjects with CF after the administration of single inhaled dose of AZD5634.

    Measured: Pre-dose and up to 6 hours post-dose

  19. Apparent volume of distribution at terminal phase (Vz/F)

    Assessment of Vz/F in subjects with CF after the administration of single inhaled dose of AZD5634.

    Measured: Pre-dose and up to 6 hours post-dose

  20. Cumulative amount of AZD5634 excreted in urine from time zero to 6 hours (Ae 0-6)

    Assessment of Ae 0-6 in subjects with CF after the administration of single inhaled dose of AZD5634.

    Measured: Pre-dose and up to 6 hours post-dose

  21. Cumulative percentage of dose excreted unchanged in urine from time zero to 6 hours (fe(0-6)%)

    Assessment of fe(0-6)% in subjects with CF after the administration of single inhaled dose of AZD5634.

    Measured: Pre-dose and up to 6 hours post-dose

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

    Assessment of CLR in subjects with CF after the administration of single inhaled dose of AZD5634.

    CLR is defined as renal clearance, estimated by dividing Ae(0-t) cumulative amount of AZD5634 excreted in urine from time zero up to time t) by AUC 0-t (area under the plasma concentration-time curve from time zero to time t), where t represents a matching time point for plasma and urine sampling.

    Measured: Pre-dose and up to 6 hours post-dose

  23. Safety of subjects by evaluating the incidence of adverse events (AEs)

    Assessment of the safety in terms of the incidences of the AEs after the administration of single inhaled dose of AZD5634 in subjects with CF.

    Measured: From screening (≤28 days) up to 14-21 days post dosing

  24. Safety of subjects by evaluating the systolic and diastolic blood pressure

    Assessment of the safety in terms of systolic and diastolic blood pressure after the administration of single inhaled dose of AZD5634 in subjects with CF.

    Measured: From screening (≤28 days) up to 14-21 days post dosing

  25. Safety of subjects by evaluating the pulse rate.

    Assessment of the safety in terms of pulse rate after the administration of single inhaled dose of AZD5634 in subjects with CF.

    Measured: From screening (≤28 days) up to 14-21 days post dosing

  26. Safety of subjects by evaluating spirometry results

    Assessment of the safety by evaluating the spirometry results after administration of the of single inhaled dose of AZD5634 in subjects with CF.

    Measured: From screening (≤28 days) up to 14-21 days post dosing

  27. Safety of subjects by evaluating the ECG results

    Assessment of the safety by evaluating the ECG results after administration of the of single inhaled dose of AZD5634 in subjects with CF.

    Measured: Pre-dose and up to 6 hours post-dose

  28. Safety of subjects by the physical examination

    Assessment of the safety by physical examination after administration of the of single inhaled dose of AZD5634 in subjects with CF.

    Measured: From screening (≤28 days) up to 14-21 days post dosing

  29. Safety of subjects by evaluating the respiratory rate.

    Assessment of the safety in terms of respiratory rate after the administration of single inhaled dose of AZD5634 in subjects with CF.

    Measured: From screening (≤28 days) up to 14-21 days post dosing

  30. Safety of subjects by evaluating fractional excretion of potassium (FEK)

    Assessment of FEK after the administration of single inhaled dose of AZD5634 in subjects with CF.

    Measured: Pre-dose and at 0-6 hours post-dose

  31. Safety of subjects by evaluating urine sodium/potassium (Na/K) ratio

    Assessment of ratio of Na/K after the administration of single inhaled dose of AZD5634 in subjects with CF.

    Measured: Pre-dose and at 0-6 hours post-dose

  32. Safety of subjects by evaluating the pulse oximetry

    Assessment of the safety in terms of pulse rate after the administration of single inhaled dose of AZD5634 in subjects with CF.

    Measured: From screening (≤28 days) up to 14-21 days post dosing

  33. Safety of subjects by evaluating the clinical laboratory test results for biochemistry

    Assessment of the clinical laboratory test results in terms of biochemistry after the administration of single inhaled dose of AZD5634 in subjects with CF.

    Measured: From screening (≤28 days) until 14-21 days post dosing

  34. Safety of subjects by evaluating the clinical laboratory test results for urinalysis

    Assessment of the clinical laboratory test results in terms of urinalysis after the administration of single inhaled dose of AZD5634 in subjects with CF.

    Measured: From screening (≤28 days) until 14-21 days post dosing

  35. Safety of subjects by evaluating the clinical laboratory test results for hematology

    Assessment of the clinical laboratory test results in terms of hematology after the administration of single inhaled dose of AZD5634 in subjects with CF.

    Measured: From screening (≤28 days) until 14-21 days post dosing

Timeline

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

  1. First posted1 Nov 2016 (estimated)
  2. Study start30 May 2017
  3. Primary completion12 Apr 2018
  4. Study completion12 Apr 2018

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
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
9 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02950805
Sponsor's protocol ID
D6600C00002
Status last verified
Jul 2018
First submitted
23 Aug 2016
Last updated
13 Jul 2018
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Kristensson C, Astrand A, Donaldson S, Goldwater R, Abdulai R, Patel N, Gardiner P, Tehler U, Mercier AK, Olsson M, Ersdal E, Maenpaa J, Bramer T, Malmgren A, Bennett W, Keen C. AZD5634, an inhaled ENaC inhibitor, in healthy subjects and patients with cystic fibrosis. J Cyst Fibros. 2022 Jul;21(4):684-690. doi: 10.1016/j.jcf.2022.02.010. Epub 2022 Feb 26.

    PubMed 35227647

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing AZD5634 in people with Pulmonary/Respiratory Diseases, run by AstraZeneca at 3 sites in United States.

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 11 inclusion and 21 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: finished, as of the sponsor's last update on 13 Jul 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Percentage of average whole lung particle clearance between 0 and 60 minutes after administration of aerosolized radiolabelled particles (time frame: 0 to 60 minutes). 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 NCT02950805, 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 13 Jul 2018.

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