AzTrials
AzTrials

High Risk Coronary Artery DiseasePhase 1NCT02963116

A Study to Estimate the Effect of AZD5718 on the Pharmacokinetics (What Does the Body Does to the Drug) of Rosuvastatin to Measure the Relative Bioavailability (the Extent to Which a Drug or Other Substance Becomes Available to the Body) of AZD5718 Oral Suspension vs AZD5718 Immediate Release Tablet

A Phase 1 study testing AZD5718 IR tablet, AZD5718 oral suspension and Rosuvastatin tablet in people with High Risk Coronary Artery Disease, run by AstraZeneca at 1 site in United Kingdom.

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 is a randomized, open-label, 5-period, 5-treatment, single-dose, single-center, crossover study to estimate the effect of AZD5718 on the pharmacokinetics (PK) of rosuvastatin, and to assess the relative bioavailability of AZD5718 oral suspension vs AZD5718 immediate release (IR) Tablet Formulation and the… Read more about this study

Who is it for?
Ages 18 to 50 yearsHealthy volunteers can take part
Conditions the study is for
High Risk Coronary Artery Disease
What is being tested?
AZD5718 IR tablet, AZD5718 oral suspension and Rosuvastatin tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
1 siteUnited Kingdom
Study dates
20 Dec 2016to 1 Mar 2017
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
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • For inclusion in the study, subjects should fulfill the following criteria:
  • Provision of signed and dated, written informed consent prior to any study specific procedures.
  • Healthy male and/or female subjects (of non childbearing potential) aged 18 to 50 years (inclusive) with suitable veins for cannulation or repeated venipuncture.
  • Females must have a negative pregnancy test at the Screening Visit and on admission to the unit, must not be lactating and must be of non-childbearing potential, confirmed at the Screening Visit by fulfilling one of the following criteria 3.1. Postmenopausal defined as amenorrhea for at least 12 months or more following cessation of all exogenous hormonal treatments and follicle stimulating hormone levels in the postmenopausal range.
  • 3.2. Documentation of irreversible surgical sterilization by hysterectomy, bilateral ophorectomy or bilateral salpingectomy but excluding bilateral tubal ligation.
  • Have a body mass index (BMI) between 18 and 30 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. If a subject declines to participate in the genetic component of the study, there will be no penalty or loss of benefit to the subject. The subject will not be excluded from other aspects of the study.

Who cannot join

  • Subjects will not enter the study if any of the following exclusion criteria are fulfilled:
  • History of any clinically significant disease or disorder which, in the opinion of the PI, 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, hepatic or renal disease, or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
  • Any clinically significant illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of IMP.
  • Any clinically significant abnormalities in clinical chemistry, hematology, or urinalysis results, at the Screening Visit and/or admission to the study unit as judged by the PI including: - Aminotransferase (ALT) > upper limit of normal (ULN); - Aspartate aminotransferase (AST) > ULN; - Total bilirubin (TBL) > ULN; and - Gamma glutamyl transpeptidase (GGT) > ULN.
  • Any clinically significant abnormal findings in vital signs at the Screening Visit and/or admission to the study unit, as judged by the PI defined as any of the following: - Systolic BP (SBP) < 90 mmHg or ≥ 140 mmHg; - Diastolic BP (DBP) < 50 mmHg or ≥ 90 mmHg; and - Pulse < 45 or > 85 beats per minute (bpm).
Show all 21Show fewer
  • Any clinically significant abnormalities (at the Screening Visit and admission) 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 left ventricular hypertrophy.
  • Any positive result on screening for serum hepatitis B surface antigen, hepatitis C antibody, and human immunodeficiency virus (HIV) antibody.
  • Subjects with myopathy.
  • 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. Note: subjects consented and screened, but not randomized in this study or a previous phase I study, are not excluded.
  • Plasma donation within 1 month of the Screening Visit or any blood donation/loss more than 500 mL during the 3 months prior to the Screening Visit.
  • History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity, as judged by the PI or history of hypersensitivity to drugs with a similar chemical structure or class to AZD5718 and/or rosuvastatin.
  • Current smokers or those who have smoked or used nicotine products (including e-cigarettes) within the 3 months prior to the Screening Visit.
  • Positive screen for drugs of abuse or cotinine at the Screening Visit or on each admission to the study center or positive screen for alcohol on each admission to the study center.
  • 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 prior to 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 prior to the first administration of IMP or longer if the medication has a long half-life. Note: Hormonal replacement therapy is not allowed for females.
  • Known or suspected history of alcohol or drug abuse or excessive intake of alcohol as judged by the PI.
  • Involvement of any AstraZeneca, PAREXEL or study site employee or their close relatives. 19. Subjects who have previously received AZD5718.
  • 20. Judgment by the PI 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.
  • 21. Vulnerable subjects, e.g., kept in detention, protected adults under guardianship, trusteeship, or committed to an institution by governmental or juridical order In addition, the following is considered a criterion for the exclusion from the optional genetic component of the study: 22. Previous bone marrow transplant. 23. Non-leukocyte depleted whole blood transfusion within 120 days of the date of the genetic sample collection or previous bone marrow transplant.

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Research Site

    London

Other trials in United Kingdom

About this study

Official title: A Randomized, 5-Period, 5-Treatment, Single-Dose, Open-Label, Single-Center, Crossover Study to Estimate the Effect of AZD5718 on the Pharmacokinetics of Rosuvastatin, and to Assess the Relative Bioavailability of AZD5718 Oral Suspension vs AZD5718 IR Tablet Formulation and the Food Effect of AZD5718.

This study is a randomized, open-label, 5-period, 5-treatment, single-dose, single-center, crossover study to estimate the effect of AZD5718 on the pharmacokinetics (PK) of rosuvastatin, and to assess the relative bioavailability of AZD5718 oral suspension vs AZD5718 immediate release (IR) Tablet Formulation and the Food Effect of AZD5718 in Healthy Volunteers. The study will be performed at a single study center.

Read the detailed description

The study will comprise:

  • A Screening period of maximum 28 days;
  • Five treatment periods during which subjects will be resident from the morning on the day before dosing with the IMP (Day -1) until at least 48 hours after dosing; discharge will be on the morning of Day 3, and
  • A Follow-up Visit within 7 to 10 days after the last administration of the IMPs.
  • There will be a minimum of a 7 days washout between each treatment period.

Each subject will receive 5 treatments. The following treatments will be given:

  • Treatment A: 10 mg rosuvastatin tablet alone (fasting state)
  • Treatment B: 10 mg rosuvastatin tablet + 200 mg of AZD5718 IR tablet (2 x 100 mg tablet) (fasting state)
  • Treatment C: 200 mg of AZD5718 IR tablet (2 x 100 mg tablet) (fasting state)
  • Treatment D: 200 mg of AZD5718 oral suspension 50 mg/mL (fasting state)
  • Treatment E: 200 mg of AZD5718 IR tablet (2 x 100 mg tablet) (fed state)

Each subject will be involved in the study for approximately 8 weeks.

Being tested
AZD5718 IR tablet, AZD5718 oral suspension, Rosuvastatin tablet
Keywords
Pharmacokinetics (PK), Bioavailability (BA), Safety, Tolerability, Healthy Volunteers

What participants receive

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

  • AZD5718 IR tabletDrug

  • AZD5718 oral suspensionDrug

  • Rosuvastatin tabletDrug

Study groups in NCT02963116
Study groupRoleWhat they receive
Treatment AExperimental10 mg rosuvastatin tablet alone (fasting state)
Receives: Drug: Rosuvastatin tablet
Treatment BExperimental10 mg rosuvastatin tablet + 200 mg of AZD5718 IR tablet (2 x 100 mg tablet) (fasting state)
Receives: Drug: AZD5718 IR tablet; Drug: Rosuvastatin tablet
Treatment CExperimental200 mg of AZD5718 IR tablet (2 x 100 mg tablet) (fasting state)
Receives: Drug: AZD5718 IR tablet
Treatment DExperimental200 mg of AZD5718 oral suspension 50 mg/mL (fasting state)
Receives: Drug: AZD5718 oral suspension
Treatment EExperimental200 mg of AZD5718 IR tablet (2 x 100 mg tablet) (fed state)
Receives: Drug: AZD5718 IR tablet

What is being measured

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

  1. Area under plasma concentration-time curve from time zero to infinity (AUC) of Rosuvastatin

    Assessment of AUC of rosuvastatin when administered alone and in combination with AZD5718 in healthy volunteers.

    Measured: Pre-dose, and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36 and 48 h post-dose

  2. Area under the plasma concentration-time curve from time zero to time of last quantifiable concentration [AUC(0-last)] of Rosuvastatin

    Assessment of AUC(0-last) of rosuvastatin when administered alone and in combination with AZD5718 in healthy volunteers.

    Measured: Pre-dose, and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36 and 48 h post-dose

  3. Maximum observed plasma concentration (Cmax) of Rosuvastatin

    Assessment of Cmax of rosuvastatin when administered alone and in combination with AZD5718 in healthy volunteers.

    Measured: Pre-dose, and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36 and 48 h post-dose

Secondary outcomes (14)
  1. Half-life associated with terminal slope (λz) of a semi-logarithmic concentration-time curve (t½) of Rosuvastatin -

    Assessment of t½ of rosuvastatin.

    Measured: Pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36 and 48 h post-dose. (Only Treatment A and B)

  2. Time to reach maximum observed plasma concentration (tmax) of rosuvastatin

    Assessment of tmax of rosuvastatin.

    Measured: Pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36 and 48 h post-dose. (Only Treatment A and B)

  3. AUC of AZD5718

    Assessment of AUC of AZD5718.

    Measured: Pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36 and 48 h post-dose (Only Treatment B, C, D, and E)

  4. AUC(0-last) of AZD5718

    Assessment of AUC(0-last) of AZD5718.

    Measured: Pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36 and 48 h post-dose (Only Treatment B, C, D, and E)

  5. Cmax of AZD5718

    Assessment of Cmax of AZD5718.

    Measured: Pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36 and 48 h post-dose (Only Treatment B, C, D, and E)

  6. tmax of AZD5718

    Assessment of tmax of AZD5718.

    Measured: Pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36 and 48 h post-dose (Only Treatment B, C, D, and E)

  7. t½ of AZD5718

    Assessment of t½ of AZD5718.

    Measured: Pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36 and 48 h post-dose (Only Treatment B, C, D, and E)

  8. Apparent total body clearance of drug from plasma after extravascular administration (CL/F) of AZD5718

    Assessment of CL/F of AZD5718.

    Measured: Pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36 and 48 h post-dose (Only Treatment B, C, D, and E)

  9. Apparent volume of distribution during the terminal phase after extravascular administration (Vz/F) of AZD5718

    Assessment of Vz/F of AZD5718.

    Measured: Pre-dose and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36 and 48 h post-dose (Only Treatment B, C, D, and E)

  10. Adverse events (AEs)

    Assessment of the safety in terms of the incidences of the AEs.

    Measured: Screening, Day -1 and Days 1 to 3 (treatment periods 1 to 5) and follow up visit (7-10 days post final dose)

  11. Vital signs (systolic and diastolic blood pressure, pulse rate and body temperature)

    Assessment of the safety in terms of the Vital signs (systolic and diastolic blood pressure, pulse rate).

    Measured: Screening, Day -1, Pre-dose, 48 h post-dose and Follow-up visit (7-10 days post final dose)

  12. Electrocardiogram (ECG)

    Assessment of the safety in terms of the ECG.

    Measured: Screening, Day -1, Pre-dose, 48 h post-dose and Follow-up visit (7-10 days post final dose)

  13. Physical examination

    Assessment of the safety in terms of the physical examination.

    Measured: Screening, Day -1 (brief), 48 h (brief) post-dose

  14. Laboratory assessments (hematology, clinical chemistry and urinalysis).

    Assessment of the safety in terms of the Clinical laboratory assessments (hematology, clinical chemistry and urinalysis).

    Measured: Screening, Day -1 (only limited clinical laboratory evaluations will be performed), Pre-dose, 48 h post-dose and Follow-up Visit (7-10 days post final dose)

Timeline

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

  1. First posted15 Nov 2016 (estimated)
  2. Study start20 Dec 2016
  3. Primary completion1 Mar 2017
  4. Study completion1 Mar 2017

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
Other
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02963116
Sponsor's protocol ID
D7550C00002
Status last verified
Mar 2017
First submitted
4 Nov 2016
Last updated
9 Mar 2017
Results posted
No
Data monitoring committee
No

Publications

  • Ericsson H, Nelander K, Heijer M, Kjaer M, Lindstedt EL, Albayaty M, Forte P, Lagerstrom-Fermer M, Skrtic S. Phase 1 Pharmacokinetic Study of AZD5718 in Healthy Volunteers: Effects of Coadministration With Rosuvastatin, Formulation and Food on Oral Bioavailability. Clin Pharmacol Drug Dev. 2020 Apr;9(3):411-421. doi: 10.1002/cpdd.756. Epub 2019 Dec 2.

    PubMed 31793171

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing AZD5718 IR tablet, AZD5718 oral suspension and Rosuvastatin tablet in people with High Risk Coronary Artery Disease, run by AstraZeneca at 1 site in United Kingdom.

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 7 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 9 Mar 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. 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?

Area under plasma concentration-time curve from time zero to infinity (AUC) of Rosuvastatin (time frame: Pre-dose, and 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 18, 24, 36 and 48 h post-dose). The study lists 3 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 NCT02963116, 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 9 Mar 2017.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in