AzTrials
AzTrials

AsthmaPhase 1NCT03976869

A Study to Assess the Pharmacokinetics (PK), Pharmacodynamics (PD) and Safety of 2-Week Treatment With Inhaled AZD7594 in Adolescents (12 to 17 Years) With Asthma

A Phase 1 study testing AZD7594 in people with Asthma, run by AstraZeneca at 10 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 is an open-label, multi-centre, Phase I study to assess the PK, PD and safety of 2 week treatment with inhaled AZD7594 in adolescent patients with asthma. The study is planned to be conducted at 4-10 study sites in the United States. The study intends to include 24 patients (12 to 17-year-old patients). Read more about this study

Who is it for?
Ages 12 to 17 years
Conditions the study is for
Asthma
What is being tested?
AZD7594
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
10 sitesUnited States
Study dates
24 Jul 2019to 9 Jul 2020
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 12 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Provision of signed and dated informed consent form (ICF) prior to any study-specific procedures from patient's parents/legal guardians is required and signed and dated informed assent from the patient.
  • Patient must be 12 to 17 years of age inclusive, at the time of signing the ICF/assent.
  • A minimum of 6-month documented history of asthma treated (daily or intermittently) for at least 3 months before screening (Visit 1) with either low dose inhaled corticosteroid (ICS) monotherapy or leukotriene receptor antagonist (LTRA) monotherapy.
  • Pre-bronchodilator FEV1 ≥70% of the predicted normal value at screening (Visit 1).
  • An ACQ-5 score <1.5 at screening (Visit 1).
  • Be non-smoker or ex-smoker who has stopped smoking (or using other nicotine products) for >6 months prior to screening (Visit 1).
Show all 13Show fewer
  • Body mass index (BMI) above the 5th percentile for the patient's age and gender and a minimum weight of 30 kg at screening (Visit 1).
  • Male or female
  • Negative pregnancy test (urine or serum) for post-menarcheal female patients at screening (Visit 1).
  • Post-menarcheal female patients must be willing to use a highly effective method of contraception which results in a low failure rate (ie, less than 1% per year). Sexual abstinence will be accepted as an effective method of contraception, provided a discussion occurred between the subject and investigator to confirm this lifestyle.
  • After the washout period, patients are eligible to enter the treatment period only if all of the following inclusion criteria apply:
  • Negative pregnancy test (urine or serum) for post-menarcheal female patients at baseline (Visit 4).
  • FEV1 increase of at least 12% and 200 mL from baseline 15 to 30 minutes after 400 μg salbutamol (or albuterol equivalent of 360 µg) documented in the patient's medical history within 6 months of Visit 1, or confirmed at Visit 1 or Visit 2. In 12 to 14-year-old patients (who are likely to have a smaller forced vital capacity), positive reversibility testing could be based solely on the relative post bronchodilator response (at least 12%).

Who cannot join

  • Patients are eligible to enter the washout period if none of the following exclusion criteria apply:
  • Medical conditions
  • Any clinically significant disease or disorder (eg, cardiovascular, pulmonary other than asthma, gastrointestinal, liver, renal, neurological, musculoskeletal including bone fractures, endocrine including adrenal insufficiency, metabolic, malignant, psychiatric, major physical impairment, severe obesity including weight-related health problems) which, in the opinion of the Investigator, may either put the patient at risk because of participation in the study, or influence the result of the study, or the patient's ability to participate in the study.
  • Any clinically relevant abnormal findings in physical examination, clinical chemistry, haematology, urinalysis, vital signs, at screening (Visit 1), which, in the opinion of the Investigator, may put the patient at risk because of his/her participation in the study.
  • Prolonged QT interval corrected using Fridericia's formula (QTcF) ≥440 msec based on ECG at screening (Visit 1) or pre-dose at Visit 4, or family history of long QT syndrome.
  • Prolonged PR interval (>180 msec for ≤16-year-old patients and >200 msec for >16 year old patients) at screening (Visit 1) or pre-dose at Visit 4.
Show all 28Show fewer
  • Heart rate <50 beats per minute (bpm) or >110 bpm.
  • History of or current alcohol or drug abuse (including marijuana), as judged by the Investigator.
  • Patients who are positive for hepatitis B surface antigen (HBsAg), hepatitis C virus (HCV) antibody or human immunodeficiency virus (HIV) at screening (Visit 1).
  • Hospitalisation due to asthma exacerbation or asthma exacerbation within 1 month prior to screening (Visit 1).
  • Lower respiratory tract infection within 1 month prior to screening (Visit 1).
  • Prior/concomitant therapy
  • Patient who, in the opinion of the Investigator, is unable to abstain from protocol-defined prohibited medications during the study.
  • Prior/concurrent clinical study experience
  • Participation in another clinical study with an investigational drug administered in the last 3 months before Visit 1, or participation in a method development study (no drug) 1 month prior to Visit 1.
  • Note: Participation is identified as the completion of a treatment related visit.
  • A definite or suspected personal history of intolerance or hypersensitivity to drugs and/or their excipients, judged to be clinically relevant by the Investigator.
  • Other exclusions
  • Inability to perform the required spirometry assessments, to use the AZD7594 inhaler or the short-acting beta agonist (SABA) inhaler, or to undergo blood sampling.
  • Parent/legal guardian involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study site).
  • Judgement by the Investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions and requirements.
  • Previous enrolment in the present study.
  • For post-menarcheal female patients only - currently pregnant, breastfeeding, or planning to become pregnant during the study.
  • After the washout period, patients are eligible to enter the treatment period if none of the following exclusion criteria apply:
  • An ACQ-5 score ≥3 at Visit 4.
  • SABA use of ≥12 puffs/day for ≥3 consecutive days during the washout period.
  • An asthma exacerbation that required treatment with ICSs or systemic steroids during the washout period.
  • A <70% compliance in completing asthma symptom score during the last 7 days of the washout period (ie, <5 out of 7 days with both morning and evening assessments completed).

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

United States10 sites
  • Research Site

    Bethesda, Maryland, 20814

  • Research Site

    Boerne, Texas, 78006

  • Research Site

    Columbus, Ohio, 43207

  • Research Site

    Dallas, Texas, 75225

  • Research Site

    Kansas City, Missouri, 64114

  • Research Site

    Miami, Florida, 33165

  • Research Site

    Miami Lakes, Florida, 33015

  • Research Site

    Murray, Utah, 84107

  • Research Site

    Oklahoma City, Oklahoma, 73106

  • Research Site

    Rolling Hills Estates, California, 90274

Other trials in United States

About this study

Official title: An Open-Label, Multi-Centre, Phase I Study to Assess the Pharmacokinetics, Pharmacodynamics and Safety of 2-Week Treatment With Inhaled AZD7594 in Adolescents (12 to 17 Years) With Asthma

This is an open-label, multi-centre, Phase I study to assess the PK, PD and safety of 2 week treatment with inhaled AZD7594 in adolescent patients with asthma.

The study is planned to be conducted at 4-10 study sites in the United States. The study intends to include 24 patients (12 to 17-year-old patients). For each patient, the duration of participation in the study will be approximately 5 to 7 weeks (37 to 52 days).

Read the detailed description

This is an open-label, multi-centre, Phase I study to assess the PK, PD and safety of 2 week treatment with inhaled AZD7594 in adolescent patients with asthma.

The study is planned to be conducted at 4-10 study sites in the United States. Eligible 12 to 17-year-old patients with asthma controlled on Global Initiative for Asthma (GINA) step 2 medication (ie, low dose inhaled corticosteroid [ICS] or leukotriene receptor antagonist [LTRA]), as evidenced by an asthma control questionnaire (ACQ-5) score ≤1.5, will be asked to stop their ongoing asthma maintenance treatment. After a washout period (14 to 21 days), all patients with confirmed reversibility will start study treatment, consisting of inhalations of AZD7594 (360 µg, delivered dose, via dry powder inhaler [DPI]) once daily for 15 to 16 days.

The study intends to include 24 patients in order to have 18 evaluable patients, enrolled in equal proportion in the age group of 12 to 14 years (inclusive), and the age group of 15 to 17 years (inclusive), with at least 7 patients in each subgroup.

For each patient, the duration of participation in the study will be approximately 5 to 7 weeks (37 to 52 days)

Conditions
Asthma
Being tested
AZD7594
Keywords
glucocorticoid receptor (GR) modulator (SGRM), non-steroidal, Asthma, Adolescents
Medical subject headings
Asthma

What participants receive

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

  • AZD7594Drug

    During treatment period, AZD7594 (360 µg per day) will be administered as oral inhalation via dry powder inhaler or DPI (SD3FL inhaler).

Study groups in NCT03976869
Study groupRoleWhat they receive
Cohort 1ExperimentalThe study will include adolescent patients of 12 to 17 years of age, with subgroups of 12-14 years age and 15-17 years age.
Receives: Drug: AZD7594

What is being measured

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

  1. Maximum observed plasma concentration at steady state (Cmax,ss) at Day 15 as part of PK evaluation

    To assess the PK profile of AZD7594 at steady state following daily inhalations for 2 weeks in adolescent patients with asthma

    Measured: Pre-dose and 15, 30 minutes, 2, 4, 6, 8, 12 hours post-dose at Day 15

  2. Minimum observed plasma concentration at steady state (Cmin,ss) at Day 15 as part of PK evaluation

    To assess the PK profile of AZD7594 at steady state following daily inhalations for 2 weeks in adolescent patients with asthma.

    Measured: Pre-dose and 15, 30 minutes, 2, 4, 6, 8, 12 hours post-dose at Day 15

  3. Observed trough plasma concentration at end of dosing interval (τ) (Ctrough) at Day 15 as part of PK evaluation

    To assess the PK profile of AZD7594 at steady state following daily inhalations for 2 weeks in adolescent patients with asthma

    Measured: Pre-dose and 15, 30 minutes, 2, 4, 6, 8, 12 hours post-dose at Day 15

  4. Time of maximum observed plasma concentration at steady state (tmax,ss) at Day 15 as part of PK evaluation

    To assess the PK profile of AZD7594 at steady state following daily inhalations for 2 weeks in adolescent patients with asthma.

    Measured: Pre-dose and 15, 30 minutes, 2, 4, 6, 8, 12 hours post-dose at Day 15

  5. Area under the plasma concentration-time curve over a dosing interval (τ) at steady state (AUCτ) at Day 15 as part of PK evaluation

    To assess the PK profile of AZD7594 at steady state following daily inhalations for 2 weeks in adolescent patients with asthma.

    Measured: Pre-dose and 15, 30 minutes, 2, 4, 6, 8, 12 hours post-dose at Day 15

  6. Area under the plasma concentration curve from time zero to 12 hours post-dose (AUC0-12) under plasma concentration at Day 15 as part of PK evaluation

    To assess the PK profile of AZD7594 at steady state following daily inhalations for 2 weeks in adolescent patients with asthma.

    Measured: Pre-dose and 15, 30 minutes, 2, 4, 6, 8, 12 hours post-dose at Day 15

  7. Apparent total body clearance after extravascular administration at steady state (CLss/F) at Day 15 as part of PK evaluation

    To assess the PK profile of AZD7594 at steady state following daily inhalations for 2 weeks in adolescent patients with asthma.

    Measured: Pre-dose and 15, 30 minutes, 2, 4, 6, 8, 12 hours post-dose at Day 15

Secondary outcomes (3)
  1. Relative change from baseline in plasma cortisol area under the effect curve from time zero to 12 hours post-dose (AUEC0-12) on Day 15 as part of PD evaluation

    To evaluate the PD of AZD7594 following daily inhalations for 2 weeks in adolescent patients with asthma.

    Measured: Pre-dose and 2, 4, 6, 8, 12 hours post-dose at Day 15

  2. Change from baseline in morning trough forced expiratory volume in 1 second (FEV1) on Day 15 as part of PD evaluation

    To evaluate the PD of AZD7594 following daily inhalations for 2 weeks in adolescent patients with asthma.

    Measured: At screening, Day 1 (pre-dose and 5, 15, 60 minutes post dose), Day 15 (pre-dose) and at end of study

  3. Change from baseline in asthma control questionnaire (ACQ-5) on Day 15 as part of PD evaluation

    To evaluate the PD of AZD7594 following daily inhalations for 2 weeks in adolescent patients with asthma. ACQ-5 is a 5 item questionnaire that scores symptoms on a 0-6 scale (where 0=none/no symptoms and 6=worst symptoms) . The form is completed by the patient during visits.

    Measured: At screening, Day 1 (pre-dose) and Day 15 (pre-dose)

Timeline

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

  1. First posted6 Jun 2019
  2. Study start24 Jul 2019
  3. Primary completion9 Jul 2020
  4. Study completion9 Jul 2020

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03976869
Sponsor's protocol ID
D3741C00012
Status last verified
Jan 2021
First submitted
5 Jun 2019
Last updated
29 Jan 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing AZD7594 in people with Asthma, run by AstraZeneca at 10 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 13 inclusion and 28 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 29 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 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?

Maximum observed plasma concentration at steady state (Cmax,ss) at Day 15 as part of PK evaluation (time frame: Pre-dose and 15, 30 minutes, 2, 4, 6, 8, 12 hours post-dose at Day 15). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 29 Jan 2021.

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