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Smoking CessationPhase 1NCT04076540

A Study to Assess the Safety, Tolerability and Pharmacokinetics of AZD4041 in Healthy Volunteers

A Phase 1 study testing AZD4041 in people with Smoking Cessation, run by AstraZeneca at 2 sites in United States.

Completed

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

Official record
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Trial summary

This is a Phase I, first-in-human (FIH), single-center, randomized, double-blind, placebo controlled, single ascending dose, sequential group study in healthy vasectomized male and female subjects of non-childbearing potential, aged 18 to 65 years. Read more about this study

Who is it for?
Ages 18 to 65 yearsHealthy volunteers can take part
Conditions the study is for
Smoking Cessation
What is being tested?
AZD4041
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
48 participants
Where
2 sitesUnited States
Study dates
3 Oct 2019to 2 Jan 2022
Phase
Phase 1
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 65 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the Informed Consent Form and in this clinical study protocol.
  • Provision of signed and dated, written Informed Consent Form prior to any mandatory study specific procedures, sampling, and analyses.
  • Subjects must be ≥18 and less than or equal to 65 years of age at the time of signing the Informed Consent Form.
  • Individuals who are healthy as determined by medical evaluation, including medical history, physical examination, laboratory tests, and cardiac monitoring.
  • Individuals who weigh ≥50 kg and who have a body mass index (BMI) between 18.0 and 30.0 kg/m2, inclusive.
  • Either male or female.
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  • Female subjects must have a negative pregnancy test result at screening and check-in and, on admission to the unit, must not be lactating.
  • Female subjects must be of non-childbearing potential, as confirmed at screening by fulfilling one of the following criteria:
  • Post-menopausal women must have had ≥12 months of spontaneous amenorrhea with a follicle stimulating hormone (FSH) concentration consistently ≥40 mIU/mL and must have a negative pregnancy test result at screening and check-in.
  • Surgically sterile women, defined as those who have had a hysterectomy, bilateral ovariectomy (oophorectomy), bilateral salpingectomy, or bilateral tubal ligation. Women who are surgically sterile must provide documentation of the procedure by an operative report or relevant medical records, or by ultrasound, and must have a negative pregnancy test result at screening and check-in.
  • Male subjects must be vasectomized.

Who cannot join

  • History of any clinically important 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 of any significant psychiatric disorder according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (American Psychiatric Association 2013) which, in the opinion of the Investigator, could be detrimental to subject safety or could compromise study data interpretation.
  • Male subjects with a history of oligospermia or azoospermia or any other disorder of the reproductive system.
  • Subjects who are undergoing treatment or evaluation for infertility.
  • 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 important illness, medical/surgical procedure or trauma within 4 weeks of administration of Investigational Product.
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  • Any clinically important abnormalities noted at the screening assessments in clinical chemistry, hematology, or urinalysis results as judged by the Investigator.
  • Any positive result on screening for serum hepatitis B surface antigen, hepatitis C antibody and human immunodeficiency virus antibodies.
  • Abnormal vital signs, after 10 minutes supine rest, defined as any of the following:
  • Systolic BP <90 mmHg or ≥140 mmHg.
  • Diastolic BP <50 mmHg or ≥90 mmHg.
  • HR <45 or >85 beats per minute.
  • Any clinically important abnormalities in rhythm, conduction, or morphology of the resting ECG and any clinically important abnormalities in the 12-lead ECG which, in the Investigator's opinion, may interfere with the interpretation of QTc interval changes, including abnormal ST-T-wave morphology.
  • ECG interval measured from the onset of the QRS complex to the end of the T wave (QT) interval corrected for HR using Fridericia's formula (QTcF) >450 ms or family history of long QT syndrome.
  • ECG interval measured from the onset of the P wave to the onset of the QRS complex (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 (>240 ms), persistent or intermittent second (Wenckebach block while asleep is not exclusive) or third degree atrioventricular (AV) block, or AV dissociation.
  • Persistent or intermittent complete bundle branch block (BBB), incomplete bundle branch block (IBBB), or intraventricular conduction delay (IVCD) with ECG interval measured from the onset of the QRS complex to the J point (QRS) >110 ms. Subjects with QRS >110 ms but <115 ms are acceptable if there is no evidence of, eg, ventricular hypertrophy or pre-excitation.
  • 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 defined as an average weekly intake of >21 units or an average daily intake of >3 units for men or an average weekly intake of >14 units or an average daily intake of >2 units for women. One unit is equivalent to a half pint (250 mL) of beer, 1 measure (25 mL) of spirits, or 1 glass (125 mL) of wine. If a subject is currently diagnosed with abuse of or dependence on alcohol, the subject will not be allowed to enroll in the study, unless the alcohol abuse/dependence is in full (complete, not partial), sustained (>1 year) remission.
  • Positive screen for drugs of abuse at screening or admission to the unit or positive screen for alcohol at screening to the unit prior to administration of IP.
  • History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity, as judged by the Investigator, or history of hypersensitivity to drugs with a similar chemical structure or class to AZD4041.
  • Plasma donation within 1 month of screening or any blood donation/blood loss >500 mL during the 3 months prior to screening.
  • Excessive intake of caffeine-containing drinks or food (eg, 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 administration of IP.
  • Use of any prescribed or nonprescribed 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 administration of IP or longer if the medication has a long half life.
  • Use of any prescribed or nonprescribed oral and topical inhibitors/inducers of CYP3A4 (including shampoo).
  • Use of hormone replacement therapy.
  • Subjects who have previously received AZD4041.
  • Has received another new chemical entity (defined as a compound that has not been approved for marketing) within 3 months of administration of IP 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.
  • Involvement of any AstraZeneca or study site employee or their close relatives.
  • Judgement by the Investigator that the subject should not participate in the study if they have any ongoing or recent (ie, 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.

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Research Site

    Austin, Texas, 78744

  • Research Site

    Las Vegas, Nevada, 89113

Other trials in United States

About this study

Official title: A Phase I Randomized, Double-blind Placebo-controlled Study to Assess the Safety, Tolerability, and Pharmacokinetics of AZD4041 Following Single Ascending Dose Administration to Healthy Volunteers

This is a Phase I, first-in-human (FIH), single-center, randomized, double-blind, placebo controlled, single ascending dose, sequential group study in healthy vasectomized male and female subjects of non-childbearing potential, aged 18 to 65 years.

Being tested
AZD4041, Placebo
Keywords
Safety, Tolerability, Pharmacokinetics, Healthy Volunteers
Medical subject headings
Smoking Cessation

What participants receive

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

  • AZD4041Drug

    Administration by Oral syringe

  • PlaceboDrug

    Administration by Oral syringe

Study groups in NCT04076540
Study groupRoleWhat they receive
AZD4041ExperimentalNot described
Receives: Drug: AZD4041
PlaceboPlacebo comparatorNot described
Receives: Drug: Placebo

What is being measured

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

  1. Number of Adverse Events

    Number of participants experiencing any adverse event

    Measured: 6 weeks

  2. Number of Participants With Treatment Emergent Adverse Events (TEAEs)

    Number of participants experiencing any treatment emergent adverse events

    Measured: 6 weeks

  3. Number of Participants With Treatment-Related TEAEs

    Number of participants experiencing any treatment-related TEAEs

    Measured: 6 weeks

  4. Number of Participants With Moderate TEAEs

    Number of participants experiencing any moderate TEAEs

    Measured: 6 weeks

  5. Number of Participants With Treatment-Related Moderate TEAEs

    Number of participants experiencing any treatment-related moderate TEAEs

    Measured: 6 weeks

  6. Number of Participants With Severe TEAEs

    Number of participants experiencing any severe TEAEs

    Measured: 6 weeks

  7. Number of Participants With Treatment-Related Severe TEAEs

    Number of participants experiencing any treatment-related severe TEAEs

    Measured: 6 weeks

  8. Number of Participants With Serious Adverse Events (SAEs)

    Number of participants experiencing any serious adverse events (SAEs)

    Measured: 6 weeks

  9. Number of Participants With Treatment-Related SAEs

    Number of participants experiencing any treatment-related serious adverse events (SAEs)

    Measured: 6 weeks

  10. Number of Participants With TEAEs Leading to Early Discontinuation

    Number of participants with treatment-emergent adverse events leading to early discontinuation

    Measured: 6 weeks

  11. Number of Participant Deaths

    Number of participants who died

    Measured: 6 weeks

  12. Number of Participants With Abnormal Vital Signs

    Number of participants with treatment-related abnormal vital signs considered clinically significant or reported as a treatment-emergent adverse event by the investigator.

    Measured: 6 weeks

  13. Number of Participants With Abnormal Vital Signs (Blood Pressure)

    Number of participants with treatment-related abnormal blood pressure considered clinically significant or reported as a treatment-emergent adverse event by the investigator

    Measured: 6 weeks

  14. Number of Participants With Abnormal Vital Signs (Heart Rate)

    Number of participants with treatment-related abnormal heart rate considered clinically significant or reported as a treatment-emergent adverse event by the investigator

    Measured: 6 weeks

  15. Pulse Rate at Baseline and Day 1 2 Hours Post.

    Measured by standing pulse rate at baseline and 2 hours post

    Measured: Baseline and Day 1

  16. Number of Participants With Abnormal Safety Laboratory Tests (Hematology)

    Number of participants with treatment-related abnormal hematology values considered clinically significant or reported as a treatment-emergent adverse event by the investigator

    Measured: 6 weeks

  17. Number of Participants With Abnormal Safety Laboratory Tests (Serum Chemistry)

    Number of participants with treatment-related abnormal serum chemistry values considered clinically significant or reported as a treatment-emergent adverse event by the investigator

    Measured: 6 weeks

  18. Number of Participants With Abnormal Safety Laboratory Tests (Urinalysis)

    Number of participants with treatment-related abnormal urinalysis values considered clinically significant or reported as a treatment-emergent adverse event by the investigator

    Measured: 6 weeks

  19. Number of Participants With Abnormal 12-lead ECGs

    Number of participants with abnormal 12-lead electrocardiograms (ECGs), considered clinically significant or reported as a treatment-emergent adverse event by the investigator

    Measured: 4 days

  20. Heart Rate at Baseline and Times Post Dose

    Measured by digital electrocardiograms (ECGs)

    Measured: Thru Day 4

  21. Aggregate P-R Interval at Baseline and Time Post Dose

    PR interval is the time from the beginning of atrial depolarization to the onset of ventricular depolarization. Measured by digital electrocardiograms (ECGs)

    Measured: Thru Day 4

  22. Aggregate QRS Complex at Baseline and Times Post Dose

    QRS complex represents the electrical impulse as it spreads through the ventricles and indicates ventricular depolarization. Measured by digital electrocardiograms (ECGs)

    Measured: Thru Day 4

  23. Aggregate QT Interval at Baseline and Times Post Dose

    The QT interval is measured from the beginning of the QRS complex to the end of the T wave and primarily represents the return of stimulated ventricles to their resting state (ventricular repolarization). Measured by digital electrocardiograms (ECGs)

    Measured: Thru Day 4

  24. Aggregate QTcF Interval and Times Post Dose

    The QTcF if the QT interval corrected for heart rate using Fridercia's formula. Measured by digital electrocardiograms (ECGs)

    Measured: Thru Day 4

  25. Aggregate RR Interval at Baseline and Times Post Dose

    The RR interval the time elapsed between two successive R waves of the QRS signal on the electrocardiogram. Measured by digital electrocardiograms (ECGs)

    Measured: Thru Day 4

  26. Number of Participants With Abnormal Testosterone Test Results

    Number of participants with abnormal testosterone levels test results, considered clinically significant or reported as a treatment-emergent adverse event by the investigator

    Measured: Thru Day 4

  27. Number of Participants With Abnormal Luteinizing Hormone Test Results

    Number of participants with abnormal luteinizing hormone (LH) levels test results, considered clinically significant or reported as a treatment-emergent adverse event by the investigator

    Measured: Thru Day 4

  28. Number of Participants With Abnormal Follicle Stimulating Hormone Test Results

    Number of participants with abnormal follicle stimulating hormone (FSH) levels test results, considered clinically significant or reported as a treatment-emergent adverse event by the investigator

    Measured: Thru Day 4

  29. Number of Participants With Abnormal Inhibin B Test Results

    Number of participants with abnormal Inhibin B levels test results, considered clinically significant or reported as a treatment-emergent adverse event by the investigator

    Measured: Thru Day 4

Secondary outcomes (7)
  1. Cmax of AZD4041

    Maximum (peak) plasma concentration of AZD4041

    Measured: Thru Day 4

  2. Tmax of AZD4041

    Time to reach maximum (peak) plasma concentration of AZD4041

    Measured: Thru Day 4

  3. AUC0-t

    Area under the curve of AZD4041 from time 0 to time t (AUC from zero to the last measurable concentration)

    Measured: Thru Day 4

  4. AUC0-inf

    Extrapolation of the area under the curve of AZD4041 from zero to infinity

    Measured: Thru Day 4

  5. t1/2λz

    Terminal half-life of AZD4041

    Measured: Thru Day 4

  6. CL/F (Volume/Time)

    Apparent total clearance of the AZD4041 from plasma

    Measured: Thru Day 4

  7. Vss/F (Plasma)

    Apparent volume of distribution of AZD4041 at steady state

    Measured: Thru Day 4

Timeline

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

  1. First posted3 Sep 2019
  2. Study start3 Oct 2019
  3. Primary completion2 Jan 2022
  4. Study completion2 Jan 2022

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
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04076540
Sponsor's protocol ID
D7460C00001
Status last verified
Jun 2024
First submitted
6 Aug 2019
Last updated
17 Jul 2024
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymised individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All requests will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing AZD4041 in people with Smoking Cessation, run by AstraZeneca at 2 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 34 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 17 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 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. 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?

Yes. Results are posted in the registry (first posted 17 Jul 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Number of Adverse Events (time frame: 6 weeks). The study lists 29 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 17 Jul 2024.

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