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Healthy ParticipantsPhase 1NCT06194032

A Study to Investigate the Effect on QTcF of Baxdrostat Compared With Placebo, Using Moxifloxacin as a Positive Control, in Healthy Participants

A Phase 1 study testing Baxdrostat and Moxifloxacin in people with Healthy Participants, run by AstraZeneca at 1 site in Germany.

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 study will assess the effect of single oral doses of baxdrostat on the 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) compared to placebo using a concentration-QTcF analysis, and with moxifloxacin as positive… Read more about this study

Who is it for?
Ages 18 to 55 yearsHealthy volunteers can take part
Conditions the study is for
Healthy Participants
What is being tested?
Baxdrostat and Moxifloxacin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
28 participants
Where
1 siteGermany
Study dates
29 Feb 2024to 13 May 2024
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 55 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Females must have a negative pregnancy test.
  • Have a Basal Metabolic index (BMI) between 19 and 30 kg/m2 inclusive and weigh at least 50 kg.

Who cannot join

  • History of any clinically significant disease or disorder.
  • History or presence of gastrointestinal, hepatic, or renal disease, or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
  • History of additional risk factors for Torsade de Pointes.
  • History of neoplastic disease.
  • Family history of sudden cardiac death.
  • Any skin condition likely to interfere with ECG electrode placement or adhesion.
Show all 15Show fewer
  • Any clinically significant illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of drug.
  • Any clinically significant abnormalities at screening and first admission in rhythm, conduction, or morphology of the 12-lead resting ECG and any clinically important abnormalities in the 12-lead ECG as considered by the investigator.
  • Participant has clinical signs and symptoms consistent with COVID-19.
  • Current smokers or those who have smoked or used nicotine products (including e-cigarettes) within the 3 months prior to screening.
  • Positive screen for drugs of abuse, alcohol or cotinine at screening or on each admission to the Clinical Unit.
  • Participants who have previously received Baxdrostat.
  • Participants with any special dietary restrictions such as participants who are lactose intolerant or are vegetarians/vegans.
  • Participants who cannot communicate reliably with the investigator and/or are not able to read, speak, and understand the local language.
  • Vulnerable participants, eg, kept in detention, protected adults under guardianship, trusteeship, or committed to an institution by governmental or juridical order.

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Research Site

    Berlin, 14050

Other trials in Germany

About this study

Official title: A Single-centre, Randomised, Double-blind, Placebo-controlled, Four-Way Crossover Phase I Thorough QTc Study to Investigate the Effect on QTcF of Single Doses of Baxdrostat Compared With Placebo, Using Open-label Moxifloxacin as a Positive Control, in Healthy Participants

This study will assess the effect of single oral doses of baxdrostat on the 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) compared to placebo using a concentration-QTcF analysis, and with moxifloxacin as positive control, in healthy participants.

Read the detailed description

This is a randomised, placebo-controlled, double-blind, 4-way crossover TQT study to assess the effect of single oral doses of baxdrostat on the QTcF compared to placebo using a concentration-QTcF analysis, and with open-label moxifloxacin as positive control, in 28 healthy participants, performed at a single clinical unit.

The study will comprise of:

  • a screening period of maximum 28 days,
  • four treatment periods during which participants will be resident at the Clinical Unit from Treatment Period Day -1 until at least 48 hours after dosing (Treatment Period Day 3).
  • a final Follow-up Visit within 7 to 10 days following discharge after Visit 5

Participants will each receive a single dose of all treatments in a cross-over design over 4 treatment periods. Participants will be randomised to 1 of 4 treatment sequences with equal allocation regarded as a Williams design of order 4.

Treatment Periods will be separated by a washout period of at least 7 days but no more than 9 days.

Being tested
Baxdrostat, Placebo, Moxifloxacin
Keywords
Aldosterone synthase inhibitor, QT/QTc interval, Moxifloxacin

What participants receive

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

  • BaxdrostatDrug

    Participants will receive baxdrostat as two separate doses.

  • PlaceboDrug

    Participants will receive baxdrostat matching placebo.

  • MoxifloxacinDrug

    Participants will receive a single dose moxifloxacin

Study groups in NCT06194032
Study groupRoleWhat they receive
Treatment Sequence ABCDExperimentalDummy sequence according to CSP: Participants will receive a single dose of all 4 treatments (ABCD) in a crossover design with a washout period of at least 7 days between each study dose administration.
Receives: Drug: Baxdrostat; Drug: Placebo; Drug: Moxifloxacin
Treatment Sequence BDACExperimentalDummy sequence according to CSP: Participants will receive a single dose of all 4 treatments (BDAC) in a crossover design with a washout period of at least 7 days between each study dose administration.
Receives: Drug: Baxdrostat; Drug: Placebo; Drug: Moxifloxacin
Treatment Sequence CADBExperimentalDummy sequence according to CSP: Participants will receive a single dose of all 4 treatments (CADB) in a crossover design with a washout period of at least 7 days between each study dose administration.
Receives: Drug: Baxdrostat; Drug: Placebo; Drug: Moxifloxacin
Treatment Sequence DCBAExperimentalDummy sequence according to CSP: Participants will receive a single dose of all 4 treatments (DCBA) in a crossover design with a washout period of at least 7 days between each study dose administration.
Receives: Drug: Baxdrostat; Drug: Placebo; Drug: Moxifloxacin

What is being measured

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

  1. Placebo corrected change from baseline in QTcF (ΔΔQTcF)

    The effect of single doses of baxdrostat on QTcF compared to placebo using a concentration-QTcF analysis will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

Secondary outcomes (29)
  1. Heart Rate (HR)

    The effect of baxdrostat on HR will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  2. RR interval

    The effect of baxdrostat on RR interval will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  3. PR interval

    The effect of baxdrostat on PR interval will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  4. QRS interval

    The effect of baxdrostat on QRS interval will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  5. Change from baseline in Heart rate (ΔHR)

    The effect of baxdrostat on HR will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  6. QT interval

    The effect of baxdrostat on QT interval will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  7. Change from baseline in RR interval (ΔRR)

    The effect of baxdrostat on ΔRR interval will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  8. Change from baseline in PR interval (ΔPR)

    The effect of baxdrostat on ΔPR interval will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  9. Change from baseline in QRS interval (ΔQRS)

    The effect of baxdrostat on ΔQRS interval will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  10. Change from baseline in QTcF (ΔQTcF)

    The effect of baxdrostat on ΔQTcF will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  11. Change from baseline in QT interval (ΔQT)

    The effect of baxdrostat on ΔQT interval will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  12. Number of participants with significant change in QTcF

    The presence of categorical outliers for QTcF after baxdrostat administration will be assessed.

    Measured: Day 1 to Day 3

  13. Number of participants with significant change in PR interval

    The presence of categorical outliers for PR interval after baxdrostat administration will be assessed.

    Measured: Day 1 to Day 3

  14. Number of participants with significant change in QRS interval

    The presence of categorical outliers for QRS interval after baxdrostat administration will be assessed.

    Measured: Day 1 to Day 3

  15. Number of participants with significant change in RR interval

    The presence of categorical outliers for RR interval after baxdrostat administration will be assessed.

    Measured: Day 1 to Day 3

  16. Number of participants with significant change in QT interval

    The presence of categorical outliers for QT interval after baxdrostat administration will be assessed.

    Measured: Day 1 to Day 3

  17. Number of participants with significant change in HR

    The presence of categorical outliers for HR after baxdrostat administration will be assessed.

    Measured: Day 1 to Day 3

  18. Placebo corrected change from baseline in HR (ΔΔHR)

    The effect of baxdrostat on ΔΔHR will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  19. Placebo corrected change from baseline in RR interval (ΔΔRR)

    The effect of baxdrostat on ΔΔRR interval will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  20. Placebo corrected change from baseline in PR interval (ΔΔPR)

    The effect of baxdrostat on ΔΔPR interval will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  21. Placebo corrected change from baseline in QRS (ΔΔQRS)

    The effect of baxdrostat on ΔΔQRS interval will be assessed.

    Measured: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose

  22. AUClast of Baxdrostat

    The PK of baxdrostat will be assessed.

    Measured: Day 1 to Day 3

  23. AUCinf of Baxdrostat

    The PK of baxdrostat will be assessed.

    Measured: Day 1 to Day 3

  24. Maximum observed plasma peak concentration (Cmax) of baxdrostat

    The PK of baxdrostat will be assessed.

    Measured: Day 1 to Day 3

  25. Time to reach peak or maximum observed concentration (Tmax) of baxdrostat

    The PK of baxdrostat will be assessed.

    Measured: Day 1 to Day 3

  26. Number of participants with Adverse Events (AEs)

    The safety and tolerability of baxdrostat will be assessed.

    Measured: Day 1 to last day of follow-up (approximately 7 to 10 days after the last dose)

  27. Number of participants with Adverse events of special interest

    The safety and tolerability of baxdrostat will be assessed. For this clinical study, AESIs include the following: hyperkalaemia, hyponatraemia, and hypotension events that require intervention.

    Measured: Day 1 to last day of follow-up (approximately 7 to 10 days after the last dose)

  28. Number of treatment-emergent changes in T-wave morphology

    Morphological changes in the T-wave after baxdrostat administration will be assessed.

    Measured: Day 1 to Day 3

  29. Number of treatment-emergent changes in U-waves presence and morphology

    Morphological changes in the U wave after baxdrostat administration will be assessed.

    Measured: Day 1 to Day 3

Timeline

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

  1. First posted8 Jan 2024
  2. Study start29 Feb 2024
  3. Primary completion13 May 2024
  4. Study completion13 May 2024

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
28 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06194032
Sponsor's protocol ID
D6970C00004
Other IDs
2023-506108-23-00, 2023
Status last verified
Apr 2025
First submitted
21 Dec 2023
Last updated
25 Apr 2025
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 Vivli.org. All requests 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 approved.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Baxdrostat and Moxifloxacin in people with Healthy Participants, run by AstraZeneca at 1 site in Germany.

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 2 inclusion and 15 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 25 Apr 2025. 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 Germany. 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?

Placebo corrected change from baseline in QTcF (ΔΔQTcF) (time frame: Visit 2,3, 4 and 5:- Day 1: Pre-dose, 0.5, 1, 1.5, 2,3,4,5,6, 8 and 12 hour (h); Day 2: 24 and 36 h post-dose; Day 3: 48 h post dose). 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 25 Apr 2025.

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