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Healthy ParticipantsPhase 1NCT06519968

A Study to Investigate the Safety, Tolerability, and Pharmacokinetics of Inhaled AZD4604 in Healthy Japanese and Chinese Participants.

A Phase 1 study testing AZD4604 in people with Healthy Participants, 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
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Trial summary

The purpose of this study is to investigate the safety, tolerability, and pharmacokinetics (PK) of AZD4604 when administered as single or multiple inhaled doses to healthy Japanese and Chinese participants. 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?
AZD4604
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
56 participants
Where
1 siteUnited Kingdom
Study dates
15 Jul 2024to 27 Dec 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

  • Japanese participants who are born in Japan, has 2 Japanese biological parents, 4 Japanese grandparents as confirmed by the interview and has lived outside Japan for less than 10 years at the time of screening.
  • Chinese participants who are born in China, has 2 Chinese biological parents, 4 Chinese grandparents as confirmed by the interview and has lived outside China for less than 10 years at the time of screening.
  • Have body mass index (BMI) between 18 and 30 kg/m2 and weigh at least 45 kg.
  • Healthy participants must have a Forced Expiratory Volume at first breath (FEV1) ≥ 80% of the predicted value in accordance with American Thoracic Society (ATS)/European Respiratory Society (ERS) criteria at the Screening and admission visits.
  • Female participants must have a negative pregnancy test.

Who cannot join

  • History or presence of clinically important disease which may put participant at risk because of participation in study.
  • Participant has an increased risk of infection.
  • History of malignancy other than superficial basal cell carcinoma, having a first degree relative with lung cancer or disease history suggesting abnormal immune function.
  • Has received any vaccine 30 days prior to first dose.
  • Has a body temperature of > 37.7°C on Day -1.
  • History or presence of gastrointestinal, hepatic, or renal disease or any other condition known to interfere with absorption, distribution, metabolism, or excretion of drugs.
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  • Any clinically important illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of study intervention.
  • Known or suspected history of drug abuse, alcohol abuse or excessive intake of alcohol.
  • Current smokers or those who have smoked or used nicotine products (including e-cigarettes, vaping, and nicotine replacement therapy) within the previous 6 months or has a smoking history of > 5 pack-years.
  • History of a serious or severe adverse reaction to AZD4604 or any of its additive constituents.
  • History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity or history of hypersensitivity to drugs with a similar chemical structure or class to AZD4604.
  • Plasma donation within 1 month of the Screening Visit or any blood donation/blood loss> 500 mL during the 3 months prior to the Screening Visit.
  • Any clinically important abnormalities in rhythm, conduction or morphology of the resting electrocardiogram (ECG) and any clinically important abnormalities in the 12-lead safety ECG.
  • Female participants who are planning a pregnancy during the study period or within 1 month after the last dose of study intervention.
  • Abnormal vital signs at the Screening Visit, after 5 minutes supine rest.
  • History of any significant respiratory disorders such as asthma (a history of childhood asthma without symptoms or treatment after the age of 10 years is allowable), chronic obstructive pulmonary disease, or idiopathic pulmonary fibrosis.

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Research Site

    Harrow, HA1 3UJ

Other trials in United Kingdom

About this study

Official title: A Single-blind, Randomised, Placebo-controlled Study to Investigate the Safety, Tolerability, and Pharmacokinetics of Inhaled AZD4604 Following Single Ascending and Multiple Doses in Healthy Japanese and Chinese Participants

The purpose of this study is to investigate the safety, tolerability, and pharmacokinetics (PK) of AZD4604 when administered as single or multiple inhaled doses to healthy Japanese and Chinese participants.

Read the detailed description

This study will comprise of two parts: Part 1 and Part 2

Part 1 will investigate the safety, tolerability, and PK of inhaled AZD4604 following single ascending and multiple doses in healthy Japanese participants.

Part 1a will include three single ascending dose (SAD) cohorts and Part 1b will include one multiple dose cohort.

Part 2 will investigate the safety, tolerability, and PK of inhaled AZD4604 following single ascending and multiple doses in healthy Chinese participants.

Part 2a will include two SAD cohort and Part 2b will include one multiple dose cohort.

Part 1a and Part 2a will comprise of:

  1. A Screening Visit within 28 days before dosing.
  2. A treatment period (Day 1 to Day 7)
  3. A final assessment on Day 7

Part 1b and Part 2b will comprise of:

  1. A Screening Visit within 28 days before dosing.
  2. A treatment period (Day 1 to Day 13)
  3. A final assessment on Day 13
Being tested
AZD4604, Placebo
Keywords
Ascending doses, Multiple doses, JAK1 inhibitor, Chinese, Japanese

What participants receive

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

  • AZD4604Drug

    AZD4604 will be administered as Dry Powder Inhalation (DPI).

  • PlaceboDrug

    Placebo will be administered as DPI.

Study groups in NCT06519968
Study groupRoleWhat they receive
Part 1a: AZD4604 (Dose 1) SADExperimentalJapanese participants will receive single dose of AZD4604 (Dose 1) via inhalation on Day 1.
Receives: Drug: AZD4604
Part 1a: AZD4604 (Dose 2) SADExperimentalJapanese participants will receive single dose of AZD4604 (Dose 2) via inhalation on Day 1.
Receives: Drug: AZD4604
Part 1a: AZD4604 (Dose 3) SADExperimentalJapanese participants will receive single dose of AZD4604 (Dose 3) via inhalation on Day 1.
Receives: Drug: AZD4604
Part 1a: PlaceboPlacebo comparatorJapanese participants will receive single dose of matching placebo to AZD4604 on Day 1.
Receives: Drug: Placebo
Part 1b: AZD4604 (Dose 4) Multiple dose cohortExperimentalJapanese participants will receive AZD4604 (Dose 4) via inhalation twice daily (BID) from Day 1 to Day 6 and a single dose on Day 7.
Receives: Drug: AZD4604
Part 1b: PlaceboPlacebo comparatorJapanese participants will receive matching placebo to AZD4604 BID from day 1 to day 6 and a single dose of placebo on Day 7.
Receives: Drug: Placebo
Part 2a: AZD4604 (Dose 1) SADExperimentalChinese participants will receive single dose of AZD4604 (Dose 1) via inhalation on Day 1.
Receives: Drug: AZD4604
Part 2a: AZD4604 (Dose 3) SADExperimentalChinese participants will receive single dose of AZD4604 (Dose 3) via inhalation on Day 1.
Receives: Drug: AZD4604
Part 2a: PlaceboPlacebo comparatorChinese participants will receive single dose of matching placebo to AZD4604 on Day 1.
Receives: Drug: Placebo
Part 2 b: AZD4604 (Dose 4) Multiple dose cohortExperimentalChinese participants will receive AZD4604 (Dose 4) via inhalation BID from Day 1 to Day 6 and a single dose on Day 7.
Receives: Drug: AZD4604
Part 2b: PlaceboPlacebo comparatorChinese participants will receive placebo via inhalation BID from Day 1 to Day 6 and a single dose on Day 7.
Receives: Drug: Placebo

What is being measured

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

  1. Number of participants with adverse event (AEs)

    To assess the safety and tolerability of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a), and multiple doses (Parts 1b and 2b).

    Measured: From Day -28 to 5 weeks (Parts 1a and 2a); Day -28 to 6 weeks (Parts 1b and 2b)

Secondary outcomes (17)
  1. Maximum observed plasma (peak) drug concentration (Cmax)

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a), and multiple doses (Parts 1b and 2b).

    Measured: From Day 1 to Day 7 (Parts 1a and 2a); From Day 1 to Day 13 (Parts 1b and 2b)

  2. Time to reach peak or maximum observed concentration following drug administration (tmax)

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a), and multiple doses (Parts 1b and 2b).

    Measured: From Day 1 to Day 7 (Parts 1a and 2a); From Day 1 to Day 13 (Parts 1b and 2b)

  3. Terminal elimination rate constant (λz)

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a), and multiple doses (Parts 1b and 2b).

    Measured: From Day 1 to Day 7 (Parts 1a and 2a); From Day 1 to Day 13 (Parts 1b and 2b)

  4. Half-life associated with terminal slope of a semi-logarithmic concentration time curve (t½λz)

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a), and multiple doses (Parts 1b and 2b).

    Measured: From Day 1 to Day 7 (Parts 1a and 2a); From Day 1 to Day 13 (Parts 1b and 2b)

  5. Partial area under concentration-time curve from time 0 to 12 hours (AUC [0-12])

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a), and multiple doses (Parts 1b and 2b).

    Measured: From Day 1 to Day 7 (Parts 1a and 2a); On Day 1 (Parts 1b and 2b)

  6. Partial area under concentration-time curve from time 0 to 24 hours (AUC [0-24])

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a), and multiple doses (Parts 1b and 2b).

    Measured: From Day 1 to Day 7 (Parts 1a and 2a); From Day 1 to Day 13 (Parts 1b and 2b)

  7. Area under the plasma concentration curve from zero to last quantifiable concentration (AUClast)

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a), and multiple doses (Parts 1b and 2b).

    Measured: From Day 1 to Day 7 (Parts 1a and 2a); From Day 1 to Day 13 (Parts 1b and 2b)

  8. Area under the plasma concentration curve from zero to infinity (AUCinf)

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a).

    Measured: From Day 1 to Day 7 (Parts 1a and 2a)

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

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a), and multiple doses (Parts 1b and 2b).

    Measured: From Day 1 to Day 7 (Parts 1a and 2a); From Day 1 to Day 13 (Parts 1b and 2b)

  10. Volume of distribution (apparent) at steady state following extravascular administration based on terminal phase (Vz/F)

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a), and multiple doses (Parts 1b and 2b).

    Measured: From Day 1 to Day 7 (Parts 1a and 2a); From Day 1 to Day 13 (Parts 1b and 2b)

  11. Area under the plasma concentration time curve from zero to the last quantifiable concentration, divided by dose (AUClast/D)

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a), and multiple doses (Parts 1b and 2b).

    Measured: From Day 1 to Day 7 (Parts 1a and 2a); From Day 1 to Day 13 (Parts 1b and 2b)

  12. Area under the plasma concentration curve from zero to infinity, divided by dose (AUCinf/D)

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a).

    Measured: From Day 1 to Day 7 (Parts 1a and 2a)

  13. Maximum observed plasma (peak) drug concentration, by dose (Cmax/D)

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a), and multiple doses (Parts 1b and 2b).

    Measured: From Day 1 to Day 7 (Parts 1a and 2a); From Day 1 to Day 13 (Parts 1b and 2b)

  14. The last time point at which the concentration is measured (tlast)

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as single ascending doses (Parts 1a and 2a), and multiple doses (Parts 1b and 2b).

    Measured: From Day 1 to Day 7 (Parts 1a and 2a); From Day 1 to Day 13 (Parts 1b and 2b)

  15. Area under plasma concentration time curve from zero to end of dosing interval (AUCτ)

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as multiple doses (Parts 1b and 2b).

    Measured: From Day 1 to Day 13 (Parts 1b and 2b)

  16. Area under plasma concentration time curve from zero to end of dosing interval, by dose (AUCτ/D)

    To characterise the plasma PK of AZD4604 following inhaled administration of AZD4604 as multiple doses (Parts 1b and 2b).

    Measured: From Day 1 to Day 13 (Parts 1b to 2b)

  17. Cough Severity self-assessment as measured by Visual Analogue Scale (VAS)

    The cough VAS is a brief and simple measure of cough severity. It consists of a 100 mm vertical scale on which the participant is asked to place a cross at the point that indicates the severity of his/her cough in the last 24 hours between "No cough" and "Worst cough ever". The position of the cross is measured from the "No cough" reference point. A minimal clinically important difference is considered to be a 17 mm change from previous.

    Measured: From Day 1 to Day 8 (Parts 1b and 2b)

Timeline

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

  1. First posted25 Jul 2024
  2. Study start15 Jul 2024
  3. Primary completion27 Dec 2024
  4. Study completion27 Dec 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
Sequential
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06519968
Sponsor's protocol ID
D8210C00002
Status last verified
Nov 2025
First submitted
5 Jul 2024
Last updated
17 Nov 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
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 AZD4604 in people with Healthy Participants, 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 5 inclusion and 16 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 Nov 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 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. 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?

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?

Number of participants with adverse event (AEs) (time frame: From Day -28 to 5 weeks (Parts 1a and 2a); Day -28 to 6 weeks (Parts 1b and 2b)). 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 Nov 2025.

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