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This is a two-part multiple dose study in healthy male and female (of non-child bearing potential) elderly volunteers, and in Alzheimer's disease patients, to assess the safety, effects on the body, and blood, CSF, and urine drug levels of AZD3293. AZD3293 is being developed for the treatment of Alzheimer's Disease
A Phase I, Randomized, Double-Blind, Placebo-Controlled, Two-Part, Multiple Ascending Dose Study to Assess the Safety, Tolerability, Pharmacokinetics and Effect on Biomarkers of AZD3293 in Plasma and Cerebrospinal Fluid in Healthy Male and Non-Fertile Female Elderly Volunteers and in Mild-to-Moderate Alzheimer Disease Patients
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AZD3293 | Experimental | Part 1: Up to 6 sequential cohorts of healthy elderly subjects are planned, with multiple ascending doses, starting with 5 mg (subject to confirmation by the Safety Review Committee) Part 2: Up to 16 mild-to-moderate AD patients administered one to up to 3 dosage levels of AZD3293 |
|
| Placebo | Placebo Comparator | Part 1: Placebo given (2 subjects in each cohort) Part 2: Placebo given (up to 4 subjects) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AZD3293 | Drug | Oral solution |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse event monitoring | From Baseline up to 20 days | |
| Assessment of vital signs (blood pressure, pulse and body temperature) and physical exams | From Baseline up to 20 days | |
| Clinical laboratory tests (chemistry, hematology, urinalysis, renal safety) | From Baseline up to 20 days | |
| Assessment of 12-lead digital electrocardiograms to measure rhythm, rate, morphology, QT/QTc interval | Fron Baseline up to 20 days | |
| Assessment of telemetry, as reported by Investigator Columbia-Suicide Severity Rating Scale (C-SSRS) | Columbia-Suicide Severity Rating Scale (C-SSRS) captures the occurrence, severity, and frequency of suicide-related thoughts and behaviors during the assessment period. Some questions are yes/no and some are on a scale of 1 (low severity) to 5 (high severity). Completed suicide and non-fatal suicide events are yes/no questions and results presented are the number of participants with these events. Worsening of suicidal ideation was an increase in severity of suicidal ideation from baseline. | From Baseline up to 20 days |
| Measure | Description | Time Frame |
|---|---|---|
| Investigation of the effect of AZD3293 on plasma and cerebrospinal fluid (CSF) biomarkers relevant for Alzheimer Disease (AD) | Up to 17 days | |
| Investigation of the effect of AZD3293 on plasma and cerebrospinal fluid (CSF) biomarkers relevant for Alzheimer Disease (AD) in mild-moderate AD patients in comparison to elderly healthy volunteers |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Robert C Alexander, MD | AstraZeneca | Study Director |
| David Han, MD | PAREXEL/CCT Early Phase Clinical Unit | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Glendale | California | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29199322 | Derived | Cebers G, Lejeune T, Attalla B, Soderberg M, Alexander RC, Budd Haeberlein S, Kugler AR, Ingersoll EW, Platz S, Scott CW. Reversible and Species-Specific Depigmentation Effects of AZD3293, a BACE Inhibitor for the Treatment of Alzheimer's Disease, Are Related to BACE2 Inhibition and Confined to Epidermis and Hair. J Prev Alzheimers Dis. 2016;3(4):202-218. doi: 10.14283/jpad.2016.119. |
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| ID | Term |
|---|---|
| C000608388 | lanabecestat |
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| Drug |
Oral solution |
|
| Up to 17 days |
| Investigation of the multiple dose Pharmacokinetics for AZD3293 and its metabolite AZ13569724, including dose proportionality for AZD3293 following oral administration | Up 17 days |
| Investigation of the Pharmacokinetics/Pharmacodynamics relationship of the effect of AZD3293 on biomarkers relevant for Alzheimer Disease (AD) in plasma | Up to 17 days |