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The purpose of the study is to assess the safety, tolerability and PK of selumetinib (AZD6244; ARRY-142886) (Hyd-Sulfate) in healthy male Japanese and non-Japanese Asian volunteers following administration of a single dose. Standard safety assessments including ECGs, vital signs, blood/urine safety tests, PK samples and monitoring of adverse events and an optional exploratory pharmacogenetics will be performed.
A Phase I, Single-centre, Open-label, Dose-escalation Study to Assess the Safety, Tolerability and Pharmacokinetics of Selumetinib (AZD6244; ARRY-142886) (Hyd-Sulfate) Given Orally in Japanese and Non-Japanese Asian Healthy Male Volunteers
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Japanese Arm | Experimental | 3 cohorts of 9 subjects. Each cohort will receive oral 25 mg, 50 mg (anticipated) or 75 mg (anticipated) selumetinib (AZD6244; ARRY-142886) (Hyd-Sulfate). |
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| Non-Japanese Asian Arm | Experimental | 3 cohorts of 9 subjects. Each cohort will receive oral 25 mg, 50 mg (anticipated) or 75 mg (anticipated) selumetinib (AZD6244; ARRY-142886) (Hyd-Sulfate). |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Selumetinib | Drug | 1, 2 or 3 x 25 mg selumetinib (AZD6244; ARRY-142886) (Hyd-Sulfate) capsule administered orally as a single dose on Day 1 of the study (total dose 25 mg, 50 mg and 75 mg respectively) with 240 ml of water at room temperature. |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetics of selumetinib by assessment of maximum plasma selumetinib concentration (Cmax) | Rate and extent of absorption of selumetinib following oral doses of selumetinib by assessment of maximum plasma selumetinib concentration (Cmax). Metabolite to parent drug ratios will be calculated for the primary PK parameters AUC and Cmax, and AUC (0-t) if applicable. | Plasma will be collected at the following time points pre-dose then 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36 and 48 hours post dose |
| Pharmacokinetics of selumetinib by assessment of area under the plasma concentration time curve from zero to infinity (AUC) | Rate and extent of absorption of selumetinib following oral doses of selumetinib by assessment of area under the plasma concentration time curve from zero to infinity (AUC). Metabolite to parent drug ratios will be calculated for the primary PK parameters AUC and Cmax, and AUC (0-t) if applicable. | Plasma will be collected at the following time points pre-dose then 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36 and 48 hours post dose |
| Pharmacokinetics of selumetinib by assessment of area under the plasma concentration time curve from zero to the last measurable time point, AUC0-t, if AUC is not adequately measurable | Rate and extent of absorption of selumetinib following oral doses of selumetinib by assessment of area under the plasma concentration time curve from zero to the last measurable time point, AUC0-t, if AUC is not adequately measurable. Metabolite to parent drug ratios will be calculated for the primary PK parameters AUC and Cmax, and AUC (0-t) if applicable. | Plasma will be collected at the following time points pre-dose then 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36 and 48 hours post dose |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of the Safety and Tolerability of Selumetinib by collection of adverse event reports | Assessment of adverse events (AEs) graded by Common Terminology Criteria for Adverse Events (CTCAE) v4.0 | All AEs will be collected from Day -1, throughout the treatment periods, and including the follow-up period, assessed after minimum of 7 days. SAEs will be recorded from the time of informed consent. |
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Inclusion Criteria:
Provision of signed and dated, written informed consent prior to any study-specific procedures.
Non-smokers for at least three months prior to drug administration.
Healthy male volunteers aged 18 to 55 years with suitable veins for cannulation or repeated venipunctures.
Subjects included will be either healthy first generation Japanese, or healthy first generation non-Japanese Asian (e.g. Korean, Chinese).
Japanese subjects must meet the following requirements in order to participate in the study:
Non-Japanese Asian subjects must meet the following requirements in order to participate in the study:
Have a BMI between 18 and 30 kg/m2 inclusive and weigh at least 50 kg and no more than 100 kg, inclusive.
Must use acceptable methods of contraception if the male subject's partner could become pregnant from the time of the first administration of treatment or study medication until 3 months following administration of the last treatment or dose of study medication.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ian C Smith, MD | AstraZeneca UK, MSD | Study Chair |
| Ulrike Lorch, MD | Richmond Pharmacology Ltd, UK | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | London | United Kingdom |
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| ID | Term |
|---|---|
| C517975 | AZD 6244 |
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| Pharmacogenetics | DNA samples may be used to explore how genetic variations may affect the response to selumetinib. PGx samples will be analysed for BCRP (breast cancer resistance protein), CYP2C19 (cytochrome P450 2C19) and UGT1A1 (UDP glucuronosyltransferase 1A1) genotypes. These transporter and enzymes are known to be polymorphic and maybe involved in the disposition of selumetinib. An assessment of subject's genotype for these transporter/enzymes and subjects PK will be made to see if there is any association of genotype and PK exposure. | Optional exploratory sample for pharmacogenetics can be taken any time between Day 1 and Day 3 after dosing. |
| Determine safety and tolerability of selumetinib by assessment of 12 lead electrocardiograms | Assessment of standard 12 lead electrocardiograms (ECGs) | Triplicate 12-lead ECG evaluated at screening & admission. Single 12-lead paper ECGs will follow all dECGs. Digital ECGs will be taken on Day 1 & Day 2 (pre-dose, 1.5h, 2.5h, 4h, 6h, 24h, 48h (pECG only)) & at follow up, at least 7 days after dose. |
| Determine safety and tolerability of selumetinib by physical examination | Assessment of physical examination | At screening and follow up (at least 7 days after dose) full physical examination will be performed. On admission and discharge (day 3) from the CPU a brief physical examination will be performed. |
| Determine safety and tolerability of selumetinib by assessment of vital signs | Assessment of standard vital signs (including blood pressure, pulse) | Supine blood pressure and pulse and oral body temperature will be evaluated at screening and admission, Day 1 (at pre-dose, 1.5h and 6h), Day 2, Day 3 and at follow up at follow up, at least 7 days after dose. |
| Determine safety and tolerability of selumetinib by assessment of clinical chemistry results | Assessment of lab parameters (clinical chemistry) | Clinical chemistry will be evaluated at screening, Day -1, Day 2 and at follow up, at least 7 days after dose. |
| Determine safety and tolerability of selumetinib by assessment of haematology results | Assessment of lab parameters (haematology) | Haematology will be evaluated at screening, Day -1, Day 2 and at follow up, at least 7 days after dose. |
| Determine safety and tolerability of selumetinib by assessment of urinalysis results | A sample for urinalysis to be collected along with the other clinical laboratory evaluations. Microscopy should only be performed if the urinalysis result is abnormal. | Urinalysis results will be evaluated at screening, Day-1 , Day 3 and follow up. |
| Determine safety and tolerability of selumetinib by assessment of opthalmic examination | Ophthalmic examination (best corrected visual acuity, IOP and slit-lamp fundoscopy) will be conducted at screening (will be considered the baseline value; no need to repeat) and for cause (on occurrence of AE only). | At baseline |
| Pharmacokinetics of selumetinib by assessment of area under the plasma concentration time curve from zero to the last measurable time point, AUC0-t. | Rate and extent of absorption of selumetinib following oral doses of selumetinib by assessment of area under the plasma concentration time curve from zero to the last measurable time point, AUC0-t. Metabolite to parent drug ratios will be calculated for the primary PK parameters AUC and Cmax, and AUC (0-t) if applicable. | Plasma will be collected at the following time points pre-dose then 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36 and 48 hours post dose |
| Pharmacokinetics of selumetinib by assessment of area under the plasma concentration time curve from zero to 12h time point, AUC0-12. | Rate and extent of absorption of selumetinib following oral doses of selumetinib by assessment of area under the plasma concentration time curve from zero to 12h time point, AUC0-12. Metabolite to parent drug ratios will be calculated for the primary PK parameters AUC and Cmax, and AUC (0-t) if applicable. | Plasma will be collected at the following time points pre-dose then 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36 and 48 hours post dose |
| Pharmacokinetics of selumetinib by assessment of area under the plasma concentration time curve from zero to 24h time point, AUC0-24. | Rate and extent of absorption of selumetinib following oral doses of selumetinib by assessment of area under the plasma concentration time curve from zero to 24h time point, AUC0-24. Metabolite to parent drug ratios will be calculated for the primary PK parameters AUC and Cmax, and AUC (0-t) if applicable. | Plasma will be collected at the following time points pre-dose then 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36 and 48 hours post dose |
| Pharmacokinetics of selumetinib by assessment of time to reach maximum plasma concentration for selumetinib (tmax). | Rate and extent of absorption of selumetinib following oral doses of selumetinib by assessment of time to reach maximum plasma concentration for selumetinib (tmax). | Plasma will be collected at the following time points pre-dose then 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36 and 48 hours post dose |
| Pharmacokinetics of selumetinib by assessment of selumetinib apparent clearance (CL/F). | Rate and extent of absorption of selumetinib following oral doses of selumetinib by assessment of of selumetinib apparent clearance (CL/F). | Plasma will be collected at the following time points pre-dose then 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36 and 48 hours post dose |
| Pharmacokinetics of selumetinib by assessment of rate of the elimination half-life of selumetinib from circulation following single oral dose (t½). | Rate and extent of absorption of selumetinib following oral doses of selumetinib by assessment of rate of the elimination half-life of selumetinib from circulation following single oral dose (t½). | Plasma will be collected at the following time points pre-dose then 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36 and 48 hours post dose |
| Pharmacokinetics of selumetinib by assessment of volume of distribution divided by bioavailability (Vss/F; estimate of steady state distribution volume for selumetinib following single oral dose). | Rate and extent of absorption of selumetinib following oral doses of selumetinib by assessment of volume of distribution divided by bioavailability (Vss/F; estimate of steady state distribution volume for selumetinib following single oral dose). | Plasma will be collected at the following time points pre-dose then 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 8, 12, 24, 36 and 48 hours post dose |