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The purpose of this study is to assess safety, tolerability and pharmacokinetics of D5884 following administration of single and multiple doses in healthy male Japanese subjects.
This is a Phase 1, single-centre study that plans to enrol 3 cohorts in 3 study arms (Study Arms A, B and C). Study Arms A and B will be comprised of cohorts of healthy male Japanese subjects in randomised, single-blind, placebo-controlled, single and multiple dose parallel studies and Study Arm C will be comprised of a cohort of healthy male Caucasian subjects in a single and multiple dose open-label study.
Two dose levels, 2 and 4 g D5884, will be investigated in healthy male Japanese subjects. Up to 18 healthy male Japanese subjects aged 20 to 45 years, inclusive, will be enrolled in 2 cohorts (Study Arms A and B) and up to 6 healthy male Caucasian subjects will be enrolled in a 3rd cohort (Study Arm C). Each subject will participate in 1 cohort only.
Following a screening period of a maximum of 42 days, subjects will reside at the study facility for 18 nights starting from the day before dosing (Day -1) to Day 18 (day of discharge). The follow-up period after dosing will be 8 (±2) days after last dose. Dose administration in all 3 study arms will be done in the following sequence: a single dose of D5884 or placebo will be administered; this will be followed by a 2-day washout period; after the washout period, multiple doses of D5884 or placebo will be administered, once daily for 14 consecutive days. The 1st cohort (Study Arm A) will receive 2 g D5884 (n=6) or placebo (n=3), the 2nd cohort (Study Arm B) will receive 4 g D5884 (n=6) or placebo (n=3) and the 3rd cohort (Study Arm C) will receive 4 g D5884 (n=6).
The PK analysis included all evaluable PK data appropriate for the evaluation of interest (eg, with no major protocol deviations or violations thought to significantly affect the PK of the drug) from all subjects who received D5884.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| D5884 | Experimental | D5884 capsule, Per oral(po) |
|
| Placebo | Placebo Comparator | Placebo capsule, po |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| D5884 | Drug | 1st cohort: Dose 1(2g) D5884(n=6) in Japanese 2nd cohort: Dose 2(4g) D5884(n=6) in Japanese 3rd cohort: Dose 2(4g) D5884(n=6) in Caucasian |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Patients With Treatment-emergent Adverse Events (TEAEs), by Treatment (Safety Analysis Set) | Number of patients with treatment-emergent adverse events (TEAEs), by treatment (Safety Analysis Set) | from first dosing (Day1) until follow-up (Day25) |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax in Plasma Baseline-adjusted Total Eicosapentaenoic Acid (EPA), Single Dose | Day1-3, 4, 7, 11, 14, 17-18 and 25 | |
| Tmax in Plasma Baseline-adjusted Total EPA, Single Dose | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hiroyuki Fukase, MD | CPC Clinical Trial Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CPC Clinical Trial Hospital | Kagoshima | Kagoshima-ken | 8900081 | Japan |
Of the 86 subjects, 43 did not meet the inclusion/exclusion criteria, 14 decided not to participate in the study and 5 had other reasons for declining participation in the study.
86 male subjects were screened.
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| ID | Title | Description |
|---|---|---|
| FG000 | 2 g D5884 Japanese | Single dose followed by once daily for 14 consecutive days |
| FG001 | 2 g D5884 Japanese Placebo | Single dose followed by once daily for 14 consecutive days |
| FG002 | 4 g D5884 Japanese | Single dose followed by once daily for 14 consecutive days |
| FG003 | 4g D5844 Japanese Placebo | Single dose followed by once daily for 14 consecutive days |
| FG004 | 4g D5884 Caucasian | Single dose followed by once daily for 14 consecutive days |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
All randomized subjects
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| ID | Title | Description |
|---|---|---|
| BG000 | 2 g D5884 Japanese | Single dose followed by once daily for 14 consecutive days |
| BG001 | 4 g D5884 Japanese | Single dose followed by once daily for 14 consecutive days |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Secondary | Cmax in Plasma Baseline-adjusted Total Eicosapentaenoic Acid (EPA), Single Dose | Posted | Geometric Mean | Geometric Coefficient of Variation | μg/mL | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
|
AEs will be collected from randomisation, throughout the treatment period and including the follow-up period. SAEs will be recorded from the time of informed consent.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | 2 g D4884 Japanese |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Diarrhoea | Gastrointestinal disorders | MedDRA | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Hideo Negi | CO RIA TA, R&D | +81 6 4803 3533 | 4716 | H.Negi@astrazeneca.com |
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| Placebo | Drug |
|
|
| Cmax in Plasma Baseline-adjusted Total Docosahexaenoic Acid (DHA), Single Dose | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
| Tmax in Plasma Baseline-adjusted Total DHA, Single Dose | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
| Cmax in Plasma Baseline-adjusted Total EPA, Multiple Dose | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
| Tmax in Plasma Baseline-adjusted Total EPA, Multiple Dose | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
| Cmax in Plasma Baseline-adjusted Total DHA, Multiple Dose | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
| Tmax in Plasma Baseline-adjusted Total DHA, Multiple Dose | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
| AUC(0-tau) in Plasma Baseline-adjusted Total DHA, Multiple Dose | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
| AUC(0-tau) in Plasma Baseline-adjusted Total EPA, Multiple Dose | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
| AUC(0-tau) in Plasma Baseline-adjusted Total Docosahexaenoic Acid (DHA), Single Dose | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
| AUC(0-tau) in Plasma Baseline-adjusted Total Eicosapentaenoic Acid (EPA), Single Dose | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
| BG002 | 4 g D5884 Caucasian | Single dose followed by once daily for 14 consecutive days |
| BG003 | Placebo Japanese | Single dose followed by once daily for 14 consecutive days |
| BG004 | Total | Total of all reporting groups |
| years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Number | Participants |
|
| Weight | Mean | Standard Deviation | kg |
|
| BMI | Mean | Standard Deviation | kg/m^2 |
|
|
|
| Secondary | Tmax in Plasma Baseline-adjusted Total EPA, Single Dose | Posted | Median | Full Range | h | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
|
|
|
| Secondary | Cmax in Plasma Baseline-adjusted Total Docosahexaenoic Acid (DHA), Single Dose | Posted | Geometric Mean | Geometric Coefficient of Variation | μg/mL | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
|
|
|
| Secondary | Tmax in Plasma Baseline-adjusted Total DHA, Single Dose | Posted | Median | Full Range | h | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
|
|
|
| Secondary | Cmax in Plasma Baseline-adjusted Total EPA, Multiple Dose | Posted | Geometric Mean | Geometric Coefficient of Variation | μg/mL | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
|
|
|
| Secondary | Tmax in Plasma Baseline-adjusted Total EPA, Multiple Dose | Posted | Median | Full Range | h | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
|
|
|
| Secondary | Cmax in Plasma Baseline-adjusted Total DHA, Multiple Dose | Posted | Geometric Mean | Geometric Coefficient of Variation | μg/mL | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
|
|
|
| Secondary | Tmax in Plasma Baseline-adjusted Total DHA, Multiple Dose | Posted | Median | Full Range | h | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
|
|
|
| Primary | Number of Patients With Treatment-emergent Adverse Events (TEAEs), by Treatment (Safety Analysis Set) | Number of patients with treatment-emergent adverse events (TEAEs), by treatment (Safety Analysis Set) | Posted | Number | subjects | from first dosing (Day1) until follow-up (Day25) |
|
|
|
| Secondary | AUC(0-tau) in Plasma Baseline-adjusted Total DHA, Multiple Dose | Posted | Geometric Mean | Geometric Coefficient of Variation | μg*h/mL | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
|
|
|
| Secondary | AUC(0-tau) in Plasma Baseline-adjusted Total EPA, Multiple Dose | Posted | Geometric Mean | Geometric Coefficient of Variation | μg*h/mL | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
|
|
|
| Secondary | AUC(0-tau) in Plasma Baseline-adjusted Total Docosahexaenoic Acid (DHA), Single Dose | Posted | Geometric Mean | Geometric Coefficient of Variation | μg*h/mL | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
|
|
|
| Secondary | AUC(0-tau) in Plasma Baseline-adjusted Total Eicosapentaenoic Acid (EPA), Single Dose | Posted | Geometric Mean | Geometric Coefficient of Variation | μg*h/mL | Day1-3, 4, 7, 11, 14, 17-18 and 25 |
|
|
|
| 0 |
| 6 |
| 2 |
| 6 |
| EG001 | 4 g D4884 Japanese | 0 | 6 | 2 | 6 |
| EG002 | 4 g D4884 Caucasian | 0 | 6 | 5 | 6 |
| EG003 | Placebo Japanese | Single dose followed by once daily for 14 consecutive days | 0 | 6 | 2 | 6 |
| Feeling abnormal | General disorders | MedDRA | Non-systematic Assessment |
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| ALT increased | Investigations | MedDRA | Non-systematic Assessment |
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| AST increased | Investigations | MedDRA | Non-systematic Assessment |
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| Blood creatinine increased | Investigations | MedDRA | Non-systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA | Non-systematic Assessment |
|
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| TEAEs leading to discontinued |
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| Serious TEAEs |
|