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| Name | Class |
|---|---|
| Parexel | INDUSTRY |
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This is a Phase 1 study to assess the the safety, tolerability and pharmacokinetics (PK) of AZD2373, following subcutaneous (SC) administration of single ascending doses (SAD) of AZD2373 in healthy male subjects of African ancestry.
This study will be conducted as a single-centre, randomised, placebo-controlled, single-blind study to assess the effect of AZD2373 following ascending dose sequential group design administrations to healthy male subjects of African ancestry. The study will include 6 single dose cohorts with the option to include 2 additional cohorts based on emerging data from preceding cohorts in the study.
Approximately 48 male subjects aged 18 to 55 years at the time of informed consent (inclusive) will be randomized with the aim to have 8 subjects participate in each cohort. Within each cohort, 6 subjects will receive AZD2373 and 2 subjects will receive placebo.
Sentinel dosing will be applied for each cohort and will be divided into 2 groups:
The study will comprise:
The visit occurring at 5 weeks post dose (Visit 5) is optional. The expected duration for any subject participating in the study is approximately 10 weeks (excluding an up to 28-day Screening Period).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | On Day 1, randomized subjects will receive a subcutaneous (SC) injection of AZD2373 dose 1 (6 subjects) or matching placebo (2 subjects). |
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| Cohort 2 | Experimental | On Day 1, randomized subjects will receive a SC injection of AZD2373 dose 2 (6 subjects) or matching placebo (2 subjects). |
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| Cohort 3 | Experimental | On Day 1, randomized subjects will receive a SC injection of AZD2373 dose 3 (6 subjects) or matching placebo (2 subjects). |
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| Cohort 4 | Experimental | On Day 1, randomized subjects will receive a SC injection of AZD2373 dose 4 (6 subjects) or matching placebo (2 subjects). |
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| Cohort 5 | Experimental | On Day 1, randomized subjects will receive a SC injection of AZD2373 dose 5 (6 subjects) or matching placebo (2 subjects). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AZD2373 subcutaneous injection | Drug | Randomised subjects will receive a single ascending dose of AZD2373 by SC injection (dose 1, dose 2, dose 3, dose 4, dose 5 and dose 6). |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects with adverse events and/or abnormal findings in vital signs, and/or clinical laboratory assessments and/or physical examination and/or electrocardiogram (ECG) evaluation and/or telemetry and/or injection site reactions | To assess adverse events as a variable of safety and tolerability of subcutaneous (SC) single ascending dose (SAD) administrations of AZD2373 | Screening Visit to final Follow-up Visit (Week 10 post last dose) |
| Measure | Description | Time Frame |
|---|---|---|
| Area under plasma concentration-time curve from time zero extrapolated to infinity (AUC) | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Area under the plasma concentration curve from time zero to the time of last quantifiable analyte concentration (AUClast) |
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Inclusion Criteria:
Exclusion Criteria:
Subjects with known ancestry outside of West Africa.
History of any clinically important disease or disorder which, in the opinion of the Investigator, may either put the subject at risk because of participation in the study, or influence the results or the subject's ability to participate in the study.
History or presence of gastrointestinal, hepatic or renal disease or any other condition known to interfere with absorption, distribution, metabolism or excretion of drugs.
Any clinically important illness, medical/surgical procedure or trauma within 4 weeks prior to administration of IMP on Study Day 1.
Any laboratory values with the following deviations:
Any clinically important abnormalities in clinical chemistry, hematology or urinalysis results, other than those described above, as judged by the PI.
Male 18-55 years
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| Name | Affiliation | Role |
|---|---|---|
| Ronald Goldwater, Dr. | PAREXEL Early Phase Clinical Unit Baltimore | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Brooklyn | Maryland | 21225 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33767059 | Derived | Bruggeman LA, Sedor JR, O'Toole JF. Apolipoprotein L1 and mechanisms of kidney disease susceptibility. Curr Opin Nephrol Hypertens. 2021 May 1;30(3):317-323. doi: 10.1097/MNH.0000000000000704. |
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Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request 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 shared.
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AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please refer to our disclosure commitment at:
https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
When a request has been approved AstraZeneca will provide access to the de-identified individual patient-level data in an approved sponsored tool. Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at:
https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
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This study is single-blind (in which the study center staff remain blinded during the clinical conduct of a given cohort) with regard to treatment (AZD2373 or placebo) at each dose level. Study subjects will be blinded to treatment allocation throughout the study.
| Cohort 6 | Experimental | On Day 1, randomized subjects will receive a SC injection of AZD2373 dose 6 (6 subjects) or matching placebo (2 subjects). |
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| Placebo | Drug | Randomised subjects will receive a single ascending dose of placebo (saline solution) by SC injection. |
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To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. |
| Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Area under the plasma concentration-time curve from time zero to 72 hours after dosing [AUC(0-72)] | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Area under the plasma concentration-time curve from time zero to 48 hours after dosing [AUC (0-48)] | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Observed maximum plasma concentration (Cmax) | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Time to reach peak or maximum observed concentration or response following drug administration (tmax) | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Half-life associated with terminal slope (λz) of a semi logarithmic concentration-time curve (t½λz) | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Apparent total body clearance of drug from plasma after extravascular administration [CL/F] | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Apparent volume of distribution during the terminal phase after extravascular administration (Vz/F) | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Mean residence time of the unchanged drug in the systemic circulation (MRT) | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Terminal elimination rate constant (λz) | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Time of the last quantifiable concentration [tlast Ae(0-last)] | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Cumulative fraction (%) of dose excreted unchanged into the urine from time zero to the last measured time point [fe(0-last)] | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Amount of analyte excreted into the urine from time t1 to t2 [Ae(t1-t2)] | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Fraction of dose excreted unchanged into the urine from time t1 to t2 [fe(t1-t2)] | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Renal clearance of drug from plasma, estimated by dividing Ae(0-t) by AUC(0-t) where the 0-t interval is the same for both Ae and AUC (CLR) | To characterize the PK of AZD2373 following SC SAD administrations of AZD2373. | Visit 2 to final Follow-up Visit (Week 10 post last dose) |
| Apolipoprotein L1 (APOL1) concentrations and change from baseline | To assess the effect of SC SAD administrations of AZD2373 on plasma concentrations of APOL1 protein | Visit 2 to final Follow-up Visit (Week 10 post last dose) |