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Cardiovascular DiseasePhase 1NCT03948451

Study Evaluating the Pharmacokinetic and Mass Balance of Single Dose [14C] AZD5718 in Volunteers

A Phase 1 study testing [14C]AZD5718 Oral Suspension in people with Cardiovascular Disease, 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 Sponsor is developing the test medicine, AZD5718, for the potential treatment of cardiovascular disease. The study is an open-label, single dose study involving 6 healthy male subjects. Read more about this study

Who is it for?
Ages 30 to 65 years, men onlyHealthy volunteers can take part
Conditions the study is for
Cardiovascular Disease
What is being tested?
[14C]AZD5718 Oral Suspension
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
6 participants
Where
1 siteUnited Kingdom
Study dates
30 Apr 2019to 2 Jul 2019
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 30 to 65 years
  • Men only
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Provision of signed and dated, written informed consent prior to any study specific procedures.
  • Healthy male subjects aged 30 to 65 years with suitable veins for cannulation or repeated venepuncture.
  • Have a body mass index of 18.5 to 35.0 kg/m2, and weigh at least 50 kg and no more than 100 kg, as measured at screening.
  • Must have regular bowel movements (ie, average stool production of ≥1 and ≤3 stools per day).
  • Must be willing and able to communicate and participate in the whole study.
  • Must be surgically sterile or agree to adhere to the contraception requirements.

Who cannot join

  • History of any clinically significant disease or disorder which, in the opinion of the investigator, may either put the volunteer at risk because of participation in the study, or influence the results of the volunteer'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 significant illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of IMP.
  • Subjects with Gilbert's syndrome or subjects with a history of cholecystectomy or gall stones.
  • Any confirmed clinically significant abnormalities in clinical chemistry, haematology or urinalysis as judged by the investigator.
  • Any confirmed clinically significant abnormal findings in vital signs, as judged by the investigator.
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  • Any confirmed clinically significant abnormal findings in 12-lead ECG, as judged by the investigator.
  • Any positive result at screening for serum hepatitis B surface antigen (HBsAg), hepatitis C virus antibody (HCV Ab) or human immunodeficiency virus (HIV) results.
  • Known or suspected history of drug or alcohol abuse within the past 2 years, as judged by the investigator.
  • Has received another new chemical entity (defined as a compound which has not been approved for marketing) within 90 days of the first administration of IMP in this study. The period of exclusion ends 90 days after the final dose. Note: subjects consented and screened, but not enrolled in this study or a previous Phase I study are not excluded.
  • Plasma donation within 1 month of screening or any blood donation/loss of more than 500 mL of blood during the 3 months prior to screening.
  • History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity, as judged by the investigator or history of hypersensitivity to drugs with a similar chemical structure or class to AZD5718 or the formulation excipients. Hay fever is allowed unless it is active.
  • Current smokers and those who have smoked within the last 12 months. A breath carbon monoxide reading of greater than 10 ppm at screening and admission.
  • Current users of e-cigarettes and nicotine replacement products and those who have used these products within the last 12 months.
  • Confirmed positive screen for drugs of abuse at screening or admission to the clinical unit or positive screen for alcohol at screening or admission to the clinical unit.
  • Herbal preparations/medications are not allowed throughout the study. These herbal medications include, but are not limited to, St. John's wort, kava, ephedra (ma huang), gingko biloba, dehydroepiandrosterone, yohimbe, saw palmetto, and ginseng. Subjects should stop using these herbal medications 14 days prior to administration of [14C]AZD5718.
  • Use of any prescribed or nonprescribed medication including antacids, H2 antagonists, PPI, analgesics (other than paracetamol/acetaminophen up to 4 g/day), vitamins and minerals during the 14 days prior to administration of [14C]AZD5718 or longer if the medication has a longer half-life (see Section 11.4). Exceptions may apply on a case by case basis, if considered not to interfere with the objectives of the study, as agreed by the PI and sponsor's medical monitor.
  • Known or suspected history of alcohol or drug abuse or regular alcohol consumption in males >21 units per week (1 unit = ½ pint beer, or a 25 mL shot of 40% spirit, 1.5 to 2 Units = 125 mL glass of wine, depending on type).
  • Subjects who are study site employees, or immediate family members of a study site or sponsor employee.
  • Radiation exposure, including that from the present study, excluding background radiation but including diagnostic x-rays and other medical exposures, exceeding 5 mSv in the last 12 months or 10 mSv in the last 5 years. No occupationally exposed worker, as defined in the Ionising Radiation Regulations 2017, shall participate in the study.
  • Judgment by the investigator that the volunteer should not participate in the study if they have any ongoing or recent (ie during the screening period) minor medical complaints that may interfere with the interpretation of the study data or are considered unlikely to comply with the study procedures, restrictions and requirements.
  • Failure to satisfy the investigator of fitness to participate for any other reason.

Trial locations and contacts

1 site in 1 country.

United Kingdom1 site
  • Research Site

    Ruddington, NG11 6JS

Other trials in United Kingdom

About this study

Official title: A Phase I, Open-Label Study to Characterise the Absorption, Distribution, Metabolism and Excretion Following a Single Oral Dose of [14C]AZD5718 in Healthy Male Volunteers

The Sponsor is developing the test medicine, AZD5718, for the potential treatment of cardiovascular disease.

The study is an open-label, single dose study involving 6 healthy male subjects. The volunteers will receive a single dose of 200 mg radiolabelled AZD5718 (14C-AZD5718 Oral Suspension) containing not more than 9.9 MBq of radiocarbon.

Read more

Volunteers will attend the clinic for 9 days (Day -1 to Day 8) to receive a single dose of the test medicine. It is planned that the volunteers will be discharged as a group once all volunteers have reached the discharge criteria. This may result in the subjects being discharged as a group prior to completion of the planned residency period. If the discharge criteria are not met by volunteers by Day 8, the individual volunteers who have not met the criteria will remain in the clinical unit for a further 48 h (until Day 10).

A follow-up call will take place 7 to 10 days after discharge to ensure the ongoing wellbeing of volunteers.

Being tested
[14C]AZD5718 Oral Suspension
Keywords
Coronary Artery Disease
Medical subject headings
Cardiovascular Diseases, Coronary Artery Disease

What participants receive

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

  • [14C]AZD5718 Oral SuspensionDrug

    Also called [14C]AZD5718

    200 mg dose of [14C]AZD5718 Oral Suspension

Study groups in NCT03948451
Study groupRoleWhat they receive
[14C]AZD5718 Oral SuspensionExperimentalOne 200 mg dose of [14C]AZD5718 Oral Suspension
Receives: Drug: [14C]AZD5718 Oral Suspension

What is being measured

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

  1. The amount of AZD5718 excreted (Ae)

    Assessment of the total radioactivity by measuring the amount of AZD5718 excreted (Ae)

    Measured: Urine and faecal samples collected from pre-dose until 168 hours post-dose

  2. Amount of AZD5718 excreted and expressed as a percentage of the administered dose (Fe)

    Assessment of the total radioactivity by measuring the amount of AZD5718 excreted and expressed as a percentage of the administered dose (Fe)

    Measured: Urine and faecal samples collected from pre-dose until 168 hours post-dose

  3. The cumulative amount of AZD5718 excreted (CumAe)

    Assessment of the total radioactivity by measuring the cumulative amount of AZD5718 excreted (CumAe)

    Measured: Urine and faecal samples collected from pre-dose until 168 hours post-dose

  4. The cumulative amount of AZD5718 excreted and expressed as a percentage of the administered dose (CumFe)

    Assessment of the total radioactivity by measuring the cumulative amount of AZD5718 excreted and expressed as a percentage of the administered dose (CumFe)

    Measured: Urine and faecal samples collected from pre-dose until 168 hours post-dose

  5. Assessment of metabolites in plasma by liquid chromatography-radiochemical-detection and subsequent mass spectrometry

    Assessment of metabolites and structural identification by assessing liquid chromatography-radiochemical-detection and subsequent mass spectrometry

    Measured: Collection of plasma samples from pre-dose until 168 hours post-dose

  6. Assessment of metabolites in urine by liquid chromatography-radiochemical-detection and subsequent mass spectrometry

    Assessment of metabolites and structural identification by assessing liquid chromatography-radiochemical-detection and subsequent mass spectrometry

    Measured: Collection of urine samples from pre-dose until 168 hours post-dose

  7. Assessment of metabolites in faeces by liquid chromatography-radiochemical-detection and subsequent mass spectrometry

    Assessment of metabolites and structural identification by assessing liquid chromatography-radiochemical-detection and subsequent mass spectrometry

    Measured: Collection of faecal samples from pre-dose until 168 hours post-dose

  8. Time to maximum concentration (tmax) for AZD5718 and total radioactivity

    Assessment of AZD5718 and total radioactivity by measuring the time to maximum concentration (tmax)

    Measured: Collection of plasma samples from pre-dose until 168 hours post-dose

  9. Maximum plasma concentration (cmax) for AZD5718 and total radioactivity

    Assessment of AZD5718 and total radioactivity by measuring the maximum plasma concentration (cmax)

    Measured: Collection of plasma samples from pre-dose until 168 hours post-dose

  10. Area under the concentration time curve to the last quantifiable concentration (AUC last) for AZD5718 and total radioactivity

    Assessment of AZD5718 and total radioactivity by measuring the concentration time curve to the last quantifiable concentration (AUC last)

    Measured: Collection of plasma samples from pre-dose until 168 hours post-dose

  11. Area under the concentration time curve from time zero to the last quantifiable concentration (AUC0-inf) for AZD5718 and total radioactivity

    Assessment of AZD5718 and total radioactivity by measuring the concentration time curve from time zero to the last quantifiable concentration (AUC0-inf)

    Measured: Collection of plasma samples from pre-dose until 168 hours post-dose

  12. Apparent terminal Elimination Half-life (t1/2,λz) for AZD5718 and total radioactivity

    Assessment of AZD5718 and total radioactivity by measuring the Elimination Half-life (t1/2,λz)

    Measured: Collection of plasma samples from pre-dose until 168 hours post-dose

  13. Oral clearance (CL/F) of AZD5718

    Assessment of the oral clearance of AZD5718 by measuring the apparent oral clearance (CL/F)

    Measured: Collection of plasma samples from pre-dose until 168 hours post-dose

  14. Apparent Volume of Distribution (Vz/F) of AZD5718

    Assessment of the oral PK (pharmacokinetics) of AZD5718by measuring the Apparent Volume of Distribution (Vz/F)

    Measured: Collection of plasma samples from pre-dose until 168 hours post-dose

  15. The amount of AZD5718 excreted (Ae)

    Assessment of the oral PK (pharmacokinetics) of AZD5718 by measuring the amount of AZD5718 excreted (Ae)

    Measured: Collection of urine and faecal samples from pre-dose until 168 hours post-dose

  16. Amount of AZD5718 excreted and expressed as a percentage of the administered dose (Fe)

    Assessment of the oral PK (pharmacokinetics) of AZD5718 by measuring the amount of AZD5718 excreted and expressed as a percentage of the administered dose (Fe)

    Measured: Collection of urine and faecal samples from pre-dose until 168 hours post-dose

  17. Renal clearance (Clr) in urine of AZD5718

    Assessment of the oral PK (pharmacokinetics) by measuring the renal clearance (Clr)

    Measured: Collection of urine samples from pre-dose until 168 hours post-dose

Secondary outcomes (2)
  1. Evaluation of whole blood:plasma concentration ratios for total radioactivity

    Assessment of total radioactivity in whole blood and plasma

    Measured: Blood samples collected until 168 hours post-dose

  2. Number of adverse events (AE) experienced by subjects

    Safety and tolerability assessed through incidence of AE

    Measured: AEs recorded from the time of informed consent until discharge from the study (168 hours post-dose)

Timeline

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

  1. First posted14 May 2019
  2. Study start30 Apr 2019
  3. Primary completion2 Jul 2019
  4. Study completion2 Jul 2019

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
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
6 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03948451
Sponsor's protocol ID
D7550C00007
Status last verified
Jul 2019
First submitted
1 Apr 2019
Last updated
15 Jul 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing [14C]AZD5718 Oral Suspension in people with Cardiovascular Disease, 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 6 inclusion and 22 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 15 Jul 2019. 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. 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?

The amount of AZD5718 excreted (Ae) (time frame: Urine and faecal samples collected from pre-dose until 168 hours post-dose). The study lists 17 primary outcomes in all. 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 15 Jul 2019.

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