A Study to Assess the Safety, Tolerability, and Pharmacokinetics of AZD5462 Following Single and Multiple Ascending Dose Administration to Healthy Volunteers

Study Overview
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Brief Summary
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This study will assess the safety, tolerability, and pharmacokinetic (PK) of AZD5462 following single ascending dose (SAD) and multiple ascending dose (MAD) administration in healthy male and female participants and healthy participants of Japanese descent.

Detailed Description
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This Phase I, First in Human (FIH), randomized single-blind, placebo-controlled study will consist of 2 parts (Part A and Part B) with an interleaved study design. Part A of the study will be a sequential SAD design with 5 dose levels planned to be investigated across 8 cohorts, of which 3 cohorts will solely comprise of participants of Japanese descent. Within each cohort, 6 participants will be randomized to receive AZD5462 and 2 participants randomized to receive placebo. Part B of the study will be a sequential MAD design with 4 dose levels of AZD5462 planned to be investigated across 5 cohorts, of which 1 cohort will comprise solely of participants of Japanese descent. Within each cohort 6 participants will be randomized to receive AZD5462 and 2 participants randomized to receive placebo. The duration for participants randomized to Part A of the study is 5 to 6 weeks, and for Part B, 6 to 7 weeks.

Official Title
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A Phase I Randomized, Single-blind, Placebo-controlled Study to Assess the Safety, Tolerability, and Pharmacokinetics of AZD5462 Following Single and Multiple Ascending Dose Administration to Healthy Volunteers

Conditions
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Healthy Participants

Intervention / Treatment
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* Drug: AZD5462
* Drug: Placebo


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Healthy male and female (of non-childbearing potential) participants aged 18 to 50 years of age and healthy participants of Japanese descent, 20 to 50 years of age, with suitable veins for cannulation or repeated venipuncture Females must have a negative pregnancy test at the Screening Visit Have a body mass index between 18 and 32 kg/m^2 inclusive and weigh at least 50 kg and no more than 105 kg inclusive For cohorts comprised solely of participants of Japanese descent, a participant will be considered of Japanese descent only if both parents and all grandparents are Japanese Exclusion Criteria: History of any clinically important disease or disorder 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 of the first administration of study drug Any clinically important abnormalities in clinical chemistry, hematology or urinalysis results Any positive result on Screening for serum hepatitis B surface antigen, hepatitis C antibody, and Human immunodeficiency virus Abnormal vital signs Any clinically important abnormalities in rhythm, conduction or morphology of the resting electrocardiogram (ECG) and any clinically important abnormalities in the 12 lead ECG History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity, or history of hypersensitivity to drugs with a similar chemical structure or class to AZD5462 Use of any prescribed or nonprescribed medication including antacids, analgesics (other than paracetamol/acetaminophen), herbal remedies, mega dose vitamins (intake of 20 to 600 times the recommended daily dose) and minerals during the 2 weeks or 5 half-lives of the medication, whichever is longer, prior to the first administration of study drug Has received another new chemical entity (defined as a compound which has not been approved for marketing) within 30 days (or 5 half-lives, whichever is the longest) of the first administration of study drug in this study Clinical signs and symptoms consistent with Coronavirus disease 2019, eg, fever, dry cough, dyspnea, sore throat, fatigue, or confirmed infection by appropriate laboratory test within the last 4 weeks prior to Screening or on admission

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Sequential Assignment
Interventional Model Description: This is randomized single-blind, and placebo-controlled study
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cohort A1: AZD5462 Dose 1<br>Randomized healthy participants will receive Dose 1 of AZD5462. | Drug: AZD5462<br>* Participants will receive AZD5462, at dose levels of 1 to 5 in part A and at 1 to 4 in part B, respectively.<br>|
| Experimental: Cohort A2: AZD5462 Dose 2<br>Randomized healthy participants will receive Dose 2 of AZD5462. | Drug: AZD5462<br>* Participants will receive AZD5462, at dose levels of 1 to 5 in part A and at 1 to 4 in part B, respectively.<br>|
| Experimental: Cohort A3: AZD5462 Dose 3<br>Randomized healthy participants will receive Dose 3 of AZD5462. | Drug: AZD5462<br>* Participants will receive AZD5462, at dose levels of 1 to 5 in part A and at 1 to 4 in part B, respectively.<br>|
| Experimental: Cohort A4 Japanese descent: AZD5462 Dose 3<br>Randomized participants of Japanese descent will receive Dose 3 of AZD5462. | Drug: AZD5462<br>* Participants will receive AZD5462, at dose levels of 1 to 5 in part A and at 1 to 4 in part B, respectively.<br>|
| Experimental: Cohort A5: AZD5462 Dose 4<br>Randomized healthy participants will receive Dose 4 of AZD5462. | Drug: AZD5462<br>* Participants will receive AZD5462, at dose levels of 1 to 5 in part A and at 1 to 4 in part B, respectively.<br>|
| Experimental: Cohort A6 Japanese descent: AZD5462 Dose 4<br>Randomized participants of Japanese descent will receive Dose 4 of AZD5462. | Drug: AZD5462<br>* Participants will receive AZD5462, at dose levels of 1 to 5 in part A and at 1 to 4 in part B, respectively.<br>|
| Experimental: Cohort A7: AZD5462 Dose 5<br>Randomized healthy participants will receive Dose 5 of AZD5462. | Drug: AZD5462<br>* Participants will receive AZD5462, at dose levels of 1 to 5 in part A and at 1 to 4 in part B, respectively.<br>|
| Experimental: Cohort A8 Japanese descent: AZD5462 Dose 5<br>Randomized participants of Japanese descent will receive Dose 5 of AZD5462. | Drug: AZD5462<br>* Participants will receive AZD5462, at dose levels of 1 to 5 in part A and at 1 to 4 in part B, respectively.<br>|
| Placebo Comparator: Part A: Placebo (Healthy Participants)<br>Randomized healthy participants will receive Placebo matched to AZD5462. | Drug: Placebo<br>* Participants will receive Placebo matched to AZD5462.<br>|
| Placebo Comparator: Part A: Placebo (Japanese descent participants)<br>Randomized participants of Japanese descent will receive Placebo matched to AZD5462. | Drug: Placebo<br>* Participants will receive Placebo matched to AZD5462.<br>|
| Experimental: Cohort B1: AZD5462 Dose 1<br>Randomized healthy participants will receive Dose 1 of AZD5462. | Drug: AZD5462<br>* Participants will receive AZD5462, at dose levels of 1 to 5 in part A and at 1 to 4 in part B, respectively.<br>|
| Experimental: Cohort B2: AZD5462 Dose 2<br>Randomized healthy participants will receive Dose 2 of AZD5462. | Drug: AZD5462<br>* Participants will receive AZD5462, at dose levels of 1 to 5 in part A and at 1 to 4 in part B, respectively.<br>|
| Experimental: Cohort B3: AZD5462 Dose 3<br>Randomized healthy participants will receive Dose 3 of AZD5462. | Drug: AZD5462<br>* Participants will receive AZD5462, at dose levels of 1 to 5 in part A and at 1 to 4 in part B, respectively.<br>|
| Experimental: Cohort B4: AZD5462 Dose 4<br>Randomized healthy participants will receive Dose 4 of AZD5462. | Drug: AZD5462<br>* Participants will receive AZD5462, at dose levels of 1 to 5 in part A and at 1 to 4 in part B, respectively.<br>|
| Experimental: Cohort B5 Japanese descent: AZD5462 Dose 4<br>Randomized participants of Japanese descent will receive Dose 4 of AZD5462. | Drug: AZD5462<br>* Participants will receive AZD5462, at dose levels of 1 to 5 in part A and at 1 to 4 in part B, respectively.<br>|
| Placebo Comparator: Part B: Placebo (Healthy participants)<br>Randomized healthy participants will receive Placebo matched to AZD5462. | Drug: Placebo<br>* Participants will receive Placebo matched to AZD5462.<br>|
| Placebo Comparator: Part B: Placebo (Japanese descent participants)<br>Randomized participants of Japanese descent will receive Placebo matched to AZD5462. | Drug: Placebo<br>* Participants will receive Placebo matched to AZD5462.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of Participants with Adverse Events | Assessment of the safety and tolerability of AZD5462 following administration of single ascending doses (Part A) and multiple ascending doses (Part B). | Upto Follow-up (Part A: Day 10 ± 3; Part B: Day 19 ± 3) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maximum observed plasma (peak) drug concentration (Cmax) for AZD5462 | Characterization of the single dose and steady state PK of AZD5462 following administration. | Part A: Day 1 (pre-dose and post-dose), and Days 2, 3, and 10 (post-dose); Part B: Days 1 to 19 (pre and post-doses) | 
| Area under the plasma concentration curve from zero to the last quantifiable concentration (AUClast) for AZD5462 | Characterization of the single dose and steady state PK of AZD5462 following administration. | Part A: Day 1 (pre-dose and post-dose), and Days 2, 3, and 10 (post-dose); Part B: Days 1 to 19 (pre and post-doses) | 
| Area under plasma concentration time curve from zero to infinity (AUCinf) for AZD5462 | Characterization of the single dose and steady state PK of AZD5462 following administration. | Part A: Day 1 (pre-dose and post-dose), and Days 2, 3, and 10 (post-dose); Part B: Days 1 to 19 (pre and post-doses) | 
| Renal clearance of drug from plasma (CLR) for AZD5462 | Characterization of the single dose and steady state PK of AZD5462 following administration. | Part A: Day 1 (pre-dose and post-dose), and Days 2, 3, and 10 (post-dose); Part B: Days 1 to 19 (pre and post-doses) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Healthy participants of Japanese descent, First-in-Human, 2-part study