Study to Assess the Bioavailability of Different Formulations of AZD9977 and Dapagliflozin and Influence of Food in Selected Formulations in Healthy Volunteers

Study Overview
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Brief Summary
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The primary purpose of the study is to evaluate relative bioavailability of AZD9977 and dapagliflozin and compare the plasma concentration time profiles after dosing with different capsule formulations containing both AZD9977 and dapagliflozin or solely dapagliflozin, the AZD9977 capsule, and dapagliflozin tablet under fasted conditions.

Detailed Description
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The study will be conducted at 2 study centers in Germany. Eligible participants will be randomized to one of the 8 treatment sequences (4 unique sequences to Group 1 and 4 unique sequences to Group 2). In Group 1, participants will receive 5 single dose treatments, while in Group 2 participants will receive 4 single dose treatments. Below treatments A, B, C, D and E will be given to participants in Group 1 and treatments A, F, G and H will be given to participants in Group 2 in randomized order: Treatment A: AZD9977 Dose A + 10 mg dapagliflozin tablet, fasted Treatment B: AZD9977 Dose A + 10 mg dapagliflozin capsule 1, fasted Treatment C: AZD9977 Dose A + 10 mg dapagliflozin capsule 1, fed Treatment D: AZD9977 Dose A + 10 mg dapagliflozin capsule 2, fasted Treatment E: AZD9977 Dose A + 10 mg dapagliflozin capsule 2, fed Treatment F: AZD9977 Dose A + 10 mg dapagliflozin capsule 3, fasted Treatment G: AZD9977 Dose A + 10 mg dapagliflozin capsule 4, fasted Treatment H: 10 mg dapagliflozin capsule, fasted The study will comprise of the following: A screening period of maximum 21 days. Four or five treatment periods during which participants will be resident at the study center from the day before dosing until at least 72 hours after the final dose. A final visit within 5 to 7 days after administration of the last treatment. Each participant will receive single dose treatments under fasted or fed conditions, separated by at least 4 days washout. Each participant will be involved in the study for approximately 6 to 7 weeks.

Official Title
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An Open-label, Randomized, Parallel Group, Four/Five Period, Eight Treatment Cross-over, Single Oral Dose Study to Assess the Relative Bioavailability of Different Formulations of AZD9977 and Dapagliflozin and Influence of Food in Selected Formulations in Healthy Volunteers

Conditions
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Heart Failure

Intervention / Treatment
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* Drug: Treatment A
* Drug: Treatment B
* Drug: Treatment C
* Drug: Treatment D
* Drug: Treatment E
* Drug: Treatment F
* Drug: Treatment G
* Drug: Treatment H


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Healthy participants of non-childbearing potential with suitable veins for cannulation or repeated venipuncture at screening Females must have a negative pregnancy test at the screening Visit and a negative urine pregnancy test at admission to the study center, must not be lactating and must be of non childbearing potential Have a body mass index between 18 and 29.9 kg/m^2, inclusive, and weigh at least 50 kg and no more than 100 kg, inclusive, at screening Exclusion Criteria: History of any clinically significant disease or disorder which, in the opinion of the Investigator, may either put the participant 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 significant illness, medical/surgical procedure, or trauma within 4 weeks of the first administration of investigational medicinal product (IMP). Any clinically significant abnormalities in clinical chemistry, hematology, or urinalysis results at screening, as judged by the Investigator Any clinically significant abnormal findings in vital signs, and 12-lead electrocardiogram as judged by the Investigator Any positive result on screening for serum hepatitis B surface antigen or anti-hemoglobin antibody, hepatitis C antibody, and human immunodeficiency virus antibody Has received another new chemical entity (defined as a compound which has not been approved for marketing) within 3 months (or 5 half lives, whichever is longer) of the first administration of IMP in this study Plasma donation within 1 month of screening or any blood donation/loss more than 500 mL during the 3 months prior to screening History of severe allergy/hypersensitivity or ongoing allergy/hypersensitivity or history of hypersensitivity to drugs with a similar chemical structure or class to AZD9977 or dapagliflozin Current smokers or those who have smoked or used nicotine products (including e cigarettes) within the 3 months prior to screening Participant has a positive test result for Severe acute respiratory syndrome coronavirus 2 reverse transcriptase polymerase chain reaction at admission Use of drugs with enzyme-inducing properties such as St John's Wort within 3 weeks prior to the first administration of IMP Use of any prescribed or non prescribed medication including antacids, analgesics, hormone replacement therapy, herbal remedies, megadose vitamins and minerals during the 2 weeks prior to the first administration of IMP or longer if the medication has a long half life Participants who have previously received AZD9977 or dapagliflozin Judgment by the Investigators that the participant should not participate in the study if they have any ongoing or recent minor medical complaints Participants who cannot communicate reliably with the Investigator and/or is not able to read, speak and understand the German language Participant has clinical signs and symptoms consistent with corona virus disease 2019 (COVID-19), or confirmed infection by appropriate laboratory test within the last 4 weeks prior to screening or on first admission History of severe COVID-19 infection (hospitalization, extracorporeal membrane oxygenation, mechanically ventilated) as judged by the Investigator

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: Basic Science
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group 1: Treatment Sequence ABECD<br>Participants will receive a single oral dose of Treatments A, B, E, C, and D in Treatment periods 1 to 5 on Day 1 of the study. | Drug: Treatment A<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin tablet in fasted condition.<br>Drug: Treatment B<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 1 in fasted condition.<br>Drug: Treatment C<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 1 in fed condition<br>Drug: Treatment D<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 2 in fasted condition.<br>Drug: Treatment E<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 2 in fed condition.<br>|
| Experimental: Group 1: Treatment Sequence BACED<br>Participants will receive a single oral dose of Treatments B, A, C, E, and D in Treatment periods 1 to 5 on Day 1 of the study. | Drug: Treatment A<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin tablet in fasted condition.<br>Drug: Treatment B<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 1 in fasted condition.<br>Drug: Treatment C<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 1 in fed condition<br>Drug: Treatment D<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 2 in fasted condition.<br>Drug: Treatment E<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 2 in fed condition.<br>|
| Experimental: Group 1: Treatment Sequence CDBEA<br>Participants will receive a single oral dose of Treatments C, D, B, E, and A in Treatment periods 1 to 5 on Day 1 of the study. | Drug: Treatment A<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin tablet in fasted condition.<br>Drug: Treatment B<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 1 in fasted condition.<br>Drug: Treatment C<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 1 in fed condition<br>Drug: Treatment D<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 2 in fasted condition.<br>Drug: Treatment E<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 2 in fed condition.<br>|
| Experimental: Group 1: Treatment Sequence EADBC<br>Participants will receive a single oral dose of Treatments E, A, D, B, and C in Treatment periods 1 to 5 on Day 1 of the study. | Drug: Treatment A<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin tablet in fasted condition.<br>Drug: Treatment B<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 1 in fasted condition.<br>Drug: Treatment C<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 1 in fed condition<br>Drug: Treatment D<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 2 in fasted condition.<br>Drug: Treatment E<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 2 in fed condition.<br>|
| Experimental: Group 2: Treatment Sequence AFHG<br>Participants will receive a single oral dose of Treatments A, F, H, and G in Treatment periods 1 to 4 on Day 1 of the study. | Drug: Treatment A<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin tablet in fasted condition.<br>Drug: Treatment F<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 3 in fasted condition.<br>Drug: Treatment G<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 4 in fasted condition.<br>Drug: Treatment H<br>* Participants will receive oral dose of dapagliflozin capsule in fasted condition.<br>|
| Experimental: Group 2: Treatment Sequence FGAH<br>Participants will receive a single oral dose of Treatments F, G, A, and H in Treatment periods 1 to 4 on Day 1 of the study. | Drug: Treatment A<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin tablet in fasted condition.<br>Drug: Treatment F<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 3 in fasted condition.<br>Drug: Treatment G<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 4 in fasted condition.<br>Drug: Treatment H<br>* Participants will receive oral dose of dapagliflozin capsule in fasted condition.<br>|
| Experimental: Group 2: Treatment Sequence GHFA<br>Participants will receive a single oral dose of Treatments G, H, F, and A in Treatment periods 1 to 4 on Day 1 of the study. | Drug: Treatment A<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin tablet in fasted condition.<br>Drug: Treatment F<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 3 in fasted condition.<br>Drug: Treatment G<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 4 in fasted condition.<br>Drug: Treatment H<br>* Participants will receive oral dose of dapagliflozin capsule in fasted condition.<br>|
| Experimental: Group 2: Treatment Sequence HAGF<br>Participants will receive a single oral dose of Treatments H, A, G, and F in Treatment periods 1 to 4 on Day 1 of the study. | Drug: Treatment A<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin tablet in fasted condition.<br>Drug: Treatment F<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 3 in fasted condition.<br>Drug: Treatment G<br>* Participants will receive oral AZD9977 Dose A capsule and 10 mg dapagliflozin capsule 4 in fasted condition.<br>Drug: Treatment H<br>* Participants will receive oral dose of dapagliflozin capsule in fasted condition.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Area under plasma concentration time curve from zero to infinity (AUCinf) | Evaluation of AUCinf of AZD9977 and dapagliflozin, after dosing with different capsule formulations containing both AZD9977 and dapagliflozin or solely dapagliflozin, the AZD9977 capsule, and dapagliflozin tablet under fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| Area under the plasma concentration time curve from zero to the last quantifiable concentration (AUClast) | Evaluation of AUClast of AZD9977 and dapagliflozin, after dosing with different capsule formulations containing both AZD9977 and dapagliflozin or solely dapagliflozin, the AZD9977 capsule, and dapagliflozin tablet under fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| Maximum observed plasma (peak) drug concentration (Cmax) | Evaluation of Cmax of AZD9977 and dapagliflozin, after dosing with different capsule formulations containing both AZD9977 and dapagliflozin or solely dapagliflozin, the AZD9977 capsule, and dapagliflozin tablet under fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| Drug concentration in plasma at 24 hours post-dose (C24) | Evaluation of C24 of AZD9977 and dapagliflozin, after dosing with different capsule formulations containing both AZD9977 and dapagliflozin or solely dapagliflozin, the AZD9977 capsule, and dapagliflozin tablet under fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| AUCinf of AZD9977 and dapagliflozin | Evaluation of AUCinf of AZD9977 and dapagliflozin after dosing with 2 different capsule formulations (AZD9977 + dapagliflozin) under fed and fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| AUClast of AZD9977 and dapagliflozin | Evaluation of AUClast of AZD9977 and dapagliflozin after dosing with 2 different capsule formulations (AZD9977 + dapagliflozin) under fed and fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| Cmax of AZD9977 and dapagliflozin | Evaluation of Cmax of AZD9977 and dapagliflozin after dosing with 2 different capsule formulations (AZD9977 + dapagliflozin) under fed and fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| C24 of AZD9977 and dapagliflozin | Evaluation of C24 of AZD9977 and dapagliflozin after dosing with 2 different capsule formulations (AZD9977 + dapagliflozin) under fed and fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| AUCinf of AZD9977 | Evaluation of AUCinf of AZD9977 in different capsules against each other under fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| AUClast of AZD9977 | Evaluation of AUClast of AZD9977 in different capsules against each other under fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| Cmax of AZD9977 | Evaluation of Cmax of AZD9977 in different capsules against each other under fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| C24 of AZD9977 | Evaluation of C24 of AZD9977 in different capsules against each other under fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| AUCinf of dapagliflozin | Evaluation of AUCinf of dapagliflozin in different capsules against each other under fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| AUClast of dapagliflozin | Evaluation of AUClast of dapagliflozin in different capsules against each other under fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| Cmax of dapagliflozin | Evaluation of Cmax of dapagliflozin in different capsules against each other under fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| C24 of dapagliflozin | Evaluation of C24 of dapagliflozin in different capsules against each other under fasted conditions. | Day 1 until Day 4 of each Treatment Period (Pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 8, 12, 16, 24, 36, 48 and 72 hours post-dose) | 
| Number of participants with adverse events | Assessment of the safety and tolerability of single doses of AZD9977 and dapagliflozin in healthy participants. | From screening until follow-up visit (5 to 7 days post final dose) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pharmacokinetics, Bioavailability, Oral selective mineralocorticoid receptor modulator, Dapagliflozin, AZD9977