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PET Study to Determine Muscarinic Receptor Occupancy in Lungs After Inhalation of AZD2115 and Tiotropium

Primary Purpose

Healthy Volunteers

Status
Completed
Phase
Phase 1
Locations
Sweden
Study Type
Interventional
Intervention
AZD2115
SPIRIVA
[11C]AZ13754366
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Healthy Volunteers focused on measuring Healthy volunteer study

Eligibility Criteria

20 Years - 50 Years (Adult)MaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Provision of signed and dated written informed consent prior to any study specific procedures
  • Healthy male subjects, aged 20 to 50 years (inclusive)
  • Male subjects must be surgically sterile or use an acceptable method of contraception (defined as barrier methods in conjunction with spermicides) for the duration of the study (from the first dose) and for 3 months after the last dose of study drug to prevent pregnancy in a partner
  • Body mass index (BMI) between 18.0 and 30.0 kg/m2 inclusive and weigh at least 50.0 kg and no more than 100.0 kg, inclusive
  • Able and willing to participate in all scheduled evaluations and abide by all study restrictions
  • Ability to inhale from the study drug training devices at visit 1
  • Subjects who are blood donors should not donate blood during the study and for 3 months following their last dose of study drug.

Exclusion Criteria:

  • History of any clinically significant 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 study results or the subject's ability to participate in the study.
  • Any clinical 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, haematology, or urinalysis results, as judged by the investigator.
  • Any positive results on screening for serum hepatitis B surface antigen (HBsAg), hepatitis C antibody and human immunodeficiency virus (HIV)
  • Abnormal vital signs, after 10 minutes of supine rest, defined as any of the following:

    • Systolic blood pressure (BP) <90 mmHg or >140 mmHg
    • Diastolic BP <50 mmHg or >90 mmHg
    • Heart rate <45 bpm or > 100 bpm
  • Any clinically important abnormalities in rhythm, conduction or morphology of resting ECG that may interfere with the interpretation of QTc interval changes, as determined by the investigator. This may include subjects with any of the following:

    • PR (PQ) interval prolongation of clinical significance as judged by the Investigator
    • Intermittent second or third degree AV block (AV block II Mobitz type 1 Wenchebach, while asleep or in deep rest is not disqualifying)
    • Incomplete, full, or intermittent bundle branch block (QRS less than 110 ms with normal QRS and T wave morphology is acceptable if there is no evidence of left ventricular hypertrophy)
    • Abnormal T wave morphology, particularly in the protocol-defined primary lead
    • Prolonged QT interval corrected for heart rate using Fridericia's formula (QTcF) greater than 450 ms or shortened QTcF less than 340 ms or a family history of long QT syndrome.
  • History of alcohol abuse or excessive intake of alcohol, as judged by the investigator.
  • Positive screen for drugs of abuse at visit 1.
  • History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity, other than seasonal allergies, as judged by the Investigator, or history of hypersensitivity to drugs with similar chemical structure or class as AZD2115.
  • Use of any prescribed or non-prescribed medication, during the 4 weeks (or longer depending on the medication's half-life) prior to the administration of IMP.
  • Use of drugs with enzyme inducing properties such as St John's Wort within 4 weeks prior to the investigational product administration.
  • Current smokers or subjects who have smoked or used nicotine products within 6 months prior to visit 1
  • Plasma donation within 1 month of screening or any blood donation/blood loss equal to or greater than 500 mL during the 3 months prior to screening.
  • Previous enrolment in the present study
  • Involvement in the planning and/or conduct of the study
  • Participation in another clinical study with an investigational product during the last 3 months
  • Negative Allen test in both hands
  • Claustrophobia that would contraindicate PET measurement.

Sites / Locations

  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Experimental

Arm Label

AZD2115

Spiriva (Tiotropium)

[11C]AZ13754366

Arm Description

Outcomes

Primary Outcome Measures

Reduction in distribution volume (VT)%
To describe the AZD2115 dose-muscarinic receptor occupancy relationship in the lungs in healthy volunteers

Secondary Outcome Measures

Receptor occupancy (RO) %
To describe the muscarinic receptor occupancy after inhalation of AZD2115 and Tiotropium in the lungs in healthy volunteers

Full Information

First Posted
March 6, 2017
Last Updated
August 27, 2021
Sponsor
AstraZeneca
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1. Study Identification

Unique Protocol Identification Number
NCT03097380
Brief Title
PET Study to Determine Muscarinic Receptor Occupancy in Lungs After Inhalation of AZD2115 and Tiotropium
Official Title
An Open-label Positron Emission Tomography Phase I Study to Determine Muscarinic Receptor Occupancy in the Lungs in Healthy Volunteers After Inhalation of Single Dose of Tiotropium or AZD2115.
Study Type
Interventional

2. Study Status

Record Verification Date
August 2021
Overall Recruitment Status
Completed
Study Start Date
April 26, 2017 (Actual)
Primary Completion Date
December 30, 2017 (Actual)
Study Completion Date
December 30, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
AstraZeneca

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
An open-label study using positionemissiontomography (PET) to explore the binding of AZD2115 and Tiotropium to muscarinic receptors in the lungs in healthy volunteers after inhalation.
Detailed Description
A phase I open-label exploratory study in healthy male volunteers using positionemissiontomography (PET). The study will test the hypothesis that Tiotropium and AZD2115 binds to the mAchRs in a saturable manner and aims to examine the relationship between receptor occupancy and drug exposure.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Healthy Volunteers
Keywords
Healthy volunteer study

7. Study Design

Primary Purpose
Basic Science
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
19 (Actual)

8. Arms, Groups, and Interventions

Arm Title
AZD2115
Arm Type
Experimental
Arm Title
Spiriva (Tiotropium)
Arm Type
Active Comparator
Arm Title
[11C]AZ13754366
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
AZD2115
Intervention Description
AZD2115
Intervention Type
Drug
Intervention Name(s)
SPIRIVA
Intervention Description
Tiotropium
Intervention Type
Radiation
Intervention Name(s)
[11C]AZ13754366
Intervention Description
Radioligand
Primary Outcome Measure Information:
Title
Reduction in distribution volume (VT)%
Description
To describe the AZD2115 dose-muscarinic receptor occupancy relationship in the lungs in healthy volunteers
Time Frame
up to 9 h post dose
Secondary Outcome Measure Information:
Title
Receptor occupancy (RO) %
Description
To describe the muscarinic receptor occupancy after inhalation of AZD2115 and Tiotropium in the lungs in healthy volunteers
Time Frame
up to 9 h post dose

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Provision of signed and dated written informed consent prior to any study specific procedures Healthy male subjects, aged 20 to 50 years (inclusive) Male subjects must be surgically sterile or use an acceptable method of contraception (defined as barrier methods in conjunction with spermicides) for the duration of the study (from the first dose) and for 3 months after the last dose of study drug to prevent pregnancy in a partner Body mass index (BMI) between 18.0 and 30.0 kg/m2 inclusive and weigh at least 50.0 kg and no more than 100.0 kg, inclusive Able and willing to participate in all scheduled evaluations and abide by all study restrictions Ability to inhale from the study drug training devices at visit 1 Subjects who are blood donors should not donate blood during the study and for 3 months following their last dose of study drug. Exclusion Criteria: History of any clinically significant 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 study results or the subject's ability to participate in the study. Any clinical 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, haematology, or urinalysis results, as judged by the investigator. Any positive results on screening for serum hepatitis B surface antigen (HBsAg), hepatitis C antibody and human immunodeficiency virus (HIV) Abnormal vital signs, after 10 minutes of supine rest, defined as any of the following: Systolic blood pressure (BP) <90 mmHg or >140 mmHg Diastolic BP <50 mmHg or >90 mmHg Heart rate <45 bpm or > 100 bpm Any clinically important abnormalities in rhythm, conduction or morphology of resting ECG that may interfere with the interpretation of QTc interval changes, as determined by the investigator. This may include subjects with any of the following: PR (PQ) interval prolongation of clinical significance as judged by the Investigator Intermittent second or third degree AV block (AV block II Mobitz type 1 Wenchebach, while asleep or in deep rest is not disqualifying) Incomplete, full, or intermittent bundle branch block (QRS less than 110 ms with normal QRS and T wave morphology is acceptable if there is no evidence of left ventricular hypertrophy) Abnormal T wave morphology, particularly in the protocol-defined primary lead Prolonged QT interval corrected for heart rate using Fridericia's formula (QTcF) greater than 450 ms or shortened QTcF less than 340 ms or a family history of long QT syndrome. History of alcohol abuse or excessive intake of alcohol, as judged by the investigator. Positive screen for drugs of abuse at visit 1. History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity, other than seasonal allergies, as judged by the Investigator, or history of hypersensitivity to drugs with similar chemical structure or class as AZD2115. Use of any prescribed or non-prescribed medication, during the 4 weeks (or longer depending on the medication's half-life) prior to the administration of IMP. Use of drugs with enzyme inducing properties such as St John's Wort within 4 weeks prior to the investigational product administration. Current smokers or subjects who have smoked or used nicotine products within 6 months prior to visit 1 Plasma donation within 1 month of screening or any blood donation/blood loss equal to or greater than 500 mL during the 3 months prior to screening. Previous enrolment in the present study Involvement in the planning and/or conduct of the study Participation in another clinical study with an investigational product during the last 3 months Negative Allen test in both hands Claustrophobia that would contraindicate PET measurement.
Facility Information:
Facility Name
Research Site
City
Stockholm
ZIP/Postal Code
171 76
Country
Sweden

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
32495011
Citation
Cselenyi Z, Jucaite A, Kristensson C, Stenkrona P, Ewing P, Varrone A, Johnstrom P, Schou M, Vazquez-Romero A, Moein MM, Bolin M, Siikanen J, Gryback P, Larsson B, Halldin C, Grime K, Eriksson UG, Farde L. Quantification and reliability of [11C]VC - 002 binding to muscarinic acetylcholine receptors in the human lung - a test-retest PET study in control subjects. EJNMMI Res. 2020 Jun 3;10(1):59. doi: 10.1186/s13550-020-00634-0.
Results Reference
derived

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PET Study to Determine Muscarinic Receptor Occupancy in Lungs After Inhalation of AZD2115 and Tiotropium

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