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Knockdown of HSD17B13 mRNA, Pharmacokinetics, Safety, and Tolerability, of AZD7503 in Non-Alcoholic Fatty Liver Disease

Primary Purpose

Non-alcoholic Fatty Liver Disease, Fatty Liver, Nonalcoholic, NAFLD

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AZD7503 Intervention
Sponsored by
AstraZeneca
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Non-alcoholic Fatty Liver Disease focused on measuring NASH, NAFLD

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria # Part A

  1. Participant must be ≥ 18 to ≤ 75 years of age at the time of signing the informed consent.
  2. Participants with suspected or confirmed NAFLD or NASH including laboratory values with any of the following deviations at screening

    1. ALT > ULN,
    2. Imaging demonstrating hepatic steatosis including controlled attenuation parameter (CAP) >290 dB/m, OR Liver stiffness of >7.1 kPa as measured by Fibroscan.
  3. Body mass index (BMI) ≥20 kg/m2.
  4. Male and /or female of non-child bearing potential.

    Inclusion Criteria # Part B

  5. Histologic evidence of NAFLD or NASH with a NAS ≥3 following baseline liver biopsy.

Exclusion Criteria:

  1. History or presence of hepatic disease (with the exception of hepatic steatosis, NASH) or evidence of other known forms of known chronic liver
  2. History of liver transplant, evidence of cirrhosis, or current placement on a liver transplant
  3. Positive results for HIV antigen and hepatitis B surface antigen If a participant has a positive result at the screening visit for hepatitis C antibody, the investigator will document that the participant has hepatitis C RNA below the limit of detection and has not received curative treatment in the last 3 years.
  4. History of alcohol abuse or excessive intake of alcohol as judged by the investigator.
  5. Uncontrolled blood pressure, defined as any of the following during pre-screening and/or Day -1 (mean of 3 measurements):

    1. Systolic blood pressure >160 mmHg.
    2. Diastolic blood pressure >100 mmHg.
  6. Any clinically important abnormalities in rhythm, conduction or morphology of the resting ECG.
  7. Any clinically important abnormalities in clinical chemistry, hematology, or urinalysis results,
  8. Known or suspected history of drug abuse as judged by the investigator.
  9. Positive screen for drugs of abuse at screening or admission to the study site prior to the administration of the study intervention.
  10. Changes to any concomitant medication (initiation, dose change, or cessation) within one month prior to the screening visit.
  11. Any laboratory values with following deviations at screening (one re-test allowed):

    1. (a) ALT >3X ULN
    2. (b) AST >3X ULN
    3. (c) TBL >ULN or INR ≥1.3
    4. (d) ALP >1.5X ULN
    5. (e) eGFR <60 mL/min/1.73 m2 (calculated using CKD Epidemiology Collaboration
    6. [CKD-EPI] formula) and applying the standard correction factor for African
    7. American to the (CKD-EPI) by multiplying the GFR estimate by 1.159 and
    8. confirmed.
    9. (f) Platelets <150 × 109/L

Sites / Locations

  • Research SiteRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Intervention/ Drug

Arm Description

Investigation of the knockdown of hepatic HSD17B13 mRNA expression, PK, safety, and tolerability following multiple dose administration of AZD7503 in male participants and female participants of non-childbearing potential with NAFLD or NASH

Outcomes

Primary Outcome Measures

Number of participants with Adverse Events (AEs).
To assess adverse events as a variable of safety and tolerability of AZD7503.

Secondary Outcome Measures

Change in HSD17B13 mRNA Expression
HSD17B13 mRNA expression from baseline to Day 31 will be assessed
Number of participants with positive anti-drug antibodies to AZD7503
To explore the formation of ADAs.
Area under plasma concentration time-curve from zero to infinity (AUCinf) of AZD7503
To characterise the PK (AUCinf) of AZD7503 following SC administration of AZD7503
Area under the plasma concentration-curve from zero to the last quantifiable concentration (AUClast) of AZD7503
To characterize the PK (AUClast) of AZD7503 following SC administration of AZD7503.
Maximum observed plasma (peak) drug concentration (Cmax) of AZD7503
To characterise the PK (Cmax) of AZD7503 following SC administration of AZD7503.
Time to reach peak or maximum observed concentration or responsefollowing drug administration (tmax) of AZD7503
To characterise the PK (tmax) of AZD7503 following SC administration of AZD7503.
Half-life associated with terminal slope (λz) of a semi logarithmic concentration time curve (t½λz) of AZD7503
To characterise the PK (t½λz) of AZD7503 following SC administration of AZD7503.
Mean residence time of the unchanged drug in the systemic circulation (MRTinf) of AZD7503
To characterise the PK (MRTinf) of AZD7503 following SC administration of AZD7503.
Apparent total body clearance of drug from plasma after extravascular administration (CL/F) of AZD7503
To characterise the PK (CL/F) of AZD7503 following SC administration of AZD7503.
Apparent volume of distribution at steady state following extravascular administration based on terminal phase(Vz/F) of AZD7503
To characterise the PK (Vz/F) of AZD7503 following SC administration of AZD7503.
Time of last observed (quantifiable) concentration (tlast) of AZD7503
To characterise the PK (tlast) of AZD7503 following SC administration of AZD7503.
Lowest observed drug concentration (Ctrough) before next dose of AZD7503
To characterise the PK (Ctrough) of AZD7503 following SC administration of AZD7503.
Apparent volume of distribution at steady state following extravascular administration (Vss/F) of AZD7503
To characterise the PK (Vss/F) of AZD7503 following SC administration of AZD7503.
Accumulation ratio for AUC of AZD7503.
To characterize the PK (Rac AUC) of AZD7503 following SC administration of AZD7503
Accumulation ratio for Cmax (Rac Cmax) of AZD7503
To characterize the PK (Rac Cmax) of AZD7503 following SC administration of AZD7503.
Partial area under plasma concentration-time-curve from time 0 to time t (AUC(0-t)) of AZD7503
To characterise the PK (AUC(0-t)) of AZD7503 following SC administration of AZD7503

Full Information

First Posted
August 9, 2022
Last Updated
September 13, 2023
Sponsor
AstraZeneca
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1. Study Identification

Unique Protocol Identification Number
NCT05560607
Brief Title
Knockdown of HSD17B13 mRNA, Pharmacokinetics, Safety, and Tolerability, of AZD7503 in Non-Alcoholic Fatty Liver Disease
Official Title
An Open-label, Non-randomized, Multiple-dose Study to Assess the Knockdown of Hepatic HSD17B13 mRNA Expression, Pharmacokinetics, Safety, and Tolerability Following Administration of AZD7503 in Participants With Non-alcoholic Fatty Liver Disease
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 12, 2022 (Actual)
Primary Completion Date
December 21, 2023 (Anticipated)
Study Completion Date
December 21, 2023 (Anticipated)

3. Sponsor/Collaborators

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

4. Oversight

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

5. Study Description

Brief Summary
This is a two-part study. In Part A, eligible participants will undergo a baseline diagnostic liver biopsy to determine non-alcoholic fatty liver disease (NAFLD) Activity Score (NAS) and fibrosis stage, but will not receive study intervention. In Part B, participants with histologically confirmed NAFLD or non-alcoholic steatohepatitis (NASH) will receive study intervention.
Detailed Description
This is a single center, open-label Phase I study to assess knockdown of hepatic HSD17B13 mRNA pharmacokinetics (PK), safety, and tolerability following multiple doses of AZD7503 in male and/or female participants of non-childbearing status with NAFLD or NASH. In Part A, participants at high risk for NAFLD/NASH meeting inclusion criteria for Part A (Section 5.1) and none of the exclusion criteria noted in Section 5.2 will undergo a diagnostic, baseline liver biopsy per standard clinical care. Participants will be consented for the liver biopsy as a first step to determine eligibility for Part B. In Part B, participants will be consented for study intervention administration and repeat liver biopsy at the end-of-treatment (EOT). Eligible participants will be assigned to 1 study intervention cohort. Two additional cohorts may be added based on data from the FiH study (D9230C00001) and emerging data from this study. Participants who are selected for Part B based on histopathology evaluation (NAFLD or NASH with NAS of ≥3) will have an assessment of the hepatic HSD17B13 mRNA expression from both the liver biopsy obtained in Part A and the liver biopsy obtained at the end of study intervention administration in Part B. The assessments for hepatic HSD17B13 mRNA expression will be performed after each dose cohort is treated and before moving to the next dose cohort.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-alcoholic Fatty Liver Disease, Fatty Liver, Nonalcoholic, NAFLD, Nonalcoholic Fatty Liver Disease, Nonalcoholic Steatohepatitis, NASH
Keywords
NASH, NAFLD

7. Study Design

Primary Purpose
Other
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Intervention/ Drug
Arm Type
Experimental
Arm Description
Investigation of the knockdown of hepatic HSD17B13 mRNA expression, PK, safety, and tolerability following multiple dose administration of AZD7503 in male participants and female participants of non-childbearing potential with NAFLD or NASH
Intervention Type
Drug
Intervention Name(s)
AZD7503 Intervention
Intervention Description
Part A: Participants will be screened for histologic evidence of NAFLD or NASH and all eligibility criteria in part A prior to enrollment in part B. Part B: Participants consented to part B will be administered the study drug over the course of 31 days. At the end of the study a liver biopsy will be collected to measure for endpoints.
Primary Outcome Measure Information:
Title
Number of participants with Adverse Events (AEs).
Description
To assess adverse events as a variable of safety and tolerability of AZD7503.
Time Frame
99 days
Secondary Outcome Measure Information:
Title
Change in HSD17B13 mRNA Expression
Description
HSD17B13 mRNA expression from baseline to Day 31 will be assessed
Time Frame
31 days
Title
Number of participants with positive anti-drug antibodies to AZD7503
Description
To explore the formation of ADAs.
Time Frame
99 days
Title
Area under plasma concentration time-curve from zero to infinity (AUCinf) of AZD7503
Description
To characterise the PK (AUCinf) of AZD7503 following SC administration of AZD7503
Time Frame
99 days
Title
Area under the plasma concentration-curve from zero to the last quantifiable concentration (AUClast) of AZD7503
Description
To characterize the PK (AUClast) of AZD7503 following SC administration of AZD7503.
Time Frame
99 days
Title
Maximum observed plasma (peak) drug concentration (Cmax) of AZD7503
Description
To characterise the PK (Cmax) of AZD7503 following SC administration of AZD7503.
Time Frame
99 days
Title
Time to reach peak or maximum observed concentration or responsefollowing drug administration (tmax) of AZD7503
Description
To characterise the PK (tmax) of AZD7503 following SC administration of AZD7503.
Time Frame
99 days
Title
Half-life associated with terminal slope (λz) of a semi logarithmic concentration time curve (t½λz) of AZD7503
Description
To characterise the PK (t½λz) of AZD7503 following SC administration of AZD7503.
Time Frame
99 days
Title
Mean residence time of the unchanged drug in the systemic circulation (MRTinf) of AZD7503
Description
To characterise the PK (MRTinf) of AZD7503 following SC administration of AZD7503.
Time Frame
99 days
Title
Apparent total body clearance of drug from plasma after extravascular administration (CL/F) of AZD7503
Description
To characterise the PK (CL/F) of AZD7503 following SC administration of AZD7503.
Time Frame
99 days
Title
Apparent volume of distribution at steady state following extravascular administration based on terminal phase(Vz/F) of AZD7503
Description
To characterise the PK (Vz/F) of AZD7503 following SC administration of AZD7503.
Time Frame
99 days
Title
Time of last observed (quantifiable) concentration (tlast) of AZD7503
Description
To characterise the PK (tlast) of AZD7503 following SC administration of AZD7503.
Time Frame
99 days
Title
Lowest observed drug concentration (Ctrough) before next dose of AZD7503
Description
To characterise the PK (Ctrough) of AZD7503 following SC administration of AZD7503.
Time Frame
99 days
Title
Apparent volume of distribution at steady state following extravascular administration (Vss/F) of AZD7503
Description
To characterise the PK (Vss/F) of AZD7503 following SC administration of AZD7503.
Time Frame
99 days
Title
Accumulation ratio for AUC of AZD7503.
Description
To characterize the PK (Rac AUC) of AZD7503 following SC administration of AZD7503
Time Frame
99 days
Title
Accumulation ratio for Cmax (Rac Cmax) of AZD7503
Description
To characterize the PK (Rac Cmax) of AZD7503 following SC administration of AZD7503.
Time Frame
99 days
Title
Partial area under plasma concentration-time-curve from time 0 to time t (AUC(0-t)) of AZD7503
Description
To characterise the PK (AUC(0-t)) of AZD7503 following SC administration of AZD7503
Time Frame
99 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria # Part A Participant must be ≥ 18 to ≤ 70 years of age at the time of signing the informed consent. Participants with suspected or confirmed NAFLD or NASH including laboratory values with any of the following deviations at screening ALT > ULN, Imaging demonstrating hepatic steatosis including controlled attenuation parameter (CAP) >290 dB/m, OR Liver stiffness of >7.1 kPa as measured by Fibroscan. Body mass index (BMI) ≥20 kg/m2. Male and /or female of non-child bearing potential. Inclusion Criteria # Part B Histologic evidence of NAFLD or NASH with a NAS ≥3 following baseline liver biopsy. Exclusion Criteria: History or presence of hepatic disease (with the exception of hepatic steatosis, NASH) or evidence of other known forms of known chronic liver History of liver transplant, evidence of cirrhosis, or current placement on a liver transplant Positive results for HIV antigen and hepatitis B surface antigen If a participant has a positive result at the screening visit for hepatitis C antibody, the investigator will document that the participant has hepatitis C RNA below the limit of detection and has not received curative treatment in the last 3 years. History of alcohol abuse or excessive intake of alcohol as judged by the investigator. Uncontrolled blood pressure, defined as any of the following during pre-screening and/or Day -1 (mean of 3 measurements): Systolic blood pressure >160 mmHg. Diastolic blood pressure >100 mmHg. Any clinically important abnormalities in rhythm, conduction or morphology of the resting ECG. Any clinically important abnormalities in clinical chemistry, hematology, or urinalysis results, Known or suspected history of drug abuse as judged by the investigator. Positive screen for drugs of abuse at screening or admission to the study site prior to the administration of the study intervention. Changes to any concomitant medication (initiation, dose change, or cessation) within one month prior to the screening visit. Any laboratory values with following deviations at screening (one re-test allowed): (a) ALT >3X ULN (b) AST >3X ULN (c) TBL >ULN or INR ≥1.3 (d) ALP >1.5X ULN (e) eGFR <60 mL/min/1.73 m2 (calculated using CKD Epidemiology Collaboration [CKD-EPI] formula) and applying the standard correction factor for African American to the (CKD-EPI) by multiplying the GFR estimate by 1.159 and confirmed. (f) Platelets <150 × 109/L
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
AstraZeneca Clinical Study Information Center
Phone
1-877-240-9479
Email
information.center@astrazeneca.com
Facility Information:
Facility Name
Research Site
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
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.
IPD Sharing Time Frame
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 rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD Sharing Access Criteria
When a request has been approved AstraZeneca will provide access to the deidentified 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.
IPD Sharing URL
https://astrazenecagroup-dt.pharmacm.com/DT/Home

Learn more about this trial

Knockdown of HSD17B13 mRNA, Pharmacokinetics, Safety, and Tolerability, of AZD7503 in Non-Alcoholic Fatty Liver Disease

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