Title

A Two-part Single and Multiple Dose Study to Assess the Safety , Pharmacokinetics and Effects of AZD3293 in Healthy Japanese Young and Elderly Volunteers
A Phase I, Randomized, Double-Blind, Placebo-Controlled, Single and Multiple Ascending Dose Study to Assess the Safety, Tolerability, Pharmacokinetics and Effect on Biomarkers of AZD3293 in Healthy Japanese Male and Non-Fertile Female Volunteers Including Elderly
  • Phase

    Phase 1
  • Study Type

    Interventional
  • Intervention/Treatment

    azd3293 ...
  • Study Participants

    114
This study consists of two parts, ie, single dose part with young healthy subjects (Part 1) and single and multiple dose part with elderly healthy subjects (Part 2), to assess the safety, tolerability, pharmacokinetics and pharmacodynamics of AZD3293 following single and multiple ascending dose administration to healthy subjects.
This is a Phase I, randomised, double-blind, placebo-controlled, single centre study to assess the safety, tolerability, pharmacokinetics and pharmacodynamics of AZD3293 following single and multiple ascending dose administration to healthy subjects. This study consists of two parts, ie, single dose part with young healthy subjects (Part 1) and single and multiple dose part with elderly healthy subjects (Part 2). The study design allows a gradual escalation of dosage levels between sequential cohorts with safety monitoring to ensure the safety of the healthy subjects.
Study Started
Dec 31
2013
Primary Completion
Jul 31
2014
Study Completion
Jul 31
2014
Results Posted
Nov 10
2015
Estimate
Last Update
Nov 04
2016
Estimate

Drug AZD3293

Oral solution

Drug Placebo

Oral solution

AZD3293 Experimental

AZD3293 will be administered as single dose of an oral solution in Part 1 and single and multiple doses of an oral solution in Part 2. The ascending doses are planned to be 15, 50 and 150 mg for young subjects in Part 1 and 15 and 50 mg for elderly subjects in Part 2. Before proceeding to next dose level, safety, tolerability and pharmacokinetic data from the previous cohort(s) will be evaluated by a Safety Review Committee. Part 2 will start after confirming safety and tolerability in Part 1.

Placebo Placebo Comparator

Placebo given (2 subjects in each cohort)

Criteria

Inclusion Criteria:

Healthy Japanese elderly and young males and females (of non-childbearing potential)
Body mass index (BMI) between 17 and 27 kg/m2 and weigh at least 40 kg and no more than 100 kg

Exclusion Criteria:

Psychiatric disease/condition, GI, renal, hepatic, cardiovascular, psychiatric, or retinal diseases or disorders
Use of antipsychotic drugs , or chronic use of antidepressant or anxiolytic drugs.
Frequent use (more than 2 days per week during the last 12 weeks) of tobacco or other nicotine products.
Neurological disease, including seizures, recent memory impairment, or clinically significant head injury.

Summary

Placebo Part 1

AZD3293 15 mg Part 1

AZD3293 50 mg Part 1

AZD3293 150 mg Part 1

AZD3293 15 mg Part 2

AZD3293 50 mg Part 2

Placebo Part 2

All Events

Event Type Organ System Event Term Placebo Part 1 AZD3293 15 mg Part 1 AZD3293 50 mg Part 1 AZD3293 150 mg Part 1 AZD3293 15 mg Part 2 AZD3293 50 mg Part 2 Placebo Part 2

Safety - Adverse Events

Safety - Number of subjects reporting any adverse events during the study

AZD3293 15 mg Part 1

1.0
Participants

AZD3293 50 mg Part 1

1.0
Participants

AZD3293 150 mg Part 1

AZD3293 15 mg Part 2

2.0
Participants

AZD3293 50 mg Part 2

2.0
Participants

Placebo Part 1

1.0
Participants

Placebo Part2

1.0
Participants

Biomarker

Biomarker (Abeta 1-40; A beta 1-42) % change from baseline

Placebo Part 1

CSF Abeta(1-40) Day 14

CSF Abeta(1-42) Day 14

Plasma Abeta(1-40), Day 1

-9.03
% change from baseline (Mean)
Standard Deviation: 14.3

Plasma Abeta(1-40) Day 14

Plasma Abeta (1-42) Day 1

4.8
% change from baseline (Mean)
Standard Deviation: 9.78

Plasma Abeta(1-42) Day 14

AZD3293 15 mg Part 1

CSF Abeta(1-40) Day 14

CSF Abeta(1-42) Day 14

Plasma Abeta(1-40), Day 1

-69.6
% change from baseline (Mean)
Standard Deviation: 8.36

Plasma Abeta(1-40) Day 14

Plasma Abeta (1-42) Day 1

-58.3
% change from baseline (Mean)
Standard Deviation: 22.3

Plasma Abeta(1-42) Day 14

AZD3293 50 mg Part 1

CSF Abeta(1-40) Day 14

CSF Abeta(1-42) Day 14

Plasma Abeta(1-40), Day 1

-75.8
% change from baseline (Mean)
Standard Deviation: 6.34

Plasma Abeta(1-40) Day 14

Plasma Abeta (1-42) Day 1

-71.9
% change from baseline (Mean)
Standard Deviation: 9.74

Plasma Abeta(1-42) Day 14

AZD3293 150 mg Part 1

CSF Abeta(1-40) Day 14

CSF Abeta(1-42) Day 14

Plasma Abeta(1-40), Day 1

-62.7
% change from baseline (Mean)
Standard Deviation: 37.6

Plasma Abeta(1-40) Day 14

Plasma Abeta (1-42) Day 1

-79.4
% change from baseline (Mean)
Standard Deviation: 4.84

Plasma Abeta(1-42) Day 14

AZD3293 15 mg Part 2

CSF Abeta(1-40) Day 14

-50.4
% change from baseline (Mean)
Standard Deviation: 7.49

CSF Abeta(1-42) Day 14

-63.2
% change from baseline (Mean)
Standard Deviation: 9.12

Plasma Abeta(1-40), Day 1

-65.9
% change from baseline (Mean)
Standard Deviation: 4.54

Plasma Abeta(1-40) Day 14

-74.7
% change from baseline (Mean)
Standard Deviation: 5.28

Plasma Abeta (1-42) Day 1

-73.7
% change from baseline (Mean)
Standard Deviation: 4.03

Plasma Abeta(1-42) Day 14

-77.6
% change from baseline (Mean)
Standard Deviation: 4.73

AZD3293 50 mg Part 2

CSF Abeta(1-40) Day 14

-76.6
% change from baseline (Mean)
Standard Deviation: 3.96

CSF Abeta(1-42) Day 14

-79.3
% change from baseline (Mean)
Standard Deviation: 4.69

Plasma Abeta(1-40), Day 1

-70.2
% change from baseline (Mean)
Standard Deviation: 3.76

Plasma Abeta(1-40) Day 14

-77.0
% change from baseline (Mean)
Standard Deviation: 3.36

Plasma Abeta (1-42) Day 1

-77.1
% change from baseline (Mean)
Standard Deviation: 5.31

Plasma Abeta(1-42) Day 14

-78.6
% change from baseline (Mean)
Standard Deviation: 4.27

Placebo Part 2

CSF Abeta(1-40) Day 14

-8.0
% change from baseline (Mean)
Standard Deviation: 22.7

CSF Abeta(1-42) Day 14

1.75
% change from baseline (Mean)
Standard Deviation: 21.9

Plasma Abeta(1-40), Day 1

-7.4
% change from baseline (Mean)
Standard Deviation: 3.89

Plasma Abeta(1-40) Day 14

-5.1
% change from baseline (Mean)
Standard Deviation: 8.56

Plasma Abeta (1-42) Day 1

12.4
% change from baseline (Mean)
Standard Deviation: 16.9

Plasma Abeta(1-42) Day 14

15.9
% change from baseline (Mean)
Standard Deviation: 19.9

PK Cmax - Overall Study

Pharmacokinetic maximum concentration

AZD3293 15 mg Part 1

MAD -Day 10 steady state

MAD - Day 14 steady state

Single dose

82.5
ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 20.9

AZD3293 50 mg Part 1

MAD -Day 10 steady state

MAD - Day 14 steady state

Single dose

395.0
ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 24.9

AZD3293 150 mg Part 1

MAD -Day 10 steady state

MAD - Day 14 steady state

Single dose

1480.0
ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 14.4

AZD3293 15 mg Part 2

MAD -Day 10 steady state

115.0
ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 29.7

MAD - Day 14 steady state

119.0
ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 23.3

Single dose

86.6
ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 31.7

AZD3293 50 mg Part 2

MAD -Day 10 steady state

465.0
ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 42.2

MAD - Day 14 steady state

502.0
ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 30.6

Single dose

395.0
ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 38.5

PK AUC - Overall Study (SAD & MAD Parts)

Pharmacokintic Area Under the Curve (0 to t)

AZD3293 15 mg Part 1

MAD -Day 10 Steady state

MAD -Day 14 Steady state

Single dose

839.0
hr.ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 28.1

AZD3293 50 mg Part 1

MAD -Day 10 Steady state

MAD -Day 14 Steady state

Single dose

2810.0
hr.ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 17.6

AZD3293 150 mg Part 1

MAD -Day 10 Steady state

MAD -Day 14 Steady state

Single dose

10700.0
hr.ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 10.1

AZD3293 15 mg Part 2

MAD -Day 10 Steady state

1060.0
hr.ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 18.3

MAD -Day 14 Steady state

1030.0
hr.ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 12.8

Single dose

877.0
hr.ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 12.5

AZD3293 50 mg Part 2

MAD -Day 10 Steady state

3540.0
hr.ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 37.3

MAD -Day 14 Steady state

3280.0
hr.ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 30.4

Single dose

3070.0
hr.ng/mL (Geometric Mean)
Geometric Coefficient of Variation: 27.7

Total

40
Participants

Age, Continuous

Age, Continuous

Race/Ethnicity, Customized

Sex: Female, Male

Part 1 - Cohorts 1-3 Adult Subjects

Placebo Part 1

AZD3293 15 mg Part 1

AZD3293 50 mg Part 1

AZD3293 150 mg Part 1

Part 2 - Elderly Subjects Cohorts 4 & 5

AZD3293 15 mg Part 2

AZD3293 50 mg Part 2

Placebo Part 2

Drop/Withdrawal Reasons

AZD3293 15 mg Part 2