Study to Collect Samples for MIST Analysis of Zibotentan and Bioavailability of Zibotentan and Dapagliflozin in Heatlhy Participants

Sponsor
AstraZeneca (Industry)
Overall Status
Completed
CT.gov ID
NCT04991571
Collaborator
(none)
27
1
4
2.8
9.7

Study Details

Study Description

Brief Summary

The study will have 2 independent parts:

Part 1 of the study is intended to collect samples for Metabolites in Safety Testing (MIST) analysis after administration of multiple doses of zibotentan.

Part 2 of the study is designed to evaluate the relative bioavailability of zibotentan and dapagliflozin after dosing with two different fixed-dose combination (FDC) formulations and dosing with separate formulations of zibotentan and dapagliflozin.

Condition or Disease Intervention/Treatment Phase
  • Drug: Zibotentan (Treatment A)
  • Drug: Dapagliflozin (Treatment A)
  • Drug: Zibotentan/Dapagliflozin - Formulation 1 (Treatment B)
  • Drug: Zibotentan/Dapagliflozin - Formulation 2 (Treatment C)
Phase 1

Detailed Description

Part 1 will be an open-label, non-randomised, single treatment period. A single treatment period during which participants will be resident at the study centre from 2 days before dosing (Day -2) until the morning of Day 6.

Part 2 will be an open-label, randomised, 3-period, 3-treatment, cross-over single dose study. Participants will be randomised to one of 3 treatment sequences and will receive 3 single-dose study interventions. Participants will be resident at the study centre from 2 days before dosing (Day -2) until Day 3 of the last treatment sequence.

Participants who were enrolled in Part 1 may not be enrolled in Part 2.

Study Design

Study Type:
Interventional
Actual Enrollment :
27 participants
Allocation:
Randomized
Intervention Model:
Crossover Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1, Open-label Study With Two Independent Parts: Collecting Samples for Metabolites in Safety Testing Analysis of Zibotentan After Repeated Administration (Part 1); and a Randomised, Cross-over, Three Period, Three-treatment, Single Dose Study to Assess the Relative Bioavailability of Different Formulations of Zibotentan and Dapagliflozin (Part 2) in Healthy Adult Participants
Actual Study Start Date :
Jul 29, 2021
Actual Primary Completion Date :
Oct 22, 2021
Actual Study Completion Date :
Oct 22, 2021

Arms and Interventions

Arm Intervention/Treatment
Experimental: Part 1

Participants will be administered with zibotentan once daily for 5 days.

Drug: Zibotentan (Treatment A)
Zibotentan capsule will be administered orally as multiple doses in Part 1 and as single dose in Part 2.

Experimental: Part 2: Treatment Sequence ABC

Each participant will receive 3 single-dose treatments of zibotentan and dapagliflozin (Treatment A; Treatment B; Treatment C) in 3 treatment periods, separated by a washout period of at least 7 days between treatment periods.

Drug: Zibotentan (Treatment A)
Zibotentan capsule will be administered orally as multiple doses in Part 1 and as single dose in Part 2.

Drug: Dapagliflozin (Treatment A)
Dapagliflozin tablet will be administered orally as single dose in Part 2.

Drug: Zibotentan/Dapagliflozin - Formulation 1 (Treatment B)
Zibotentan/Dapagliflozin tablet will be administered orally as single dose in Part 2.

Drug: Zibotentan/Dapagliflozin - Formulation 2 (Treatment C)
Zibotentan/Dapagliflozin tablet will be administered orally as single dose in Part 2.

Experimental: Part 2: Treatment Sequence BCA

Each participant will receive 3 single-dose treatments of zibotentan and dapagliflozin (Treatment B; Treatment C; Treatment A) in 3 treatment periods, separated by a washout period of at least 7 days between treatment periods.

Drug: Zibotentan (Treatment A)
Zibotentan capsule will be administered orally as multiple doses in Part 1 and as single dose in Part 2.

Drug: Dapagliflozin (Treatment A)
Dapagliflozin tablet will be administered orally as single dose in Part 2.

Drug: Zibotentan/Dapagliflozin - Formulation 1 (Treatment B)
Zibotentan/Dapagliflozin tablet will be administered orally as single dose in Part 2.

Drug: Zibotentan/Dapagliflozin - Formulation 2 (Treatment C)
Zibotentan/Dapagliflozin tablet will be administered orally as single dose in Part 2.

Experimental: Part 2: Treatment Sequence CAB

Each participant will receive 3 single-dose treatments of zibotentan and dapagliflozin (Treatment C; Treatment A; Treatment B) in 3 treatment periods, separated by a washout period of at least 7 days between treatment periods.

Drug: Zibotentan (Treatment A)
Zibotentan capsule will be administered orally as multiple doses in Part 1 and as single dose in Part 2.

Drug: Dapagliflozin (Treatment A)
Dapagliflozin tablet will be administered orally as single dose in Part 2.

Drug: Zibotentan/Dapagliflozin - Formulation 1 (Treatment B)
Zibotentan/Dapagliflozin tablet will be administered orally as single dose in Part 2.

Drug: Zibotentan/Dapagliflozin - Formulation 2 (Treatment C)
Zibotentan/Dapagliflozin tablet will be administered orally as single dose in Part 2.

Outcome Measures

Primary Outcome Measures

  1. Part 1: Metabolites in Safety Testing sampling [Day 1 through Day 6 (pre-dose, 30 min; 1, 2, 4, 6, 8, 12 and 24 hours post dose)]

    Plasma sample will be collected to understand the PK profiling of zibotentan metabolites and to meet the regulatory requirements.

  2. Part 2: Area under plasma concentration time curve from zero to infinity (AUCinf) [Day 1 through Day 3 of each treatment period]

    Relative bioavailability of zibotentan and dapagliflozin after dosing with two different FDC formulations and dosing with separate formulations of zibotentan and dapagliflozin will be evaluated.

  3. Part 2: Area under the plasma concentration curve from zero to the last quantifiable concentration (AUClast) [Day 1 through Day 3 of each treatment period]

    Relative bioavailability of zibotentan and dapagliflozin after dosing with two different FDC formulations and dosing with separate formulations of zibotentan and dapagliflozin will be evaluated.

  4. Part 2: Maximum observed plasma drug concentration (Cmax) [Day 1 through Day 3 of each treatment period]

    Relative bioavailability of zibotentan and dapagliflozin after dosing with two different FDC formulations and dosing with separate formulations of zibotentan and dapagliflozin will be evaluated.

  5. Part 2: Observed concentration at 24 hours post-dose (C24) [Day 1 through Day 3 of each treatment period]

    Relative bioavailability of zibotentan and dapagliflozin after dosing with two different FDC formulations and dosing with separate formulations of zibotentan and dapagliflozin will be evaluated.

Secondary Outcome Measures

  1. Part 2: Time to reach peak or maximum observed concentration (tmax) [Day 1 through Day 3 of each treatment period]

    Relative bioavailability of zibotentan and dapagliflozin after dosing with two different FDC formulations and dosing with separate formulations of zibotentan and dapagliflozin will be evaluated.

  2. Part 2: Terminal rate constant (λz) [Day 1 through Day 3 of each treatment period]

    Relative bioavailability of zibotentan and dapagliflozin after dosing with two different FDC formulations and dosing with separate formulations of zibotentan and dapagliflozin will be evaluated.

  3. Part 2: Half life associated with λz (t½λz) [Day 1 through Day 3 of each treatment period]

    Relative bioavailability of zibotentan and dapagliflozin after dosing with two different FDC formulations and dosing with separate formulations of zibotentan and dapagliflozin will be evaluated.

  4. Part 2: Apparent total body clearance of drug from plasma after extravascular administration (CL/F) [Day 1 through Day 3 of each treatment period]

    Relative bioavailability of zibotentan and dapagliflozin after dosing with two different FDC formulations and dosing with separate formulations of zibotentan and dapagliflozin will be evaluated.

  5. Part 2: Volume of distribution at steady state following extravascular administration (Vz/F) [Day 1 through Day 3 of each treatment period]

    Relative bioavailability of zibotentan and dapagliflozin after dosing with two different FDC formulations and dosing with separate formulations of zibotentan and dapagliflozin will be evaluated.

  6. Part 1 and Part 2: Number of adverse events and serious adverse events [From Sceerning to Follow-up Visit approximately 40 days for Part 1 and 49 days for Part 2]

    Safety and tolerability of zibotentan and dapagliflozin will be studied.

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years to 50 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
Inclusion Criteria:
For inclusion in the study participants should fulfil the following criteria:
  1. Participants with suitable veins for cannulation or repeated venipuncture.

  2. Females must have a negative pregnancy test at the Screening Visit and within 24 hours prior to dosing, must not be lactating and must be of non- childbearing potential

  3. Male participant must adhere to the contraception methods.

  4. Have a BMI between 18 and 29.9 kg/m^2 inclusive and weigh at least 50 kg and no more than 100 kg inclusive.

  5. Provision of signed and dated, written informed consent prior to any study specific procedures.

Exclusion Criteria:

Participants will not enter the study if any of the following exclusion criteria are fulfilled:

  1. History or presence of gastrointestinal, hepatic or renal disease or any important disease or disorder.

  2. Any clinically important illness, medical/surgical procedure or trauma within 4 weeks of the first administration of study intervention.

  3. Any clinically significant abnormalities in clinical chemistry, haematology, or urinalysis.

  4. Any positive result on screening for serum hepatitis B surface antigen, hepatitis C antibody, and Human immunodeficiency virus antibody.

  5. Abnormal vital signs. 6 History of drug abuse or alcohol abuse.

  6. History of severe allergy/hypersensitivity or ongoing clinically important allergy/hypersensitivity.

  7. Participants who are vegans or have medical dietary restrictions. 9. Participants tested positive for COVID-19 at the time of randomisation or have been previously hospitalised with COVID-19 infection.

Contacts and Locations

Locations

Site City State Country Postal Code
1 Research Site Brooklyn Maryland United States 21225

Sponsors and Collaborators

  • AstraZeneca

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
AstraZeneca
ClinicalTrials.gov Identifier:
NCT04991571
Other Study ID Numbers:
  • D4325C00003
First Posted:
Aug 5, 2021
Last Update Posted:
Nov 23, 2021
Last Verified:
Nov 1, 2021
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Nov 23, 2021